Evaluating of the disinfection and water quality effects on UV application in the primary stage of water treatment

Background: Irradiation of water by UV has been considered as an attractive alternative for disinfection because its low-impact, pathogen killing capacity shows tremendous promise for meeting today's drinking water regulatory requirements. This study has been performed with the objective of utilizing medium pressure lamp in the preliminary stage of municipal water treatment, namely prior to water clarification and filtration. Methods: Raw water samples were irradiated for 30 s in a lab-scale closed reactor. Disinfection results showed nearly 2 log reduction in HPC for all the samples without formation of nitrite in excess of its MCL. As in a few previous works the formation of nitrite as an objectionable DBP had been reported, this study was extended by preparing synthetic water samples having different amounts of nitrate and turbidities. Results: As far as the initial nitrate concentration dose not exceed 10 mg/L N-NO3, there would be no risk of nitrite increasing in excess of the MCL. Conclusion: Meeting the goal of at least 90 % disinfection for water samples with turbidity levels of as high as 750 NTU is possible by utilizing medium- pressure UV lamp

Idiopathic (primary) achalasia

Idiopathic achalasia is a primary esophageal motor disorder characterized by esophageal aperistalsis and abnormal lower esophageal sphincter (LES) relaxation in response to deglutition. It is a rare disease with an annual incidence of approximately 1/100,000 and a prevalence rate of 1/10,000. The disease can occur at any age, with a similar rate in men and women, but is usually diagnosed between 25 and 60 years. It is characterized predominantly by dysphagia to solids and liquids, bland regurgitation, and chest pain. Weight loss (usually between 5 to 10 kg) is present in most but not in all patients. Heartburn occurs in 27%–42% of achalasia patients. Etiology is unknown. Some familial cases have been reported, but the rarity of familial occurrence does not support the hypothesis that genetic inheritance is a significant etiologic factor. Association of achalasia with viral infections and auto-antibodies against myenteric plexus has been reported, but the causal relationship remains unclear. The diagnosis is based on history of the disease, radiography (barium esophagogram), and esophageal motility testing (esophageal manometry). Endoscopic examination is important to rule out malignancy as the cause of achalasia. Treatment is strictly palliative. Current medical and surgical therapeutic options (pneumatic dilation, surgical myotomy, and pharmacologic agents) aimed at reducing the LES pressure and facilitating esophageal emptying by gravity and hydrostatic pressure of retained food and liquids. Although it cannot be permanently cured, excellent palliation is available in over 90% of patients

Investigation of heavy metals accumulation in the sediment and body of carp fish in Aras River

Heavy metals are considered as the most dangerous water contaminants because of their possibility of bioaccumulation and toxic effects. This study tried to investigate the bio-availability of heavy metals in terms of Ni, Zn, Cu, Fe, Hg, Cd, and Pb in the sediment during dry seasons in Aras River basin located in Ardabil Province, north-west of Iran. Also the metal concentration in the skin and flesh carp was measured during all four seasons in 2010 in Aras River. Sediments were collected from five stations during summer but fish sampling was carried out seasonally in five fixed stations. The results of this study indicated that there was a meaningful and positive correlation between the existence of high levels of bioavailable metals and their concentration in fish body. Among the measured metals, Fe is highly bioavailable and the highest level of Fe in the sediment was in the ST4 (93.4mg/l). This could be due to high accumulation of this element in fish body. Also, maximum concentration of Fe in fish body was in summer (1.87mg/l) as well

Application and optimization in chromium-contaminated wastewater treatment of the reverse osmosis technology

Background: Chromium (Cr) is the most important element used to plate other metals and electroplating factories are still considered to be the most important industries which pollute the environment to this metal. This paper describes a study conducted to determine the efficiency of reverse-osmosis (RO) as a membrane technique for removal of Cr from wastewater samples synthetically prepared to be similar to electroplating effluents. Methods: The RO unit used in this study was a spiral wound module of 2521 TE made by a Korean CSM company. Synthetic wastewater samples containing Cr ions at various concentrations of 1 to 20 mg/L were prepared and subjected to treatment by RO, and quantitative analysis had been accomplished by a colorimetric method. Evaluation of optimized conditions of treatment had also been carried out by determining the effects of changing operating pressure, temperature and pHs of samples. Results: Optimum conditions of Cr-treatment by RO in 10 g/L initial Cr concentration were determined to be in the pH range of 6 to 7 and in temperature of about 25°C at an applied pressure of 200 psi. Conclusion: Considering the efficiency of Cr removal which was as high as 99 at the optimized conditions it could be concluded that RO membrane process may be selected and developed as an effective alternative for treatment of metal-contaminated effluents of electroplating and similar industries

Diagnostic Accuracy of Sixty Four Multi-Slice CT Angiography in Assessment of Arterial Cut-Off and Run-Off in Comparison with Surgical Findings

Background/Objective: The accurate anatomic mapping and determination of the severity of arterial disease, an important health problem of the elderly, is of great significance. We aimed to determine the diagnostic value of 64-multislice CT angiography (MSCTA) in run-off and cut-off sites of arterial disease. Patients and Methods: Throughout the study, MSCTA followed by an operative intervention was carried out on a total of 38 patients with clinical signs and symptoms suggestive of arterial disease (AD) all of whom had the indication for vascular surgery. The mean age of patients was 34±15.86 (range, 23 to 93) years. MSCTA was executed using a 64-slice CT scanner, during the arterial phase of injecting the nonionic, contrast medium with a power injector at the rate of 5 ml/sec into the antecubital vein and exploration and revascularization of peripheral arterial disease was performed intraoperatively. Results: Atherosclerosis and arterial disease, the most common causes of vascular occlusion, were more common in the lower extremities. According to MSCTA findings, the most frequent site of stenosis was the superficial femoral artery. Spearman’s correlation coefficient showed a high degree of agreement amongst the raters. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and the accuracy of MSCTA compared to surgery were 83.8%, 96%, 96.8%, 81.3% and 89%, respectively. MSCTA findings were compared with surgery as a standard of reference, which showed concordance in the majority of cases (81.6%). Cut-off sites were correctly identified by MSCTA in 97.3% of the patients and the most common sites of discordance were the run-off sites (18.2%). Conclusion: MSCTA angiography as a novel diagnostic modality may be a suitable alternative and a viable choice for routine clinical diagnosis

The Intersection of GERD, Aspiration, and Lung Transplantation

Lung transplantation is a radical but life-saving treatment option for patients with end-stage lung diseases, such as idiopathic pulmonary fibrosis (IPF) and scleroderma. In light of the proposed association and controversy linking gastroesophageal reflux disease (GERD) to IPF and lung transplant outcome, the American Gastroenterological Association convened during the DDW in Washington in May 2015 a multidisciplinary group of experts in the field of GERD and lung transplantation to make considerations about the care of these patients based on available data and subsequent expert panel discussion at this symposium. The following topics were discussed: (1) pathophysiology of GERD-induced pulmonary symptoms, (2) GERD evaluation before and after lung transplantation, (3) outcome of lung transplantation for IPF and scleroderma, and (4) role of laparoscopic fundoplication before or after lung transplantation