Adult Onset Still’s Disease: A Case Report with a Rare Clinical Manifestation and Pathophysiological Correlations

Adult-onset Still’s disease is an inflammatory multisystemic disease of unknown etiology. Pleuritis is the most common pulmonary manifestation and pleural effusions are usually exudates with a predominance of neutrophils. We report a case of an eosinophilic pleural effusion as a novel and hitherto unrecognized manifestation of active adult-onset Still’s disease. We also observed a marked NLRP3 inflammasome activation with increased production of IL-1β which coincided with the development and resolved upon remission of the pleural effusion suggesting a possible novel pathogenetic pathway for the development of pleural effusions in the context of the auto-inflammatory disorders

Occurrence of micro-pollutants in a soil-radish system irrigated with several types of treated domestic wastewater

During this study, the effect of applying several types of treated domestic wastewater on the translocation and accumulation of organic and inorganic micropollutants in soil and radish plants (Raphanus sativus L.) was examined. Primary (PTW), secondary (STW) and tertiary (TTW) treated wastewater as well as tap water (TW) were used for the irrigation of radish plants for a period (transplantating and harvesting) of 67 days. Higher concentrations of polycyclic aromatic hydrocarbons (PAHs) were observed in soils irrigated with PTW. The concentration of PAHs in radish roots ranged between 107.612.1 ?g/kg for plants irrigated with TTW and 124.117.7 ?g/kg for plants irrigated with PTW. The root concentration factors (RCFs) expressed as the ratio of PAH concentration in the root mass (dry weight) to the residual concentration in the soil varied from 1.6 to 1.9 indicating a higher accumulation of PAHs in the edible part of radishes than soil. Heavy metals were not detected in the wastewaters utilised and, as a result, no accumulation was found in either the soil or plants in comparison with tap water. RCFs for heavy metals were calculated between 0.91 and 0.99, 0.49 and 0.66, 0.004 and 0.005 for Cu, Zn and Ni, respectively. The results showed that radishes have the ability to concentrate PAHs when they are present in the wastewater and this could have associated health risks

Occurrence of micro-pollutants in a soil-radish system irrigated with several types of treated domestic wastewater

During this study, the effect of applying several types of treated domestic wastewater on the translocation and accumulation of organic and inorganic micropollutants in soil and radish plants (Raphanus sativus L.) was examined. Primary (PTW), secondary (STW) and tertiary (TTW) treated wastewater as well as tap water (TW) were used for the irrigation of radish plants for a period (transplantating and harvesting) of 67 days. Higher concentrations of polycyclic aromatic hydrocarbons (PAHs) were observed in soils irrigated with PTW. The concentration of PAHs in radish roots ranged between 107.612.1 ?g/kg for plants irrigated with TTW and 124.117.7 ?g/kg for plants irrigated with PTW. The root concentration factors (RCFs) expressed as the ratio of PAH concentration in the root mass (dry weight) to the residual concentration in the soil varied from 1.6 to 1.9 indicating a higher accumulation of PAHs in the edible part of radishes than soil. Heavy metals were not detected in the wastewaters utilised and, as a result, no accumulation was found in either the soil or plants in comparison with tap water. RCFs for heavy metals were calculated between 0.91 and 0.99, 0.49 and 0.66, 0.004 and 0.005 for Cu, Zn and Ni, respectively. The results showed that radishes have the ability to concentrate PAHs when they are present in the wastewater and this could have associated health risks

Removal of polycyclic aromatic hydrocarbons and linear alkylbenzene sulfonates from domestic wastewater in pilot constructed wetlands and a gravel filter

Δημοσίευση σε επιστημονικό περιοδικόSummarization: Removal efficiencies of polycyclic aromatic compounds (PAHs) and linear alkyl benzene sulfonates (LAS) were evaluated in a pilot-scale constructed wetland (CW) system combining a free water surface wetland, a subsurface wetland and a gravel filter in parallel. The effect of parameters such as temperature and mass loading rate was also examined. The subsurface constructed wetland system was found to have the overall best performance on pollutants removal. In particular, the average removal of PAHs and LAS was 79.2% and 55.5% for the SSF (Subsurface Flow) constructed wetland, 68.2% and 30.0% for the FWS (Free Water Surface) constructed wetland and 73.3% and 40.9% for the gravel filter, respectively. Removal efficiency and the estimated first-order volumetric removal rate constant (kv) for both PAHs and LAS decreased with increasing water temperature. The experimental results suggest that the absorption in solid media is the main mechanism for xenobiotics removal in constructed wetlands and that the overall performance of the SSF wetland is significantly better than the FWS wetland or the gravel filter.Presented on: Ecological Engineerin

Does Dapagliflozin influence arterial stiffness and levels of circulating anti-aging hormone soluble Klotho in people with type 2 diabetes and kidney disease? Results of a randomized parallel group clinical trial

OBJECTIVE: The mechanisms that explain the cardio-renal benefits of sodium glucose co-transporter 2 (SGLT-2) inhibitors are unknown. The effect of SGLT-2 inhibitors on arterial aging, measured by Aortic Pulse Wave Velocity (Ao-PWV) and Soluble Klotho (s-Klotho), a circulating anti-aging biomarker of arterial health are also unclear. DESIGN/SETTING: A 24-week single center randomized controlled trial (registry number/ EudraCT Number: 2013-004042-42) comparing Dapagliflozin and Ramipril (D+R) versus Ramipril (R) on the primary endpoint of urine albumin excretion rate (AER) and pre-specified secondary endpoints of Ao-PWV and biomarkers of arterial aging [s-Klotho and Fibroblast Growth Factor 23 (FGF-23)]. People with type 2 diabetes who had estimated glomerular filtration rate (eGFR) > 60 ml/min and residual microalbuminuria on maximum tolerated renin angiotensin system (RAS) inhibition were included in this study. RESULTS: In total, 33 participants (male 73%) were randomized to either D+R (n = 17) or R (n = 16) arms. After 24 weeks of treatment, Ao-PWV (mean ± SD) did not change significantly from baseline D +R [9.06 ± 1.91 m/s to 9.13 ± 2.03 m/s], and R [9.88 ± 2.12 m/s to 10.0 ± 1.84 m/s]. AER fell significantly by 43.5% (95% CI: −57.36%, −29.56%; p < 0.01) in people in the D+ R arm only. We do not observe any significant changes in FGF-23 or s-Klotho. HbA1c and Angiotensin 1–7 fell significantly only in D + R arm. CONCLUSIONS: The combination of Dapagliflozin and Ramipril had no effects on Ao-PWV and s-Klotho which are biomarkers of arterial aging and cardio-renal risk. Our data suggest that the early cardio-renal benefits observed with SGLT-2 inhibitors are unlikely to be related to an improvement in arterial aging

Proteomic analysis of amniotic fluid in pregnancies with Klinefelter syndrome foetuses

Klinefelter syndrome is a sex chromosomal abnormality (47, XXY karyotype), occuring approximately in 1 in 1000 male live births In the present study proteomic analysis was performed in twelve 2nd trimester amniotic fluid samples, eight coming from pregnancies with normal males and four with Klinefelter syndrome foetuses, as shown by routine prenatal cytogenetic analysis Samples were analysed by 2-DE, coupled with MALDI-TOF-MS analysis. Three proteins (Ceruloplasmin, Alpha-1-antitrypsin and Zinc-alpha-2-glycoprotein) were found to be up-regulated in samples obtained from pregnancies with Klinefelter syndrome foetuses, whereas four proteins (Apolipoprotein A-I, Plasma retinal-binding protein, Gelsolin, and Vitamin D-binding protein) were down regulated when compared to proteins detected in samples from normal foetuses The differential expression of Ceruloplasmin, Apolipoprotein A-I and Plasma retinol-binding protein was further confirmed by immunoblotting. Since these proteins are likely to cross the placenta barrier and be detected in maternal plasma they could be used as biomarkers for the non-invasive prenatal diagnosis of Klinefelter syndrome (C) 2009 Elsevier B V All rights reserve

Pilot-scale comparison of constructed wetlands operated under high hydraulic loading rates and attached biofilm reactors for domestic wastewater treatment.

Δημοσίευση σε επιστημονικό περιοδικόSummarization: Four different pilot-scale treatment units were constructed to compare the feasibility of treating domestic wastewater in the City of Heraklio, Crete, Greece: (a) a free water surface (FWS) wetland system, (b) a horizontal subsurface flow (HSF) wetland system, (c) a rotating biological contactor (RBC), and (d) a packed bed filter (PBF). All units operated in parallel at various hydraulic loading rates (HLR) ranging from 50% to 175% of designed operating HLR. The study was conducted during an 8 month period and showed that COD removal efficiency of HSF was comparable (>75%) to that of RBC and PBF, whereas that of the FWS system was only 57%. Average nutrient removal efficiencies for FWS, HSF, RBC and PBF were 6%, 21%, 40% and 43%, respectively for total nitrogen and 21%, 39%, 41% and 42%, respectively for total phosphorus. Removals of total coliforms were lowest in FWS and PBF (1.3 log units) and higher in HSF and RBC (2.3 to 2.6 log units). HSF showed slightly lower but comparable effluent quality to that of RBC and PBF systems, but the construction cost and energy requirements for this system are significantly lower. Overall the final decision for the best non-conventional wastewater treatment system depends on the construction and operation cost, the area demand and the required quality of effluent.Presented on: Science of the Total Environmen

Use of halophytes in pilot-scale horizontal flow constructed wetland treating domestic wastewater

Summarization: Recent findings encourage the use of halophytes in constructed wetlands for domestic wastewater treatment due to their special physiological characteristics as the ability to accumulate heavy metals and salts in their tissues makes them ideal candidates for constructed wetland vegetation. In this particular study, we investigated the application of halophytic plants in a horizontal flow constructed wetland for domestic wastewater treatment purposes. The pilot plant which was situated in Crete (Greece) was planted with a polyculture of halophytes (Tamarix parviflora, Juncus acutus, Sarcocornia perrenis, and Limoniastrum monopetalum). The system’s performance was monitored for a period of 11 months during which it received primary treated wastewater from the local wastewater treatment plant. Results show that halophytes developed successfully in the constructed wetland and achieved organic matter and pathogen removal efficiencies comparable to those reported for reeds in previous works (63% and 1.6 log units, respectively). In addition, boron concentration in the effluent was reduced by 40% in comparison with the influent. Salinity as expressed by electrical conductivity did not change during the treatment, indicating that the accumulation of salts in the leaves is not able to overcome electrical conductivity increasing due to evapotranspiration. The results indicate an improvement in the treatment of domestic wastewater via the use of halophyte-planted CWs.Presented on: Environmental Science and Pollution Researc

Constructed wetlands treating highway runoff in the central Mediterranean region

Δημοσίευση σε επιστημονικό περιοδικόSummarization: Two free water surface (FWS) and two subsurface flow (SSF) pilot-size constructed wetlands treating highway runoff (HRO) were monitored over a period of two years (September 2005–August 2007). One FWS and one SSF were designed with a hydraulic retention time (HRT) of 12 h, named FWS12 and SSF12, respectively, with each one capable of treating a maximum HRO of 12.6 m3 d−1. The other couple, named FWS24 and SSF24, respectively, was designed with an HRT of 24 h, with each receiving a maximum HRO of 6.3 m3 d−1. The influent flowed from a highway section with a total surface 2752 m2 on the island of Crete, Greece, in the heart of the South-Central Mediterranean region. Influent and effluent were monitored for COD, TSS, total N (TN), View the MathML source and total P (TP) concentrations. Furthermore, removal efficiencies were examined for heavy metals (Cu, Ni, Pb, Zn) for both years, while polycyclic aromatic compounds (PAHs) were examined for the period between September 2006 and August 2007. The influent had a two-year average COD value of 101 mg l−1, whereas the mean values for TSS, TN, View the MathML source and TP were 203, 4.30, 1.25 and 4.17 mg l−1, respectively. For Cu, Ni, Pb and Zn the respective two-year mean influent concentrations were 56, 114, 49 and 250 μg l−1. Mean concentration of total PAHs in runoff (∑PAHs, 16 compounds) were 12.01 μg l−1. The performance among the four beds was not significantly different according to ANOVA analysis followed by Tukey test (at p < 0.05) for almost all the above physicochemical parameters, suggesting that all systems performed in a similar way. All studied systems, achieved a mean of two-year removal efficiencies of 47% for COD, 89% for TSS, 49% for TN, 58% for View the MathML source, 60% for TP, 47% for Cu, 23% for Ni, 33% for Pb, 61% for Zn and 59% for ∑PAHs (16 compounds).Presented on: Chemospher