Biomedical subjects

E Paul

Publications and source records attributed to E Paul.

At least 19 recordsLinked to original sources

PubMed2006

Renal manifestations of tuberous sclerosis complex: Incidence, prognosis, and predictive factors.

Tuberous sclerosis complex is a genetic disorder characterized by hamartomatous lesions in multiple organs, frequently involving the kidney. We conducted a retrospective review of the clinical and radiographic records of 167 patients with tuberous sclerosis to determine the frequency of renal disease, the likelihood of significant renal morbidity, and the effects of genotype (TSC1 vs TSC2) and gender on renal phenotype. Renal lesions were seen in 57.5% of patients. Of these, angiomyolipoma (AML) occurred in 85.4%, cysts in 44.8%, and renal cell carcinoma in 4.2%. Both AML and cysts were significantly more common and more numerous in TSC2 than in TSC1. AML was significantly more common in female than in male patients, but cysts showed no correlation with gender. Eleven patients developed renal abnormalities during their care in this practice at an average age of onset of 11.3 years (range 3.8-23 years). The frequency and number of renal lesions were positively correlated with age. Interventions, including arterial embolization and nephrectomy, were performed in 11 (6.6%) patients. Among female patients with lymphangioleiomyomatosis, renal AML was universally present. Our findings confirm a high rate of renal involvement; a low rate of serious complications; significant associations between renal involvement, genotype, and gender; and a significant association between renal and pulmonary involvement in female patients.

Adolescent↗

PubMed2006

Modelling of biological processes during aerobic treatment of piggery wastewater aiming at process optimisation.

A dynamic mathematical model was developed for the simulation of the aerobic treatment of piggery wastewater. This model includes the carbon oxidation, the nitrification and the denitrification. According to the experimental results obtained during this study, a modified version of the activated sludge model No. 1 has been developed. The model includes (1) nitrite as intermediate of nitrification and denitrification, (2) the distinction between the anoxic heterotrophic yield and the aerobic heterotrophic yield, respectively equal to 0.53 and 0.6 and (3) the first-order hydrolysis of the slowly biodegradable fraction. The calibration and the validation of the model was performed using experimental data from three experiments with two piggery wastewaters. A set of kinetic and stoichiometric parameters emerged from these tests. Except the kinetic of hydrolysis of the slowly biodegradable organic matter varying from 6 to 25 gCOD(gCODday)(-1), all other parameters were similar for all experiments. The dissolved oxygen concentration was identified as the main variable influencing the nitrite accumulation during nitrification. In the calibrated model, the oxygen half-saturation coefficient of the ammonium oxidisers (0.3g O(2)m(-3)) was lower than for the nitrite oxidisers (1.1 gO(2)m(-3)), leading to nitrite accumulation when the dissolved oxygen concentration was low. Simulations with the proposed model could be very useful for improved design and management of biological treatment of piggery wastewaters, particularly in case of partial nitrification to nitrite directly followed by denitrification.

Aerobiosis↗

PubMed2006

Modeling the partial nitrification in sequencing batch reactor for biomass adapted to high ammonia concentrations.

Partial nitrification has proven to be an economic way for treatment of industrial N-rich effluent, reducing oxygen and external COD requirements during nitrification/denitrification process. One of the key issues of this system is the intermediate nitrite accumulation stability. This work presents a control strategy and a modeling tool for maintaining nitrite build-up. Partial nitrification process has been carried out in a sequencing batch reactor at 30 degrees C, maintaining strong changing ammonia concentration in the reactor (sequencing feed). Stable nitrite accumulation has been obtained with the help of an on-line oxygen uptake rate (OUR)-based control system, with removal rate of 2 kg NH4 (+)-N x m(-3)/day and 90%-95% of conversion of ammonium into nitrite. A mathematical model, identified through the occurring biological reactions, is proposed to optimize the process (preventing nitrate production). Most of the kinetic parameters have been estimated from specific respirometric tests on biomass and validated on pilot-scale experiments of one-cycle duration. Comparison of dynamic data at different pH confirms that NH3 and NO2- should be considered as the true substrate of nitritation and nitratation, respectively. The proposed model represents major features: the inhibition of ammonia-oxidizing bacteria by its substrate (NH3) and product (HNO2), the inhibition of nitrite-oxidizing bacteria by free ammonia (NH3), the INFluence of pH. It appears that the model correctly describes the short-term dynamics of nitrogenous compounds in SBR, when both ammonia oxidizers and nitrite oxidizers are present and active in the reactor. The model proposed represents a useful tool for process design and optimization.

Adaptation, Physiological↗

PubMed2006

Development and calibration of a nitrification PDE model based on experimental data issued from biofilter treating drinking water.

To remove ammonia for production of drinking water, nitrification can be performed in a bio-filter. At least 1 month is necessary to capture from the groundwater and then grow a sufficient amount of nitrifying bacteria to reach the desired removal efficiency. Improving start-up of bio-filters at low substrate concentration is therefore a major challenge. In this connection, it is important to develop appropriate models for designing, monitoring or analysing biofilm systems during start-up or following disinfection events. This study discusses the development and calibration of a nitrification PDE model which reflects the compromise between the complexity associated with the description of the full physical and biochemical mechanisms and the search for a simplified model with identifiable parameters. This model takes only the relevant phenomena (considering the full operating range) into account. The validity of the calibrated model has been evaluated through experiments under very different operational conditions, at the laboratory and under real industrial conditions, involving the full upstream chain of water treatment (iron oxidation and sand filter).

Ammonia↗

PubMed2006

Organic matter release in low temperature thermal treatment of biological sludge for reduction of excess sludge production.

Thermal treatment applied in association with a biological system allows for a significant reduction in excess sludge production (approximately 50%). In general, heat treatment is described as a sludge disintegration technique. This paper offers a thorough study on the impact of heat treatment, at temperatures below 100 degrees C, on the solubilisation of the sludge COD and its biodegradability. Discontinuous heating experiments were performed on activated and digested sludge. At all temperatures tested the released COD for digested sludge was systematically higher than that for activated sludge (15 and 40%, respectively, at 95 degrees C for 40 min of contact time). For the first 30 min, a 1st order kinetic, with respect to the residual COD, was systematically found. In the range of 40-95 degrees C, digested sludge had a lower activation energy than activated sludge (26 kcal/mol compared to 70-160 kcal/mol). COD solubilisation is thus more positively influenced by temperature in the case of activated sludge. This may be due to the significant difference in the ratio of protein/carbohydrate in digested and activated sludge (1-5 and 0.2-0.7, respectively). The increase in the COD/TKN ratio in the solubilised fraction after thermal treatment of activated sludge suggests a preferential solubilisation of proteins over carbohydrates. Respirometric tests performed on the solubilised COD showed that whatever the sludge origin, only 40-50% of released COD is biodegradable at a conventional hydraulic retention time (i.e., 24 h). Hence, heat treatment would act more through organic matter solubilisation rather than by a biodegradability increase.

Biodegradation, Environmental↗

PubMed2005

Medial prefrontal cortex determines how stressor controllability affects behavior and dorsal raphe nucleus.

The degree of behavioral control that an organism has over a stressor is a potent modulator of the stressor's impact; uncontrollable stressors produce numerous outcomes that do not occur if the stressor is controllable. Research on controllability has focused on brainstem nuclei such as the dorsal raphe nucleus (DRN). Here we find that the infralimbic and prelimbic regions of the ventral medial prefrontal cortex (mPFCv) in rats detect whether a stressor is under the organism's control. When a stressor is controllable, stress-induced activation of the DRN is inhibited by the mPFCv, and the behavioral sequelae of uncontrollable stress are blocked. This suggests a new function for the mPFCv and implies that the presence of control inhibits stress-induced neural activity in brainstem nuclei, in contrast to the prevalent view that such activity is induced by a lack of control.

Afferent Pathways↗

PubMed2005

Piggery wastewater characterisation for biological nitrogen removal process design.

In intensive farming areas, the design of biological nitrogen removal plants for piggery wastewater requires the determination of the chemical oxygen demand (COD) fractions of the effluent. For this purpose, an experimental procedure was developed to quantify the inert soluble (SI) and particulate (XI) COD fractions, as well as the readily (SS) and the slowly (XS) biodegradable COD fractions. For the four wastewaters tested, the SI and the XI fractions were equal to 3-4 g O(2)l(-1) and 17-28 g O(2)l(-1), respectively, which resulted in a total inert fraction of 42-84% of total COD. The SS and the XS fractions were very variable, ranging 0-5 g O(2)l(-1) and 4-25 g O(2)l(-1) respectively, depending on the farm management practices and the storage conditions prior to biological treatment. From these results, the denitrification potential of the piggery wastewaters for biological nitrogen removal treatment could be assessed.

Agriculture↗

PubMed2005

A respirometric method for characterising the organic composition and biodegradation kinetics and the temperature influence on the biodegradation kinetics, for a mixture of sludge and bulking agent to be co-composted.

A respirometric method was set up to study kinetics of biological reactions involved in the treatment of organic wastes-sludge mixed with pine barks--by composting. Oxygen consumption rates of this type of mixture were monitored during 10-20 days, using a 10 l respirometric cell kept at constant temperature and moisture. Oxygen consumption kinetics were modelled and organic matter composition was characterised as biomass, easily-biodegradable, slowly-biodegradable and non-biodegradable organic matter. The influence of temperature on kinetics was tested. Results show that this respirometric method is a useful tool for the characterisation of solid organic matter biodegradability and for the modelling of the biological kinetics of the composting process.

Biodegradation, Environmental↗

PubMed2005

Variations of respiratory activity and glutathione in activated sludges exposed to low ozone doses.

Ozonation is one of the most effective treatments for reducing the production of activated sludges in wastewater treatment plants. However, because microorganisms are present in the form of microcolonies, some bacteria may be exposed to sub-lethal ozone doses that could lead to adaptation and resistance to further exposition to oxidative treatment. This represents a major question as it may limit the effect of the treatment, especially when low ozone doses are applied. The critical ozone dosage, defined as the lowest specific transferred ozone concentration leading to a decrease in the maximum oxygen uptake rate was estimated to range between 0.9 and 13.6mg O(3)g(-1) COD(sludges), according to the sludges tested. The lowest ozone dosage leading to the decrease of GSH and GSHt concentrations could be estimated to be lower than 10mg O(3)g(-1) COD(sludges) for GSH, and close to 10mg O(3)g(-1) COD(sludges) for GSHt. After sludge exposure to low ozone doses, no higher amounts of glutathione were synthesized, suggesting that no development of resistance to ozonation occurred after sludge treatment with low ozone doses.

Bacteria↗

PubMed2004

Measurement of glutathione in activated sludges.

Thermal, electric, mechanical or oxidative stress seem a promising way to reduce the production of excess activated sludge during biological wastewater treatment. However, the adaptation and the resistance of the sludge microbial ecosystem to stress conditions is a major question as it may definitively limit the effect of some treatments. Defence mechanisms developed by aerobic organisms, in particular, in response to oxidative stress involve various antioxidant activities and compounds such as glutathione. An HPLC method was developed for measuring reduced and total glutathione (GSH and GSHt) in perchloric acid sludge extracts. The method was sensitive, highly specific and validated for linearity, precision and recovery. Considering the extraction yield and the oxidation of GSH during extract storage, the measured GSH concentration was estimated to represent 60% of the GSH content from activated sludges. GSHt ranged from 0.32 to 3.34micromolg(-1) volatile solids and the GSH/GSHt ratio ranged from 32% to 91%. Measurements performed on sludges stressed in precise conditions selected to reach a reduction of sludge production showed a decrease of GSH and GSHt concentrations with thermal, mechanical, electric and ozone stress.

Bacteria, Aerobic↗

PubMed2004

Management of sick children by health workers in Ballabgarh: lessons for implementation of IMCI in India.

The aim of this study was to determine the impact of training of health workers in the management of pediatric morbidity in terms of reduction in infant mortality rate (IMR) a 2-year period in rural Ballabgarh with a present IMR of 37 per 1000 live births. The study was designed as a pre- and post-intervention trial. The intervention was started in November 1999 and the outcome measured for the years 2000 and 2001. A sample size of 4000 was estimated for a power of 80 per cent at 5 per cent significance level. The training of the workers was for 4 days and included didactics, video-films, patient demonstrations, etc. Data on under-fives' deaths and their causes using a verbal autopsy tool was done as a part of the routine data collection system. The workers management of pediatric morbidity was assessed based on the post-training knowledge gain, forms filled by them, and referrals seen at the secondary level. The knowledge of the workers on disease and their management improved after the initial training but reached a plateau at a 50 per cent score. A review of 948 forms showed that the workers' disease classification and management was not satisfactory, especially for pneumonia and sick neonates. It was better for fever, measles, dysentery, and diarrhoea. A review of 11 cases referred by workers confirmed this. There was no impact on IMR. A look at the cause of death revealed that malnutrition, diarrhoea, and pneumonia to be the main causes among post-neonatal deaths and birth-asphyxia and prematurity as the main cause of deaths in the neonates. While implementing Integrated Management of Childhood Illnesses (IMCI) in India through the health workers, increased emphasis needs to be placed on training and supervision. Community level issues, such as healthcare seeking, female neglect, etc., may limit the scope of reduction in IMR due to implementation of IMCI.

Child, Preschool↗

PubMed2004

Activated Sludge Model No. 1 calibration for piggery wastewater treatment using respirometry.

To optimise the intermittent aeration process for piggery wastewater, the Activated Sludge Model No. 1 needs to be calibrated and adapted to this specific effluent. By combining aerobic and anoxic respirometric tests, biodegradation kinetics of organic fractions in piggery wastewater could be studied. Modeling of the respirometric curves proved that the simplified hydrolysis model was sufficient for piggery wastewater treatment simulation. The hydrolysis constant (K(H)) and heterotrophic sludge yield (Y(H)) were determined at temperature and pH in the ranges 10-40 degrees C and 7-9, respectively. The constants were slightly influenced by the temperature but not significantly affected by the pH, with average values of 3 d(-1) for K(H) and 0.60 for Y(H). The anoxic respirometric tests revealed that the experimental ASM1 anoxic correction factor (eta(g)) was higher than one. This could be explained by the fact that the anoxic and the aerobic heterotrophic sludge yields were probably different. By fixing a value of 0.8 for eta(g), the anoxic sludge yield (Y(HD)) could be calculated at 0.53. A modified version of ASM1 for substrate biodegradation in piggery wastewater intermittent aeration process was proposed, including the separation between the anoxic and the aerobic sludge yields and a simplified hydrolysis kinetic.

Animals↗

PubMed2004

Treatment of nitrogen and phosphorus in highly concentrated effluent in SBR and SBBR processes.

Various sludge treatment processes produced supernatant with high ammonia concentration from 500 to 2,000 mgN/L and generally high phosphate concentration. Conversion of ammonia into nitrite via partial nitrification has proven to be an economic way, reducing oxygen and external COD requirements during the nitrification/denitrification process. Two processes with biomass retention are studied simultaneously: the sequencing batch reactor (SBR) and the sequencing batch biofilm reactor (SBBR). At a temperature of 30 degrees C, the inhibition of nitrite-oxidizing bacteria due to high ammonia concentration has been studied in order to obtain a stable nitrite accumulation. This work has confirmed the effect of pH and dissolved oxygen on nitrite accumulation performance. During a two month starting period, both processes led to nitrite accumulation without nitrate production when pH was maintained above 7.5. From a 500 mgN/L effluent, the performance of the SBR, and the SBBR, reached respectively about 0.95gN-NO2-/gN-NH4+, and 0.4gN-NO2-/gN-NH4+. The SBBR appears to be more stable facing disturbances in dissolved oxygen conditions. Finally, the maximal phosphate removal rates obtained in the SBR reached 90%, and 70% in the SBBR, depending on ammonium accumulation in the reactor. Ammonium phosphate precipitation is likely to occur, as was suggested by crystals observation in the reactor.

Biofilms↗

PubMed2003

Non-retirement.

Explore the source record for details and available documents.

Dentistry↗

PubMed2002

Combination chemotherapy with or without s.c. IL-2 and IFN-alpha: results of a prospectively randomized trial of the Cooperative Advanced Malignant Melanoma Chemoimmunotherapy Group (ACIMM).

The purpose of this randomized trial was to evaluate the efficacy of combination chemoimmunotherapy compared with chemotherapy alone. A total of 124 patients were randomized to receive intravenous cisplatin (35 mg m(-2), days 1-3), carmustine (150 mg m(-2), day 1, cycles 1 and 3 only), dacarbacine (220 mg m(-2), days 1-3) and oral tamoxifen (20 mg m(-2), daily) in combination with (n=64) or without (n=60) sequential subcutaneous IL-2 and IFN-alpha. In those patients who received sequential immunotherapy, each cycle of chemotherapy was followed by outpatient s.c. IL-2 (10 x 10(6) IU m(-2), days 3-5, week 4; 5 x 10(6) IU m(-2), days 1, 3, 5, week 5) and s.c. IFN-alpha (5 x 10(6) IU m(-2), day 1, week 4; days 1, 3, 5, week 5). The overall response rate of patients treated with the combination of chemotherapy and IL-2/IFN-alpha was 34.3% with seven complete responses (10.9%) and 15 partial responses (23.4%). In patients treated with chemotherapy, only, the overall response rate was 29.9% with eight complete responses (13.3%) and 10 partial responses (16.6%). There was no significant difference in median progression free survival (0 months vs 4 months) and in median overall survival (12 months vs 13 months) for combined chemoimmunotherapy and for chemotherapy, respectively.

Administration, Oral↗

PubMed2002

[Melanoma on congenital nevus. Malignant differentiation after radiotherapy?].

Giant congenital nevi involve an approximately 5% risk of malignant transformation. We report about a 27-year-old patient who developed malignant melanoma after radiation of a large congenital nevus of the foot which was initially misinterpreted as a trophic disorder. The mechanisms and probability of malignant transformation and prophylactic therapy of large vs small congenital nevi are discussed.

Adult↗

PubMed2002

Active heterotrophic and autotrophic biomass distribution between fixed and suspended systems in a hybrid biological reactor.

This paper presents the results obtained when modifying sludge retention time (SRT 8, 5, and 3.7 days during phases A, B and C respectively) for a hybrid biological reactor (HR) compared with a classical activated sludge process. The study was conducted by following active biomass evolution and distribution for two lab-scale pilots plants operating with the same conditions, one acting as HR and the other as the control reactor (CR) without support material. At the end of phase C, support material was split into two fractions between both reactors to study the effect of support to reactor volume ratio (Fr). Active biomasses in suspended and fixed systems were calculated using respirometric techniques. Evolutions of active autotrophic and heterotrophic biomasses for both reactors are presented during all the operational periods and it is observed that in the HR biomass concentrations are up to double that in the CR, mainly due to the presence of support material. When studying biomass distribution in HR, autotrophic biomass is mainly located over the support material (from 95% to 99% during periods A and C respectively) while only about 60% of heterotrophic biomass is located over the support.

Bacteria↗

PubMed2002

Minimization of sludge production in biological processes: an alternative solution for the problem of sludge disposal.

A combined system associating activated sludge and ozonation was evaluated for the treatment of urban wastewater. Experiments have shown that 70% reduction in sludge production can be reached (compared to a reference system running in low loaded conditions Y(obs) = 0.28 g VSS.g COD(-1)) by applying an ozone dosage of 0.05 g O3/g VSS(treated) Recycling of the ozonated sludge to the aeration tank induces a slight increase in effluent COD, but the biological treatment performance is maintained. Nitrification capabilities are not altered by the sludge reduction process and active biomass measurements revealed that autotrophic biomass seems to be less affected than the heterotrophs. Significant improvements in sludge settling characteristics are observed.

Cities↗