Search PubMed⌕ Search

Biomedical subjects

H Siegrist

Publications and source records attributed to H Siegrist.

At least 37 records · Page 2Linked to original sources

Nitrification and autotrophic denitrification of source-separated urine.

In laboratory experiments, source-separated urine was stabilised with nitrification and denitrified via nitritation and anaerobic ammonium oxidation. The highest total ammonia concentration in the influent was 7,300 gN/m3, the maximum pH 9.2. In a moving bed biofilm reactor (MBBR) with Kaldnes biofilm carriers, we stabilised urine as a 1:1 ammonium nitrate solution. The maximum nitrification rate was 380 gN/m3/d corresponding to 1.7 gN/m2(biofilm)/d. Nitrite ammonium solutions were produced in a continuous flow stirred tank reactor (CSTR) with 4.8 days sludge retention time (SRT) at 30 degrees C and in a sequencing batch reactor (SBR) with more than 30 days SRT. Nitrate build-up was negligible in both reactors. Nitritation rates were 780 gN/m3/d in the CSTR and 280 gN/m3/d in the SBR, respectively. However, shortening the cycles would increase nitritation in the SBR. High concentrations of nitrous acid, salts, and presumably hydroxylamine suppressed nitrite oxidation in the nitritation reactors. In all three nitrification reactors, maximally 50% of the influent total ammonia was oxidised without pH control. None of the common inhibition or limitation approaches could explain why ammonia oxidation always stopped at pH values around 6. In a batch experiment, we showed that source-separated urine can be denitrified autotrophically by anammox bacteria.

Ammonia↗

Nitrogen removal from digester supernatant via nitrite--SBR or SHARON?

Separate biological elimination of nitrogen from the digester supernatant of a municipal wastewater treatment plant (WWTP) was investigated in pilot and full-scale plants. Denitrification mainly via nitrite was achieved in a sequencing batch reactor (SBR) and a continuous flow reactor (CSTR or SHARON). Suppression of nitrite oxidation in the SBR was feasible at short aerobic/anaerobic intervals allowing for immediate denitrification of the produced nitrite. Nitrate production could also be stopped by exposing the biomass to anaerobic conditions for 11 days. Temporarily high concentrations (up to 80 gNH3-Nm(-3)) of free ammonia could not be considered as the major reason for inhibiting nitrite oxidation. In a full-scale SBR plant 90% of the nitrogen load was denitrified in a total hydraulic retention time (HRT) of 1.6 days and with a sludge age between 15 and 20 days. Ethanol and methanol were used for denitrification. The specific average substrate consumption was 2.2 gCOD(dosed) g(-1)N(removed) with an effective biomass yield of 0.2 gCOD(biomass) g(-1)COD(dosed). No dosing with base was required. In the SHARON process full nitrogen elimination was achieved only with a total HRT greater than 4 days at 29 degrees C. The overall costs were estimated at 1.4 euros kg(-1)N(removed) for the SBR and 1.63 euros kg(-1)N(removed) in SHARON mode, respectively. The SHARON process is simple in operation (CSTR) but the tank volume has to be significantly greater than in SBR.

Bacteria, Aerobic↗

In-situ measurement of ammonium and nitrate in the activated sludge process.

A new in-situ probe is presented for the continuous measurement of ammonium and nitrate in wastewater. It requires no sample preparation and is installed directly in the process liquid. This new low-cost probe significantly reduces investment and operating costs and requires minimum maintenance. The paper describes the sensor principle and test results from three different probe locations: the primary clarifier effluent, the activated sludge tank and the nitrifying biofilter influent. Reference measurements were carried out by means of conventional analyzers with ultrafiltration, an in-situ UV spectrometer for the nitrate and laboratory analysis of spot and 2h-composite samples. The aim of the study was to investigate the operational reliability and accuracy of the new probe and the expenditure required for its maintenance and calibration. The tests showed that the new probe performed very well overall and required minimum maintenance. Some problems were observed during the biofilter plant test. They are assumed to be related to substantial changes in the wastewater composition.

Calibration↗

The EAWAG Bio-P module for activated sludge model No. 3.

An additional module for the prediction of enhanced biological phosphorus removal is presented on the basis of a calibrated version of ASM3. The module uses modified processes from ASM2d but neglects the fermentation of readily degradable substrate. Biomass decay is modeled in the form of endogenous respiration as in ASM3. The glycogen pool and biologically induced P-precipitation is not taken into account. The module was systematically calibrated with experimental data from various batch experiments, a full-scale WWTP and a pilot plant treating Swiss municipal wastewater. A standard parameter set allowed all data to be simulated.

Calibration↗

The IWA Anaerobic Digestion Model No 1 (ADM1).

The IWA Anaerobic Digestion Modelling Task Group was established in 1997 at the 8th World Congress on Anaerobic Digestion (Sendai, Japan) with the goal of developing a generalised anaerobic digestion model. The structured model includes multiple steps describing biochemical as well as physicochemical processes. The biochemical steps include disintegration from homogeneous particulates to carbohydrates, proteins and lipids; extracellular hydrolysis of these particulate substrates to sugars, amino acids, and long chain fatty acids (LCFA), respectively; acidogenesis from sugars and amino acids to volatile fatty acids (VFAs) and hydrogen; acetogenesis of LCFA and VFAs to acetate; and separate methanogenesis steps from acetate and hydrogen/CO2. The physico-chemical equations describe ion association and dissociation, and gas-liquid transfer. Implemented as a differential and algebraic equation (DAE) set, there are 26 dynamic state concentration variables, and 8 implicit algebraic variables per reactor vessel or element. Implemented as differential equations (DE) only, there are 32 dynamic concentration state variables.

Bioreactors↗

An efficient monitoring concept with control charts for on-line sensors.

A monitoring concept for on-line sensors will be discussed which helps the WWTP staff to detect drift-, shift- and outlier effects as well as unsatisfactory calibration curves. The approach is based on the analysis of comparative measurements between the sensor and a reference method. It combines statistical analysis such as control charts and regression analysis with decision support rules. The combination of two different detection levels in the selected Shewhart control charts with additional criteria allows one to detect 'out-of-control' situations early with an optimized measurement effort. Beside the statistical analysis the concept supports the operator with a graphical analysis to monitor the accuracy of on-line measurements efficiently. The widely applicable monitoring concept will be illustrated with examples for an ion-sensitive NH4+- and a MLSS-sensor.

Automation↗

Enrichment and characterization of an anammox bacterium from a rotating biological contactor treating ammonium-rich leachate.

Anaerobic ammonium oxidation with nitrite to N2 (anammox) is a recently discovered microbial reaction with interesting potential for nitrogen removal from wastewater. We enriched an anammox culture from a rotating disk contactor (near Kölliken, Switzerland) that was used to treat ammonium-rich leachate with low organic carbon content. This enrichment led to a relative population size of 88% anammox bacteria. The microorganism carrying out the anammox reaction was identified by analysis of the 16S rDNA sequence and by fluorescence in situ hybridization (FISH) with 16S-rRNA-targeting probes. The percentage sequence identity between the 16S rDNA sequences of the Kölliken anammox organism and the archetype anammox strain Candidatus Brocadia anammoxidans was 90.9%, but between 98.5 and 98.9% with Candidatus Kuenenia stuttgartiensis, an organism identified in biofilms by molecular methods. The Kölliken culture catalyzed the anaerobic oxidation of ammonium with nitrite in a manner seemingly identical to that of Candidatus B. anammoxidans, but exhibited higher tolerance to phosphate (up to 20 mM) and to nitrite (up to 13 mM) and was active at lower cell densities. Anammox activity was observed only between pH 6.5 and 9, with an optimum at pH 8 and a temperature optimum at 37 degrees C. Hydroxylamine and hydrazine, which are intermediates of the anammox reaction of Candidatus B. anammoxidans, were utilized by the Kölliken organisms, and approximately 15% of the nitrite utilized during autotrophic growth was converted to nitrate. Electron microscopy showed a protein-rich region in the center of the cells surrounded by a doughnut-shaped region containing ribosomes and DNA. This doughnut-shape region was observed with FISH as having a higher fluorescence intensity. Similar to Candidatus B. anammoxidans, the Kölliken anammox organism typically formed homogenous clusters containing up to several hundred cells within an extracellular matrix.

Bacteria↗

Calibration and validation of an ASM3-based steady-state model for activated sludge systems--part I: Prediction of nitrogen removal and sludge production.

The steady-state model from Siegrist and Gujer (1994) which can be used for the design and optimisation of nitrogen-removing activated sludge plants is applied to the stoichiometrics and kinetics of a validated Activated Sludge Model No. 3. It considers the wastewater composition, the effect of the electron acceptor on the average sludge production, the oxygen input into anoxic volumes, denitrification in the secondary clarifier, the temperature and various operating conditions. The organic substrate for denitrification originates from readily degradable substrate from the influent, from the hydrolysis of slowly degradable particulate substrate along the activated sludge plant and from the endogenous respiration of the biomass. The model is calibrated and validated with data from long-term full-scale and pilot-plant experiments for Swiss municipal wastewater. The most sensitive parameters as well as the uncertainty of the model prognosis for various COD-to-nitrogen ratios from inlet water and anoxic volume fractions were calculated with the aid of sensitivity analyses and Monte-Carlo simulations. Excel spreadsheets of the model for different flow schemes are available from the corresponding author.

Biomass↗

Calibration and validation of an ASM3-based steady-state model for activated sludge systems--part II: Prediction of phosphorus removal.

An ASM3-based steady-state model which can be used for estimating the average nitrogen-removal, sludge-production and phosphorus-removal rates of different biological phosphorus-removing systems (AAO, UCT, intermittent processes) is developed. It considers the wastewater composition, the oxygen and nitrate input in the anaerobic compartment and the interaction between biological phosphorus removal and denitrification for different operating conditions. The model is calibrated and validated with data from a number of long-term pilot and full-scale experiments for Swiss municipal wastewater. The steady-state model is adequate for a comparison of different BPR process configurations or for a first estimation of the nutrient-removal efficiency. It allows the plant performance and key parameters to be determined very quickly. Excel spreadsheets of the model for different flow schemes are available from the corresponding author.

Anaerobiosis↗

The EAWAG Bio-P module for activated sludge model No. 3.

An additional module for the prediction of enhanced biological phosphorus removal is presented on the basis of a calibrated version of ASM3. The module uses modified processes from ASM2d but neglects the fermentation of readily degradable substrate. Biomass decay is modeled in the form of endogenous respiration as in ASM3. Moreover, an additional glycogen pool and biologically induced P-precipitation were not taken into account. The module was systematically calibrated with experimental data from various batch experiments, a full-scale WWTP and a pilot plant treating Swiss municipal waste water. A standard parameter set allowed all data to be simulated.

Biomass↗

Moving-bed biological treatment (MBBT) of municipal wastewater: denitrification.

Denitrification in a full-scale installation and a pilot plant for moving-bed biological treatment (MBBT) was subject to detailed investigation. Two different types of carriers were used in conventional activated sludge reactors: foam cubes and plastic tubes (Kaldnes). Both investigated carriers showed the same behavior with regard to denitrification capacity, temperature dependency and maximum COD and nitrate turnover. In contrast to the plastic tubes (Kaldnes), the sponge cubes stored remarkable amounts of substrate. The maximum denitrification rate with acetate as a substrate was 420 gNm-3d-1 at 10 degrees C and 730 gNm-3d-1 at 20 degrees C. An average denitrification rate of 240 gNm-3d-1 (10 degrees C) was achieved with wastewater. A maximum of 37% of the COD in the influent was denitrified with a volumetric loading rate in the anoxic zone of 2.2 kgCODm-3d-1.

Acetates↗

Cotrel-Dubousset and Harrington Instrumentation in idiopathic scoliosis: a comparison of long-term results.

Between 1968 and 1977, 72 patients with idiopathic scoliosis underwent Harrington Instrumentation (HI). Between 1985 and 1988, 21 patients with idiopathic scoliosis had posterior spinal fusion with Cotrel-Dubousset instrumentation (CDI). All patients were operated by the same orthopedic surgeon. None of the CDI patients had postoperative brace or cast protection, the HI group had on average 6 months' postoperative brace treatment. The two groups of patients were comparable in age, sex, and type of curves. The HI group and CDI group were reexamined with clinical and radiological assessment after mean periods of 148 months and 60 months respectively. The average preoperative Cobb angle in the CDI group was 59.9 degrees (HI group 67.8 degrees), which improved to 20.8 degrees (HI group 33 degrees) postoperatively--a correction of 66.3% (HI group 51.3%). The loss of correction on reassessment amounted to 5% in the CDI group and 20.7% in the HI group. In both groups, the mean rib hump height was reduced to 2.2 cm. In 40% of the Harrington patients, a flat back was found, but this was not related to clinical back pain. The rate of complications and reintervention was 9.5% in the CDI group and 8.3% in the HI group. There were no neurological complications. Subjectively, 86% of the Harrington patients and 95.2% of the CDI patients rated the results of their operation as "good" or "very good." The CDI group showed better results in correction of the Cobb angle and loss of correction, while saving one mobile lumbar segment. The correction of the rib hump showed the same results for both techniques. Blood loss and operation time was much lower in the HI group. However, the rate of complications was similar in both groups.

Adolescent↗

[Long-term results in hip endoprosthesis--problems, facts and outcome].

Analysis of long-term follow-up studies and of the pertinent literature leads to the conclusion, that the survival of artificial hip joints is still limited; therefore, the age of the patient is still a crucial element in the decision to operate. Also decisive for the indication are the patient's pain and suffering on the one hand and his expectations and needs on the other. A good indication can only be established by considering all these factors and weighing them against one another in a comprehensive, in-depth discussion between patient and surgeon. Other diseases are frequent in this age group and have also to be considered, as they might well affect the result. The diagnostics of implant loosening and the indications for revision are discussed.

Activities of Daily Living↗

Nosocomial pneumonia in mechanically ventilated patients receiving antacid, ranitidine, or sucralfate as prophylaxis for stress ulcer. A randomized controlled trial.

OBJECTIVE: To assess three anti-stress ulcer prophylaxis regimens in mechanically ventilated patients for bacterial colonization, early- and late-onset nosocomial pneumonia, and gastrointestinal bleeding. DESIGN: Randomized controlled trial. PATIENTS: Consecutive eligible patients with mechanical ventilation and a nasogastric tube. Of 258 eligible patients, 244 were assessable. SETTING: Medical and surgical intensive care units. INTERVENTION: At intubation, patients were randomly assigned to receive one of the following: antacid (a suspension of aluminum hydroxide and magnesium hydroxide), 20 mL every 2 hours; ranitidine, 150 mg as a continuous intravenous infusion; or sucralfate, 1 g every 4 hours. MEASUREMENTS: Using predetermined criteria, the incidence of gastric bleeding, gastric colonization, early-onset pneumonia, and late-onset pneumonia was assessed in patients intubated for more than 24 hours. RESULTS: Of 244 assessable patients, macroscopic gastric bleeding was observed in 10%, 4%, and 6% of patients assigned to receive sucralfate, antacid, and ranitidine, respectively (P > 0.2). The incidence of early-onset pneumonia was not statistically different among the three treatment groups (P > 0.2). Among the 213 patients observed for more than 4 days, late-onset pneumonia was observed in 5% of the patients who received sucralfate compared with 16% and 21% of the patients who received antacid or ranitidine, respectively (P = 0.022). Mortality was not statistically different among the three treatment groups. Patients who received sucralfate had a lower median gastric pH (P < 0.001) and less frequent gastric colonization compared with the other groups (P = 0.015). Using molecular typing, 84% of the patients with late-onset gram-negative bacillary pneumonia were found to have gastric colonization with the same bacteria before pneumonia developed. CONCLUSION: Stress ulcer prophylaxis with sucralfate reduces the risk for late-onset pneumonia in ventilated patients compared with antacid or ranitidine.

Adult↗

Duodenal bacterial overgrowth during treatment in outpatients with omeprazole.

The extent of duodenal bacterial overgrowth during the pronounced inhibition of acid secretion that occurs with omeprazole treatment is unknown. The bacterial content of duodenal juice of patients treated with omeprazole was therefore examined in a controlled prospective study. Duodenal juice was obtained under sterile conditions during diagnostic upper endoscopy. Aspirates were plated quantitatively for anaerobic and aerobic organisms. Twenty five outpatients with peptic ulcer disease were investigated after a 5.7 (0.5) weeks (mean (SEM)) treatment course with 20 mg (nine patients) or 40 mg (16 patients). The control group consisted of 15 outpatients referred for diagnostic endoscopy without prior antisecretory treatment. No patient in the control group had duodenal bacterial overgrowth. In the omeprazole group bacterial overgrowth (> or = 10(5) cfu/ml) was found in 14 (56%) patients (p = 0.0003). The number of bacteria (log10) in duodenal juice in patients treated with omeprazole was distinctly higher (median 5.7; range < 2-8.7) when compared with the control group (median < 2; range < 2-5.0; p = 0.0004). As well as orally derived bacteria, faecal type bacteria were found in seven of 14 and anaerobic bacteria in three of 14 patients. Bacterial overgrowth was similar with the two doses of omeprazole. These results indicate that duodenal bacterial overgrowth of both oral and faecal type bacteria occurs often in ambulatory patients treated with omeprazole. Further studies are needed to determine the clinical significance of these findings, particularly in high risk groups during long term treatment with omeprazole.

Adult↗

Circumferential fusion of the lumbar and lumbosacral spine.

Seventy-four patients with circumferential fusion of the lumbosacral spine have been assessed after a mean follow up of 49.8 months. For the ventral procedure, an anterior interbody fusion with tricortical iliac bone graft was performed. The additional dorsal fusion was according to various techniques with mainly transpedicular internal fixation. Forty-six patients underwent a one-stage operation while 28 underwent the ventral and dorsal procedure in different sittings. The results favour the technique of a combined anterior/posterior approach for fusion of the lumbosacral spine in patients with instability and deformity of all three columns, such as fractures and spondylolisthesis of more than 50%. Optimal stability with satisfactory reduction of the deformity may be achieved. The one-stage operation proved to be superior, with less complications and a shorter hospital stay.

Adolescent↗

[The GSB knee joint: reoperation and infections].

The GSB-III knee prosthesis is one of the semi-constrained types and consequently ranks between the non-constrained condylar prostheses and the fully constrained hinges. Its kinematics can be classified as "physiological" in the sagittal plane as far as the relationship between femur and tibia in the various degrees of flexion is concerned, which is a replica of a normal knee joint. The high average range of postoperative mobility as well as the extremely low aseptic loosening rate after 10 years prove the truth of this statement. A simple operative technique requiring a few special instruments allows even the less experienced knee surgeon to be successful and to obtain good results in cases with severe deformity and poor bone quality. The survival curves of the GSB-III prosthesis (n = 638) show a cummulative success rate of over 90% after 10 years. Looking separately at cases complaining of more or less severe pain, we frequently find underlying patellar problems, the main cause for revisional surgery. This problem is not specific for our prosthesis, but must be considered a so far unsolved worldwide problem. Infections are another relatively frequent cause for revisions. Disturbed wound healing, arterial insufficiency and malignant rheumatoid arthritis are the outstanding risk factors. For a reliable comparison of the different knee prostheses we ought to have a globally accepted evaluation system, which unfortunately still does not exist.

Adolescent↗

[Girdlestone total prosthesis].

Thirteen out of 17 patients with a hip prosthesis according to the Girdlestone procedure were studied at a follow-up time of 26 months to 10 years. Seven patients were found to be satisfied with the total prosthesis, while the others complained about pain, walking disability and an insufficient range of motion. The implantation of a prosthesis using the Girdlestone procedure is technically difficult and should be restricted, as the results are superior to the Girdlestone hip in only a carefully selected group of patients with good abductor muscles and unsatisfactory results after the Girdlestone operation.

Femoral Neck Fractures↗