Biomedical subjects
Publications and source records attributed to T Stephenson.
A 47-year-old man presented with hematuria and dysuria. He was found to have a carcinosarcoma originating from a bladder diverticulum. He underwent a partial cystectomy and received postoperative chemotherapy. One year later, he presented with a large local recurrence and died shortly afterward. We believe this to be the second case of a carcinosarcoma originating in a bladder diverticulum.
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This review summarises mechanisms of control of extracellular fluid volume in the neonatal period. 'Normal' body fluid distribution and methods of its measurement are discussed as well as regulatory mechanisms with particular emphasis on hormonal and renal aspects.
Free fatty acids (FFA) are the main class of naturally occurring lipids transferred across the placenta, irrespective of species. In order to study the importance of fetal plasma albumin concentration and pH on placental transfer of FFA, in situ perfusion of the rabbit placenta in late gestation was used as an experimental model. Increasing albumin concentration on the fetal side of the placenta from 1 to 6% significantly increased transfer of FFA across the placenta. However, alteration of the umbilical perfusate pH in the range 7.0-7.5 had no significant effect.
The literature on bioaugmentation products has been reviewed. Their manufacture and method of use is explained. The various applications are listed and the independent investigations, as opposed to manufacturers accounts, at laboratory and full scale are reviewed. The economics and kinetic modelling are also discussed. In laboratory investigations bioaugmentation often failed, whereas at full scale it was often successful, probably due to the imposition of steady state at laboratory scale. Most products require a period of acclimatisation before working; this and other possible reasons for failure are discussed.
A 22-year-old woman who presented with a large lump in the left breast, subsequently found to be a breast hamartoma, is described. A full review is given of this rare and unusual benign breast lesion, which is likely to be recognised increasingly with the advent of mammographic screening.
Phosphorus removal from wastewater can be achieved either through chemical removal, advanced biological treatment or a combination of both. The chemical removal of phosphorus involves the addition of calcium, iron and aluminium salts to achieve phosphorus precipitation by various mechanisms which are discussed. In addition, the effects of operating conditions, especially wastewater characteristics; sludge production in terms of quality and quantity; optimisation of chemical use and re-use; points of chemical addition combined with biological treatment; alternative chemical/physical treatments and examples of full-scale applications are also reviewed. Biological phosphorus removal is dependent upon the uptake of phosphorus in excess of normal bacterial metabolic requirements and is proposed as an alternative to chemical treatment. Early developments and the postulated removal mechanisms are reviewed; these include either natural chemical precipitation, enhanced biological removal, or a combination of both. The nature of excess biological phosphorus removal in activated sludge wastewater treatment plants is evaluated, considering various operating parameters, bacteriology and process designs.
Advanced biological wastewater treatment for the removal of phosphorus in excess of the normal metabolic requirements of activated sludge type processes has been developed as an alternative to chemical addition. Current laboratory and pilot plant investigations have confirmed that a preliminary anaerobic zone and plug-flow type configuration are necessary for good enhanced biological phosphorus removal. Nitrate in the anaerobic stage inhibits the process whereas acetate enhances phosphorus uptake. The bacteria probably responsible are of the Acinetobacter genus and the presence of stored polyphosphate within these bacteria has been demonstrated. It has also been shown that pure cultures of Acinetobacter do not necessarily take up soluble substrate as phosphate is released during the anaerobic phase, in contrast to the current proposed mechanism, and that in certain cases natural chemical precipitation could make a significant contribution towards overall phosphorus removal. Several studies of pilot and full-scale plants have been reported.
The biodegradation of nitrilotriacetic acid (NTA), a synthetic replacement detergent builder, in the estuarine environment was examined by using a laboratory estuarine simulation. Two interdependent microcosms were used; each of five vessels was equilibrated with a saline gradient between 1.30 and 17.17%, with the final vessel subsequently being increased to a maximum salinity of 31.6%. Each microcosm was seeded simultaneously with heterotrophic bacteria from both fresh and saline sources. Viable counts demonstrated the ability of each microcosm to sustain a mixed heterotrophic bacterial community throughout the range of salinities for 183 days after a stabilization period. Isolation studies demonstrated that both systems contained four bacterial species, representatives of the genera Vibrio and Flavobacterium and members of the coryneform group and the family Enterobacteriaceae. Total bacterial numbers and species diversity decreased with increased salinity. NTA was administered at low and high concentrations, one concentration to each microcosm, initially with the least amount of saline. Removal of both concentrations of NTA occurred and was attributed to biodegradation after a period of bacterial acclimatization. Subsequent dosing of NTA to vessels of higher salinity demonstrated that biodegradation was incomplete at observed mean salinities of greater than 9.18% at low influent NTA concentrations and greater than 5.08% at high influent NTA concentrations. Therefore, acclimatization was dose dependent. It was concluded that NTA acclimatization at the higher salinities ceased because of salinity stress-induced failure of NTA catabolism and not the disappearance of a particular bacterial species.
We describe a case of immune complex crescentic glomerulonephritis associated with invasive pulmonary Aspergillus fumigatus infection. Immunofluorescent and immunoperoxidase investigations showed the presence of Aspergillus fumigatus antigen in the glomerular immune complexes.
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Explore the source record for details and available documents.
The delivery of total parenteral nutrition to premature infants has been a major advance in neonatal intensive care. Ideally, total parenteral nutrition fluids should be given through a central venous catheter, but insertion of such a catheter may be a very difficult procedure in small neonates. We describe a new technique that improves the success rate of central venous catheterization in premature infants.
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