Penetrating injury of the common femoral vein followed by local deep vein thrombosis: A case report.

This case report discusses a unique scenario in which a 19-year-old patient with a penetrating wound in the common femoral vein developed deep vein thrombosis in response to life-threatening bleeding. The report highlights our thoughts on managing an isolated truncal venous injury leading to deep vein thrombosis, emphasizing the significance of surgical exploration in vascular trauma and the feasibility of employing non-invasive imaging diagnosis in preoperative planning.

Blood plasma levels of heavy metals and trace elements in white sharks (Carcharodon carcharias) and potential health consequences.

Heavy metals may adversely affect health in marine organisms. As top predators, sharks may be especially vulnerable to exposure over long lifespans. Here we evaluate plasma levels of 14 heavy metals and 12 trace elements in white sharks, Carcharodon carcharias, in South Africa to determine whether they are related to sex, body size, and/or body condition and other health parameters. High levels of mercury and arsenic were found in shark blood at levels considered toxic in other vertebrates. Heavy metal concentrations were not related to body size or sex. Metal concentrations were not related to body condition with exception of copper, which was positively correlated. Protective effects of elements such as selenium, zinc, and iron were not detected. No negative effects on health parameters, such as total leukocytes or granulocyte to lymphocyte ratios were observed. Results suggest that sharks may have protective mechanisms that mitigate harmful effects of heavy metal exposure, providing new opportunities for future studies.

Role of reduced empty bed contact times and pre-treatment by coagulation with Fe(III) salts on the removal of trace organic compounds during sequential biofiltration.

Sequential biofiltration (SBF) has been demonstrated to be a promising approach to achieve enhanced biological removal of various trace organic compounds (TOrCs) from wastewater treatment plant (WWTP) effluents by establishing oxic and carbon-limited conditions. This study investigated options to further advance the feasibility of SBF systems by reducing empty bed contact times (EBCTs). Additional experiments were conducted to investigate the pre-treatment of WWTP effluent by coagulation as an option to further decrease the organic carbon availability during SBF. Results indicated that an EBCT reduction in the first filter stage from 90 to 45 and 30 min adversely affected process performance regarding the removal of organic bulk parameters and several TOrCs over short-term. However, after an extended adaptation period of ten weeks comparable performance was observed in two SBF systems with first stage filters operated at EBCTs of 90 and 45 min. The pre-treatment of secondary effluent by coagulation, flocculation and sedimentation was not found to enhance the performance of an SBF system despite substantial removal of organic bulk parameters during the pre-treatment. However, despite the vast removal of total phosphorous during coagulation, nutrient limitation was not found to adversely affect the biological performance of the subsequent SBF system.

Capturing the oxic transformation of iopromide - A useful tool for an improved characterization of predominant redox conditions and the removal of trace organic compounds in biofiltration systems?

The biological degradation of many trace organic compounds has been reported to be strongly redox dependent. The traditional characterization of redox conditions using the succession of inorganic electron acceptors such as dissolved oxygen and nitrate falls short in accurately describing the critical transition state between oxic and suboxic conditions. Novel monitoring strategies using intrinsic redox tracers might be suitable to close that gap. This study investigated the potential use of the successive biological transformation of the iodinated contrast medium iopromide as an intrinsic tracer of prevailing redox conditions in biofiltration systems. Iopromide degradation in biofiltration systems was monitored by quantifying twelve known biological transformation products formed under oxic conditions. A novel dimensionless parameter (TIOP) was introduced as a measure for the successive transformation of iopromide. A strong correlation between the consumption of dissolved oxygen and iopromide transformation emphasized the importance of general microbial activity on iopromide degradation. However, results disproved a direct correlation between oxic (>1 mg/L O2) and suboxic (<1 mg/L O2) conditions and the degree of iopromide transformation. Results indicated that besides redox conditions also the availability of biodegradable organic substrate affects the degree of iopromide transformation. Similar behavior was found for the compounds gabapentin and benzotriazole, while the oxic degradation of metoprolol remained stable under varying substrate conditions.

Sequential biofiltration - A novel approach for enhanced biological removal of trace organic chemicals from wastewater treatment plant effluent.

Recent studies revealed the benefits of oligotrophic and oxic conditions for the biological removal of many trace organic chemicals (TOrCs) during soil-aquifer treatment. These findings indicate an unused tuning potential that might also be applicable in engineered biofiltration systems with drastically reduced hydraulic retention times for an enhanced mitigation of TOrCs during wastewater treatment. This study introduces the novel approach of sequential biofiltration (SBF) for the advanced treatment of secondary effluent using two granular media filters operated in series with an intermediate aeration step aiming for oxic and oligotrophic conditions in the second filter stage. Results from the experiments conducted at pilot-scale confirm a reduced substrate availability and predominantly oxic conditions in the second filter stage of the SBF setup. An increased removal of several TOrCs was observed in an SBF system as compared to a conventional single-stage biofiltration unit operated at the same overall empty bed contact time (EBCT). Short-term tests with varying EBCTs in the first filter stage revealed a high degree of system robustness of TOrC mitigation when confronted with sudden hydraulic load variations. Higher removal of several TOrCs at increased EBCTs in the second filter stage indicates that EBCT might play a crucial role for the degradation of certain compounds.

Obsessive-compulsive disorder--A question of conscience? An fMRI study of behavioural and neurofunctional correlates of shame and guilt.

Shame and guilt can be described as 'self-conscious emotions' and are an essential part of the psychopathology in obsessive-compulsive disorder (OCD). Our primary aim was to explore whether individuals with OCD are processing shame and guilt differently from healthy individuals (N = 20 in both groups; 50% female; age: 20-40 years) on the behavioural and neurobiological level. For the experimental task, participants were scanned with functional magnetic resonance tomography (functional magnetic resonance imaging, 3 T) while imagining neutral, shame inducing and guilt inducing scenarios. In addition to clinical questionnaires, participants were asked to complete questionnaires measuring shame and guilt. The functional data indicate an increased activity in OCD patients in the shame condition in the limbic, temporal and sub-lobar (hypothalamus) areas, in the guilt condition inter alia in frontal, limbic and temporal areas. In summary we found activity in OCD patients in neural networks which are responsible for stimulus filtering, emotion regulation, impulse control and memory. The results from our study may contribute to a better understanding of the origins and maintenance of OCD in association with the pathological processing of shame and guilt on different functional levels.

Ingredients for protist coexistence: competition, endosymbiosis and a pinch of biochemical interactions.

1. The interaction between mutualism, facilitation or interference and exploitation competition is of major interest as it may govern species coexistence. However, the interplay of these mechanisms has received little attention. This issue dates back to Gause, who experimentally explored competition using protists as a model [Gause, G.F. (1935) Vérifications expérimentales de la théorie mathématique de la lutte pour la vie. Actualités Scientifiques et Industrielles, 277]. He showed the coexistence of Paramecium caudatum with a potentially allelopathic species, Paramecium bursaria. 2. Paramecium bursaria hosts the green algae Chlorella vulgaris. Therefore, P. bursaria may benefit from carbohydrates synthesised by the algae. Studying endosymbiosis with P. bursaria is possible as it can be freed of its endosymbiont. In addition, C. vulgaris is known to produce allelochemicals, and P. bursaria may benefit also from allelopathic compounds. 3. We designed an experiment to separate the effects of resource exploitation, endosymbiosis and allelopathy and to assess their relative importance for the coexistence of P. bursaria with a competitor that exploits the same resource, bacteria. The experiment was repeated with two competitors, Colpidium striatum or Tetrahymena pyriformis. 4. Results show that the presence of the endosymbiont enables the coexistence of competitors, while its loss leads to competitive exclusion. These results are in agreement with predictions based on resource equilibrium density of monocultures (R*) supporting the idea that P. bursaria's endosymbiont is a resource provider for its host. When P. bursaria and T. pyriformis coexist, the density of the latter shows large variation that match the effects of culture medium of P. bursaria. Our experiment suggests these effects are because of biochemicals produced in P. bursaria culture. 5. Our results expose the hidden diversity of mechanisms that underlie competitive interactions. They thus support Gauses's speculation (1935) that allelopathic effects might have been involved in his competition experiments. We discuss how a species engaged both in competition for a resource and in costly interference such as allelopathy may counterbalance these costs with a resource-provider endosymbiont.