Cardiac Surgery in a Patient with Idiopathic Thrombocytopenic Purpura : Preoperative High-Dose Immunoglobulin Therapy / 日本心臓血管外科学会雑誌

A 62-year-old woman with idiopathic thrombocytopenic purpura (ITP) was admitted to undergo cardiac surgery for aortic stenosis, angina pectoris, and paroxysmal atrial fibrillation. A bleeding tendency was expected due to the dramatic decrease in platelets during cardiopulmonary bypass. We performed high-dose transvenous gammaglobulin infusion (400mg/kg/day) for 5 consecutive days immediately before surgery. The gammaglobulin therapy caused steady increase of thrombocytes from 4 days after surgery, even though the platelet count showed no significant change preoperatively. The postoperative course was satisfactory with neither a bleeding tendency nor wound infection. High-dose transvenous gammaglobulin therapy is thus useful for perioperative patients with accompanying ITP, who are often under medication with steroids. This therapy is also effective for prevention of infection.

[Removal pathway and influence factors of hydroponic bio-filter method for nitrogen and phosphorus].

Study was made on the use of hydroponic bio-filter method (HBFM) for eutrophic surface water. Results show that HBFM can remove 16.8% of TN and 30.8% of TP at the hydraulic loading rate (HLR) of 3.0 m3/(m2 x d). The removal loading rate of TN and TP can accordingly reach 1.0 and 0.1 g/(m2 x d) respectively. The sedimentation of particulate nitrogen and particulate phosphorus plays a major role in nitrogen and phosphorus removal, and its contribution is 62.2% and 75.9% respectively. The optimal HLR of HBFM ranges from 3.0 to 4.0 m3/(m x d). The intension of secateur for Nasturtium officinale has some effect on its uptake rate, thus the length of cut when harvesting should be less than 10 cm. The harvesting frequency of once a month for Nasturtium officinale has no effect on nitrogen and phosphorus removal of HBFM.

[Potential of nitrification and denitrification in water purification system with hydroponic bio-filter method].

The potential of nitrification and denitrification of sediment and the density of ammonium-oxidizing bacteria and nitrite-oxidizing bacteria in sediment in water quality purifying system with hydroponic bio-filter method (HBFM) were measured. The variation of nitrification and denitrification potential of the sediment along the stream way was quantitatively studied. The results show that among the sediments from front, middle and retral part of the stream way, the sediment from middle part reached a maximum nitrification potential . nitrification potential of 4.76 x 10(-6) g/(g x h), while the sediment from front part reached a maximum denitrification potential of 8 .1 x 10(-7) g/(g x h). The distribution of nitrification potential accords with the ammonium-oxidizing bacteria density. The key for improving nitrogen removal efficiency of HBFM system consists in changing nitrification & denitrification region distributing and accordingly enhances denitrification process.