[Prospective longitudinal study on the evolution of autobiographical memory in patients irradiated for benign skull base tumour]. / Étude prospective longitudinale sur l'évolution de la mémoire autobiographique de patients irradiés pour une tumeur bénigne de la base du crâne.

PURPOSE: Cranial irradiation can lead to long-term neurological complications, in particular memory disorders. The aim of this prospective study is to evaluate the impact of irradiation of benign skull base tumours located near the hippocampi on autobiographical memory. PATIENTS AND METHODS: From 2016 to 2019, patients with cavernous sinus meningioma or pituitary adenoma treated with normofractionated irradiation were included. Patients underwent full neuropsychological assessment at baseline, 1year and 2years post-treatment. Neuropsychological tests were converted to Z-Score for comparability. RESULTS: Twelve of the 19 patients included had a complete neuropsychological evaluation at 2years and were analysed. On the "TEMPau" test, no significant difference in autobiographical memory was found at 2years, regardless of the period of autobiographical memory. The mean hippocampal dose had no impact on the variation in autobiographical memory. There was no significant cognitive impairment in the other domains assessed, such as attention, anterograde memory, working memory and executive functions. Autobiographical memory was independent of these other cognitive domains, which justifies its specific study. CONCLUSION: Radiotherapy to the skull base for a benign pathology does not lead to significant cognitive impairment. Longer follow-up would be needed to confirm these results.

Spontaneous resolution of intracranial hypertension following radiotherapy for posterior parasagittal meningioma: About two cases and review of the literature.

We report the cases of two patients who underwent normofractionated radiotherapy for evolutive asymptomatic parasagittal meningiomas. After completion of radiotherapy, both patients presented severe headache and vomiting episodes without papillar edema. We then decided a "wait-and-scan" strategy because of the slit-ventricles, and symptoms regressed spontaneously. MRI showed significant tumor regression a year after radiotherapy with a newly developed collateral venous drainage system in the first patient and a left, unusually large, superior anastomotic vein in the second. These clinical presentation and radiological evolution are compatible with venous stenosis caused by radiation-induced symptomatic edema, fading after the development of a collateral venous drainage system. The relation between pressure-related headaches and venous anatomy remains unclear in parasagittal meningiomas. These observations underline the importance of the study of venous anatomy when pressure-related headaches are suspected. Further clinical descriptions might help the clinicians to treat these patients' symptoms.

Exploring ozonation as treatment alternative for methiocarb and formed transformation products abatement.

Despite the high toxicity and resistance to conventional water treatments exhibited by methiocarb (MC), there are no reports regarding the degradation of this priority pesticide by means of alternative purification technologies. In this work, the removal of MC by means of ozonation was studied for the first time, employing a multi-reactor methodology and neutral pH conditions. The second-order rate constants of MC reaction with molecular ozone (O3) and formed hydroxyl radicals (OH·) were determined to be 1.7·106 and 8.2·109 M-1 s-1, respectively. During degradation experiments, direct ozone reaction was observed to effectively remove MC, but not its formed intermediates, whereas OH· could oxidize all species. The major identified TPs were methiocarb sulfoxide (MCX), methiocarb sulfoxide phenol (MCXP) and methiocarb sulfone phenol (MCNP), all of them formed through MC oxidation by O3 or OH· in combination with hydrolysis. A toxicity assessment evidenced a strong dependence on MCX concentration, even at very low values. Despite the OH· capability to degrade MC and its main metabolites, the relative resistance of TPs towards ozone attack enlarged the oxidant dosage (2.5 mg O3/mg DOC) necessary to achieve a relatively low toxicity of the medium. Even though ozonation could be a suitable technique for MC removal from water compartments, strategies aimed to further promote the indirect contribution of hydroxyl radicals during this process should be explored.

Priority pesticides abatement by advanced water technologies: The case of acetamiprid removal by ozonation.

With the aim of exploring treatment alternatives for priority insecticide acetamiprid (ACMP) abatement, the removal of this compound from water by ozonation was studied for the first time, paying special attention to the kinetic, mechanistic and toxicological aspects of the process. The second order rate constants of reactions between ACMP and both molecular ozone (O3) and hydroxyl radicals (OH) were determined to be 0.25M-1s-1 and 2.1·109M-1s-1, respectively. On the basis of kinetic results, the degradation of ACMP during ozonation could be well-explained by the reactivity of this pesticide with OH. HPLC/MS analysis of the ozonated ACMP showed ACMP-N-desmethyl, 6-chloronicotinic acid, N'cyano-N-methyl acetamidine and N'-cyano acetamidine as the major transformation products (TPs), all of them formed through amine α carbon oxidation in combination with hydrolysis. Microtox bioassays revealed an increase in the toxicity of the medium during ACMP ozonation process, followed by a decrease to relatively low values. These changes could be attributed to the synergistic effects between TPs as well as to the presence of toxic intermediate aldehydes. Even though adopting strategies to further promote ozone decomposition to hydroxyl radicals appears to be essential, ozonation can be an effective treatment process for ACMP removal and associated toxicity abatement.

Oestrogenicity assessment of s-triazines by-products during ozonation.

The triazines are a group of herbicides with a wide range of uses. Atrazine is, in fact, one of the most used agricultural pesticides in the world. The terbuthylazine is applied as a substitute of atrazine in some countries of Europe since 2004, when the European Union announced a ban of atrazine because of ubiquitous water contamination. In this study, both atrazine and terbuthylazine were degraded by the ozone process to estimate the efficiency on pesticide removal in water, the intermediates formed and their potential oestrogenic activity using the yeast oestrogen screen (YES) test. Both pesticides were rapidly eliminated from the medium during ozonation (applied ozone dose 0.083 and 0.02 mmol O3 L(-1), respectively). The results show that both compounds generated similar by-products from ozone degradation. Moreover, significant oestrogenic activity was detected for both atrazine and terbuthylazine intermediates, during the first minutes of ozonation. The YES assay used in this study proved to be a sensitive tool in assessing trace amounts of oestrogenic chemicals, which can represent critical issues influencing the experimental results in environmental applications.

Reverse osmosis concentrate treatment by chemical oxidation and moving bed biofilm processes.

In the present work, four oxidation techniques were investigated (O3, O3/UV, H2O2/O3, O3/H2O2/UV) to pre-treat reverse osmosis (RO) concentrate before treatment in a moving-bed biofilm reactor (MBBR) system. Without previous oxidation, the MBBR was able to remove a small fraction of the chemical oxygen demand (COD) (5-20%) and dissolved organic carbon (DOC) (2-15%). When the concentrate was previously submitted to oxidation, DOC removal efficiencies in the MBBR increased to 40-55%. All the tested oxidation techniques improved concentrate biodegradability. The concentrate treated by the combined process (oxidation and MBBR) presented residual DOC and COD in the ranges of 6-12 and 25-41 mg L(-1), respectively. Nitrification of the RO concentrate, pre-treated by oxidation, was observed in the MBBR. Ammonium removal was comprised between 54 and 79%. The results indicate that the MBBR was effective for the treatment of the RO concentrate, previously submitted to oxidation, generating water with an improved quality.

Pharmaceuticals and organic pollution mitigation in reclamation osmosis brines by UV/H2O2 and ozone.

One significant disadvantage of using reverse osmosis (RO) for reclamation purposes is the need to dispose of the RO retentates. These retentates contain a high concentration of micropollutants, effluent organic matter (EfOM) and other inorganic constituents, which are recalcitrant to biological treatment and may impact the environment. The occurrence of 11 pharmaceuticals (concentrations ranging from 0.2 to 1.6 µg L(-1)) and their mitigation in RO retentates by a UV/H2O2 process and ozonation was studied using a wide range of oxidant dosages. Eleven pharmaceuticals were identified at. Initial observed kinetic constants (kobs) were calculated for the different pharmaceuticals. Other typical wastewater parameters were also monitored during the UV/H2O2 and ozonation reactions. The range for kobs was found to be 0.8-12.8L mmol O3(-1) and 9.7-29.9 L mmol H2O2(-1) for the ozonation and UV/H2O2 process, respectively. For ozonation, Atenolol, Carbamazepine, Codeine, Trimethoprim and Diclofenac showed the lowest initial kobs (in the order mentioned). Atenolol and Carbamazepine appeared as the most ozone resistant pharmaceuticals, exhibiting the lowest percentage of elimination at low ozone doses. On the other hand, despite the non-selectivity of HO, differences in the initial kobs were also observed during the UV/H2O2 process. Trimethoprim, Paroxetine and Sulfamethoxazole exhibited the lowest initial kobs values (in the order mentioned). Trimethoprim and Paroxetine also exhibited the lowest percentage removal when low H2O2 doses were assayed. The compounds that were identified as problematic during ozonation were more efficiently removed by the UV/H2O2 process. UV/H2O2 generally appeared to be a more efficient technology for removing pharmaceuticals from RO brines compared to ozonation.

Application of solar advanced oxidation processes to the degradation of the antibiotic sulfamethoxazole.

This work deals with the treatment of highly concentrated sulfamethoxazole (SMX) solutions by some advanced oxidation processes (AOPs) that have not been studied until now. The antibiotic has been subjected to oxidation by photolysis, UV/H(2)O(2) and photo-Fenton using both artificial light and sunlight as radiation sources depending on the installation scale. SMX, total organic carbon (TOC) and chemical oxygen demand (COD), as well as the generation of NH(4)(+), NO(3)(-) and SO(4)(2-), were followed. SMX photolytic degradation efficiency followed the ranking: 254 nm lamps > sunlight > black-light blue (BLB) lamps (negligible for the latter). The highest eliminations were obtained by means of UV/H(2)O(2) reaction in a lab-scale reactor (254 nm lamps) with an initial H(2)O(2) concentration of 200 mg L(-1): DeltaTOC = 62.3%; DeltaCOD = 79.1% (more than 6 h). Similar removals were achieved with a lab-scale photo-Fenton reactor (BLB lamps) but using 400 mg L(-1) of oxidant (94 min). The use of solar light appeared to be an interesting option since satisfactory results were obtained in the solar-based photo-Fenton experiments compared to the lab-scale ones, and also since a significant improvement with respect to the solar photolysis was achieved when performing the UV/H(2)O(2) reaction with sunlight. Finally, some of the resultant effluents from different reactions were subjected to a short-term biodegradability test in order to estimate their quality from a biological point of view.

Combination of photo-Fenton and biological SBBR processes for sulfamethoxazole remediation.

A combined strategy of a photo-Fenton pretreatment followed by a Sequencing Batch Biofilm Reactor (SBBR) was evaluated for total C and N removal from a synthetic wastewater containing 200 mg L(-1) of the antibiotic Sulfamethoxazole (SMX). Photo-Fenton reaction was performed with two different H2O2 concentrations (300 and 400 mg L(-1)) and 10 mg L(-1) of Fe2+. The pre-treated effluents with the antibiotic intermediates as sole carbon source, together with a nutrients solution, were used as feed for the biological reactor. The SBBR was operated under aerobic conditions to mineralize the organic carbon and the hydraulic retention time (HRT) was optimized down to 8 hours. Then, an anoxic denitrification stage of 24 hours of HRT was added right after the aerobic stage of the same duration in order to remove the NO3(-) generated along the chemical-biological treatment. TOC, COD and SMX concentrations together with O2 uptake rate (OUR) profiles were monitored in purpose of assessing the performance of the system. NO3(-), NH4+ and total N concentrations were analyzed to find out the fate of N contained in the initial SMX molecule. A start up strategy resulted in the correct formation of a biofilm over the volcanic support. The total TOC removals achieved with the combination of the chemical and the biological processes were 75.7 and 87.7% for the low and the high H2O2 concentration pretreatments respectively. Practically all N present in the SMX solution was eliminated in the SBBR when the aerobic-anoxic strategy was used.

Coupled photochemical-biological system to treat biorecalcitrant wastewater.

The aim of the present work is to study a coupled system to treat biorecalcitrant wastewaters. The combination consists of an advanced oxidation process (AOP) named photo-Fenton (Ph-F), which is a photochemical treatment and a sequencing batch biofilter reactor (SBBR). The synthetic wastewater used to optimise this process is a solution of 200 ppm of 4-chlorophenol (4-CP). The first part of the work is the study of the biodegradability enhancement achieved by the photochemical process, measured as the ratio between the biochemical oxygen demand (BOD5) and the chemical oxygen demand (COD). The second step is the start-up and optimisation of the biological process. The results showed that it is necessary to severely treat the toxic solution (with 500 ppm of [H2O2]0) in order to achieve more than 90% of TOC removal in the whole process. The photochemical and biological treatments lasted 50 minutes and 24 hours, respectively.

Degradation of 2,4-dichlorophenol by combining photo-assisted Fenton reaction and biological treatment.

The photo-Fenton reaction effect on the biodegradability improvement of 100 mg/L solution of 2,4-dichlorophenol (DCP) has been investigated. Biochemical oxygen demand (BOD) at 5 and 21 days, BODn/ chemical oxygen demand (COD) and BODn/total organic carbon (TOC) ratios, average oxidation state, and inhibition on activated sludge were monitored. For 50 mg/L hydrogen peroxide and 10 mg/L iron(II) initial concentrations and 40 minutes of reaction time in the photo-Fenton process, the biodegradability of the pretreated solution, measured as BOD5/COD ratio, was improved from 0 for the original DCP solution up to 0.18 (BOD21/COD = 0.24). At that point, all DCP was eliminated from the solution. To study the effect of the pretreatment step, the biological oxidation of pretreated solutions was tested in two semicontinuous stirred tank reactors, one operated with activated sludge and one with biomass acclimated to phenol. Results showed that more than 80% TOC removal could be obtained by codigestion of the pretreated solution with municipal wastewater. Total organic carbon removals of approximately 60% were also obtained when the sole carbon source for the aerobic reactors was the pretreated solution. The hydraulic retention times used in the bioreactors were of the same order of magnitude as those used at domestic wastewater treatment plants (i.e., between 12 and 24 hours). Kinetic studies based on pseudo-first-order kinetics have also been carried out. Constants were found to be in range 0.67 to 1.7 L x g total volatiles suspended solids(-1) x h(-1).

Combining photo-Fenton process with biological sequencing batch reactor for 2,4-dichlorophenol degradation.

The effect of the photo-Fenton process on biodegradability enhancement of 100 mg x L(-1) aqueous 2,4-dichlorophenol (2,4-DCP) solution has been investigated. An initial concentration of 65 mg x L(-1) H2O2 and 10 mg x L(-1) Fe (II) during 35 minutes of irradiation time was sufficient for total 2,4-DCP removal. At these working conditions, biodegradability, measured as BODS/COD ratio, was increased from 0 for the original solution up to 0.15. Biological oxidation of photo-Fenton pre-treated solutions was performed in a sequencing batch reactor (SBR). After 32 days of start-up, the reactor was fed with different pre-treated solutions and cycle duration was reduced progressively. TOC removal efficiencies in the SBR went from 30 up to 70%.

Contribution of the ozonation pre-treatment to the biodegradation of aqueous solutions of 2,4-dichlorophenol.

The effect of ozonation on the biodegradability of 100-ppm aqueous solutions of 2,4-dichlorophenol has been investigated. BOD at 5, 10 and 21 days, BOD/COD and BOD/TOC ratios and the average oxidation state are presented. Biodegradability measured as BOD5/COD ratio was increased from 0 of the original solution to 0.25 at the moment of removing all the initial compound (corresponding to an ozone dose of 0.12 g L-1, 0.48 for BOD21/COD ratio). To test the effect of this pre-treatment, the biological oxidation of these pre-ozonated solutions was performed in two semi-continuous stirred tank reactors, one with non-acclimated sludge and one with acclimated-to-phenol sludge. The study showed that the TOC content of the pre-treated solution could be removed up to 68% by an aerobic biological treatment as well as co-digested with municipal wastewater (TOC removal up to 82%), with similar operating retention times to a municipal wastewater plant (12-24 h). Kinetic studies based on Monod model have also been carried out. Pseudo-first-order kinetic constants were found to be in the range of 0.5-0.8 L g TVSS-1 h-1.

Nitrification, denitrification and biological phosphorus removal in piggery wastewater using a sequencing batch reactor.

Nutrients in piggery wastewater with high organic matter, nitrogen (N) and phosphorus (P) content were biologically removed in a sequencing batch reactor (SBR) with anaerobic, aerobic and anoxic stages. The SBR was operated with 3 cycles/day, temperature 30 degrees C, sludge retention time (SRT) 1 day and hydraulic retention time (HRT) 11 days. With a wastewater containing 1500 mg/l ammonium and 144 mg/l phosphate, a removal efficiency of 99.7% for nitrogen and 97.3% for phosphate was obtained. Experiments set up to evaluate the effect of temperature on the process showed that it should be run at temperatures higher than 16 degrees C to obtain good removals (> 95%). Batch tests (ammonia utilization rate, nitrogen utilization rate and oxygen utilization rate) proved to be good tools to evaluate heterotrophic and autotrophic biomass activity. The SBR proved to be a very flexible tool, and was particularly suitable for the treatment of piggery wastewater, characterized by high nutrient content and by frequent changes in composition and therefore affecting process conditions.

The effects of bone morphogenetic protein 2 and 4 (BMP2 and BMP4) on gap junctions during neurodevelopment.

Nervous system deficits account for the third largest group of fatal birth defects (after heart and respiratory problems) in North America. Although considerable advance has been made in neuroscience research, the early events involved in neurogenesis remain to be elucidated. More specifically, the effects of signaling molecules on intercellular communication during neurodevelopment have not yet been studied. The development of the central nervous system is regulated, at least in part, by signaling molecules such as bone morphogenetic proteins (BMPs). In this study, we have used the embryonal mouse P19 cell line to examine the effects of BMP2 and BMP4 on gap junctional communication as well as neuronal and astrocytic differentiation. The undifferentiated P19 cells show high levels of the gap junction protein, connexin43 (Cx43), and functional intercellular coupling. However, Cx43 expression and dye coupling decrease as these cells differentiate into neurons and astrocytes. In contrast, cells treated with BMP2 or BMP4 lose their capacity to differentiate into neurons but not astrocytes, while they maintain extensive gap junctional communication. The very few neurons that remain in the BMP-treated cultures are coupled (a characteristic not seen in the control neurons). Together, our data suggest that BMPs may play a critical role in morphogenesis of P19 cells while they affect gap junctions.

[Diet and insulin. Best results with an adjusted schedule]. / Dieta e insulina. Mejores resultados con un ajuste horario.

Hospitalized diabetic patients with vascular disease, showing signs of infection and, perhaps, having had surgery, exhibit profound oscillations in their glucose levels. Better controls need to be followed to account for this variation between meals. To achieve this, the authors modified the meal schedules in a comparative study between two groups of patients that had been admitted to a cardiovascular surgical unit. The variable group consisted of 26 patients (group I) who were given a modified feeding schedule; the sample group that maintained the traditional schedule numbered 20 patients (Group II). All of these individuals have at least a 10 year history of diabetes and averaged 62 years of age. Glucose levels were measured every 6 hours for 20 consecutive days (normal glucose levels were considered 80-250 mg/dl). Results of the experiment were the following. Group I Breakfast 91%, Lunch 72%, Supper 77%, Snack 86%; Group II Breakfast 79%, Lunch 66%, Supper 69%, Bedtime 72%. As these findings indicate, a correct eating schedule for diabetics is a very important aspect in controlling proper blood glucose levels. Part of this work was presented at the VIII National Congress of Vascular Nursing, receiving first prize.