Advanced nitrogen removal via nitrite from municipal wastewater in a pilot-plant sequencing batch reactor.

To obtain economically sustainable wastewater treatment, advanced nitrogen removal from municipal wastewater and the feasibility of achieving and stabilizing short-cut nitrification and denitrification were investigated in a pilot-plant sequencing batch reactor (SBR) with a working volume of 54 m(3). Advanced nitrogen removal, from summer to winter, with effluent TN lower than 3 mg/L and nitrogen removal efficiency above 98% was successfully achieved in pulsed-feed SBR. Through long-term application of process control in pulsed-feed SBR, nitrite accumulation reached above 95% at normal temperature of 25 degrees C. Even in winter, at the lowest temperature of 13 degrees C, nitrite was still the end production of nitrification and nitrite accumulation was higher than 90%. On the basis of achieving advanced nitrogen removal, short-cut nitrification and denitrification was also successfully achieved. Compare to the pulse-feed SBR with fixed time control, the dosage of carbon source and energy consumption in pulsed-feed SBR with process control were saved about 30% and 15% respectively. In pulsed-feed SBR with process control, nitrogen removal efficiency was greatly improved. Moreover, consumption of power and carbon source was further saved.

Frequency of arteriovenous shunts in hepatic cavernous hemangiomas in adults as seen on selective arteriography and postembolization radiography.

PURPOSE: To study the frequency and angiographic findings of arteriovenous shunts (AVS) associated with adult cavernous hemangiomas of the liver (CHL) on hepatic artery digital subtraction angiography (DSA) and optimize the imaging technique of DSA to improve its diagnostic efficacy. METHODS: We retrospectively analyzed 43 intraarterial DSA procedures performed on 30 adults with CHL. Of the 30 patients 22 were found to have an AVS. Transcatheter arterial embolization with Lipiodol (L-TAE) was performed on 21 of these and radiographs were taken immediately after embolization to observe the distribution of the injected iodized oil. The results were compared with those of the AVS found on DSA images. RESULTS: AVS were identified by DSA in 22 (73.3%) of 30 patients. All AVS were located in the peritumoral liver tissue and had a parallel track appearance, or early filling of small draining veins during the arterial phase of DSA. Radiographs taken immediately after L-TAE in 21 of the 22 cases with AVS showed iodized oil filling a few portal branches or draining veins as a result of incompletely occluded shunts in 11 patients. In 10 patients there was complete occlusion and no filling of any vein, or only the originating end of draining veins filled with iodized oil. No evidence of AVS was found in the other eight patients in this series, and in six of these the DSA was not considered diagnostic. CONCLUSION: The present study indicates that AVS are frequently seen in adults with CHL. DSA with high-quality images is helpful in identifying small AVS of CHL. The formation of an AVS in CHL may be closely related to the pathological changes in the peritumoral liver tissue.

Clinical application of DSA and evaluation of its methods: analysis of 160 cases and review of literature.

A total of 160 patients of two hospitals received 192 DSA examinations with different contrast administrations, and techniques of performing DSA were analyzed, compared, and evaluated with reference to the literature. It was concluded that (1) the peripheral injection of contrast material for IVDSA via cannula is simpler than that via a short catheter, but the incidences of contrast extravasation in both cases are higher than with central injection. (2) Both the lower part of the superior vena cava and the right atrial cavity are safe sites for central injection. With central injection for IVDSA, the arterial iodine concentration is approximately double that of peripheral injection, and consistent high quality examinations of the intracranial vessels may be obtained. However, neither peripheral nor central injections can visualize the small vessels clearly. (3) IVDSA may be substituted for conventional angiography only in examinations of the aorta and its main branches. (4) IADSA is becoming a superior angiographic technique and its clinical application is increasing. In addition, means of avoiding contrast extravasation during IVDSA and the main points of selecting the optimal technique for DSA are described in this paper.