Effect of standardized hypnotic bundles on insomnia during hospitalization and reducing fall rate: A single-center retrospective cohort study.

AIM: Although the use of benzodiazepine receptor agonists is a risk factor for falls and fractures, whether benzodiazepine-avoiding hypnotic bundles are beneficial in clinical settings remains unclear. METHODS: A new hospital-wide standardized hypnotic bundle for insomnia, with suvorexant as the first choice, was created for clinical purposes. This single-center retrospective cohort study involved a pre-post design and adult inpatients who had had falls. The primary outcome was the total fall rate in the pre-post groups. Additionally, the level change in the fall-rate trend for each month at standardization of the new hypnotic bundle was analyzed. The numbers of hypnotic-related falls and injuries requiring treatment were evaluated. RESULTS: There were no differences in baseline characteristics between the two groups, except for patients with COVID-19. Overall, 31 736 patients were included in this study. The total number of falls was 924 (3.42‰) in the pre-standardization group and 837 (3.31‰) in the post-standardization group, with no significant difference. An interrupted time-series analysis of the level change in the fall rate revealed that the gap in trend at standardization was -11%, with no significance. Hypnotic-related falls were 300 (1.11‰) versus 213 (0.84‰), and the injury incidences were 251 (0.93‰) versus 181 (0.71‰) in the pre and post groups, respectively, showing a significant reduction. CONCLUSIONS: The standardization of the new hypnotic bundle for insomnia did not help achieve a significant reduction in total falls. However, our findings suggest that this bundle has the potential to reduce hypnotic-related falls and injuries in inpatients who have had falls. Geriatr Gerontol Int 2024; ••: ••-••.

Causes of negatively charged meso-colloids formed in the coagulation process: Implication of the origin of foulants in the coagulation-membrane filtration process.

Tiny colloids with a size similar to that of membrane pores are responsible for irreversible fouling in the pre-coagulation microfiltration membrane filtration process for drinking water treatment. Such colloidal particles are defined here as meso­colloids, and the charge neutralization of meso­colloids is demonstrated to be a key to controlling irreversible fouling. However, meso­colloids remain negatively charged at neutral pH, the reason for which is still unclear. To increase the efficiency of membrane operation, additional knowledge about the causes and behaviors of meso­colloids during pre-coagulation is indispensable. Therefore, in this study, meso­colloids are fractionated after a series of jar tests, and their exact composition and charge properties are characterized. Two natural water samples, the adjusted water consisting of meso­colloid fraction separated from one of the natural water samples and additional inorganic chemicals, and the adjusted water by the addition of appropriate inorganic chemicals into pure water are used for jar tests, which are conducted with and without the addition of the coagulant polyaluminum chloride (PACl). After the jar tests using two natural water samples, all of the meso­colloids exhibit a negative charge under the conditions applied for the jar tests, indicating that charge neutralization is difficult. The composition of the meso­colloids is found to be completely different depending on the water source used. Organic-rich water tends to generate meso­colloids with a low Al/C (mass ratio of aluminum and organic carbon) ratio. In contrast, organic-poor water tends to produce meso­colloids with a high Al/C ratio. From the results of the jar tests using two kinds of adjusted water samples, it is found challenging to neutralize meso­colloids by PACl at neutral pH, because the overdose and underdose of PACl result in negatively charged biopolymer or negatively charged aluminum species. Therefore, the development of a new coagulant for specific use in the coagulation membrane filtration process is proposed, which can minimize the formation of negatively charged species even at neutral pH.

Solid-phase fluorescence excitation emission matrix for in-situ monitoring of membrane fouling during microfiltration using a polyvinylidene fluoride hollow fiber membrane.

Controlling membrane fouling is challenging and information regarding the causes of fouling is critical for this. While liquid-phase fluorescence spectroscopy excitation emission matrix (LPF-EEM) has previously been applied to identify the characteristics of membrane foulants, we applied EEM measurements to solid samples to identify foulants accumulated on the membrane. This solid-phase fluorescence EEM (SPF-EEM) enables sensitive and nondestructive identification of different organic solids. LPF-EEMs and SPF-EEMs were used on natural organic matter (NOM) isolated from secondary-treated wastewater, which revealed differences in peak positions and in spectral shapes. SPF-EEMs and LPF-EEMs of hydrophobic (HPO), transphilic (TPI) and hydrophilic (HPI) fractions showed that peaks of HPO fraction disappeared while those of TPI and HPI fractions shifted to a longer excitation and emission position through solidification. Then, the surface of the membrane fiber was continuously monitored using SPF-EEM during filtration. Three peaks appeared as expected during membrane fouling progression, indicating that in-situ monitoring of foulants was successful. Comparison of the EEM peaks between foulants and isolated NOM fractions shows the presence of both liquid-phase proteinaceous substances and gels formed from HPI and TPI fractions. Changes in peak intensity confirmed that the former proteinaceous substances were responsible for both reversible and irreversible fouling, while the latter gels mainly contributed to the irreversible fouling. We demonstrated the functionality of the SPF-EEM as an in-situ fouling monitoring tool.

Digestion performance and contributions of organic and inorganic fouling in an anaerobic membrane bioreactor treating waste activated sludge.

This study evaluates the performance of an anaerobic membrane bioreactor (AnMBR) digesting waste activated sludge. A digestion reactor equipped with an external hollow fiber microfiltration membrane module was operated in continuous-mode for 248 days. The system demonstrated 56% volatile solids degradation at an organic loading rate of 0.40 g-VS/(L·d) in 15 days of hydraulic retention time. The average methane content in the biogas produced was 76% which is considerably high compared to that from a typical continuously stirred tank reactor. The transmembrane pressure remained under 12 kPa without membrane cleaning during the experimental period due to low filtration flux (0.01-0.07 m/d) and cross-flow-mode filtration. Ex situ membrane cleaning revealed that physically irreversible fouling was the dominant form of membrane fouling. Inorganic and organic fouling accounted for 16% and 45% of total membrane fouling, respectively.

Changes in the physical properties of the dynamic layer and its correlation with permeate quality in a self-forming dynamic membrane bioreactor.

The self-forming dynamic membrane bioreactor (SFDMBR) is a biological wastewater treatment technology based on the conventional membrane bioreactor (MBR) with membrane material modification to a large pore size (30-100 µm). This modification requires a dynamic layer formed by activated sludge to provide effective filtration function for high-quality permeate production. The properties of the dynamic layer are therefore important for permeate quality in SFDMBRs. The interaction between the structure of the dynamic layer and the performance of SFDMBRs is little known but understandably complex. To elucidate the interaction, a lab-scale SFDMBR system coupled with a nylon woven mesh as the supporting material was operated. After development of a mature dynamic layer, excellent solid-liquid separation was achieved, as evidenced by a low permeate turbidity of less than 2 NTU. The permeate turbidity stayed below this level for nearly 80 days. In the fouling phase, the dynamic layer was compressed with an increase in the trans-membrane pressure and the quality of the permeate kept deteriorating until the turbidity exceeded 10 NTU. The investigation revealed that the majority of permeate particles were dissociated from the dynamic layer on the back surface of the supporting material, which is caused by the compression, breakdown, and dissociation of the dynamic layer. This phenomenon was observed directly in experiment instead of model prediction or conjecture for the first time.

Differences in behaviour of three biopolymer constituents in coagulation with polyaluminium chloride: Implications for the optimisation of a coagulation-membrane filtration process.

Coagulation is often applied as a pre-treatment for membrane processes to reduce dissolved organic matter and to prevent membrane fouling. Biopolymers (BPs) have repeatedly been reported as major organic foulants, and coagulation conditions such as pH or dose have been optimised to minimise the remaining BPs. Optimisation however remains problematic because of the complex and heterogenetic nature of BP. In this study, the behaviour of several BP fractions in a coagulation process was investigated by excitation-emission matrix-parallel factor analysis (EEM-PARAFAC) following liquid chromatography (LC)-fractionation. Using a series of jar tests, we found that BP removal depends on the type of source water, reflecting differences in charge neutralisation conditions in three samples of natural water despite nearly identical processes for removing humic substances. This result demonstrates the complexity of optimisation for BP coagulation. Fractionation of EEM-PARAFAC to BP by LC showed that at least three organic component groups (C1, C2 and C3) constitute BP. C1 is tryptophan-like organic matter that is often found in wastewater effluent, C2 is tyrosine-like organic matter that has a phenolic chemical structure, and C3 is a humic-like substance. C1 was removed thoroughly at acidic pH but not at neutral pH, while the removal of C2 was inefficient even with a significant change in pH or dose, indicating similar difficulties in a coagulation process. The difference in components C1 and C2 may partly explain the difference in efficiencies of removal of BP in water from different sources. Our investigation suggests that the optimisation or selection of appropriate pre-treatment processes for membrane systems should be substantially based on the composition of BPs (e.g., C1 and C2 components).

Development of novel polysulfone membranes with embedded zirconium sulfate-surfactant micelle mesostructure for phosphate recovery from water through membrane filtration.

We prepared novel membranes that could adsorb phosphate from water through membrane filtration for use in a phosphate recovery system. Zirconium sulfate surfactant micelle mesostructure (ZS), which was the phosphate adsorbent, was embedded in a polysulfone matrix and flat sheet ultrafiltration membranes were made by nonsolvent induced phase separation. Scanning electron microscopy showed that the ZS particles existed on both the top surface and in the internal surface of the membrane. Increases in ZS content led to greater pure water flux because of increases in the surface porosity ratio. The amount of phosphate adsorbed on the membrane made from the polymer solution containing 10.5 wt% ZS was 0.071 mg P/cm2 (64.8 mg P/g-ZS) during filtration of 50 mg P/L synthetic phosphate solution. The membrane could be repeatedly used for phosphate recovery after regeneration by filtration of 0.1 M NaOH solution to desorb the phosphate. We applied the membrane to treat the effluent from an anaerobic membrane bioreactor as a real sample and successfully recovered phosphate.

Primary Volvulus of the Small Intestine Exhibiting Chylous Ascites: A Case Report.

BACKGROUND: Primary volvulus of the small intestine associated with chylous ascites is very rare, with only four reported cases. In this paper, we report a new case of primary volvulus associated with chylous ascites. CASE PRESENTATION: The patient was a 70-year-old man. After experiencing bloating and abdominal pain for several hours, he called an ambulance and underwent an emergency examination at our hospital. Abdominal distension, pressure pain, and rebound tenderness were observed throughout his entire abdomen. The patient had a history of hypertension for which he was receiving oral treatment. Abdominal contrast-enhanced computed tomography (CT) revealed an edematous change in the intestinal membrane and volvulus of the small intestine. As findings suggestive of ischemia were observed in part of the intestines, emergency surgery was performed on the day of admission. Open surgery revealed approximately 500 mL of chylous ascites in the abdominal cavity. The small intestine had twisted 180° in a counter-clockwise direction at the root of the superior mesenteric artery, and the mesentery appeared milky white with edematous changes extending 75 to 240 cm from the ligament of Treitz. There was no evidence of intestinal necrosis; therefore intestinal resection was not performed. The volvulus of the small intestine was corrected. Moreover, because there was no other underlying disease observed, surgery was completed. The ascites collected during surgery revealed high levels of triglycerides at 332 mg/dL, and chylous ascites was diagnosed. An abdominal CT performed on the third day after surgery showed an improvement in intestinal edema, and primary volvulus of the small intestine associated with chylous ascites was diagnosed. Postoperative progress was good, and the patient was discharged on hospital day 10.

Flocculation and me.

This paper is mainly a review of the author's previous research, which was aimed at establishing a theoretical protocol for the design and operation of flocculators based on data from experiments and simulations of the flocculation process. Flocculation is the main pretreatment process of the rapid sand filtration system, and the process produces settleable flocs in the sedimentation basin, reducing the solid load flowing to the sand filter. We tried to make the transition from empirical to theoretical approaches in the design and operation of flocculators by combining the three categories of flocculation research: floc characteristics, flocculation kinetics, and engineering aspects of flocculation. The floc density function and the floc strength function were proposed as important attributes of floc. The Levich's Equation, based on the assumption of viscous subrange diffusion control, represented the basic collision kinetics during flocculation. Finally, examples of engineering applications using our flocculation research were described.

Performance of anaerobic membrane bioreactor during digestion and thickening of aerobic membrane bioreactor excess sludge.

In this study, we evaluated the performance of an anaerobic membrane bioreactor in terms of digestion and thickening of excess sludge from an aerobic membrane bioreactor. A digestion reactor equipped with an external polytetrafluoroethylene tubular microfiltration membrane module was operated in semi-batch mode. Solids were concentrated by repeated membrane filtration and sludge feeding, and their concentration reached 25,400mg/L after 92d. A high chemical oxygen demand (COD) removal efficiency, i.e., 98%, was achieved during operation. A hydraulic retention time of 34d and a pulse organic loading rate of 2200mg-COD/(L-reactor) gave a biogas production rate and biogas yield of 1.33L/(reactor d) and 0.08L/g-CODinput, respectively. The external membrane unit worked well without membrane cleaning for 90d. The transmembrane pressure reached 25kPa and the filtration flux decreased by 80% because of membrane fouling after operation for 90d.

Proteins causing membrane fouling in membrane bioreactors.

In this study, the details of proteins causing membrane fouling in membrane bioreactors (MBRs) treating real municipal wastewater were investigated. Two separate pilot-scale MBRs were continuously operated under significantly different operating conditions; one MBR was a submerged type whereas the other was a side-stream type. The submerged and side-stream MBRs were operated for 20 and 10 days, respectively. At the end of continuous operation, the foulants were extracted from the fouled membranes. The proteins contained in the extracted foulants were enriched by using the combination of crude concentration with an ultrafiltration membrane and trichloroacetic acid precipitation, and then separated by two-dimensional polyacrylamide gel electrophoresis (2D-PAGE). The N-terminal amino acid sequencing analysis of the proteins which formed intensive spots on the 2D-PAGE gels allowed us to partially identify one protein (OmpA family protein originated from genus Brevundimonas or Riemerella anatipestifer) from the foulant obtained from the submerged MBR, and two proteins (OprD and OprF originated from genus Pseudomonas) from that obtained from the side-stream MBR. Despite the significant difference in operating conditions of the two MBRs, all proteins identified in this study belong to ß-barrel protein. These findings strongly suggest the importance of ß-barrel proteins in developing membrane fouling in MBRs.

Tracking inorganic foulants irreversibly accumulated on low-pressure membranes for treating surface water.

While low-pressure membrane filtration processes (i.e., microfiltration and ultrafiltration) can offer precise filtration than sand filtration, they pose the problem of reduced efficiency due to membrane fouling. Although many studies have examined membrane fouling by organic substances, there is still not enough data available concerning membrane fouling by inorganic substances. The present research investigated changes in the amounts of inorganic components deposited on the surface of membrane filters over time using membrane specimens sampled thirteen times at arbitrary time intervals during pilot testing in order to determine the mechanism by which irreversible fouling by inorganic substances progresses. The experiments showed that the inorganic components that primarily contribute to irreversible fouling vary as filtration continues. It was discovered that, in the initial stage of operation, the main membrane-fouling substance was iron, whereas the primary membrane-fouling substances when operation finished were manganese, calcium, and silica. The amount of iron accumulated on the membrane increased up to the thirtieth day of operation, after which it reached a steady state. After the accumulation of iron became static, subsequent accumulation of manganese was observed. The fact that the removal rates of these inorganic components also increased gradually shows that the size of the exclusion pores of the membrane filter narrows as operation continues. Studying particle size distributions of inorganic components contained in source water revealed that while many iron particles are approximately the same size as membrane pores, the fraction of manganese particles slightly smaller than the pores in diameter was large. From these results, it is surmised that iron particles approximately the same size as the pores block them soon after the start of operation, and as the membrane pores narrow with the development of fouling, they become further blocked by manganese particles approximately the same size as the narrowed pores. Calcium and silica are assumed to accumulate on the membrane due to their cross-linking action and/or complex formation with organic substances such as humic compounds. The present research is the first to clearly show that the inorganic components that contribute to membrane fouling differ according to the stage of membrane fouling progression; the information obtained by this research should enable chemical cleaning or operational control in accordance with the stage of membrane fouling progression.

Application of glyco-blotting for identification of structures of polysaccharides causing membrane fouling in a pilot-scale membrane bioreactor treating municipal wastewater.

A new approach for the analysis of polysaccharides in membrane bioreactor (MBR) is proposed in this study. Enrichment of polysaccharides by glyco-blotting, in which polysaccharides are specifically collected via interactions between the aldehydes in the polysaccharides and aminooxy groups on glycoblotting beads, enabled MALDI-TOF/MS analysis at a high resolution. Structures of polysaccharides extracted from fouled membranes used in a pilot-scale MBR treating municipal wastewater and those in the supernatant of the mixed liquor suspension in the MBR were investigated. It was found that the overlap between polysaccharides found in the supernatants and those extracted from the fouled membrane was rather limited, suggesting that polysaccharides that dominate in supernatants may not be important in membrane fouling in MBRs. Analysis using a bacterial carbohydrate database suggested that capsular polysaccharides (CPS) and/or lipo-polysaccharides (LPS) produced by gram-negative bacteria are key players in the evolution of membrane fouling in MBRs.

Influence of extracellular polysaccharides (EPS) produced by two different green unicellular algae on membrane filtration in an algae-based biofuel production process.

In the present study, two strains of green algae named S1 and S2, categorized as the same species of Pseudo-coccomyxa ellipsoidea but showing 99% homology, were cultivated under the same conditions and filtrated with a microfiltration membrane. On the basis of the results of the extracellular polysaccharides (EPS) characteristics of these two green algae and the degree of fouling, the influence of these characteristics on the performance of membrane filtration was investigated. There was no difference in the specific growth rate between the S1 and S2 strains; however, large differences were seen in the amount and quality of EPS between S1 and S2. When the S1 and S2 strains were filtered with a membrane, the trend in the increase in transmembrane pressure (TMP) was quite different. The filtration of the S1 strain showed a rapid increase in TMP, whereas the TMP of the filtration of the S2 strain did not increase at all during the operation. This clearly demonstrated that the characteristics of each strain affect the development of membrane fouling. On the basis of the detailed characterization of solved-EPS (s-EPS) and bound-EPS (b-EPS), it was clarified that s-EPS mainly contributed to irreversible fouling for both operations and the biopolymer-like organic matter contained in b-EPS mainly contributed to reversible fouling.

Hydrophilic fraction of natural organic matter causing irreversible fouling of microfiltration and ultrafiltration membranes.

Although membrane filtration is a promising technology in the field of drinking water treatment, persistent membrane fouling remains a major disadvantage. For more efficient operation, causative agents of membrane fouling need to be identified. Membrane fouling can be classified into physically reversible and irreversible fouling on basis of the removability of the foulants by physical cleaning. Four types of natural organic matter (NOM) in river water used as a source of drinking water were fractionated into hydrophobic and hydrophilic fractions, and their potential to develop irreversible membrane fouling was evaluated by a bench-scale filtration experiment together with spectroscopic and chromatographic analyses. In this study, only dissolved NOM was investigated without consideration of interactions of NOM fractions with particulate matter. Results demonstrated that despite identical total organic carbon (TOC), fouling development trends were significantly different between hydrophilic and hydrophobic fractions. The hydrophobic fractions did not increase membrane resistance, while the hydrophilic fractions caused severe loss of membrane permeability. These results were identical with the case when the calcium was added to hydrophobic and hydrophilic fractions. The largest difference in NOM characteristics between hydrophobic and hydrophilic fractions was the presence or absence of macromolecules; the primary constituent causing irreversible fouling was inferred to be "biopolymers", including carbohydrates and proteins. In addition, the results demonstrated that the extent of irreversible fouling was considerably different depending on the combination of membrane materials and NOM characteristics. Despite identical nominal pore size (0.1 µm), a polyvinylidene fluoride (PVDF) membrane was found to be more rapidly fouled than a PE membrane. This is probably explained by the generation of strong hydrogen bonding between hydroxyl groups of biopolymers and fluorine of the PVDF membrane. On the basis of these findings, it was suggested that the higher fouling potential of the hydrophilic fraction of the dissolved NOMs from various natural water sources are mainly attributed to macromolecules, or biopolymers.

Change in the chemical composition of infalling gas forming a disk around a protostar.

IRAS 04368+2557 is a solar-type (low-mass) protostar embedded in a protostellar core (L1527) in the Taurus molecular cloud, which is only 140 parsecs away from Earth, making it the closest large star-forming region. The protostellar envelope has a flattened shape with a diameter of a thousand astronomical units (1 AU is the distance from Earth to the Sun), and is infalling and rotating. It also has a protostellar disk with a radius of 90 AU (ref. 6), from which a planetary system is expected to form. The interstellar gas, mainly consisting of hydrogen molecules, undergoes a change in density of about three orders of magnitude as it collapses from the envelope into the disk, while being heated from 10 kelvin to over 100 kelvin in the mid-plane, but it has hitherto not been possible to explore changes in chemical composition associated with this collapse. Here we report that the unsaturated hydrocarbon molecule cyclic-C3H2 resides in the infalling rotating envelope, whereas sulphur monoxide (SO) is enhanced in the transition zone at the radius of the centrifugal barrier (100 ± 20 AU), which is the radius at which the kinetic energy of the infalling gas is converted to rotational energy. Such a drastic change in chemistry at the centrifugal barrier was not anticipated, but is probably caused by the discontinuous infalling motion at the centrifugal barrier and local heating processes there.

Toxicity assessment of chlorinated wastewater effluents by using transcriptome-based bioassays and Fourier transform mass spectrometry (FT-MS) analysis.

Effects of chlorination on the toxicity of wastewater effluents treated by activated sludge (AS) and submerged membrane bioreactor (S-MBRB) systems to HepG2 human hepatoblastoma cells were investigated. In addition to the cytotoxicity and genotoxicity assays, the DNA microarray-based transcriptome analysis was performed to evaluate the change in types of biological impacts on HepG2 cells of the effluents by chlorination. Effluent organic matter (EfOM) and disinfection by-products (DBPs) were also characterized by using Fourier transform mass spectrometry (FT-MS). Although no significant induction of genotoxicity was observed by chlorination for both effluents, the chlorination elevated the cytotoxicity of AS effluent but reduced that of S-MBRB effluent. The FT-MS analyses revealed that more DBPs including nitrogenated DBPs (N-DBPs) were formed in the AS effluent than in the S-MBRB effluent by chlorination, supporting the increased cytotoxicity of AS effluent. The lower O/C ratio of S-MBRB EfOM suggests that a large number of organic molecules were detoxified by chlorination, which consequently decreased the cytotoxicity of S-MBRB effluent. Integration of all the results highlights that both cytotoxicity and biological impacts of chlorinated wastewater effluents were clearly dependent on the EfOM characteristics such as DBPs and O/C ratio, namely, on types of treatment systems.

Microfiltration of different surface waters with/without coagulation: clear correlations between membrane fouling and hydrophilic biopolymers.

Although low-pressure membranes (microfiltration (MF) or ultrafiltration (UF)) have become viable options for drinking water treatment, problems caused by membrane fouling must still be addressed. The objective of this study was to compare five different surface waters and to identify a relevant index of water quality that can be used for prediction of the fouling potential of the water. Bench-scale filtration tests were carried out with commercially available hollow-fiber MF membranes. Fairly long-term (a few days) filtrations in the constant-flow mode were carried out with automatic backwash. Membrane fouling in this study was shown to be irreversible as a result of the periodic backwash carried out throughout of the operation. Easily accessible indexes of water quality including dissolved organic carbon (DOC), UV absorbance, Ca concentration and turbidity could not explain the degree of fouling encountered in the filtration tests. Fluorescence excitation-emission matrix (EEM) could provide information on the presence of protein-like substances in water, and peaks for protein showed some correlation with the membrane fouling. Biopolymer (characterized by high molecular weights and insensitivity to UV light absorption) concentrations in the five waters determined by liquid chromatography with organic carbon detection (LC-OCD) exhibited an excellent correlation with the fouling rates. Coagulation with polyaluminum chloride could mitigate membrane fouling in all cases. The extent of fouling seen with coagulated waters was also correlated with biopolymer concentrations. The relationship between biopolymer concentrations and the fouling rates established for the raw waters could also be applied to the coagulated waters. These results suggested that the contribution of biopolymers to membrane fouling in the present study was significant, an observation that was supported by the analysis of foulants extracted at the termination of each test. Biopolymer concentrations determined by LC-OCD might be used as a key indicator of fouling potential of water for low-pressure membranes.

High efficiency removal of phosphate from water by zirconium sulfate-surfactant micelle mesostructure immobilized on polymer matrix.

A zirconium sulfate-surfactant micelle mesostructure (ZS) was synthesized to investigate its capacity for phosphate removal from water. Its phosphate adsorption kinetics, the effect of pH and interfering anions, adsorption isotherm, desorption capacity, and reusability were investigated. The adsorption isotherms could be described by the Langmuir model. The ZS was an effective adsorbent for phosphate with a very high adsorption capacity (114 mg P/g ZS). The phosphate adsorption capacity increased with decrease in pH. Although the adsorption of nitrate, chloride and acetate ions was negligible, bicarbonate ions were found to be possible interfering anions. The adsorbed phosphate was desorbed effectively using NaOH solution. Since breakage of ZS particles resulted when using NaOH, ZS was immobilized on a polymer matrix and a 50-cycle adsorption-desorption test was carried out to determine the ZS-immobilized polymer (P-ZS) reusability. The P-ZS retained its functionality and adsorption and desorption capacity over 50 cycles without loss of original capacity. A phosphate solution containing about 10 mg P/L was treated in a column packed with P-ZS. The phosphate could be adsorbed completely onto P-ZS up to 1020 bed volumes. These results indicate clearly that ZS is a highly effective adsorbent for phosphate and enables the removal of phosphate from water.

Acute effects of a sarin-like organophosphorus agent, bis(isopropyl methyl)phosphonate, on cardiovascular parameters in anaesthetized, artificially ventilated rats.

The organophosphorus compound sarin irreversibly inhibits acetylcholinesterase. We examined the acute cardiovascular effects of a sarin-like organophosphorus agent, bis(isopropyl methyl)phosphonate (BIMP), in anaesthetized, artificially ventilated rats. Intravenous administration of BIMP (0.8mg/kg; the LD50 value) induced a long-lasting increase in blood pressure and tended to increase heart rate. In rats pretreated with the non-selective muscarinic-receptor antagonist atropine, BIMP significantly increased both heart rate and blood pressure. In atropine-treated rats, hexamethonium (antagonist of ganglionic nicotinic receptors) greatly attenuated the BIMP-induced increase in blood pressure without changing the BIMP-induced increase in heart rate. In rats treated with atropine plus hexamethonium, intravenous phentolamine (non-selective α-adrenergic receptor antagonist) plus propranolol (non-selective ß-adrenergic receptor antagonist) completely blocked the BIMP-induced increases in blood pressure and heart rate. In atropine-treated rats, the reversible acetylcholinesterase inhibitor neostigmine (1mg/kg) induced a transient increase in blood pressure, but had no effect on heart rate. These results suggest that in anaesthetized rats, BIMP induces powerful stimulation of sympathetic as well as parasympathetic nerves and thereby modulates heart rate and blood pressure. They may also indicate that an action independent of acetylcholinesterase inhibition contributes to the acute cardiovascular responses induced by BIMP.