Sludge Bulking Control with Ozone

O zonation was studied as a non-specific means of sludge bulking control. Direct ozonation at 6 g/m³ influent, i.e. 4 gO₃/kg sludge per day into the aeration basin of a 150 l/d Phoredox system controlled the growth of filamentous organisms and improved the settleability of the sludge. Bulking control with ozone is not significantly more expensive than with chlorine or with larger settler capacity.     

Environmental Implications of Treatment of Coastal Sewage Discharges

The environmental implications of implementing the requirement for treatment of coastal sewage prior to discharge, which were put forward in an EC draft Directive on municipal waste-water treatment, are examined. In order to establish the current situation, the results of a national survey of coastal and estuarine sewage discharges are presented. A review of the impact of sewage discharges on the marine environment is presented in conjunction with an assessment of the impact of sewage-treatment processes on the land and in the air. These aspects are integrated into overall conclusions about net environmental impact. Finally, a decision-tree approach to the assignment of priority to additional action required at individual locations is developed.     

Streambed Sediment as a Barrier to Groundwater Pollution: Insights from Fieldwork and Modelling in the River Thames Basin

Integrated fieldwork and modelling has been undertaken to assess the vulnerability of riverside wells to pollution when river water is contaminated. Results highlight the importance of streambed sediments as a barrier to groundwater pollution by river water. The bed of the River Thames is lined with brown and grey organic-rich silts of low hydraulic conductivity (about 0.002 m/d). A 3-D model for solute transport in stream-aquifer systems was developed and applied to two riverside sites in the middle Thames valley. Model results indicate that well-water quality would only breach EC limits if the river was heavily polluted for a week or even a month (clearly an unlikely scenario). Sensitivity analyses showed the models to be far more sensitive to streambed parameters than to aquifer parameters. Thus it would be more sensible to focus fieldwork on the measurement of streambed properties than on the more usually measured aquifer parameters.     

Pilot Scale Aerobic Sequencing Batch Reactor for Pig Waste Treatment

A n existing aetated lagoon treating piggery waste was converted into an aerobic sequencing batch reactor (SBR). After the commissioning period, the SBR plant treated piggery wastewater containing BOD and suspended solids (SS) concentrations of 2881 mg/l and 1419 mg/1 respectively, producing an effluent having an average BOD and SS of 18.7 mg/1 and 12.3 mg/1 respectively. The volumetric loadings on the SBR and the process were similar. However, the SBR process operated at a lower mixed liquor suspended solids (MLSS) concentration and shorter sludge retention period. Although the capital and operating costs of the SBR are higher than for the aerated lagoon, the simplicity of operation, the high BOD and SS removal efficiency, and the small land requirement make this type of process an attractive treatment option, particularly in places where land supply is limited and expensive.     

The crystal structure of human procathepsin K

Cathepsin K is a cysteine protease present in human osteoclasts that plays an important role in bone resorption. Cathepsin K is synthesized as an inactive proenzyme and activated under conditions of low pH. Autoproteolytic processing of the N-terminal 99 amino acid propeptide produces the active, mature form of cathepsin K. It is presumed that the activation of procathepsin K in vivo occurs in the bone resorption pit, which has a low-pH environment. We have determined the structure of human procathepsin K at 2.8 A resolution. The structure of the mature enzyme domain within procathepsin K is virtually identical to that of mature cathepsin K. The fold of the propeptide of procathepsin K is similar to that observed in procathepsins B and L despite differences in length and sequence. A portion of the propeptide occupies the active site cleft of cathepsin K. Hydrophobic interactions, salt bridges, and hydrogen-bonding interactions are observed in the structure of the propeptide and between the propeptide and the mature enzyme of procathepsin K. These interactions suggest an explanation for the stability of the proenzyme. The structure of procathepsin K contributes to an understanding of the molecular basis of inhibition by the propeptide portion of the molecule and activation of this important member of the cysteine protease family.     

Application of dried blood spot specimens for serologic subtyping of human immunodeficiency virus type 1 in Thailand

Dried blood spot (DBS) specimens were assessed as an alternative to plasma for human immunodeficiency virus type 1 (HIV-1) serotyping by V3 loop peptide enzyme immunoassay. Nested PCR capable of distinguishing HIV-1 subtypes B and E was used as the reference standard. Ninety-two percent of DBS samples were typeable as either HIV-1 subtype B or E. Serotype results with DBS and plasma were identical for 254 of 257 specimens. A simple DBS collection method provides a convenient alternative for conducting HIV-1 serotype surveillance while retaining sensitivity and specificity.     

Comparison of digital rectal examination and biopsy results with the radical prostatectomy specimen

PURPOSE: Digital rectal examination is integral to staging prostate cancer. Ultrasound guided biopsy establishes the diagnosis, and it may provide useful information regarding disease grade and extent. Treatment decisions are largely based on information gained from digital rectal examination and biopsy but this information is only useful if it correlates with the radical prostatectomy specimen and prognosis. We correlated digital rectal examination and transrectal ultrasound guided biopsy results with a detailed analysis of the radical prostatectomy specimen. MATERIALS AND METHODS: The accuracy of an abnormal digital rectal examination for predicting the location and extent of cancer was assessed in 89 patients thought to have clinical stage T2 disease. We evaluated 155 patients with clinical stages T1c and T2 disease to correlate the location of positive biopsies with the tumor site in the prostate. Radical prostatectomy specimens were completely sectioned at 2 mm. intervals, and tumor extent and location were recorded. RESULTS: In 85 patients a unilateral lesion was suspicious on digital rectal examination, that is stage cT2. The final pathological review revealed cancer on the suspicious side in 82 cases (96%) with tumor confined to the same lobe in only 23 (27%), bilateral disease in 59 (69%) and tumor confined to the contralateral lobe in 3 (4%). In 4 patients with a palpable bilateral abnormality a bilateral lesion was confirmed on final pathological evaluation. Digital rectal examination demonstrated a 36 and 31% incidence of extracapsular tumor extension and positive surgical margins, respectively, on the clinically benign side. In 100 patients only unilateral biopsy was positive. The final pathological evaluation revealed cancer in the biopsy positive side in 95 cases (95%) with tumor confined to the ipsilateral lobe in only 26 (26%), bilateral disease in 69 (69%) and tumor confined to the contralateral lobe in 5 (5%). In 46 of the 55 patients (84%) with bilateral positive biopsies tumor involved both sides but the pathologist did not identify cancer in both lobes in 9 (16%). While 100 patients had a unilateral negative biopsy, analysis of the prostatectomy specimen revealed carcinoma in the benign lobe in 74 (74%). Moreover, extracapsular tumor extension and a positive surgical margin were observed on the biopsy negative side in 31% of the patients. The degree to which digital rectal examination and biopsy results confirmed the final pathological evaluation was assessed using the kappa statistic, which revealed only slight agreement with each factor. The correlation of digital rectal examination and biopsy results with the location of extracapsular extension and positive margins was evaluated by the Spearman coefficient of correlation, which indicated poor agreement. When patients with unilateral versus bilateral positive biopsy were compared with respect to prognostic parameters, the difference was statistically significant for initial serum prostate specific antigen, the percentage of surface involved by tumor, biopsy and final Gleason scores, and the incidence of extracapsular extension of tumor. CONCLUSIONS: Digital rectal examination and the interpretation of prostate biopsy are not accurate clinical tools for defining the location and extent of prostatic carcinoma. Bilateral positive biopsy may be useful as an adjunct to the current clinical staging system.