Tumor necrosis factor-α(TNF-α)inhibitors are biological agents introduced in the late 1990s for the treatment of different immune-mediated diseases as inflammatory bowel disease,rheumatoid arthritis and psoriasis.Th...Tumor necrosis factor-α(TNF-α)inhibitors are biological agents introduced in the late 1990s for the treatment of different immune-mediated diseases as inflammatory bowel disease,rheumatoid arthritis and psoriasis.The most commonly used TNF-αantagonists are infliximab,adalimumab,and certolizumab pegol,and though highly effective in lowering inflammation,the efficacy must be weighed against the potential for adverse events.The treatment-induced immunosuppression is suspected to increase the risk of infections,including the risk of reactivation of latent tuberculosis,as the TNF-αcytokine plays an important role in the immune function.In this topic highlight a short overview of the infection risk associated with TNF-αinhibiter therapy is outlined with a focus on the overall risk of serious infections,mycobacterial infection and latent viral infections.展开更多
The massive amount of sodium silicate in the used sand was a pollution source,especially in the waste water from the wet reclamation of used sand.A new process of wet reclamation by biologically treating the waste wat...The massive amount of sodium silicate in the used sand was a pollution source,especially in the waste water from the wet reclamation of used sand.A new process of wet reclamation by biologically treating the waste water produced during the wet reclamation process of used sand was studied in the paper.In the work,the pre-cultivation of N.palea was performed firstly,and three different scrubbing solutions:(1) tap water,(2) modified medium for N.palea,and (3) filtrate of the broth treated by N.palea for 15 days,were used.The results of the primary investigation show that a de-skinning ratio of 90% is obtained when using the scrubbing solution containing modified medium for N.palea at the ratio 1:2 of sand and scrubbing solution,and the maximal concentrations of Na+ and SiO32are 1.49 g·L-1 and 0.51 g·L-1,respectively.The results of the optimal biomass,pH value decrease and Na+ and SiO32consumption indicate the optimal incubation conditions are at the irradiance of 5,000 lux and 25 oC.Using the filtrate of the broth treated by N.palea for 15 days as the scrubbing solution directly,a de-skinning ratio of 93% is the highest compared to the results of the tap water and the modified medium for N.palea.In the biological process using N.palea,less water is used and little wastewater is produced,which is advantageous to the purpose of green manufacturing and environmental protection.展开更多
The management of rheumatoid arthritis(RA) in the past three decades has undergone a paradigm shift from symptomatic relief to a "treat-to-target" approach. This has been possible through use of various conv...The management of rheumatoid arthritis(RA) in the past three decades has undergone a paradigm shift from symptomatic relief to a "treat-to-target" approach. This has been possible through use of various conventional and biologic disease modifying anti-rheumatic drugs(DMARDs) which target disease pathogenesis at a molecular level. Cost and infection risk preclude regular use of biologics in resource-constrained settings. In therecent years, evidence has emerged that combination therapy with conventional DMARDs is not inferior to biologics in the management of RA and is a feasible cost-effective option.展开更多
As a result of agriculture practices, million tons of agriculture are produced as a secondary or by-products; however, with low nutritive values. Many methods are applied to improve the nutritive value and increase it...As a result of agriculture practices, million tons of agriculture are produced as a secondary or by-products; however, with low nutritive values. Many methods are applied to improve the nutritive value and increase its utilization in ruminant's nutrition. The biological treatments are the most common with more safe-treated products. In most cases, the biological treatments are paralleled with decreased crude fiber and fiber fractions content with increased crude protein content. Direct-fed microbial and exogenous enzymes to animal are other ways of biological methods for improving nutritive value of feeds. Here in this review, we will try to cover the biological treatments of by-products from different sides view with different types of animals and different animal end-products.展开更多
Chitosan of different molecular weight (M. W.) was added into SBR bioreactor to treat domestic wastewater. From comparison of treatment efficiency, sludge activity, sludge structure etc., we revealed the mechanism tha...Chitosan of different molecular weight (M. W.) was added into SBR bioreactor to treat domestic wastewater. From comparison of treatment efficiency, sludge activity, sludge structure etc., we revealed the mechanism that chitosan enhanced the biological treatment function of activated sludge. The results proved that, chitosan is certain to restrain the reaction of activated sludge, but it do improve the structure of sludge flocs and increase the treatment efficiency of activated sludge. The bigger the M. W. of chitosan is, the better the efficiency of enhancing biological treatment can be.展开更多
AIM:To investigate the influence of thiopurines and biological drugs on the presence of small intestinal bacterial overgrowth(SIBO) in patients with inactive Crohn's disease(CD).METHODS:This was a prospective stud...AIM:To investigate the influence of thiopurines and biological drugs on the presence of small intestinal bacterial overgrowth(SIBO) in patients with inactive Crohn's disease(CD).METHODS:This was a prospective study in patients with CD in remission and without corticosteroid treatment,included consecutively from 2004 to 2010.SIBO was investigated using the hydrogen glucose breath test.RESULTS:One hundred and seven patients with CD in remission were included.Almost 58%of patients used maintenance immunosuppressant therapy and 19.6%used biological therapy.The prevalence of SIBO was16.8%.No association was observed between SIBO and the use of thiopurine Immunosuppressant(12/62patients),administration of biological drugs(2/21 patients),or with double treatment with an anti-tumor necrosis factor drugs plus thiopurine(1/13 patients).Half of the patients had symptoms that were suggestive of SIBO,though meteorism was the only symptom that was significantly associated with the presence of SIBO on univariate analysis(P<0.05).Multivariate analysis revealed that the presence of meteorism and a fistulizing pattern were associated with the presence of SIBO(P<0.05).CONCLUSION:Immunosuppressants and/or biological drugs do not induce SIBO in inactive CD.Fistulizing disease pattern and meteorism are associated with SIBO.展开更多
AIM:To evaluate the effectiveness of the biological disease-modifying antirheumatic drugs(b DMARD) in the treatment of rheumatoid arthritis through a systematic review of observational studies.METHODS:The studies were...AIM:To evaluate the effectiveness of the biological disease-modifying antirheumatic drugs(b DMARD) in the treatment of rheumatoid arthritis through a systematic review of observational studies.METHODS:The studies were searched in the Pub Med,EMBASE,Cochrane Controlled Trials Register and LILACS databases(until August 2014),in the grey literature and conducted a manual search.The assessed criteria of effectiveness included the EULAR,the disease activity score(DAS),the Clinical Disease Activity Index,the Simplified Disease Activity Index,the American College of Rheumatology and the Health Assessment Questionnaire.The meta-analysis was performed with Review Manager 5.2 software using a random effects model.A total of 35 studies were included in this review.RESULTS:The participants anti-tumor necrosis factor inhibitors(TNF) nave,who used adalimumab(P = 0.0002) and etanercept(P = 0.0006) exhibited greater good EULAR response compared to the participants who used infliximab.No difference was detected between adalimumab and etanercept(P = 0.05).The participants who used etanercept exhibited greater remission according to DAS28 compared to the participants who used infliximab(P = 0.01).No differences were detected between adalimumab and infliximab(P = 0.12) or etanercept(P = 0.79).Better results were obtained with b DMARD associated with methotrexate than with b DMARD alone.The good EULAR response and DAS 28 was better for combination with methotrexate than b DMARD monotherapy(P = 0.03 e P < 0.00001).In cases of therapeutic failure,the participants who used rituximab exhibited greater DAS28 reduction compared to those who used anti-TNF agents(P = 0.0002).The participants who used etanercept achieved greater good EULAR response compared to those who did not use that drug(P = 0.007).Studies that assessed reduction of the CDAI score indicated the superiority of abatacept over rituximab(12.4 vs +1.7) and anti-TNF agents(7.6 vs 8.3).The present systematic review with meta-analysis found that relative to anti-TNF treatmentnave patients,adalimumab and etanercept were more effective when combined with methotrexate than when used alone.Furthermore,in case of therapeutic failure with anti-TNF agents;rituximab and abatacept(non anti-TNF) and etanercept(as second anti-TNF) were more effective.However,more studies of effectiveness were found for the rituximab.CONCLUSION:The best treatment for treatment-nave patients is adalimumab or etanercept combined with methotrexate.For anti-TNF therapeutic failure,the best choice is rituximab,abatacept or etanercept.展开更多
Accumulating operational experience in both aerobic and anaerobic mechanical biological waste treatment (MBT) makes it increasingly obvious that controlled water management would substantially reduce the cost of MBT a...Accumulating operational experience in both aerobic and anaerobic mechanical biological waste treatment (MBT) makes it increasingly obvious that controlled water management would substantially reduce the cost of MBT and also enhance resource recovery of the organic and inorganic fraction. The MBT plant at Gescher, Germany, is used as an example in order to determine the quantity and composition of process water and leachates from intensive and subsequent rotting, pressing water from anaerobic digestion and scrubber water from acid exhaust air treatment, and hence prepare an MBT water balance. The potential of, requirements for and limits to internal process water reuse as well as the possibilities of resource recovery from scrubber water are also examined. Finally, an assimilated process water management concept with the purpose of an extensive reduction of wastewater quantity and freshwater demand is presented.展开更多
Coal chemical wastewater(CCW)is a type of refractory industrial wastewater,and its treatment has become the main bottleneck restricting the sustainable development of novel coal chemical industry.Biological treatment ...Coal chemical wastewater(CCW)is a type of refractory industrial wastewater,and its treatment has become the main bottleneck restricting the sustainable development of novel coal chemical industry.Biological treatment is considered as an economical,effective and environmentally friendly technology for CCW treatment.However,conventional biological process is difficult to achieve the efficient removal of refractory organics because of CCW with the characteristics of composition complexity and high toxicity.Therefore,seeking the novel enhancement strategy appears to be a favorable solution for enhancing biological treatment efficiency of CCW.This review focuses on presenting a comprehensive picture about the exogenous enhancement strategies for CCW biological treatment.The performance and potential application of exogenous enhancement strategies,including co-metabolic substrate enhancement,biofilm filler enhancement,adsorption material enhancement and conductive mediator enhancement,were expounded.Meanwhile,the enhancing mechanisms of different strategies were comprehensively discussed from a biological perspective.Furthermore,the prospects of enhancement strategies based on the engineering performance,economic cost and environmental impact(3E)evaluation were introduced.And novel enhancement strategy based on“low carbon emissions”,“resource recycling”and“water environment security”in the context of carbon neutrality was proposed.Taken together,this review provides technical reference and new direction to facilitate the regulation and optimization of typical industrial wastewater biological treatment.展开更多
Outstanding progress regarding the pathophysiology of Crohn's disease (CD) has led to the development of innovative therapeutic concepts. Numerous controlled trials have been performed in CD. This review concentra...Outstanding progress regarding the pathophysiology of Crohn's disease (CD) has led to the development of innovative therapeutic concepts. Numerous controlled trials have been performed in CD. This review concentrates on the results of randomized,placebo-controlled trials,and meta-analyses when available,that provide the highest degree of evidence. Current guidelines on the management of CD recommend a step-up approach to treatment involving the addition of more powerful therapies as the severity of disease and refractoriness to therapy increase. The advent of biological drugs has opened new therapeutic horizons for treating CD,modifying the treatment goals. However,the large majority of patients with CD will be managed through conventional therapy,even if they are a prelude to biological therapy.展开更多
Pilot-scale studies on biological treatment of hypersaline wastewater at low temperature were conducted and results showed that seawater salinity had a strong negative effect on notronomonas and nitrobacter growth,but...Pilot-scale studies on biological treatment of hypersaline wastewater at low temperature were conducted and results showed that seawater salinity had a strong negative effect on notronomonas and nitrobacter growth,but much more on the nitrobacter.The nitrification action was mainly accomplished by nitrosomonas.Bench-scale experiments using two SBRs were carried out for further investigation under different conditions of salinities,ammonia loadings and temperatures.Biological nitrogen removal via nitrite pathway from wastewater containing 30 percent seawater was achieved,but the ammonia removal efficiency was strongly related not only to the influent ammonia loading at different salinities but also to temperatures.When the ratio of seawater to wastewater was 30 percent,and the ammonia loading was below the critical value of 0.15 kgNH4+-N/(kgMLSS·d),the ammonia removal efficiency via nitrite pathway was above 90﹪.The critical level of ammonia loading was 0.15,0.08 and 0.03 kgNH4+-N/(kgMLSS·d)respectively at different temperatures of 30℃,25℃ and 20℃ when the influent ammonia concentration was 60-80 mg/L and pH was 7.5-8.0.展开更多
The overarching goal of this study is to offer an effective and sustainable solution to the challenges of sanitation in rural and school settings in the northern region of Senegal. The study explores a wastewater trea...The overarching goal of this study is to offer an effective and sustainable solution to the challenges of sanitation in rural and school settings in the northern region of Senegal. The study explores a wastewater treatment approach based on phytoremediation, with a particular focus on the use of horizontally-flowing reed bed filters. Furthermore, it aims to adapt and optimize these systems for the specific needs of Senegal, focusing on wastewater in school environments. Thus, we constructed a horizontally-flowing reed bed filter, planted with Typha, at the Ndiébène Gandiol school in Senegal. We will investigate the efficiency of wastewater treatment by this horizontally-flowing reed bed filter, emphasizing the role of the plant used: Typha. The filter is described in detail, specifying its dimensions, its composition of flint gravel, and the choice of plants, namely Typha. The experimental protocol is detailed, describing the sampling at the entrance and exit of the filter to evaluate water quality. The parameters analyzed include Chemical Oxygen Demand (COD), Biochemical Oxygen Demand over 5 days (BOD5), suspended solids, ammonium, nitrates, phosphates, pH, conductivity, and fecal coliforms. The results indicate a significant improvement in water quality after treatment. COD, BOD5, suspended solids, and fecal coliforms are greatly reduced, thus demonstrating the efficacy of the Typha filter. However, nitrate concentrations remain relatively stable, suggesting room for improvement in their elimination. A perspective of reuse of the treated water is considered, showing that the effluents from the planted filter meet Senegalese and international standards for irrigation. The findings suggest that these waters could be used for a variety of crops, thereby reducing the pressure on freshwater resources. In conclusion, the Typha-based filtration system shows promising results for improving water quality in this region of Senegal. However, adjustments are necessary for more effective nitrate removal. This study paves the way for sustainable use of treated wastewater for irrigation, thus contributing to food security and the preservation of water resources.展开更多
Confronted with the challenge of wastewater management, particularly in the school environment of Senegal, our study set out to achieve multiple objectives. Following field surveys, laboratory analyses of wastewater s...Confronted with the challenge of wastewater management, particularly in the school environment of Senegal, our study set out to achieve multiple objectives. Following field surveys, laboratory analyses of wastewater samples were carried out, revealing a significant pollutant load. In the community of Gandiol, near Saint-Louis (Senegal), the school of Ndiebene Gandiol 1 faces significant sanitation challenges. Our study aimed to address this issue by using a constructed filter composed of two filtering bed cells measuring 12 × 8.5 m, preceded by a septic tank. We particularly focused on the influence of Vetiver;a plant chosen for its purification potential. Our analyses showed remarkable efficiency of the filter. Elimination rates reached 95% for 5-Day Biochemical Oxygen Demand (BOD5), 91% for Chemical Oxygen Demand (COD), and 92% for SS, far exceeding the Senegalese standards set at 50 mg/L, 200 mg/L, and 40 mg/L, respectively. Furthermore, the concentration of fecal coliforms was reduced to 176 FCU/100mL, well below the Senegalese threshold of 2000 FCU/100mL and close to the World Health Organization’s (WHO) recommendation of 1000 FCU/100mL. However, despite these promising results, some parameters, particularly the concentration of certain pollutants, approached the thresholds defined by European legislation. For example, for Suspended Solids (SS), the post-treatment level of 3 mg/L was well below the Senegalese standard but edged close to the European minimum of 10 mg/L. In conclusion, the Vetiver filter demonstrated a remarkable ability to treat school wastewater, offering high pollutant elimination percentages. These results suggest significant opportunities for the reuse of treated water, potentially in areas such as irrigation, though some adjustments may be necessary to meet the strictest standards such as those of the European union (EU).展开更多
Benzodiazepines(BDZs)are used in clinics for anxiolysis,anticonvulsants,sedative hypnosis,and muscle relaxation.They have high consumptions worldwide because of their easy availability and potential addiction.They are...Benzodiazepines(BDZs)are used in clinics for anxiolysis,anticonvulsants,sedative hypnosis,and muscle relaxation.They have high consumptions worldwide because of their easy availability and potential addiction.They are often used for suicide or criminal practices such as abduction and drug-facilitated sexual assault.The pharmacological effects of using small doses of BDZs and their detections from complex biological matrices are challenging.Efficient pretreatment methods followed by accurate and sensitive detections are necessary.Herein,pretreatment methods for the extraction,enrichment,and preconcentration of BDZs as well as the strategies for their screening,identification,and quantitation developed in the past five years have been reviewed.Moreover,recent advances in various methods are summarized.Characteristics and advantages of each method are encompassed.Future directions of the pretreatment and detection methods for BDZs are also reviewed.展开更多
Context: The biochemical assessment is a real-time indicator of the state and evolution of an infection. Among other things, it makes it possible to determine the right moment when it becomes necessary to start or cha...Context: The biochemical assessment is a real-time indicator of the state and evolution of an infection. Among other things, it makes it possible to determine the right moment when it becomes necessary to start or change a treatment. Objective: The objective of this study is to present the Biological profile of People Living with HIV starting AntiRetroViral treatment in Kinshasa in the era of Dolutegravir. Methods: The present study is a descriptive cross-sectional to determine the biological profile of People Living with HIV (PLHIV) starting AntiRetroViral Treatment (ART). The patient inclusion period was from October 4, 2021 to February 15, 2022. Sixteen centers were included. A sample of 5 ml of blood was taken in a tube with EDTA. Patients were randomly included consecutively in the centers during consultations. The population was made up of adults aged over 18, infected with HIV and starting ART. The parameters of interest retained for the present study were: sex, age, hemoglobin level, blood sugar, urea, creatinine, transaminases, total cholesterol, triglycerides, proteins total, as well as amylase. Results: 119 patients were included in this study in accordance with the inclusion criteria;67 (56.3%) are female, giving a sex ratio of 1.29 in favor of women. The average age of the patients is 39.87 ± 12.36 years. The most represented age group is that of 36 to 45 years with 37 patients (31.9%). The mean values of the biological parameters of the patients at the start of ART are as follows: 31.61 ± 20.71 IU/L for ALT/SGPT, 25.81 ± 19.96 IU/L for AST/SGOT, 79.35 ± 49.49 IU/L for Amylase, 108.13 ± 62.17 mg/dl for Total Cholesterol, 2.77 ± 1.27 mg/dl for Creatinine, 72.53 ±22.23 mg/dl for Glycaemia, 10.30 ± 2.33 g/dl for Hemoglobin, 7.91 ± 1.75 g/dl for Total Protein, 131.23 ± 68.80 mg/dl for Triglycerides, and 33.61 ± 26.27 mg/dl for Urea. Conclusion: Mean values of PLHIV are, for the most part, within the normal range. The average creatinine is higher than the normal average value while the average total cholesterol is below the limit values.展开更多
文摘Tumor necrosis factor-α(TNF-α)inhibitors are biological agents introduced in the late 1990s for the treatment of different immune-mediated diseases as inflammatory bowel disease,rheumatoid arthritis and psoriasis.The most commonly used TNF-αantagonists are infliximab,adalimumab,and certolizumab pegol,and though highly effective in lowering inflammation,the efficacy must be weighed against the potential for adverse events.The treatment-induced immunosuppression is suspected to increase the risk of infections,including the risk of reactivation of latent tuberculosis,as the TNF-αcytokine plays an important role in the immune function.In this topic highlight a short overview of the infection risk associated with TNF-αinhibiter therapy is outlined with a focus on the overall risk of serious infections,mycobacterial infection and latent viral infections.
基金financially supported by the National Natural Science Foundation of China (No.51075163)the Research Fund for the Doctoral Program of Higher Education of China (No.20100142110017)
文摘The massive amount of sodium silicate in the used sand was a pollution source,especially in the waste water from the wet reclamation of used sand.A new process of wet reclamation by biologically treating the waste water produced during the wet reclamation process of used sand was studied in the paper.In the work,the pre-cultivation of N.palea was performed firstly,and three different scrubbing solutions:(1) tap water,(2) modified medium for N.palea,and (3) filtrate of the broth treated by N.palea for 15 days,were used.The results of the primary investigation show that a de-skinning ratio of 90% is obtained when using the scrubbing solution containing modified medium for N.palea at the ratio 1:2 of sand and scrubbing solution,and the maximal concentrations of Na+ and SiO32are 1.49 g·L-1 and 0.51 g·L-1,respectively.The results of the optimal biomass,pH value decrease and Na+ and SiO32consumption indicate the optimal incubation conditions are at the irradiance of 5,000 lux and 25 oC.Using the filtrate of the broth treated by N.palea for 15 days as the scrubbing solution directly,a de-skinning ratio of 93% is the highest compared to the results of the tap water and the modified medium for N.palea.In the biological process using N.palea,less water is used and little wastewater is produced,which is advantageous to the purpose of green manufacturing and environmental protection.
文摘The management of rheumatoid arthritis(RA) in the past three decades has undergone a paradigm shift from symptomatic relief to a "treat-to-target" approach. This has been possible through use of various conventional and biologic disease modifying anti-rheumatic drugs(DMARDs) which target disease pathogenesis at a molecular level. Cost and infection risk preclude regular use of biologics in resource-constrained settings. In therecent years, evidence has emerged that combination therapy with conventional DMARDs is not inferior to biologics in the management of RA and is a feasible cost-effective option.
文摘As a result of agriculture practices, million tons of agriculture are produced as a secondary or by-products; however, with low nutritive values. Many methods are applied to improve the nutritive value and increase its utilization in ruminant's nutrition. The biological treatments are the most common with more safe-treated products. In most cases, the biological treatments are paralleled with decreased crude fiber and fiber fractions content with increased crude protein content. Direct-fed microbial and exogenous enzymes to animal are other ways of biological methods for improving nutritive value of feeds. Here in this review, we will try to cover the biological treatments of by-products from different sides view with different types of animals and different animal end-products.
文摘Chitosan of different molecular weight (M. W.) was added into SBR bioreactor to treat domestic wastewater. From comparison of treatment efficiency, sludge activity, sludge structure etc., we revealed the mechanism that chitosan enhanced the biological treatment function of activated sludge. The results proved that, chitosan is certain to restrain the reaction of activated sludge, but it do improve the structure of sludge flocs and increase the treatment efficiency of activated sludge. The bigger the M. W. of chitosan is, the better the efficiency of enhancing biological treatment can be.
文摘AIM:To investigate the influence of thiopurines and biological drugs on the presence of small intestinal bacterial overgrowth(SIBO) in patients with inactive Crohn's disease(CD).METHODS:This was a prospective study in patients with CD in remission and without corticosteroid treatment,included consecutively from 2004 to 2010.SIBO was investigated using the hydrogen glucose breath test.RESULTS:One hundred and seven patients with CD in remission were included.Almost 58%of patients used maintenance immunosuppressant therapy and 19.6%used biological therapy.The prevalence of SIBO was16.8%.No association was observed between SIBO and the use of thiopurine Immunosuppressant(12/62patients),administration of biological drugs(2/21 patients),or with double treatment with an anti-tumor necrosis factor drugs plus thiopurine(1/13 patients).Half of the patients had symptoms that were suggestive of SIBO,though meteorism was the only symptom that was significantly associated with the presence of SIBO on univariate analysis(P<0.05).Multivariate analysis revealed that the presence of meteorism and a fistulizing pattern were associated with the presence of SIBO(P<0.05).CONCLUSION:Immunosuppressants and/or biological drugs do not induce SIBO in inactive CD.Fistulizing disease pattern and meteorism are associated with SIBO.
基金Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico,Brazil
文摘AIM:To evaluate the effectiveness of the biological disease-modifying antirheumatic drugs(b DMARD) in the treatment of rheumatoid arthritis through a systematic review of observational studies.METHODS:The studies were searched in the Pub Med,EMBASE,Cochrane Controlled Trials Register and LILACS databases(until August 2014),in the grey literature and conducted a manual search.The assessed criteria of effectiveness included the EULAR,the disease activity score(DAS),the Clinical Disease Activity Index,the Simplified Disease Activity Index,the American College of Rheumatology and the Health Assessment Questionnaire.The meta-analysis was performed with Review Manager 5.2 software using a random effects model.A total of 35 studies were included in this review.RESULTS:The participants anti-tumor necrosis factor inhibitors(TNF) nave,who used adalimumab(P = 0.0002) and etanercept(P = 0.0006) exhibited greater good EULAR response compared to the participants who used infliximab.No difference was detected between adalimumab and etanercept(P = 0.05).The participants who used etanercept exhibited greater remission according to DAS28 compared to the participants who used infliximab(P = 0.01).No differences were detected between adalimumab and infliximab(P = 0.12) or etanercept(P = 0.79).Better results were obtained with b DMARD associated with methotrexate than with b DMARD alone.The good EULAR response and DAS 28 was better for combination with methotrexate than b DMARD monotherapy(P = 0.03 e P < 0.00001).In cases of therapeutic failure,the participants who used rituximab exhibited greater DAS28 reduction compared to those who used anti-TNF agents(P = 0.0002).The participants who used etanercept achieved greater good EULAR response compared to those who did not use that drug(P = 0.007).Studies that assessed reduction of the CDAI score indicated the superiority of abatacept over rituximab(12.4 vs +1.7) and anti-TNF agents(7.6 vs 8.3).The present systematic review with meta-analysis found that relative to anti-TNF treatmentnave patients,adalimumab and etanercept were more effective when combined with methotrexate than when used alone.Furthermore,in case of therapeutic failure with anti-TNF agents;rituximab and abatacept(non anti-TNF) and etanercept(as second anti-TNF) were more effective.However,more studies of effectiveness were found for the rituximab.CONCLUSION:The best treatment for treatment-nave patients is adalimumab or etanercept combined with methotrexate.For anti-TNF therapeutic failure,the best choice is rituximab,abatacept or etanercept.
文摘Accumulating operational experience in both aerobic and anaerobic mechanical biological waste treatment (MBT) makes it increasingly obvious that controlled water management would substantially reduce the cost of MBT and also enhance resource recovery of the organic and inorganic fraction. The MBT plant at Gescher, Germany, is used as an example in order to determine the quantity and composition of process water and leachates from intensive and subsequent rotting, pressing water from anaerobic digestion and scrubber water from acid exhaust air treatment, and hence prepare an MBT water balance. The potential of, requirements for and limits to internal process water reuse as well as the possibilities of resource recovery from scrubber water are also examined. Finally, an assimilated process water management concept with the purpose of an extensive reduction of wastewater quantity and freshwater demand is presented.
基金supported by the Natural Science Foundation of Shandong Province (No.ZR2021QE227)the Open Project of State Key Laboratory of Urban Water Resource and Environment (No.ES202120)+1 种基金the Taishan Scholars Program of Shandong Province,China (No.tsqn201812091)Key Research and Development Program (Major technical innovation projects)of Shandong Province (No.2020CXGC011204)。
文摘Coal chemical wastewater(CCW)is a type of refractory industrial wastewater,and its treatment has become the main bottleneck restricting the sustainable development of novel coal chemical industry.Biological treatment is considered as an economical,effective and environmentally friendly technology for CCW treatment.However,conventional biological process is difficult to achieve the efficient removal of refractory organics because of CCW with the characteristics of composition complexity and high toxicity.Therefore,seeking the novel enhancement strategy appears to be a favorable solution for enhancing biological treatment efficiency of CCW.This review focuses on presenting a comprehensive picture about the exogenous enhancement strategies for CCW biological treatment.The performance and potential application of exogenous enhancement strategies,including co-metabolic substrate enhancement,biofilm filler enhancement,adsorption material enhancement and conductive mediator enhancement,were expounded.Meanwhile,the enhancing mechanisms of different strategies were comprehensively discussed from a biological perspective.Furthermore,the prospects of enhancement strategies based on the engineering performance,economic cost and environmental impact(3E)evaluation were introduced.And novel enhancement strategy based on“low carbon emissions”,“resource recycling”and“water environment security”in the context of carbon neutrality was proposed.Taken together,this review provides technical reference and new direction to facilitate the regulation and optimization of typical industrial wastewater biological treatment.
文摘Outstanding progress regarding the pathophysiology of Crohn's disease (CD) has led to the development of innovative therapeutic concepts. Numerous controlled trials have been performed in CD. This review concentrates on the results of randomized,placebo-controlled trials,and meta-analyses when available,that provide the highest degree of evidence. Current guidelines on the management of CD recommend a step-up approach to treatment involving the addition of more powerful therapies as the severity of disease and refractoriness to therapy increase. The advent of biological drugs has opened new therapeutic horizons for treating CD,modifying the treatment goals. However,the large majority of patients with CD will be managed through conventional therapy,even if they are a prelude to biological therapy.
基金Sponsored by the National Natural Science Foundation of China (No. 50138010, 20877086)National 10th 5 Scientific Research Project of Ministry of Science and Technology of China (Grant No.2001BA610A-09)+1 种基金Knowledge Innovation Program of the Chinese Academy of Sciences (RCEES-QN-200706)the Special Funds for Young Scholars of RCEES
文摘Pilot-scale studies on biological treatment of hypersaline wastewater at low temperature were conducted and results showed that seawater salinity had a strong negative effect on notronomonas and nitrobacter growth,but much more on the nitrobacter.The nitrification action was mainly accomplished by nitrosomonas.Bench-scale experiments using two SBRs were carried out for further investigation under different conditions of salinities,ammonia loadings and temperatures.Biological nitrogen removal via nitrite pathway from wastewater containing 30 percent seawater was achieved,but the ammonia removal efficiency was strongly related not only to the influent ammonia loading at different salinities but also to temperatures.When the ratio of seawater to wastewater was 30 percent,and the ammonia loading was below the critical value of 0.15 kgNH4+-N/(kgMLSS·d),the ammonia removal efficiency via nitrite pathway was above 90﹪.The critical level of ammonia loading was 0.15,0.08 and 0.03 kgNH4+-N/(kgMLSS·d)respectively at different temperatures of 30℃,25℃ and 20℃ when the influent ammonia concentration was 60-80 mg/L and pH was 7.5-8.0.
文摘The overarching goal of this study is to offer an effective and sustainable solution to the challenges of sanitation in rural and school settings in the northern region of Senegal. The study explores a wastewater treatment approach based on phytoremediation, with a particular focus on the use of horizontally-flowing reed bed filters. Furthermore, it aims to adapt and optimize these systems for the specific needs of Senegal, focusing on wastewater in school environments. Thus, we constructed a horizontally-flowing reed bed filter, planted with Typha, at the Ndiébène Gandiol school in Senegal. We will investigate the efficiency of wastewater treatment by this horizontally-flowing reed bed filter, emphasizing the role of the plant used: Typha. The filter is described in detail, specifying its dimensions, its composition of flint gravel, and the choice of plants, namely Typha. The experimental protocol is detailed, describing the sampling at the entrance and exit of the filter to evaluate water quality. The parameters analyzed include Chemical Oxygen Demand (COD), Biochemical Oxygen Demand over 5 days (BOD5), suspended solids, ammonium, nitrates, phosphates, pH, conductivity, and fecal coliforms. The results indicate a significant improvement in water quality after treatment. COD, BOD5, suspended solids, and fecal coliforms are greatly reduced, thus demonstrating the efficacy of the Typha filter. However, nitrate concentrations remain relatively stable, suggesting room for improvement in their elimination. A perspective of reuse of the treated water is considered, showing that the effluents from the planted filter meet Senegalese and international standards for irrigation. The findings suggest that these waters could be used for a variety of crops, thereby reducing the pressure on freshwater resources. In conclusion, the Typha-based filtration system shows promising results for improving water quality in this region of Senegal. However, adjustments are necessary for more effective nitrate removal. This study paves the way for sustainable use of treated wastewater for irrigation, thus contributing to food security and the preservation of water resources.
文摘Confronted with the challenge of wastewater management, particularly in the school environment of Senegal, our study set out to achieve multiple objectives. Following field surveys, laboratory analyses of wastewater samples were carried out, revealing a significant pollutant load. In the community of Gandiol, near Saint-Louis (Senegal), the school of Ndiebene Gandiol 1 faces significant sanitation challenges. Our study aimed to address this issue by using a constructed filter composed of two filtering bed cells measuring 12 × 8.5 m, preceded by a septic tank. We particularly focused on the influence of Vetiver;a plant chosen for its purification potential. Our analyses showed remarkable efficiency of the filter. Elimination rates reached 95% for 5-Day Biochemical Oxygen Demand (BOD5), 91% for Chemical Oxygen Demand (COD), and 92% for SS, far exceeding the Senegalese standards set at 50 mg/L, 200 mg/L, and 40 mg/L, respectively. Furthermore, the concentration of fecal coliforms was reduced to 176 FCU/100mL, well below the Senegalese threshold of 2000 FCU/100mL and close to the World Health Organization’s (WHO) recommendation of 1000 FCU/100mL. However, despite these promising results, some parameters, particularly the concentration of certain pollutants, approached the thresholds defined by European legislation. For example, for Suspended Solids (SS), the post-treatment level of 3 mg/L was well below the Senegalese standard but edged close to the European minimum of 10 mg/L. In conclusion, the Vetiver filter demonstrated a remarkable ability to treat school wastewater, offering high pollutant elimination percentages. These results suggest significant opportunities for the reuse of treated water, potentially in areas such as irrigation, though some adjustments may be necessary to meet the strictest standards such as those of the European union (EU).
基金supported by the Scientific Research Project of the Department of Education of Liaoning Province,China(Grant No.:ZF2019036).
文摘Benzodiazepines(BDZs)are used in clinics for anxiolysis,anticonvulsants,sedative hypnosis,and muscle relaxation.They have high consumptions worldwide because of their easy availability and potential addiction.They are often used for suicide or criminal practices such as abduction and drug-facilitated sexual assault.The pharmacological effects of using small doses of BDZs and their detections from complex biological matrices are challenging.Efficient pretreatment methods followed by accurate and sensitive detections are necessary.Herein,pretreatment methods for the extraction,enrichment,and preconcentration of BDZs as well as the strategies for their screening,identification,and quantitation developed in the past five years have been reviewed.Moreover,recent advances in various methods are summarized.Characteristics and advantages of each method are encompassed.Future directions of the pretreatment and detection methods for BDZs are also reviewed.
文摘Context: The biochemical assessment is a real-time indicator of the state and evolution of an infection. Among other things, it makes it possible to determine the right moment when it becomes necessary to start or change a treatment. Objective: The objective of this study is to present the Biological profile of People Living with HIV starting AntiRetroViral treatment in Kinshasa in the era of Dolutegravir. Methods: The present study is a descriptive cross-sectional to determine the biological profile of People Living with HIV (PLHIV) starting AntiRetroViral Treatment (ART). The patient inclusion period was from October 4, 2021 to February 15, 2022. Sixteen centers were included. A sample of 5 ml of blood was taken in a tube with EDTA. Patients were randomly included consecutively in the centers during consultations. The population was made up of adults aged over 18, infected with HIV and starting ART. The parameters of interest retained for the present study were: sex, age, hemoglobin level, blood sugar, urea, creatinine, transaminases, total cholesterol, triglycerides, proteins total, as well as amylase. Results: 119 patients were included in this study in accordance with the inclusion criteria;67 (56.3%) are female, giving a sex ratio of 1.29 in favor of women. The average age of the patients is 39.87 ± 12.36 years. The most represented age group is that of 36 to 45 years with 37 patients (31.9%). The mean values of the biological parameters of the patients at the start of ART are as follows: 31.61 ± 20.71 IU/L for ALT/SGPT, 25.81 ± 19.96 IU/L for AST/SGOT, 79.35 ± 49.49 IU/L for Amylase, 108.13 ± 62.17 mg/dl for Total Cholesterol, 2.77 ± 1.27 mg/dl for Creatinine, 72.53 ±22.23 mg/dl for Glycaemia, 10.30 ± 2.33 g/dl for Hemoglobin, 7.91 ± 1.75 g/dl for Total Protein, 131.23 ± 68.80 mg/dl for Triglycerides, and 33.61 ± 26.27 mg/dl for Urea. Conclusion: Mean values of PLHIV are, for the most part, within the normal range. The average creatinine is higher than the normal average value while the average total cholesterol is below the limit values.
