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The limited adsorption capacity of the substrate and the concentration of dissolved oxygen in constructed wetlands (CWs) have inhibited their ability to efficiently remove polycyclic aromatic hydrocarbons (PAHs) from wastewater. Presently, biochar and activated carbon modified with Fe3+ and Mn4+ were used as effective sorbents in the removal of benzofluoranthene (BbFA), a typical PAH, in CW microcosms. The addition of metallic ions embedded carbon increased NO3-N accumulation by the reduction of Fe3+ and Mn4+, which led to improved BbFA degradation. Additionally, plant adsorption in root and stem sections were observed separately. SB431542 in vivo The abundance of PAH-degrading microbes in the rhizosphere substrate was higher with the metallic ions embedded carbon than control group. The Fe3+, Mn4+ and NO3-N served as electron acceptors increased BbFA microbial degradation. The removal pathways of BbFA in the modified CWs were proposed which involved settlement in the substrate, plant absorption, and microbial degradation.The microbial separator (MS) was promising alternative of ion exchange membrane for biocathode microbial electrochemical system (MES). Four microbial separators developed from porous matrixes were equipped in biocathode MESs. The power generation of MESs responded to cross-separator transfer characters of ions, dissolved oxygen (DO) and chemical oxygen demand (COD). The MES with carbon felt (CF) obtained 31% higher maximum power density at 70 ± 3 mW m-2 and 51% higher current density at 271 ± 21 mA m-2 than those of cation exchange membrane (CEM) separator. All MSs showed higher ionic conductivity than CEM. However, the power variation was mainly due to cathodic equilibrium potential changes rather than internal resistance. The power density demonstrated negative correlation with mass transfer coefficients of DO and COD. The cross-separator transfer of COD caused cathode variation and was identified as the primary parameter for further optimization of MES with microbial separators.A hydrodynamic cavitation reactor with a Venturi tube was modeled through a computational fluid dynamics approach in order to evaluate the influence of pressure ratio, diameter and length of the throat zone. A cavitation reactor equipped with a Venturi tube was built in accordance with the computational modeling results. Hydrodynamic cavitation assisted alkaline pretreatment was performed to evaluate the influence of NaOH concentration (1-5%), the weight to volume percentage of solid in liquid (1-5%) and the reaction time (20-60 min.) in the lignin removal. The response surface methodology was used to optimize pretreatment parameters for maximum lignin removal. The optimal condition was 4.90% of NaOH and a solid weight percentage in liquid of 2.03% in 58.33 min, resulting in a maximum removal of 56.01% of lignin. Hydrodynamic cavitation can be easy to employ, an efficient and promissory pretreatment tool.Background Colorectal cancer is ranked third among the most commonly diagnosed malignancies and fourth among the leading causes of cancer death in the world. However, only a few case reports are found in the literature regarding skin metastasis originating from rectal cancer, which usually shows widespread disease and poor prognosis. Approximately, 0.8% of the patients will have skin lesion as the first indication of a silent internal malignancy, which is rare. Case report We report a complicated case of a 45-year-old male patient who referred to our highly specialized governmental hospital for diversion loop colostomy as well as biopsies of rectal and inguinal skin areas followed by palliative radiation therapy to the pelvis. Histopathological exam of rectal biopsies revealed moderately differentiated rectal adenocarcinoma, while the skin of the right inguinal area showed metastatic cutaneous rectal adenocarcinoma. Unfortunately, palliative radiation therapy was not started as the patient passed away secondary to respiratory failure which ended by cardiopulmonary arrest. Conclusion A patient who is having new or evolving skin lesions with an oncology history should be well investigated as cutaneous metastasis is a strong possibility.Introduction Portal Vein Arterialization is a rare procedure for total de-arterialized livers to ensure arterial inflow to the liver. Presentation of case A 55-year-old male patient underwent pancreatoduodenectomy for chronic pancreatitis. One month after discharge the patient was re-admitted because of bleeding from a pseudoaneurysm of the ligated gastroduodenal artery. During radiological intervention a coil dislocated and a complete occlusion of the hepatic artery occurred. Extraction of the coil was not possible, therefore, the patient was transferred to our hospital for surgical revascularization. We performed a side-to-side running anastomosis between a branch of a mesenteric artery and the corresponding vein to supply arterial blood to the liver. The postoperative course was uneventful. Radiologic examinations showed a patent arterio-portal shunt. Discussion Portal vein arterialization might be a lifesaving procedure in complication management. Conclusion PVA is an old surgical method, which could be helpful to reduce the failure-to-rescue rate.Introduction We present a difficult case of huge squamous cell carcinoma (SCC) of lower lip that was successfully treated by intra-arterial infusion with methotrexate (MTX). Presentation of case This 42-year-old female patient present with a fungating lower lip SCC of approximately 10 × 5 cm in size. MTX 25 mg was infused continuously to each side of external carotid artery every 24 h using two portable pumps. Totally, MTX 300 mg was given over 6 days. After treatment initiation, the tumor shrank dramatically and disappeared completely 2 months after the therapy. The patient was now recurrence-free at the recent follow-up 4 and half years after therapy. Discussion Intra-arterial infusion chemotherapy has the advantage of delivering a high concentration of anticancer drug to the lesion to induce a rapid shrinkage of the tumor and the side effects are limited. Intra-arterial infusion with MTX achieves good tumor response to lower lip cancer with excellent anatomical and functional preservation. Conclusion This therapy may be a treatment option in lower lip cancers with unresectable lesions, or in those patients who are unwilling to undergo resection.

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