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Query: UMLS:C0016382 (flushing)
6,387 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

It is generally agreed that bicarbonate dialysate is preferable to acetate dialysate, but the major limiting factors of high cost and technical difficulty in maintaining its stability for prolonged periods preclude its widespread use. The procedure developed by the authors stabilizes bicarbonate dialysate for up to 4 days, rendering bicarbonate dialysate feasible for routine out-patient use. HCO3 dialysate is produced in our dialysis unit after an initial investment of $10,000.00, at a cost per 4-h treatment of $1.22 at a dialysate flow of 500 cc/min. One hundred fifty-one chronic dialysis patients participated in an 18-week study to evaluate clinical symptomatology when bicarbonate was substituted for acetate as the dialysis base buffer. Evaluation of each dialysis treatment (total of 8,183 treatments) consisted of both subjective and objective criteria (vomiting, angina, cramps, hypotension, and frequency of use of mannitol, hypertonic saline, and nitroglycerine). The patients were unaware of the change in dialysate solutions. There was a significant reduction (p less than 0.001) in the incidence of vomiting, cramps, hypotension, nausea, flushing, and the use of mannitol and hypertonic saline during bicarbonate dialysate treatment compared with acetate dialysate. Shortness of breath, angina, mental confusion, and paresthesias were not statistically changed. Although the method of HCO3 dialysate production is associated with occasional higher bacterial count than currently recommended by AAMI standards, no adverse reactions were observed in patients treated with standard efficiency dialyzers. It is concluded that the process for incenter HCO3 production is safe, economical, and better tolerated than acetate dialysate.
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PMID:An economical new process for incenter bicarbonate dialysate production: comparison with acetate in a large dialysis population. 280 52

A procedure for the concurrent determination of the (+)- and (-)-enantiomers of sotalol in plasma using high-performance liquid chromatography of diastereomeric derivatives is described. Sotalol is extracted from a 0.5-ml aliquot of plasma at pH 9.3 using ethyl acetate. Atenolol is used as the internal standard. The ethyl acetate is removed under vacuum, and the residue derivatized with R-(-)-1-(1-naphthyl)ethyl isocyanate (NEIC, 0.005% in chloroform) in the presence of trace quantities of carbonate buffer. The chloroform is removed, the residue reconstituted in mobile phase (acetonitrile-water, 39:61, v/v), and an aliquot injected into the HPLC column. A C18 trapping column is used to retain excess derivatizing reagent. While the derivatives are separated on a C18 analytical column with the isocratic mobile phase mentioned above at 1.5 ml/min, the column-switching allows back-flushing of the trapping column to prepare for the next injection. The derivatives were detected using a fluorescence detector with excitation wavelength 280 nm and emission wavelength 320 nm. The method was fully validated, and shown to have excellent linearity, specificity, sensitivity, accuracy and precision. It has been applied to the determination of (+)- and (-)-sotalol in plasma from twelve subjects dosed with racemic sotalol.
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PMID:Enantioselective analysis of sotalol in plasma by reversed-phase high-performance liquid chromatography using diastereomeric derivatives. 859 Sep 42

Surfactant-modified zeolites (SMZ) have drawn recent attention as sorbents due to their removal of multiple types of contaminants and low material cost. However, like most sorbents, SMZ has a finite sorption capacity for different contaminants. The potential applications, economics, and efficiency of SMZ as a sorbent are related to the ability to regenerate the material. This paper reports several methods to regenerate chromate- and perchloroethylene-saturated SMZ. Regeneration of chromate-saturated SMZ was achieved by flushing with a sodium carbonate/sodium hydroxide solution. However, this high-pH solution increased the counterion competition for chromate sorption sites and decreased the chromate sorption capacity of the regenerated SMZ. As an alternative regeneration method, chromate sorbed to SMZ was reduced to Cr(III) in situ using sodium dithionite solution. Although reduction with dithionite restored the chromate sorption maximum, the chromate sorption intensity was lowered, possibly due to the competition by sulfate (generated from oxidation of dithionite) for chromate sorption sites. Carbonate-regenerated SMZ showed no loss of sorption affinity for perchloroethylene (PCE) compared to virgin SMZ. Air sparging of PCE-saturated SMZ fully regenerated the SMZ. The results show that it is possible to regenerate and re-use SMZ following saturation with anionic or nonpolar organic contaminants.
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PMID:Regeneration of surfactant-modified zeolite after saturation with chromate and perchloroethylene. 1125 88

The chemical attenuation of inorganic contaminants in methanogenic landfill leachate, spiked with heavy metals (Cd, Cd, Ni and Zn), by two UK clay liner materials was compared in laboratory columns over 15 months. Ammonium was attenuated by ion-exchange but this attenuation was finite and when exhausted, NH4 passed through the liners at concentrations found in the leachate. The breakthrough behaviour of NH4 could be described by a simple distribution coefficient. Heavy metals were attenuated by sorption and precipitation of metal sulphide and carbonate compounds near the top of the liner. Adequate SO4 and CaCO3 in the liner is necessary to ensure the long term retention of heavy metals, and pH buffering agents added to stabilise reactive metal fractions should be admixed with the liner. Some metals may not be chemically attenuated by clay liners due to the formation of stable complexes with organic and/or colloidal fractions in leachate. Flushing of the liners with oxygenated water after leachate caused mobilisation of attenuated contaminants. Sorbed NH4 was released by the liners but groundwater loadings were manageable. Re-oxidation of metal sulphides under these conditions resulted in the release of heavy metals from the liners when the pH buffering capacity was poor. Contaminant attenuation by the clay liners was similar and the attenuation of NH4 and heavy metals could be predicted from the geochemical properties of the liner using simple tests. A conceptual model of clay liner performance is presented. Chemical attenuation of inorganic pollutants can be included in containment liner design to produce a dual reactive-passive barrier for landfills.
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PMID:Attenuation of landfill leachate by clay liner materials in laboratory columns: 2. Behaviour of inorganic contaminants. 1152 77

An U-series isotopic study was carried out in the waters of the Avon Valley, Nova Scotia. The fresh and acidic recharge waters flow rapidly through the watershed composed of a granitic highland and a sedimentary, largely carbonate, lowland plain, before draining to the sea. There is no significant anthropogenic pollution; but, naturally elevated U levels can be encountered within the bedrock. Nonetheless, the U concentrations of the surface and groundwater are low (generally within the range of several hundredths to several tenths of a microg l(-1)), except in the proximity to weathering of U mineralization. The dissolved U in the surface waters appears to be stabilized by organic rather than inorganic complexes. Both the groundwaters and surface waters have similar (234)U/(238)U activity ratios that rarely deviate from secular equilibrium by more than 20% throughout the watershed. The magnitude of the (234)U/(238)U activity ratio is not determined by lithology but rather by the weathering mechanism, the high rate of flushing, and the leaching of local U mineralization. Dissolved Ra is consistently absent. The dissolved Rn concentrations, though variable, are measurable even in surface waters. This may be due to a continual degassing from the U-enriched bedrock or release from local sites of U mineralization underlying the surface water sources.
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PMID:Uranium series isotopes in the Avon Valley, Nova Scotia. 1505 Mar 64

Soil extraction of lead contaminated soil collected from sites near an abandoned battery recycling and secondary lead-smelting factory was investigated for potential use in decontaminating soil at the sites. A fractionation study was conducted to elucidate soil retention mechanism for Pb at the site. Three soil pits were selected from an area surrounding the factory based on level of Pb contamination. Soil samples were collected from each pit in two layers: surface soil and subsoil (0-15 cm and 15-30 cm). Soil physical analysis showed that the soil texture was sandy loam and sandy clay loam with clay content between 11-21%. Soil pH was strongly acid to moderately acid (pH 4.8-5.9). Pb levels in the surface soil were 1620 and 153 mg kg(-1) (air-dried basis) respectively for heavily and slightly contaminated soil. A reference soil site contained 15 mg kg(-1) of Pb. Partitioning studies indicated that more than 90% of total Pb in the soil existed in three primary fractions: exchangeable, carbonate, and Fe-Mn oxide. This suggested that Pb sources entering the soil from the Pb factory remained in relatively weakly bound forms, which are mobile and have potentially biological availability. Mobility of Pb as in the soil assessed by mobility factor (MF) was as high as 75% indicating a high potential of Pb remobilization. Due to high mobility, the Pb would be amendable to remediation or removal by soil extraction procedures. To determine if such weekly bound Pb could be easily removed, both soil washing (ex situ) and soil flushing (in situ) techniques were evaluated for potential Pb remediation procedure. Particle size separation of soil into coarse (2.0-0.25 mm), medium (0.25-0.15 mm), and fine size (<0.15 mm) was conducted before initiating soil washing for comparing Pb removal efficiency in these fractions with the indigenous soil fraction. Using EDTA (2:1 mole to Pb) as a washing solution up to 85-95% of Pb was removed under the optimum conditions (retention time = 60 min), and liquid to solid ratio (L/S) at 5:1 for coarse fraction and 10:1 for smaller fraction. Pb could be removed from contaminated soil using EDTA extraction; however, the efficiency was higher in the coarse texture soil fraction. As a result particle size separation is recommended before application of the soil washing procedure. For smaller soil particle size fraction a series of extraction was needed for obtaining an adequate extraction efficiency. Three solvents tested as flushing solution showed 85, 84, and 74% of Pb was removed by EDTA (2:1 mole to Pb), 1M HNO3, and 0.2 M ammonium citrate, respectively after flushing with 20 pore volumes. The capacity of the three flushing solutions to remove Pb from the contaminated soil were ranked in the order: EDTA approximately 1 M HNO3 > 0.2 N ammonium citrate. However, in highly contaminated soil all solvent extract required several Pb leaching cycles. The flushing process using 1 M HNO3 increased soil acidity to extreme acid conditions (pH 2.0) resulting in adverse effects to physicochemical properties of the treated soil. In general, results showed three factors influenced Pb removal by the extraction techniques: (i) initial Pb concentrations, (ii) Pb partitioning within soil, and (iii) particle size of soil matrix.
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PMID:Evaluation of extraction procedures for removing lead from contaminated soil. 1571 83

The hydrochemistry of minor elements bromide (Br), boron (B), strontium (Sr), environmental stable isotopes (18O and 2H) together with major-ion chemistry (chloride, sodium, calcium) has been used to constrain the source(s), relative age, and processes of salinization in the Continental Terminal (CT) aquifer in the Saloum (mid-west Senegal) region. Seventy-one groundwater wells which include 24 wells contaminated by saltwater and three sites along the hypersaline Saloum River were sampled to obtain additional information on the hydrochemical characteristics of the groundwater defined in previous studies. Use of Br against Cl confirms the Saloum River saline water intrusion up to a contribution of 7% into the aquifer. In addition to this recent intrusion, a relatively ancient intrusion of the Saloum River water which had reached at least as far as 20 km south from the source was evidenced. The high molar ratio values of Sr/Cl and Sr/Ca indicate an additional input of strontium presumably derived from carbonate precipitation/dissolution reactions and also via adsorption reactions. The variable B concentrations (7-650 microg/L) found in the groundwater samples were tested against the binary mixing model to evaluate the processes of salinization which are responsible for the investigated system. Sorption of B and depletion of Na occur as the Saloum river water intrudes the aquifer (salinization) in the northern part of the region, whereas B desorption and Na enrichment occur as the fresh groundwater flushing displaces the saline waters in the coastal strip (refreshening). In the central zone where ancient intrusion prevailed, the process of freshening of the saline groundwater is indicated by the changes in major-ion chemistry as well as B desorption and Na enrichment. In addition to these processes, stable isotopes reveal that mixing with recently infiltrating waters and evaporation contribute to the changes in isotopic signature.
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PMID:Groundwater salinization in the Saloum (Senegal) delta aquifer: minor elements and isotopic indicators. 1586 49

The bioreduction of soluble uranium [U(VI)] to sparingly soluble U(IV) species is an attractive remedial technology for contaminated soil and groundwater due to the potential for immobilizing uranium and impeding its migration in subsurface environments. This manuscript describes a column study designed to simulate a three-step strategy proposed for the remediation of a heavily contaminated site at the U.S. Department of Energy's NABIR Field Research Center in Oak Ridge, TN. The soil is contaminated with high concentrations of uranium, aluminum, and nitrate and has a low, highly buffered pH (approximately 3.5). Steps proposed for remediation are (i) flushing to remove nitrate and aluminum, (ii) neutralization to establish pH conditions favorable for biostimulation, and (iii) biostimulation for U(VI) reduction. We simulated this sequence using a packed soil column containing undisturbed aggregates of U(VI)-contaminated saprolite that was flushed with an acidified salt solution (pH 4.0), neutralized with bicarbonate (60 mM), and then biostimulated by adding ethanol. The column was operated anaerobically in a closed-loop recirculation setup. However, during the initial month of biostimulation, ethanol was not utilized, and U(VI) was not reduced. A bacterial culture enriched from the site groundwaterwas subsequently added, and the consumption of ethanol coupled with sulfate reduction immediately ensued. The aqueous concentration of U(VI) initially increased, evidently because of the biological production of carbonate, a ligand known to solubilize uranyl. After approximately 50 days, aqueous U(VI) concentrations rapidly decreased from approximately 17 to <1 mg/L. At the conclusion of the experiment,the presence of reduced solid phase U(IV) was confirmed using X-ray absorption near edge structure spectroscopy. The results indicate that bioreduction to immobilize uranium is potentially feasible at this site; however, the stability of the reduced U(IV) and its potential reoxidation will require further investigation, as do the effects of groundwater chemistry and competitive microbial processes, such as methanogenesis.
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PMID:Bioreduction of uranium in a contaminated soil column. 1605 82

Although Lebanon has abundant water, its rivers are polluted and aquifer water mismanaged. Effective river water usage requires an understanding of the geochemistry of polluting metals in catchments. Climate is "Mediterranean": wet winters and dry summers. Active sediment flushing is restricted to winter high discharge episodes. Except in winter, water column pollutants are removed by precipitation or sorption to the surface of static bed sediments. Hence (1) does winter flushing of contaminated sediment and replacement by clean sediment favour self purification? (2) does the distribution of metals between extractable fractions change seasonally and thereby affect metal bioavailability ? Results on the distribution of metals are reported for Fe, Pb, Zn, Cu and Cd in bed sediments from Nahr Ibrahim (a karstic river) for summer and winter. A Tessier-like sequential extraction scheme was applied to samples (< 75 microm) for five locations along a 13 km stretch to the sea. Water pH was above 8.2 at all locations implying a very low solubility for Fe. Sediment was derived from catchment soils and limestone. Total sediment Fe increased in winter at all sites following deposition of eroded soil from upstream. Cadmium, Cu and Pb derived from polluting sources; the sources of Zn were more complex. Dilution by clean sediment explained winter reductions in total Cd, Cu and Pb; Zn changes were less consistent. Iron occurred mostly (> 77 sum of fractions) in the residual fraction compared with 6- 31 for pollutants; residual Cu and Zn showed a small increase in winter whereas Cd and Pb did not change. All readily exchangeable metals decreased in winter and the carbonate bound forms predominated in both seasons. Nahr Ibrahim has a high capacity for self purification and metal resolubilization from sediment will be limited by the solubility of carbonate forms.
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PMID:Seasonal variations of trace metal chemical forms in bed sediments of a karstic river in Lebanon: implications for self-purification. 1623 95

Continuous-flow isotope ratio mass spectrometry interfaced with a Gasbench II is used for automated and faster analyses of delta(13)C and delta(18)O in water, carbonate, and air samples that are accurate and highly precise. Prior to online chemistry and measurement using the Gasbench technique, rubber septa-capped glass vials are routinely flushed to remove air. Due to the small amounts of sample gas required for isotope analyses using current techniques, care should be taken to properly flush these vials to avoid contamination of sample gas with air. Our results indicate that isotopic composition of sample CO(2) gas remains constant when 10 mL vials are flushed (rate of 100 mL/min) for > or =600 s, whereas for vials flushed <600 s, the isotopic composition becomes substantially lighter with decreasing time of flushing, which affects the accuracy of analyses. This largely depends on the isotopic composition (and volume) of air that still remains after flushing. This effect is more pronounced on delta(18)O than on delta(13)C of sample CO(2) gas because there is very little carbon in the air. After 24 h storage in vials with punctured septa, both delta(13)C and delta(18)O of CO(2) become isotopically heavier compared with first day analyses, suggesting time-dependent changes in isotopic composition. The magnitude of shift depends on the concentration and the isotopic composition of CO(2) in laboratory air as well as on fractionation due to outflow of sample gas or inflow of air via punctured septa. Contamination of sample gas with air can be observed as a secondary peak on chromatograms that precedes sample peaks, and the intensity of these peaks depends on the amount of air. Such peaks are always present with short flushing times. For accuracy and better precision, irrespective of the magnitude of the secondary peaks, the analyses should be discarded if these appear in the chromatograms.
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PMID:Flushing time and storage effects on the accuracy and precision of carbon and oxygen isotope ratios of sample using the Gasbench II technique. 1675 15


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