Acid Generation and Heavy Metal Leachability from Lignite Spoil Heaps: Impact to the Topsoils of Oropos Basin,North Attica,Greece

The disposal of lignite spoil and tailings poses a major environmental problem in lignite mining sites which is associated with the oxidation of sulfide minerals contained in the primary ore. This process renders acidic effluents. Lignite mining in the Oropos Neogene basin, North Attica, Greece operated since the last century and ceased in the late 1960s. Piles of complex waste material are dispersed close to the mining sites. The high sulfur content and low Net Neutralization Potential, i.e. values < − 20 CaCO₃ kg/t in most analyzed waste samples, indicate that the waste is prone to acid generation. The leachates (EN12457) from the lignite spoils showed high concentrations in Ni and Zn exceeding the EU regulatory limits for the non-hazardous wastes. GIS-based geochemical maps of the topsoil showed enrichment in Ni (Cr, V) associated with the regional geogenic enrichment but also local accumulation around the hot spot sites of lignite spoil heaps.

     

Reversal of Experimental Posthepatectomy Liver Failure in Pigs: A New Application of Hepatocyte Bioreactors

Postoperative liver failure remains a major cause of morbidity and mortality after extensive hepatectomies. This study aims to evaluate the effectiveness of a hepatocyte bioreactor in the treatment of experimental post‐hepatectomy liver failure. Our experimental model included a combination of a side‐to‐side portacaval shunt, occlusion of the hepatoduodenal ligament for 150 min, 70% hepatectomy, and reperfusion. Following the development of liver failure, 12 pigs were randomized into a control group (n = 6) and a treatment group (n = 6). Both groups underwent extracorporeal perfusion through a plasma separation device, a membrane oxygenator, and two parallel bioreactors. In the latter group, the bioreactors were loaded with 10 billion fresh hepatocytes, isolated from a donor pig. Following hepatocyte treatment, all animals were maintained for 24 h under mechanical ventilation, with intravenous fluid and glucose supplementation. Hemodynamic parameters, intracranial pressure, and biochemical parameters were measured. Liver biopsies were obtained during the 24‐h autopsy. The extracorporeal circuit was well‐tolerated hemodynamically. Treated animals had lower intracranial pressure compared with controls (at 24 h, 15 ± 3.1 vs. 22 ± 3.5 mm Hg, P = 0.006). Plasma ammonia in treated animals was lower compared with controls at 12 h (100 ± 29 vs. 244 ± 131 µmol, P = 0.026). Liver histological study showed decreased necrosis and increased regeneration activity in treated animals compared with controls. Treatment through an extracorporeal hepatocyte bioreactor attenuates brain edema and improves histological and functional parameters of the liver remnant of pigs with posthepatectomy liver failure.     

Long-term intestinal obstruction sequelae and growth in children with cystic fibrosis operated for meconium ileus: expectancies and surprises

Background/purpose

In the few studies on intestinal complications and growth of cystic fibrosis (CF) patients with a history of meconium ileus (MI), operated MI has not been investigated separately. We aimed to investigate the incidence of long-term intestinal obstruction sequelae [constipation, distal intestinal obstruction syndrome (DIOS)] and growth in CF patients operated for MI.