Coexistence of life threatening chemotherapy related leukoencephalopathy, saggital sinus thrombosis and multiple organ failure in a child with acute lymphoblastic leukemia: an unusual case with clinical recovery

A nine-year old girl with T cell acute lymphoblastic leukemia (ALL) had acute severe neurologic complications at the end of the remission-induction chemotherapy course. Thirty-six hours following triple intrathecal (IT) therapy and intravenous (IV) administration of L-asparaginase (L-asp), tetraplegia developed and she became unconscious. She had bouts of hypertension and persistent tachycardia unresponsive to digitalis therapy. Magnetic resonance imaging (MRI) showed multiple brain white matter hyperintensities and filling defects in the saggital sinus, suggesting thrombosis. Over the 40 days, in addition to her neurologic compromise she also had transient diabetes mellitus, severe hyperlipidemia, hypoproteinemia and edema, liver and heart failure and staphylococcus aureus sepsis with prolonged bone marrow depression. Despite, coexistence of all these chemotherapy related complications, her neurologic functions and multiple organ failure improved gradually. After a 70 days' period of interruption, chemotherapy was resumed and continued without any further complications. Although, the etiology of her extensive sensitivity to some drugs remains unclear, we believe that it is important to document these unusual events in this child.     

Sustainable hydrogen production options from food wastes

In this study, two thermochemical processes, namely steam gasification and supercritical water gasification (SCWG), were comparatively studied to produce hydrogen from food wastes containing about 90% water. The SCWG experiments were performed at 400 and 450 °C in presence of catalyst (Trona, K₂CO₃ and seaweed ash). The maximum hydrogen yield was obtained at 450 °C in presence of K₂CO₃ catalyst. In second process, hydrothermal carbonization was used to convert food wastes into a high-quality solid fuel (hydrochar) that was further gasified in a dual-bed reactor in presence of steam. The steam gasification of hydrochar was carried out with and without catalysts (iron?ceria catalyst and dolomite). The maximum hydrogen yield obtained from steam gasification process was 28.08 mmol/g dry waste, about 7.7 times of that from SCWG. This study proposed a new concept for hydrogen production from wet biomass, combination of hydrothermal carbonization following steam gasification.     

Continuous biohydrogen production in immobilized biofilm system versus suspended cell culture

In this study, the performance of a new cell immobilization material, namely ceramic ball, was examined for continuous biohydrogen production in comparison to suspended cell culture system (CSTR). Production of biohydrogen in both systems was assessed under thermophilic conditions. Both systems were operated at varying hydraulic retention times (HRT) by shortening HRT values from 24 to 1.5 h at an influent sucrose concentration of 10 g/l. The immobilized bioreactor configuration outcompeted the CSTR bioreactor in terms of both volumetric hydrogen production (2.7 l H₂/l/day for immobilized system @ HRT = 3 h and 0.5 l H₂/l/day for CSTR @ HRT = 24 h) and resistance to cell-washout (CSTR reactor lost significant amount of biomass at short HRT values). It was concluded that immobilized bioreactor configuration is much more robust than CSTR against high organic loading rates and 5 fold more volumetric hydrogen production was achieved in 8 fold smaller immobilized bioreactor.     

An experimental study for determination of the effects of machining parameters on surface roughness in electrical discharge machining (EDM)

Electrical discharge machining (EDM) is a non-traditional production method that has been widely used in the production of dies throughout the world in recent years. The most important performance measure in EDM is the surface roughness; among other measures material removal and tool wear rates could be listed. In this study, experiments were performed to determine parameters effecting surface roughness. The data obtained for performance measures have been analyzed using the design of experiments methods. A considerably profound equation is obtained for the surface roughness using power, pulse time, and spark time parameters. The results are discussed.