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  • 1
    ISSN: 1520-6882
    Source: ACS Legacy Archives
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1530-0358
    Keywords: Internal anal sphincter ; Fibrosis ; Neurogenic Fecal Incontinence
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract PURPOSE: We aimed to investigate the changes in the proportion of collagen and in the elasticity of the internal anal sphincter in patients with neurogenic fecal incontinence. METHODS: Collagen content was studied in ten patients with neurogenic fecal incontinence (mean age, 51.5 years) and ten controls (age, 58.6 years) using histologic techniques to determine differences between incontinence and health and to determine the effect of aging. Changes in elasticity were also measured in 8 controls (mean age, 63 years) and 13 patients with neurogenic incontinence (mean age, 60 years) by recording the in vitro length-tension relationship of the freshly excised internal anal sphincter. RESULTS: Incontinent patients had a significantly higher collagen content than controls (55 percent vs.33 percent;P=0.013). In incontinent patients the amount of collagen and the patients' ages correlated significantly (P=0.001). There was a greater increase in stable tension per increase in muscle length in the strips from incontinent patients compared with controls. CONCLUSIONS: Changes in fibrous tissue content are likely to influence muscle tone and responsiveness of the sphincter in fecal incontinence.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1459
    Keywords: Bladder dysfunction ; Bowel dysfunction ; Multiple sclerosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Urinary dysfunction is common in cases of multiple sclerosis (MS). The close proximity of those neural pathways which control the bladder to those which control anorectal function might be expected to lead to a high coexistence of bladder and bowel symptoms. Seventy-seven consecutive patients with clinically definite MS attending a uroneurology clinic were interviewed about their bowel function. All patients had clinical evidence of spinal cord disease with varying degrees of impaired mobility and sufficiently severe disturbance of bladder control to seek medical advice. Thirty-six per cent of these patients had constipation. Twenty per cent had “current incontinence”, although another 30% had had at least one episode of faecal incontinence more than 3 months previously. Some patients had both constipation and faecal incontinence. A total of 52% currently had at least one bowel symptom. The pattern of bowel symptoms did not correlate with the pattern of urinary disturbance, or the duration of MS, or the degree of disability. Bowel symptoms are common in patients with MS, but even in those with urinary dysfunction are not universal. Whereas bladder dysfunction in MS is clearly related to spinal cord disease, the neurological basis for the bowel dysfunction is less clear.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Chichester : Wiley-Blackwell
    Journal of Chemical Technology AND Biotechnology 66 (1996), S. 251-264 
    ISSN: 0268-2575
    Keywords: anaerobic digestion ; anhybrid reactors ; organic solvents ; biodegradation ; trace elements ; population composition ; granular structure ; Chemistry ; Biochemistry and Biotechnology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Process Engineering, Biotechnology, Nutrition Technology
    Notes: The performance of anaerobic hybrid reactors treating an organic solvent-containing synthetic pharmaceutical wastewater was evaluated under various wastewater volumetric loading rates and influent compositional changes. The biodegradation, toxicity and treatability of the target C3 and C4 solvents, tert-butanol, isopropanol, isobutanol, sec-butanol and ethyl acetate, were examined. At a hydraulic retention time (HRT) of 2 days and volumetric loading rates ranging from 3·5 to 4·5 kg COD m-3 day-1, the reactors achieved total and soluble COD removal efficiencies of 97-99% in less than five times the HRT. These removal rates were achieved following the introduction of target solvents not previously supplied to the reactors. However, inadequate removal of tert-butanol resulted in a decrease in the soluble COD removal efficiency to 58%. Bacterial enrichments from the reactor biomass using tert-butanol as the sole substrate proved unsuccessful, confirming that tert-butanol is poorly degradable anaerobically. Inclusion of a trace metal cocktail in the feed did not affect steady-state reactor performance, but was beneficial during changes in the influent composition. After 405 days of operation, the matrix-associated biomass contributed only a minor fraction (2-4%) of the total biomass present in both reactors. On takedown, the retained biomass present in the matrix-free section of both reactors was found to be granular in nature, despite the omission of trace elements from the influent to one of the AHRs. The specific methanogenic activity profile of the granular sludge from the trace element limited AHR was, however, significantly lower (α = 0·05) than that of the reference AHR.
    Additional Material: 6 Ill.
    Type of Medium: Electronic Resource
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