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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Environmental geology 21 (1993), S. 77-83 
    ISSN: 1432-0495
    Keywords: Effluent ; Paper plant ; Lake Champlain
    Source: Springer Online Journal Archives 1860-2000
    Topics: Geosciences
    Notes: Abstract We used geologic and geochemical techniques to document the change with time of the distribution and concentration of contaminated bottom sediments in southern Lake Champlain near an International Paper Company plant. Our work, initiated in 1972, was expanded on behalf of Vermont citizens in a class-action suit against the International Paper Company. To update our 1972–1973 results, we collected nine cores in 1988 upstream and downstream from the paper plant effluent diffuser. Water content, volatile solids, organic carbon, and three ratios, Al/Si, Cl/Si, and S/Si, in addition to megascopic and microscopic observations, were evaluated to identify and trace the distribution of effluent and to measure the thickness of sediment affected by or containing components of effluent. Analyses were carried out on samples from the cores as well as from effluent collected directly from the plant's waste treatment facility. In 1973, two years after the plant opened, we cored near the diffuser; sediment contaminated with effluent was 4.5 cm thick. In 1988, in the same area, sediment contaminated with effluent was 17 cm thick. In 15 years, water content increased from 72 to 85 percent, volatile solids from 7 to 20 percent, and organic carbon from 2 to 12 percent. Cl/Si and S/Si were high only near the diffuser and were zero elsewhere. In the area of the diffuser, contaminated sediment appears to be accumulating at a rate of about 1 cm/yr. At a control location 22 km upstream (south) from the plant, the top, poorly consoli-dated layer was only 1 cm or less thick both in 1973 and in 1988. The class-action suit was settled in favor of the plaintiffs for $5 million.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Pediatric surgery international 11 (1996), S. 398-399 
    ISSN: 1437-9813
    Keywords: Carcinoid tumor ; Malignant carcinoid syndrome ; Chemotherapy ; Liver transplantation ; Child
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The authors report a rate case of carcinoid syndrome (CS) in a 12-year-old child that was caused by a carcinoid tumor located in the ileum that had metastasized mainly to the liver. After resection of the primary tumor, treatment with octreotide and polychemotherapy (five monthly cycles of 5-flourouracil, epidoxorubicin, and deticene) was ineffective for both reducing the metastatic liver disease and controlling the clinical symptoms. The patient's poor prognosis led the authors to perform a liver transplantation. The results of liver transplantation in patients with metastatic liver disease are generally not good. However, neuroendocrine tumors seem to be an exception due to their slow growth. At present, the child is in complete clinical and laboratory remission 4 months after transplantation. To the best of our knowledge, only 5 cases of CS have been reported to date in children.
    Type of Medium: Electronic Resource
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