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1.
INTRODUCTION Rocuronium bromide is a new steroidal nonde- polarizing neuromuscular blocking drug that has a faster onset of action than other nondepolarizing neuromuscular blocking drugs. The liver is the major route for its elimination. On the other hand, impaired liver function does not alter either atracurium’s elimination or plasma clearance (Ward and Neill, 1983; Pitter et al., 1990). The exclusion of the hepatic circulation and function during the anhepatic phase of orthotopic liv…  相似文献   

2.
The aim of this study was to evaluate the possible therapeutic or protective effects of Helichrysum plicatum DC. subsp. plicatum ethanol extract (HPE) against gentamicin-induced nephrotoxicity. Thirty-six Sprague Dawley male rats weighing between 200 and 250 g were used as live material. They were formed into six groups containing 6 rats each and were allowed to adapt to laboratory conditions for 7 d. Group I: control, 5% DMSO intraperitoneal (i.p.); Group II: HPE 100 mg/(kg·d) i.p.; Group III: HPE 200 mg/(kg·d) i.p.; Group IV: gentamicin as 80 mg/(kg·d) i.p.; Group V: gentamicin as 80 mg/(kg·d) i.p.+HPE 100 mg/(kg·d) i.p.; and Group VI: gentamicin as 80 mg/(kg·d) i.p.+HPE 200 mg/(kg·d) i.p. for 8 d. Following treatment, serum, liver, and kidney tissues were used to assess blood urea nitrogen (BUN), creatinine, enzymatic and non-enzymatic antioxidants, and lipid peroxidation. Gentamicin significantly increased serum BUN, creatinin, and liver and kidney levels of malondialdehyde (MDA). It also decreased the activity of catalase (CAT), glutathione peroxidase (GPx), and superoxide dismutase (SOD). Treatment with the HPE 100 mg/kg reversed gentamicin-induced alterations as evidenced by decreased serum BUN and creatinin, liver and kidney oxidant marker, and tubular necrosis as well as by an increase in antioxidant enzymes. It was found that HPE 200 mg/kg significantly increased liver and kidney tissue MDA levels in nephrotoxicity in rats. As a result, these findings support the proposition that HPE in 100 mg/kg dose demonstrates in the kidney and liver as free radicals and scavenger to prevent the toxic effects of gentamicin in both the biochemical and histopathology parameters.  相似文献   

3.
Objective: To assess the feasibility and outcome of orthotopic liver transplantation (OLT) with no veno-venous bypass(v-v bypass) in adult patients. Methods: Between 1999 and 2001, 43 adult patients underwent OLT with v-v bypass, 33 with no v-v bypass. The operation time, anhepatic time, amount of blood loss, amount of blood transfusion, ICU stay days of the two groups were compared; renal function and gastrointestinal function in the two groups were examined. Results: There was no significant difference in mean serum creatinine on day 3 and gas discharge time in patients with v-v bypass or not. With no v-v bypass, the average operation time was 5.7±1.3 hours, anhepatic time was 64±13 minutes, median amount of blood loss in operation was 4000±820 mL, median amount of blood transfused intraoperatively was 4650±910 mL, median ICU stay was 5.7 days; all those were lower or shorter than those with v-v bypass; and these differences between the two groups had statistical significances. Conclusion: OLT with no v-v bypass is safe and can be performed in the majority of adult patients. The practice of liver transplantation with no v-v bypass is associated with shorter total operation time, shorter anhepatic time, lower blood product usage, and shorter ICU stay compared with standard technique of OLT with routine use of v-v bypass. Project supported by Zhejiang Provincial Health Bureau (No.2000/ZD003)  相似文献   

4.
目的比较盐酸瑞芬太尼复合罗库溴铵或阿曲库铵及芬太尼复合阿曲库铵用于喉显微手术麻醉的临床效果。方法ASAⅠ～Ⅱ级择期行喉显微手术的病人60例，随机分为盐酸瑞芬太尼阿曲库铵组（A组）、芬太尼阿曲库铵组（B组）、盐酸瑞芬太尼罗库溴铵组（C组），每组20例。麻醉诱导用异丙酚2mg／kg和盐酸瑞芬太尼1．5ug/kg或芬太尼4ug／kg及罗库溴铵0．5mg／kg或阿曲库铵0．5mg／kg，麻醉维持用异丙酚5mg／kg／h和盐酸瑞芬太尼0．25ug／kg／min。观察血流动力学、肌松完全起效时间、术毕肌松恢复、清醒时间、拔管时间及返回病房时间等情况。结果三组麻醉效果均满意，肌松完全起效时间，术毕肌松恢复，清醒时间，拔管时间及返回病房时间均有显著差异性（P〈0．05），C组明显较A组B组起效快，术毕苏醒迅速。结论盐酸瑞芬太尼复合罗库溴铵比芬太尼复合阿曲库铵更优越、更理想。  相似文献   

5.

Objective

To investigate the beneficial effect of bicyclol on rat hearts subjected to ischemia-reperfusion (IR) injuries and its possible mechanism.

Methods

Male Sprague-Dawley rats were intragastrically administered with bicyclol (25, 50 or 100 mg/(kg·d)) for 3 d. Myocardial IR was produced by occlusion of the coronary artery for 1 h and reperfusion for 3 h. Left ventricular hemodynamics was continuously monitored. At the end of reperfusion, myocardial infarct was measured by 2,3,5-triphenyltetrazolium chloride (TTC) staining, and serum lactate dehydrogenase (LDH) level and myocardial superoxide dismutase (SOD) activity were determined by spectrophotometry. Isolated ventricular myocytes from adult rats were exposed to 60 min anoxia and 30 min reoxygenation to simulate IR injuries. After reperfusion, cell viability was determined with trypan blue; reactive oxygen species (ROS) and mitochondrial membrane potential of the cardiomyocytes were measured with the fluorescent probe. The mitochondrial permeability transition pore (mPTP) opening induced by Ca2+ (200 μmol/L) was measured with the absorbance at 520 nm in the isolated myocardial mitochondria.

Results

Low dose of bicyclol (25 mg/(kg·d)) had no significant improving effect on all cardiac parameters, whereas pretreatment with high bicyclol markedly reduced the myocardial infarct and improved the left ventricular contractility in the myocardium exposed to IR (P<0.05). Medium dose of bicyclol (50 mg/(kg·d)) markedly improved the myocardial contractility, left ventricular myocyte viability, and SOD activity, as well decreased infarct size, serum LDH level, ROS production, and mitochondrial membrane potential in rat myocardium exposed to IR. The reduction of ventricular myocyte viability in IR group was inhibited by pretreatment with 50 and 100 mg/(kg·d) bicyclol (P<0.05 vs. IR), but not by 25 mg/(kg·d) bicyclol. The opening of mPTP evoked by Ca2+ was significantly inhibited by medium bicyclol.

Conclusions

Bicyclol exerts cardioprotection against IR injury, at least, via reducing oxidative stress and its subsequent mPTP opening.  相似文献   

6.
INTRODUCTION Left ventricular hypertrophy has been thought to be the principal predicators of predisposing risk factor of cardiac morbidity and mortality (Devereux, 1995; Levy et al., 1990). The pathogenesis that mediates cardiac hypertrophy is poorly understood. Cardiachypertrophy can be induced by hemodynamic over-load, ischemic disease, neurohumoral factors and intrinsic defects in cardiac structural protein genes (Sadoshima and Izumo, 1997; Vikstrom and Lein-wand, 1996). Another in…  相似文献   

7.
Objective: To study the stereoselective glucuronidation of carvedilol (CARV) by three Chinese liver microsomes. Methods: The metabolites of CARV were identified by a hydrolysis reaction with β-glucuronidase and HPLC-MS/MS. The enzyme kinetics for CARV enantiomers glucuronidation was determined by a reversed phase-high pressure liquid chromatogra-phy (RP-HPLC) assay using (S)-propafenone as internal standard after precolumn derivatization with 2,3,4,6-tetra-O-acetyl-β-D-glucopyranosylisothiocyanate. Results: Two CARV glucuronides were found in three Chinese liver microsomes incubated with CARV. The non-linear regression analysis showed that the values of Km and Vmax for (S)-CARV and (R)-CARV enantiomers were (118±44) μmol/L, (2 500±833) pmol/(min·mg protein) and (24±7) μmol/L, (953±399) pmol/(min·mg protein), respectively. Conclusion: These results suggested that there was a significant (P<0.05) stereoselective glucuronidation of CARV enantiomers in three Chinese liver microsomes, which might partly explain the enantioselective pharmacokinetics of CARV.  相似文献   

8.
INTRODUCTION Matrine, a monomer of traditional Chinese medi-cine, comes from leguminosae plants such as Kusheng, is quinoilizidine with four-loop and molecular formula of C15H24N20. Matrine has been proved to have anti-arrhythmia (Xu et al., 2004), anti-hypoxia and decreasing heart rate effects (Zhang et al., 1990a; 1990b) in many animal experiments, and has the role of inducing calmness (Luo et al., 2001) and lowering body temperature (Tao and Wan, 1992). Traditional Chinese medicin…  相似文献   

9.
Objective: The aim of this paper is to compare the propofol concentration in plasma and cerebrospinal fluid (CSF) in patients scheduled for intracranial tumor removal and anaesthetized using propofol as part of a total intravenous anaesthesia technique. Methods: Twenty-seven patients (ASA I–II) scheduled for elective intracranial tumor removal were studied. Anesthesia was induced with 2 mg/kg propofol for 5 min and infused at 10 mg/(kg·h) for 5 min and then stopped. CSF and arterial blood were collected simultaneously before infusion of propofol and at different time points after infusion of propofol according to bispectral index (BIS) values. Concentrations of propofol in plasma and CSF were measured by HPLC with fluorescence detection. The correlation coefficient and regression equation between plasma and CSF concentration of propofol were worked out by linear simple regression. Results: The propofol CSF concentration that we measured was 1.46% of the plasma concentration. The coefficient of relation between plasma and CSF concentration was 76.7%. Conclusions: The propofol CSF concentration was positively correlated with and much lower than the plasma concentration. Discrepancies may result from high plasma protein binding of propofol, intracranial pathology and sampling volume. Project supported by Startup Foundation for Introducing Talent of Zhejiang University, China  相似文献   

10.

Objective

To investigate stretch-induced electrophysiological changes in chronically infarcted hearts and the effect of streptomycin (SM) on these changes in vivo.

Methods

Sixty Wistar rats were divided randomly into four groups: a control group (n=15), an SM group (n=15), a myocardial infarction (MI) group (n=15), and an MI+SM group (n=15). Chronic MI was obtained by ligating the left anterior descending branch (LAD) of rat hearts for eight weeks. The in vivo blockade of stretch-activated ion channels (SACs) was achieved by intramuscular injection of SM (180 mg/(kg·d)) for seven days after operation. The hearts were stretched for 5 s by occlusion of the aortic arch. Suction electrodes were placed on the anterior wall of left ventricle to record the monophasic action potential (MAP). The effect of stretching was examined by assessing the 90% monophasic action potential duration (MAPD90), premature ventricular beats (PVBs), and ventricular tachycardia (VT).

Results

The MAPD90 decreased during stretching in both the control (from (50.27±5.61) ms to (46.27±4.51) ms, P<0.05) and MI groups (from (65.47±6.38) ms to (57.47±5.76 ms), P<0.01). SM inhibited the decrease in MAPD90 during inflation ((46.27±4.51) ms vs. (49.53±3.52) ms, P<0.05 in normal hearts; (57.47±5.76) ms vs. (61.87±5.33) ms, P<0.05 in MI hearts). The occurrence of PVBs and VT in the MI group increased compared with that in the control group (PVB: 7.93±1.66 vs. 1.80±0.86, P<0.01; VT: 7 vs. 1, P<0.05). SM decreased the occurrence of PVBs in both normal and MI hearts (0.93±0.59 vs. 1.80±0.86 in normal hearts, P<0.05; 5.40±1.18 vs. 7.93±1.66 in MI hearts, P<0.01).

Conclusions

Stretch-induced MAPD90 changes and arrhythmias were observed in chronically infarcted myocardium. The use of SM in vivo decreased the incidence of PVBs but not of VT. This suggests that SACs may be involved in mechanoelectric feedback (MEF), but that there might be other mechanisms involved in causing VT in chronic MI.  相似文献   

11.
对 10 6名男大学生身体成份和PWC1 70 的测试结果表明 ,体育专业男生与普通专业的男生的体脂的百比率无统计学差异 (12 14 %± 1 83对 12 2 4 %± 1 6 9,P >0 0 5 ) ,而PWC1 70 体育专业高于普通专业 (70 0 0 5kg·m·min- 1± 2 0 6 4 3对 5 4 8 35kg·m·min- 1 ± 10 1 5 4 ,P >0 0 1) ,反映出他们在体能上的差异 ,但两组皆显著低于卡尔普曼报道的一般人的PWC1 70 (10 2 7kg·m·min- 1 <0 0 1) ,提示怀化学院男生的体能在下降  相似文献   

12.
Objective： The prevalence of non-alcoholic fatty liver disease （NAFLD） has markedly increased. Insulin resistance has been implicated in the pathogenesis of NAFLD. This study was aimed at observing the relationship between insulin resistance and NAFLD, and evaluating the role of pioglitazone （PGZ） acting as insulin-sensitizing agents in the prevention and treatment of rat fatty liver induced by high fat feeding. Methods： The rats were separated randomly into 6 groups： model group Ⅰ were fed high fat diet for 8 weeks, PGZ prevention group were given PGZ 4 mg/（kg.d） simultaneously, while control group Ⅰ were fed normal food for 8 weeks; model group Ⅱ were fed high fat diet for 16 weeks, PGZ treatment group were given PGZ 4 mg/（kg.d） orally simultaneous with high fat diet for 8 weeks after high fat feeding for 8 weeks, control group Ⅱ were fed normal food for 16 weeks. The rats were sacrificed after 8 weeks and 16 weeks respectively. Liver weight, body weight, serum activities of alanine aminotransferase （ALT）, aspartate aminotransferase （AST）, alkaline phosphatase （ALP）, tumor necrosis factor alpha （TNF-α）, fasting blood glucose （FBG）, fasting plasma insulin （FINS）, HOMA （homeostasis model assessment） insulin resistance index （HOMA-IR）, and the liver histology of rats of all groups were assayed. Results： After 8 weeks, the liver in model group Ⅰ showed typical steatosis, accompanied with mild to moderate lobular inflammatory cell infiltration, liver indexes and serum levels of ALT, AST, ALP, TNF-α were significantly increased （P〈0.05） compared with control group Ⅰ. Whereas, the degree of hepatic injury was attenuated in PGZ prevention group, liver indexes and serum levels of ALT, ALP were significantly decreased （P〈0.05） compared with model group Ⅰ. After 16 weeks, notable steatosis, and lobular inflammation were observed in model group Ⅱ rat liver, while the degree of hepatic injury was attenuated in the PGZ treatment group. Liver index, serum levels ofALT, AST, ALP, FINS and HOMA-IR were significantly increased （P〈0.05） in model group Ⅱ compared with control group Ⅱ. Whereas, in PGZ treatment group, serum levels of AST and FINS showed decreasing tendency, liver indexes, serum levels of ALT, ALP, TNF-α and HOMA-IR were significantly decreased compared with model group Ⅱ. Conclusion： Insulin resistance plays a role in the pathogenesis of NAFLD in rats. Pioglitazone can attenuate insulin resistance and biochemical and histological injury in high fat-induced fatty liver in rats.  相似文献   

13.
Sap flow and environmental conditions were monitored at two Eucalyptus (Eucalyptus urophylla S.T. Blake) plantations at Hetou and Jijia, located in Leizhou, Zhanjiang, Guangdong Province. It was found that daily sap flux density (SFD) of Eucalyptus was closely related to daily atmospheric vapor pressure deficit (VPD) (R 2=0.76, P=0.01 at Hetou and R 2=0.7021, P=0.01 at Jijia) at both sites. No significant relationship existed between daily SFD and mean daily air temperature at both sites. Daily SFD varied with wind speed Y=−17585X 3+15147X 2−1250.7X+2278.4 (R 2=0.68; P=0.01) at Hetou and Y=−101.67X 3−1.65X 2−376.4X+1914.8 (R 2=0.40, P=0.05) at Jijia, where Y was daily SFD, X was daily wind speed. Experimental observations yielded the following data: (1) the critical lower and upper daily VPD threshold were 0 and 2 kPa, within which daily SFD varied from 540±70 L/(m2·d) to 4739±115 L/(m2·d) at Hetou site, from 397±26 L/(m2·d) to 3414±191 L/(m2·d) at Jijia site; (2) Diurnal SFDs at Hetou site were much higher under low relative humidity (<30%) and slightly lower under high relative humidity (>80%) compared with those at the Jijia site; (3) The upper and lower threshold of daily and diurnal RAD for the optimal water use of E. urophylla plantations were 18±2.7 and 2±1 MJ/(m2·d), 669 and 0 J/(cm2·h) during the observation period. Project supported by Knowledge Innovation Funds from Chinese Academy of Sciences (Nos. KSCX2-SW-120, KZCX1-SW-01-01A3) and the Key Project of Guangdong Natural Science Foundation (No. 010567), China  相似文献   

14.
目的观察ｒｈＥＰＯ和睾酮对低氧小鼠血清ＡＳＴａｓｅ、ＡＬＴａｓｅ、ＬＤＨａｓｅ活性的影响．方法应用低压舱小鼠实验（０．４２ａｔｍ,２２ｈ／ｄ, ６ｄａｙｓ）,分别注射ｒｈＥＰＯ（２００ｕ／ｋｇ·ｄ）、宰酮（２．５ ｍｇ／ｄ）、皮质醇（０．５ ｍｇ／ｄ）,检测血清酶活性、血清 ＥＰＯ浓度和 Ｈｃｔ．结果ｒｈＥＰＯ和睾酮不同程度地抑制低氧小鼠血清酶活性．结论ｒｈＥＰＯ和睾酮对低氧动物肝功能具有不同程度地保护效应。  相似文献   

15.

Objective

Comparison of global end-diastolic volume index (GEDVI) obtained by femoral and jugular transpulmonary thermodilution (TPTD) indicator injections using the EV1000/VolumnView® device (Edwards Lifesciences, Irvine, USA).

Methods

In an 87-year-old woman with hypovolemic shock and equipped with both jugular and femoral vein access and monitored with the EV1000/VolumeView® device, we recorded 10 datasets, each comprising duplicate TPTD via femoral access and duplicate TPTD (20 ml cold saline) via jugular access.

Results

Mean femoral GEDVI ((674.6±52.3) ml/m2) was significantly higher than jugular GEDVI ((552.3±69.7) ml/m2), with P=0.003. Bland-Altman analysis demonstrated a bias of (+122±61) ml/m2, limits of agreement of ?16 and +260 ml/m2, and a percentage error of 22%. Use of the correction-formula recently suggested for the PiCCO® device significantly reduced bias and percentage error. Similarly, mean values of parameters derived from GEDVI such as pulmonary vascular permeability index (PVPI; 1.244±0.101 vs. 1.522±0.139; P<0.001) and global ejection fraction (GEF; (24.7±1.6)% vs. (28.1±1.8)%; P<0.001) were significantly different in the case of femoral compared to jugular indicator injection. Furthermore, the mean cardiac index derived from femoral indicator injection ((4.50±0.36) L/(min·m2)) was significantly higher (P=0.02) than that derived from jugular indicator injection ((4.12±0.44) L/(min·m2)), resulting in a bias of (+0.38±0.37) L/(min·m2) and a percentage error of 19.4%.

Conclusions

Femoral access for indicator injection results in markedly altered values provided by the EV1000/VolumeView®, particularly for GEDVI, PVPI, and GEF.
  相似文献   

16.
研究目的：肝脏的纤维化进程改变肝脏组织的流变属性。创新要点：本文利用剪切黏弹性模量描绘并比较了大鼠肝脏F0期到F4期的纤维化过程。研究方法：两个黏弹性模型,即Zener模型和Voigt模型用于解释流变力学测试得到的实验数据,由此得到每个纤维化分期的肝脏弹性和黏性值。重要结论：肝脏中度纤维化（≤F2期）与黏弹性值密切相关。Zener模型的弹性均值E1从F0期的（0.452±0.094）kPa增加到F2期的（1.311±0.717）kPa,而Voigt模型的弹性均值E从F0期的（0.618±0.089）kPa增加到F2期的（1.701±0.844）kPa。Zener模型的黏性均值从F0期的（3.499±0.186）Pa·s增加到F2期的（4.947±1.811）Pa·s,而Voigt模型的黏性均值从F0期的（3.379±0.316）Pa·s增加到F2期的（4.625±1.296）Pa·s。无论选用哪个黏弹性模型,在F1期和F2期,肝脏弹性值的标准差比黏性值的标准差变化要小。因此,测得的弹性比黏性更有效地区分肝纤维化F0期到F2期。  相似文献   

17.
The effects of two different external carbon sources (acetate and ethanol) and electron acceptors (dissolved oxygen, nitrate, and nitrite) were investigated under aerobic and anoxic conditions with non-acclimated process biomass from a full-scale biological nutrient removal-activated sludge system. When acetate was added as an external carbon source, phosphate release was observed even in the presence of electron acceptors. The release rates were 1.7, 7.8, and 3.5 mg P/(g MLVSS·h) (MLVSS: mixed liquor volatile suspended solids), respectively, for dissolved oxygen, nitrate, and nitrite. In the case of ethanol, no phosphate release was observed in the presence of electron acceptors. Results of the experiments with nitrite showed that approximately 25 mg NO2-N/L of nitrite inhibited anoxic phosphorus uptake regardless of the concentration of the tested external carbon sources. Furthermore, higher denitrification rates were obtained with acetate (1.4 and 0.8 mg N/(g MLVSS·h)) compared to ethanol (1.1 and 0.7 mg N/(g MLVSS·h)) for both anoxic electron acceptors (nitrate and nitrite).  相似文献   

18.
A bench-scale experiment for control of hydrogen sulfide (H2S) emissions was carried out continuously for nearly four months by using bio-trickling filter packed with ZX01 stuffing. The results suggested that the bio-trickling filter had proven excellent performance over substantial operational periods. Removal efficiency of H2S was nearly 100% when volumetric loading of the bio-trickling filter varied from 0.64 g/(m3·h) to 38.20 g/(m3·h) and metabolism products of H2S were mainly composed of SO42–. When inlet concentration of H2S was 250 mg/m3, the optimum gas retention time was 30 s and the optimum spray water flow rate was 0.005 9~0.012 L/(cm2·h). The bio-trickling filter had good ability to resist shock of high volumetric loading, and was not blocked during experiments for nearly four months during which resistance was maintained at relatively lower value, so that the bio-trickling filter need not carry out back washing frequently and can be operated steadily for long-term.  相似文献   

19.
A laboratory-scale trickling biofilter column,filled with Raschig rings and inoculated with Pseudomonas putida (ATCC 1785)was used to purify chlorobenzene contained waste gases.Sodium dodecyl sulfonate(SDS)was used to enhance the performance of trickling biofllter.Purification performance of the trickling biofilter was examined for chlorobenzene inlet concentration of 1.20～5.04 g/m~3 at different EBRTs between 76～153 s.Without SDS addition,with simultaneous increase in chlorobenzene inlet loading rate and gas flow rate,100% removal efficiency was achieved at EBRT of 109 s and inlet loadings below 5120 mg/m~3.Addition of SDS to nutrient solution led to improvement of trickling biofilter purification performance. By introducing 25 mg/L SDS,the removal efficiency was increased by 21% and elimination capacity up to 234 g/(m~3.h)was achieved at chlorobenzene inlet loading of 241 g/(m~3.h).Although SDS concentration experienced a low rate reduction after continuous nutrient solution recirculation,this result has little influence on trickling biofilter's removal efficiency in monitoring period.  相似文献   

20.
Evaluating the performance of a biotrickling filter for the treatment of wastewaters produced by a company manufacturing beer was the aim of this study. A pilot scale trickling filter filled with gravel was used as the experimental biofilter. Pilot scale plant experiments were made to evaluate the performance of the trickling filter aerobic and anaerobic biofilm systems for removal of chemical oxygen demand (COD) and nutrients from synthetic brewery wastewater. Performance evaluation data of the trickling filter were generated under different experimental conditions. The trickling filter had an average efficiency of (86.81±6.95)% as the hydraulic loading rate increased from 4.0 to 6.4 m3/(m2·d). Various COD concentrations were used to adjust organic loading rates from 1.5 to 4.5 kg COD/(m3·d). An average COD removal efficiency of (85.10±6.40)% was achieved in all wastewater concentrations at a hydraulic loading of 6.4 m3/(m2·d). The results lead to a design organic load of 1.5 kg COD/(m3·d) to reach an effluent COD in the range of 50–120 mg/L. As can be concluded from the results of this study, organic substances in brewery wastewater can be handled in a cost-effective and environmentally friendly manner using the gravel-filled trickling filter.  相似文献   

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