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Methylenetetrahydrofolate Reductase Polymorphisms and Susceptibility to Esophageal Cancer in Chinese Populations: a Meta-analysis

  • Yang, Yong-Bin;Shang, Yan-Hong;Tan, Yan-Li;Kang, Xian-Jiang;Meng, Ming;Zhao, Zhan-Xue
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.3
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    • pp.1345-1349
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    • 2014
  • Although many epidemiologic studies investigated the methylenetetrahydrofolate reductase (MTHFR) polymorphisms and their associations with esophageal cancer, definite conclusions could not be drawn. To clarify the effects of MTHFR polymorphisms on the risk of esophageal cancer, a meta-analysis was here performed in Chinese populations. A total of 16 studies including 3,040 cases and 4,127 controls were involved in this metaanalysis. Overall, significant associations were found between the MTHFR C677T polymorphism and esophageal cancer risk when all studies in Chinese populations were pooled into the meta-analysis (T vs. C, OR = 1.19, 95% CI = 1.06-1.34; TT vs. CC, OR = 1.35, 95% CI = 1.07-1.70; TT+ CT vs. CC, OR = 1.29, 95% CI = 1.08-1.54; TT vs. CC + CT, OR = 1.19, 95% CI = 1.03-1.37). In subgroup analyses stratified by ethnicity and source of controls, the same results were found in Kazakh (TT vs. CC, OR = 1.38, 95% CI = 1.02-1.87; TT + CT vs. CC, OR = 1.50, 95% CI = 1.03-2.18), in not stated populations (T vs. C, OR = 1.24, 95% CI = 1.08-1.42; TT vs. CC, OR = 1.47, 95% CI = 1.10-1.96; TT + CT vs. CC, OR = 1.30, 95% CI = 1.05-1.60; TT vs. CC + CT, OR = 1.32, 95% CI = 1.12-1.56), and in hospital-based studies (T vs. C, OR = 1.34, 95% CI = 1.19-1.51; TT vs. CC, OR = 1.81, 95% CI = 1.37-2.39; TT + CT vs. CC, OR = 1.51, 95% CI = 1.26-1.83; and TT vs. CC + CT, OR = 1.39, 95% CI = 1.13-1.70). In conclusion, this meta-analysis provides evidence that the MTHFR C677T polymorphism contributes to esophageal cancer development in Chinese populations.

Comparisons of Efficacy between Dapagliflozin and Sitagliptin in Combination with Metformin in Type 2 Diabetes Mellitus Patients (제 2형 당뇨병 환자에서 Metformin과 병용 시 Dapagliflozin과 Sitagliptin의 효능 비교)

  • Kang, Bo Kyeong;An, Sook Hee;Kim, Jae Youn;Gwak, Hye Sun
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.2
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    • pp.99-104
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    • 2017
  • Objectives: This study aimed to compare effects on glycemic control and weight loss between the metformin/dapagliflozin combination and the metformin/sitagliptin combination in type 2 diabetic patients. Methods: This study retrospectively reviewed the medical records, from January $1^{st}$ 2015 to March $31^{st}$ 2016, of type 2 diabetic patients who were older than 18 and were prescribed with dapagliflozin or sitagliptin in combination with metformin. Hemoglobin $A_{1c}$ ($HbA_{1c}$) levels and weights were measured every 3 months. Results: The dapagliflozin group showed a greater decrease in $HbA_{1c}$ levels after 3 months (-0.75% vs. 0.01%, P<0.001), 6 months (-0.36% vs. 0.08%, P=0.029), and 9 months (-0.53% vs. 0.08%, P=0.046) compared to the sitagliptin group. Also, the dapagliflozin group showed a greater significant decrease in the rate of change in $HbA_{1c}$ levels after 3 months (-0.09 vs. 0.01, P<0.001), 6 months (-0.04 vs. 0.01, P=0.031), 9 months (-0.07 vs. 0.02, P=0.029), and 12 months (-0.05 vs. 0.05, P=0.047). Furthermore, the dapagliflozin group showed a greater decrease in amount of weight change after 3 months (-2.46 kg vs. 0.37 kg, P<0.001), 6 months (-3.02 kg vs. 0.13 kg, P<0.001), and 9 months (-2.27 kg vs. 0.50 kg, P=0.002). Finally, the dapagliflozin group showed a greater decrease in the rate of change in weight after 3 months (-3.10% vs. 0.52%, P<0.001), 6 months (-3.83% vs. 0.21%, P<0.001), 9 months (-2.84% vs. 0.79%, P=0.002), and 12 months (-4.91% vs. 0.44%, P<0.001). Conclusions: It was concluded that dapagliflozin is more effective than sitagliptin for type 2 diabetic patients.

Clinical evaluation of full mouth disinfection therapy (Full mouth disinfection therapy의 단기간 임상 효과 연구)

  • Cho, Ik-Hyun;Jung, Ui-Won;Cha, Jeong-Heon;Kim, Joong-Su;Lee, Dae-Sil;Kim, Chang-Seong;Kim, Chong-Kwan;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.35 no.3
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    • pp.597-608
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    • 2005
  • The aim of this study is to determine whether full-mouth disinfection therapy(FMT) in our clinical setting would show better improvement of clinical parameters than partial mouth disinfection therapy(PMT) in chronic periodontitis and aggressive periodontitis patients. Among 12 patients, 6 were treated FMT and other 6 were treated PMT. Clinical parameters were calculated 3 months and 6 months after initial therapy. 1. There were no statistically significant differences between FMT and PMT in the reduction rate of bleeding on probing after 3 months, 6 months 2. Initial probing depth was 4-6mm, the mean probing depth after 3 months was 2.2mm vs 2.5mm(FMT vs PMT), after 6 months was 2.4mm vs 2.8mm. This was significantly lower in the FMT groups. 3. Initial probing depth was ${\geqq}$ 7mm, the reduction rate of mean probing depth during first 3 months was 4.8mm vs 4.1mm(FMT vs PMT), and 3 to 6 months was 0.5mm vs 0.3mm. This was significantly larger in the FMT groups. 4. Initial probing depth was 4-6mm, the mean clinical attachment level after 3 months was 2.3mm vs 2.7mm(FMT vs PMT), after 6 months was 2.7mm vs 3.0mm. This was significantly lower in the FMT groups. 5. Initial probing depth was ${\geqq}$ 7mm, the reduction rate of mean probing depth during first 3 months was 4.0mm vs 3.0mm(FMT vs PMT), and 3 to 6 months was 0mm vs -0.1mm. This was significantly larger in the FMT groups. Although the results provided us with succeccful clinical improvement in aggressive periodontitis, further research is needed to prove its additional benefit in the treatment of chronic periodontitis

The Efficacy of Low-dose Aspirin Therapy for Controlled Ovarian Hyperstimulation in IVF-ET (체외수정시술 환자의 과배란유도시 저용량 아스피린 투여의 효용성에 관한 연구)

  • Lee, Eun-Sil;Lee, Sang-Hoon
    • Clinical and Experimental Reproductive Medicine
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    • v.28 no.3
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    • pp.225-233
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    • 2001
  • Objective : To evaluate the efficacy of low-dose aspirin on IVF outcome and endometrium in patients undergoing IVF-ET. Materials and Methods : From February, 2001 to Jun, 2001, 60 infertile patients were randomly divided into study group (28 cycles) and control group (32 cycles). The study group received a daily oral dose of 25 mg of aspirin for at least 2 weeks from first visiting day. Controlled ovarian hyperstimulation was initiated in all patients with the GnRH agonist starting in the midluteal phase of the previous cycle. Results: There were no significant differences in age of the patients, basal serum E2, LH, FSH level and endometrial thickness among two groups. There were no statistically significant differences between the study group and the control group respectively in dosage ($26.5{\pm}4.8$ vs $26.2{\pm}5.3$ amples) and duration ($10.4{\pm}4.2$ vs $9.8{\pm}5.3$ days) of gonadotropin administration, serum E2 level on the hCG administration day ($1823{\pm}342$ vs $1854{\pm}543$), LH ($14.5{\pm}2.7$ vs $14.8{\pm}3.1$), FSH ($16.7{\pm}3.4$ vs $18.3{\pm}4.7$), the number of follicles > 15 mm ($13.2{\pm}6.3$ vs $12.8{\pm}5.9$), the number of oocytes retrieved ($9.2{\pm}2.4$ vs $8.4{\pm}1.7$), the number of embryos transferred ($4.7{\pm}2.0$ vs $4.7{\pm}2.0$), fertilization rate (68.4% vs 64.5%), implantation rate (21.3% vs 17.6%), and clinical pregnancy rate (28.4% vs 26.2%). The endometrial thickness and the percentage of endometrial trilaminar pattern on hCG day were significantly higher in study group than control group ($12.9{\pm}3.7mm$ vs $10.4{\pm}2.8mm$, 78.3% vs 64.5%). Conclusion: Many reports suggest that low-dose aspirin improve ovarian response, implantation rate, fertilization rate, implantation rate, and pregnancy rate by increasing the blood flow, but we couldn't prove the significant effect of low-dose aspirin on the IVF outcome except on endometrium. This may be affected by dose of aspirin, duration, and number of patients studied. This trial is small, so our results highlight the need for a large randomized controlled trial to identify the effect of low-dose as pirin on IVF-ET outcome.

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Influence on Intra-limb Coordination in Individuals Wearing a Knee Extension Constraint Brace during Walking (무릎 신전 제한형 보조기 착용이 보행 시 하지 내 협응에 미치는 영향)

  • Chang, Yoonhee;Jeong, Bora;Kang, Sungjae;Ryu, Jeicheong;Kim, Gyu Seok;Mun, Museong;Ko, Chang-Yong
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.3
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    • pp.207-214
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    • 2016
  • The aim of this study was to evaluate Influence on intra-limb coordination in individuals wearing knee brace during walking. Seven healthy male adults ($32.3{\pm}2.7$ years old, $175.2{\pm}3.8cm$, $76.2{\pm}8.7kg$) participated. They wore knee brace or didn't wear any knee brace and were asked to walk along a 10 m long walkway. Spatiotemporal parameters, angles of the lower limbs, and intra-limb continuous relative phase (CRP) were measured and calculated. No differences of spatiotemporal parameters were shown (all p > 0.05). There were no changes in the angle and its range of motion (ROM) in the hip for the subjects as wearing knee brace, while ROM ($65.5{\pm}3.7^{\circ}$ vs. $60.5{\pm}3.5^{\circ}$, p < 0.05) of the angle and maximum flexion angles (stance: $31.9{\pm}4.6$ vs. $25.6{\pm}5.5$, swing: $76.7{\pm}3.1$ vs. $68.9{\pm}3.4$, all p < 0.05) in the knee significantly decreased. No changes in ROM of angle in the ankle were shown, whereas maximum dorsiflexion decreased ($22.4{\pm}2.6$ vs. $19.2{\pm}2.1$, p < 0.05) and maximum plantarflexion increased ($9.5{\pm}3.0$ vs. $15.7{\pm}2.2$, p<0.05). There were no changes in most of CRP between joints. CRP between the hip and knee joints decreased ($93.0{\pm}7.8$ vs, $84.7{\pm}4.9$, p < 0.05). Most of CRP standard deviation increased (between the hip and ankle joint during swing: $25.1{\pm}6.7$ vs. $32.4{\pm}1.9$, between the knee and ankle joint during stance: $46.0{\pm}12.9$ vs. $80.1{\pm}31.1$, between the knee and ankle joint during swing: $34.5{\pm}4.1$ vs. $37.6{\pm}3.1$, all p < 0.05). These results indicated that wearing knee brace affected joint angle and intra-limb coordination, but less affected gait features.

Effects of Deletion of Ca Supplement (limestone) on Growth and Beef Quality in Hanwoo Finishing Steers (한우 비육후기 사료에 칼슘 첨가제(석회석) 제거가 성장 및 육질특성에 미치는 영향)

  • Lee, C.E.;Park, N.K.;Seong, P.N.;Jin, S.H.;Park, B.Y.;Kim, K.I.
    • Journal of Animal Science and Technology
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    • v.45 no.3
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    • pp.455-462
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    • 2003
  • A study was conducted to determine the effects of feeding a diet containing no Ca supplement (limestone) during the late finishing period on growth, marbling and serum 1,25-dihydroxy vitamin $D_3$ level in Korean native cattle. Twenty-four steers (20${\sim}$24 mo of age) were divided into two groups of 12 each: one group assigned to a control diet (concentrates containing 2.5% limestone) and the other to a diet containing no calcium supplement. They were allowed to have free access to diets (concentrates and orchard grass hay) and water during the entire feeding period (223 d). Serum $Ca^{2+}$, Ca and P concentrations were not influenced by diets, but serum 1,25-dihydroxy vitamin $D_3$ concentrations determined 2 or 6 mo after the beginning of feeding the experimental diets were higher (P<0.01) in steers fed the diet without Ca supplement than in those fed the control diet (78.3 vs 51.7 and 80.3 vs 51.1 pg/mL, respectively). Steers fed the diet without Ca supplement tended to have a higher intake of concentrates, but a lower intake of hay, compared to those fed the control diet. Average daily gain was higher (P<0.05) in steers fed the diet without Ca supplement than in those fed the control diet. Feeding the diet without Ca supplement remarkably (P<0.01) increased the marbling score (5.1 vs 2.2) and the muscle (M. longissimus dorsi) fat content (10.2 vs 6.7%) with a concomitant decrease in moisture content (67.6 vs 70.4%), compared to feeding the control diet. Ribeye area was increased (77.2 vs 82.8 $cm^2$) with the diet without Ca supplement, compared to the control diet (P<0.05). Meat color, pH and water-holding capacity in longissimus muscle were not different between the two groups. The Warner-Brazler Shear (WBS) force of the longissimus muscle was slightly (P=0.08) lower in steers fed the diet without Ca supplement than in steers fed the control diet (2.9 vs 3.2 kg/1.27-cm diameter core). Sensory evaluation showed that feeding the diet without Ca supplement slightly (P<0.05) improved tenderness (4.9 vs 4.5) and flavor (4.9 vs 4.6), compared to feeding the control diet, but juiciness was not affected by diets. Results showed that deletion of Ca supplement from finishing diets is beneficial, increasing growth and marbling partly through an increased energy intake and induced 1,25-dihydroxy vitamin $D_3$ synthesis that may increase intracellular $Ca^{2+}$ concentration and in turn fat synthesis.

Growth and Carcass Characteristics of Goats Given Diets Varying Protein Concentration and Feeding Level

  • Shahjalal, M.;Bishwas, M.A.A.;Tareque, A.M.M.;Dohi, H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.13 no.5
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    • pp.613-618
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    • 2000
  • Twelve castrated male Black Bengal goats with an average live weight of 10.3 kg (8 months old) were used in a $2{\times}2$ factorial arrangement to study the effects of dietary crude protein concentration [20.3% (HP) and 16.9% (LP)] and feeding level [ad libitum and 85% of ad libitum (restricted)] on growth and carcass characteristics. Ad libitum feeding, on average, significantly (p<0.05 to p<0.01) increased daily live weight (6.27 vs -5.86 g), dry mater intake (409 vs 351 g/d), estimated gain in carcass (0.195 vs -0.200 kg) and empty body weight (0.385 vs -0.350 kg), chemically extracted fat in meat sample (6.89 vs 6.48%), depth of M. longissimus dorsi (22.1 vs 18.3 mm) and gut and caul fat (170 vs 130 g) compared with restricted feeding regime. The greater intake of dietary protein from the HP diet resulted in significantly (p<0.05 to p<0.01) greater values for depth (20.9 vs 19.5 mm) and width (32.4 vs 27.9 mm) of M. longissimus dorsi, gut and caul fat (190 vs 110 g) and also perirenal and retroperitoneal fat (85 vs 50 g) than those of the goats that received the LP diet. Similarly, the HP diet had significantly (p<0.05 to p<0.01) higher values for CP digestibility and DCP concentration than those of the LP diet. The results indicated that growth rate and carcass gain were highest in goats fed the HP diet ad libitum and therefore, diet containing 20.3% CP may be suggested for feeding growing goats.

Comparison of Anaerobic Digestion for food wastewater and food waste by HADS Pilot Plant (HADS Pilot Plant를 이용한 음폐수와 음식물쓰레기의 혐기성 소화 비교)

  • Ju, Donghun;Lee, Jungmin;Park, Seongbum;Sung, Hyunje
    • 한국신재생에너지학회:학술대회논문집
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    • 2010.06a
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    • pp.245-245
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    • 2010
  • 우리나라 생활폐기물 중 음식물쓰레기는 가장 많은 부분을 차지하고 있다. 또한, 음식물쓰레기에서 발생되는 음폐수의 발생량은 8,926톤/일에 달하고 있지만, 이 중 극히 일부만이 하수처리장 등에서 병합 처리되고 있고 대부분은 해양 투기되고 있는 실정이다. 이에 본 연구에서는 독일 GBU사로부터 중온/습식/이상 혐기성 소화 기술을 도입하여 HADS Pilot Plant를 설치하였고, 2008년 3월부터 국내 음폐수 및 음식물쓰레기에 적합한 최적의 운전기술을 확보하기 위한 Pilot Test를 실시하였다. 본 실험에 사용된 HADS Pilot Plant는 산발효조($6m^3$), 메탄발효조($50m^3$), 안정화조/가스저장조($40m^3$)그리고 가스 소각기로 구성되어 있다. 그리고 적용 음폐수 및 음식물쓰레기는 경기도 Y군에 위치한 사료화 시설에 반입되는 것을 이용하였는데 음폐수는 평균 TS 13.5%, VS 80%, pH $3.7{\pm}0.2$의 성상을 나타내었다. 이를 이용해 계단식으로 유기물 부하를 증가시키면서 $4kgVS/m^3/d$까지 적용하며 중온 상태에서 혐기성 소화를 실시한 결과, $0.8Nm^3/kgVS_{rem}/d$의 바이오가스 회수 및 85%의 VS 감량이 가능함을 확인하였다. 그리고 음식물쓰레기는 음폐수와 달리 1차 파쇄/선별기 및 배관상에 설치되는 2차 미세파쇄/선별기를 통한 전처리를 실시하였고, 1차 파쇄/선별 후 평균적으로 TS가 17.4%, VS는 81%, pH는 $3.85{\pm}0.2$의 성상을 나타내는 음식물쓰레기를 2차 미세파쇄/선별기를 거쳐 Pilot Plant의 산발효조에 투입하여 중온상태에서 혐기성 소화를 실시하였다. 음폐수 적용시와 마찬가지로 계단식으로 유기물 부하를 증량하면서 $4kgVS/m^3/d$까지 적용하여 운전하였고, 그 결과 약 $0.9{\sim}1.2Nm^3/kgVS_{rem}/d$의 바이오가스 회수와 85~87%의 VS 감량 효율을 확인하였다. 음폐수와 음식물쓰레기의 혐기성 소화 실험 결과, 제거된 VS량을 기준으로 보았을 때, 음식물쓰레기에서 더 많은 바이오가스 발생하였는데 이는 음식물쓰레기에 존재하는 고형물이 미생물들의 서식 공간으로 활용됨에 따라 혐기성 소화 과정에서 일어나는 혼합 발효 및 공영양 대사가 음폐수 대비 좀 더 수월하게 일어날 수 있게 된 데에 따른 결과라고 생각된다. 당사의 HADS Pilot Plant test에서는 계단식의 순차적인 유기물 부하 증량과 총VFA/총 알카리도 비율을 0.3~0.4 수준이하로 유지하며 운전함에 따라 음폐수와 음식물 모두에서 안정적으로 $4kgVS/m^3/d$까지의 유기물 부하 적용이 가능하였다. 또한, 생산된 바이오가스 내 메탄의 함량은 60~65%를 유지하였으며, 메탄발효조의 pH는 별도의 조절이 없이도 운전기간 동안 평균 7.8~7.9 수준을 유지하였다. 이처럼 pH 3.7~3.8의 음폐수 또는 음식물쓰레기의 투입에도 안정적인 완충능력을 보여준 것은 소화조 내에서 기질로부터 분해되어져 나오는 암모니아와 이산화탄소가 강력한 버퍼 시스템을 구축하고 있음에 따른 결과로 사료된다. 그리고 음폐수와 음식물쓰레기의 경우 모두 85%이상의 높은 VS 제거율을 보여주었는데 이는 당사의 HADS Pilot Plant 소화조의 구조가 내통과 외통으로 구분되어져 있음에 따라 plug flow + CSTR의 특징을 가짐에 따른 결과로 판단된다. 상기한 결과를 바탕으로 향후에는 $5kgVS/m^3/d$ 수준의 유기물 부하 적용운전도 계획하고 있다.

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Mixture treatment of food waste and sewage sludge using pilot scale anaerobic digester (Pilot scale 2단 혐기성 소화조를 이용한 음식물쓰레기와 하수슬러지의 혼합처리)

  • Park, Nam-bae;Lee, Heon-Mo;Lee, Byung-Heon
    • Journal of the Korea Organic Resources Recycling Association
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    • v.7 no.2
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    • pp.47-55
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    • 1999
  • Recently, the treatment of that wastes according to increase of food waste has been a great problem of modern society for long time. This study was aimed to evaluate possibility for food waste and sewage sludge mixture treatment using pilot scale two-phase anaerobic digester. Pilot scale two-phase anaerobic digestion system was performanced at 1 : 9 mixture ratio of food waste and sewage sludge infield. The detention time of digester was 20days. The average COD and VS removal efficiencies in organic loading rate $3.03kg\;TCOD/m^3-day$ were 57.7 and 47.7%, and the gas production rate and methane content were $0.4m^3/kg$ VS-day and 65.3%, respectively. TS, VS and VS/TS(%) of mixing tank were 4.44%, 2.59% and 58.34%, respectively and TS. VS and VS/TS(%) of digester in steady state were 3.32%, 1.39% and 41.90%, respectively, Through this study. it was possible to accomplish effective mixture treatment of the sewage sludge and food waste.

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Effects of Organic Content on Anaerobic Biodegradability of Sludge Generating from Slaughterhouse

  • Oh, Seung-Yong;Kim, Ho;Kim, Chang-Hyun;Kim, Seung-Hwan;Yoon, Young-Man
    • Korean Journal of Soil Science and Fertilizer
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    • v.46 no.4
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    • pp.296-302
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    • 2013
  • This study was carried out to investigate the effect of organic content level on ultimate methane potential and anaerobic biodegradability of substrate by biochemical methane potential assay. Three organic matters (whole sludge and liquid and solid fraction of sludge) of the same origin, which had different organic contents, were fermented at the batch anaerobic reactor for 70 days. Ultimate methane potential and anaerobic biodegradability were determined by the terms of volatile solid (VS) and chemical oxygen demand (COD). Volatile solid contents of whole sludge and solid and liquid fraction of sludge were 2.4, 18.8, and 0.2% and COD were 5.3, 30.4, and 0.5%, respectively. Ultimate methane potentials ($B_u$-COD) and anaerobic biodegradability ($D_{VS}$) determined by VS content were $0.5Nm^3kg^{-1}-VS_{added}$, 76.3% for whole sludge, $0.5Nm^3kg^{-1}-VS_{added}$, 76.3% for the liquid fraction of sludge, and $0.6Nm^3kg^{-1}-VS_{added}$, 77.0% for the solid fraction of sludge. Ultimate methane potentials ($B_u$-COD) and anaerobic biodegradability ($D_{COD}$) determined by COD were $0.2Nm^3kg^{-1}-COD_{added}$, 73.4% for whole sludge, $0.2Nm^3kg^{-1}-VS_{added}$, 74.0% for the liquid fraction of sludge, and $0.33Nm^3kg^{-1}-COD_{added}$, 99.1% for the solid fraction of sludge. In conclusion, ultimate methane potential and anaerobic biodegradability given by the VS term showed more reasonable results because COD might be underestimated by the interference of $NH_4{^+}$ in the case of highly concentrated organic material.