Branchial apparatus anomalies usually manifest in teenage or early adult life. Infection complicates
second branchial pouch anomalies usually presented as a neck lump or discharging sinus. It is the most common
form of anomalies compared to another branchial pouch aberrant. However, it is extremely rare to find a
complete branchial fistula with both internal and external openings. Misdiagnosis usually occurs leading to
inappropriate and suboptimal treatment. Here, we report of a case of complete second branchial pouch fistula
and discuss the clinical presentation and surgical management of such lesion.
The removal of concentrated colour (around 5039 Pt-Co) and chemical oxygen demand (COD; around 4142 mg L-1) from matured landfill leachate through a novel combination of humic acid extraction and coagulation with natural oil palm trunk starch (OPTS) was investigated in this study. Central composite design from response surface methodology of Design Expert-10 software executed the experimental design to correlate experimental factors with desired responses. Analysis of variance developed the quadratic model for four factors (e.g. coagulant dosage, slow mixing speed and time and centrifugation duration) and two responses (% removal of colour, COD). The model confirmed the highest colour (84.96%) and COD (48.84%) removal with a desirability function of 0.836 at the optimum condition of 1.68 g L-1 coagulant dose, 19.11 rpm slow mixing speed, 16.43 minutes for mixing time and 35.75 minutes for centrifugation duration. Better results of correlation coefficient (R2 = 0.98 and 0.96) and predicted R2 (0.94 and 0.84) indicates the model significance. Electron microscopic images display the amalgamation of flocs through bridging. Fourier transforms infrared spectra confirmed the existence of selected organic groups in OPTS, which eventually signifies the applied method.
Heterogeneous combinations of organic compounds (humic acid (HA) and fulvic acid) are the prime factor for the high concentration of colour and chemical oxygen demand (COD) in semi-aerobic stabilized landfill leachate. These organics are less biodegradable and cause a severe threat to environmental elements. Microfiltration and centrifugation processes were applied in this study to investigate the HA removal from stabilized leachate samples and its corresponding interference with COD and colour. The three-stage extraction process recovered a maximum of 1412 ± 2.5 mg/L (Pulau Burung landfill site (PBLS) leachate), 1510 ± 1.5 mg/L (Alor Pongsu landfill site (APLS leachate) at pH 1.5 and 1371 ± 2.5 mg/L (PBLS) and 1451 ± 1.5 mg/L (APLS) of HA (about 42% of the total COD concentration) at pH 2.5, which eventually indicates the process efficiency. Comparative characteristics analysis of recovered HA by scanning electron microscopy, energy-dispersive X-ray, X-ray photoelectron spectroscopy, and Fourier transform infrared significantly indicate the existence of identical elements in the recovered HA compared with the previous studies. The higher reduction (around 37%) in ultraviolet (UV) absorbance values (UV254 and UV280) in the final effluent indicates the elimination of aromaticity and conjugated double-bond compounds from leachate. Moreover, 36 and 39% COD and 39 and 44% colour removal exhibit substantial interference.
This study involved synthesising new hybrid polymers called ZOPAT, made up of zinc oxide, acrylamide, and tannin, using a blended technique. The effectiveness of ZOPAT in treating textile wastewater was then tested by measuring floc growth rate, flocculation index, strength factor, and recovery factor under optimised conditions. The study also identified the zeta potential, morphology, elemental composition, and functional groups of the polymers. Response surface methodology determines the optimal pH and ZOPAT dose, resulting in 93% colour, 80% chemical oxygen demand (COD), 100% turbidity, and suspended solids (SS) removal at pH 9.22 and 737 mg/L ZOPAT. The study found that ZOPAT was more effective than commercial Polyaluminium chloride in reducing colour and COD, producing larger and stronger flocs, and requiring a shorter coagulation time of 17.5 min. ZOPAT was also easy to homogenise and operate due to its one-unit dosing system. The study attributes the success of ZOPAT to the presence of Zn, N, and K, which create electrostatic attraction with opposite charged particles, and the formation of dye-particle-dye with amide, hydroxyl, and carboxyl groups in ZOPAT, which remove colour, turbidity, COD, and SS. Overall, the study concludes that ZOPAT has significant potential for textile wastewater treatment.