ICUAP is independently associated with increased hospital mortality. Handgrip strength is also independently associated with poor hospital outcome and may serve as a simple test to identify ICUAP. Clinical trial registered with www.clinicaltrials.gov (NCT00106665).

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The recalcitrant nature of polyvinyl chloride creates serious environmental concerns during manufacturing and waste disposal. The present study was aimed to isolate and screen different soil fungi having potential to biodegrade PVC films. After 10 months of soil burial experiment, it was observed that a number of fungal strains were flourishing on PVC films. On morphological as well as on 18rRNA gene sequence and phylogenetic basis they were identified as Phanerochaete chrysosporium PV1, Lentinus tigrinus PV2, Aspergillus niger PV3, and Aspergillus sydowii PV4. The biodegradation ability of these fungal isolates was further checked in shake flask experiments by taking thin films of PVC (C source) in mineral salt medium. A significant change in color and surface deterioration of PVC films was confirmed through visual observation and Scanning electron microscopy. During shake flask experiments, P. chrysosporium PV1 produced maximum biomass of about 2.57 mg ml(-1) followed by A. niger PV3. P. chrysosporium PV1 showed significant reduction (178,292 Da(-1)) in Molecular weight of the PVC film than control (200,000 Da(-1)) by gel permeation chromatography. Furthermore more Fourier transform infrared spectroscopy and nuclear magnetic resonance also revealed structural changes in the PVC. It was concluded that isolated fungal strains have significant potential for biodegradation of PVC plastics.

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The fungal strain, Aspergillus niger SA1, isolated from textile wastewater sludge was screened for its decolorization ability for four different textile dyes. It was initially adapted to higher concentration of dyes (10-1,000 mg l -1 ) on solid culture medium after repeated subculturing. Maximum resistant level (mg l -1 ) sustained by fungal strain against four dyes was in order of; Acid red 151 (850) [ Orange II (650) [ Drimarene blue K 2 RL (550) [ Sulfur black (500). The apparent dye removal for dyes was seen largely due to biosorption/bioadsorption into/onto the fungal biomass. Decolorization of Acid red 151, Orange II, Sulfur black and Drimarine blue K 2 RL was 68.64 and 66.72, 43.23 and 44.52, 21.74 and 28.18, 39.45 and 9.33% in two different liquid media under static condition, whereas, it was 67.26, 78.08, 45.83 and 13.74% with 1.40, 1.73, 5.16 and 1.87 mg l -1 of biomass production under shaking conditions respectively in 8 days. The residual amount (mg l -1 ) of the three products (a-naphthol, sulfanilic acid and aniline) kept quite low i.e., £2 in case AR 151 and Or II under shaking conditions. Results clearly elucidated the role of Aspergillus niger SA1 in decolorizing/degrading structurally different dyes into basic constituents.

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Attached growth processes for wastewater treatment have significantly been improved during recent years. Their application can be extended to sustainable municipal wastewater treatment in remote locations and in developing countries for the purpose of organic matter (biochemical oxygen demand, BOD) removal and pathogenic decontamination. The aim of this study is to assess selected packing media for biological trickling filters (BTFs) and to develop a simplified model for describing the capacity of BOD removal in BTFs. In this work, BTFs with four different media viz., rubber, polystyrene, plastic and stone have been investigated at two temperature ranges of 5-15°C and 25-35°C. The average removal of both chemical oxygen demand and BOD was higher than 80 and 90% at temperature ranges of 5-15 and 25-35°C, respectively. The geometric mean of faecal coliforms in BTF using polystyrene, plastic, rubber and stone as filter media was reduced by 4.3, 4.0, 5.8 and 5.4 log10, respectively, at a low temperature range of 5-15°C. At a higher temperature range of 25-35°C, the faecal coliform count was reduced by 3.97, 5.34, 5.36 and 4.37 log10 from polystyrene, plastic, rubber and stone media BTF, respectively. Simplified model was developed and used to estimate the optimal BOD loading rates (Bvd) for designing robust BTF systems, with appropriate filter media. It has been concluded that highly efficient BTFs can be designed using various filter media, which may be capable of treating organic loading rates of more than 3 kg BOD/m3 day. These types of BTFs can be applied for the BOD and microbial contaminants removal of wastewater for potential reuse in developing countries.