Es wurde ein zweistufiger, indirekter enzymatischer Assay (Fibrinolytische-Kapazität, FC) in zwei Varianten (basal, aktiviert) vorgestellt, der summarisch Störungen der Fibrinolyse erfasst, da in ihn die Gesamtaktivität der Aktivatoren und Inhibitoren des Plasmas einfließt. In der ersten Stufe wird Plasma Urokinase zugeführt, welche mit Plasminogenaktivatorinhibitoren interagiert. Die noch freie Urokinase aktiviert Plasminogen zu Plasmin. Die plasmatischen Antiplasmine, hauptsächlich alpha 2-Antiplasmin, werden oxidativ mit Taurin-Chloramin inaktiviert. Schließlich wird die resultierende Plasminmenge mit einem chromogenen Substrat quantifiziert. In einer zweiten Variante wird die kontaktphasenabhängige Fibrinolyse vorher sehr potent mit Dextransulfat stimuliert. Zur Validierung wurde der Einfluss von PAI-1, Fibrinogen und Plasminogen untersucht. Störgrößen wie Antioxidantien, parenterale Antikoagulantien, Phenprocoumon, Aprotinin, Tranexamsäure, Thrombozyten und Bilirubin wurden ebenfalls untersucht. Zusätzlich wurde der Test anhand eines Normal-, Thrombose- und Schwangerenkollektives sowie zweier kleiner Kollektive (Schwangere und Patienten unter oraler Antikoagulation) im Zeitverlauf untersucht. Beide FC-Varianten bilden dabei die prothrombotischen Faktoren unterschiedlich ab. In der Regressionsanalyse reagiert die basale FC eher auf Veränderungen der PAI-1- und Plasminogenkonzentrationen, die aktivierte FC eher auf Plasminogen und Thrombose. Thrombose wird durch die aktivierte FC besser als durch die basale FC diagnostiziert (beta-Koeffizienten für Thrombose -0,12 vs. -0,26, Zusammenhangsmaß Eta² von FC und Thrombose 5,6% vs. 9,9%, Entscheidungsgrenze (Cut-Off) für Thrombose 33,0% vs. 66,2% für basale bzw. aktivierte FC). Beide FC-Varianten besitzen ähnliche Sensitivität, Spezifität, prädiktive Werte und relative Risikos für Thrombose bei FC-Werten unterhalb der Entscheidungsgrenze. Die Thromboseerkennbarkeit ist für beide Varianten gleichwertig bei einer Übereinstimmung untereinander von 61,3% (Cohen-Kappa-Koeffizient). Bei der Abklärung einer akuten Thrombose ist dieser Fibrinolyse-Globaltest in der Lage, Ursachen innerhalb des fibrinolytischen Systems zu erkennen. / A two-step indirect enzymatic assay (fibrinolytic capacity, FC) was presented in two variations (basal, activated) detecting the total fibrinolytic disturbances by its ability to assess the entire plasmatic activity of activators and inhibitors. In the first step urokinase is added to plasma, which interacts with plasminogen-activator-inhibitors. The remaining urokinase activated plasminogen to plasmin. The plasmatic antiplasmines, mainly alpha 2-antiplasmine were oxidative inhibited with taurine-chloramine. Finally the resulting amount of plasmin was quantified using a chromogenic substrate. In a second variation the contact-phase fibrinolysis was highly stimulated with dextran-sulfate. The influence of PAI-1, fibrinogen and plasminogen were analysed including disturbing substances such as antioxidants, parenteral anticoagulants, phenprocoumon, aprotinine, tranexamic acid, platelets and bilirubine. In addition, validation was performed including healthy individuals, patients with thrombosis and pregnant women and two small cohorts (pregnant women and patients under oral anticoagulation) over time. The prothrombotic factors were differently represented by the two FC-variations. In the regression analysis the basal FC reacted predominantly to alterations in the concentration of PAI-1 and plasminogen. In contrast the activated FC was more likely affected by plasminogen and thrombosis. The activated FC was more sensitive in the detection of thrombosis than the basal FC (with a beta-coefficient for thrombosis -0,12 vs. -0,26, a coefficient of strength of association eta² from FC with thrombosis 5,6% vs. 9,9% and a cut-off for thrombosis 33,0% vs. 66,2% for basal and activated FC respectively). Below these cut-offs both FC-variations had equal sensitivity, specificity, predictive values and relative risks in the detection of thrombosis by FC-values. The ability to detect thrombosis were equally with a correspondence of 61,3% (Cohen-Kappa-coefficient). This fibrinolytic global-test is able to identify the underlying cause within the fibrinolytic system for the a clarification of acute thrombosis.

According to estimates of the United Nations Environment Programme (UNEP), more than 1.8 billion people will be living in countries or regions with absolute water scarcity by 2025. The pressure on water resources is increased not only in arid and semiarid regions, but also in fast growing megacities around the world as a result of, amongst other factors, the changing nutritional and consumer behavior (rising living standards). Over 90 % of the annual water consumption of the newly industrializing and developing countries in the arid and semiarid climate zone is used for agricultural irrigation to ensure the nutrition of the population. Thus, since the beginning of the 20th century, the planned/controlled reuse of wastewater has developed into a central task of the sustainable water resources management. Wastewater represents a valuable resource in view of its composition (e. g. nutrients P, N for soil fertilizing) and its reliable, weather-independent availability in every household. The establishment of a closed-loop water management can enhance the efficiency of water usage. Therefore, activities in research and development are currently focused on decentralized and semi-centralized concepts, since their structures offer better conditions for the establishment of closed-loop systems and innovations in wastewater technology can be implemented more easily. In general, the hygienic quality requirements for wastewater reuse are predominantly oriented towards the planned usage. These are, in turn, regulated by thresholds and guidance values, e. g. for faecal indicator bacteria (e. g. faecal coliforms: E. coli), in widely differing norms and legal provisions specific to the respective countries. In Germany since 2005, small wastewater treatment plants can obtain the discharge class +H by the German Institute for Civil Engineering (DIBt: Deutsches Institut für Bautechnik) if secondary effluents contain less than 100 faecal coliforms (E. coli) per 100 mL. This ensures a safe effluent seepage in karst and water protection areas. Due to the infectious risk caused by a multitude of pathogens (bacteria, viruses, worm eggs, protozoa) which are still contained in wastewater after mechanical-biological treatment, specific disinfection methods are indispensable for their satisfactory reduction. Demands on disinfection methods for wastewater reclamation are quite complex. They should be characterized by a high and constant disinfection efficiency at low or moderate formation of disinfection by-products. The reclaimed wastewater should be able to be stored safely. Moreover, the disinfection method should be technically simple, scaleable, space-saving, subjected to low maintenance and realized at moderate investment and operating costs without applying external toxic chemicals. Established methods in decentralized wastewater disinfection are mainly based on membrane and UV technologies. However, these methods are currently working under high operating costs (high maintenance and cleaning efforts). Furthermore, the high investment costs of the membrane filtration are disadvantageous. In addition, both methods do not provide a disinfection residual. Thus, further research is required for the development and testing of alternative disinfection technologies. Against this background, the applicability of the electrolysis and UV/electrolysis hybrid technology for the decentralized wastewater reclamation was investigated and assessed in this dissertation. Results have shown that the electrochemical disinfection of biologically treated wastewater represents an efficient method at temperatures of > 6 °C, pH values of < 8.5 and DOC con-centrations of < 22 mg L-1. Under these conditions, an E. coli reduction of four log levels was achieved at a concentration of free chlorine ranging from 0.4 mg L-1 to 0.6 mg L-1 and at an after-reaction time of 15...20 min. However, it becomes simultaneously apparent that low temperatures, high pH values and high DOC concentrations are limiting parameters for this disinfection method to reclaim biologically treated wastewater. A high energy consumption of the electrolysis cell equipped with boron-doped diamond (BDD) electrodes (2...2.6 kWh m-3) represents a further unfavourable effect. Moreover, the undesired formation of chlorate (c = 1.3 mg L-1) and perchlorate (c = 18 mg L-1) at BDD electrodes can be considered as critical, since these disinfection by-products are, amongst others, human-toxicologically relevant. The concentration of adsorbable organically bound halogens (AOX) and trihalomethanes (THMs) proved to be marginal to moderate. Due to the synergistic effect of the combined application of UV irradiation (primary disinfection method) and electrolysis, the disadvantages of the single methods can be compensated. Decisive drawbacks of UV irradiation are photo and dark repair mechanisms of reversibly damaged bacteria. It was observed that the reactivation of reversibly UV-damaged E. coli even occurs at low temperatures (T = 10 °C) and strongly differing pH values (pH = 5.7...8.1) as well as at low light intensities and in darkness to an extent excluding a safe usage and storage of the reclaimed wastewater. The reactivation processes might be lowered by increased UV fluences. However, this is limited by high concentrations of total suspended solids (TSS). In spite of high UV fluences of > 400 J m-1, no complete removal of E. coli bacteria can be achieved at TSS concentrations of > 17 mg L-1. Therefore, it is indispensable to prevent bacterial reactivation caused by photo and dark repair processes. This topic was studied in the current work by electrochemically produced oxidants using an electrolysis cell positioned downstream of the UV unit. Results have shown that photo and dark reactivation were completely prevented by oxidants in a total concentration of 0.5...0.6 mg L-1 at a TSS concentration of 8...11 mg L-1, at pH values ranging from 5.7 to 8.1 and at temperatures ranging from 10 °C to 30 °C (t = 24....72 h). Even at a high TSS concentration of 75 mg L-1, the reactivation of E. coli (ctotal oxidants = 1.8 mg L-1) and, up to a TSS concentration of 32 mg L-1, the reactivation of total coliforms (except E. coli, ctotal oxidants = 1.0 mg L-1) can be prevented at a high initial germ concentration of 2…3 105 per 100 mL. The lowest energy consumption could be observed when mixed oxide electrodes (MOX electrodes) were applied. This result and the fact that no chlorate and perchlorate were observed at MOX electrodes argue for the application of these electrodes in practice. All in all, the UV/electrolysis hybrid technology represents an energy-efficient method for reclamation of biologically treated wastewater with TSS concentrations ranging from < 11 to 32 mg L-1 (E = 0.17…0.24 kWh m-3, MOX electrodes). Thereby, the reclaimed wastewater meet the hygienic quality requirements for a multitude of reuse categories starting from agricultural irrigation to urban and recreational reuse. Moreover, the requirements of the discharge class +H (100 faecal coliforms (E. coli) per 100 mL) are complied with reliably. The operational stability of the UV/electrolysis hybrid technology should also be ensured within the required maintenance intervals (t > 6 months). The undesired formation of coverings caused by biofouling processes on quartz glass surfaces could be prevented by electrochemically produced oxidants in a total concentration of 1 mg L-1 within an experimental duration of 5.5 months. However, the application of the UV/electrolysis hybrid technology is limited by increased particle concentrations and faecal loadings (initial E. coli concentration). The resulting enhanced demand of electrochemically produced oxidants for the prevention of bacterial reactivation results in a considerable increase of the electric charge input and energy consumption.

According to estimates of the United Nations Environment Programme (UNEP), more than 1.8 billion people will be living in countries or regions with absolute water scarcity by 2025. The pressure on water resources is increased not only in arid and semiarid regions, but also in fast growing megacities around the world as a result of, amongst other factors, the changing nutritional and consumer behavior (rising living standards). Over 90 % of the annual water consumption of the newly industrializing and developing countries in the arid and semiarid climate zone is used for agricultural irrigation to ensure the nutrition of the population. Thus, since the beginning of the 20th century, the planned/controlled reuse of wastewater has developed into a central task of the sustainable water resources management. Wastewater represents a valuable resource in view of its composition (e. g. nutrients P, N for soil fertilizing) and its reliable, weather-independent availability in every household. The establishment of a closed-loop water management can enhance the efficiency of water usage. Therefore, activities in research and development are currently focused on decentralized and semi-centralized concepts, since their structures offer better conditions for the establishment of closed-loop systems and innovations in wastewater technology can be implemented more easily. In general, the hygienic quality requirements for wastewater reuse are predominantly oriented towards the planned usage. These are, in turn, regulated by thresholds and guidance values, e. g. for faecal indicator bacteria (e. g. faecal coliforms: E. coli), in widely differing norms and legal provisions specific to the respective countries. In Germany since 2005, small wastewater treatment plants can obtain the discharge class +H by the German Institute for Civil Engineering (DIBt: Deutsches Institut für Bautechnik) if secondary effluents contain less than 100 faecal coliforms (E. coli) per 100 mL. This ensures a safe effluent seepage in karst and water protection areas. Due to the infectious risk caused by a multitude of pathogens (bacteria, viruses, worm eggs, protozoa) which are still contained in wastewater after mechanical-biological treatment, specific disinfection methods are indispensable for their satisfactory reduction. Demands on disinfection methods for wastewater reclamation are quite complex. They should be characterized by a high and constant disinfection efficiency at low or moderate formation of disinfection by-products. The reclaimed wastewater should be able to be stored safely. Moreover, the disinfection method should be technically simple, scaleable, space-saving, subjected to low maintenance and realized at moderate investment and operating costs without applying external toxic chemicals. Established methods in decentralized wastewater disinfection are mainly based on membrane and UV technologies. However, these methods are currently working under high operating costs (high maintenance and cleaning efforts). Furthermore, the high investment costs of the membrane filtration are disadvantageous. In addition, both methods do not provide a disinfection residual. Thus, further research is required for the development and testing of alternative disinfection technologies. Against this background, the applicability of the electrolysis and UV/electrolysis hybrid technology for the decentralized wastewater reclamation was investigated and assessed in this dissertation. Results have shown that the electrochemical disinfection of biologically treated wastewater represents an efficient method at temperatures of > 6 °C, pH values of < 8.5 and DOC con-centrations of < 22 mg L-1. Under these conditions, an E. coli reduction of four log levels was achieved at a concentration of free chlorine ranging from 0.4 mg L-1 to 0.6 mg L-1 and at an after-reaction time of 15...20 min. However, it becomes simultaneously apparent that low temperatures, high pH values and high DOC concentrations are limiting parameters for this disinfection method to reclaim biologically treated wastewater. A high energy consumption of the electrolysis cell equipped with boron-doped diamond (BDD) electrodes (2...2.6 kWh m-3) represents a further unfavourable effect. Moreover, the undesired formation of chlorate (c = 1.3 mg L-1) and perchlorate (c = 18 mg L-1) at BDD electrodes can be considered as critical, since these disinfection by-products are, amongst others, human-toxicologically relevant. The concentration of adsorbable organically bound halogens (AOX) and trihalomethanes (THMs) proved to be marginal to moderate. Due to the synergistic effect of the combined application of UV irradiation (primary disinfection method) and electrolysis, the disadvantages of the single methods can be compensated. Decisive drawbacks of UV irradiation are photo and dark repair mechanisms of reversibly damaged bacteria. It was observed that the reactivation of reversibly UV-damaged E. coli even occurs at low temperatures (T = 10 °C) and strongly differing pH values (pH = 5.7...8.1) as well as at low light intensities and in darkness to an extent excluding a safe usage and storage of the reclaimed wastewater. The reactivation processes might be lowered by increased UV fluences. However, this is limited by high concentrations of total suspended solids (TSS). In spite of high UV fluences of > 400 J m-1, no complete removal of E. coli bacteria can be achieved at TSS concentrations of > 17 mg L-1. Therefore, it is indispensable to prevent bacterial reactivation caused by photo and dark repair processes. This topic was studied in the current work by electrochemically produced oxidants using an electrolysis cell positioned downstream of the UV unit. Results have shown that photo and dark reactivation were completely prevented by oxidants in a total concentration of 0.5...0.6 mg L-1 at a TSS concentration of 8...11 mg L-1, at pH values ranging from 5.7 to 8.1 and at temperatures ranging from 10 °C to 30 °C (t = 24....72 h). Even at a high TSS concentration of 75 mg L-1, the reactivation of E. coli (ctotal oxidants = 1.8 mg L-1) and, up to a TSS concentration of 32 mg L-1, the reactivation of total coliforms (except E. coli, ctotal oxidants = 1.0 mg L-1) can be prevented at a high initial germ concentration of 2…3 105 per 100 mL. The lowest energy consumption could be observed when mixed oxide electrodes (MOX electrodes) were applied. This result and the fact that no chlorate and perchlorate were observed at MOX electrodes argue for the application of these electrodes in practice. All in all, the UV/electrolysis hybrid technology represents an energy-efficient method for reclamation of biologically treated wastewater with TSS concentrations ranging from < 11 to 32 mg L-1 (E = 0.17…0.24 kWh m-3, MOX electrodes). Thereby, the reclaimed wastewater meet the hygienic quality requirements for a multitude of reuse categories starting from agricultural irrigation to urban and recreational reuse. Moreover, the requirements of the discharge class +H (100 faecal coliforms (E. coli) per 100 mL) are complied with reliably. The operational stability of the UV/electrolysis hybrid technology should also be ensured within the required maintenance intervals (t > 6 months). The undesired formation of coverings caused by biofouling processes on quartz glass surfaces could be prevented by electrochemically produced oxidants in a total concentration of 1 mg L-1 within an experimental duration of 5.5 months. However, the application of the UV/electrolysis hybrid technology is limited by increased particle concentrations and faecal loadings (initial E. coli concentration). The resulting enhanced demand of electrochemically produced oxidants for the prevention of bacterial reactivation results in a considerable increase of the electric charge input and energy consumption.