Rice husk-based pyrogenic carbonaceous material efficiently promoted peroxymonosulfate activation toward the non-radical pathway for the degradation of pharmaceuticals in water.

Pristine pyrogenic carbonaceous material (BRH) obtained from rice husk and modified with FeCl3 (BRH-FeCl3) were prepared and explored as carbocatalysts for the activation of peroxymonosulfate (PMS) to degrade a model pharmaceutical (acetaminophen, ACE) in water. The BRH-FeCl3/PMS system removed the pharmaceutical faster than the BRH/PMS. This is explained because in BRH-FeCl3, compared to BRH, the modification (iron played a role as a structuring agent mainly) increased the average pore diameter and the presence of functional groups such as -COO-, -Si-O-, or oxygen vacancies, which allowed to remove the pollutant through an adsorption process and significant carbocatalytic degradation. BRH-FeCl3 was reusable during four cycles and had a higher efficiency for activating PMS than another inorganic peroxide (peroxydisulfate, PDS). The effects of BRH-FeCl3 and PMS concentrations were evaluated and optimized through an experimental design, maximizing the ACE degradation. In the optimized system, a non-radical pathway (i.e., the action of singlet oxygen, from the interaction of PMS with defects and/or -COO-/-Si-O- moieties on the BRH-FeCl3) was found. The BRH-FeCl3/PMS system generated only one primary degradation product that was more susceptible to biodegradation and less active against living organisms than ACE. Also, the BRH-FeCl3/PMS system induced partial removals of chemical oxygen demand and dissolved organic carbon. Furthermore, the carbocatalytic system eliminated ACE in a wide pH range and in simulated urine, having a low-moderate electric energy consumption, indicating the feasibility of the carbocatalytic process to treat water polluted with pharmaceuticals.

Factors associated with mortality due to trochanteric fracture. A cross-sectional study.

OBJECTIVE: To explore factors associated with mortality in patients with trochanteric fracture. METHODS: A cross-sectional study was performed in patients with trochanteric fracture treated at Clinica Las Vegas, in Medellín, Colombia, during the period going from January 2008 to December 2015. Information was collected on demographic, clinical variables, surgical complications and mortality. Telephone follow-up was performed up to 6months postoperatively. An exploratory analysis to identify possible factors associated with mortality was conducted. The Chi2 test was used; the strength of the association was assessed through odds ratio (OR) and its respective confidence interval (CI) of 95%. RESULTS: A total of 275 patients diagnosed with trochanteric fracture were included; 16.0% of patients died within 6months following surgery. We found a higher risk of death in patients with surgery after 48hours OR 2.3 (95% CI: 1.0-5.1); acute renal failure featuring OR: 3.4 (95% CI: 1.3-8.8); patients who received blood transfusions in the intraoperative featuring OR: 4.4 (95% CI: 1.7-11.8); with urinary tract infection in the postoperative 7.1 (2.1-24.5); and patients with surgical site infection featuring OR: 5.6 (95% CI: 1.1-28.5). CONCLUSIONS: Trochanteric fracture mortality is associated with acute renal failure, blood transfusion, urinary tract infection and patients with surgical site infection.

Removal of norfloxacin in deionized, municipal water and urine using rice (Oryza sativa) and coffee (Coffea arabica) husk wastes as natural adsorbents.

The removal of the widely used antibiotic norfloxacin (NOR), the presence of which has been reported in natural water, was evaluated using rice (RH) and coffee (CH) husk wastes as adsorbents. Low particle sizes and natural pH in distilled water favored NOR elimination in both materials. In order to investigate the type of adsorption, the data was adjusted to the Langmuir, Freundlich and Redlich-Peterson isotherms. The best fit for the Langmuir and Redlich-Peterson isotherms suggested a monolayer-type adsorption model. Kinetic models of pseudo first and second order were also evaluated, the latter being the most suitable to represent the NOR adsorption phenomenon. Meanwhile, the intraparticle diffusion model indicated that the adsorption of NOR occurs both at the surface and within the pores of the material. Studies performed on thermodynamic aspects such as activation energy (Ea), enthalpy change (ΔH˚) and Gibbs free energy change (ΔG˚) suggest that the physisorption of the pollutant takes place through a spontaneous endothermic process. Additionally, PZC determination, Boehm method, chemical composition, thermodynamic analysis, and FTIR spectra before and after the adsorption of the antibiotic suggest that in CH adsorbents this occurred mainly through electrostatic interactions, while in RH hydrogen bonds also contributed significantly. Finally, the efficiency of natural adsorbents for the removal of NOR was evaluated in synthetic matrices of municipal wastewater and urine, and promising results were obtained despite the complexity of these matrices. The results presented in this work show the potential application of RH and CH residues as a low-cost alternative for the removal of NOR even in complex matrices. However, despite the similarities between the materials, CH waste showed better properties for the removal of the tested NOR due to its higher surface area, lower PZC and higher number of acid groups.