Manganese dioxide decorated kiwi peel powder for efficient removal of lead from aqueous solutions, blood and Traditional Chinese Medicine extracts.

For human health and environment safety, it is of great significance to develop novel materials with high effectiveness for removal of lead from not only aqueous solutions but also human body and traditional Chinese medicines. Here, functional kiwi peel composite, manganese dioxide decorated kiwi peel powder (MKPP), is proposed for the removal of Pb2+ effectively. The adsorption of Pb2+ in aqueous solution is a highly selective and endothermic process and kinetically follows a pseudo-second-order model, which can reach equilibrium with the capacity of 192.7 mg/g within 10 min. Comprehensive factors of hydration energy, charge-to-radius ratio and softness of Pb2+ make a stronger affinity between MKPP and Pb2+. The possible adsorption mechanism involves covalent bond, electrostatic force and chelation, etc. MKPP can be efficiently regenerated and reused with high adsorption efficiency after five cycles. Besides, MKPP can remove over 97% of Pb2+ from real water samples. MKPP can also alleviate lead poisoning to a certain extent and make the Pb level of TCM extract meet the safety standard. This work highlights that MKPP is a promising adsorbent for the removal of Pb2+ and provides an efficient strategy for reusing kiwi peel as well as dealing with the problem of Pb pollution.

Sustainable management of campus fallen leaves through low-temperature pyrolysis and application in Pb immobilization.

Realizing campus sustainability requires the environmental-friendly and economical treatment of tremendous fallen leaves. Producing fallen leaf biochar at a low temperature is a candidate approach. In this study, six common types of fallen leaves on the campus were pyrolyzed at 300 °C. The obtained biochars were characterized and the adsorption mechanisms of lead (Pb) by the fallen leaf biochars were investigated. The adsorption capacity of leaf biochar for Pb was relatively high, up to 209 mg/g (Yulania denudata leaf biochar). Adsorption of Pb onto active sites was the rate-limiting step for most leaf biochars. But for Platanus leaf biochar, intraparticle diffusion of Pb2+ dominated owing to the lowest adsorption capacity. However, the highest exchangeable Pb fraction (27%) indicated its potential for removing aqueous Pb2+. Ginkgo and Prunus cerasifera leaf biochar immobilized Pb by surface complexation and precipitation as lead oxalate. Hence, they were suitable for soil heavy metal remediation. This study shed the light on the sustainable utilization of campus fallen leaves and the application of fallen leaf biochars in heavy metal remediation.

Investigation on Pb2+ adsorption characteristics by AAEMs-rich biochar in aqueous solution: Performance and mechanism.

Biochar derived from soybean straw with AAEMs (alkali and alkaline earth metals) enrichment could efficiently remove heavy metals from contaminated water. In this study, the influences of pyrolysis temperature on the physicochemical property and adsorption performance of soybean straw biochar were investigated. The contributions of different adsorption mechanisms were analyzed quantitatively. The results show that the soybean straw biochar exhibits excellent Pb2+ adsorption performance (157.2-227.2 mg g-1), with an order of BC800 > BC400 > BC600 > BC700 > BC500. The mechanisms of metal ion exchange (37.49%-72.58%) and precipitation with minerals (22.38%-58.03%) mainly control the Pb2+ adsorption, whereas complexation with organic functional groups (OFGs) and cation-Cπ interaction make the less contribution. The order of cation exchange capacity (CEC) is BC400 > BC800 > BC700 > BC600 > BC500, showing a high correlation (0.965) with the contribution of metal ion exchange with AAEMs. Moreover, Ca exhibits the strongest exchange capacity. The contribution of precipitation is consistent with the variation of soluble CO32- content in biochar. These results suggest that soybean straw biochar rich in AAEMs is a prospective adsorbent for Pb2+ elimination.

Removal of lead ions from wastewater using magnesium sulfide nanoparticles caged alginate microbeads.

In this study, an adsorbent made of alginate (Alg) caged magnesium sulfide nanoparticles (MgS) microbeads were used to treat lead ions (Pb2+ ions). The MgS nanoparticles were synthesized at low temperatures, and Alg@MgS hydrogel microbeads were made by the ion exchange process of the composite materials. The newly fabricated Alg@MgS was characterized by XRD, SEM, and FT-IR. The adsorption conditions were optimized for the maximum removal of Pb2+ ions by adjusting several physicochemical parameters, including pH, initial concentration of lead ions, Alg/MgS dosage, reaction temperature, equilibration time, and the presence of co-ions. This is accomplished by removing the maximum amount of Pb2+ ions. Moreover, the adsorbent utilized more than six times with a substantial amount (not less than 60%) of Pb2+ ions was eliminated. Considering the ability of sodium alginate (SA) for excellent metal chelation and controlled nanosized pore structure, the adsorption equilibrium of Alg@MgS can be reached in 60 min, and the highest adsorption capacity for Pb2+ was 84.7 mg/g. The sorption mechanism was explored by employing several isotherms. It was found that the Freundlich model fits the adsorption process quite accurately. The pseudo-second-order model adequately described the adsorption kinetics.

Stem powder and its active carbon of Arachis hypogaea plant for lead (II) removal: application to treat battery-based industrial effluents.

Stem powder and its active carbon of Arachis hypogaea plant are identified to have strong adsorptivity for lead ions. The bio-sorbents are characterized by conventional methods including XRD and FTIR analysis. These biomaterials are investigated for their maximum adsorption for lead ions by optimizing the extraction conditions. The maximum removal is observed in the pH range of 6-7 for both sorbents. With stem powders, the removal is 76.0% from a simulated lead solution of concentration: 20.0 mg/L with 1.5 g/L of the sorbent and at an equilibration time of 2.0 h. With the active carbon, the maximum extraction of: 86.0% is observed at pH: 6.5 with 1.0 g/L of the sorbent after an equilibration time of 1.5 h. The sorption capacities are 32.0 mg/g for stem powders, and 40.5 mg/g for active carbon. Many co-ions have marginal interference. Spent adsorbents can be recycled after regeneration. Thermodynamic investigations reveal the spontaneity and endothermic nature of adsorption. High ΔH values viz., 26.45 kJ/mole for AHSP and 46.40 kJ/mole for AHSAC, confirm the bonding of Pb2+ ions with the sorbents is either "ion-exchange" and/or a sort of "complex formation." The disorder at the solid and liquid boundary is indicated by high positive ΔS values and it is a favorable condition for good Pb2+ adsorption. On analysis of different kinetic and isotherm models, the sorption of Pb2+ ions follows Pseudo-2nd order and Langmuir models. This confirms the mono-layer adsorption of Pb2+ ions on the humongous surface of the sorbent. The adsorbents are successfully applied to treat industrial effluent samples.

In the present investigation, stem powder and its active carbon of Arachis hypogaea plant are identified to have strong adsorptivity for highly toxic lead ions. Successful methodologies are developed for the maximum extraction of lead ions from industrial wastewater at a convenient nearly neutral pH. The adsorption capacities are as high as: 32.0 mg/g for stem powders and 40.5 mg/g for active carbon. The sorbents are characterized and the sorption mechanism is investigated. The novelty of the present investigation is that highly toxic lead ions can be easily removed from polluted water by using simple bio-adsorbents by adopting convenient procedures.

New Approaches for Pb(II) Removal from Aqueous Media Using Nanopowder Sodium Titanosilicate: Kinetics Study and Thermodynamic Behavior.

Microporous sodium titanosilicate, Na2TiSiO5, has been successfully prepared using the sol-gel method. The structural and morphological characterization of synthesized product has been made via thermal analyses (TG-DTG), X-ray diffraction (XRD), and electron microscopy (SEM and TEM). Adsorption properties of the synthesized Na2TiSiO5 nanopowder for Pb(II) removal of aqueous media was investigated in different experimental conditions such as the contact time, the initial metal concentration, the pH, and the temperature. The Pb(II) adsorption on Na2TiSiO5 was discussed according to the kinetics and thermodynamics models. The adsorption kinetics of Pb(II) have been better described by the PS-order kinetic model which has the highest fitting correlation coefficients (R2: 0.996-0.999) out of all the other models. The adsorption results have been successfully fitted with the Langmuir and Redlich-Paterson models (R2: 0.9936-0.9996). The calculated thermodynamic parameters indicate that the Pb(II) adsorption is an endothermic process, with increased entropy, having a spontaneous reaction. The results have revealed a maximum adsorption capacity of 155.71 mg/g at 298 K and a very high adsorption rate at the beginning, more than 85% of the total amount of Pb(II) being removed within the first 120 min, depending on the initial concentration.

New dithiocarbamate-based polymer (DTCP) as an additive to improve microporous polysulfone membrane efficiency in lead and dye removal.

For fabricating a membrane with hydrophilic and complexing agent groups, a new dithiocarbamate-based polymer (DTCP) containing dithiocarbamate, thioamide, and ethereal oxygen groups was synthesized and blended in polysulfone (PSF) matrix with 1, 2, 5, and 10 wt% proportion. The membranes were produced by the nonsolvent induced phase separation method. For DTCP characterization, NMR, FTIR, TGA and GPC techniques were used. SEM images show that no morphological change can be seen even in 10 wt% blended membranes. AFM surface images show that the roughness of 5 and 10 wt% membranes extremely increased. The performance of the DTCP/PSF membranes were investigated in the separation of lead ions and Reactive Yellow 39 dye from the contaminated water. The outcomes indicated that by increasing the amount of DTCP up to 10 wt%, the pure water flux, bovine serum albumin flux, and the lead removal increased very efficiently compared to the bare one. Blending of more than 1 wt% DTCP, cause to removal of 99.6% lead ions. The water contact angle decreased by the adding of DTCP, caused to increase fouling resistance. The results of this research shows that the synthesized DTCP can be used as a good additive for improving membrane permeability, anti-fouling and especially heavy metal removal efficiency.

Design of a Novel Sericite-Phosphoric Acid Framework for Enhancement of Pb(II) Adsorption.

In this study, phosphoric acid was used to attach anions to the weak interlayer structure of sericite, one of the clay minerals composed of a tetrahedral structure of silicate, to increase the adsorption capacity of cations. Natural sericite beads (NSB) and activated sericite beads with phosphoric acid (PSB) were prepared as beads in order to increase reusability and facilitate the separation of adsorbates and adsorbents. Using this, lead (Pb(II)) removal efficiency from an aqueous solution was comparatively analyzed. The pHpzc was 6.43 in NSB but lowered to 3.96 in PSB, confirming that more acidic functional groups were attached to the PSB surface. According to FT-IR analysis, P=O, P-O-C, P=OOH and P-O-P bonds appeared on the surface of the PSB adsorbent, and the peaks of carboxyl groups and OH-groups were large and broad. The maximum adsorption capacity of Langmuir was 52.08 mg/g for NSB and 163.93 mg/g for PSB. The adsorption process was close to physical adsorption for NSB and chemical adsorption for PSB, and both adsorbents were endothermic reactions in nature in that the higher the temperature, the higher the adsorption efficiency. The adsorption mechanism of Pb(II) to PSB was achieved by ion exchange, electrostatic interaction, hydrogen bonding, and complexation. The adsorption of Pb(II) using PSB was not significantly affected by the adsorption of competing ions and showed a high adsorption efficiency of 94% in reuse up to 6 times. This confirms the favorable feasibility of removing Pb(II) from industrial wastewater using PSB.

Use of extendable helix leads for conduction system pacing: Differences in lead handling and performance lead design impacts conduction system pacing.

INTRODUCTION: Pacing leads with extendable-retractable helix (EHL) are alternatives to fixed-helix leads (FHL) for conduction system pacing (CSP), but data on handling characteristics are limited. This study evaluated a dual-center experience of lead handling and performance during CSP. METHODS AND RESULTS: Consecutive patients with His-bundle pacing (HBP) or left bundle branch pacing (LBBP) were evaluated for the primary outcome of lead failure, defined as structural damage to the lead necessitating lead replacement. Differences in pacing characteristics were compared. Among 280 patients (mean age 74 ± 11 years, 44% male, 50% LBBP), 246 (88%) received FHL and 34 (12%) received EHL. Of 299 leads used, lead failure occurred more frequently among patients with EHL than FHL (29% vs. 2%, p < .001), regardless of CSP modality. Majority of damaged leads (89%) in the form of helix deformation were successfully removed, with failure occurring in only two patients, both EHL, leading to helix fracture and retention within the septal myocardium. EHL, compared to FHL, was associated with 25-fold increased odds of lead failure (odds ratio: 25.21, 95% confidence interval: 7.35-86.51), and persisted after adjustment in turn for age, pacing modality and indication. CSP implant success rates did not differ by lead design (FHL 80% vs. EHL 71%, p = .18), with similar pacing thresholds at implant and follow-up. CONCLUSION: Helix deformation and fracture were more frequent with EHL in CSP despite similar implant success. These findings have significant implications for lead selection during CSP and raises concerns about the long-term extractability of EHL in CSP.

Bioremediation potential and lead removal capacity of heavy metal-tolerant yeasts isolated from Dayet Oum Ghellaz Lake water (northwest of Algeria).

Seven metal-resistant yeast strains were isolated and selected from Dayet Oum Ghellaz Lake water (northwest of Algeria) known as a highly polluted area by lead and cadmium. The yeast strains were screened on the basis of their resistance to seven heavy metals Hg, Cr, Cd, Pb, Cu, Zn, and Fe and characterized by molecular and phylogenetic analysis. The sequencing of the D1/D2 domain of the 26S rRNA genes revealed the affiliation of the seven yeast isolates to Rhodotorula mucilaginosa, Clavispora lusitaniae, and Wickerhamomyces anomalus species. All yeast strains were halotolerant as they were able to grow in 10-15% NaCl. The yeast isolates were highly resistant to the studied heavy metals and exhibited different tolerance according to the metal type. The highest minimum inhibitory concentrations (MIC) were observed in R. mucilaginosa RO7 and W. anomalus WO2 strains which were then selected for lead removal assays. The present study is the first to investigate the lead elimination by W. anomalus. The lead uptake was significantly affected by biomass concentration in a reverse relationship, with purification percentages estimated at 98.15 ± 0.9% and 97.046 ± 0.47% and removal efficiency of 12.68 ± 0.91 and 15.55 ± 0.72 mg/g for W. anomalus WO2 and R. mucilaginosa RO7, respectively. The investigated metal-tolerant yeast strains proved to be promising candidates for bioremediation processes of heavy metals. This work amends the metal-resistant yeast bank with new strains having interesting abilities to resist to relatively high concentrations of toxic heavy metals and which can be used in the near future as low-cost biosorbents.

Titanium lanthanum three oxides decorated magnetic graphene oxide for adsorption of lead ions from aqueous media.

The current study presents a viable and straightforward method for synthesizing titanium lanthanum three oxide nanoparticles (TiLa) and their decoration onto the ferrous graphene oxide sheets to produce FeGO-TiLa as efficient magnetic adsorbent. Fourier transform infrared spectroscopy (FT-IR), scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDX), and vibration sample magnetometer (VSM) were used to evaluate the physical and chemical properties of the produced nanocomposites. The FeGO-TiLa was used to enhance the removal of lead ions from aqueous solution. The FeGO-TiLa nanocomposite exhibited a much higher removal efficiency (93%) for lead ions than pure TiLa nanoparticles (81%) and magnetic graphene oxide (74%). The influence of FeGO-TiLa dosage, contact time, solution pH, solution temperature, and starting quantity on the lead ions was evaluated and adjusted. The investigations demonstrated that a pH 6 with 40 mg adsorbent resulted in >91% removal of lead ions at ambient temperature after 120 min. Isotherm models were used to analyze experimental results, and Langmuir model fitted the data well as compared Freundlich model with a maximum adsorption capacity of 109.89 mg g-1. Kinetic and studies are performed the lead adsorption over FeGO-TiLa follow pseudo-second-order rate. Langmuir and Free energy suggested the lead ions uptake with FeGO-TiLa was monolayer and physical adsorption mechnaism, respectively. Finally, the FeGO-TiLa nanocompoiste can be used as an alternative adsorbent for water remediation.

A Unique Enhancement of Propionibacterium freudenreichii's Ability to Remove Pb(II) from Aqueous Solution by Tween 80 Treatment.

Microbial agents have promise for the bioremediation of Pb(II)-polluted environments and wastewater, the biodecontamination of foods, and the alleviation of toxicity in living organisms. The dairy bacterium Propionibacterium freudenreichii is poorly able to remove Pb(II) from aqueous solution at 25 ppm, ranging from 0 to 10% of initial concentration. Here, we report on an original strong enhancement of this activity (ranging from 75% to 93%, p < 0.01) following the addition of a polysorbate detergent (Tween® 80) during or either shortly after the growth of a P. freudenreichii culture. We evaluated the optimal Tween® 80 concentration for pretreatment conditions, documented the role of other detergents, and explored the possible mechanisms involved. Our results reveal a novel, environmentally friendly, low-cost pretreatment procedure for enhancing the selective removal of lead from water by probiotic-documented bacteria.

Lead removal from aqueous solutions by olive mill wastes derived biochar: Batch experiments and geochemical modelling.

In this study, lead removal from aqueous solutions using biochar derived from olive mill solid and liquid wastes has been investigated by applying batch experiments and geochemical modelling. The batch adsorption experiments included the assessment of several key parameters such as the contact time (kinetic), initial concentration (isotherm), pH, adsorbent dose, and the presence of competitive cations, whilst the geochemical modelling focused on the involved adsorption mechanisms using the PHREEQC code. The kinetic studies showed that lead adsorption is a relatively fast process, where intraparticle diffusion is the rate-limiting step. Biochar dose, solution pH and the presence of competitive ions significantly affected the Pb adsorption effectiveness by the biochar. Especially the higher Pb removal percentages were observed in mono-elemental solutions with high biochar dose at mildly acidic solution pH values. The maximum Pb adsorption capacity of biochar was estimated as 40.8 mg g-1 which is higher than various biochars derived from sludge, lignocellulosic and animal biomasses. On the other hand, the geochemical modelling employing the PHREEQC code showed that ion exchange and Pb precipitation are the main reactions controlling its removal from aqueous solutions, whilst surface complexation is insignificant, mainly due to the low surface functional groups on the used biochar.

Investigating triple superphosphate for lead removal from aqueous solutions.

The aim of this research is to investigate monocalcium phosphate monohydrate [Ca(H2PO4)2. H2O] also called triple superphosphate (TSP) for the removal of lead (Pb) from aqueous solutions. In this study, TSP was selected amongst various phosphate-based materials and fertilizers to act as the source of orthophosphate (PO43-) which is a powerful tool for metal fixation in soil and water. Thermodynamic equilibrium dissolution-precipitation relationships for the systems of Pb-H2O and Pb-PO43--H2O were drawn with the aid of Eh-pH stability diagrams to determine the predominance areas of different species. The lead phosphate compounds, identified through the stability area diagrams, were verified with the batch precipitation tests performed with standard solutions of lead and TSP at different conditions. It was observed that, depending upon solution conditions, TSP can precipitate 99.9% of the lead from the solution. Lead precipitates, analyzed by x-ray diffraction, showed the formation of lead phosphate compounds. The mechanism of TSP for the removal of lead from aqueous solutions is discussed.

Artificial neural networks modeling for lead removal from aqueous solutions using iron oxide nanocomposites from bio-waste mass.

Heavy metal ions in aqueous solutions are taken into account as one of the most harmful environmental issues that ominously affect human health. Pb(II) is a common pollutant among heavy metals found in industrial wastewater, and various methods were developed to remove the Pb(II). The adsorption method was more efficient, cheap, and eco-friendly to remove the Pb(II) from aqueous solutions. The removal efficiency depends on the process parameters (initial concentration, the adsorbent dosage of T-Fe3O4 nanocomposites, residence time, and adsorbent pH). The relationship between the process parameters and output is non-linear and complex. The purpose of the present study is to develop an artificial neural networks (ANN) model to estimate and analyze the relationship between Pb(II) removal and adsorption process parameters. The model was trained with the backpropagation algorithm. The model was validated with the unseen datasets. The correlation coefficient adj.R2 values for total datasets is 0.991. The relationship between the parameters and Pb(II) removal was analyzed by sensitivity analysis and creating a virtual adsorption process. The study determined that the ANN modeling was a reliable tool for predicting and optimizing adsorption process parameters for maximum lead removal from aqueous solutions.

2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients.

In view of the increasing complexity of both cardiovascular implantable electronic devices (CIEDs) and patients in the current era, practice guidelines, by necessity, have become increasingly specific. This document is an expert consensus statement that has been developed to update and further delineate indications and management of CIEDs in pediatric patients, defined as ≤21 years of age, and is intended to focus primarily on the indications for CIEDs in the setting of specific disease categories. The document also highlights variations between previously published adult and pediatric CIED recommendations and provides rationale for underlying important differences. The document addresses some of the deterrents to CIED access in low- and middle-income countries and strategies to circumvent them. The document sections were divided up and drafted by the writing committee members according to their expertise. The recommendations represent the consensus opinion of the entire writing committee, graded by class of recommendation and level of evidence. Several questions addressed in this document either do not lend themselves to clinical trials or are rare disease entities, and in these instances recommendations are based on consensus expert opinion. Furthermore, specific recommendations, even when supported by substantial data, do not replace the need for clinical judgment and patient-specific decision-making. The recommendations were opened for public comment to Pediatric and Congenital Electrophysiology Society (PACES) members and underwent external review by the scientific and clinical document committee of the Heart Rhythm Society (HRS), the science advisory and coordinating committee of the American Heart Association (AHA), the American College of Cardiology (ACC), and the Association for European Paediatric and Congenital Cardiology (AEPC). The document received endorsement by all the collaborators and the Asia Pacific Heart Rhythm Society (APHRS), the Indian Heart Rhythm Society (IHRS), and the Latin American Heart Rhythm Society (LAHRS). This document is expected to provide support for clinicians and patients to allow for appropriate CIED use, appropriate CIED management, and appropriate CIED follow-up in pediatric patients.

Removal of sacral neuromodulation quadripolar tined-lead using a straight stylet: description of a surgical technique.

BACKGROUND: Up to 7.5% of tined-lead removals in patients having sacral neuromodulation (SNM) therapy are associated with a lead breakage. It is still unclear what adverse effects can be caused by unretrieved fragments. The aim of our study was to describe the lead removal technique we have been using for the last 2 years in our centre. METHODS: We retrospectively enrolled patients who had lead removal between January 2018 and January 2020 using our standardized technique. The novelty of the technique is in the use of the straight stylet, which is available in the quadripolar tined-lead kit. The stylet gives the electrode greater stiffness, reducing interactions with surrounding tissues and probability of damage or breakage during removal. RESULTS: In 59 patients (42 women, mean age 57.2 years [range 40-79 years]) the lead was removed using our standardized technique. In 44 of 59 patients, the tined-lead was removed within 2 months from the SNM-test, due to lack of beneficial effects. In 15 patients the electrode was removed because of failure of definitive implantation. Meantime from definitive implantable pulse generator (IPG) implantation to lead removal was 67.9 months. We recorded only 1 case of lead-breakage during removal: a female patient with a non-tined lead fixed on sacral bone, placed 18 years previously using an open technique. CONCLUSIONS: Lead breakage during removal is not uncommon and adverse effects of retained fragments may occur. Our technique has been safely used for the last 2 years in our centre, with no episodes of lead breakage or retained fragments, except for one non-tined electrode.

Ion exchange based approach for rapid and selective Pb(II) removal using iron oxide decorated metal organic framework hybrid.

Polyacrylic acid capped Fe3O4 - Cu-MOF (i-MOF) hybrid was prepared for rapid and selective lead removal, with 93% removal efficiency, exceptional selectivity, and adsorption capacity of 610 mg/g and 91% of i-MOF hybrid could be easily separated from the contaminated water using magnetic separation. The adsorption process followed a pseudo-second-order model and the adsorption efficiency decreased from 93% to 83% on raising the temperature from 25 °C to 40 °C. The change in equilibrium adsorption capacity with respect to equilibrium adsorbate concentration followed the Langmuir isotherm model. i-MOF had a high selectivity coefficient and removal efficiency for lead ions even when exposed simultaneously with naturally abundant cations (Na(I), Ca(II), Mg(II)). Release of Cu(II) ions from the i-MOF after Pb(II) removal suggested suggested ion-exchange to be the dominant removal mechanism. This new finding for Pb(II) removal with excellent adsorption performance using i-MOF through ion exchange based approach is a viable option for treating lead contaminated water.

Lead removal from water using organic acrylic amine fiber (AAF) and inorganic-organic P-AAF, fixed bed filtration and surface-induced precipitation.

Granular porous sorbents were normally used for heavy metals removal from water. To search for the new commercial sorbent and treatment strategy, an organic acrylic amine fiber (AAF) and phosphorus loading inorganic-organic AAF (P-AAF) were prepared and used for lead (Pb) removal from water. A new strategy of inorganic-organic coupling technology was proposed for Pb removal, based on the hypothesis of surface-induced precipitation mechanism. The AAF showed a Pb adsorption capacity of 417 mg/g from the Langmuir fitting, while the column filtration technology was further applied to measure the adsorption edge and applications. Effects of different initial Pb concentrations, hydraulic retention time, and co-existing P were considered in the filtration experiments. The presence of 0.8 mg/L P in water significantly improved the Pb breakthrough point from 15,000 to 41,000 bed volumes of water spiked with 85 µg/L Pb, while the P-AAF fixed bed showed better removal of Pb than AAF SEM/EDX and XRD spectra were employed for determining the surface functional groups and the formation of surface-induced precipitation of pyromorphite (Pb5(PO4)3OH) on AAF. This study verified the application of AAF sorbent for Pb removal and the enhanced effect of coating P on AAF, thus improved our fundamental understanding and application of the surface chemistry process of Pb with P.

2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients: Executive summary.

Guidelines for the implantation of cardiac implantable electronic devices (CIEDs) have evolved since publication of the initial ACC/AHA pacemaker guidelines in 1984 [1]. CIEDs have evolved to include novel forms of cardiac pacing, the development of implantable cardioverter defibrillators (ICDs) and the introduction of devices for long term monitoring of heart rhythm and other physiologic parameters. In view of the increasing complexity of both devices and patients, practice guidelines, by necessity, have become increasingly specific. In 2018, the ACC/AHA/HRS published Guidelines on the Evaluation and Management of Patients with Bradycardia and Cardiac Conduction Delay [2], which were specific recommendations for patients >18 years of age. This age-specific threshold was established in view of the differing indications for CIEDs in young patients as well as size-specific technology factors. Therefore, the following document was developed to update and further delineate indications for the use and management of CIEDs in pediatric patients, defined as ≤21 years of age, with recognition that there is often overlap in the care of patents between 18 and 21 years of age. This document is an abbreviated expert consensus statement (ECS) intended to focus primarily on the indications for CIEDs in the setting of specific disease/diagnostic categories. This document will also provide guidance regarding the management of lead systems and follow-up evaluation for pediatric patients with CIEDs. The recommendations are presented in an abbreviated modular format, with each section including the complete table of recommendations along with a brief synopsis of supportive text and select references to provide some context for the recommendations. This document is not intended to provide an exhaustive discussion of the basis for each of the recommendations, which are further addressed in the comprehensive PACES-CIED document [3], with further data easily accessible in electronic searches or textbooks.