Denim industry wastewater treatment by a heterogeneous solar-Fenton process catalyzed by Fe supported on recycled polyethylene terephthalate (PET) by ultrasonic modification.

The textile industry is an important economic sector; however, its wastewater generates a great impact on the environment. A heterogeneous solar Fenton (HSF) process was evaluated for denim wastewater treatment. The catalyst was obtained through ultrasonic modification of recycled polyethylene terephthalate (PET) with Fe nanoparticles (PET/NPs- Fe3O4). The SFH process was optimized using surface response methodology with a face-centered central composite design considering the effects of the hydraulic retention time (10, 25, and 40 min), hydrogen peroxide dosage (500, 1000, and 1500 mg/L), and mass of the packed catalyst (4, 6 and 8 g) on the color, COD, and turbidity removal efficiencies. The operating conditions for maximum COD removal were H2O2 541.7 mg/L, HRT 33.9 min, and PET/NPs- Fe3O4 dose 7.9 g with solar radiation. The removal of 91.2% COD, 86.2% color, 90.4% turbidity, and 81.9% TOC was obtained at 14.2 kJ/L QUva. PET modification yielded 1.6 mg Fe/g PET, and the modification method does not allow Fe leaching. The effluent obtained from the SFH process complies with the maximum permissible limits in Mexican legislation in terms of COD, TOC, turbidity, and color and allows the reuse of PET.

Doula Perspectives on Lactation Education and Breastfeeding Support for Diverse, Low-income Women: A Field Report.

Women living below the federal poverty level have low breastfeeding rates and historically have lacked access to doula care. This disparity is particularly evident among African American women. The objective of this pilot study was to assess doulas' experiences delivering lactation education to racially/ethnically diverse, primarily Medicaid-eligible pregnant women and describe doulas' perceptions of client barriers to breastfeeding. We also wanted to understand doulas' views of infant feeding and lactation education during their participation in a quality improvement intervention that trained doulas to provide lactation education and breastfeeding support at 4 clinics serving low-income clients. Two focus groups were conducted with 7 doulas. Focus group data were transcribed, coded, and analyzed using qualitative thematic analysis. Doulas reported close relationships with their clients and provided consistent breastfeeding support and education to women in prenatal, birth, and postpartum phases of care. Doulas emphasized the need for more lactation education, especially to overcome clients' perceived milk insufficiency and early termination due to breastfeeding barriers. Doula-led breastfeeding education and support may improve breastfeeding outcomes for diverse women from underserved areas.

Industrial wastewater treatment using magnesium electrocoagulation in batch and continuous mode.

In the present study, the electrocoagulation (EC) performance of a Mg-Mg system was applied for the industrial wastewater treatment, from an industrial park that covers different activities such as: food, automotive, pharmaceutical, chemistry and cosmetics, after primary clarification. The effects of major operating parameters such as pH, reaction time, and current density were investigated for chemical oxygen demand (COD), color, and turbidity removal efficiency. The batch system was found convenient, achieving 63.52% COD, 96% color, and 99.32% turbidity removal at optimized operating conditions of pH 7.12, reaction time of 75 min, and current density of 201.5 A/m2. On the other hand, for continuous EC, the process removed approximately 46.58%, 95.96%, and 87.19% of the COD, color, and turbidity respectively, at 90 min of retention time, current density 440 A/m2, and a rate of 20 mL/min. Additionally, concerning nutrient removal (N and P), the EC system with Mg electrodes was highly efficient; batch treatment removed 97% of total phosphorus and 67% of ammoniacal nitrogen, whereas the continuous treatment removed 98.5% of total phosphorus and 83% of ammoniacal nitrogen. The sludge characterization before and after EC treatment was made by SEM, EDS, Fluorescence spectroscopy, IR spectroscopy. Minerals such as chlorite, crossite, richterite, pyroaurite, langbeinite as weel as aliphatic and polysubstituted aromatics compounds, sulfates and phosphates inorganic ions, and organic phosphorus were reduced. The energy cost in the batch EC is US$0.05/m3. A numerical CFD model was used to estimate the velocity fields and guarantee the presence of turbulent kinetic energy within a continuous flow reactor.

Phosphate removal from food industry wastewater by chemical precipitation treatment with biocalcium eggshell.

The physicochemical treatment (PT) of food industry wastewater was investigated. In the first stage, calcium magnesium acetate (CaMgAc4) was synthesized using eggshell (biocalcium), magnesium oxide and acetic acid in a 1:1:1 stoichiometric ratio. In the synthesis process, the thermodynamic parameters (ΔH, ΔS and ΔG) indicated that the reaction was endothermic and spontaneous. The samples were characterized by infrared spectroscopy (IR), scanning electronic microscopy (SEM), X-ray diffraction (XRD) and electron X-ray dispersive spectroscopy (EDS). CaMgAc4 was used to precipitate the phosphate matter. IR analysis revealed that the main functional groups were representative of the acetate compounds and the presence of OH- groups and carbonates. In the physicochemical treatment, a response surface design was used to determine the variables that influence the process (pH, t, and concentration), and the response variable was phosphorus removal. The treatments were carried out in the wastewater industry with an initial concentration of 658 mg/L TP. The optimal conditions of the precipitation treatment were pH 12, time 12 min, and a CaMgAc4 concentration of 13.18 mg/L. These conditions allowed the total elimination (100%) of total phosphorus and phosphates, 81.43% BOD5 and 81.0% COD, 98.9% turbidity, 95.01% color, and 92% nitrogen matter.

Removal of inorganic chemical species and organic matter from slaughterhouse wastewater via calcium acetate synthesized from eggshell.

The physicochemical treatment (PT) of slaughterhouse wastewater (SWW) was investigated. In the first stage, calcium acetate (Ca(Ac)2) was synthesized in five different ways: (1) acetic acid (HAc) and chicken eggshell (CaAc1), (2) lime (CaAc2), (3) a 1:1 eggshell and lime mixture (CaAc3), (4) a 1:2 eggshell and lime mixture (CaAc4), and (5) calcium oxide via the calcination of eggshell (CaAc5). The synthesized Ca(Ac)2 samples were characterized by IR, SEM, XRD, and EDS. Subsequently, the samples were used to precipitate oxyanions and organic matter. The experiments were carried out at pH 4 and 12. For the treatment with CaAc1 at pH 4, an acid (HCl, H2SO4, or HAc) was also added. The best results for CaAc1 in acid media were attained with HCl, where removal efficiencies of 82.23% total suspended solids, 76% turbidity, 81.43% color, 53.86% Fe, 69.74% Cu, and 14.64% Na were observed. This treatment also removed ∼99% fecal and total coliforms, 26.49% COD, and 78.39% TOC. The experiments were also performed at pH 12 using CaAc1. These afforded removal efficiencies of 92.7% turbidity, 84.7% color, 40.5% phosphates (PO43-), and 64.7% sulfates (SO42-). In addition, this method removed metals, 35.37% COD and 99% fecal and total coliforms.

Pre-treatment of soft drink wastewater with a calcium-modified zeolite to improve electrooxidation of organic matter.

Wastewater from soft drink manufacturing, having a high organic load (chemical oxygen demand (COD) = 4,500 mg L-1) and high alkalinity (2,653.7 mg L-1 CaCO3; pH 12), was pretreated with a calcium-modified zeolite to reduce the alkalinity and improve the electrooxidation of organic matter. The natural zeolite clinoptilolite was modified in various ways with Ca(OH)2 and CaCl2. The CaCl2-modified zeolite (ZSACaCl-72h) was more effective for the treatment of soft drink wastewater than the congener modified with Ca(OH)2, where the former reduced the alkalinity by 86% after 8 h. Electrooxidation of soft drink wastewater without zeolite pre-treatment was carried out with boron-doped diamond (BDD) electrodes under the optimal conditions (current intensity: 3 A; sample pH: 12), with 98% and 94.05% reduction of the COD and total organic carbon (TOC), respectively, after 14 h of treatment. Soft drink wastewater pretreated with calcium-modified clinoptilolite was also electrooxidized using the BDD system. The results showed that the pre-treatment was extremely convenient, reducing the treatment time to 6 h compared to the electrooxidation of wastewater. At a current intensity of 3 A, the treatment time was 8 h, with 100% reduction of colour and COD and 97.5% reduction of TOC.

Perceptions and Practices of Infant Feeding among African American Women.

A large urban hospital in Florida implemented changes to achieve the Baby-Friendly Hospital Initiative (BFHI) designation in 2015 resulting in an increase of exclusive breastfeeding rates at hospital discharge; however, African American women continue to have the lowest rates overall. Qualitative interviews were conducted with 20 African American women who received prenatal care at a low-income women's clinic and gave birth at an affiliated BFHI hospital. Using a medical anthropology analytical framework to examine predisposing, enabling, and service-related factors that affect breastfeeding, this study investigated interpersonal, sociocultural, and institutional barriers to breastfeeding. Common challenges experienced by participants included lack of maternity leave from work, lack of access to electric pumps, social pressures to initiate formula supplementation, fears that breastfeeding renders infants overly dependent on their mother's care, and a lack of breastfeeding role models and/or support networks to normalize longer-term breastfeeding. We conclude that efforts to increase breastfeeding rates for African American women and promote culturally sensitive interventions must address underlying socioeconomic and structural barriers, women's perceptions of breastfeeding benefits and difficulties, and the need for improvements in postnatal lactation and doula support to foster a more inclusive culture of breastfeeding.

Anexelekto/MER tyrosine kinase inhibitor ONO-7475 arrests growth and kills FMS-like tyrosine kinase 3-internal tandem duplication mutant acute myeloid leukemia cells by diverse mechanisms.

Nearly one-third of patients with acute myeloid leukemia have FMS-like tyrosine kinase 3 mutations and thus have poor survival prospects. Receptor tyrosine kinase anexelekto is critical for FMS-like tyrosine kinase 3 signaling and participates in FMS-like tyrosine kinase 3 inhibitor resistance mechanisms. Thus, strategies targeting anexelekto could prove useful for acute myeloid leukemia therapy. ONO-7475 is an inhibitor with high specificity for anexelekto and MER tyrosine kinase. Herein, we report that ONO-7475 potently arrested growth and induced apoptosis in acute myeloid leukemia with internal tandem duplication mutation of FMS-like tyrosine kinase 3. MER tyrosine kinase-lacking MOLM13 cells were sensitive to ONO-7475, while MER tyrosine kinase expressing OCI-AML3 cells were resistant, suggesting that the drug acts via anexelekto in acute myeloid leukemia cells. Reverse phase protein analysis of ONO-7475 treated cells revealed that cell cycle regulators like cyclin dependent kinase 1, cyclin B1, polo-like kinase 1, and retinoblastoma were suppressed. ONO-7475 suppressed cyclin dependent kinase 1, cyclin B1, polo-like kinase 1 gene expression suggesting that anexelekto may regulate the cell cycle, at least in part, via transcriptional mechanisms. Importantly, ONO-7475 was effective in a human FMS-like tyrosine kinase 3 with internal tandem duplication mutant murine xenograft model. Mice fed a diet containing ONO-7475 exhibited significantly longer survival and, interestingly, blocked leukemia cell infiltration in the liver. In summary, ONO-7475 effectively kills acute myeloid leukemia cells in vitro and in vivo by mechanisms that involve disruption of diverse survival and proliferation pathways.

Association between Breast Feeding and Paediatric Sleep Disordered Breathing: a Systematic Review.

BACKGROUND: Breast feeding has been suggested as a potential protective factor against childhood snoring and sleep disordered breathing (SDB). SDB can have major health consequences. The objective of this systematic review is to synthesise the available literature concerning any potential association between infant feeding methods and SDB in young children. METHODS: Five electronic databases were searched. All searches were inclusive until August 5, 2016. Two authors independently reviewed potentially relevant articles for eligibility. Any prospective or retrospective study, case-control study, cohort study, clinical trial, and cross-sectional study that evaluated the association between infant feeding methods and SDB were included. Data on study design, aim of study, sample size, study population, assessment tool, infant feeding methods, and outcome measures were extracted. RESULTS: Nine studies fulfilled the criteria to be finally included in this review, only cohorts and cross-sectional studies were identified. While seven of the selected studies reported a statistically significant association between breast feeding and reduced risk of SDB, the remaining two studies did not report any association. The main methodological limitation was high heterogeneity in the diagnostic criteria and assessment tools to identify SDB and limited data collection on infant feeding methods. CONCLUSIONS: The current evidence may point to a protective association, however, as uncertainty is moderate, any suggestion that breast feeding may or may not decrease the risk of SDB is currently unwarranted. More research on the topic is required to resolve some of the contradictions between included studies.

Eating disorders associated risk factors: trends from 2007 to 2010.

OBJECTIVE: The purpose of this study was to determine the trends on risk factors associated to eating disorders in bachelor students from an urban setting in Hidalgo in the period 2007-2010. MATERIAL AND METHODS: Students were censored both in 2007 and in 2010, and registered as 455 (50.5% female, 49.5% male) students in 2007 and 434 (49.8% female, 50.2% male) in 2010, aged 15-19 years in both cases. Three questionnaires were used to assess sociocultural factors, disordered eating behaviors, and body aesthetic thin-ideal internalization. Body dissatisfaction was measured with nine body figure analogic. To assess body mass index, each subject was weighed and height measured. Comparisons by year and gender were obtained. RESULTS: Body shape distress increased from 20.8% in 2007 to 21.7% in 2010; disordered eating behaviors trends increased from 2007 to 2010 both in females and males, but were statistically significant only in males. The percentage of subjects with body dissatisfaction in the sense to be thinner was the same in both years (39.8%). The risk analysis showed an increase in those with disordered eating, in thin-ideal internalization, advertising influence, and body shape distress, mainly in women. CONCLUSIONS: These findings must be considered in the design of preventive programs and early case detection in adolescents from Hidalgo.

Botulinum toxin-A as a treatment option for refractory idiopathic trigeminal neuralgia of the ophthalmic branch: a case report and literature review.

Trigeminal neuralgia is one of the most common neurological pains affecting the head and neck and is associated with severe, lancinating, electrical pain episodes. The maxillary and mandibular branches are usually affected. The ophthalmic branch is rarely involved and, when present, it requires a comprehensive workup to rule out major conditions. Pharmacotherapy and surgery are the most common treatment options for this condition. Systemic medications may pose a wide range of side effects and effectiveness may decrease over time while surgery has inherent complications. Injectable onabotulinum toxins have been utilized for various applications in medicine and dentistry. There is, however, limited data on their use for the management of refractory trigeminal neuralgia of the ophthalmic branch. We present the case of a 58-year-old male diagnosed with refractory idiopathic trigeminal neuralgia affecting the ophthalmic branch, which was unresponsive to standard care and successfully managed with onabotulinum toxin type A. This treatment should be considered in cases of refractory trigeminal neuralgia prior to surgery. We reviewed the relevant literature concerning the application of Onabotulinum toxin A for managing trigeminal neuralgia of the ophthalmic branch. This case report and review aim to enlighten the application of Onabotulinum toxin A for managing refractory trigeminal neuralgia of the ophthalmic branch. Our case report and review show that Onabotulinum toxin A could be used for managing TN of the ophthalmic branch.

Granulomatosis with polyangiitis mistaken as a temporomandibular joint disorder: A case report.

INTRODUCTION: Granulomatosis with polyangiitis (GPA), is a rare systemic disease that if left untreated, it may lead to death within 6-12 months. This case report describes a 15-year-old female with a 14-month history of epiphora, nasal breathing difficulties, headaches, and jaw pain. The patient reported having various medical procedures attempted to address her symptoms. The classical presentation of strawberry gingivitis led to the diagnosis of GPA. Based on a multi-language search, this is the first reported case, that GPA is mistaken as Temporomandibular Joint Disorders (TMD). CASE PRESENTATION: A 15-year-old female with nearly 14 months of numerous complaints, including headaches and jaw pain, was referred for an orofacial pain (OFP) consultation. The patient had completed a dental examination and was prescribed chlorhexidine for gingivitis control. The OFP examination was not consistent with signs and symptoms of TMD. However, the gingival appearance of strawberry gingivitis was suggestive of GPA. A rheumatologist confirmed the diagnosis of GPA based on the clinical interview, serology testing, and dental findings. A course of rituximab and corticosteroids, and regular dental cleanings were recommended. A 4-month follow-up visit demonstrated complete resolution of her jaw pain and headaches. Gingival tissue appeared normal. CONCLUSION: This case emphasizes the need for familiarity with systemic diseases that can present oral manifestations. It also stresses the importance for dental professionals to be knowledgeable of differential diagnoses for TMD, headaches, and autoimmune disorders. Why is this case new information? This is believed to be the first published case mistaking GPA as TMD. This is a case in which a multidisciplinary approach and management were keys for a successful treatment outcome. What are the keys to successful management of this case? Obtain a thorough clinical history. Know the oral manifestation of systemic diseases. Know differential diagnosis of TMD and headaches. What are the primary limitations to success in this case? Having no access to the medical records during the OFP consultation. Having no awareness of differential diagnosis for gingivitis: strawberry, plaque-induced.

Acid mine drainage (AMD) treatment using galvanic electrochemical system Al-Cu.

Acid mine drainage was evaluated using a galvanic (GV) electrochemical system, Al-Cu (anode/cathode), based on a 32 factorial design. The factors analyzed were anodic area/volume ratios (A/V) of 0.037, 0.072, and 0.112 cm2/cm3, and treatment time from 0.25-8 h, and analyses were performed in duplicate with 11 degrees of freedom. The response variables were the total dissolved solids and concentrations of As, Cu, Co, Cr, Pb, Fe, Ni, and SO42-. The pH, electrical conductivity, and temperature were monitored during the process. Significant differences between treatments were determined by analysis of variance with Tukey's test (p < 0.05) using Statgraphics Centurion XVI.I software. The results showed that a greater electrode surface, A/V ratio, and treatment time improved pollutant removal. The spontaneous reactions generated by the galvanic cell, through the current that flows owing to the potential difference between the Al and Cu electrodes, allows the removal of heavy metals, arsenic, and SO42- by coagulation and precipitation mechanisms. The removal efficiencies achieved were Cu (99.1%), As (76.6%), Ni (80.2%), Pb (83.6%), Cr (100%), Fe (93.71%), and 92.9% for sulfates. The X-ray diffraction and Raman analyses of the solid fraction indicated that cuprite was formed with a purity of 96%, and the recovery of Cu by the GV system may be a viable option for mining companies.

Treatment of gaseous streams polluted with H2S: Comparison of electrolytic and electro-Fenton assisted absorption processes.

H2S is a gaseous compound that contributes to air pollution. In this work, the electrochemical oxidation treatment of gaseous streams polluted with H2S is evaluated using a jet mixer and electrochemical cell device, in which the performance of electrolytic and electro-Fenton assisted absorption processes are compared. Results demonstrate the feasibility of both processes to remove H2S, reaching coulombic efficiencies of nearly 100% in the electrolytic assisted absorption, and 70-80% in the electro-Fenton assisted absorption. Aqueous solutions containing phosphate salts as electrolyte were found to be suitable as absorbents for the process. Efficiency in the cathodic production of H2O2 in these solutions using the experimental device was found to be as high as 32.8% (1.184 mgH2O2/min) at 12 °C and atmospheric pressure. Sequential formation of SO2 and SO3 is obtained by the oxidation of H2S contained in the gas. These species are hydrolysed, and a part remained in the absorbent as SO32- and SO42-, while the rest is dragged in the outlet gas. SO3 production is promoted by electrolytic assisted absorption and polysulphides by the electro-Fenton technology. Low concentrations of elemental sulphur are detected in the solid suspensions formed during the process.

Sustainable removal of nutrients (n and p) in a wastewater treatment plant, with eggshell (biocalcium).

Biological treatments have become insufficient to treat municipal wastewater with greater toxicity and excess nitrogen and phosphate species, thus affecting the organisms that consume the water. In this work, a process was implemented for the removal of nutrients through three stages: stage A, complete aeration (24 h, 43 months); stage B, decreased aeration (12 h, 17 months); and stage C, decreased aeration with biocalcium (12 h, 19 months). The addition of biocalcium from eggshell promoted the formation of flocks, which resulted in the removal of nitrites (61 %), nitrates (84 %), total nitrogen (57 %), total phosphorus (8.3 %), sedimentable solids (50 %), total suspended solids (69 %), BOD5 (76 %), helminth eggs (50 %) and fecal coliforms (54 %). The statistical analyses in the three stages indicated that there is a strong correlation between the concentration of fats and oils and the removal of sedimentable solids and total suspended solids, since these parameters were correlated by 97 and 89 %, respectively. Sedimentable solids were correlated with total suspended solids by 94 %, while nitrates and total nitrogen were correlated 92 %, which favors the removal of nutrients in wastewater. The increase in the concentration of nitrogen in the sludge in stage C generated a C:N ratio of 7.98. This ratio shows that the sludge is feasible for use as a mediator of soils and a biofertilizer because of the high contents of calcium, phosphorus and nitrogen. In addition, biocalcium promoted the precipitation of hydroxyapatite, struvite, calcite and quartz. In general, the three stages of the treatment contributed to the stabilization of the wastewater treatment plant (WWTP) in an efficient, economical, and safe way.

Electro-galvanic alkalization and treatment of rainwater to obtain drinking water.

Rainwater Electro-Galvanic Alkalization (EGA) was performed using copper and magnesium (1:1) electrode. Efficiently removal of pollutants without external energy consumption was carried out, in addition essential ions were dosed for alkalization of rainwater. The optimal system conditions were obtained using response surface methodology (RSM) by considering the following operating variables: flow rate and concentration of the supporting electrolyte (NaCl and CaCl2). Furthermore, the maximum efficiency of nitrate, ammoniacal nitrogen, colour, and turbidity removal was evaluated. The results showed that the response variables were mainly sensitive to the type of supporting electrolyte used and the flow rate. Under experimental conditions of 0.009 M (NaCl) and 20 mL min-1, the removal rate was 74.19%, 72.49%, and 81.43% for nitrates, colour, and turbidity, respectively, and the lowest concentration of ammoniacal nitrogen (0.99mgL-1) was obtained. The kinetic models for nitrate and colour were fitted to zero-order models with k=0.33mgL-1min-1 and k=0.933Pt-Co, respectively. In addition, turbidity was fitted to a first-order model (k=0.1661min-1), and ammoniacal nitrogen was fitted to a second-order model (k=0.0217Lmg-1min-1). The concentration increases of minerals such as Ca and Mg, which rises the rainwater alkalinity after treatment (pH shift from 6.1 to 8.91), was determined by inductively coupled plasma (ICP) analysis.

A Scoping Review of Physiotherapeutic Interventions for Trismus in Head and Neck Cancer: Where Is the Manual Therapy?

Purpose: Trismus, or restricted mouth opening, is a common side effect of treatment for head and neck cancer. This scoping review examined the characteristics, extent, and nature of existing research on manual therapy and jaw-mobilizing devices to prevent and manage trismus related to head and neck cancer. Method: Six electronic databases were searched using the terms trismus, head and neck cancer, and physical therapy and the associated MeSH terms. The review focused on the factors related to intervention delivery: timing, adherence, completion rates, and adverse events. Results: Nine studies were included. Eight examined the use of a jaw-mobilizing device, and one explored the benefit of remote telephone support. Two studies involved cancer survivors at risk of trismus, five involved survivors with trismus, and two included survivors both with and at risk of trismus. No studies were found examining physiotherapist provision of manual therapy. Within-group comparisons supported the benefit of using a jaw-mobilizing device to manage trismus, whereas significant between-groups differences were found only in non-randomized controlled trials. Survivor symptoms and intervention burden were reported reasons for poor adherence and completion rates. Conclusions: No benefit was found for the use of jaw-mobilizing devices for the prevention of trismus. Given the potential of manual therapy to enhance outcomes, physical therapist-led research is warranted.

Objectif : le trismus, ou ouverture restreinte de la bouche, est un effet secondaire courant du traitement du cancer de la tête et du cou. La revue exploratoire a porté sur les caractéristiques, l'ampleur et la nature des recherches sur la thérapie manuelle et les dispositifs de mobilisation mandibulaire pour prévenir et traiter le trismus lié au cancer de la tête et du cou. Méthodologiee : les auteurs ont fouillé six bases de données électroniques à l'aide des termes trismus, head and neck cancer et physical therapy et des termes associés du MeSH. La revue a porté sur les facteurs liés à la prestation des interventions, le moment, le respect, le taux d'achèvement et les événements indésirables. Résultats : neuf études ont été retenues. Huit portaient sur l'utilisation d'un dispositif de mobilisation mandibulaire et un, sur les avantages d'un soutien téléphonique à distance. Deux études étaient consacrées à des survivants du cancer à risque de trismus, cinq sur des survivants atteints de trismus et deux, sur des survivants atteints du trismus ou à risque. Aucune étude n'abordait la thérapie manuelle effectuée par un physiothérapeute. Les comparaisons intragroupes confirment les avantages d'un dispositif de mobilisation mandibulaire pour traiter le trismus, et seules des études témoins non aléatoires ont décelé des différences importantes entre les groupes. Les symptômes des survivants et le fardeau de l'intervention étaient les raisons signalées pour le peu d'adhésion au traitement et le faible taux d'achèvement. Conclusion : l'utilisation de dispositifs de mobilisation mandibulaire pour prévenir le trismus ne comportait pas d'avantages. Puisque la thérapie manuelle a le potentiel d'améliorer les résultats cliniques, il est justifié de réaliser des recherches dirigées par physiothérapeutes.

As and [Formula: see text] cooccurrence in drinking water: critical review of the international scenario, physicochemical behavior, removal technologies, health effects, and future trends.

Drinking water contaminated with As and [Formula: see text] is increasingly prevalent worldwide. Their coexistence can have negative effects due to antagonistic or synergistic mechanisms, ranging from cosmetic problems, such as skin lesions and teeth staining, to more severe abnormalities, such as cancer and neurotoxicity. Available technologies for concurrent removal include electrocoagulation ~ adsorption > membranes > chemical coagulation > , and among others, all of which have limitations despite their advantages. Nevertheless, the existence of competing ions such as silicon > phosphate > calcium ~ magnesium > sulfate > and nitrate affects the elimination efficiency. Mexico is one of the countries that is affected by As and [Formula: see text] contamination. Because only 10 of the 32 states have adequate removal technologies, more than 65% of the country is impacted by co-presence problems. Numerous reviews have been published concerning the elimination of As or [Formula: see text]. However, only a few studies have focused on the simultaneous removal. This critical review analyzes the new sources of contamination, simultaneous physicochemical behaviors, available technologies for the elimination of both species, and future trends. This highlights the need to implement technologies that work with actual contaminated water instead of aqueous solutions (55% of the works reviewed correspond to aqueous solutions). Similarly, it is necessary to migrate to the creation of pilot, pre-pilot, or prototype scale projects, because 77% of the existing studies correspond to lab-scale research.

Defluoridation of drinking water by magnesium and aluminum electrocoagulation in continuous flow-rate: a response surface design.

The goal of this research is to apply an electrocoagulation process in continuous flow for the defluoridation of drinking water. Two sampling sites were studied, Temascalcingo (T), Mexico state and Jerecuaro (J), Guanajuato, with fluoride (F-) concentrations above the norms (2.3 mg L-1 and 4.5 mg L-1, respectively). In addition, a second Temascalcingo sample was enriched (TE) to 9.2 mg L-1 F- to study the effect of the F- concentration. A response surface design was proposed through a Box-Behnken model, and the variables studied were electrode system, flow-rate and current intensity. 51 experiments were performed with T-site to determine the best operating conditions for the system. These conditions were applied to the J-site. The experiments for T, Al/Al system achieves an F- concentration within permissible limits (0.72 mg L-1 F-) at 10 min of treatment, 0.2 A (Current density j 48.78 A m-2) and 10 mL min-1 with a removal efficiency of 68.69%, and after 160 min, the removal increased to 99.56%. AlMg/AlMg needs 10 min to achieve a concentration of 0.75 mg L-1 F- at 0.2 A (j 25 A m-2), 16 mL min-1 with a removal efficiency of 67.39%, and after 100 min, the removal is increased to 92.17%. An important and novel advantage is the use of AlMg allows an acceptable removal of F- (<1.5 mg L-1) at high and low concentrations in short periods of time; this also allows save energy costs and the effluent is free of residual aluminum, avoiding side effects.

SARS-CoV-2 pharmaceutical drugs: a critical review on the environmental impacts, chemical characteristics, and behavior of advanced oxidation processes in water.

This review summarizes research data on the pharmaceutical drugs used to treat the novel SARS-CoV-2 virus, their characteristics, environmental impacts, and the advanced oxidation processes (AOP) applied to remove them. A literature survey was conducted using the electronic databases Science Direct, Scopus, Taylor & Francis, Google Scholar, PubMed, and Springer. This complete research includes and discusses relevant studies that involve the introduction, pharmaceutical drugs used in the SARS-CoV-2 pandemic: chemical characteristics and environmental impact, advanced oxidation process (AOP), future trends and discussion, and conclusions. The results show a full approach in the versatility of AOPs as a promising solution to minimize the environmental impact associated with these compounds by the fact that they offer different ways for hydroxyl radical production. Moreover, this article focuses on introducing the fundamentals of each AOP, the main parameters involved, and the concomitance with other sources and modifications over the years. Photocatalysis, sonochemical technologies, electro-oxidation, photolysis, Fenton reaction, ozone, and sulfate radical AOP have been used to mineralize SARS-CoV-2 pharmaceutical compounds, and the efficiencies are greater than 65%. According to the results, photocatalysis is the main technology currently applied to remove these pharmaceuticals. This process has garnered attention because solar energy can be directly utilized; however, low photocatalytic efficiencies and high costs in large-scale practical applications limit its use. Furthermore, pharmaceuticals in the environment are diverse and complex. Finally, the review also provides ideas for further research needs and major concerns.