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1.
Acta Neurochir (Wien) ; 166(1): 209, 2024 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-38727725

RESUMO

Based on a personal experience of 4200 surgeries, radiofrequency thermocoagulation is useful lesional treatment for those trigeminal neuralgias (TNs) not amenable to microvascular decompression (idiopathic or secondary TNs). Introduced through the foramen ovale, behind the trigemnial ganglion in the triangular plexus, the needle is navigated by radiology and neurophysiological testing to target the retrogasserian fibers corresponding to the trigger zone. Heating to 55-75 °C can achieve hypoesthesia without anaesthesia dolorosa if properly controlled. Depth of anaesthesia varies dynamically sedation for cannulation and lesioning, and awareness during neurophysiologic navigation. Proper technique ensures long-lasting results in more than 75% of patients.


Assuntos
Eletrocoagulação , Neuralgia do Trigêmeo , Neuralgia do Trigêmeo/cirurgia , Neuralgia do Trigêmeo/diagnóstico por imagem , Humanos , Eletrocoagulação/métodos , Nervo Trigêmeo/cirurgia , Forame Oval/cirurgia , Forame Oval/diagnóstico por imagem , Gânglio Trigeminal/cirurgia , Cirurgia de Descompressão Microvascular/métodos , Resultado do Tratamento
2.
Water Sci Technol ; 89(9): 2538-2557, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38747966

RESUMO

Electroplating wastewater contains heavy metal ions and organic matter. These contaminants not only endanger the environment but also pose risks to human health. Despite the development of various treatment processes such as chemical precipitation MBR, electrocoagulation (EC) ceramic membrane (CM), coagulation ultrafiltration (UF) reverse osmosis (RO), and CM RO. These methods are only effective for low concentrations of heavy metals and struggle with high concentrations. To address the challenge of treating electroplating wastewater with high heavy metal content, this study focuses on the wastewater from Dongfang Aviation Machinery Processing Plant. It introduces an EC and integrated membrane (IM) treatment process for electroplating wastewater. The IM comprises microfiltration (MF) membrane, nanofiltration (NF) membrane, and RO membrane. Results indicated that under specific conditions, such as a pH of 8, current density of 5 A/dm2, electrode plate spacing of 2 cm, 35 min of electrolysis time, and influent pH of 10 for the IM, removal rates of Zn2+, Cu2+, Ni2+, and TCr in the wastewater exceeded 99%. The removal rates of chemical oxygen demand (COD), suspended solids (SS), total phosphorus (TP), total nitrogen (TN), and petroleum in wastewater exceed 97%. Following a continuous cleaning process, the membrane flux can consistently recover to over 94.3%.


Assuntos
Membranas Artificiais , Eliminação de Resíduos Líquidos , Águas Residuárias , Águas Residuárias/química , Eliminação de Resíduos Líquidos/métodos , Poluentes Químicos da Água/química , Galvanoplastia , Purificação da Água/métodos , Metais Pesados , Eletrocoagulação/métodos
3.
Acta Neurochir (Wien) ; 166(1): 210, 2024 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-38735896

RESUMO

PURPOSE: To evaluate the safety and efficacy of stereoelectroencephalography (SEEG)-guided radiofrequency thermocoagulation (RFTC) for drug-resistant focal epilepsy and investigate the relationship between post-RFTC remission duration and delayed excision surgery effectiveness. METHODS: We conducted a retrospective analysis of 43 patients with drug-resistant focal epilepsy who underwent RFTC via SEEG electrodes. After excluding three, the remaining 40 were classified into subgroups based on procedures and outcomes. Twenty-four patients (60%) underwent a secondary excision surgery. We determined the predictive value of RFTC outcome upon subsequent surgical outcome by categorizing the delayed secondary surgery outcome as success (Engel I/II) versus failure (Engel III/IV). Demographic information, epilepsy characteristics, and the duration of seizure freedom after RFTC were assessed. RESULTS: Among 40 patients, 20% achieved Engel class I with RFTC alone, while 24 underwent delayed secondary excision surgery. Overall, 41.7% attained Engel class I, with a 66.7% success rate combining RFTC with delayed surgery. Seizure freedom duration was significantly longer in the success group (mean 4.9 months, SD = 2.7) versus the failure group (mean 1.9 months, SD = 1.1; P = 0.007). A higher proportion of RFTC-only and delayed surgical success group patients had preoperative lesional findings (p = 0.01), correlating with a longer time to seizure recurrence (p < 0.05). Transient postoperative complications occurred in 10%, resolving within a year. CONCLUSION: This study demonstrates that SEEG-guided RFTC is a safe and potential treatment option for patients with drug-resistant focal epilepsy. A prolonged duration of seizure freedom following RFTC may serve as a predictive marker for the success of subsequent excision surgery.


Assuntos
Epilepsia Resistente a Medicamentos , Eletrocoagulação , Eletroencefalografia , Epilepsias Parciais , Humanos , Masculino , Feminino , Adulto , Eletrocoagulação/métodos , Eletroencefalografia/métodos , Estudos Retrospectivos , Epilepsia Resistente a Medicamentos/cirurgia , Resultado do Tratamento , Epilepsias Parciais/cirurgia , Epilepsias Parciais/fisiopatologia , Adulto Jovem , Pessoa de Meia-Idade , Adolescente , Prognóstico , Técnicas Estereotáxicas , Criança
4.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 49(1): 40-46, 2024 Jan 28.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-38615164

RESUMO

OBJECTIVES: There are a variety of minimally invasive interventional treatments for trigeminal neuralgia, and the efficacy evaluation is different. The preferred treatment scheme is still controversial. This study aims to investigate the differences in treatment effects between patients with primary trigeminal neuralgia (PTN) treated with percutaneous balloon compression (PBC) for the first intervention and patients with pain recurrence after radiofrequency thermocoagulation (RT) who then received PBC for PTN, and to offer clinicians and patients more scientifically grounded and precise treatment alternatives. METHODS: We retrospectively analyzed 103 patients with PTN admitted to the Department of Pain Management of the Second Affiliated Hospital of Guangxi Medical University from January 2020 to December 2021, including 49 patients who received PBC for the first time (PBC group) and 54 patients who received PBC for pain recurrence after RT (RT+PBC group). General information, preoperative pain score, intraoperative oval foramen morphology, oval foramen area, balloon volume, duration of compression, and postoperative pain scores and pain recurrence at each time point on day 1 (T1), day 7 (T2), day 14 (T3), 1 month (T4), 3 months (T5), and 1 year (T6) were collected and recorded for both groups. The differences in treatment effect, complications and recurrence between the 2 groups were compared, and the related influencing factors were analyzed. RESULTS: The differences of general information, preoperative pain scores, foramen ovale morphology, foramen ovale area, T1 to T3 pain scores between the 2 groups were not statistically different (all P>0.05). The balloon filling volume in the PBC group was smaller than that in the RT+PBC group, the pain scores at T4 to T6 and pain recurrence were better than those in the RT+PBC group (all P<0.05). Pain recurrence was positively correlated with pain scores of T2 to T6 (r=0.306, 0.482, 0.831, 0.876, 0.887, respectively; all P<0.01). CONCLUSIONS: The choice of PBC for the first intervention in PTN patients is superior to the choice of PBC after pain recurrence after RT treatment in terms of treatment outcome and pain recurrence.


Assuntos
Neuralgia do Trigêmeo , Humanos , Neuralgia do Trigêmeo/cirurgia , Estudos Retrospectivos , China , Eletrocoagulação , Dor Pós-Operatória
5.
Water Sci Technol ; 89(7): 1879-1890, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38619909

RESUMO

This study investigated the treatment of wastewater from tomato paste (TP) production using electrocoagulation (EC) and electrooxidation (EO). The effectiveness of water recovery from the pretreated water was then investigated using the membrane process. For this purpose, the effects of independent control variables, including electrode type (aluminum, iron, graphite, and stainless steel), current density (25-75 A/m2), and electrolysis time (15-120 min) on chemical oxygen demand (COD) and color removal were investigated. The results showed that 81.0% of COD and 100% of the color removal were achieved by EC at a current density of 75 A/m2, a pH of 6.84 and a reaction time of 120 min aluminum electrodes. In comparison, EO with graphite electrodes achieved 55.6% of COD and 100% of the color removal under similar conditions. The operating cost was calculated to be in the range of $0.56-30.62/m3. Overall, the results indicate that EO with graphite electrodes is a promising pretreatment process for the removal of various organics. In the membrane process, NP030, NP010, and NF90 membranes were used at a volume of 250 mL and 5 bar. A significant COD removal rate of 94% was achieved with the membrane. The combination of EC and the membrane process demonstrated the feasibility of water recovery from TP wastewater.


Assuntos
Grafite , Solanum lycopersicum , Poluentes Químicos da Água , Águas Residuárias , Eliminação de Resíduos Líquidos/métodos , Alumínio , Eletrocoagulação/métodos , Água , Eletrodos , Resíduos Industriais/análise
6.
World J Surg Oncol ; 22(1): 91, 2024 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-38600546

RESUMO

OBJECTIVE: To compare the efficacy of ultrasounic-harmonic scalpel and electrocautery in the treatment of axillary lymph nodes during radical surgery for breast cancer. METHODS: A prospective study was conducted in the Department of Breast Surgery, Zhongda Hospital Affiliated to Southeast University. A total of 128 patients with pathologically confirmed breast cancer who were treated by the same surgeon from July 2023 to November 2023 were included in the analysis. All breast operations were performed using electrocautery, and surgical instruments for axillary lymph nodes were divided into ultrasounic-harmonic scalpel group and electrocautery group using a random number table. According to the extent of lymph node surgery, it was divided into four groups: sentinel lymph node biopsy, lymph node at station I, lymph node at station I and II, and lymph node dissection at station I, II and III. Under the premise of controlling variables such as BMI, age and neoadjuvant chemotherapy, the effects of ultrasounic-harmonic scalpel and electrocautery in axillary surgery were compared. RESULTS: Compared with the electrosurgical group, there were no significant differences in lymph node operation time, intraoperative blood loss, postoperative axillary drainage volume, axillary drainage tube indwelling time, postoperative pain score on the day after surgery, and the incidence of postoperative complications (p>0.05). CONCLUSION: There is no significant difference between ultrasounic-harmonic scalpel and electrocautery in axillary lymph node treatment for breast cancer patients, which can provide a basis for the selection of surgical energy instruments.


Assuntos
Neoplasias da Mama , Humanos , Feminino , Neoplasias da Mama/cirurgia , Neoplasias da Mama/patologia , Estudos Prospectivos , Excisão de Linfonodo , Biópsia de Linfonodo Sentinela , Instrumentos Cirúrgicos , Eletrocoagulação/efeitos adversos , Linfonodos/cirurgia , Linfonodos/patologia , Axila/patologia
7.
Chemosphere ; 355: 141834, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38565376

RESUMO

Membrane fouling caused by the organics-coated particles was the main obstacle for the highly efficient shale gas produced water (SGPW) treatment and recycling. In this study, a novel hybrid electrocoagulation (EC) and E-peroxone process coupled with UF (ECP-UF) process was proposed to examine the efficacy and elucidate the mechanism for UF fouling mitigation in assisting SGPW reuse. Compared to the TMP (transmembrane pressure) increase of -15 kPa in the EC-UF process, TMP in ECP-UF system marginally increased to -1.4 kPa for 3 filtration cycles under the current density of 15 mA/cm2. Both the total fouling index and hydraulically irreversible fouling index of the ECP-UF process were significantly lower than those of EC-UF process. According to the extended Derjaguin-Landau-Verwey-Overbeek theory, the potential barriers was the highest for ECP-UF processes due to the substantial increase of the acid-base interaction energy in ECP-UF process, which was well consistent with the TMP and SEM results. Turbidity and TOC of ECP-UF process were 63.6% and 45.8% lower than those of EC-UF process, respectively. According to the MW distribution, the variations of compounds and their relative contents were probably due to the oxidation and decomposing products of the macromolecular organics. The number of aromatic compound decreased, while the number of open-chain compounds (i.e., alkenes, alkanes and alcohols) increased in the permeate of ECP-UF process. Notably, the substantial decrease in the relative abundance of di-phthalate compounds was attributed to the high reactivity of these compounds with ·OH. Mechanism study indicated that ECP could realize the simultaneous coagulation, H2O2 generation and activation by O3, facilitating the enhancement of ·OH and Alb production and therefore beneficial for the improved water quality and UF fouling mitigation. Therefore, the ECP-UF process emerges as a high-efficient and space-saving approach, yielding a synergistic effect in mitigating UF fouling for SGPW recycling.


Assuntos
Ultrafiltração , Purificação da Água , Gás Natural , Peróxido de Hidrogênio , Membranas Artificiais , Purificação da Água/métodos , Eletrocoagulação
8.
Sci Rep ; 14(1): 8836, 2024 04 17.
Artigo em Inglês | MEDLINE | ID: mdl-38632355

RESUMO

Imidacloprid is still a widely used neonicotinoid insecticide that is banned in many countries because of the associated environmental risks. Due to the inefficiency of conventional wastewater treatments for pesticide removal, new treatment methods are being investigated. Electrochemical methods, including electrocoagulation (EC), seem to be promising alternatives considering their effectiveness in removing various pollutants from wastewater. The aim of this study was to investigate the effects of electrode material, current density, ultrasound, and operation time on the efficiency of imidacloprid removal from a model solution by EC. The combination of aluminum electrodes and 20 A of applied current for 20 min resulted in total imidacloprid degradation. A simplified energy balance was introduced as a form of process evaluation. Combining ultrasound with EC resulted in 7% to 12% greater efficacy than using only EC.


Assuntos
Nitrocompostos , Praguicidas , Poluentes Químicos da Água , Águas Residuárias , Eliminação de Resíduos Líquidos/métodos , Neonicotinoides , Eletrocoagulação , Eletrodos , Alumínio
9.
J Neurosurg ; 140(4): 1129-1136, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38564812

RESUMO

OBJECTIVE: Stereoelectroencephalography (SEEG)-guided radiofrequency thermocoagulation (RFTC) has the advantage of producing a lesion in the epileptogenic zone (EZ) at the end of SEEG. The majority of published SEEG-guided RFTCs have been bipolar and usually performed between contiguous contacts of the same electrode. In the present study, the authors evaluate the safety, efficacy, and benefits of monopolar RFTC at the end of SEEG. METHODS: This study included a series of 31 consecutive patients who had undergone RFTC at the end of SEEG for drug-resistant focal epilepsy in the period of January 2013-December 2019. Post-RFTC seizure control was assessed after 2 months and at the last follow-up visit. Twenty-one patients underwent resective epilepsy surgery after the SEEG-guided RFTC, and the postoperative seizure outcome among these patients was compared with the post-RFTC seizure outcome. RESULTS: Four hundred forty-six monopolar RFTCs were done in the 31 patients. Monopolar RFTCs were performed in all cortical areas, including the insular cortex in 11 patients (56 insular RFTCs). There were 31 noncontiguous lesions (7.0%) because of vascular constraints. The volume of one monopolar RFTC, as measured on T2-weighted MRI immediately after the procedure, was between 44 and 56 mm3 (mean 50 mm3). The 2-month post-RFTC seizure outcomes were as follows: seizure freedom in 13 patients (41.9%), ≥ 50% reduced seizure frequency in 11 (35.5%), and no significant change in 7 (22.6%). Seizure outcome at the last follow-up visit (mean 18 months, range 2-54 months) showed seizure freedom in 2 patients (6.5%) and ≥ 50% reduced seizure frequency in 20 patients (64.5%). Seizure freedom after monopolar RFTC was not significantly associated with the number or location of coagulated contacts. Seizure response after monopolar RFTC had a high positive predictive value (93.8%) but a low negative predictive value (40%) for seizure outcome after subsequent resective surgery. In this series, the only complication (3.2%) was a limited intraventricular hematoma following RFTC performed in the hippocampal head, with spontaneous resolution and no sequelae. CONCLUSIONS: The use of monopolar SEEG-guided RFTC provides more freedom in terms of choosing the SEEG contacts for thermocoagulation and a larger thermolesion volume. Monopolar thermocoagulation seems particularly beneficial in cases with an insular EZ, in which vascular constraints could be partially avoided by making noncontiguous lesions within the EZ.


Assuntos
Epilepsia Resistente a Medicamentos , Epilepsia , Humanos , Resultado do Tratamento , Eletroencefalografia/métodos , Epilepsia/cirurgia , Convulsões/etiologia , Técnicas Estereotáxicas/efeitos adversos , Epilepsia Resistente a Medicamentos/diagnóstico por imagem , Epilepsia Resistente a Medicamentos/cirurgia , Eletrocoagulação/métodos , Imageamento por Ressonância Magnética/efeitos adversos , Estudos Retrospectivos
10.
World J Gastroenterol ; 30(15): 2087-2090, 2024 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-38681987

RESUMO

Upper gastrointestinal (GI) hemorrhage presents a substantial clinical challenge. Initial management typically involves resuscitation and endoscopy within 24 h, although the benefit of very early endoscopy (< 12 h) for high-risk patients is debated. Treatment goals include stopping acute bleeding, preventing rebleeding, and using a multimodal approach encompassing endoscopic, pharmacological, angiographic, and surgical methods. Pharmacological agents such as vasopressin, prostaglandins, and proton pump inhibitors are effective, but the increase in antithrombotic use has increased GI bleeding morbidity. Endoscopic hemostasis, particularly for nonvariceal bleeding, employs techniques such as electrocoagulation and heater probes, with concerns over tissue injury from monopolar electrocoagulation. Novel methods such as Hemospray and Endoclot show promise in creating mechanical tamponades but have limitations. Currently, the first-line therapy includes thermal probes and hemoclips, with over-the-scope clips emerging for larger ulcer bleeding. The gold probe, combining bipolar electrocoagulation and injection, offers targeted coagulation but has faced device-related issues. Future advancements involve combining techniques and improving endoscopic imaging, with studies exploring combined approaches showing promise. Ongoing research is crucial for developing standardized and effective hemorrhage management strategies.


Assuntos
Hemorragia Gastrointestinal , Hemostase Endoscópica , Humanos , Hemorragia Gastrointestinal/terapia , Hemorragia Gastrointestinal/diagnóstico , Hemorragia Gastrointestinal/etiologia , Hemostase Endoscópica/métodos , Hemostase Endoscópica/instrumentação , Hemostáticos/uso terapêutico , Eletrocoagulação/métodos , Resultado do Tratamento , Endoscopia Gastrointestinal/métodos
12.
Environ Sci Pollut Res Int ; 31(20): 29294-29303, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38573582

RESUMO

Pesticides containing chlorine, which are released during agricultural activities, are chemical substances that mix with surface and underground waters and have toxic, carcinogenic, and mutagenic effects on the entire living ecosystem. Due to their chemically stable structure, conventional water and wastewater treatment techniques such as coagulation, flocculation, and biological oxidation do not entirely remove these chemical substances. Therefore, before releasing them into the environmental receptor, these chemical substances must be transformed into harmless products or mineralized through advanced oxidation processes. When we look at the literature, there are not many studies on methods of removing diclofop methyl from aquatic media. Our study on the removal of diclofop methyl herbicide from aquatic media using the peroxy electrocoagulation method will provide the first information on this subject in the literature. In addition, this treatment method will contribute significantly to filling an important gap in the literature as an innovative approach for diclofop methyl removal. Moreover, peroxy electrocoagulation, which produces less sludge, provides treatment in a short time, and is economical, has been determined to be an advantageous process. The effects of conductivity, pH, H2O2 concentration, current, and time parameters on the removal of diclofop methyl were investigated using a GC-MS instrument. Kinetics, energy consumption, and cost calculations were also made. Under the optimum conditions determined (pH = 5, H2O2 = 500 mg/L, NaCl = 0.75 g/L, current density = 2.66 mA/cm2), the peroxydic electrocoagulation process resulted in a diclofop methyl removal efficiency of 79.2% after a 25-min reaction. When the experimental results were analyzed, it was found that the results fitted the pseudo-second-order kinetic model.


Assuntos
Herbicidas , Poluentes Químicos da Água , Herbicidas/química , Cinética , Purificação da Água/métodos , Custos e Análise de Custo , Eletrocoagulação/métodos , Peróxido de Hidrogênio/química
13.
Chemosphere ; 355: 141701, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38508463

RESUMO

The purpose of this study is investigation of electrocoagulation (EC) as a treatment of municipal wastewater, integrating life cycle impact assessment (LCIA) for assessing its environmental performance of investigated treatment. The study evaluated the effectiveness of EC in removing physico-chemical and microbial parameters using aluminum (Al) and iron (Fe) electrodes in monopolar and bipolar modes. Bipolar arrangement of Al(-)/Al/Al/Al(+) electrodes achieved the highest removals: 70% COD, 72% BOD5 followed by complete elimination of total phosphorous, turbidity and microbial parameters. This treatment was subject to investigation of the influence of reaction time (t = 10-60 min) on removals at higher current density (CD = 3.33 mA/cm2). In order to reduce energy consumption, the same reaction time range was used with a reduced CD = 2.33 mA/cm2. Following removal efficiencies obtained: 47-72% COD (higher CD) and 53-78% (lower CD); 69-75% BOD5 (higher CD) and 55-74% CD (lower CD); 12-21% NH4- (higher CD) and 7-22% NH4- (lower CD). Total P, NO3- and NO2- compounds showed the same removals regardless the CD. Decrease in current density did not influence removals of total suspended matter, turbidity, salinity as well as microbial parameters. The bipolar arrangement of Al(-)/Al/Al/Al(+) electrodes, assuming a lower CD = 2.33 mA/cm2 and t = 30 min, was assessed with the Recipe 2016Midpoint (H) and USEtox v.2 LCIA methods to explore the environmental justification of using EC for wastewater treatment. The LCIA results revealed that the EC process significantly reduces water eutrophication and toxicity for freshwater and marine ecosystems, but has higher impacts in global warming, fossil fuel consumption, human toxicity, acidification, and terrestrial ecotoxicity due to high energy consumption. This can be mainly explained by the assumption in the study that the EC precipitate is dispersed to agricultural soil without any pre-treatment and material recovery, along with relatively high energy consumption during the process.


Assuntos
Eliminação de Resíduos Líquidos , Águas Residuárias , Humanos , Eliminação de Resíduos Líquidos/métodos , Ecossistema , Eletrocoagulação/métodos , Ferro , Eletrodos , Alumínio , Resíduos Industriais/análise
14.
J Low Genit Tract Dis ; 28(2): 198-201, 2024 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-38518218

RESUMO

OBJECTIVES: Anal condylomas are a manifestation of anal human papillomavirus infection and can be associated with precancerous lesions and squamous cell carcinomas. Several methods have been described for treatment, including argon plasma coagulation. A narrative review of the evidence published on this topic was conducted. METHODS: A search was conducted using PubMed, Scopus, and Web of Science databases. RESULTS: Five studies reported on anal/perianal condyloma treatment with argon plasma coagulation. In 3 of these studies, there was a comparison with other treatment methods (addition of imiquimod, electrofulguration, and electrocautery, respectively). Argon plasma coagulation settings varied between studies. This type of treatment was effective for ablation. Recurrence rates and follow-up times varied largely between studies. No major complications, such as pain, scarring, sexual dysfunction, or severe bleeding were described. CONCLUSION: Studies indicate that argon plasma coagulation is an effective and safe therapy for anal and perianal condylomas.


Assuntos
Condiloma Acuminado , Infecções por Papillomavirus , Humanos , Coagulação com Plasma de Argônio , Condiloma Acuminado/cirurgia , Condiloma Acuminado/patologia , Imiquimode , Eletrocoagulação , Resultado do Tratamento
15.
Sci Rep ; 14(1): 5481, 2024 03 06.
Artigo em Inglês | MEDLINE | ID: mdl-38443387

RESUMO

Pancreatic fluid collections (PFCs) including pancreatic pseudocyst (PP) and walled-off necrosis (WON) are complications after acute pancreatitis. We aimed to evaluate the efficacy and safety of endoscopic ultrasound (EUS)-guided lumen-apposing metal stent (LAMS) placement to manage PFCs. Between June 2019 and May 2023, patients with symptomatic PFCs who underwent EUS-guided electrocautery-enhanced LAMS drainage were enrolled retrospectively from eight tertiary centers in Taiwan. In total, 33 [14 (42.42%) PP and 19 (57.58%) WON] patients were enrolled. Gallstones (27.27%) and abdominal pain (72.73%) were the most common etiology and indication for drainage. The technical and clinical success rates were 100% and 96.97%, respectively, and the mean procedure time was 30.55 (± 16.17) min. Complications included one (3.03%) case of self-limited bleeding; there were no cases of mortality. Seven (21.21%) patients had recurrence. Patients with disconnected pancreatic duct syndrome (DPDS) had a higher recurrence rate than those without (71.43% vs. 38.46%, p = 0.05). After replacing LAMSs with transmural double-pigtail plastic stents (DPSs) in the DPDS patients, the DPS migration rate was higher in the patients with recurrence (100% vs. 33.33%, p = 0.04). In conclusion, drainage of symptomatic PFCs with EUS-guided electrocautery-enhanced LAMS appears to be efficient and safe. Replacing LAMSs with DPSs in DPDS patients was associated with a lower recurrence rate.


Assuntos
Pancreatopatias , Pancreatite , Humanos , Doença Aguda , Drenagem , Eletrocoagulação/efeitos adversos , Pancreatopatias/cirurgia , Estudos Retrospectivos
16.
Environ Sci Pollut Res Int ; 31(19): 28321-28340, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38538998

RESUMO

The presence of heavy metal ions in water environments has raised significant concerns, necessitating practical solutions for their complete removal. In this study, a combination of adsorption and electrocoagulation (ADS + EC) techniques was introduced as an efficient approach for removing high concentrations of nickel ions (Ni2+) from aqueous solutions, employing low-cost sunflower seed shell biochar (SSSB). The combined techniques demonstrated superior removal efficiency compared to individual methods. The synthesized SSSB was characterized using SEM, FT-IR, XRD, N2-adsorption-desorption isotherms, XPS, and TEM. Batch processes were optimized by investigating pH, adsorbent dosage, initial nickel concentration, electrode effects, and current density. An aluminum (Al) electrode electrocoagulated particles and removed residual Ni2+ after adsorption. Kinetic and isotherm models examined Ni2+ adsorption and electrocoagulation coupling with SSSB-based adsorbent. The results indicated that the kinetic data fit well with a pseudo-second-order model, while the experimental equilibrium adsorption data conformed to a Langmuir isotherm under optimized conditions. The maximum adsorption capacity of the activated sunflower seed shell was determined to be 44.247 mg.g-1. The highest nickel ion removal efficiency of 99.98% was observed at initial pH values of 6.0 for ADS and 4.0 for ADS/EC; initial Ni2+ concentrations of 30.0 mg/L and 1.5 g/L of SSSB; initial current densities of 0.59 mA/cm2 and 1.32 kWh/m3 were also found to be optimal. The mechanisms involved in the removal of Ni2+ from wastewater were also examined in this research. These findings suggest that the adsorption-assisted electrocoagulation technique has a remarkable capacity for the cost-effective removal of heavy metals from various wastewater sources.


Assuntos
Carvão Vegetal , Níquel , Águas Residuárias , Poluentes Químicos da Água , Níquel/química , Adsorção , Águas Residuárias/química , Poluentes Químicos da Água/química , Carvão Vegetal/química , Cinética , Purificação da Água/métodos , Helianthus/química , Eletrocoagulação/métodos
17.
Environ Sci Pollut Res Int ; 31(13): 20117-20132, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38374501

RESUMO

Produced water (PW) is the largest by-product that comes out of the oil wells during oil and gas (O&G) field exploration. PW contains high-salt concentration along with other organic and inorganic components; therefore, PW must be treated before disposal. Electrocoagulation (EC) is an effective treatment method to remove pollutants from PW which has been the focus of many experimental studies; however, a mathematical model specifically for PW treatment by EC has not been developed yet. In this work, a comprehensive mathematical model has been developed to elucidate the role of EC operating parameters on the PW treatment performance and determine the mechanism for COD (Chemical Oxygen Demand) removal. The present model considers and identifies the dominant Al-hydroxy complex species and their contribution to the COD removal from synthetic PW samples by estimating their rate constants and comparing their magnitudes and investigates multi-scale modelling of the EC reactor. The influence of working parameters such as current density, initial pH, interelectrode distance, mixing speed and solution volume of PW on Al coagulant production and COD removal was investigated and modelled. The study estimates the rate constants of the reactions taking place for COD removal by EC process and by comparing their magnitudes identifies the dominant reactions and coagulant species involved in the process. The mathematical model prediction of COD removal fits well with the experimental data at 10 mA cm-2, 15 mA cm-2 and 20 mA cm-2 current density with R2 value of 0.96, 0.97 and 0.92, respectively and for dissolved Al concentration R2 value of 0.96, 0.99, and 0.97, respectively. The simulated results reproduced a good fit at initial pH of 6.1, 7.3 and 8.6 with R2 value of 0.92, 0.96 and 0.98, respectively for COD removal. The mathematical model and the experimental results showed the role of dominant Al-hydroxy complex species such as Al OH 2 + , Al OH 2 + , Al OH 3 , Al 2 OH 2 + 4 and Al OH 4 - in controlling the COD removal process. Under different operating conditions considered in the study, the model also predicted the COD removal performance of the EC reactors at different reactor volumes with R2 value of 0.96 for higher solution volume and larger reactor. The model presented and rate constants determined in the study will provide a theoretical basis for designing, scaling up and operating the EC reactor for oil-field PW treatment.


Assuntos
Águas Residuárias , Poluentes Químicos da Água , Eliminação de Resíduos Líquidos/métodos , Alumínio , Água , Campos de Petróleo e Gás , Concentração de Íons de Hidrogênio , Eletrodos , Eletrocoagulação/métodos , Modelos Teóricos , Poluentes Químicos da Água/análise , Resíduos Industriais
18.
Environ Sci Pollut Res Int ; 31(13): 20434-20448, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38376783

RESUMO

The integrated electrocoagulation-assisted adsorption (ECA) system with a solar photovoltaic power supply has gained more attention as an effective approach for reduction chemical oxygen demand (COD) from pharmaceutical wastewater (PhWW). In this research, the ECA system was used for the treatment of PhWW. Several operating parameters were investigated, including electrode number, configuration, distance, operating time, current density, adsorption time, and temperature. A current density of 6.656 mA/cm2, six electrodes, a 20-min time, a 4 cm distance, an MP-P configuration, and a 45 °C temperature produced the maximum COD reductions, where the operating cost of conventional energy was 0.273 $/m3. The EC, adsorption, and combination of EC and adsorption processes achieved efficient COD reductions of 85.4, 69.1, and 95.5%, respectively. The pseudo-second-order kinetic model and the Freundlich isotherm fit the data of the endothermic adsorption process. Therefore, it was found that the combination processes were superior to the use of these processes in isolation to remove COD.


Assuntos
Poluentes Químicos da Água , Purificação da Água , Eliminação de Resíduos Líquidos , Adsorção , Águas Residuárias , Eletrocoagulação , Eletrodos , Análise da Demanda Biológica de Oxigênio , Preparações Farmacêuticas , Resíduos Industriais/análise , Concentração de Íons de Hidrogênio
19.
Water Res ; 252: 121233, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38330719

RESUMO

Long-term consumption of groundwater containing elevated levels of arsenic (As) can have severe health consequences, including cancer. To effectively remove As, conventional treatment technologies require expensive chemical oxidants to oxidise neutral arsenite (As(III)) in groundwater to negatively charged arsenate (As(V)), which is more easily removed. Rapid sand filter beds used in conventional aeration-filtration to treat anaerobic groundwater can naturally oxidise As(III) through biological processes but require an additional step to remove the generated As(V), adding complexity and cost. This study introduces a novel approach where As(V), produced through biological As(III) oxidation in a sand filter, is effectively removed within the same filter by embedding and operating an iron electrocoagulation (FeEC) system inside the filter. Operating FeEC within the biological filter achieved higher As(III) removal (81 %) compared to operating FeEC in the filter supernatant (67 %). This performance was similar to an analogous embedded-FeEC system treating As(V)-contaminated water (85 %), confirming the benefits of incorporating FeEC in a biological bed for comparable As(III) and As(V) removal. However, operating FeEC in the sand matrix consumed more energy (14 Wh/m3) compared to FeEC operated in a water matrix (7 Wh/m3). The efficiency of As removal increased and energy requirements decreased in such embedded-FeEC systems by deep-bed infiltration of Fe(III)-precipitates, which can be controlled by adjusting flow rate and pH. This study is one of the first to demonstrate the feasibility of embedding FeEC systems in sand filters for groundwater arsenic removal. Such systems capitalise on biological As(III) oxidation in aeration-filtration, effectively eliminating As(V) within the same setup without the need for chemicals or major modifications.


Assuntos
Arsênio , Água Potável , Água Subterrânea , Poluentes Químicos da Água , Purificação da Água , Compostos Férricos , Arsênio/análise , Poluentes Químicos da Água/análise , Água Potável/análise , Eletrocoagulação
20.
Water Res ; 252: 121248, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38335752

RESUMO

This review explores the potential and challenges of combining electrochemical, especially electrocoagulation (EC) process, with various - wastewater treatment methods such as membranes, chemical treatments, biological methods, and oxidation processes to enhance pollutant removal and reduce costs. It emphasizes the advantages of using electrochemical processes as a pretreatment step, including increased volume and improved quality of permeate water, mitigation of membrane fouling, and lower environmental impact. Pilot-scale studies are discussed to validate the effectiveness of combined EC processes, particularly for industrial wastewater. Factors such as electrode materials, coating materials, and the integration of a third process are discussed as potential avenues for improving the environmental sustainability and cost-effectiveness of the combined EC processes. This review also discusses factors for improvement and explores the EC process combined with Advanced Oxidation Processes (AOP). The conclusion highlights the need for combined EC processes, which include reducing electrode consumption, evaluating energy efficiency, and conducting pilot-scale investigations under continuous flow conditions. Furthermore, it emphasizes future research on electrode materials and technology commercialization. Overall, this review underscores the importance of combined EC processes in meeting the demand for clean water resources and emphasizes the need for further optimization and implementation in industrial applications.


Assuntos
Poluentes Químicos da Água , Purificação da Água , Águas Residuárias , Eliminação de Resíduos Líquidos/métodos , Eletrocoagulação , Eletrodos , Purificação da Água/métodos
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