Antiphospholipid (Hughes) syndrome 40th anniversary.

This article is a celebration of the 40th anniversary of APS, a disease that appears to affect one in 2000 people. The quality of life of patients affected has improved significantly as a result of early diagnosis and effective treatment.

Di-(2-ethylhexyl) phthalate (DEHP) contamination suppressed soil microbial biomass carbon and mitigated CO2 emissions against the background of alfalfa from different soils.

Plastic mulching and organic amendments are prevalent agricultural practices worldwide. Plastic mulching has long been suspected as a significant source of DEHP contamination in terrestrial ecosystems. However, effects of DEHP contamination on greenhouse gas emissions and microbial biomass carbon (MBC) remain unclear. Here, a microcosm experiment was set up to assess the impact of DEHP exposure on MBC and carbon dioxide (CO2) emission in two different soils (acidic and alkaline) with the inclusion of alfalfa straw. The treatment includes: (i) control with no amendment (T1); (ii) alfalfa straw addition (20 g kg-1) (T2); (iii) DEHP (10 mg kg-1) + alfalfa straw (T3); and (iv) DEHP (100 mg kg-1) + alfalfa straw (T4). Against the background of alfalfa inclusion, DEHP exposure led to a potential reduction in cumulative CO2 emissions by 16.35 % and 6.91 % in alkaline soil and 12.27 % and 13.65 % in acidic soil for T3 and T4, respectively. The addition of DEHP triggered CO2 emissions and manifested a detrimental negative priming effect in both soil types. In both soils, average CO2 emission fluxes were highest for the T2 treatment. The MBC fluctuated at around 80 mg kg-1 for the control group, alfalfa straw alone (T2) treatment considerably enhanced MBC contents, whereas DEHP contamination in T3 and T4 treatments suppressed the stimulatory effect of alfalfa on MBC in both alkaline and acidic soils. Furthermore, a positive relationship was observed between soil CO2 emissions and MBC in both soils. Overall, these findings highlight the toxic impact of DEHP on MBC and its role in mitigating CO2 emissions in diverse soils. DEHP exposure counters the CO2 emissions induced by alfalfa straw. In addition, the inhibitory effect of DEHP on CO2 fluxes in alkaline soil is less pronounced than in acidic soil. Therefore, further cutting-edge research is crucial since DEHP contamination poses serious ecological threats to agroecosystems.

Biocompatible PAMAM-PLGA-PCL Nanocarrier for Efficient Curcumin Delivery to Lung Cancer Cells: In Vitro Studies.

We developed a novel polylactic-co-glycolic acid (PLGA)-polyamidoamine G4 (PAMAM G4)-polycaprolactone (PCL) nanocarrier for efficient delivery of curcumin (Cur) to A549 lung cancer cells. The synthesized nanocarrier was characterized by applying analytical techniques, FT-IR, DLS, TEM, and TGA. Successful synthesis, nano-size diameter (40 to 80 nm), near neutral surface charge (8.0 mV), and high drug entrapment (11.5%) were measured for the nanocarrier. Controlled (about 5 folds within first 2 h) and pH-sensitive (2 to 3 folds faster within first hours) Cur release observed for PLGA-PAMAM-PCL-Cur. Cell viability test (MTT assay) indicated the high capability of nanocarrier in suppression of A549 cancer cells (21% viability after 24 h of treatment with 200 nM) while did not result in toxicity on MSC normal cells. The IC50 observed for 50 nM at 24 h of post-treatment in A549 cells. The qRT-PCR technique indicated inducing the expression of apoptotic genes (Caspase9 and Bax) by 6-8 folds and suppressing anti-apoptotic gene (Bcl2) by 7 folds. ROS considerably increased in cancer cells as well. This nanocarrier would be a promising drug delivery system against lung cancer.

High surface area activated carbon from a pineapple (ananas comosus) crown via microwave-ZnCl2 activation for crystal violet and methylene blue dye removal: adsorption optimization and mechanism.

In this investigation, microwave irradiation assisted by ZnCl2 was used to transform pineapple crown (PN) waste into mesoporous activated carbon (PNAC). Complementary techniques were employed to examine the physicochemical characteristics of PNAC, including BET, FTIR, SEM-EDX, XRD, and pH at the point-of-zero-charge (pHpzc). PNAC is mesoporous adsorbent with a surface area of 1070 m2/g. The statistical optimization for the adsorption process of two model cationic dyes (methylene blue: MB and, crystal violet: CV) was conducted using the response surface methodology-Box-Behnken design (RSM-BBD). The parameters include solution pH (4-10), contact time (2-12) min, and PNAC dosage (0.02-0.1 g/100 mL). The Freundlich and Langmuir models adequately described the dye adsorption isotherm results for the MB and CV systems, whereas the pseudo-second order kinetic model accounted for the time dependent adsorption results. The maximum adsorption capacity (qmax) for PNAC with the two tested dyes are listed: 263.9 mg/g for CV and 274.8 mg/g for MB. The unique adsorption mechanism of MB and CV dyes by PNAC implicates multiple contributions to the adsorption process such as pore filling, electrostatic forces, H-bonding, and π-π interactions. This study illustrates the possibility of transforming PN into activated carbon (PNAC) with the potential to remove two cationic dyes from aqueous media.

The novelty of this research work stems from the conversion of pineapple (Ananas comosus) crown wastes with no monetary value into an efficient activated carbon adsorbent with relatively high surface area. Furthermore, a fast and convenient microwave assisted ZnCl₂ activation method was applied for producing the activated carbon (AC). The effectiveness of the produced AC was tested for the removal of two different cationic dyes: crystal violet (CV) and methylene blue (MB). A statistical optimization that employs a response surface methodology with the Box-Behnken design was employed to optimize the adsorption variables for the optimal dye removal. Moreover, the dye adsorption kinetics and thermodynamics, equilibrium isotherms, and the details of the adsorption process were reported herein.

Blended Nephelium lappaceum and Durio zibethinus wastes for activated carbon production via microwave-ZnCl2 activation: optimization for methylene blue dye removal.

Herein, this work targets to employ the blended fruit wastes including rambutan (Nephelium lappaceum) peel and durian (Durio zibethinus) seed as a promising precursor to produce activated carbon (RPDSAC). The generation of RPDSAC was accomplished through a rapid and practical procedure (microwave-ZnCl2 activation). To evaluate the adsorptive capabilities of RPDSAC, its efficacy in eliminating methylene blue (MB), a simulated cationic dye, was measured. The Box-Behnken design (BBD) was utilized to optimize the crucial adsorption parameters, namely A: RPDSAC dose (0.02-01 g/100 mL), B: pH (4-10), and C: time (2-6 min). The BBD design determined that the highest level of MB removal (79.4%) was achieved with the condition dosage of RPDSAC at 0.1 g/100 mL, contact time (6 min), and pH (10). The adsorption isotherm data is consistent with the Freundlich concept, and the pseudo-second-order versions adequately describe the kinetic data. The monolayer adsorption capacity (qmax) of RPDSAC reached 120.4 mg/g at 25 °C. Various adsorption mechanisms are involved in the adsorption of MB dye onto the surface of RPDSAC, including π-π stacking, H-bonding, pore filling, and electrostatic forces. This study exhibits the potential of the RPDSAC as an adsorbent for removal of toxic cationic dye (MB) from contaminated wastewater.

Response surface methodology for optimizing methylene blue dye removal by mesoporous activated carbon derived from renewable woody Bambusoideae waste.

In this study, the focus was on utilizing tropical plant biomass waste, specifically bamboo (BB), as a sustainable precursor for the production of activated carbon (BBAC) via pyrolysis-induced K2CO3 activation. The potential application of BBAC as an effective adsorbent for the removal of methylene blue (MB) dye from aqueous solutions was investigated. Response surface methodology (RSM) was employed to evaluate key adsorption characteristics, which included BBAC dosage (A: 0.02-0.08 g/L), pH (B: 4-10), and time (C: 2-8 min). The adsorption isotherm analysis revealed that the adsorption of MB followed the Freundlich model. Moreover, the kinetic data were well-described by the pseudo-second-order model, suggesting the role of a chemisorption process. The BBAC demonstrated a notable MB adsorption capacity of 195.8 mg/g, highlighting its effectiveness as an adsorbent. Multiple mechanisms were identified as controlling factors in MB adsorption by BBAC, including electrostatic forces, π-π stacking, and H-bonding interactions. The findings of this study indicate that BBAC derived from bamboo has the potential to be a promising adsorbent for the treatment of wastewater containing organic dyes. The employment of sustainable precursors like bamboo for activated carbon production contributes to environmentally friendly waste management practices and offers a solution for the remediation of dye-contaminated wastewater.

This works introduces a renewable and woody Bambusoideae waste as promising and low-cost precursor for producing mesoporous activated carbon via microwave assisted K₂CO₃ activation. The effectiveness of the prepared activated carbon was tested toward removal of a toxic cationic dye, namely; methylene blue from aqueous environment.

Optimization and mechanistic approach for removal of crystal violet and methylene blue dyes via activated carbon from pyrolyzed-ZnCl2 bamboo waste.

In this study, bamboo waste (BW) was subjected to pyrolysis-assisted ZnCl2 activation to produce mesoporous activated carbon (BW-AC), which was then evaluated for its ability to remove cationic dyes, specifically methylene blue (MB) and crystal violet (CV), from aqueous environments. The properties of BW-AC were characterized using various techniques, including potentiometric-based point of zero charge (pHpzc), scanning electron microscopy with energy dispersive X-rays (SEM-EDX), X-ray diffraction (XRD), gas adsorption with Brunauer-Emmett-Teller (BET) analysis, infrared (IR) spectroscopy. To optimize the adsorption characteristics (BW-AC dosage, pH, and contact time) of PBW, a Box-Behnken design (BBD) was employed. The BW-AC dose of 0.05 g, solution pH of 10, and time of 8 min are identified as optimal operational conditions for achieving maximum CV (89.8%) and MB (96.3%) adsorption according to the BBD model. The dye removal kinetics for CV and MB are described by the pseudo-second-order model. The dye adsorption isotherms revealed that adsorption of CV and MB onto BW-AC follow the Freundlich model. The maximum dye adsorption capacities (qmax) of BW-AC for CV (530 mg/g) and MB (520 mg/g) are favorable, along with the thermodynamics of the adsorption process, which is characterized as endothermic and spontaneous. The adsorption mechanism of CV and MB dyes by BW-AC was attributed to multiple contributions: hydrogen bonding, electrostatic forces, π-π attraction, and pore filling. The findings of this study highlight the potential of BW-AC as an effective adsorbent in wastewater treatment applications, contributing to the overall goal of mitigating the environmental impact of cationic dyes and ensuring the quality of water resources.

The novelty of this research work comes from the conversion of the bamboo waste (BW) into mesoporous activated carbon (BW-AC) via pyrolysis-assisted ZnCl₂ activation for the removal of cationic dyes such as methylene blue (MB) and crystal violet (CV) from aqueous media. The effectiveness of the obtained activated carbon was tested toward removal of two structurally different cationic dyes (CV and MB), where a statistical optimization employing a response surface methodology with Box-Behnken design was applied to optimize dye removal. In addition to determination of the working parameters for dye removal, the adsorption kinetics and thermodynamic parameters for the adsorption process were determined to provide molecular-level insight.

Production of activated carbon from food wastes (chicken bones and rice waste) by microwave assisted ZnCl2 activation: an optimized process for crystal violet dye removal.

A major worldwide challenge that presents significant economic, environmental, and social concerns is the rising generation of food waste. The current work used chicken bones (CB) and rice (R) food waste as alternate precursors for the production of activated carbon (CBRAC) by microwave radiation-assisted ZnCl2 activation. The adsorption characteristics of CBRAC were investigated in depth by removing an organic dye (crystal violet, CV) from an aquatic environment. To establish ideal conditions from the significant adsorption factors (A: CBRAC dosage (0.02-0.12 g/100 mL); B: pH (4-10); and C: duration (30-420), a numerical desirability function of Box-Behnken design (BBD) was utilized. The highest CV decolorization by CBRAC was reported to be 90.06% when the following conditions were met: dose = 0.118 g/100 mL, pH = 9.0, and time = 408 min. Adsorption kinetics revealed that the pseudo-first order (PFO) model best matches the data, whereas the Langmuir model was characterized by equilibrium adsorption, where the adsorption capacity of CBRAC for CV dye was calculated to be 57.9 mg/g. CV adsorption is accomplished by several processes, including electrostatic forces, pore diffusion, π-π stacking, and H-bonding. This study demonstrates the use of CB and R as biomass precursors for the efficient creation of CBRAC and their use in wastewater treatment, resulting in a greener environment.

The novelty of this research work relates to converting food wastes (mixture of chicken bones and rice waste) into activated carbon via microwave assisted ZnCl₂ activation. Moreover, the produced activated carbon was successfully applied as a potential adsorbent for removal of a toxic cationic dye; namely, crystal violet (CV) from aqueous environment.

Chitosan-grafted salicylaldehyde/algae composite for methyl violet dye removal: adsorption modeling and optimization.

In this study, a hydrothermal approach was employed to graft chitosan (Chit)/algae (ALG) with salicylaldehyde (SA), resulting in the synthesis of a biocomposite named salicylaldehyde-based chitosan Schiff base/algae (Chit-SA/ALG). The main objective of this biocomposite was to effectively remove methyl violet (MV), an organic dye, from aqueous solutions. The adsorption performance of Chit-SA/ALG toward MV was investigated in detail, considering the effects of three factors: (A) Chit-SA/ALG dose (ranging from 0.02 to 0.1 g/100 mL), (B) pH (ranging from 4 to 10), and (C) time (ranging from 10 to 120 min). The Box-Behnken design (BBD) was utilized for experimental design and analysis. The experimental results exhibited a good fit with both the pseudo-second-order kinetic model and the Freundlich isotherm, suggesting their suitability for describing the MV adsorption process on Chit-SA/ALG. The maximum adsorption capacity of Chit-SA/ALG, as calculated by the Langmuir model, was found to be 115.6 mg/g. The remarkable adsorption of MV onto Chit-SA/ALG can be primarily attributed to the electrostatic forces between Chit-SA/ALG and MV as well as the involvement of various interactions such as n-π, π-π, and H-bond interactions. This research demonstrates that Chit-SA/ALG exhibits promising potential as a highly efficient adsorbent for the removal of organic dyes from water systems.

The novelty of this work comes from introducing a new bio-organic based composite adsorbent of chitosan (Chit) biopolymer and algae (ALG) biomass. Moreover, the functionality and chemical stability of Chit­ALG composite was further developed by grafting process with salicylaldehyde (SA) using hydrothermal process. The incorporation of ALG biomass into polymeric matrix of Chit and grafting process with SA makes Chit a unique hybrid adsorbent toward cationic dye (methyl violet dye).

Food-grade algae modified Schiff base-chitosan benzaldehyde composite for cationic methyl violet 2B dye removal: RSM statistical parametric optimization.

This work aims to apply the use of food-grade algae (FGA) composited with chitosan-benzaldehyde Schiff base biopolymer (CHA-BD) as a new adsorbent (CHA-BA/FGA) for methyl violet 2B (MV 2B) dye removal from aqueous solutions. The effect of three processing variables, including CHA-BA/FGA dosage (0.02-0.1 g/100 mL), pH solution (4-10), and contact duration (10-120 min) on the removal of MV 2B was investigated using the Box-Behnken design (BBD) model. Kinetic and equilibrium dye adsorption profiles reveal that the uptake of MV 2B dye by CHA-BA/FGA is described by the pseudo-second kinetics and the Langmuir models. The thermodynamics of the adsorption process (ΔG°, ΔH°, and ΔS°) reveal spontaneous and favorable adsorption parameters of MV 2B dye onto the CHA-BA/FGA biocomposite at ambient conditions. The CHA-BA/FGA exhibited the maximum ability to absorb MV 2B of 126.51 mg/g (operating conditions: CHA-BA/FGA dose = 0.09 g/100 mL, solution pH = 8.68, and temperature = 25 °C). Various interactions, including H-bonding, electrostatic forces, π-π stacking, and n-π stacking provide an account of the hypothesized mechanism of MV 2B adsorption onto the surface of CHA-BA/FGA. This research reveals that CHA-BA/FGA with its unique biocomposite structure and favorable adsorption properties can be used to remove harmful cationic dyes from wastewater.

The first novel aspect of this research work comes from the utilization of food-grade algae which contains various types of negative functional groups hydroxyl, carboxyl, and phosphate to modify a cationic biopolymer (Chitosan) to improve its adsorptive property toward removal of a cationic dye such as methyl violet 2B. The second novel aspect of this research work is to use the hydrothermal process to assist the grafting of an aromatic ring of benzaldehyde into the polymer matrix of the chitosan-food grade algae composite via a Schiff base linkage to improve its chemical stability and functionality.

On- and off-line analysis by ICP-MS to measure the bioaccessible concentration of elements in PM10 using dynamic versions of the simplified bioaccessibility extraction test.

Two dynamic versions of the simplified bioaccessibility extraction test (SBET) were developed-an off-line procedure and an on-line procedure coupled directly to ICP-MS. Batch, on-line, and off-line procedures were applied to simulated PM10 samples prepared by loading NIST SRM 2711A Montana II Soil and BGS RM 102 Ironstone Soil onto 45-mm TX40 filters widely used in air quality monitoring. Three real PM10 samples were also extracted. A polycarbonate filter holder was used as an extraction unit for the dynamic procedures. Arsenic, Cd, Cr, Cu, Fe, Mn, Ni, Pb, and Zn were determined in the extracts using an Agilent 7700 × ICP-MS instrument. The residual simulated PM10 samples following application of the SBET were subjected to microwave-assisted aqua regia digestion and a mass balance calculation performed with respect to digestion of a separate test portion of the SRM. Leachates were collected as subfractions for the off-line analysis or continuously introduced to the nebuliser of the ICP-MS for the on-line analysis. The mass balance was generally acceptable for all versions of the SBET. Recoveries obtained with the dynamic methods were closer to pseudototal values than those obtained in batch mode. Off-line analysis performed better than on-line analysis, except for Pb. Recoveries of bioaccessible Pb relative to the certified value in NIST SRM 2711A Montana II Soil (1110 ± 49 mg kg-1) were 99, 106, and 105% for the batch, off-line, and on-line methods, respectively. The study demonstrates that dynamic SBET can be used to measure bioaccessibility of potentially toxic elements in PM10 samples.

Early Life Oral Antibiotics Are Associated With Pediatric-Onset Inflammatory Bowel Disease-A Nationwide Study.

OBJECTIVES: Early-life environmental triggers are thought to play a larger role in pediatric-onset inflammatory bowel disease (pIBD) compared to adult-onset IBD. We aimed to assess the risk of developing pIBD after exposure to oral antibiotics during the first 5 years of life. METHODS: In a nation-wide cohort study, we identified all patients diagnosed with pIBD (<18 years at diagnosis) in Denmark between 1995 and 2018 from the National Patient Registry and matched them with up to 10 reference individuals. Antibiotic exposure was defined as being prescribed antibiotics during first 5 years of life. Data were retrieved from the National Prescription Register. Outcome was developing pIBD. Risk estimates are presented by hazard ratios (HR) with 95% confidence intervals (CI). RESULTS: We identified 1927 pIBD patients and 18,318 reference individuals. Oral antibiotic exposure during the first 5 years of life was associated with a higher risk of developing pIBD (HR = 1.33 [95% CI: 1.2-1.5], P <0.0001). The risk was also increased if patients had ≥4 antibiotic prescriptions compared to no antibiotics (HR = 1.33 [95% CI: 1.2-1.5], P <0.0001). Broad-spectrum antibiotics increased the risk of pIBD compared to narrow-spectrum antibiotics (HR = 1.29 [95% CI: 1.2-1.4], P < 0.0001). When stratified by IBD subtypes, only Crohn disease was significantly associated with exposure to antibiotics (HR = 1.37 [95% CI: 1.1-1.7], P = 0.002). CONCLUSIONS: In this nationwide registry-based study, we found that oral antibiotic exposure during first 5 years of life was associated with an increased risk of pIBD. Repeated antibiotic exposures increased risk estimates.

Solitary atrial Rhabdomyoma in an infant with tuberous sclerosis: a case report and review of the literature.

BACKGROUND: Despite its rare incidence of 1/40,000, fetal cardiac rhabdomyoma (CR) represents the prevailing type of benign cardiac fetal tumors, which commonly affects the ventricles. Fetal CRs rarely occur in the right atrium. Thus, the presentation of atrial fibrillation and premature atrial contractions (PAC) due to a solitary cardiac rhabdomyoma is an extremely rare scenario. Our literature review found that only 2% (1 out of 61) of rhabdomyoma cases were found in the right atrium. The majority of fetal cardiac rhabdomyomas are associated with tuberous sclerosis complex (TSC). CASE PRESENTATION: A 7-day-old male neonate presented with arrhythmias and an atrial mass for further evaluation. Echocardiography revealed a hyperechoic, round, uniform right atrial mass (25 mm). An abdominal and testicular ultrasound showed multiple thin-walled cortical cysts in both kidneys and a scrotal hydrocele, respectively. His laboratory workup was insignificant except for hypomagnesemia. Electrocardiography revealed junctional rhythm and PACs with wave distortions. A brain magnetic resonance imaging scan revealed multiple subependymal lesions on the frontal and occipital horns of the lateral ventricles. These findings (Fig. 1), along with a family history of TSC, confirmed the diagnosis of TSC with associated CR. The patient was treated symptomatically with an anti-convulsant and monitored with regular follow-ups. Surgical resection was not required. CONCLUSION: Despite CR's predominance in the ventricles, a diagnosis of rhabdomyoma should be kept in mind in the presence of a solitary atrial mass and PACs. Physicians should evaluate systemic findings related to TSC and provide appropriate follow-up and family screening. Surgical resection is not always required, and symptom management can be achieved through medical treatment alone.

Pyrolysis of rubber seed pericarp biomass treated with sulfuric acid for the adsorption of crystal violet and methylene green dyes: an optimized process.

In this study, the biomass of rubber seed pericarp was first treated with sulfuric acid and then its activated carbon was formed by the pyrolysis process. As produced acid-treated activated carbon of chosen biomass was then used for the adsorption of crystal violet (CV) and methylene green (MG) from the colored aqueous solution. The adsorbent was exposed to several characterization methods to know its structural and morphological behaviors before and after CV and MG adsorption. The adsorbent was found to be mesoporous having a surface area of 59.517 m2/g. The effect of pH, time, and concentration was assessed while various isotherm and kinetics models were employed to know the adsorption insight. The optimum conditions were at pH 8, within 30 min, 50 mg/L concentration, and 0.06 gm dose. The adsorption data (the maximum adsorption capacity for CV and MG were found to be 302.7 and 567.6 mg/g, respectively) was validated by fitting in a response surface statistical methodology and the positive interactions between the studied factors were found. The adsorption was mainly belonging to the electrostatic attraction of the dye molecules. The study proves that the used adsorbent is economical and an excellent source of treating wastewater.

The novelty of this research work comes from the conversion of the abundant biomass waste namely rubber seed pericarp into sulfonated-rich carbon material by pyrolysis process to be an efficient adsorbent for two structurally different cationic dyes. Furthermore, statistical optimization by using response surface methodology was applied to optimize the adsorption key parameters.

Mesoporous activated carbon derived from fruit by-product by pyrolysis induced chemical activation: optimization and mechanism for fuchsin basic dye removal.

In this study, pineapple crown (PC) feedstock residues were utilized as a potential precursor toward producing activated carbon (PCAC) via pyrolysis induced with ZnCl2 activation. The PCAC has a surface area (457.8 m2/g) and a mesoporous structure with an average pore diameter of 3.35 nm, according to the Brunauer-Emmett-Teller estimate. The removal of cationic dye (Fuchsin basic; FB) was used for investigating the adsorption parameters of PCAC. The optimization of significant adsorption variables (A: PCAC dose (0.02-0.1 g/100 mL); B: pH (4-10); C: time (10-90); and D: initial FB concentration (10-50 mg/L) was conducted using the Box-Behnken design (BBD). The pseudo-second-order (PSO) model characterized the dye adsorption kinetic profile, whereas the Freundlich model reflected the equilibrium adsorption profile. The maximum adsorption capacity (qmax) of PCAC for FB dye was determined to be 171.5 mg/g. Numerous factors contribute to the FB dye adsorption mechanism onto the surface of PCAC, which include electrostatic attraction, H-bonding, pore diffusion, and π-π stacking. This study illustrates the utilization of PC biomass feedstock for the fabrication of PCAC and its successful application in wastewater remediation.

Box-Behnken design with desirability function for methylene blue dye adsorption by microporous activated carbon from pomegranate peel using microwave assisted K2CO3 activation.

This research aims to convert pomegranate peel (PP) into microporous activated carbon (PPAC) using a microwave assisted K2CO3 activation method. The optimum activation conditions were carried out with a 1:2 PP/K2CO3 impregnation ratio, radiation power 800 W, and 15 min irradiation time. The statistical Box-Behnken design (BBD) was employed as an effective tool for optimizing the factors that influence the adsorption performance and removal of methylene blue (MB) dye. The output data of BBD with a desirability function indicate a 94.8% removal of 100 mg/L MB at the following experimental conditions: PPAC dose of 0.08 g, solution pH of 7.45, process temperature of 32.1 °C, and a time of 30 min. The pseudo-second order (PSO) kinetic model accounted for the contact time for the adsorption of MB. At equilibrium conditions, the Freundlich adsorption isotherm describes the adsorption results, where the maximum adsorption capacity of PPAC for MB dye was 291.5 mg g-1. This study supports the utilization of biomass waste from pomegranate peels and conversion into renewable and sustainable adsorbent materials. As well, this work contributes to the management of waste biomass and water pollutant sequestration.

The novelty of this research work comes from the conversion of the biomass waste, namely; the conversion of pomegranate peel (PP) into microporous activated carbon (PPAC) via a microwave assisted K₂CO₃ activation process. The applicability of the PPAC toward the removal of methylene blue dye (MB) was statistically optimized using Box Behnken design in the response surface methodology (BBD-RSM).

Fruit peel-based mesoporous activated carbon via microwave assisted K2CO3 activation: Box Behnken design and desirability function for methylene blue dye adsorption.

A low-cost fruit waste namely watermelon peel (WMP) was utilized as a promising precursor for the preparation of mesoporous activated carbon (WMP-AC) via microwave assisted-K2CO3 activation. The WMP-AC was applied as an adsorbent for methylene blue dye (MB) removal. Several types of characterizations, such as specific surface area (BET), Scanning Electron Microscopy with Energy Dispersive X-ray Spectroscopy (SEM-EDX), Elemental Analysis (CHNS/O), and Fourier Transform Infrared Spectroscopy (FTIR) were used to identify the physicochemical properties of WMP-AC. Furthermore, Box-Behnken design (BBD) was applied to optimize the influence of the adsorption operational variables (contact time, adsorbent dose, working temperature, and solution pH) on MB dye adsorption. Thus, based on significant interactions, the optimum BBD output shows the best removal of 50 mg·L-1 MB (92%) was recorded at an adsorbent dose of 0.056 g, contact time of 4.4 min, working temperature of 39 °C, and solution pH 8.4. The Langmuir uptake capacity of WMP-AC was found to be 312.8 mg·g-1, with the best fitness to the pseudo-second-order kinetics model and an endothermic adsorption process. The adsorption mechanisms of MB by WMP-AC can be assigned to the hydrogen bonding, electrostatic attraction, and π-π stacking. The findings of this study indicate that WMP is a promising precursor for producing porous activated carbon for MB dye removal.

The novelty of this research work comes from the conversion of the domestic fruit waste namely watermelon peels into mesoporous activated carbon by the fast and convenient activation method of microwave-assisted chemical activation. The produced activated carbon was applied for the removal of a toxic organic dye. Furthermore, the statistical optimization by using response surface methodology was applied to optimize the adsorption key parameters.

Tropical fruit wastes including durian seeds and rambutan peels as a precursor for producing activated carbon using H3PO4-assisted microwave method: RSM-BBD optimization and mechanism for methylene blue dye adsorption.

Herein, tropical fruit biomass wastes including durian seeds (DS) and rambutan peels (RP) were used as sustainable precursors for preparing activated carbon (DSRPAC) using microwave-induced H3PO4 activation. The textural and physicochemical characteristics of DSRPAC were investigated by N2 adsorption-desorption isotherms, X-ray diffraction, Fourier transform infrared, point of zero charge, and scanning electron microscope analyses. These findings reveal that the DSRPAC has a mean pore diameter of 3.79 nm and a specific surface area of 104.2 m2/g. DSRPAC was applied as a green adsorbent to extensively investigate the removal of an organic dye (methylene blue, MB) from aqueous solutions. The response surface methodology Box-Behnken design (RSM-BBD) was used to evaluate the vital adsorption characteristics, which included (A) DSRPAC dosage (0.02-0.12 g/L), (B) pH (4-10), and (C) time (10-70 min). The BBD model specified that the DSRPAC dosage (0.12 g/L), pH (10), and time (40 min) parameters caused the largest removal of MB (82.1%). The adsorption isotherm findings reveal that MB adsorption pursues the Freundlich model, whereas the kinetic data can be well described by the pseudo-first-order and pseudo-second-order models. DSRPAC exhibited good MB adsorption capability (118.5 mg/g). Several mechanisms control MB adsorption by the DSRPAC, including electrostatic forces, π-π stacking, and H-bonding. This work shows that DSRPAC derived from DS and RP could serve as a viable adsorbent for the treatment of industrial effluents containing organic dye.

The novelty of this research work comes from the conversion of the mixed biomass wastes from tropical fruit including durian seeds and rambutan peels as precursor for activated carbon (DSRPAC) using microwave assisted H₃PO₄ activation. The effectiveness of DSRPAC as promising adsorbent was tested for methylene blue (MB) dye adsorption. Furthermore, response surface methodology with Box Behnken design (RSM-BBD) was applied to optimize the adsorption key parameters. A tailored adsorption mechanism of MB on the surface of DSRPAC was proposed.

A Retrospective Analysis of Pinnaplasty Outcomes: The Welsh Experience.

Prominent ears (PEs) are the most frequent congenital external ear deformity, occurring in ∼5% of the population. Although the deformity does not usually cause functional difficulties, it can significantly affect the patient's psychological and social health. The authors aim to present the Welsh experience of pinnaplasty, reviewing our outcomes and complications. A retrospective cross-sectional study was performed of all patients undergoing pinnaplasty in Morriston Hospital, Swansea, Wales. We represent the tertiary plastic surgery referral unit across Wales. We included all patients undergoing pinnaplasty between 2015 and 2022 inclusive. We excluded patients undergoing revision procedures or those who had no follow-up. Over the 7-year period, 236 pinnaplasties were performed and 203 were included in the analysis. Ninety-six percent of cases were performed using a cartilage-sparing approach, which represents the mainstay in our unit. The mean follow-up length for our cases was 12 months. Revision procedures were required in 4% of cases. Three hematomas (1.5%) and one (0.5%) wound dehiscence due to infection were recorded and required a return to the operating room. Suture extrusion was noted in 5% of cases (10 patients); 4.5% (9) cases were affected by either hypertrophic or keloid scarring. Across the United Kingdom, cosmetic procedures have come under scrutiny, namely, because of a difficult economic climate. In the era of tight fiscal control in health care, it is pertinent to analyze the outcomes and performance metrics of our operations regularly, thus aiding in the development of an established evidence base to advocate for our respective patients.

Index surgery and ninety day re-operation cost comparison of robotic-assisted versus manual total knee arthroplasty.

INTRODUCTION: This study looks to compare early costs of index surgery and re-operations of robotic-assisted total knee arthroplasties (rTKA) and manual total knee arthroplasty (mTKA) re-operations within 90 days. MATERIAL AND METHODS: The Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI) database was queried for patients undergoing rTKA and mTKA at our institution from January 1st, 2018, to March 31st, 2021. Primary outcomes were the day of surgery and overall encounter variable direct costs (VDC). Secondary outcomes included 90-day re-operations and costs. RESULTS: One thousand two hundred seventy-six (21.2%) patients were in the rTKA cohort, while 4740 (78.8%) were in the mTKA cohort. When comparing rTKA to mTKA, rTKA had higher median total encounter costs (p < 0.001) and higher encounter VDC costs (p < 0.001). TKA had higher day of surgery total VDC (p < 0.001), VDC supplies (p < 0.001), and VDC of post-op recovery (p < 0.001). Multivariate linear regression showed no relationship with age, BMI, OR time, or LOS with cost for rTKA or mTKA. CONCLUSION: Results from our study show that rTKA is associated with a higher index surgery costs, and no difference in 90-day re-operation costs. The main factor driving increased cost is supply cost, with other variables between too small in difference to make a significant financial impact. Future studies should focus on post-operative costs including readmission and episode of care costs and should consider cost to the payor as opposed to VDC. rTKA will become more common, and other institutions may need to take a closer financial look at this more novel instrumentation before adoption. LEVEL OF EVIDENCE: III, retrospective cohort.