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1.
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
2.
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
3.
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
4.
Environ Sci Pollut Res Int ; 30(27): 70331-70347, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37148509

RESUMO

The energy and electrode costs are the restrictions of applying electrocoagulation (EC) in wastewater treatment and many attempts have been made to decrease these costs. In this study, an economical EC was investigated to treat a hazardous anionic azo dye wastewater (DW) that threatens the environment and human health. Firstly, an electrode for EC process was produced from recycled aluminum cans (RACs) by remelting in an induction melting furnace. The performance of the RAC electrodes in the EC was evaluated for COD, color removal, and the EC operating parameters such as initial pH, current density (CD), and electrolysis time. Response surface methodology which is based on central composite design (RSM-CCD) was used for the optimization of the process parameters which were found to be pH 3.96, CD 15 mA/cm2, and electrolysis time 45 min. The maximum COD and color removal values were determined as 98.87% and 99.07%, respectively. The characterization of electrodes and the EC sludge was conducted by XRD, SEM, and EDS analyses for the optimum variables. In addition, the corrosion test was conducted to determine the theoretical lifetime of the electrodes. The results showed that the RAC electrodes show an extended lifetime as compared to their counterparts. Secondly, the energy cost required to treat DW in the EC was aimed to decrease by using solar panels (PV), and the optimum number of PV for the EC was determined by the MATLAB/Simulink. Consequently, the EC with low treatment cost was proposed for the treatment of DW. An economical and efficient EC process for waste management and energy policies was investigated in the present study which will be instrumental in the emergence of new understandings.


Assuntos
Energia Solar , Águas Residuárias , Humanos , Eliminação de Resíduos Líquidos/métodos , Compostos Azo , Resíduos Industriais , Concentração de Íons de Hidrogênio , Eletrocoagulação/métodos , Eletrodos
5.
Environ Sci Pollut Res Int ; 30(24): 66195-66208, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-37095214

RESUMO

Microplastics and benzyldimethyldodecylammonioum chloride (DDBAC) enter the environment more frequently during the COVID-19 pandemic and their co-occurrence will be a potential threat to the environment in the post-pandemic era. This study investigates the performance of an electrochemical system for the simultaneous removal of microplastics and DDBAC. During experimental studies, effects of applied voltage (3-15 V), pH (4-10), time (0-80 min), electrolyte concentration (0.01-0.0.09 M), electrode configuration, and perforated anode were investigated to identify their influence on DDBAC and microplastics removal efficiency. Eventually, the techno-economic optimization yielded to evaluate the commercial feasibility of this process. The central composite design (CCD) and analysis of variance (ANOVA) are employed for evaluation and optimization of the variables and response, DDBAC-microplastics removal, and for determining the adequacy and significance of mathematical models proposed by response surface methodology (RSM). Experimental results indicate that optimum conditions are pH = 7.4, time = 80 min, electrolyte concentration = 0.05 M, and applied voltage = 12.59, in which the removal of microplastics, DDBAC, and TOC reached the maximum level, which was 82.50%, 90.35%, and 83.60% respectively. The results confirm that the valid model is adequately significant for the target response. Overall, financial and energy consumption analyses confirmed that this process is a promising technology as a commercial method for the removal of DDBAC-microplastics complexes in water and wastewater treatment.


Assuntos
COVID-19 , Poluentes Químicos da Água , Humanos , Compostos de Benzalcônio , Microplásticos , Plásticos , Pandemias , Eletrocoagulação/métodos , Cloretos , Eletrodos , Poluentes Químicos da Água/química
6.
Environ Sci Pollut Res Int ; 30(10): 26650-26662, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36369444

RESUMO

Economically feasible approaches are needed for wastewater treatment. Electrocoagulation (EC) is an electrochemical treatment method that removes various pollutants from wastewater. It has grown in popularity over conventional treatment methods, especially in industrial wastewater, due to its high performance and the ability to remove toxic compounds. However, it is crucial to reduce the costs associated with EC for widespread implementation. It is also important to decrease nickel (Ni) concentrations in wastewater to prevent potential health and environmental problems. Therefore, this study investigates Ni removal from synthetic and real wastewater using electrocoagulation. Zinc, as a novel electrode, was used as the sacrificial anode. Several operating conditions were assessed, including current density, initial pH, electrolysis time, and spacing between electrodes. The maximum Ni removal efficiency, after 90 min, reached 99.9% at a current density of 10 mA/cm2 when the pH was 9.2 and the gap distance was 4 cm. The Ni removal rate reached 94.4% and 94.9% at a 2- and 6-cm spacing, respectively, after 90 min. Anode morphology, kinetic modeling, electrical energy consumption, and cost analysis were also investigated. The type of corrosion was uniform, which is easily predicted compared to pitting corrosion. The comparison between chemical coagulation and electrocoagulation was also reported. Experimental results indicated that the maximum Ni removal rates reached 99.89% after 90 min. The optimum spacing between electrodes was 4 cm, and the optimum current density was 10 mA/cm2. Additionally, the kinetic data were best represented through the second-order Lagergren model. The results demonstrated that the electrocoagulation performance was better than that of chemical coagulation for Ni removal. The maximum electrical energy consumption was 23.79 KWh/m3 for Ni removal.


Assuntos
Águas Residuárias , Poluentes Químicos da Água , Níquel/análise , Zinco/análise , Eletrocoagulação/métodos , Custos e Análise de Custo , Eletrodos , Eliminação de Resíduos Líquidos/métodos , Poluentes Químicos da Água/análise , Concentração de Íons de Hidrogênio , Resíduos Industriais/análise
7.
Chemosphere ; 306: 135623, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-35817180

RESUMO

Textile industry, one of the largest exporting industries in Malaysia, generates azo dyes wastewater which cannot be easily decomposed biologically due to its high stability and xenobiotic nature. Conventional electrocoagulation (EC) system requires high energy consumption, resulting in higher operating cost while membrane system suffers from fouling. To eliminate these drawbacks, an integrated electrocoagulation - membrane (ECM) system has been proposed as one of the emerging methods for treating dye wastewater. However, feasibility analysis of the proposed system is yet to be conducted. This study proposes a statistical technique to evaluate the techno-economic feasibility of the system via John's Macintosh Project (JMP) software. From JMP, an equation represents the whole model had been obtained for each of the system, EC standalone and ECM system. The models have been validated experimentally it is proven all the models can reach dye removal efficiency of 96%. Overall, the total cost for ECM system (1 V and 1.0 g of NaCl) was 40.44% cheaper than the conventional dye treatment method with total cost of 1.079 million MYR. EC standalone system at 1 V and 1.0 g however were found to be more economically feasible with 0.325 million MYR or 82.07% cheaper compared to conventional photocatalytic method. EC standalone system was also more economical than ECM system due to lower capital cost expended for installation of membrane tank and additional membrane purchase.


Assuntos
Águas Residuárias , Poluentes Químicos da Água , Eletrocoagulação/métodos , Eletrodos , Indústria Têxtil , Eliminação de Resíduos Líquidos/métodos
8.
Chemosphere ; 304: 135243, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35679977

RESUMO

The human health-related issues originating from the consumption of arsenic and fluoride-containing drinking water are major challenges worldwide. Amongst the different technologies available, electrocoagulation and adsorption are two promising technologies for simultaneous remediation of contaminants from groundwater. The present study evaluates and compares the environmental impacts of aluminium hydroxide/oxide nanoparticles (AHNP) adsorption and aluminium electrode electrocoagulation processes by performing their LCA. The Environmental impacts of both technologies were evaluated using Gabi software with the help of two mid-point methods (CML 2001 and TRACI). Evaluations are based on the treatment of 720 L of arsenic(III) and fluoride contaminated water from initial concentrations of 0.5 and 10 mg/L, respectively, to their WHO permissible limits. The management of spent materials has been considered for environmental impacts. The LCA analysis has shown that dissolution of aluminium electrode and electricity consumption in the electrochemical process are the significant contributors to environmental impacts in GWP, AP, ODP, ADP fossil, FAETP and HTP categories. Adsorption (GWP 35.2 kg CO2 eq.) has almost eight times higher environmental impacts than electrocoagulation (GWP 4.5 kg CO2 eq.) because in-situ generated coagulant has higher adsorption capacity than pre-precipitated adsorbents. The scenario analysis was performed with four different sources of electricity. The economic evaluation concludes that the combined cost of material and energy involved in the adsorption process (INR 0.7 per litre) is almost seven times higher than that of the electrocoagulation process (INR 0.1 per litre). Hence electrocoagulation is a more environment-friendly, low-cost technology to treat groundwater for community purposes.


Assuntos
Arsênio , Água Subterrânea , Poluentes Químicos da Água , Purificação da Água , Adsorção , Alumínio/análise , Animais , Arsênio/análise , Dióxido de Carbono/análise , Eletrocoagulação/métodos , Fluoretos/análise , Humanos , Estágios do Ciclo de Vida , Poluentes Químicos da Água/análise , Purificação da Água/métodos
9.
PLoS One ; 17(6): e0268708, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35727804

RESUMO

BACKGROUND: Mastectomy or breast conserving surgery, both with axillary lymph node dissection, are common treatments for early-stage breast cancer. Monopolar electrocautery is typically used for both procedures, despite evidence of improved clinical outcomes with HARMONIC FOCUS™+. This analysis evaluated the budget impact of adopting HARMONIC FOCUS™+ versus monopolar electrocautery for patients undergoing these procedures from an Italian hospital perspective. METHODS: Total costs for an annual caseload of 100 patients undergoing mastectomy or breast conserving surgery, with axillary lymph node dissection, with either the intervention or comparator were calculated. Italian clinical and cost input data were utilised. The analysis included costs for the device, operating room time, postoperative length of stay, treating seroma and managing postoperative chest wall drainage. Deterministic and probabilistic sensitivity analyses assessed uncertainty of model input values. Two scenario analyses investigated the impact of conservative estimates of postoperative length of stay reduction and daily hospital cost on the simulated cost difference. RESULTS: HARMONIC FOCUS™+ achieves annual savings of EUR 100,043 compared with monopolar electrocautery, derived from lower costs for operating room time, postoperative length of stay and seroma and postoperative chest wall drainage management, offsetting the incremental device cost increase (EUR 43,268). Cost savings are maintained in scenario analyses and across all variations in parameters in deterministic sensitivity analysis, with postoperative hospital stay costs being key drivers of budget impact. The mean (interquartile range) cost savings with HARMONIC FOCUS™+ versus monopolar electrocautery in probabilistic sensitivity analysis are EUR 101,637 (EUR 64,390-137,093) with a 98% probability of being cost saving. CONCLUSIONS: The intervention demonstrates robust cost savings compared with monopolar electrocautery for mastectomy or breast conserving surgery, with axillary lymph node dissection, in an Italian hospital setting, and improved clinical and resource outcomes. These findings, with other clinical and cost analyses, support HARMONIC FOCUS™+ use in this setting.


Assuntos
Neoplasias da Mama , Mastectomia Segmentar , Axila/patologia , Axila/cirurgia , Neoplasias da Mama/patologia , Neoplasias da Mama/cirurgia , Eletrocoagulação/métodos , Feminino , Hospitais , Humanos , Excisão de Linfonodo/métodos , Mastectomia/métodos , Mastectomia Segmentar/métodos , Seroma
10.
Environ Res ; 212(Pt A): 113147, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35341750

RESUMO

Among the contaminants found in groundwater, arsenic poses a great threat to human health and the ecosystem. Therefore, it is vital to eliminate arsenic from water sources. This study utilizes one of the most efficient and emerging decontamination techniques known as the sono-electrocoagulation method. In recent years, sono-electrocoagulation has attracted many scientists due to its unique features, such as being cost-effective, rapid process, and high efficiency. The required groundwater samples were artificially synthesized in the laboratory, where the anode and cathode were determined to be Fe, Ti/PbO2, and Al, respectively. During the experiment, the impact of pH (5,6,7,8), various initial concentrations (100, 200, 300,400, 500, 600 µg/l), exposure times of 5,10,15,20,25 min, electrode distances of 1.5,2,2.5,3,3.5 cm and different current intensities of 5,10,15,20,25 mA/cm2 were examined. The ambient temperature of the laboratory was kept at 30 and 40 °C. Furthermore, this study showed that the system containing Ti/PbO2 as the anode and Al as the cathode electrodes removed arsenic contamination more effectively in the base environment. The performance of arsenic removal was directly related to current intensity, pH, and time. Nevertheless, time elapse played a negative factor due to the corrosion of the electrodes' surface and the dissolution of floating materials in the solution. With the surge of arsenic concentration from 100 to 300 mg/L, the arsenic removal efficiency increased from 61.9 to 98.5 percent, where the maximum removal efficiency due to the rise of the current intensity was 84.16 percent. The sono-electrocoagulation method reduced the risk of carcinogenic and non-carcinogenicity from 5.15E-03 to 7.73E-05 and 26.71 to 0.40. Accordingly, it was found that a combination of ultrasonic and electrocoagulation processes is a promising approach for arsenic removal.


Assuntos
Arsênio , Água Subterrânea , Poluentes Químicos da Água , Purificação da Água , Ecossistema , Eletrocoagulação/métodos , Humanos , Medição de Risco , Água , Purificação da Água/métodos
11.
Ear Nose Throat J ; 100(5_suppl): 427S-430S, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31631678

RESUMO

OBJECTIVES: To quantify differences in waste and cost of disposable equipment between different tonsillectomy techniques. METHODS: Prospective study of waste attributable to disposable waste produced by tonsillectomy surgery. Disposable equipment required for tonsillectomy using cold, monopolar electrocautery (ME), and coblation techniques was measured; and differences in mass, volume, and cost of equipment between the 3 techniques were quantified. RESULTS: Cold technique was found to produce the least waste and have the lowest cost attributable to disposable surgical equipment. Projected single-case savings in mass and volume of waste resulting from using cold technique compared to ME were 1.272 kg and 1.013 L, respectively, and 1.043 kg and 1.723 L compared to coblation. Projected single-case savings in cost of disposable equipment for cold technique compared to ME were US$9.35 and US$185.05 compared to coblation. DISCUSSION: Using cold technique for adult tonsillectomy reduces waste and cost of disposable equipment compared to ME and coblation. Implications for Practice: Surgeons desiring to reduce cost and waste associated with tonsillectomy surgery may consider transitioning to cold technique.


Assuntos
Criocirurgia/economia , Criocirurgia/estatística & dados numéricos , Custos de Cuidados de Saúde/estatística & dados numéricos , Resíduos de Serviços de Saúde/estatística & dados numéricos , Tonsilectomia/métodos , Adulto , Criocirurgia/métodos , Equipamentos Descartáveis/economia , Equipamentos Descartáveis/estatística & dados numéricos , Eletrocoagulação/economia , Eletrocoagulação/métodos , Humanos , Resíduos de Serviços de Saúde/economia , Estudos Prospectivos , Tonsilectomia/economia
12.
Int J Surg ; 80: 21-25, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32590073

RESUMO

The current dreadful pandemic of coronavirus disease (COVID-19) is playing havoc with humanity, socio-communal systems and economic reserves worldwide. Certain countries have managed to curtail COVID-19 crisis to some extent, however, a great majority still remains helpless in containing this outbreak. Rapidly evolving disease patterns and complex epidemiology of the COVID-19 necessitate a tailored approach by medical experts in dealing with this devastating outbreak. Similar to other medical disciplines, surgical associations and societies have developed a tailored approach of patients' selection and management plans with improvised endolaparoscopic practice during the COVID-19 pandemic. Non-essential and non-urgent surgical procedures are deferred till this outbreak is abated. Benefits of delaying elective and non-urgent surgery outweighs the risk of performing surgical procedures on patients with asymptomatic or active COVID-19 disease. Laparoendoscopic procedures increase the risk of aerosol exposure, disease transmission and contamination. Limiting the number of operating room personnel, use of disposable instruments, small trocar incisions, negative pressure environment, and setting energy devices at low modes can help reduce disease transmission during laparoendocsopic procedures. This write up sheds lights on the impact of the COVID-19, big data analytics of response of medical personnel in understanding and curtailing the disease process and the consensus guidelines for carrying out laparoscoendoscopic procedures.


Assuntos
Infecções por Coronavirus/prevenção & controle , Equipamentos Descartáveis , Endoscopia/métodos , Alocação de Recursos para a Atenção à Saúde , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Laparoscopia/métodos , Neoplasias/cirurgia , Pandemias/prevenção & controle , Seleção de Pacientes , Pneumonia Viral/prevenção & controle , Betacoronavirus , Big Data , COVID-19 , Protocolos Clínicos , Coronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Ciência de Dados , Procedimentos Cirúrgicos Eletivos/métodos , Eletrocoagulação/métodos , Contaminação de Equipamentos/prevenção & controle , Pessoal de Saúde , Humanos , Salas Cirúrgicas , Equipamento de Proteção Individual , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , SARS-CoV-2 , Procedimentos Cirúrgicos Ultrassônicos/métodos
13.
Chemosphere ; 251: 126363, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32151809

RESUMO

The application of conventional electrocoagulation (EC) process for removal of As(III) from groundwater suffers from the need of external oxidation agent for oxidation of As(III) to As(V). To tackle this limitation, an aerated EC reactor for the removal of As(III) from groundwater was evaluated in this study. The effect of initial pHi, air flow rate, applied current, and electrode height in the EC reactor was examined. The experimental results showed that removal of arsenic mostly dependent on the applied current, electrode height in EC reactor, and air flow rate. The As(III) removal efficiency (99.2%) was maximum at pHi of 7.5, air flow rate of 6 L min-1, applied current of 0.30 A, and electrode height in EC reactor of 5 cm, with an total operating cost of 0.583 $ m-3. Furthermore, the carcinogenic risk (CR) and non-carcinogenic risk of arsenic (As) was in the range of tolerable limits at all operating conditions except applied current of 0.075 A at the end of the aerated EC process to remove As from groundwater. The present EC reactor process is able to remove As(III) from groundwater to below 10 µg L-1, which is maximum contaminant level of arsenic in drinking water according to the World Health Organization (WHO).


Assuntos
Arsenitos/química , Poluentes Químicos da Água/química , Purificação da Água/métodos , Alumínio/química , Arsênio , Eletrocoagulação/métodos , Eletrodos , Água Subterrânea , Humanos , Oxirredução , Medição de Risco
14.
Chest ; 157(2): 446-453, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31472155

RESUMO

Central airway obstruction (CAO) is associated with significant morbidity and increased mortality. Bronchoscopic electrosurgical and laser ablative tools have proven to be safe and effective instruments for the treatment of malignant CAO. Although therapeutic modalities such as electrocautery, argon plasma coagulation, and laser have been used for decades, additional tools including radiofrequency ablation catheters continue to be developed for the treatment of CAO. These modalities are considered safe in the hands of experienced operators, although serious complications can occur. This review describes various electrosurgical and laser therapy tools used for the treatment of malignant CAO along with the specific advantages and disadvantages of each device.


Assuntos
Obstrução das Vias Respiratórias/cirurgia , Coagulação com Plasma de Argônio/métodos , Broncoscopia , Ablação por Cateter/métodos , Eletrocirurgia/métodos , Terapia a Laser/métodos , Neoplasias do Sistema Respiratório/cirurgia , Obstrução das Vias Respiratórias/etiologia , Coagulação com Plasma de Argônio/efeitos adversos , Coagulação com Plasma de Argônio/economia , Brônquios , Ablação por Cateter/efeitos adversos , Ablação por Cateter/economia , Eletrocoagulação/efeitos adversos , Eletrocoagulação/economia , Eletrocoagulação/métodos , Eletrocirurgia/efeitos adversos , Eletrocirurgia/economia , Humanos , Terapia a Laser/efeitos adversos , Terapia a Laser/economia , Neoplasias/complicações , Neoplasias/cirurgia , Neoplasias do Sistema Respiratório/complicações , Traqueia
15.
Surg Today ; 48(9): 856-864, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-29748826

RESUMO

PURPOSE: We developed a microwave energy-based scissors device (MWCX) that is capable of performing cutting and coagulation using 2.45 GHz microwave energy. This paper aims to present the concept of the device and assess the basic functions including the hemostasis, cutting, and sealing abilities. METHODS: Seven beagle dogs were used in our experiments. In six dogs, we measured the coagulation time (CT), lateral thermal injury (LTI), bursting pressure (BP). The dogs were then subjected to re-laparotomy 1 week later to allow us to investigate the results. In one dog, the same factors and the quantities of smoke and mist emitted were compared to those observed when using a Harmonic Focus (HF) device. RESULTS: At 60 W, the MWCX could cut and seal small (5 s, diameter 1-2 mm) and medium-sized (10 s, 3-4 mm) vessels with complete hemostasis. The liver (length 2 cm) was cut for 30 s. Harvested vessels were sealed for 10 s (artery, 17 times; vein, six times). The mean BP was 887. 8 ± 41.5 mmHg in the medium arteries and 457.2 ± 118.0 mmHg in veins, with a mean diameter of 4.5 ± 1.3 mm. In a comparative study, the MWCX showed similar results to the HF with regard to the CT, BP and LTI, and emitted less smoke and mist. CONCLUSION: The MWCX showed similar levels of functionality and safety to HF, as well as the advantages offered by the use of microwave energy. Microwave devices might be used in the majority of applications for which traditional energy devices are used.


Assuntos
Eletrocoagulação/instrumentação , Desenho de Equipamento , Invenções , Micro-Ondas , Instrumentos Cirúrgicos , Animais , Cães , Eletrocoagulação/métodos , Hemostasia Cirúrgica/instrumentação , Laparoscopia/instrumentação , Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação
16.
Laryngoscope ; 128(3): 745-749, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29152748

RESUMO

OBJECTIVES: Evaluate the effects of electrocautery, microdebrider, and coblation techniques on outpatient pediatric adenoidectomy costs and complications. STUDY DESIGN: Observational retrospective cohort study. METHODS: An observational cohort study was performed in a multihospital network using a standardized accounting system. Children < 18 years of age who underwent outpatient adenoidectomy were included from January 2008 to September 2015. Cases with additional procedures were excluded. The cohorts were divided into children who underwent electrocautery, microdebrider, or coblator adenoidectomy. Data regarding costs, postoperative complications, and revision surgeries were analyzed. RESULTS: A total of 1,065 cases of adenoidectomy were performed with electrocautery (34.9%), microdebrider (26.1%), and coblation (39.0%). There was an increased after direct cost associated with the microdebrider, $833 (standard deviation [SD] $363) and the coblator, $797 (SD $262) compared to the electrocautery, $597 (SD $361) (P < 0.0001). There was a greater overall operating room (OR) time associated with use of the microdebrider (mean 28.7, SD 11.0 minutes) compared with both the electrocautery (mean 24.7, SD 8.1 minutes) and coblator (mean 26.2, SD 9.8 minutes) (P < 0.0001). No significant difference was found with regard to complication rates. The incidence of repeat adenoidectomies was significantly greater for microdebrider (9.7%) compared to electrocautery (2.7%; P = 0.0002) and coblator (5.3%; P = 0.0336) techniques. CONCLUSION: These results suggest that adenoidectomy with electrocautery is significantly less expensive than microdebrider and coblator, with no differences in complication rates or surgical times among the techniques. Microdebrider adenoidectomy was associated with a longer overall OR time and a higher rate of adenoid regrowth, requiring revision surgery. LEVEL OF EVIDENCE: 4. Laryngoscope, 128:745-749, 2018.


Assuntos
Adenoidectomia/métodos , Desbridamento/métodos , Eletrocoagulação/métodos , Complicações Pós-Operatórias/epidemiologia , Adenoidectomia/economia , Pré-Escolar , Análise Custo-Benefício , Desbridamento/economia , Eletrocoagulação/economia , Feminino , Seguimentos , Humanos , Incidência , Masculino , Duração da Cirurgia , Reoperação , Estudos Retrospectivos , Estados Unidos/epidemiologia
17.
J Laryngol Otol ; 131(12): 1056-1064, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29280692

RESUMO

BACKGROUND: Cauterisation techniques are commonly used and widely accepted for the management of epistaxis. This review assesses which methods of intranasal cautery should be endorsed as optimum treatment on the basis of benefits, risks, patient tolerance and economic assessment. METHOD: A systematic review of the literature was performed using a standardised methodology and search strategy. RESULTS: Eight studies were identified: seven prospective controlled trials and one randomised controlled trial. Pooling of data was possible from 3 studies, yielding a total of 830 patients. Significantly lower re-bleed rates were identified (p < 0.01) using electrocautery (14.5 per cent) when compared to chemical cautery (35.1 per cent). No evidence suggested that electrocautery was associated with more adverse events or discomfort. Limited evidence supported the use of a vasoconstrictor agent and operating microscope during the procedure. The included studies had considerable heterogeneity in terms of design and outcome measures. CONCLUSION: Consistent evidence suggests that electrocautery has higher success rates than chemical cautery, and is not associated with increased complications or patient discomfort. Lower quality evidence suggests that electrocautery reduces costs and duration of hospital stay.


Assuntos
Cauterização/métodos , Endoscopia/métodos , Epistaxe/cirurgia , Adulto , Cauterização/economia , Eletrocoagulação/economia , Eletrocoagulação/métodos , Endoscopia/economia , Epistaxe/economia , Humanos , Avaliação de Processos e Resultados em Cuidados de Saúde/economia , Admissão do Paciente/economia , Recidiva , Resultado do Tratamento
19.
J Environ Manage ; 190: 102-112, 2017 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-28040586

RESUMO

Co-existence of arsenic and fluoride in groundwater has raised severe health issues to living being. Thus, the present research has been conducted for simultaneous removal of arsenic and fluoride from synthetic groundwater by using electrocoagulation process with aluminum electrode. Effects of initial pH, current density, run time, inter electrode distance and NaCl concentration over percentage removal of arsenic and fluoride as well as operating cost have been studied. The optimum experimental conditions are found to be initial pH: 7, current density: 10 A/m2, run time: 95 min, inter electrode distance: 1 cm, NaCl concentration: 0.71 g/l for removal of 98.51% arsenic (initial concentration: 550 µg/l) and 88.33% fluoride (initial concentration: 12 mg/l). The concentration of arsenic and fluoride in treated water are found to be 8.19 µg/l and 1.4 mg/l, respectively, with an operating cost of 0.357 USD/m3 treated water. Pseudo first and second order kinetic model of individual and simultaneous arsenic and fluoride removal in electrocoagulation have also been studied. Produced sludge characterization studies also confirm the presence of arsenic in As(III) form, and fluoride in sludge. The present electrocoagulation process is able to reduce the arsenic and fluoride concentration of synthetic as well as real groundwater to below 10 µg/l and 1.5 mg/l, respectively, which are maximum contaminant level of these elements in drinking water according to WHO guidelines.


Assuntos
Arsênio/isolamento & purificação , Fluoretos/isolamento & purificação , Água Subterrânea/química , Poluentes Químicos da Água/isolamento & purificação , Purificação da Água/métodos , Alumínio , Arsênio/química , Custos e Análise de Custo , Eletrocoagulação/economia , Eletrocoagulação/instrumentação , Eletrocoagulação/métodos , Eletrodos , Fluoretos/química , Microscopia Eletrônica de Varredura/métodos , Esgotos/química , Espectroscopia de Infravermelho com Transformada de Fourier , Poluentes Químicos da Água/química , Purificação da Água/economia , Difração de Raios X
20.
J Environ Manage ; 186(Pt 1): 24-41, 2017 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-27836556

RESUMO

Electrocoagulation is an effective electrochemical approach for the treatment of different types of contaminated water and has received considerable attention in recent years due its high efficiency in dealing with numerous stubborn pollutants. It has been successful in dealing with organic and inorganic contaminants with negligible or almost no generation of by-product wastes. During the past decade, vast amount of research has been devoted to utilizing electrocoagulation for the treatment of several types of wastewater, ranging from polluted groundwater to highly contaminated refinery wastewater. This paper offers a comprehensive review of recent literature that has been dedicated to utilizing electrocoagulation for water treatment, focusing on current successes on specific applications in water and wastewater treatment, as well as potentials for future applications. The paper examines such aspects as theory, potential applications, current challenges, recent developments as well as economical concerns associated with the technology. Most of the recent EC research has been focusing on pollutant-specific evaluation without paying attention to cell design, process modeling or industrial applications. This review attempts to highlight the main achievements in the area and outlines the major shortcomings with recommendations for promising research options that can enhance the technology and broaden its range of applications.


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