A Double-Blind, Randomized, Placebo-Controlled, Phase II Clinical Study To Evaluate the Efficacy and Safety of Camostat Mesylate (DWJ1248) in Adult Patients with Mild to Moderate COVID-19.

Although several antiviral agents have become available for coronavirus disease 2019 (COVID-19) treatment, oral drugs are still limited. Camostat mesylate, an orally bioavailable serine protease inhibitor, has been used to treat chronic pancreatitis in South Korea, and it has an in vitro inhibitory potential against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). This study was a double-blind, randomized, placebo-controlled, multicenter, phase 2 clinical trial in mild to moderate COVID-19 patients. We randomly assigned patients to receive either camostat mesylate (DWJ1248) or placebo orally for 14 days. The primary endpoint was time to clinical improvement of subject symptoms within 14 days, measured using a subjective 4-point Likert scale. Three hundred forty-two patients were randomized. The primary endpoint was nonsignificant, where the median times to clinical improvement were 7 and 8 days in the camostat mesylate group and the placebo group, respectively (hazard ratio [HR] = 1.09; 95% confidence interval [CI], 0.84 to 1.43; P = 0.50). A post hoc analysis showed that the difference was greatest at day 7, without reaching significance. In the high-risk group, the proportions of patients with clinical improvement up to 7 days were 45.8% (50/109) in the camostat group and 38.4% (40/104) in the placebo group (odds ratio [OR] = 1.33; 95% CI, 0.77 to 2.31; P = 0.31); the ordinal scale score at day 7 improved in 20.0% (18/90) of the camostat group and 13.3% (12/90) of the placebo group (OR = 1.68; 95% CI, 0.75 to 3.78; P = 0.21). Adverse events were similar in the two groups. Camostat mesylate was safe in the treatment of COVID-19. Although this study did not show clinical benefit in patients with mild to moderate COVID-19, further clinical studies for high-risk patients are needed. (This trial was registered with ClinicalTrials.gov under registration no. NCT04521296).

Optimization-based method removing highlights with flash/no-flash image.

This paper proposes an optimization-based method to remove highlights from specular surfaces without any special device other than a flash, or any limited capturing environment required by existing methods. Accordingly, we formulate an optimization problem to estimate a highlight-free image from the difference image between a flash/no-flash image pair. This optimization will automatically find and recover erroneous pixels (saturated pixels and remaining highlights) in the difference image. The optimization is designed to recover erroneous pixels using the intensities of their neighboring pixels while retaining the other correct pixels to preserve the original image details. We evaluated the proposed method qualitatively and quantitatively through experimentation using datasets of synthetic and real-world scenes. In the experiments, the proposed method outperforms existing state-of-the-art methods.

Prediction of organic pollutant removal using Corynebacterium glutamicum fermentation waste.

The disposal of bio-waste (e.g., Corynebacterium glutamicum) produced by the fermentation industry is a serious problem and has a negative impact on economic returns. Some fermentation waste can be recycled as livestock feed, but much cannot be used. Therefore, other recycling methods must be developed to increase its applications, for example, as an environmentally friendly adsorbent for the removal or recovery of chemicals. To broaden its application as an adsorbent, we carried out comprehensive experimental and theoretical analysis. From the experiments, adsorption affinity values between C. glutamicum and micropollutants were measured, and, based on the experimental values, we developed a predictive model. The experimental results reveal that the degree of adsorption is dependent on the structural properties of the micropollutants. In particular, the adsorbent has remarkable adsorption ability toward cations, whereas anionic and neutral compounds interact weakly with the adsorbent. In addition, we found that adsorption is affected by the sodium chloride concentration. Briefly, an increase in salt concentration increases the adsorption of anions, whereas the opposite behavior is observed for cations. In contrast, the adsorption of neutral compounds was not affected by the presence of salt. The modeling studies revealed that a linear free energy relationship model can be used to predict the adsorption affinity. Based on the developed model, we found that hydrogen-bond basicity, anionic coulombic interactions, and molecular volume are the main contributing factors to the adsorption model. However, to achieve the best predictability (a coefficient of determination (R2) of 0.902), additional parameters, such as the dipolarity/polarizability and dispersive interaction, should be included. This indicates that adsorption is a product of complex interactions.

Association between chronic disease and catastrophic health expenditure in Korea.

BACKGROUND: The prevalence and economic burden of chronic diseases are increasing worldwide. Nevertheless, little information is available on catastrophic health expenditures (CHE) associated with chronic diseases in Korea. This study explored the burden of household out-of-pocket health expenditures among the Korean population for different chronic diseases. METHODS: This study was conducted utilizing data collected from the 7,006 households that participated in the Korea Health Panel Survey (KHPS) in 2008. The effect of CHE in relation to type of chronic disease was assessed via multiple logistic regression analysis. RESULTS: Roughly 3.5% of the participating households experienced CHE. As opposed to households headed by females and middle-aged individuals (40-59 years), those of low economic status, elderly households, and households with a member who suffered from a chronic disease were more likely to experience CHE. According to type of chronic condition, households with a member who suffered from cerebrovascular disease, diabetes, or chronic kidney disease were at a significantly higher risk of experiencing CHE. CONCLUSION: Although Korea has greatly expanded its health insurance coverage, financial protection against CHE remains a concern. Policy-makers need to focus on expanding benefits according to the economic burden of individual chronic conditions.

Alcohol-induced Hyperlipidemia Is Ameliorated by Orally Administered DWP208, a Sodium Succinate Form of ZYM201.

DWP208 is a sodium succinate form of ZYM-201 which is a triterpenoid glycoside isolated from Sanguisorba officinalis, a medicinal plant prescribed for various diseases, such as duodenal ulcers and bleeding in East Asian counties. We demonstrated that this compound is able to normalize the altered lipid metabolism induced by hyperglycemia and a high fat diet. In this study, we determined whether hyperlipidemic conditions induced with chronically treated alcohol can also be restored by DWP208. Similar to our previous results, orally administered DWP208 (1 to 10 mg/kg) also ameliorated the hyperlipidemia that was induced by alcohol. This compound reversed the alcohol-induced hyperlipidemia including (i) up-regulated hyperlipidemic parameters such as low-density lipoprotein (LDL), very low-density lipoprotein (VLDL), atherosclerotic index (AI), triglyceride, and total cholesterol, and (ii) down-regulated hyperlipidemic parameters such as absolute body weight, superoxide dismutase (SOD) activity, and high-density lipoprotein (HDL) in serum and liver. According to our data, the ameliorative activity of DWP208 is due to its indirect anti-oxidative activity as a result of which lipid peroxide and hydroxyl radical levels were reduced and the activity of SOD was enhanced. Therefore, our data strongly suggest that DWP208 can be used as a remedy against alcohol-induced hyperlipidemia.

Geographical discrimination of Asian red pepper powders using 1H NMR spectroscopy and deep learning-based convolution neural networks.

This study investigated an innovative approach to discriminate the geographical origins of Asian red pepper powders by analyzing one-dimensional 1H NMR spectra through a deep learning-based convolution neural network (CNN). 1H NMR spectra were collected from 300 samples originating from China, Korea, and Vietnam and used as input data. Principal component analysis - linear discriminant analysis and support vector machine models were employed for comparison. Bayesian optimization was used for hyperparameter optimization, and cross-validation was performed to prevent overfitting. As a result, all three models discriminated the origins of the test samples with over 95 % accuracy. Specifically, the CNN models achieved a 100 % accuracy rate. Gradient-weighted class activation mapping analysis verified that the CNN models recognized the origins of the samples based on variations in metabolite distributions. This research demonstrated the potential of deep learning-based classification of 1H NMR spectra as an accurate and reliable approach for determining the geographical origins of various foods.

No drug-drug interactions between selective prolyl-tRNA synthetase inhibitor, bersiporocin, and pirfenidone or nintedanib in healthy participants.

Bersiporocin, a potent and selective prolyl-tRNA synthetase inhibitor, is expected to show a synergistic effect with pirfenidone or nintedanib in patients with idiopathic pulmonary fibrosis. To validate the combination therapy of bersiporocin with pirfenidone or nintedanib, a randomized, open-label, two-part, one-sequence, three-period, three-treatment study was designed to evaluate the effect of drug-drug interactions (DDI) regarding their pharmacokinetics, safety, and tolerability in healthy participants. In addition, the pharmacokinetic profiles of the newly formulated, enteric-coated bersiporocin tablet were evaluated after single and multiple administrations. The potential effects of cytochrome P450 2D6 (CYP2D6) genotyping on bersiporocin pharmacokinetics and DDI were also explored. In Part 1, participants were sequentially administered a single dose of pirfenidone 600 mg, a single dose of bersiporocin 150 mg followed by multiple doses, and bersiporocin in combination with pirfenidone. In Part 2, participants were sequentially administered a single dose of nintedanib 150 mg, multiple doses of bersiporocin 150 mg, and bersiporocin in combination with nintedanib. Forty-six participants completed the study. There was no significant pharmacokinetic DDI between bersiporocin, and pirfenidone or nintedanib. All adverse events (AEs) were mild to moderate and did not include serious AEs, suggesting bersiporocin alone or in combination therapy were well-tolerated. The newly formulated bersiporocin 150 mg tablet showed a moderate accumulation index. There was no significant difference in the pharmacokinetic profiles after administration of bersiporocin alone or in combination therapy between CYP2D6 phenotypes. In conclusion, there are no significant DDI regarding the pharmacokinetics, safety, and tolerability of bersiporocin administration with pirfenidone or nintedanib.

ZYM-201 sodium succinate ameliorates streptozotocin-induced hyperlipidemic conditions.

ZYM-201 is a methyl ester of a novel triterpenoid glycoside. It is isolated from SANGUISORBA OFFICINALIS, a widely used medicinal plant in Korea, China, and Japan, that is prescribed for various diseases such as diarrhea, chronic intestinal infections, duodenal ulcers, and bleeding. In this study, the antihyperlipidemic effect of the salt form (sodium succinate) of ZYM-201 was examined using streptozotocin (STZ)-treated hyperglycemic rats. Oral administration of ZYM-201 sodium succinate (3 to 10 mg/kg) resulted in recovery of the increased serum levels of triglyceride (TG) and total cholesterol (TC) back to normal levels. Elevated levels of serum lipoproteins, such as high-density lipoprotein (HDL), low-density lipoprotein (LDL), and very low-density lipoprotein (VLDL), were also significantly restored by this compound without altering 3-hydroxy-3-methylglutaryl (HMG)-CoA reductase activity. Finally, ZYM-201 sodium succinate displayed antioxidative properties, including suppression of lipid peroxide and hydroxyl radical generation and upregulation of superoxide dismutase (SOD) activity. Therefore, our data strongly suggest that ZYM-201 sodium succinate can be used as a remedy for the treatment of diabetes-derived hyperlipidemic disorders such as atherosclerosis and vascular diseases.

Rollback Ensemble With Multiple Local Minima in Fine-Tuning Deep Learning Networks.

Image retrieval is a challenging problem that requires learning generalized features enough to identify untrained classes, even with very few classwise training samples. In this article, to obtain generalized features further in learning retrieval data sets, we propose a novel fine-tuning method of pretrained deep networks. In the retrieval task, we discovered a phenomenon in which the loss reduction in fine-tuning deep networks is stagnated, even while weights are largely updated. To escape from the stagnated state, we propose a new fine-tuning strategy to roll back some of the weights to the pretrained values. The rollback scheme is observed to drive the learning path to a gentle basin that provides more generalized features than a sharp basin. In addition, we propose a multihead ensemble structure to create synergy among multiple local minima obtained by our rollback scheme. Experimental results show that the proposed learning method significantly improves generalization performance, achieving state-of-the-art performance on the Inshop and SOP data sets.

Organic acid-based linear free energy relationship models for green leaching of strategic metals from spent lithium-ion batteries and improvement of leaching performance.

Water-soluble organic acids (e.g., acetic acid, acrylic acid, and ascorbic acid), as green leachants, have been applied to leach strategic metals (Ni, Li, Mn, and Co) from spent lithium-ion batteries (LIBs). Organic acid-based linear free energy relationship models were developed and simulated to predict the feasibility of the leaching efficiency for each of the strategic metals based on in silico calculated descriptors. The developed models, with accuracy (R2) of 0.747-0.831, reveal that hydrogen bond acidity of organic acids promotes the leaching efficiency, whereas molecular volume or excess molar refraction inhibits the efficiency. Furthermore, toxicity (lethal dose 50%) of organic acids was discussed along with the predicted leaching efficiency to explore more green and efficient organic acids. Considering both toxicity and leaching efficiency, citric acid was selected as a green and efficient leachant. To more improve the leaching performance (rate and efficiency) of citric acid, glucose as a green reductant and microwave treatment were additionally applied. Under the selected conditions, the leaching efficiencies after 1 h for Ni, Li, Mn, and Co were enhanced up to 98.3%, 99.1%, 98.7%, and 97.7%, respectively.

Simple, green organic acid-based hydrometallurgy for waste-to-energy storage devices: Recovery of NiMnCoC2O4 as an electrode material for pseudocapacitor from spent LiNiMnCoO2 batteries.

A simple, green approach to recover NiMnCoC2O4 as an electrode material for high-performance pseudocapacitors from spent LiNiMnCoO2 (NMC) batteries is proposed. Four strategic metals (Li, Ni, Co, and Mn) were leached from spent NMC batteries using several organic acids as model green leachants. Among the various candidates of green leaching agents, 2 M citric acid and 5 wt% glucose were selected as the leachant and reductant, respectively. Microwave irradiation was conducted during the leaching step to maximize the performance of the leaching rate and efficiency. The leaching efficiencies within 0.5 h for Ni(II), Li(I), Mn(II), and Co(II) were 90.7 ± 1.6%, 98.3 ± 2.4%, 94.9 ± 4.3%, and 95.6 ± 1.4%, respectively, and were thus as efficient as using aqua regia leaching. After the leaching process, divalent metal ions, that is, Ni(II), Co(II), and Mn(II), were immediately separated at room temperature using oxalic acid. The recovered samples were not further treated and used directly for energy storage applications. The recovered NiMnCoC2O4⋅nH2O has been demonstrated as a promising electrode for pseudocapacitors, providing a specific capacitance of 1641 F/g, good rate-retention capability (80% of low-current capacitance), and good cycle stability over 4000 charge-discharge cycles.

Evaluation of Utility of the Cement Solidification Process of Waste Ion Exchange Resin.

The present study aimed to evaluate the utility of the cement solidification process for stably disposing of waste ion exchange resin generated during the treatment of radioactive wastewater. The cement solidification process using the in-drum mixing system was selected to be used for the solidification process of waste ion exchange resins. The disposal safety of waste forms was evaluated according to the waste acceptance criteria (WAC) applicable to domestic waste disposal sites, and the tests were conducted for six test items provided in the WAC. A total of 15 representative samples were collected from the waste-form drums produced using the optimum operating conditions, and their structural stability for disposal considerations was evaluated. In addition, the leaching index of the samples was 11.05, 10.12, 8.39 for Co, Sr, and Cs, respectively, and it was found to exceed 6, the leaching index standard of WAC. The results confirmed that cement waste forms including waste ion exchange resins produced through this process were considered to be conforming to the requirements for disposal safety.

23-Hydroxytormentic acid and niga-ichgoside f1 isolated from Rubus coreanus attenuate cisplatin-induced cytotoxicity by reducing oxidative stress in renal epithelial LLC-PK1 cells.

The unripe fruits of Rubus coreanus (Rosaceae) are used in traditional Chinese medicine to relieve kidney dysfunction. In the present study, we evaluated the protective effects of the triterpenoid glycoside niga-ichigoside F1 (NIF1) and of its aglycone 23-hydroxytormentic acid (23-HTA) isolated from the unripe fruits of Rubus coreanus (Rosaceae) against cisplatin-induced cytotoxicity in renal epithelial LLC-PK1 cells. Pretreating LLC-PK1 cells with 23-HTA or NIF1 was found to prevent cisplatin-induced cytotoxicity and apoptosis. In addition, 23-HTA or NIF1 pretreatment significantly improved the changes associated with cisplatin toxicity by increasing levels of glutathione (GSH) and decreasing levels of malondialdehyde (MDA) and reactive oxygen species (ROS). The activity of antioxidant enzymes including catalase (CAT) and superoxide dismutase (SOD) was significantly lower in cisplatin-treated LL-PK1 cells, and 23-HTA or NIF1 treatment notably increased the these enzyme activity and protein and mRNA levels of CAT and manganese SOD (MnSOD). Moreover, cisplatin caused a significant decrease in nuclear levels of nuclear factor erythroid 2-related factor 2 (Nrf2) and pretreatment with 23-HTA or NIF1 significantly suppressed the cisplatin-induced translocation of Nrf2 in LLC-PK1 cells. Taken together, these results suggest that 23-HTA ameliorates cisplatin-induced toxicity via modulation of antioxidant enzymes through activation of Nrf2 in LLC-PK1 cells.

The ameliorative effect of 23-hydroxytormentic acid isolated from Rubus coreanus on cisplatin-induced nephrotoxicity in rats.

Previously, the authors demonstrated that the triterpenoid glycoside niga-ichigoside F1 (NIF1) and its aglycone 23-hydroxytormentic acid (23-HTA) isolated from the unripe fruits of Rubus coreanus (Rosaceae) ameliorate cisplatin-induced toxicity in renal epithelial LLC-PK1 cells. In the present study, the nephroprotective effects of NIF1 and 23-HTA were investigated in Sprague-Dawley rats with acute renal injury induced by a single intraperitoneal (i.p.) injection of cisplatin (7 mg/kg). Pretreatment with 23-HTA (10 mg/kg/d, per os (p.o.)) significantly reduced cisplatin-induced elevations in blood urea nitrogen (BUN) and serum creatinine level, whereas NIF1 (10 mg/kg, p.o.) slightly reduced these levels. In addition, pretreatment with 23-HTA prevented cisplatin-induced hydroxyl radical generation, malondialdehyde (MDA) production, glutathione (GSH) depletion, and cisplatin-induced changes in the activities of oxidant and antioxidant enzymes in rat renal tissues. In addition, histopathological examinations showed that 23-HTA pretreatment reduced cisplatin-induced acute tubular necrosis and histological changes. In contrast, NIF1 was found to have a slight or no influence on cisplatin-induced oxidative enzymes and acute tubular necrosis. Taken together, these results suggest that protective effect of 23-HTA pretreatment on cisplatin-induced renal damage is associated with the attenuation of oxidative stress and the preservation of antioxidant enzymes.

Modulatory effects of ZYM-201 sodium succinate on dietary-induced hyperlipidemic conditions.

Sanguisorba officinalis, a well known and valuable medicinal plant in Korea, China and Japan has been used traditionally for the treatment of inflammatory and metabolic diseases such as diarrhea, chronic intestinal infections, duodenal ulcers, and bleeding. We studied the anti-hyperlipidemic effects of a chemically modified triterpenoid glycoside (ZYM-201 sodium succinate) isolated from Sanguisorba officinalis in rats in which hyperlipidemia had been induced by dietary administration of cholesterol and cholic acid. Oral administration of ZYM-201 sodium succinate (1 to 10 mg/kg) dose-dependently attenuated the diet-induced increases in body and liver weights. At 10 mg/kg, this compound also reversed the enhancement of serum levels of triglycerides (TG) and total cholesterol back to normal levels. In addition, imbalances in both serum and hepatic values of high-density lipoprotein (HDL), low-density lipoprotein (LDL), and very low-density lipoprotein (VLDL) were prevented. Finally, this compound both blocked the generation of lipid peroxide and hydroxyl radicals and enhanced the activity of superoxide dismutase (SOD) in liver. Therefore, our data strongly suggest that ZYM-201 sodium succinate could play a role in modulating hyperlipidemic conditions, which could be used as a valuable remedy for the treatment of relevant disorders such as atherosclerosis and vascular diseases.

Self-coagulating polyelectrolyte complexes for target-tunable adsorption and separation of metal ions.

Metal-containing wastes in aquatic environments lead to public health hazards and valuable resource lose. Metal-bearing wastewater must be treated to remove heavy metals or recover precious metals. To achieve these, target-tunable adsorbents that bind cationic and anionic metal species were developed through facile polyelectrolyte complexation using polyethylenimine (PEI) and polyacrylic acid (PAA). Utilizing the properties of the two polyelectrolytes and pKa variabilities, stable tunable adsorbents were fabricated in water without additional solvents. The homogenous complex adsorbents were strategically synthesized via dissolution in 0.1 M NaOH and drop-wise addition of 1 M HCl, followed by crosslinking with glutaraldehyde. Consequently, the adsorbents in alternating weight ratios of 4:1 and 1:4 (PEI:PAA) exhibited good tunability and adsorption properties. The maximum single metal adsorption capacities were 1609.7 ± 49.6 and 558.6 ± 9.67 mg/g for gold and cadmium, respectively. The pseudo-second-order model fitted the kinetics data more appropriately and was recognized as the rate controlling step. In a binary mixture, gold selectivity was observed to be influenced by adsorption-reduction mechanism, which was elucidated by XRD and XPS. Moreover, the adsorbents demonstrated NO3- sequestration properties, a feat deemed important for environmental remediation of nitrate ions. Finally, sequential separation was achieved with ethylenediaminetetraacetic acid (EDTA) and acidified thiourea.

Polyethyleneimine impregnated alginate capsule as a high capacity sorbent for the recovery of monovalent and trivalent gold.

For the first time, a polyethyleneimine-impregnated alginate capsule (PEIIAC) with a high adsorption capacity is developed for the recovery of monovalent and trivalent gold from an acidic solution. The strategy results in a new type of adsorbent, polyethyleneimine impregnated alginate capsule (PEIIAC) with a core-shell structure having a large number of amine groups as cationic binding site, facilitating maximum uptake of anionic auric chloride. The maximum uptake of PEIIAC was 3078 and 929 mg/g for Au (III) and Au (I), respectively, are recordable compared to other reported adsorbents to date. The as-prepared material was executed to check the sorption efficacy for Au (III) and Au (I) in the pH range of 1-12. With an increment in pH, the uptake capacity for Au (III) increased, while the uptake capacity for Au (I) decreased. The FTIR, XRD, and XPS studies revealed that the gold adsorption mechanism includes ionic interactions and reduction, wherein the amine, hydroxyl, and carboxyl groups are involved. The capsule showed a higher adsorption efficiency than other reported sorbents, making the material applicable in acidic solutions for the recovery of Au (I) and Au (III).

Anti-ulcerogenic effect and HPLC analysis of the caffeoylquinic acid-rich extract from Ligularia stenocephala.

The leaves of three Ligularia species belonging to the family Compositae, Ligularia stenocephala, L. fischeri, and L. fischeri var. spiciformis, were qualitatively and quantitatively analyzed on the caffeoylquinic acids by HPLC and subjected to peroxynitrite-scavenging assay. The IC(50) of the MeOH extract of L. stenocephala was 1.62+/-0.03 mug/ml and the major caffeoylquinic acids of L. stenocephala were 5-O-caffeoylquinic acid, 3,5-di-O-caffeoyl-muco-quinic acid, and 3,5-di-O-caffeoylquinic acid. The compositions of caffeoylquinic acids were different for the three plants. Since percentage of total caffeoylquinic acids of the extract was highest (42.20% of the MeOH extract and 94.52% of the BuOH extract) in L. stenocephala and potent in peroxynitrite-scavenging assay, the extracts of L. stenocephala were chosen to perform in vivo anti-ulcerogenic activity. Treatment of mice with the MeOH- and BuOH extracts decreased the diameter of gastric lesions caused by HCl/ethanol- and indomethacin/bethanechol and decreased the volume of gastric juice, suggesting that caffeoylquinic acids have anti-ulcerogenic activity. These results suggest that the leaves of Ligularia species may help prevent or treat gastric ulcers.

Sequential recovery of gold and copper from bioleached wastewater using ion exchange resins.

Numerous studies have sought to address the extraction of metals from printed circuit boards by employing bioleaching process. However, separation and recovery of the bioleached metals have always been a bottleneck. Herein, we demonstrate effective recovery of bioleached Au and Cu via selective separation using ion exchange resins. pH-edge experiments revealed high affinity of Amberjet™ 4200 resin towards Au (adsorption capacity > 98%) over the entire pH range from pH 2-10, whereas Amberlite IRC-86 resin recorded very high Cu adsorption at around pH 5. Therefore, a two-step sequential process was designed for the effective separation and recovery of Au and Cu. In the 1st step, Au was completely recovered by using the Amberjet™ 4200 at the natural pH of 7.5. Subsequently, the Au-free solution was adjusted to pH 5 and Cu was recovered by using Amberlite IRC-86 (2nd step). Consequently, 98.7% Au and 78.9% Cu were successfully recovered. Therefore, this study provides a technical guideline for the selective recovery of Au and Cu from bioleached wastewater, which promotes effective waste minimization and efficient resource recovery.

Simultaneous scavenging of persistent pharmaceuticals with different charges by activated carbon fiber from aqueous environments.

The adsorptive removal possibility of persistent pharmaceuticals with different charges by activated carbon fiber (ACF) was examined. The pharmaceuticals tested included carbamazepine (CBZ), propranolol (PRO), and diclofenac (DCF), in neutral, cationic, and anionic forms, respectively, which were frequently detected in sewage. The adsorption characteristics of ACF were identified according to the kinetics, isotherm, pH, and ionic strength experiments. The results revealed that ACF can effectively remove these pharmaceuticals, and the adsorption capacities of CBZ, PRO, and DCF by ACF were 1.27 ± 0.06, 1.07 ± 0.08, and 0.95 ± 0.08 mmol g-1, respectively. Moreover, the adsorption of ACF for CBZ was independent of pH and ionic strength, whereas that of anionic diclofenac decreased at alkaline pHs and high concentrations of NaCl. Using a syringe system packed with ACF mat, the scavenging ability of intermittently generated secondary sewage was evaluated. As a result, the residual concentration of PRO and CBZ could not be even detected after consecutive 10 runs in secondary sewage mixture solution. This indicates ACF has the powerful potential for removing pharmaceutical micropollutants in the actual aqueous solutions. FTIR and XPS analyses showed that hydrophobic and π-π interactions and hydrogen bonding contributed to the adsorption process.