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1.
Lancet Oncol ; 21(12): 1574-1588, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32971005

RESUMO

BACKGROUND: Survival outcomes are poor for patients with metastatic urothelial carcinoma who receive standard, first-line, platinum-based chemotherapy. We assessed the overall survival of patients who received durvalumab (a PD-L1 inhibitor), with or without tremelimumab (a CTLA-4 inhibitor), as a first-line treatment for metastatic urothelial carcinoma. METHODS: DANUBE is an open-label, randomised, controlled, phase 3 trial in patients with untreated, unresectable, locally advanced or metastatic urothelial carcinoma, conducted at 224 academic research centres, hospitals, and oncology clinics in 23 countries. Eligible patients were aged 18 years or older with an Eastern Cooperative Oncology Group performance status of 0 or 1. We randomly assigned patients (1:1:1) to receive durvalumab monotherapy (1500 mg) administered intravenously every 4 weeks; durvalumab (1500 mg) plus tremelimumab (75 mg) administered intravenously every 4 weeks for up to four doses, followed by durvalumab maintenance (1500 mg) every 4 weeks; or standard-of-care chemotherapy (gemcitabine plus cisplatin or gemcitabine plus carboplatin, depending on cisplatin eligibility) administered intravenously for up to six cycles. Randomisation was done through an interactive voice-web response system, with stratification by cisplatin eligibility, PD-L1 status, and presence or absence of liver metastases, lung metastases, or both. The coprimary endpoints were overall survival compared between the durvalumab monotherapy versus chemotherapy groups in the population of patients with high PD-L1 expression (the high PD-L1 population) and between the durvalumab plus tremelimumab versus chemotherapy groups in the intention-to-treat population (all randomly assigned patients). The study has completed enrolment and the final analysis of overall survival is reported. The trial is registered with ClinicalTrials.gov, NCT02516241, and the EU Clinical Trials Register, EudraCT number 2015-001633-24. FINDINGS: Between Nov 24, 2015, and March 21, 2017, we randomly assigned 1032 patients to receive durvalumab (n=346), durvalumab plus tremelimumab (n=342), or chemotherapy (n=344). At data cutoff (Jan 27, 2020), median follow-up for survival was 41·2 months (IQR 37·9-43·2) for all patients. In the high PD-L1 population, median overall survival was 14·4 months (95% CI 10·4-17·3) in the durvalumab monotherapy group (n=209) versus 12·1 months (10·4-15·0) in the chemotherapy group (n=207; hazard ratio 0·89, 95% CI 0·71-1·11; p=0·30). In the intention-to-treat population, median overall survival was 15·1 months (13·1-18·0) in the durvalumab plus tremelimumab group versus 12·1 months (10·9-14·0) in the chemotherapy group (0·85, 95% CI 0·72-1·02; p=0·075). In the safety population, grade 3 or 4 treatment-related adverse events occurred in 47 (14%) of 345 patients in the durvalumab group, 93 (27%) of 340 patients in the durvalumab plus tremelimumab group, and in 188 (60%) of 313 patients in the chemotherapy group. The most common grade 3 or 4 treatment-related adverse event was increased lipase in the durvalumab group (seven [2%] of 345 patients) and in the durvalumab plus tremelimumab group (16 [5%] of 340 patients), and neutropenia in the chemotherapy group (66 [21%] of 313 patients). Serious treatment-related adverse events occurred in 30 (9%) of 345 patients in the durvalumab group, 78 (23%) of 340 patients in the durvalumab plus tremelimumab group, and 50 (16%) of 313 patients in the chemotherapy group. Deaths due to study drug toxicity were reported in two (1%) patients in the durvalumab group (acute hepatic failure and hepatitis), two (1%) patients in the durvalumab plus tremelimumab group (septic shock and pneumonitis), and one (<1%) patient in the chemotherapy group (acute kidney injury). INTERPRETATION: This study did not meet either of its coprimary endpoints. Further research to identify the patients with previously untreated metastatic urothelial carcinoma who benefit from treatment with immune checkpoint inhibitors, either alone or in combination regimens, is warranted. FUNDING: AstraZeneca.


Assuntos
Anticorpos Monoclonais Humanizados/administração & dosagem , Anticorpos Monoclonais/administração & dosagem , Antineoplásicos Imunológicos/administração & dosagem , Protocolos de Quimioterapia Combinada Antineoplásica/administração & dosagem , Carcinoma/tratamento farmacológico , Inibidores de Checkpoint Imunológico/administração & dosagem , Neoplasias Urológicas/tratamento farmacológico , Idoso , Anticorpos Monoclonais/efeitos adversos , Anticorpos Monoclonais Humanizados/efeitos adversos , Antineoplásicos Imunológicos/efeitos adversos , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Carcinoma/mortalidade , Carcinoma/secundário , Feminino , Humanos , Inibidores de Checkpoint Imunológico/efeitos adversos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Resultado do Tratamento , Neoplasias Urológicas/mortalidade , Neoplasias Urológicas/patologia , Urotélio/efeitos dos fármacos , Urotélio/patologia
2.
Cancer ; 126(2): 432-443, 2020 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-31581306

RESUMO

BACKGROUND: Durvalumab has shown meaningful clinical activity in patients with metastatic urothelial carcinoma (mUC) in Study 1108 (NCT01693562). An important focus in treatment is health-related quality of life (HRQOL). Here, patient-reported outcomes (PROs) from Study 1108 and their relationship with inflammatory biomarkers are explored. METHODS: Disease-related symptoms, functioning, and HRQOL were assessed with the Functional Assessment of Cancer Therapy-Bladder (FACT-Bl) and the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30). Relationships between PRO improvements and the best changes in the tumor size, albumin level, and neutrophil-lymphocyte ratio (NLR) were assessed with Spearman correlation analysis. RESULTS: The mean FACT-Bl total score improved from 107.5 (standard deviation [SD], 23.0) at the baseline to 115.4 (SD, 22.6) on day 113, with similar increases found for the Trial Outcome Index (TOI) and Bladder Cancer Subscale (BLCS) scores. The mean FACT-Bl total scores improved over time, and the FACT-Bl TOI scores significantly improved by day 113 (P < .05). The mean EORTC QLQ-C30 Global Health Status/Quality of Life score improved from 57.1 (SD, 24.8) at the baseline to 69.0 (SD, 21.4) on day 113; the functional scale and symptom scores (day 113) were higher than the baseline scores (P < .05) for EORTC Social Functioning. The FACT-Bl total, BLCS, and TOI scores improved in 32.6%, 34.9%, and 32.6% of the patients by day 113; 26.3% to 37.8% of the patients exhibited improvements in EORTC QLQ-C30 functional scores. The best tumor shrinkage and posttreatment improvements in serum albumin and NLR correlated with increases in FACT-Bl total, TOI, and BLCS scores and in EORTC Physical Functioning and Role Functioning scores (P < .05). CONCLUSIONS: Durvalumab was associated with improvements in disease-related symptoms, functioning, and HRQOL in patients with mUC. Improvements in systemic inflammation may contribute to PRO improvements in these patients.


Assuntos
Anticorpos Monoclonais/administração & dosagem , Antineoplásicos Imunológicos/administração & dosagem , Biomarcadores Tumorais/sangue , Carcinoma de Células de Transição/tratamento farmacológico , Inflamação/diagnóstico , Neoplasias da Bexiga Urinária/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticorpos Monoclonais/efeitos adversos , Antineoplásicos Imunológicos/efeitos adversos , Biomarcadores Tumorais/imunologia , Carcinoma de Células de Transição/sangue , Carcinoma de Células de Transição/mortalidade , Carcinoma de Células de Transição/secundário , Relação Dose-Resposta a Droga , Feminino , Seguimentos , Humanos , Inflamação/sangue , Inflamação/tratamento farmacológico , Inflamação/imunologia , Masculino , Pessoa de Meia-Idade , Medidas de Resultados Relatados pelo Paciente , Qualidade de Vida , Carga Tumoral/efeitos dos fármacos , Carga Tumoral/imunologia , Neoplasias da Bexiga Urinária/sangue , Neoplasias da Bexiga Urinária/mortalidade , Neoplasias da Bexiga Urinária/patologia , Adulto Jovem
3.
Hemoglobin ; 44(6): 391-396, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33222570

RESUMO

Despite estimated high prevalence of inherited hemoglobin (Hb) disorders among tribal populations in Madhya Pradesh State, India, the burden of disease is unknown, leading to high morbidity and associated mortality. Our aim was to screen tribal populations in designated tribal districts of Madhya Pradesh State for various hemoglobinopathies and to estimate the prevalence and plausible cause of anemia. The present study screened a total of 3992 tribal individuals comprised of students of Tribal schools, ashrams of Dindori, Mandla, and Chhindwara districts of Madhya Pradesh State. Screening of hemoglobinopathies was done using Hb electrophoresis and or high performance liquid chromatography (HPLC), α-thalassemia (α-thal) was detected using polymerase chain reaction (PCR). The median age of the studied cohort was 15 years (interquartile range 13-16 years). High prevalence (76.7%) of anemia was observed among the studied cohort. The prevalence of sickle cell trait and sickle cell disease varies from 10.7 to 15.6% and 0.4 to 0.8%, respectively. The allele frequency of sickle cell gene was highest in the Pradhan tribe followed by the Panika tribe. Dindori district had the highest prevalence of sickle cell trait. ß-Thalassemia (ß-thal) trait was observed in only 1.4% of the screened population. α Gene deletions were observed in 84.7% individuals. Significant association of α gene deletion mutations with mean Hb, mean corpuscular volume (MCV), and mean corpuscular Hb (MCH) was observed. The Bharia tribe showed the highest prevalence for α-thal. For comprehensive health care, effective intervention programs are needed to reduce the high prevalence of anemia and hemoglobinopathies among tribes.


Assuntos
Anemia/epidemiologia , Anemia/etiologia , Etnicidade , Hemoglobinopatias/epidemiologia , Hemoglobinopatias/etiologia , Adolescente , Alelos , Estudos Transversais , Índices de Eritrócitos , Genótipo , Hemoglobinopatias/sangue , Hemoglobinopatias/diagnóstico , Humanos , Índia/epidemiologia , Mutação , Razão de Chances , Vigilância da População , Prevalência , Adulto Jovem , alfa-Globinas/genética
4.
Artigo em Inglês | MEDLINE | ID: mdl-30795730

RESUMO

The water distribution network is largely affected by the change in the influencing factors, such as input pressure, demand and supply duration. The change in each parameter requires the extensive design of the network and the interactive effect of the influencing parameters are hardly explored. The main hurdles for the water providers lie in the absence of a prediction model, which can be used as a decision tool to assess the effect of the change in parameter and estimating the cost for the changed scenario. The present study developed a novel framework based on the artificial neural network for multivariate prediction modeling taking the response as the cost of the pipe network. The application of the 33 factorial design was used for the selection of the influencing parameters and outcome was taken as the input to the neural network model. The adequacy of the model was tested through error functions and analysis of variance. The low values of the error functions (0.0004-0.228) and high F value (162,442) and R2 (0.999) established the significance of the model. The model can be used for predicting the cost of the changed scenarios and assessment of the optimal solution for the system variables.


Assuntos
Modelos Teóricos , Redes Neurais de Computação , Projetos de Pesquisa , Abastecimento de Água/métodos , Algoritmos , Abastecimento de Água/economia
5.
J Environ Manage ; 209: 176-187, 2018 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-29291487

RESUMO

Olivine, a low-cost natural material, impregnated with iron is introduced in the adsorptive removal of arsenic. A wet impregnation method and subsequent calcination were employed for the preparation of iron/olivine composite. The major preparation process parameter, viz., iron loading and calcination temperature were optimized through the response surface methodology coupled with a factorial design. A significant variation of adsorption capacity of arsenic (measured as total arsenic), i.e., 63.15 to 310.85 mg/kg for arsenite [As(III)T] and 76.46 to 329.72 mg/kg for arsenate [As(V)T] was observed, which exhibited the significant effect of the preparation process parameters on the adsorption potential. The iron loading delineated the optima at central points, whereas a monotonous decreasing trend of adsorption capacity for both the As(III)T and As(V)T was observed with the increasing calcination temperature. The variation of adsorption capacity with the increased iron loading is more at lower calcination temperature showing the interactive effect between the factors. The adsorbent prepared at the optimized condition of iron loading and calcination temperature, i.e., 10% and 200 °C, effectively removed the As(III)T and As(V)T by more than 96 and 99%, respectively. The material characterization of the adsorbent showed the formation of the iron compound in the olivine and increase in specific surface area to the tune of 10 multifold compared to the base material, which is conducive to the enhancement of the adsorption capacity. An artificial neural network was applied for the multivariate optimization of the adsorption process from the experimental data of the univariate optimization study and the optimized model showed low values of error functions and high R2 values of more than 0.99 for As(III)T and As(V)T. The adsorption isotherm and kinetics followed Langmuir model and pseudo second order model, respectively demonstrating the chemisorption in this study.


Assuntos
Arsênio/isolamento & purificação , Redes Neurais de Computação , Poluentes Químicos da Água/isolamento & purificação , Purificação da Água , Adsorção , Concentração de Íons de Hidrogênio , Ferro , Compostos de Ferro , Cinética , Compostos de Magnésio , Silicatos
6.
Artigo em Inglês | MEDLINE | ID: mdl-29869925

RESUMO

A novel aluminum/olivine composite (AOC) was prepared by wet impregnation followed by calcination and was introduced as an efficient adsorbent for defluoridation. The adsorption of fluoride was modeled with one-, two- and three-parameter isotherm equations by non-linear regression to demonstrate the adsorption equilibrium. The FI was the best-fitted model among the two-parameter isotherms with a R2 value of 0.995. The three-parameter models were found to have better performance with low values of the error functions and high F values. The neural-network-based model was applied for the first time in the isotherm study. The optimized model was framed with eight neurons in hidden layer with a mean square of error of 0.0481 and correlation coefficient greater than 0.999. The neural-based model has the better predictability with a higher F value of 9484 and R2 value of 0.998 compared to regression models, exhibiting the F value and the R2 in the range of 86-3572 and 0.835-0.995, respectively. The material characterization established the formation of the aluminum oxide, silicate, etc. onto the olivine which is conducive of the removal of fluoride by the formation of aluminum fluoride compounds, such as AlF3 in the spent material after defluoridation.


Assuntos
Fluoretos/farmacocinética , Compostos de Ferro/farmacocinética , Compostos de Magnésio/farmacocinética , Redes Neurais de Computação , Silicatos/farmacocinética , Purificação da Água , Absorção Fisico-Química , Alumínio/química , Alumínio/farmacocinética , Óxido de Alumínio/química , Fenômenos Químicos , Fluoretos/química , Compostos de Ferro/química , Cinética , Análise dos Mínimos Quadrados , Compostos de Magnésio/química , Silicatos/química , Temperatura , Purificação da Água/instrumentação , Purificação da Água/métodos
7.
J Environ Manage ; 193: 524-531, 2017 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-28237221

RESUMO

A continuous flow electrochemical reactor was developed, and its application was tested for the treatment of textile wastewater. A parallel plate configuration with serpentine flow was chosen for the continuous flow reactor. Uniparameter optimization was carried out for electrochemical oxidation of synthetic and real textile wastewater (collected from the inlet of the effluent treatment plant). Chemical Oxygen Demand (COD) removal efficiency of 90% was achieved for synthetic textile wastewater (initial COD - 780 mg L-1) at a flow rate of 500 mL h-1 (retention time of 6 h) and a current density of 1.15 mA cm-2 and the energy consumption for the degradation was 9.2 kWh (kg COD)-1. The complete degradation of real textile wastewater (initial COD of 368 mg L-1) was obtained at a current density of 1.15 mA cm-2, NaCl concentration of 1 g L-1 and retention time of 6 h. Energy consumption and mass transfer coefficient of the reactions were calculated. The continuous flow reactor performed better than batch reactor with reference to energy consumption and economy. The overall treatment cost for complete COD removal of real textile wastewater was 5.83 USD m-3.


Assuntos
Indústria Têxtil , Águas Residuárias , Eletrodos , Resíduos Industriais , Têxteis , Eliminação de Resíduos Líquidos , Poluentes Químicos da Água
8.
J Environ Manage ; 176: 45-53, 2016 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-27039363

RESUMO

Anodic oxidation of industrial wastewater from a coke oven plant having cyanide including thiocyanate (280 mg L(-1)), chemical oxygen demand (COD - 1520 mg L(-1)) and phenol (900 mg L(-1)) was carried out using a novel PbO2 anode. From univariate optimization study, low NaCl concentration, acidic pH, high current density and temperature were found beneficial for the oxidation. Multivariate optimization was performed with cyanide including thiocyanate, COD and phenol removal efficiencies as a function of changes in initial pH, NaCl concentration and current density using Box-Behnken experimental design. Optimization was performed for maximizing the removal efficiencies of these three parameters simultaneously. The optimum condition was obtained as initial pH 3.95, NaCl as 1 g L(-1) and current density of 6.7 mA cm(-2), for which the predicted removal efficiencies were 99.6%, 86.7% and 99.7% for cyanide including thiocyanate, COD and phenol respectively. It was in agreement with the values obtained experimentally as 99.1%, 85.2% and 99.7% respectively for these parameters. The optimum conditions with initial pH constrained to a range of 6-8 was initial pH 6, NaCl as 1.31 g L(-1) and current density as 6.7 mA cm(-2). The predicted removal efficiencies were 99%, 86.7% and 99.6% for the three parameters. The efficiencies obtained experimentally were in agreement at 99%, 87.8% and 99.6% respectively. The cost of operation for degradation at optimum conditions was calculated as 21.4 USD m(-3).


Assuntos
Análise da Demanda Biológica de Oxigênio , Coque , Cianetos/isolamento & purificação , Fenol/isolamento & purificação , Águas Residuárias/química , Purificação da Água/métodos , Técnicas Eletroquímicas , Eletrodos , Concentração de Íons de Hidrogênio , Chumbo/química , Óxidos/química , Cloreto de Sódio
9.
Artigo em Inglês | MEDLINE | ID: mdl-27419534

RESUMO

Application of a newly developed electrode material, PbO2 coated on mild steel plate (MS-PbO2), for the degradation of malachite green (MG) by photocatalytic oxidation (PCO), electrochemical oxidation (ECO) and photoelectrochemical oxidation (PEC) was explored. PEC performed marginally better at lower current density. However, the performances of PEC and ECO were equally good at higher current densities. One variable at a time optimization was carried out to identify the major parameters influencing ECO. Multivariate optimization was carried out with NaCl concentration, current density and pH as the variables and chemical oxygen demand (COD) removal efficiency and current efficiency (CE) as the responses. Increasing the current density aided the COD removal efficiency, but decreased the CE. Low NaCl concentration and acidic pH were beneficial for both. The optimum condition for maximizing the COD removal efficiency and CE of MG (50 mg L(-1)) was obtained as NaCl concentration of 1.56 g L(-1), a current density of 1.91 mA cm(-2) and pH 5. The maximum predicted and experimental COD removal efficiencies were 89.41% and 90.8%, and CEs were 21.52% and 21.1%, respectively. Degradation intermediates were identified and a possible pathway of degradation was proposed. Disc inhibition study showed that the degraded samples are non-toxic. The efficacy of the method was tested for treating wastewater collected from dyebath having a COD of about 2000 mg L(-1). COD removal efficiency of greater than 90% was achieved within 12 h at a current density of 7.2 mA cm(-2).


Assuntos
Técnicas Eletroquímicas , Corantes de Rosanilina/química , Corantes de Rosanilina/toxicidade , Análise da Demanda Biológica de Oxigênio , Eletrodos , Escherichia coli , Concentração de Íons de Hidrogênio , Resíduos Industriais , Análise Multivariada , Oxirredução , Cloreto de Sódio/análise , Testes de Toxicidade , Eliminação de Resíduos Líquidos , Águas Residuárias/química
10.
Artigo em Inglês | MEDLINE | ID: mdl-26549036

RESUMO

Response surface methodology was applied for the first time in the optimization of the preparation of layered double hydroxide (LDH) for defluoridation. The influence of three vital process parameters (viz. pH, molar ratio and calcination temperature) in the synthesis of the adsorbent 'Calcined Ca‒Al (NO3) LDH' was thoroughly examined to maximize its fluoride scavenging potential. The process parameters were optimized using the 3(3) factorial, face centered central composite and Box-Behnken designs and a comparative assessment of the methods was conducted. The maximum fluoride removal efficiency was achieved at a calcination temperature of approximately 500ºC; however, the efficiency decreased with increasing pH and molar ratio. The outcome of the comparative assessment clearly delineates the case specific nature of the models. A better predictability over the entire experimental domain was obtained with the 3(3) factorial method, whereas the Box-Behnken design was found to be the most efficient model with lesser number of experimental runs. The desirability function technique was performed for optimizing the response, wherein face centered central composite design exhibited a maximum desirability. The calcined Ca‒Al (NO3) LDH, synthesized under the optimum conditions, demonstrated the removal efficiencies of 95% and 99% for the doses of 3 g L(-1) and 5 g L(-1), respectively.


Assuntos
Alumínio/química , Fluoretos/química , Hidróxidos/química , Óxidos de Nitrogênio/química , Concentração de Íons de Hidrogênio , Temperatura
11.
Med Mycol ; 53(6): 569-75, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26026173

RESUMO

INTRODUCTION: Allergic fungal rhino sinusitis (AFS) is classically described as allergic manifestation to the fungal antigen present in sinuses with no evidence of invasion. Granulomas in histopathology, suspicious of invasion, are occasionally observed in AFS and the disease in these patients behaves like invasive fungal sinusitis even without histologic evidence of invasion. We retrospectively studied AFS patients to analyze whether AFS should be continued to be designated as an allergic entity. MATERIAL AND METHODS: AFS patients operated from January 2009 to July 2013 were retrospectively reviewed. Of the total 57 cases operated in last 4 years, nine showing presence of granuloma in histology were included in the AFS with granuloma Group (group 1) and the rest 48 were included in the AFS group (group 2). Both the groups were compared in terms of various parameters at presentation, treatment course and rate of recurrence. RESULTS: Group 1 had significantly high rates of orbital erosion (P = .000), with positive association of skull base erosion (P = .092) and high rates of telecanthus (P = .000), diplopia (P = .000), proptosis (P = .161) and facial pain. Recurrent surgery was needed in 8 of 9 patients in the group 1 as compared to 1 of 48 patients group 2. CONCLUSION: Granulomas suggests a more severe disease with a trend toward the invasive fungal sinusitis and alerts the clinician regarding the nature of progression. AFS seems to be a part of a continuous spectrum of fungal sinusitis rather than an allergic form as a distinct entity.


Assuntos
Granuloma , Pneumopatias Fúngicas , Hipersensibilidade Respiratória , Sinusite , Adolescente , Adulto , Criança , Feminino , Granuloma/diagnóstico por imagem , Granuloma/patologia , Humanos , Pneumopatias Fúngicas/diagnóstico por imagem , Pneumopatias Fúngicas/patologia , Masculino , Pessoa de Meia-Idade , Radiografia , Hipersensibilidade Respiratória/diagnóstico por imagem , Hipersensibilidade Respiratória/patologia , Estudos Retrospectivos , Sinusite/diagnóstico por imagem , Sinusite/patologia , Adulto Jovem
12.
Artigo em Inglês | MEDLINE | ID: mdl-26230736

RESUMO

An anionic triphenyl methane dye, methyl blue ((disodium;4-[4-[[4-(4-sulfonatoanilino)phenyl]-[4-(4-sulfonatophenyl)azaniumylidenecyclohexa-2,5-dien-1-ylidene]methyl]anilino]benzene sulfonate) was degraded photocatalytically with undoped micro-TiO2- and Ag(+)-doped micro TiO2 in a slurry-type batch reactor under UV irradiation and the efficiency was compared with that obtained using nano-TiO2- and Ag(+)-doped nano-TiO2. The influence of different parameters, i.e., photocatalyst loading, dye concentration, initial pH, temperature, depth of solution, interfering ions and electron acceptors on the dye degradation was investigated. The decolorization and mineralization efficiency was better for Ag(+)-doped micro-TiO2 than undoped micro-TiO2. Nano-TiO2 was more efficient than micro-TiO2, while Ag(+)-doped nano-TiO2 was the most efficient of all. Cost analysis showed degradation using micro-TiO2- and Ag(+)-doped micro-TiO2 are much cheaper than that using nano-TiO2 and Ag(+)-doped nano-TiO2. Therefore Ag(+)-doped micro-TiO2 was used for the detailed study. The degradation products formed were identified using GC-MS analysis after photocatalytic degradation for 180 min with Ag(+) -doped micro TiO2. Ion chromatography analysis was carried out for anions to identify the end products of degradation.


Assuntos
Benzenossulfonatos/química , Cromatografia Gasosa-Espectrometria de Massas , Prata/química , Titânio/química , Análise da Demanda Biológica de Oxigênio , Catálise , Concentração de Íons de Hidrogênio , Nanoestruturas/química , Temperatura , Raios Ultravioleta
13.
Artigo em Inglês | MEDLINE | ID: mdl-25901846

RESUMO

Commercially available microcrystalline TiO2 was doped with silver, ferrous and ferric ion (1.0 mol %) using silver nitrate, ferrous sulfate and ferric nitrate solutions following the liquid impregnation technology. The catalysts prepared were characterised by FESEM, XRD, FTIR, DRS, particle size and micropore analysis. The photocatalytic activity of the prepared catalysts was tested on the degradation of two model dyes, methylene blue (3,7-bis (Dimethylamino)-phenothiazin-5-ium chloride, a cationic thiazine dye) and methyl blue (disodium;4-[4-[[4-(4-sulfonatoanilino)phenyl]-[4-(4-sulfonatophenyl)azaniumylidenecyclohexa-2,5-dien-1-ylidene]methyl]anilino]benzene sulfonate, an anionic triphenyl methane dye) under irradiation by UV and visible light in a batch reactor. The efficiency of the photocatalysts under UV and visible light was compared to ascertain the light range for effective utilization. The catalysts were found to have the anatase crystalline structure and their particle size is in a range of 140-250 nm. In the case of Fe(2+) doped TiO2 and Fe(3+) doped TiO2, there was a greater shift in the optical absorption towards the visible range. Under UV light, Ag(+) doped TiO2 was the most efficient catalyst and the corresponding decolorization was more than 99% for both the dyes. Under visible light, Fe(3+) doped TiO2 was the most efficient photocatalyst with more than 96% and 90% decolorization for methylene blue and methyl blue, respectively. The kinetics of the reaction under both UV and visible light was investigated using the Langmuir-Hinshelwood pseudo-first-order kinetic model. Kinetic measurements confirmed that, Ag(+) doped TiO2 was most efficient in the UV range, while Fe(3+) doped TiO2 was most efficient in the visible range.


Assuntos
Poluentes Ambientais/química , Ferro/química , Luz , Fotólise , Prata/química , Titânio/química , Raios Ultravioleta , Catálise/efeitos da radiação , Corantes/química , Corantes/efeitos da radiação , Tamanho da Partícula , Titânio/efeitos da radiação
14.
Artigo em Inglês | MEDLINE | ID: mdl-25594123

RESUMO

Electrochemical oxidation of methyl orange (Sodium 4-[(4-dimethylamino) phenyldiazenyl] benzenesulfonate) with lead dioxide coated on mild steel was modelled using response surface methodology (RSM) to analyze the influence of pH, NaCl dose and current on color and chemical oxygen demand (COD) removal. Higher current, acidic pH and 0.8-1.2 g L(-1) NaCl dose had an enhancing effect on the removal efficiencies. Interaction effect of the variables highlights the action of (•)OH and HOCl in the oxidation of methyl orange, where HOCl has effect at lower current range. More than 90% COD removal efficiency and ∼100% color removal efficiency was obtained in 5 h at optimum conditions for an initial concentration of 50 mg L(-1). High performance liquid chromatography-mass spectroscopy (HPLC-MS) analysis carried out to identify degradation intermediates revealed the absence of chlorinated intermediates, which was further verified with Fourier transform infrared spectroscopy (FTIR) analysis. The postulated pathway of degradation indicated breakdown through dealkylation, deamination, desulfonation and cleavage of an azo bond and benzene ring. The degradation of methyl orange to smaller compounds was also confirmed by Ion Chromatography (IC). Cytotoxicity analysis on HaCaT cells revealed the intermediates to be more cytotoxic than the dye, possibly due to the aromatic amines and diazines formed during the degradation process.


Assuntos
Compostos Azo/química , Compostos Azo/toxicidade , Corantes/química , Compostos Orgânicos/química , Águas Residuárias/química , Poluentes Químicos da Água/química , Poluentes Químicos da Água/toxicidade , Linhagem Celular/efeitos dos fármacos , Corantes/toxicidade , Humanos , Resíduos Industriais , Queratinócitos/efeitos dos fármacos , Oxirredução , Águas Residuárias/toxicidade
15.
Med Mycol ; 52(7): 706-14, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25031427

RESUMO

Our goal was to determine quality of life (QOL), disability, and distress in the day-to-day lives of patients suffering from fungal rhinosinusitis (FRS) based on a prospective questionnaire. The study included 125 patients suffering from FRS, excluding those with acute fulminant FRS and any other comorbid illness. The data were compared with data for 50 age- and sex-matched controls who did not have any other chronic illness and obtained outpatient services from the Department of Otolaryngology and Head and Neck Surgery of our institute. Analysis showed that patients with FRS had worse QOL, with an average score of 87.34 compared with 94.15 for the control group. QOL score further decreased to 85.31 for patients with extensive disease that included intracranial or intraorbital extension and to 71.1 in those with recurrent disease. Patients showed significant disability and had decreased work efficiency in disability parameters. Distress among these patients was also greater and further increased in those with extensive disease or recurrence. We conclude that patients with FRS have worse QOL, more disability, and more distress compared with age- and sex-matched controls. This issue needs to be addressed while treating cases of FRS.


Assuntos
Pessoas com Deficiência , Micoses/patologia , Rinite/patologia , Sinusite/patologia , Estresse Psicológico , Adulto , Estudos de Casos e Controles , Doença Crônica , Feminino , Humanos , Masculino , Micoses/psicologia , Estudos Prospectivos , Qualidade de Vida , Rinite/psicologia , Sinusite/psicologia , Inquéritos e Questionários
16.
Environ Technol ; : 1-15, 2024 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-38471068

RESUMO

The two primary issues for wide implementation of the electrochemical oxidation of wastewater are the significant cost of electrode and high energy consumption. On the other side, conventional biological processes and membrane technology have several drawbacks for recalcitrant landfill leachate (LL) treatment. To address these issues, graphite/PbO2 anode was used to treat medium to mature age (biodegradability index, 5-day biochemical oxygen demand/chemical oxygen demand: 0.25) LL. To reduce the cost of the oxidation process and maximize the efficiency, operating conditions were optimized. The optimum parameter values were obtained as 24.7 mA cm-2, 180 ± 3 rpm, and 1.9 cm of current density, stirring rate, and electrode gap, respectively. Dissolved organic carbon (DOC), chemical oxygen demand (COD), and ammonia-N removal efficiencies of 55 ± 1.4%, 81 ± 1.9%, and 56 ± 3% were obtained after 8 h of degradation at optimum conditions. The decrease in aromatic substances and ultraviolet (UV) quenching materials were evaluated by UV-Visible spectroscopy and Specific UV absorbance. The conversion of aromatic compounds into simpler molecule compounds was also verified by Fourier-transform infrared spectroscopy analysis. The lab-scale anode synthesis cost was evaluated as 0.42 USD.

17.
Artigo em Inglês | MEDLINE | ID: mdl-23030389

RESUMO

The feasibilities of the adsorbents ferrous modified calcined bauxite (FEMCB) and ferric modified calcined bauxite (FRMCB) in the abatement of Cr(VI) was investigated in the present study. The adsorbents were characterized by scanning electron micrographs (SEM), electro diffraction spectra (EDS), X-ray diffraction (XRD), and Fourier transform infrared (FTIR) spectra. Parameter optimization of both adsorbents was done and performance efficiencies in the removal of Cr(VI) were compared. Although pH and temperature seemed to have no significant role in the removal efficiency of FEMCB, sorption by FRMCB was found to be depending on both. The optimum pH and temperature was found to be 5 ± 0.2, and 30°C, respectively. At optimum conditions, both adsorbents demonstrated removal efficiencies of >99% for a concentration of 5 mg L(-1). Sorption of Cr(VI) by FEMCB followed Freundlich isotherm model, while that of FRMCB fitted well with Langmuir isotherm model. The isotherm parameters were optimized by minimizing the error functions. The kinetics of sorption by FEMCB followed a pseudo-second-order model confirming chemisorptive mechanism, while FRMCB followed pseudo-first-order. Thermodynamic study revealed that sorption process was spontaneous and that the rate limiting step was governed by film diffusion. Both the adsorbents showed removal efficiencies of >99% in removing Cr(VI) from real sample of mine drainage water of concentration 1.86 mg L(-1) at optimum conditions.


Assuntos
Cromo/química , Adsorção , Microscopia Eletrônica de Varredura , Modelos Teóricos , Espectroscopia de Infravermelho com Transformada de Fourier , Termodinâmica , Difração de Raios X
18.
Drug Chem Toxicol ; 35(1): 32-5, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21830935

RESUMO

The cytogenetic toxicity of the crude leaf extract of Aloe vera, a medicinal plant, was evaluated in two test systems, onion and Swiss albino mice, using their root tip meristematic and bone marrow cells, respectively. No significant increase in structural abnormalities in chromosomes was observed, but a marked increase in cells with chromosome-number anomalies was found. The extract, however, significantly increased the mitotic index of both cell types.


Assuntos
Aloe/química , Células da Medula Óssea/efeitos dos fármacos , Mutagênicos/toxicidade , Extratos Vegetais/toxicidade , Animais , Células da Medula Óssea/metabolismo , Aberrações Cromossômicas/induzido quimicamente , Feminino , Masculino , Camundongos , Mitose/efeitos dos fármacos , Índice Mitótico , Testes de Mutagenicidade , Cebolas/química , Folhas de Planta
19.
Artigo em Inglês | MEDLINE | ID: mdl-22871009

RESUMO

Real textile wastewater collected from the cotton dyeing bath of a fabric dyeing and finishing plant was subjected to heterogeneous photocatalysis using Ag(+) doped TiO(2) under UV irradiation in a batch reactor. The photocatalysts were characterized by FESEM, XRD, EDS, FTIR, DRS and BET analyses. The kinetics of the reaction was also evaluated. Colour removal was more than 88%, 94% and 99%, respectively for undiluted, 2 times diluted and 5 times diluted wastewater with Ag(+) doped TiO(2) (2.5 g/L) after UV irradiation for 360 minutes. The COD removal for undiluted, 2 times diluted and 5 times diluted wastewater was 47%, 70% and 92%, respectively under similar conditions. The reaction followed Langmuir-Hinshelwood pseudo first order kinetic model and the data fitted well to polynomial regression analysis.


Assuntos
Fotoquímica/métodos , Águas Residuárias/química , Cinética , Indústria Têxtil , Raios Ultravioleta
20.
Artigo em Inglês | MEDLINE | ID: mdl-22571531

RESUMO

Methylene blue dye (MB) was degraded photocatalytically in aqueous solution using Ag(+) doped TiO(2) under UV irradiation. The degradations of the dye using untreated TiO(2) and Ag(+) doped TiO(2) were compared. Ag(+) doped TiO(2) was found to be more efficient. Using Ag(+) doped TiO(2) the filtration process was eliminated, as the particles became more settleable. The effect of various parameters such as catalyst loading, initial dye concentration, depth of solution, degree of adsorption, pH and O(2) on dye degradation was studied. The extent of mineralization was studied by observing the COD removal at different time intervals. The effects of various interfering ions such as Cl(-), NO(3) (-), CO(3) (2-), SO(4) (2-), Ca(2+) and Fe(3+) and electron acceptors such as H(2)O(2), KBrO(3) and (NH(4))(2)S(2)O(8) on the dye degradation was also studied. The degradation kinetics fitted well to Langmuir-Hinshelwood pseudo first order rate law. An aqueous solution of MB (20ppm) degraded by more than 99% after UV irradiation for 180 min with Ag(+) doped TiO(2) (2 g/L) and by more than 95% with untreated TiO(2) (2 g/L)(.) The COD removal was more than 91% with Ag(+)doped TiO(2) and more than 86% with untreated TiO(2) after 240 min. The degradation and COD removal of 5 times diluted textile wastewater was more than 98% and 79% respectively with 1 g/L Ag(+) doped TiO(2) after UV irradiation for 420 min.


Assuntos
Azul de Metileno/química , Fotoquímica/métodos , Raios Ultravioleta , Eliminação de Resíduos Líquidos/métodos , Poluentes Químicos da Água/química , Purificação da Água/métodos , Catálise , Concentração de Íons de Hidrogênio , Cinética , Azul de Metileno/análise , Modelos Químicos , Oxigênio/química , Prata/química , Indústria Têxtil , Titânio/química , Poluentes Químicos da Água/análise
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