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1.
Agri ; 36(1): 53-63, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38239113

RESUMO

OBJECTIVES: We aimed to compare the effectiveness of TENS, used in physical therapy departments, and continuous radiofrequency thermocoagulation (CRF) and pulsed radiofrequency denervation (PRF), used in algology departments, in patients with lumbar facet syndrome (LFS). METHODS: Subjects were selected from patients with LFS visiting outpatient clinics of physical therapy and algology departments at Ege University School of Medicine, whose pain was refractory to medical treatment for at least 3 months. Subjects were randomized into 3 groups. A total of 60 patients, with 20 in each group, were enrolled. The first group received CRF, the second group received TENS for 30 minutes a day for 15 days, and the third group received PRF. Patients were assessed at baseline, at the end of the first and sixth months, for a total of three times. RESULTS: Improvements at month 1 and month 6 were found to be statistically significant in all three treatment groups with respect to their pain scores, Oswestry Disability Indexes, hand-floor distance measurements, 20-meter walking times, 6-min walking distances, Beck Depression Inventory, and most of the SF-36 domain scores (p<0.05). A comparison of the treatment groups showed no superiority of any group over the others in any assessment parameters (p>0.05). CONCLUSION: We suggest that it might be more appropriate to use TENS, a non-invasive treatment, before trying more invasive procedures like CRF and PRF in these patients. However, it has been stated that further studies involving a larger patient sample are needed.


Assuntos
Dor Lombar , Tratamento por Radiofrequência Pulsada , Estimulação Elétrica Nervosa Transcutânea , Humanos , Tratamento por Radiofrequência Pulsada/métodos , Método Simples-Cego , Dor Lombar/terapia , Eletrocoagulação/métodos , Denervação/métodos
2.
J Environ Manage ; 342: 118362, 2023 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-37311343

RESUMO

In the present study a sequential process composed of electrocoagulation (EC) followed by electrooxidation (EO) was utilized at the laboratory scale to remove the chemical oxygen demand (COD) from wastewater generated in Iraqi vegetable oil refinery plant.in the EC, impacts of operating variables such as current density (10-30 mA cm-2) and pH (4-10),and EC time (30-90 min) on the COD removal (RE%) were investigated using response surface methodology (RSM) based on Box- Behnken design(BBD). a mathematical correlation that relates the operating factors with RE% was developed and its regression coefficient was 99.02% confirming the significant of the model. Response surface plots showed that RE% increased with increasing current density and time while it decreased with increasing pH. The optimum removal with a lower cost for EC process were achieved at current density of 30mA/cm2, pH of 4, and electrolysis time of 90 min in which RE% of 69.19% was obtained with requirement of 0.513kWh/kg COD as specific energy consumption (SEC). The effluent exit from EC was treated by EO for a period of 240min at a current density of 30mA/cm2 and an initial pH value of 4 to obtain RE% of 96% at SEC of 1.554 kWh/kg COD. Combining EC with EO resulted in a total RE% of 98.72% and a total SEC of 2.067 kWh/kg COD. Based on the results of present study, the applicability of a sequential electrocoagulation-electrooxidation process for treatment vegetable oil wastewaters is feasible.


Assuntos
Eliminação de Resíduos Líquidos , Águas Residuárias , Eliminação de Resíduos Líquidos/métodos , Verduras , Eletrocoagulação/métodos , Óleos de Plantas
3.
Water Sci Technol ; 87(8): 1866-1878, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37119160

RESUMO

Excessive discharge of phosphorus can produce eutrophication in aquatic environments, damaging public health, the living environment, and the economy. The conventional mechanical-biological phosphorus removal methods are not suitable for small rural domestic sewage due to the features of small scale, scattered distribution, intermittent emission, and large fluctuation. This work evaluated electrocoagulation (EC) with industrial steel as electrodes on small rural domestic sewage. Results showed that the best performance was achieved at a current density of 1 mA/cm2, electrode distance of 2 cm, electrode number of 2, pH of 7, and Hydraulic Retention Time of 30 min, respectively. Under optimum conditions, the EC process removed 93.91% phosphorus while consuming around 0.25 kWh/m3 of electricity. In addition, the electrode passivation of EC was further investigated; the long-term research found that the phosphorus removal efficiency only decreased by 4.34% after 10 days of continuous flow operation, and the operational energy consumption was 0.07 kWh/m3 at a Cl- concentration of 500 mg/L.


Assuntos
Fósforo , Esgotos , Eletrocoagulação/métodos , Eletricidade , Eletrodos , Eliminação de Resíduos Líquidos/métodos
4.
Water Environ Res ; 95(4): e10847, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36789466

RESUMO

A batch monopolar reactor was developed for total phosphorus (TP) recovery using electrochemical struvite precipitation. This study involves the optimization of factors using response surface methodology to maximize the TP recovery. The optimal parameters for this study were found to be a pH of 8.40, a retention time of 35 min, a current density of 300 A/m2 , and an interelectrode distance of 0.5 cm, resulting in 97.3% of TP recovery and energy consumption of 2.35 kWh/m3 . A kinetic study for TP removal revealed that at optimum operating conditions, TP removal follows second-order kinetics (removal rate constant(K) = 0.0117 mg/(m2 ·min)). The system performance was compared to the performance of an iron electrocoagulation system. The composition of the precipitate obtained during the optimal runs were analyzed using X-ray diffraction and EDS analysis. X-ray diffraction analysis of the magnesium precipitate revealed the presence of struvite as the only crystalline compound. PRACTITIONER POINTS: Electrochemical struvite precipitation has the potential to recover total phosphorus from anaerobic bioreactor effluent. Optimum conditions for phosphorus recovery was found at a pH of 8.4, retention time of 35 min, current density of 300 A/m2, and interelectrode distance of 0.5 cm. The quadratic model predicted complete (100 %) TP recovery under optimized conditions, whereas 97.3 % recovery was observed under experimental conditions. TP removal under optimum conditions followed second-order rate equation (removal rate constant(K) = 0.0117 mg/(m2 ·min)). XRD analysis of the precipitate revealed struvite as the only crystalline compound.


Assuntos
Fosfatos , Fósforo , Estruvita , Fósforo/química , Fosfatos/química , Compostos de Magnésio/química , Ferro , Eletrocoagulação , Precipitação Química
5.
Chemosphere ; 321: 138086, 2023 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-36754310

RESUMO

Despite the significant removal of chemical oxygen demand (COD) by anaerobic digestion, anaerobically-treated palm oil mill effluent (POME) still contains tannins and other phenolic compounds, resulting in residual COD and a brownish color. In this study, we investigated the removal of tannins from anaerobically treated POME using protein-tannin complexation in conjunction with electrocoagulation. The amino acid composition of the protein, aqueous pH, and protein: tannin ratios were found to be important parameters affecting the tannin removal efficiency. Pig blood protein was superior to casein protein in removing tannins, possibly because it had aspartic acid as the major amino acid component. At an optimal condition with a pig blood protein: tannin ratio of 0.33 (w/w), a current density of 30 mA/cm2, pH 5, and an electrolysis time of 10 min, the removals of tannins, COD, and color were 93%, 96%, and 97%, respectively.


Assuntos
Óleos de Plantas , Taninos , Animais , Suínos , Óleo de Palmeira , Óleos de Plantas/química , Eliminação de Resíduos Líquidos/métodos , Resíduos Industriais/análise , Eletrocoagulação/métodos , Aminoácidos
6.
Water Res ; 231: 119645, 2023 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-36702022

RESUMO

Migrating electric field-assisted electrocoagulation (MEAEC) is a three-electrode electrochemical system, including waste flour-derived sponge biochar (SBC) as an adsorption electrode for efficient phosphorus removal from wastewater. The SBC was applied in the MEAEC system as a pseudo capacitance electrode with low energy consumption and reached an excellent effluent level (0.12 mg/L) with a 200-s treatment time in 1 mg/L phosphate synthetic wastewater. The SBC adsorption electrode had a total charge capacitance of 1.14 F/g with abundant micropores. Continuous charging and discharging at a constant voltage over 100 cycles demonstrated the excellent durability of the biochar electrodes. The energy demand of SBC-MEAEC was only 0.0058 kWh/m3 for 90% phosphate removal, which was 65% less than that of the control. The use of SBC in the MEAEC system greatly enhanced phosphate removal at low concentrations. In the SBC-MEAEC system, the electro-desorption synchronous electrocoagulation process demonstrated efficient concentration and release of ions after electro-adsorption. These results indicate that MEAEC with an SBC electrode could achieve a high level of phosphate removal with a much lower energy consumption than in previous studies. The recovered concentrated phosphorus flocs also contained fewer metal impurities than those in previous electrochemical approaches. The proposed desorption synchronous electrocoagulation utilizing waste-derived SBC electrodes provides a cost-effective pathway to treat low phosphorous-containing wastewater.


Assuntos
Águas Residuárias , Poluentes Químicos da Água , Fósforo , Eliminação de Resíduos Líquidos/métodos , Eletrocoagulação , Fosfatos , Eletrodos , Poluentes Químicos da Água/análise
7.
Environ Sci Pollut Res Int ; 30(8): 20721-20735, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36255572

RESUMO

Phosphorus recovery is indispensable due to the rapid depletion of its natural reserves and excessive utility in agriculture. Though human urine has high nutrient content including phosphate, nitrogen and potassium; direct use as a fertilizer is restricted due to hygienic, environmental, social and ethical issues. To overcome these limitations, the nutrients are precipitated by the external addition of magnesium (Mg) to form a slow-releasing fertilizer called struvite. The present study aims to maximize phosphate recovery through optimizing struvite production by an emerging electrocoagulation technique. A maximum of 95% phosphate recovery was achieved using inter-electrode distance of 0.5 cm, 2 A current from undiluted urine using Mg-Mg electrodes in a reaction time of 30 min. Further, kinetic modeling of phosphate recovery through electrocoagulation was conducted to comprehend the intended mechanism through the order of kinetics. The results revealed that the data best correlated with first-order kinetics with a correlation coefficient of 0.95. Electrocoagulation improved the supernatant quality by reducing the ion concentrations other than phosphate (30-50%), salinity (40-45%), and microbial population (99%). Qualitative assessment of the precipitate through sophisticated analysis further confirmed the presence of struvite crystals.


Assuntos
Fertilizantes , Fosfatos , Humanos , Fosfatos/química , Estruvita/química , Fertilizantes/análise , Cinética , Fósforo/análise , Magnésio/química , Eletrocoagulação , Urina/química
8.
Environ Sci Pollut Res Int ; 30(28): 71741-71753, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34480301

RESUMO

In this study, palm oil mill effluent (POME) was treated using electrocoagulation, whereby the influencing factors including voltage, electrolysis time, and electrolyte amount were optimized to achieve the highest chemical oxygen demand (COD) and color removal efficiencies. Graphite was selected as electrode material due to its performance better compared to aluminum and copper. Response surface methodology (RSM) was carried out for optimization of the electrocoagulation operating parameters. The best model obtained using Box-Behnken design (BBD) were quadratic for COD removal (R2 = 0.9844), color reduction (R2 = 0.9412), and oil and grease removal (R2 = 0.9724). The result from the analysis of variance (ANOVA) was obtained to determine the relationship between factors and treatment efficiencies. The experimental results under optimized conditions such as voltage 14, electrolysis time of 3 h, and electrolyte amount of 13.41 g/L show that the electrocoagulation process effectively reduced the COD (56%), color (65%), and oil and grease (99%) of the POME treatment. Graphical abstract.


Assuntos
Resíduos Industriais , Eliminação de Resíduos Líquidos , Óleo de Palmeira , Resíduos Industriais/análise , Eliminação de Resíduos Líquidos/métodos , Eletrocoagulação/métodos , Eletrólitos
9.
J Environ Sci (China) ; 124: 89-97, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36182191

RESUMO

In situ and simultaneous remediation of a variety of pollutants in sediments remains a challenge. In this study, we report that the combination of electrocoagulation (EC) and electrooxidation (EO) is efficient in the immobilization of phosphorus and heavy metals and in the oxidation of ammonium and toxic organic matter. The integrated mixed metal oxide (MMO)/Fe anode system allowed the facile removal of ammonium and phosphorus in the overlying water (99% of 10 mg/L NH4+-N and 95% of 10 mg/L P disappeared in 15 and 30 min, respectively). Compared with the controls of the single Fe anode and single MMO anode systems, the dual MMO/Fe anode system significantly improved the removal of phenanthrene and promoted the transition of Pb and Cu from the mobile species to the immobile species. The concentrations of Pb and Cu in the toxicity characteristic leaching procedure extracts were reduced by 99% and 97% after an 8 hr operation. Further tests with four real polluted samples indicated that substantial proportions of acid-soluble fraction Pb and Cu were reduced (30%-31% for Pb and 16%-23% for Cu), and the amounts of total organic carbon and NH4+-N decreased by 56%-71% and 32%-63%, respectively. It was proposed that the in situ electrogenerated Fe(II) at the Fe anode and the active oxygen/chlorine species at the MMO anode are conducive to outstanding performance in the co-treatment of multiple pollutants. The results suggest that the EC/EO method is a powerful technology for the in situ remediation of sediments contaminated with different pollutants.


Assuntos
Compostos de Amônio , Poluentes Ambientais , Metais Pesados , Fenantrenos , Poluentes Químicos da Água , Carbono , Cloro , Eletrocoagulação , Compostos Ferrosos , Sedimentos Geológicos , Chumbo , Metais Pesados/análise , Óxidos , Fósforo , Espécies Reativas de Oxigênio , Água , Poluentes Químicos da Água/análise
10.
Pain Physician ; 25(8): E1219-E1228, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36375194

RESUMO

BACKGROUND: Primary palm hyperhidrosis (PPH) is a chronic disease characterized by uncontrolled palm-sweating exceeding physiological needs. It negatively impacts the quality of life of the patients and can lead to different degrees of psychological problems. Currently, there are a variety of treatment options for PPH, of which thoracotomy is a first-line treatment that has shown good efficacy. However, since it is an invasive procedure requiring general anesthesia and is often associated with high costs and serious complications, better alternatives should be explored. Computed tomography (CT)-guided percutaneous puncture of radiofrequency thermocoagulation (RF-TC) of the thoracic sympathetic nerve is a promising alternative treatment. It is a minimally invasive procedure that can be performed under local anesthesia and is associated with rapid recovery. However, the factors affecting the duration of the surgery-related benefits and outcomes of CT-guided percutaneous RF-TC of the thoracic sympathetic nerve are unclear. OBJECTIVES: To investigate the factors influencing the outcomes of CT-guided percutaneous RF-TC of the thoracic sympathetic nerve in patients with PPH. STUDY DESIGN: A retrospective study. SETTING: This study was conducted at the Pain Department of Jiaxing University Affiliated Hospital (Jiaxing, China). METHODS: After approval by the Ethics Committee of the Affiliated Hospital of Jiaxing College, the data of 232 corresponding patients were assessed. The Kaplan-Meier method was used for survival analysis. Univariate and multivariate analyses were performed to identify factors associated with PPH and to construct a nomogram for predicting postoperative recurrence. Time-independent receiver operating characteristic (ROC) curve analyses were performed to assess the nomogram's predictive capacity. RESULTS: In the one-year survival analysis model, gender (HR = 1.573, 95%CI: 0.844 to 2.934), age (HR = 0.965, 95%CI: 0.915 to 1.018), disease course (HR = 0.960, 95%CI: 0.908 to 1.015), palm temperature difference (HR = 0.377, 95%CI: 0.287 to 0.495), perfusion index difference (HR = 0.590, 95%CI: 0.513 to 0.680) and hyperhidrosis disease severity scale (HR = 1.963, 95%CI: 0.769 to 5.011) were identified as statistically significant factors in univariate analysis, while palm temperature difference (HR = 0.589, 95%CI: 0.369 to 0.941) and perfusion index difference (HR = 0.357, 95%CI: 0.588 to 0.968) were the independent factors in the multivariate Cox proportional hazards risk model. In the 2-year survival analysis model, palm temperature difference (HR = 0.353, 95%CI: 0.261 to 0.478), perfusion index difference (HR = 0.589, 95%CI: 0.510 to 0.680) and hyperhidrosis disease severity scale (HR = 1.964, 95%CI: 0.771 to 5.006) were the statistically significant factors while palm temperature difference (HR = 0.507, 95%CI: 0.321 to 0.799) and perfusion index difference (HR = 0.789, 95%CI: 0.625 to 0.995) were the independent factors. LIMITATIONS: This single-center retrospective study was limited by its small sample size, short follow-up time, and the possibility of bias resulting from the non-random patient selection. CONCLUSION: Palm temperature difference and perfusion index difference were independent risk factors associated with prolonging the surgical benefits and reducing postoperative recurrence of CT-guided RF-TC of the sympathetic nerves in patients with PPH.


Assuntos
Hiperidrose , Qualidade de Vida , Humanos , Estudos Retrospectivos , Resultado do Tratamento , Hiperidrose/cirurgia , Simpatectomia/métodos , Eletrocoagulação , Tomografia Computadorizada por Raios X/métodos , Fatores de Risco
11.
Environ Res ; 215(Pt 1): 114294, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36113573

RESUMO

The rapidly expanding global energy demand is forcing a release of regulated pollutants into water that is threatening human health. Among various wastewater remediating processes, electrocoagulation (EC) has scored a monumental success over conventional processes because it combines coagulation, sedimentation, floatation and electrochemical oxidation processes that can effectively decimate numerous stubborn pollutants. The EC processes have gained some attention through various academic and industrial publications, however critical evaluation of EC processes, choices of EC processes for various pollutants, process parameters, mechanisms, commercial EC technologies and performance enhancement via other degradation processes (DPs) integration have not been comprehensively covered to date. Therefore, the major objective of this paper is to provide a comprehensive review of 20 years of literature covering EC fundamentals, key process factors for a reactor design, process implementation, current challenges and performance enhancement by coupling EC with pivotal pollutant DPs including, electro/photo-Fenton (E/P-F), photocatalysis, sono-chemical treatment, ozonation, indirect electrochemical/advanced oxidation (AO), and biosorption that have substantially reduced metals, pathogens, toxic compound BOD, COD, colors in wastewater. The results suggest that the optimum treatment time, current density, pulse frequency, shaking speed and spaced electrode improve the pollutants removal efficiency. An elegant process design can prevent electrode passivation which is a critical limitation of EC technology. EC coupling (up or downstream) with other DPs has resulted in the removal of organic pollutants and heavy metals with a 20% improved efficiency by EC-EF, removal of 85.5% suspended solid, 76.2% turbidity, 88.9% BOD, 79.7% COD and 93% color by EC-electroflotation, 100% decolorization by EC-electrochemical-AO, reduction of 78% COD, 81% BOD, 97% color by EC-ozonation and removal of 94% ammonia, 94% BOD, 95% turbidity, >98% phosphorus by aerated EC and peroxicoagulation. The major wastewater purification achievements, future potential and challenges are described to model the future EC integrated systems.


Assuntos
Poluentes Ambientais , Metais Pesados , Ozônio , Poluentes Químicos da Água , Purificação da Água , Amônia , Eletrocoagulação/métodos , Humanos , Fósforo , Eliminação de Resíduos Líquidos/métodos , Águas Residuárias/química , Água , Poluentes Químicos da Água/análise , Purificação da Água/métodos
12.
Sci Rep ; 12(1): 11463, 2022 07 06.
Artigo em Inglês | MEDLINE | ID: mdl-35794246

RESUMO

Developing sustainable materials for recovering and recycling nutrients from wastewater is critically needed for nutrients such as phosphorus that have a diminishing supply. Struvite crystallization is emerging as a promising strategy for phosphorus recovery which can be enhanced with seeding through microalgal biochar. The main bottleneck of using microalgae is its high harvesting cost. In this study, an integrated electrocoagulation-flotation (ECF) process is used to recover and at the same time modify the algal surface with magnesium anode and inert carbon cathode. Harvesting efficiency of 98% was achieved with 40.78 mA cm-2, 0.5 cm inter-electrode distance and energy consumption of 4.03 kWh kg-1 in 15 min. The harvested microalgae were pyrolyzed to obtain a yield of 52.90% Mg-laden microalgal biochar. Simultaneously, surface impregnation of 28% magnesium was attained as confirmed by Scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS). Phosphorus recovery and struvite yield of 93.70% and 2.66 g L-1, respectively, were obtained from dosing 1.50 g L-1 Mg-laden microalgal biochar. Comparison of physicochemical characteristics of residual supernatant after microalgal harvesting and struvite recovery showed that the combined use of both the residuals can serve as a sustainable growth medium for microalgae. The overall operating cost of the integrated process was found to be 2.48 USD kg-1 with a total energy consumption of 10.76 kWh kg-1, which was found to be lower than conventional harvesting unit processes such as centrifugation and filtration. This novel approach can help attaining a circular bioeconomy by encompassing nutrient recovery and waste management in an integrated process.


Assuntos
Microalgas , Carvão Vegetal , Cristalização , Eletrocoagulação , Magnésio/química , Fósforo , Estruvita/química
13.
Chemosphere ; 303(Pt 3): 135249, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35691397

RESUMO

Electrocoagulation (EC) using iron (Fe), zinc (Zn) and aluminum (Al) electrodes was comparatively applied in the treatment of selenium (Se) in flour production (FP) wastewater. It was indicated that EC treatment with Fe anode obtained highest removal efficiency (79.1%) for Se in the 90 min treatment in the comparative study, which could be attributed to the superior adsorption capacity of in-situ generated iron flocs. Removal of Se resulted from electrodeposition and adsorption to in-situ generated flocs in EC treatment, and the operational conditions significantly influenced the Se removal performance in this work. The results showed the acidic condition and higher current density favored EC treatment on Se removal, EC removed up to 97.8% of Se at pH 4 under 15 mA cm-2, whereas it obtained 83.5% and 50.4% of removal efficiency at pH 7 and 10, respectively. There was competitive adsorption in the process of selenium removal, as the in-situ generated flocs effectively removed 35.6% of humic acid-like (HA-like) substance in FP wastewater after 90 min treatment. The FTIR results showed that HA-like substance mainly contained the protein water hydrogen bond, carboxylate COO antisymmetric stretching and other functional groups. Through the analysis of existence of Se in flocs and wastewater, it can be found that approximately 2.8%-3.92% of Se was removed by electrodeposition process. This study illustrated the Se removal mechanism and provided constructive suggestion for food manufacturing to the metal removal and utilization of advanced treatment.


Assuntos
Selênio , Purificação da Água , Alumínio/química , Eletrocoagulação , Eletrodos , Farinha , Concentração de Íons de Hidrogênio , Ferro/química , Águas Residuárias/química , Purificação da Água/métodos , Zinco/química
14.
Int J Hyperthermia ; 39(1): 697-705, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35469518

RESUMO

Thermal dose models are metrics that quantify the thermal effect on tissues based on the temperature and the time of exposure. These models are used to predict and control the outcome of hyperthermia (up to 45°C) treatments, and of thermal coagulation treatments at higher temperatures (>45°C). The validity and accuracy of the commonly used models (CEM43) are questionable when heating above the hyperthermia temperature range occurs, leading to an over-estimation of the accumulation of thermal damage. A new CEM43 dose model based on an Arrhenius-type, Vogel-Tammann-Fulcher, equation using published data, is introduced in this work. The new dose values for the same damage threshold that was produced at different in-vivo skin experiments were in the same order of magnitude, while the current dose values varied by two orders of magnitude. In addition, the dose values obtained using the new model for the same damage threshold in 6 lesions in ex-vivo liver experiments were more consistent than the current model dose values. The contribution of this work is to provide new modeling approaches to inform more robust thermal dosimetry for improved thermal therapy modeling, monitoring, and control.


Assuntos
Hipertermia Induzida , Eletrocoagulação , Temperatura Alta , Fígado , Temperatura
15.
J Endourol ; 36(9): 1237-1242, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-35435759

RESUMO

Introduction: Herein, we describe our initial experience performing waterjet ablation of the prostate without electrocautery. Materials and Methods: A retrospective review of patients undergoing Aquablation for benign prostatic hyperplasia between February and September 2019 was performed. A standardized perioperative protocol for optimizing hemostasis was implemented. The primary endpoint was to define bleeding complications perioperatively and up to 30 days postoperatively after Aquablation. Bleeding complications included hematuria requiring prolonged continuous bladder irrigation, drop in hemoglobin requiring transfusion, or take back to operating room for evacuation of bladder clots and bladder fulguration. Bivariable analysis using Fisher's exact test and unpaired t-tests were used to identify factors associated with bleeding complications. Results: Thirty-two patients underwent Aquablation over the study period. Average preoperative international prostate symptom score was 20 (range: 13-34) and Qmax was 7 mL/s (range: 0-11). Mean prostate volume was 65 cc (range: 30-200 cc). Average perioperative change in hemoglobin was 1.3 g/dL (range: -0.3 to 4.2 g/dL). Eight patients (25%) experienced bleeding complications. Three (9.4%) required blood transfusions. On Fisher's exact test, prostate volume (91 cc vs 55 cc; p = 0.0361) and preoperative prostate-specific antigen (6.6 vs 2.9; p = 0.0218) were associated with postoperative bleeding. Conclusions: Performing waterjet ablation of the prostate without the use of electrocautery after waterjet treatment to control bleeding resulted in significant bleeding complications (25% of our cohort) during our initial experience. A combination of traction and focal bladder neck electrocautery is the best strategy to minimize bleeding complications after Aquablation.


Assuntos
Técnicas de Ablação , Hiperplasia Prostática , Ressecção Transuretral da Próstata , Técnicas de Ablação/métodos , Eletrocoagulação , Humanos , Masculino , Próstata/cirurgia , Hiperplasia Prostática/complicações , Ressecção Transuretral da Próstata/métodos , Resultado do Tratamento
16.
Neurosurgery ; 91(2): 295-303, 2022 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-35394461

RESUMO

BACKGROUND: Disconnection surgery for the treatment of epileptic hypothalamic hamartomas (HHs) is strategically difficult in cases with complex-shaped HHs, especially with bilateral hypothalamic attachments, despite its effectiveness. OBJECTIVE: To evaluate the feasibility of a new approach for stereotactic radiofrequency thermocoagulation (SRT) using penetration of the third ventricle (SRT-TT) aiming to disconnect bilateral hypothalamic attachments in a single-staged, unilateral procedure. METHODS: Ninety patients (median age at surgery, 5.0 years) who had HHs with bilateral hypothalamic attachments and were followed for at least 1 year after their last SRT were retrospectively reviewed. RESULTS: Thirty-three patients underwent SRT-TT as initial surgery. Of the 58 patients after mid-2013 when SRT-TT was introduced, 33 underwent SRT-TT and 12 (20.7%) required reoperation (ReSRT), whereas 20 of 57 patients (35.1%) without SRT-TT underwent reoperation. Reoperation was required in significantly fewer patients after mid-2013 (n = 12 of 58, 20.7%) than before mid-2013 (n = 15 of 32, 46.9%) ( P = .01). Final seizure freedoms were not different between before and after mid-2013 (gelastic seizure freedom, n = 30 [93.8%] vs n = 49 [84.5%] and other types of seizure freedom, n = 21 of 31 [67.7%] vs n = 32 of 38 [84.2%]). Persistent complications were less in SRT-TT than in ReSRT using the bilateral approach, but not significantly. However, hormonal replacement was required significantly more often in ReSRT using the bilateral approach (4 of 9, 44.4%) than in SRT-TT (3 of 32, 9.4%) ( P = .01). CONCLUSION: SRT-TT enabled disconnection of bilateral attachments of HHs in a single-staged procedure, which reduced the additional invasiveness of reoperation. Moreover, SRT-TT reduced damage to the contralateral hypothalamus, with fewer endocrinological complications than the bilateral approach.


Assuntos
Doenças Hipotalâmicas , Radiocirurgia , Eletrocoagulação/métodos , Hamartoma , Humanos , Doenças Hipotalâmicas/complicações , Doenças Hipotalâmicas/cirurgia , Hipotálamo/cirurgia , Imageamento por Ressonância Magnética , Radiocirurgia/métodos , Estudos Retrospectivos , Resultado do Tratamento
17.
Chemosphere ; 299: 134387, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35339529

RESUMO

In the electrocoagulation wastewater treatment process, extremely polluted water treatment requires an effective technique, and using high current is one of those. This study aims to optimize electrocoagulation parameters such as operation time, electrodes gap and the initial pH by applying high current intensity to treat palm oil mill effluent (POME) via Box-Behnken design (BBD) method. Chemical oxygen demand (COD), biological oxygen demand (BOD), and suspended solids (SS) were used as the response variables in the quadratic polynomial model. Most of the selected models in the analysis of variance (ANOVA) have shown significant results. A high connection between the parameters and dependent variables was surprisingly discovered in this study which the obtained value of R2 for removal percentage of COD, BOD and SS were 0.9975, 0.9984 and 0.9979 respectively. Optimal removal was achieved at 19.07 A of current intensity (equivalent to 542 mA/cm2 of current density), 44.97 min of treatment time, 8.60 mm of inter-electrode distance and 4.37 of pH value, resulted in 97.21%, 99.26% and 99.00% of COD, BOD and SS removal respectively. This optimized scheme of operating parameters combination offers an alternate choice for enhancing the treatment efficiency of POME and also can be a benchmark for other researchers to treat highly polluted wastewater.


Assuntos
Resíduos Industriais , Óleos de Plantas , Análise da Demanda Biológica de Oxigênio , Eletrocoagulação/métodos , Resíduos Industriais/análise , Óleo de Palmeira/análise , Óleos de Plantas/análise , Eliminação de Resíduos Líquidos/métodos , Águas Residuárias/análise
18.
Sci Rep ; 12(1): 3519, 2022 03 03.
Artigo em Inglês | MEDLINE | ID: mdl-35241732

RESUMO

The present research involves removing copper and nickel ions from synthesized wastewater by using a simple, cheap, cost-effective, and sustainable activated green waste tea residue (AGWTR) adsorption coupled with electrocoagulation (ADS/EC) process in the presence of iron electrodes. By considering previous studies, their adsorbents used for treating their wastewaters firstly activate them by applying either chemicals or activating agents. However, our adsorbent was prepared without applying neither chemicals nor any activating agents. The operating parameters such as pH, hydraulic retention time, adsorbent dose, initial concentration, current density, and operating cost for both metals were optimized. In ADS/EC, the removal efficiency was obtained as 100% for copper and 99.99% for nickel ions. After the ADS/EC process, Fourier transform infrared (FT-IR) spectroscopy, Scanning Electron Microscopy (SEM) and Energy-dispersive X-ray spectroscopy (EDS) analysis were used to characterize the adsorbent green waste tea residue. The adsorption isotherm and kinetic model results showed that the Langmuir and the pseudo-second-order were well-fitted to the experimental adsorption data better than the Freundlich and pseudo-first-order models for both Cu2+ and Ni2+ with their maximum adsorption capacity of 15.6 and 15.9 mg g-1, respectively. The above results give an option to recycle the metal-based industrial effluents, tea industry-based wastes, enabling a waste-to-green technique for adsorbing and removing the heavy metals and other pollutants in water.


Assuntos
Águas Residuárias , Poluentes Químicos da Água , Adsorção , Cobre/análise , Eletrocoagulação , Concentração de Íons de Hidrogênio , Íons/análise , Cinética , Níquel/análise , Espectroscopia de Infravermelho com Transformada de Fourier , Chá , Águas Residuárias/química , Poluentes Químicos da Água/análise
19.
Water Environ Res ; 94(2): e10692, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-35187750

RESUMO

The present work aims to study chemical oxygen demand (COD), oil-grease, and color removal from vegetable oil wastewater by combined electrocoagulation and activated sludge processes. For this purpose, the sample was pretreated using electrocoagulation by various optimization parameters such as electrode type (Al-Al and Fe-Fe), current density (100-400 A/m2 ), pH (2-8), and electrolysis time (15-180 min). The results showed that 89.3% of COD, 100% of oil-grease, and 66.2% of color were removed by electrocoagulation under the conditions of 300-A/m2 current density, pH 2, and 180-min reaction time with Al-Al electrode pairs. Then, the effluent of electrocoagulation was treated by an activated sludge process. The results depicted that the activated sludge process was also effective for vegetable oil wastewater treatment and it enhanced 98.9% COD and 79.2% color removal efficiency. The effluent of the combined process was very clear, and its quality exceeded the direct discharge standard of the water pollution control regulation. The laboratory-scale test results indicate that the combined electrocoagulation and activated sludge process is feasible for the treatment of vegetable oil wastewater. PRACTITIONER POINTS: Vegetable oil wastewater was treated by combination of electrocoagulation and activated sludge processes. The combined electrocoagulation and activated sludge processes supplied 99.9% COD, 100% oil-grease, and 93.0% color removal efficiency. The laboratory-scale test results indicate that the combined EC-SBR processes were feasible for the treatment of vegetable oil wastewater.


Assuntos
Esgotos , Águas Residuárias , Eletrocoagulação/métodos , Eletrodos , Resíduos Industriais/análise , Óleos de Plantas , Eliminação de Resíduos Líquidos/métodos
20.
Environ Technol ; 43(5): 751-765, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32731790

RESUMO

The poultry slaughterhouse wastewater has a high pollutant load, mainly organic matter, and nutrient content. The nitrogen and phosphorus discharge can cause eutrophication of the receiving water bodies. Electrocoagulation has been studied for several pollutants removal from different sources. The objective of this work was to evaluate the electrocoagulation process in the poultry slaughterhouse wastewater treatment using both iron and electrodes to remove total nitrogen and phosphorus. After the raw and polished wastewater characterisation, a 2³ Central Composite Rotatable Design was applied to evaluate the current density, initial pH, and electrocoagulation time influence on the nutrients removal and to find the optimum condition of nutrients removal. Once the optimum condition for nutrient removal was stablished, other physicochemical, microbiological, and ecotoxicological parameters, as well as the treatment cost, were investigated to determine which electrode material was the most efficient. For raw wastewater, applying the optimum treatment condition of 20 mA cm-2 current density, initial pH 6.2, and time of 20 min, the nitrogen and phosphorus removal presented similar for both electrode materials. Besides being cheaper ($ 4.13 m-3), iron electrode treatment presented better Chemical Oxygen Demand, oils and greases, solids, and ecotoxicity removal. For polished wastewater, the treatment with aluminum electrode was more efficient under the applied current density of 30 mA cm-2, initial pH 8 and time of 10 min, obtaining the lowest cost $ 3.89 m-3. In the iron electrode case, the final pH exceeds the limits established by local legislation requiring correction for release into water bodies.


Assuntos
Águas Residuárias , Poluentes Químicos da Água , Matadouros , Alumínio , Eletrocoagulação , Eletrodos , Concentração de Íons de Hidrogênio , Ferro , Nutrientes , Eliminação de Resíduos Líquidos , Poluentes Químicos da Água/análise
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