Effects of biochar types on seed germination, growth, chlorophyll contents, grain yield, sodium, and potassium uptake by wheat (Triticum aestivum L.) under salt stress.

Soil salinity is a significant challenge in agriculture, particularly in arid and semi-arid regions such as Pakistan, leading to soil degradation and reduced crop yields. The present study assessed the impact of different salinity levels (0, 25, and 50 mmol NaCl) and biochar treatments (control, wheat-straw biochar, rice-husk biochar, and sawdust biochar applied @ 1% w/w) on the germination and growth performance of wheat. Two experiments: a germination study and a pot experiment (grown up to maturity), were performed. The results showed that NaCl-stress negatively impacted the germination parameters, grain, and straw yield, and agronomic and soil parameters. Biochar treatments restored these parameters compared to control (no biochar), but the effects were inconsistent across NaCl levels. Among the different biochars, wheat-straw biochar performed better than rice-husk and sawdust-derived biochar regarding germination and agronomic parameters. Biochar application notably increased soil pHs and electrical conductivity (ECe). Imposing NaCl stress reduced K concentrations in the wheat shoot and grains with concomitant higher Na concentrations in both parts. Parameters like foliar chlorophyll content (a, b, and total), stomatal and sub-stomatal conductance, and transpiration rate were also positively influenced by biochar addition. The study confirmed that biochar, particularly wheat-straw biochar, effectively mitigated the adverse effects of soil salinity, enhancing both soil quality and wheat growth. The study highlighted that biochar application can minimize the negative effects of salinity stress on wheat. Specifically, the types and dosages of biochar have to be optimized for different salinity levels under field conditions.

Assessment of growth, and ion uptake of plant species, Conocarpus erectus and Dodonaea viscosa, on industrial solid waste.

Present study assessed the growth of two plant species and ion uptake by them grown on different proportion of industrial solid waste and garden soil. The industrial waste having high concentration of chemicals were used with garden soil at different proportion i.e. 0% (T0), 5% (T1), 10% (T2), 15% (T3) and 20% (T4). Two species namely Conocarpus erectus (alien plant) and Dodonaea viscosa (indigenous) were used as test plants in pot study. Different parameters including growth, physiology, and anatomy of plants and concentration of cations (Na+, K+, Ca2+, and Mg2+) in the plant shoot and root were measured at different time duration (initial, 1st, 2nd, 3rd and 4th month). The key objective of the study was to use these plants to establish their plantations on the barren lands where industrial solid wastes were being disposed of. C. erectus showed better growth than D. viscosa, as well as more uptake of ions. A significant increase in plant growth was observed in fourth month in T1, where plant height reached 24.5% and 46% for C. erectus and D. viscosa, respectively. At harvest, in C. erectus, no significant difference in the fresh (65-78 g) and dry weight (24-30 g) of the shoot was observed across treatments compared to the control. In D. viscosa, at the time of harvest, the fresh and dry weights of the root and shoot showed a strong, significantly decreasing pattern across T1, T2, and T3, leading to the death of the plant at T3 and T4. Further, optimum ratio of waste soil to garden soil was found as 10:90 and 20:80 to establish the plantations of D. viscosa and C. erectus, respectively in areas where such solid waste from industries are disposed. Findings can be used for the restoration of such solid waste for the sustainable management of industrial areas and their associated ecosystems.

Sustainability in the IVF laboratory: recommendations of an expert panel.

The healthcare industry is a major contributor to greenhouse gas emissions. Assisted reproductive technology is part of the larger healthcare sector, with its own heavy carbon footprint. The social, economic and environmental costs of this collective carbon footprint are becoming clearer, as is the impact on human reproductive health. Alpha Scientists in Reproductive Medicine and the International IVF Initiative collaborated to seek and formulate practical recommendations for sustainability in IVF laboratories. An international panel of experts, enthusiasts and professionals in reproductive medicine, environmental science, architecture, biorepository and law convened to discuss the topics of importance to sustainability. Recommendations were issued on how to build a culture of sustainability in the workplace, implement green design and building, use life cycle analysis to determine the environmental impact, manage cryostorage more sustainably, and understand and manage laboratory waste with prevention as a primary goal. The panel explored whether the industry supporting IVF is sustainable. An example is provided to illustrate the application of green principles to an IVF laboratory through a certification programme. The UK legislative landscape surrounding sustainability is also discussed and a few recommendations on 'Green Conferencing' are offered.

Alkali Extraction of Arsenic from Groundwater Treatment Sludge: An Essential Initial Step for Arsenic Recovery.

Arsenic (As)-bearing Fe(III) precipitate groundwater treatment sludge has traditionally been viewed by the water sector as a disposal issue rather than a resource opportunity, partly due to assumptions of the low value of As. However, As has now been classified as a Critical Raw Material (CRM) in many regions, providing new incentives to recover As and other useful components of the sludge, such as phosphate (P) and the reactive hydrous ferric oxide (HFO) sorbent. Here, we investigate alkali extraction to separate As from a variety of field and synthetic As-bearing HFO sludges, which is a critical first step to enable sludge upcycling. We found that As extraction was most effective using NaOH, with the As extraction efficiency increasing up to >99% with increasing NaOH concentrations (0.01, 0.1, and 1 M). Extraction with Na2CO3 and Ca(OH)2 was ineffective (<5%). Extraction time (hour, day, week) played a secondary role in As release but tended to be important at lower NaOH concentrations. Little difference in As extraction efficiency was observed for several key variables, including sludge aging time (50 days) and cosorbed oxyanions (e.g., Si, P). However, the presence of ∼10 mass% calcite decreased As release from field and synthetic sludges considerably (<70% As extracted). Concomitant with As release, alkali extraction promoted crystallization of poorly ordered HFO and decreased particle specific surface area, with structural modifications increasing with NaOH concentration and extraction time. Taken together, these results provide essential information to inform and optimize the design of resource recovery methods for As-bearing treatment sludge.

Untapped options to reduce waste from blister packaging for tablets and capsules.

PURPOSE: In Europe, most medicines are taken orally and primarily packaged as single solid oral dosage forms (SODF) in blister chambers (alveoli) arranged on blister cards. Blister cards are constructed as multilayer laminates of aluminum (Al) foils and/or various plastic polymers bonded together, forming the alveoli, which are separated by more or less large gaps. We calculated the amount of packaging material (and thus waste) generated annually for the packaging of the most commonly prescribed SODF in Germany and estimated how much waste could be saved by rearranging the alveoli. METHODS: For this purpose, we analysed the SODF of the 50 most frequently prescribed medicines that were packaged in alveoli (N = 45; 13 of aluminum-aluminum blisters, 32 of mixed materials), measured and weighed their packaging material and content, calculated the annual amount of waste produced from them, and estimated how much waste could be saved if the alveoli were optimally positioned on the blister cards. In addition, we examined the variability of the blister packaging of eight groups of commonly prescribed generics of the same strength. RESULTS: Detailed analysis of the blister cards revealed that most of the material (69%) was used for the space between blisters and that aluminum-aluminum alveoli were more than four times larger than the packaged SODF. The (conservatively) estimated annual amount of composite waste generated for the primary packaging of these SODF was 3868 t (and extrapolated to the entire German pharmaceutical market 8533 t), of which an optimized arrangement of the blister chambers, i.e., a 2-mm sealing area around each alveolus and the arrangement of the SODF in 2 rows, would save approximately 37%. CONCLUSION: Considering that other ecological strategies are not yet mature, the optimal arrangement of blister chambers would be a captivatingly simple and, above all, immediately implementable strategy to avoid large amounts of avoidable waste.

Production efficiency and safety assessment of the solid waste-derived liquid hydrocarbons.

Global fossil resource utilisation remains a concern. Organic fuels and chemicals produced through catalytic synthesis out of biomass/waste feedstock can help reduce the share of fossil resource utilisation. In this study, a solid waste-derived producer gas from the cross/updraft sliding bed gasification process was applied in a fixed bed catalytic reactor with the goal of producing rich hydrocarbon chains. The specific producer gas with CO = 10%vol., H2 = 9%vol. and CH4 = 4%vol. was applied into the catalytic reactor along with catalysts Cat-Co or Cat-CoMnK at 15 bar pressure. Both catalysts were investigated in temperature regimes of 250, 280 and 310 °C, and the liquefaction number and hydrocarbon production were determined. The liquid products were qualitatively analysed afterwards, and the safety assessment, comprising the autoignition test, was performed. The obtained results defined an optimal operating temperature close to 280 °C a value for both catalysts. The individual hydrocarbon compounds were defined mostly by alkanes and alkenes of C10-C14 hydrocarbon groups in the case of both applied catalysts. The application of MnK-promoted catalyst resulted in the production of a significant amount of C6 hydrocarbon groups as well. The results point out a wide range of compounds utilisable in many different applications throughout the production sphere and suggest the possibility of autothermal air gasification of solid recovered fuel with the goal of producing gas for catalytic synthesis with reduced operation costs. From the safety point of view, the temperature of 227.7 °C was defined as the lowest value when autoignition occurs. This lowest temperature is relevant to the Cat-Co 280 °C synthesis scenario.

Experimental investigation of products from thermal treatment of real-world mixed single-use and multi-layered waste plastics.

The usage and disposal of highly abundant single-use and multilayered plastics contribute to significant ecological problems. The thermochemical recovery of these plastics to useful products and chemicals provides opportunity for positive economic and environmental impacts. Most previous research use idealised and unrepresentative feedstocks. To address this, various mixed waste plastics collected from the rejected fraction of a municipal waste recovery facility in Ghana were pyrolyzed at varying temperatures of 450, 500 and 550 °C and their yields compared. The obtained chemical products were analysed using several different techniques. Energy and carbon balances of the processes were produced using the CHNS and energy content of the oil fraction and the compositional results of the pyrolysis gas fraction, the latter of which was measured by Gas Chromatography Thermal Conductivity Detection (GC-TCD). The oils were further assessed via Gas Chromatography Mass Spectrometry (GC-MS) to identify the available valuable compounds. The formed oil contained approximately 40% light hydrocarbons (C6 - C11), 18% middle hydrocarbons (C11 - C16) and 42% heavy hydrocarbon compounds (C16+). The optimal oil yield of 65.9 ± 0.5% and low heating value of 44.7 ± 0.1 MJ/kg for single-use plastics were recorded at highest heating temperatures of 550 and 500 °C, respectively. The findings provide indication that pyrolysis is a fitting solution for energy recovery from waste plastics.

Can plastic pollution drive the emergence and dissemination of novel zoonotic diseases?

As the volume of plastic in the environment increases, so too does human interactions with plastic pollution. Similarly, domestic, feral, and wild animals are increasingly interacting with plastic pollution, highlighting the potential for contamination of plastic wastes with animal faeces, urine, saliva, and blood. Substantial evidence indicates that once in the environment, plastics rapidly become colonised by microbial biofilm (the so-called 'plastisphere), which often includes potentially harmful microbial pathogens (including pathogens that are zoonotic in nature). Climate change, increased urbanisation, and the intensification of agriculture, mean that the three-way interactions between humans, animals, and plastic pollution are becoming more frequent, which is significant as almost 60% of emerging human infectious diseases during the last century have been zoonotic. Here, we critically review the potential for contaminated environmental plastics to facilitate the evolution of novel pathogenic strains of microorganisms, and the subsequent role of plastic pollution in the cyclical dissemination of zoonotic pathogens. As the interactions between humans, animals, and plastic pollution continues to grow, and the volume of plastics entering the environment increases, there is clearly an urgent need to better understand the role of plastic waste in facilitating zoonotic pathogen evolution and dissemination, and the effect this can have on environmental and human health.

Waste derived modified biochar as promising functional material for enhanced water remediation potential.

The waste management and water purification are daunting environmental challenges. Biochar, a carbonaceous material prepared from diverse organic waste (agricultural, household residues and municipal sewage sludge) has garnered substantial attention due to its excellent attributes, including carbon content, cation exchange efficacy, ample specific surface area, and structural robustness. Thus, the present review comprehensively analyzes bio waste-derived biochar with a particular emphasis on water remediation applications. This article primarily delves into various strategies for modifying biochar, elucidating the underlying mechanisms behind these modifications and their potential for bolstering pollutant removal efficiency. Furthermore, it addresses the impact of functionalization on both biochar stability and cost for commercialization. Lastly, the article outlines key developments, SWOT analysis, and future prospects, offering insights into the practical execution of biochar applications at a larger scale. Therefore, this article paves the way for future research to deepen the understanding of modified biochar with mechanisms for exploring water remediation applications in a more sustainable manner.

Social acceptance, emissions analysis and potential applications of paper-waste briquettes in Andean areas.

The research assessed waste-based briquettes consumption compared to conventional fuels in the Andes. Laboratory tests were conducted together with on-field analysis in Colquencha (Bolivia). The laboratory study shows that the performances of briquettes are better in terms of PM2.5 (933.4 ± 50.8 mg kg-1) and CO emissions (22.89 ± 2.40 g kg-1) compared to animal dung (6265.7 ± 1273.5 mgPM2.5 kg-1 and 48.10 ± 12.50 gCO kg-1), although the boiling time increased due to the lower fuel consumption rate and firepower compared to shrubs. The social survey organized with 150 Bolivian citizens suggested that low-income households are not able to pay for an alternative fuel: about 40% would pay less than 4 USD per month, while methane use for cooking is positively correlated with the income level (r = 0.244, p < 0.05). On field analysis suggested that local cookstoves are not appropriate for briquettes combustion since indoor air pollution overcomes 30 ppm of CO and 10 mgPM2.5 m-3. On balance, local small manufactures can be the main target for selling waste-based briquettes to reduce shrubs and wood consumption. However, briquettes production costs seem not yet competitive to natural easy-to-obtain fuels (i.e., animal dung). The research encourages the use of cellulosic and biomass waste-based briquettes in the Andean area for cooking, heating, or manufacturing and strongly advises policy-makers to introduce economic incentives for the recovery of secondary raw materials.

Empirical analysis of cost-effective and equitable solid waste management systems: Environmental and economic perspectives.

The solid waste management (SWM) system is in a transitional phase in developing economies, and local municipalities and waste management companies are stepping toward integrating a waste treatment approach in the scheme of waste handling. However, there is an urgent need to explore cost-effective techniques, models, and potential revenue streams to sustain the state-run waste sector self-sufficiently. The proposed SWM model aims to support the local waste sector in Islamabad, the capital city of Pakistan, with 100% service area coverage to attain environmental and economic sustainability by defining dedicated waste collection streams to ensure quality material recovery under a cost-effective approach and modality. The innovative approach is applied to allocate the tonnage to various streams as per the city's current land use plan. The estimated/cost of the cleanliness services will be USD13.1 million per annum with an estimated per ton cost of USD 23. The establishment of the proposed material recovery facility (MRF) will process about 500 t/d of waste to produce 45 t/d compost and recover 130 t/d of recyclables. The environmentally friendly model saves 2.4 million tons of CO2‒eq/month from composting and recycling. The average economic potential from MRF and debris-crushing plants, including environmental benefit value, is calculated as USD 3.97 million annually. Recovery of services fee (70%) for various collection streams based on city land use and socio-economic conditions will generate revenue of USD 7.33 million annually. The total revenue will be USD 11.31 million (86% of total annual expenditures) to track the sector's self-sufficiency. To successfully reach the Sustainable Development Goals (SDGs) and Nationally Determined Contributions (NDCs), engaging the private sector from environmentally advanced economies to collaborate in the waste sector to enhance local technical capabilities is recommended.

Upgrading recovered carbon black (rCB) from industrial-scale end-of-life tires (ELTs) pyrolysis to activated carbons: Material characterization and CO2 capture abilities.

The current study presents for the first time how recovered carbon black (rCB) obtained directly from the industrial-scale end-of-life tires (ELTs) pyrolysis sector is applied as a precursor for activated carbons (ACs) with application in CO2 capture. The rCB shows better physical characteristics, including density and carbon structure, as well as chemical properties, such as a consistent composition and low impurity concentration, in comparison to the pyrolytic char. Potassium hydroxide and air in combination with heat treatment (500-900 °C) were applied as agents for the conventional chemical and physical activation of the material. The ACs were tested for their potential to capture CO2. Ultimate and proximate analysis, Fourier-transform infrared spectroscopy (FT-IR), scanning electron microscopy with energy dispersive X-ray spectroscopy (SEM-EDS), Raman spectroscopy, thermogravimetric analysis (TGA), and N2/CO2 gas adsorption/desorption isotherms were used as material characterization methods. Analysis revealed that KOH-activated carbon at 900 °C (AC-900K) exhibited the highest surface area and a pore volume that increased 6 and 3 times compared to pristine rCB. Moreover, the AC-900K possessed a well-developed dual porosity, corresponding to the 22% and 78% of micropore and mesopore volume, respectively. At 0 °C and 25 °C, AC-900K also showed a CO2 adsorption capacity equal to 30.90 cm3/g and 20.53 cm3/g at 1 bar, along with stable cyclic regeneration after 10 cycles. The high dependence of CO2 uptake on the micropore volume at width below 0.7-0.8 nm was identified. The selectivity towards CO2 in relation to N2 reached high values of 350.91 (CO2/N2 binary mixture) and 59.70 (15% CO2/85% N2).

Recent advances in liquid fuel production from plastic waste via pyrolysis: Emphasis on polyolefins and polystyrene.

The management of plastic waste (PW) has become an indispensable worldwide issue because of the enhanced accumulation and environmental impacts of these waste materials. Thermo-catalytic pyrolysis has been proposed as an emerging technology for the valorization of PW into value-added liquid fuels. This review provides a comprehensive investigation of the latest advances in thermo-catalytic pyrolysis of PW for liquid fuel generation, by emphasizing polyethylene, polypropylene, and polystyrene. To this end, the current strategies of PW management are summarized. The various parameters affecting the thermal pyrolysis of PW (e.g., temperature, residence time, heating rate, pyrolysis medium, and plastic type) are discussed, highlighting their significant influence on feed reactivity, product yield, and carbon number distribution of the pyrolysis process. Optimizing these parameters in the pyrolysis process can ensure highly efficient energy recovery from PW. In comparison with non-catalytic PW pyrolysis, catalytic pyrolysis of PW is considered by discussing mechanisms, reaction pathways, and the performance of various catalysts. It is established that the introduction of either acid or base catalysts shifts PW pyrolysis from the conventional free radical mechanism towards the carbonium ion mechanism, altering its kinetics and pathways. This review also provides an overview of PW pyrolysis practicality for scaling up by describing techno-economic challenges and opportunities, environmental considerations, and presenting future outlooks in this field. Overall, via investigation of the recent research findings, this paper offers valuable insights into the potential of thermo-catalytic pyrolysis as an emerging strategy for PW management and the production of liquid fuels, while also highlighting avenues for further exploration and development.

3D electro-Fenton augmented with iron-biochar particle electrodes derived from waste iron bottle caps and sugarcane bagasse for the remediation of sodium dodecyl sulphate.

The present work demonstrates a novel strategy of synthesizing iron-biochar (Fe@BCSB) composite made with the waste iron bottle cap and sugar cane bagasse for implementation in the three-dimensional electro-Fenton (3DEF) process. The catalytic ability of the Fe@BCSB composite was explored to remediate the sodium dodecyl sulphate (SDS) surfactant from wastewater at neutral pH. At the optimum operating condition of Fe@BCSB dose of 1.0 g L-1, current density of 4.66 mA cm-2, and Na2SO4 dose of 50 mM, nearly 92.7 ± 3.1% of 20 mg L-1 of SDS abatement was attained during 120 min of electrolysis time. Moreover, the Fe@BCSB showed significant recyclability up to six cycles. Besides, other organics were successfully treated with more than 85% abatement efficiency in the proposed Fe@BCSB-supported 3DEF process. The total operating cost obtained during SDS treatment was around 0.31 US$ m-3 of wastewater. The phytotoxicity test revealed the positive impact of the 3DEF-treated effluent on the germination of the Vigna radiata. The electron paramagnetic resonance conveyed •OH as the prevailing reactive species for the oxidation of SDS in the 3DEF process. Further, about 81.3 ± 3.8% of SDS and 53.7 ± 4.1% of mineralization efficacy were acquired from the real institutional sewage.

Harnessing carboxymethyl cellulose and Moringa oleifera seed husks for sustainable treatment of a multi-metal real waste.

This study aimed to evaluate effective treatment strategies for laboratory waste with an initial pH of 1.0, containing Cr6+, Mn2+, Co2+, Fe3+, Ni2+, Cu2+, Zn2+, Sr2+, Hg2+, and Pb2+ ions, focusing on flocculation, precipitation, and adsorption techniques. The study utilized microparticles derived from Moringa oleifera seed husks (MS), cryogels of carboxymethyl cellulose (CMC), and hybrid cryogels combining CMC and MS (CMC-MS25 and CMC-MS50) as adsorbents. The optimal strategy involved raising the pH to 7 using NH4OH, leading to the partial precipitation of metal ions. The remaining supernatant was then passed through columns packed with the aforementioned adsorbents. Utilizing CMC-MS25 and CMC-MS50 adsorbents resulted in the simultaneous removal of over 90% of the targeted metal ions. The adsorption of Cu2+ ions onto the adsorbents was facilitated by electrostatic interactions between Cu2+ ions and carboxylate groups, as well as Cu-OH chelation, as confirmed by X-ray photoelectron spectroscopy. Under optimized conditions, the fixed-bed column adsorption capacity was determined as 88.2 mg g-1. The CMC-MS25 adsorbents proved reusable at least 5 times, with the recovered Cu2+ ions potentially suitable for other processes. The scalability and feasibility of producing these novel adsorbents suggest a promising, cost-effective solution for treating complex matrices and recovering high-value metals, as copper.

Biohydrogen from waste feedstocks: An energy opportunity for decarbonization in developing countries.

In developing economies, the decarbonization of energy sector has become a global priority for sustainable and cleaner energy system. Biohydrogen production from renewable sources of waste biomass is a good source of energy incentive that reduces the pollution. Biohydrogen has a high calorific value and emits no emissions, producing both energy security and environmental sustainability. Biohydrogen production technologies have become one of the main renewable sources of energy. The present paper entails the role of biohydrogen recovered from waste biomasses like agricultural waste (AW), organic fraction of municipal solid waste (OFMSW), food processing industrial waste (FPIW), and sewage sludge (SS) as a promising solution. The main sources of increasing yield percentage of biohydrogen generation from waste feedstock using different technologies, and process parameters are also emphasized in this review. The production paths for biohydrogen are presented in this review article, and because of advancements in R and D, biohydrogen has gained viability as a biofuel for the future and discusses potential applications in power generation, transportation, and industrial processes, emphasizing the versatility and potential for integration into existing energy infrastructure. The investigation of different biochemical technologies and methods for producing biohydrogen, including anaerobic digestion (AD), dark fermentation (DF), photo fermentation (PF), and integrated dark-photo fermentation (IDPF), has been overviewed. This analysis also discusses future research, investment, and sustainable energy options transitioning towards a low-carbon future, as well as potential problems, economic impediments, and policy-related issues with the deployment of biohydrogen in emerging nations.

Recycling and high-value utilization of polyethylene terephthalate wastes: A review.

Polyethelene terephthalate (PET) is a well-known thermoplastic, and recycling PET waste is important for the natural environment and human health. This study provides a comprehensive overview of the recycling and reuse of PET waste through energy recovery and physical, chemical, and biological recycling. This article summarizes the recycling methods and the high-value products derived from PET waste, specifically detailing the research progress on regenerated PET prepared by the mechanical recycling of fiber/yarn, fabric, and composite materials, and introduces the application of PET nanofibers recycled by physical dissolution and electrospinning in fields such as filtration, adsorption, electronics, and antibacterial materials. This article explains the energy recovery of PET through thermal decomposition and comprehensively discusses various chemical recycling methods, including the reaction mechanisms, catalysts, conversion efficiencies, and reaction products, with a brief introduction to PET biodegradation using hydrolytic enzymes provided. The analysis and comparison of various recycling methods indicated that the mechanical recycling method yielded PET products with a wide range of applications in composite materials. Electrospinning is a highly promising recycling strategy for fabricating recycled PET nanofibers. Compared to other methods, physical recycling has advantages such as low cost, low energy consumption, high value, simple processing, and environmental friendliness, making it the preferred choice for the recycling and high-value utilization of waste PET.

Nutrient recovery from anaerobic digestate: Fertilizer informatics for circular economy.

This study explores the integration of fertilizer informatics into the circular economy, with a focus on enhancing nutrient recovery from anaerobic digestate. It utilizes advanced algorithms and data analytics to develop new nutrient management strategies essential for sustainable agriculture. This research provides a detailed assessment of current nutrient recovery technologies, evaluating their environmental impact, cost efficiency, and adaptability. Our findings highlight the importance of merging circular economy principles with fertilizer informatics, showcasing the potential for transforming waste into environmentally friendly fertilizers. This approach has significant implications for improving agricultural practices towards sustainability. The methodologies and insights presented are relevant for ongoing research in environmental stewardship and sustainable resource management. This study describes practical solutions and new perspectives, making it a valuable reference for future research.

Surgeon perspectives on preference cards and environmental stewardship.

BACKGROUND: Refinement of surgical preference cards may reduce waste from surgery. This study aimed to characterize surgeon perceptions and practices regarding preference card maintenance, identify barriers to updating preference cards, and explore whether opinions on environmental stewardship relate to preference card maintenance. METHODS: This was a mixed methods survey performed at a single tertiary academic medical center. Surgeons completed questions on accuracy, frequency of updates, and perceived environmental impact of their preference cards. Responses were compared between early career and mid-to late-career surgeons using Kruskal-Wallis, chi-squared, and Fisher's exact tests. RESULTS: The response rate was 46.4% (n = 89/192). Among respondents, 46.1% (n = 41/89) rarely or never updated preference cards. Nearly all (98.9%, n = 87/88) said some of their cases had unused items on their cards. Most (87.6%, n = 78/89) made updates via verbal requests. Unfamiliar processes (83.7%, n = 72/86) and effort required (64.0%, n = 55/86) were viewed as barriers to card maintenance. Most agreed that more frequent updates would reduce waste (80.5%, n = 70/87), but respondents did not feel knowledgeable about the environmental impact of items on their cards (62.1%, n = 54/87). Mid-to late-career surgeons were less likely to update their cards annually or more often compared to early career surgeons (18.9%, n = 7/37 vs. 57.1%, n = 24/42, p < 0.001). No other responses varied significantly between early career and mid-to late-career surgeons. CONCLUSIONS: Surgeons acknowledged the utility of preference card maintenance in environmental stewardship, but unfamiliar systems and perceived effort hindered preference card review. Greater attention to preference card maintenance would promote environmentally sustainable practices in surgery.

Anti-cancer drug waste disposal practices and wastewater management in hospitals: A Lebanese survey.

INTRODUCTION: To achieve continuous environmental sustainability and protect the population's health, healthcare waste (in liquid or solid form) needs appropriate management and suitable treatment strategies before its final disposal in the environment in order to reduce its adverse impacts. This study aims to identify disparities in the waste management of anti-cancer drugs and the wastewater generated in Lebanese hospitals. METHODS: Three questionnaires were designed to evaluate the level of knowledge, awareness and experience of hospital personnel regardless of their job levels. Data was collected in December 2019 from three departments of each participating hospital: pharmacy, oncology and maintenance departments. A descriptive analysis was conducted to summarise the survey results. RESULTS: The results revealed a lack of transparency and awareness of the participants, with a high frequency of 'prefer not to say' responses when asked about the disposal methods of anti-cancer drugs and with only 5.7% of the participants in the pharmacy department sharing their disposal procedures. The same perception was deduced regarding hospitals' wastewater treatment, where responses were often contradicting, preventing making assumptions about the fate of hospital wastewater. CONCLUSION: The results of this survey support the need to establish a more comprehensive waste management programme in Lebanon that would be maintained through regular training and supervision.