Antibiotic ciprofloxacin removal from aqueous solutions by electrochemically activated persulfate process: Optimization, degradation pathways, and toxicology assessment.

Ciprofloxacin (CIP) is a commonly used antibiotic in the fluoroquinolone group and is widely used in medical and veterinary medicine disciplines to treat bacterial infections. When CIP is discharged into the sewage system, it cannot be removed by a conventional wastewater treatment plant because of its recalcitrant characteristics. In this study, boron-doped diamond anode and persulfate were used to degrade CIP in an aquatic solution by creating an electrochemically activated persulfate (EAP) process. Iron was added to the system as a coactivator and the process was called EAP+Fe. The effects of independent variables, including pH, Fe2+, persulfate concentration, and electrolysis time on the system were optimized using the response surface methodology. The results showed that the EAP+Fe process removed 94% of CIP under the following optimum conditions: A pH of 3, persulfate/Fe2+ concentration of 0.4 mmol/L, initial CIP concentration 30 mg/L, and electrolysis time of 12.64 min. CIP removal efficiency was increased from 65.10% to 94.35% by adding Fe2+ as a transition metal. CIP degradation products, 7 pathways, and 78 intermediates of CIP were studied, and three of those intermediates (m/z 298, 498, and 505) were reported. The toxicological analysis based on toxicity estimation software results indicated that some degradation products of CIP were toxic to targeted animals, including fathead minnow, Daphnia magna, Tetrahymena pyriformis, and rats. The optimum operation costs were similar in EAP and EAP+Fe processes, approximately 0.54 €/m3.

Glutathione-related antioxidant defence, DNA damage, and DNA repair in patients suffering from post-COVID conditions.

Post-COVID conditions are defined as the continuation of the symptoms of Coronavirus Disease 2019 (COVID-19) 3 months after the initial Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infection, with no other explanation. Post-COVID conditions are seen among 30%-60% of patients with asymptomatic or mild forms of COVID-19. The underlying pathophysiological mechanisms of post-COVID conditions are not known. In SARS-CoV-2 infection, activation of the immune system leads to increased production of reactive oxygen molecules, depleted antioxidant reserve, and finally occurrence of oxidative stress. In oxidative stress conditions, DNA damage increases and DNA repair systems impair. In this study, glutathione (GSH) level, glutathione peroxidase (GPx) activity, 8-hydroxydeoxyguanosine (8-OHdG) level, basal, induced, and post-repair DNA damage were investigated in individuals suffering from post-COVID conditions. In the red blood cells, GSH levels and GPx activities were measured with a spectrophotometric assay and a commercial kit. Basal, in vitro H2O2 (hydrogen peroxide)-induced, and post-repair DNA damage (DNA damage after a repair incubation following H2O2-treatment, in vitro) were determined in lymphocytes by the comet assay. The urinary 8-OHdG levels were measured by using a commercial ELISA kit. No significant difference was found between the patient and control groups for GSH level, GPx activity, and basal and H2O2-induced DNA damage. Post-repair DNA damage was found to be higher in the patient group than those in the control group. Urinary 8-OHdG level was lower in the patient group compared to the control group. In the control group, GSH level and post-repair DNA damage were higher in the vaccinated individuals. In conclusion, oxidative stress formed due to the immune response against SARS-COV-2 may impair DNA repair mechanisms. Defective DNA repair may be an underlying pathological mechanism of post-COVID conditions.

Health risk assessment of metal(loid)s for land application of domestic sewage sludge in city of Bursa, Türkiye.

This study aims to determine the potential health risks (Carcinogenic and non-carcinogenic) of metal(loid)s in sewage sludge samples for agricultural purposes. For this purpose, sewage sludge was collected annually from a domestic wastewater treatment plant, and metal(loid)s were determined by ICP-MS. Metal(loid)s concentration in sludge samples was within the legal standards. No statically significant seasonal variation of metal(loid)s were observed. The total cancer risk and the hazard index (HI) of metal(loid)s through ingestion, dermal, and inhalation exposure from sewage sludge samples were estimated. The main risk contributor to metal(loid)s were Pb, Zn, and Ni. The average HI values were 0.75 (child) and 0.09 (adult). The total carcinogenic risk (TCR) for child and adult was found to be 3.43 × 10-5 and 2.31 × 10-5, respectively. EPA risk assessment model and Monte Carlo Simulation were used to estimate probability and sensitivity distributions for carcinogenic and non-carcinogenic risks. Sensitivity analysis showed that metal(loid)s concentration, exposure duration, exposure frequency, and body weight significantly affect total health risk. The sewage sludge can be applied safely in agriculture due to no important carcinogenic and non-carcinogenic risk for child and adult.

Performance of a pilot-scale reverse osmosis process for water recovery from biologically-treated textile wastewater.

Textile industry generates a high volume of wastewater containing various type of pollutants. Although high color and chemical oxygen demand (COD) removals are achieved with the combination of biological and chemical treatment processes, reverse osmosis (RO) process is generally needed for water recovery due to high conductivity of the textile wastewater. In this study, a pilot scale RO process containing one spiral wound membrane element was operated under three different operational modes, i.e. concentrated, complete recycle and continuous, to collect more information for the prediction of a real-scale RO process performance. It was claimed that complete recycle mode of operation enabled mimicking the operational conditions exerted on the first membrane, whereas continuous mode of operation created conditions very similar to the ones exerted on the last membrane element in a real scale RO process train. In the concentrated and continuous mode of operation, water recovery and flux were around 70% and 19 L/m2/h (LMH). Permeate produced in the RO process can be safely reused in the dyeing process as the feed and permeate conductivities were around 5500 µS/cm and 150 µS/cm, respectively, at 70% water recovery. However, color concentration in the concentrate exceeded the discharge limits and would need further treatment. The RO performance was accurately predicted by ROSA simulations.

Correlation between nystagmus intensity and vestibular-ocular reflex gain in benign paroxysmal positional vertigo: A prospective, clinical study.

BACKGROUND: Video head impulse test (vHIT) and videonystagmography (VNG) provide significant benefits in evaluating benign paroxysmal positional vertigo (BPPV) and determining the semicircular canal localization of the otoconia. OBJECTIVE: This study aimed to investigate the relationship between vestibular-ocular reflex (VOR) gains measured via vHIT and the slow-phase velocity (SPV) of nystagmus in patients with the posterior semicircular canal (PSCC)-BPPV. METHODS: Sixty-two patients were included in this study and divided into the study (n = 32, patients with isolated PSCC-BPPV) and control (n = 30, age- and sex-matched healthy individuals) groups. While VOR gains were measured with vHIT in both groups and compared between groups, the SPV values of nystagmus observed during the Dix-Hallpike maneuver in the study group were recorded using VNG and compared with the VOR gains of the study group. RESULTS: There were significant differences in posterior canal VOR gains between the study and control groups (p < 0.001 and p < 0.01, respectively). Although the affected PSCC had decreased VOR gains versus the control group, it was still within the normal range. However, there was no significant relationship between the VOR gains of the affected PSCC and the SPV of the nystagmus. CONCLUSIONS: vHIT can help detect semicircular canal dysfunction in patients with PSCC-BPPV. The SPV values of nystagmus on VNG during the Dix-Hallpike maneuver do not correlate with the level of VOR gain.

Comprehensive understanding of electrochemical treatment systems combined with biological processes for wastewater remediation.

The presence of toxic pollutants in wastewater discharge can affect the environment negatively due to presence of the organic and inorganic contaminants. The application of the electrochemical process in wastewater treatment is promising, specifically in treating these harmful pollutants from the aquatic environment. This review focused on recent applications of the electrochemical process for the remediation of such harmful pollutants from aquatic environments. Furthermore, the process conditions that affect the electrochemical process performance are evaluated, and the appropriate treatment processes are suggested according to the presence of organic and inorganic contaminants. Electrocoagulation, electrooxidation, and electro-Fenton applications in wastewater have shown effective performance with high removal rates. The disadvantages of these processes are the formation of toxic intermediate metabolites, high energy consumption, and sludge generation. To overcome such disadvantages combined ecotechnologies can be applied in large-scale wastewater pollutants removal. The combination of electrochemical and biological treatment has gained importance, increased removal performance remarkably, and decreased operational costs. The critical discussion with depth information in this review could be beneficial for wastewater treatment plant operators throughout the world.

Effectiveness of anti-interleukin-23 therapy in psoriatic arthritis: A pilot prospective real-world study.

AIM: This study aimed to show the effectiveness of interleukin (IL)-23 inhibitors in psoriatic arthritis (PsA) at weeks 12 and 24 in a real-world setting. MATERIALS AND METHODS: Forty-three patients with active PsA were enrolled in this study. These patients were treated with either guselkumab (n = 20) or risankizumab (n = 23). Treatment responses at the 12th and 24th weeks were evaluated with the parameters of the number of joints with active arthritis, Psoriasis Area Severity Index (PASI) response rate, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) score, Disease Activity Index for Psoriatic Arthritis (DAPSA) score, and C-reactive protein (CRP) value. The study's primary endpoint was BASDAI ≤ 4 and DAPSA ≤ 14 at week 24, and the secondary endpoint was the absence of joints with clinically active arthritis signs at week 24. RESULTS: IL-23 inhibition significantly improved all treatment response parameters at the 12th and 24th weeks (P < 0.001). While 90% of patients reached the primary endpoint with anti-IL23 therapy, 74% achieved the secondary endpoint. Both biologic-naïve and biologic-experienced patients responded significantly to anti-IL-23 therapy. Also, no adverse events related to anti-IL-23 agents were observed. CONCLUSIONS: The response parameters indicating the severity of PsA (the number of joints with active arthritis, BASDAI score, DAPSA score, and CRP value) and a parameter indicating the severity of skin involvement, that is, PASI score, significantly improved with anti-IL-23 therapy at weeks 12 and 24. Moreover, significant improvement was achieved at week 24 compared to week 12 in all response parameters.

Removal of COD and colour from young municipal landfill leachate by Fenton process.

Landfill is a common solution for the final disposal of municipal solid waste in Turkey. In recent years, studies of landfill leachate treatment by Fenton process have indicated that these methods can effectively reduce concentrations of organic contaminants and colour. The aim of this study is to investigate the removal efficiencies of colour and organic matter as COD from young municipal landfill leachate and the effect of operating conditions such as initial pH and Fenton's reagent dosage. Leachate was collected from municipal sanitary landfill located in city of Konya, Turkey. The main characteristics of the leachate were: pH = 7.25, colour = 3510 ptCo, COD = 38200 mgL(-1), BOD5 = 22000 mgL(-1), ratio of BOD5/COD was 0.58 and alkalinity as CaCO3 = 10250 mgL(-1). It is observed that presenting a high value of COD and BOD5 and the rate of BOD5/COD values indicate that the leachate can be defined as young. The treatment of the leachate by Fenton process was carried out in a batch reactor. Under the optimal operation conditions (initial pH = 3, 2000 mgL(-1) Fe2+ and 5000 mgL(-1) H2O2), 55.9% of the initial COD and 89.4% colour were removed.

Electrochemical treatment of sunflower oil refinery wastewater and optimization of the parameters using response surface methodology.

Combined electrocoagulation (EC) + electrooxidation (EO) process was compared with electrochemical peroxidation (ECP) treatment process to treat sunflower oil refinery wastewater. The effect of applied current density, pH/H2O2 dosage, and operation time in the removal of chemical oxygen demand (COD), soluble COD, total organic carbon, and dissolved organic carbon (DOC) were studied using Box Behnken Design. In EC process, decrease in organic concentration was observed as the time and current density increased. The optimized conditions for EC process were achieved at pH 6.07 when a current density of 5.69 mA cm-2 was applied for 18 min. The EO removed about 90% of DOC at an optimized pH of 5.27 and current density of 11.56 mA cm-2 when operated for 400 min. The combined EC + EO process was successful compare to ECP process in removing between 90 and 95% of organic pollutant from the sunflower oil refinery wastewater. The energy consumption was calculated to compare between the process efficiency of EC + EO and ECP and found that EC + EO was more efficient process. The reaction rate followed a first order kinetics validated with a high R2 value (0.96).

Seasonal and spatial variability of metals concentrations in Lake Beysehir, Turkey.

Lake Beysehir is the largest fresh water lake and also the largest reservoir for drinking, and irrigation water in Turkey. The lake has an area of 656 km2 with an average depth of 5 m. Metal concentrations of aluminium (Al), cadmium (Cd), chromium (Cr), copper (Cu), iron (Fe), nickel (Ni), lead (Pb) and zinc (Zn) were determined in Lake Beysehir on 9 June and 19 August 2005, and 12 June and 22 August 2006. The water samples were collected from 40 sampling stations. The aim of this research is to determine metal concentrations and their seasonal and spatial variability in the lake. Generally, metal concentrations of Lake Beysehir were found to decrease in the sequence of Fe > Al > Zn > Cr > Ni > Pb > Cu > Cd as 92.8, 81.8, 7.4, 2.7, 2.2, 1.9, 1.7 and 0.5 microg L(-1), respectively. The results showed that the mean concentrations of the metals in the lake water did not exceed WHO (World Health Organization), US EPA (Environmental Protection Agency) or TWQCR (Turkish Water Pollution and Control Regulations) drinking water guidelines. On the other hand, maximum levels of metals sporadically exceeded these standards in some sampling stations, especially for Al, Cr, Fe, and Pb.

In vitro shoot proliferation and in vitro and ex vitro root formation of Pyrus elaeagrifolia Pallas.

Shoot-tip cultures of Pyrus elaeagrifolia Pallas, an important gene source for drought and chlorosis resistance in pear rootstock breeding, were established from a wild mature tree originated from seed. Murashige and Skoog basal medium supplemented with different concentrations of benzyladenine (BA) singly or in combination with auxin was used in the study. In the initial culture, the highest percentages (>80%) of shoot proliferation were obtained in the mediums supplemented with 9.0 µM BA and 0.5 µM indole-3-acetic acid. In the subcultures, the highest shoot proliferation rates were obtained in the medium containing 4.5 and 9.0 µM BA. The shoot proliferation rates ranged from 91.1 ± 2.4 to 96.4 ± 2.0% in the second subculture and from 76.7 ± 7.8 to 89.4 ± 3.3% in the third subculture. In the second subculture, the shoots grown on 9.0 µM BA without auxin produced the best proliferation (10.6 ± 1.6). For the in vitro rooting experiments, the highest rooting rate (54.2 ± 10.4%), root length (10.5 ± 2.4 mm), and root number (2.5 ± 0.6) were obtained from 10 days dark treatment on the medium containing half strength of macronutrients supplemented with 5 µM indole-3-butyric acid (IBA). For the ex vitro rooting experiments, shoot rooting was significantly influenced by 10 mM IBA applied as quick-dip method. The percentage of rooting was 55 ± 9.6% and root number was 1.8 ± 0.3 at this concentration.