Advanced oxidation process (AOP) combined biological process for wastewater treatment: A review on advancements, feasibility and practicability of combined techniques.

Complexity of wastewater is the most challenging phenomenon on successful degradation of pollutant via any wastewater treatment regime. Upon availability of numerous techniques, Advanced Oxidation Processes (AOP) is the most promising technique for treating industrial wastewater. Higher operating cost is the most promising factor that possess challenge for the industrial scale usage of the AOP process. Combination of biological process with AOP helps in achieving sustainable degradation of toxic pollutant in the wastewater. AOP result in complete or partial degradation of toxic emerging pollutants with the help of free radicals like hydroxyl, superoxide, hydroperoxyl and sulphate radicals. In addition to this the presence of bio-enzymes and microorganisms helps in sustainable degradation of pollutant in an economical and environmentally friendly strategy. In this review, a detailed discussion was conducted on various AOP, focusing on catalytic ozonation, electrochemical oxidation, Sono chemical and photocatalytic processes. With the need for sustainable solutions for wastewater treatment, the use of AOP in conjunction with biological process has innumerous opportunities for not only wastewater treatment but also the production of high value by-products. Further, the effect of AOP combined biological processes needs to be analyzed in real time for the different concentration of industrial wastewater and their benefits needs to be explored in future towards achieving SDGs.

Synthesis and application of titanium dioxide photocatalysis for energy, decontamination and viral disinfection: a review.

Global pollution is calling for advanced methods to remove contaminants from water and wastewater, such as TiO2-assisted photocatalysis.  The environmental applications of titanium dioxide have started after the initial TiO2 application for water splitting by Fujishima and Honda in 1972. TiO2 is now used for self-cleaning surfaces, air and water purification systems, microbial inactivation and selective organic conversion. The synthesis of titanium dioxide nanomaterials with high photocatalytic activity is actually a major challenge. Here we review titanium dioxide photocatalysis with focus on mechanims, synthesis, and applications. Synthetic methods include sol-gel, sonochemical, microwave, oxidation, deposition, hydro/solvothermal, and biological techniques. Applications comprise the production of energy, petroleum recovery, and the removal of microplastics, pharmaceuticals, metals, dyes, pesticides, and of viruses such as the severe acute respiratory syndrome coronavirus 2.

A mini-review on innovative strategies for simultaneous microbial bioremediation of toxic heavy metals and dyes from wastewater.

Bioremediation of heavy metals and dyes is one of the emerging techniques globally as it is evident from the numerous publications made by various research groups. Biofilm-assisted bioremediation is one of the trending approaches as it facilitates negatively charged extracellular polymeric substances which makes the bacteria resistant to the toxic chemicals. Genetic engineering of microbes will make them unique in the bioremediation process. This mini-review concentrates on source and toxic effects of heavy metals and dyes on aqueous and living beings. Further, the genetic improvement strategies for effective bioremediation are described. However, the gap between practicability and real-time applicability needs to test with real-time wastewater in the industrial scale.

Outcome of Treatment in Verrucous Carcinoma of Oral Cavity: A Tertiary Rural Hospital Experience.

Verrucous carcinoma of oral cavity is a highly well differentiated variant of squamous cell carcinoma with a low potential for invasion and metastasis. It is prevalent in the tobacco quid chewing population in our region. In this observational study, we reviewed the medical case records of 58 patients treated for oral verrucous carcinoma staged T2 to T4a. All patients underwent wide excision of tumour which included marginal mandibulectomy in 22 and hemimandibulectomy in 23 patients along with neck dissection saving the accessory nerve and internal jugular vein. 5 patients were found to have bone involvement along the alveolar sockets. 11 patients had other associated premalignant lesions in oral cavity. Only 2 patients had lymph node metastasis without extra nodal spread in submandibular region. With a mean follow up of 6 years and minimum follow up of 1 year, 3 patients had local recurrence. All these 3 patients had bone involvement and 2 of them had lymph node metastasis on histopathological examination. 3 patients who had associated premalignant lesions developed second primary in oral cavity after 3 years. In our experience, verrucous carcinoma has good prognosis when treated by surgery. Bone involvement along alveolar sockets and associated oral premalignant lesions adversely affect the outcome. There was no difference in the outcome between selective and modified radical neck dissection. Therefore selective neck dissection (supraomohyoid) would be adequate in treating these patients. Adjuvant radiotherapy can be reserved for T4a lesions or for positive margins.

A Novel Minimal Access Technique for Removal of Impacted Third Molars using Lasers - SMAL Technique.

Postoperative complications following third molar removal may interfere with the daily activities of patients, such as mastication, speech, and sleep. Various novel methods have been developed to reduce this postoperative discomfort, but these have their own advantages and disadvantages. This novel technique, Sunil's minimal access laser (SMAL) technique, aims to minimize the postoperative swelling and pain and improve healing by combining minimal access incision by using a diode laser.

Removal of toxic metals from wastewater environment by graphene-based composites: A review on isotherm and kinetic models, recent trends, challenges and future directions.

Access to clean water has reduced in recent years due to pollution and man-made activities. Wastewater treatment regimens are many such as electrocoagulation, adsorption, ozonation, membrane and advanced oxidation processes. Owing to economical, resource availability and ease of operation adsorption has upper hand over all other methods employed in wastewater treatment. Graphene based adsorbents attracted researchers due to their ability to play dual role as adsorbent and photo-catalysts. When it comes to removal of heavy metals and dyes graphene-based aerogels are successful. Graphene composites were predominantly synthesized by top-down and bottom-up approach methods. Graphene composites are mesoporous and have microporous structure on surface. Graphene has copper desorption efficiency of 90 % upon 10th consecutive cycle. Graphene based adsorbents have adsorption efficiency of 367, 246 and 106.3 mg-1 for lead, zinc and cadmium respectively. Though graphene possesses numerous applications, this review was devoted towards heavy metals removal from aqueous environment. In detail, the synthesis routes and interaction mechanism were explained and also the adsorption isotherms, kinetics were added. This review will serve as support for future research directions on removal of wastewater contaminants (heavy metals).

Bioremediation of organic pollutants: a mini review on current and critical strategies for wastewater treatment.

The release and prevalence of organic pollutants in an aqueous environment due to industrial discharges, agricultural operations, or inappropriate waste disposal is a huge threat to attaining sustainable development. As a result, wastewater treatment has attained a huge scope as it is evident from the number of articles published in recent years. Among the various techniques, bioremediation is one of the economical and eco-friendly means of wastewater treatment for the removal of organic pollutants. Microbial community and microalgae are the front runners of this process as they result in treated water and sludge or biomass formation. This mini review put forwards the types of organic pollutants and the bioremediation strategies using microbes and micro-algae, the role of genetically engineered microbes on the bio-remediation of organic pollutants and the recent applications of Artificial Intelligence (AI) techniques that have been implemented for improving the efficiency of the methods. The gap between practicability and applicability of the bioremediation process was also identified in this review. In addition, the economics and future research needs are discussed as outcomes.

Pulse-based cropping systems for soil health restoration, resources conservation, and nutritional and environmental security in rainfed agroecosystems.

Pulses are an important source of energy and protein, essential amino acids, dietary fibers, minerals, and vitamins, and play a significant role in addressing global nutritional security. The global pulse area, production, and average productivity increased from 1961 to 2020 (60 years). Pulses are usually grown under rainfed, highly unstable, and complex production environments, with substantial variability in soil and environmental factors, high year-to-year output variability, and variation in soil moisture. Since the last six decades, there is not much satisfactory improvement in the yield of pulses because of their cultivation in harsh environments, coupled with their continuous ignorance of the farmers and governments in policy planning. As a result, the global food supplies through pulses remained negligible and amounted to merely ~1.0% of the total food supply and 1.2% of the vegan food system. In this situation, protein-rich food is still a question raised at the global level to make a malnutrition-free world. Pulses are a vital component of agricultural biological diversity, essential for tackling climate change, and serve as an energy diet for vegetarians. Pulses can mitigate climate change by reducing the dependence on synthetic fertilizers that artificially introduce nitrogen (N) into the soil. The high demand and manufacture of chemical fertilizers emit greenhouse gases (GHGs), and their overuse can harm the environment. In addition, the increasing demand for the vegetal protein under most global agroecosystems has to be met with under a stressed rainfed situation. The rainfed agroecosystem is a shelter for poor people from a significant part of the globe, such as Africa, South Asia, and Latin America. Nearly, 83% [over 1,260 million hectares (ha)] of cultivated land comes under rainfed agriculture, contributing significantly to global food security by supplying over 60% of the food. In rainfed areas, the limitation of natural resources with the shrinking land, continuous nutrient mining, soil fertility depletion, declining productivity factor, constantly depleting water availability, decreasing soil carbon (C) stock, augmented weed menace, ecological instability, and reduced system productivity are creating a more challenging situation. Pulses, being crops of marginal and semi-marginal soils of arid and semi-arid climates, require less input for cultivation, such as water, nutrients, tillage, labor, and energy. Furthermore, accommodation of the area for the cultivation of pulses reduces the groundwater exploitation, C and N footprints, agrochemical application in the cropping systems, and ill effects of climate change due to their inherent capacity to withstand harsh soil to exhibit phytoremediation properties and to stand well under stressed environmental condition. This article focuses on the role of pulses in ecological services, human wellbeing, soil, environmental health, and economic security for advanced sustainability. Therefore, this study will enhance the understanding of productivity improvement in a system-based approach in a rainfed agroecosystem through the involvement of pulses. Furthermore, the present study highlighted significant research findings and policy support in the direction of exploring the real yield potential of pulses. It will provide a road map to producers, researchers, policymakers, and government planners working on pulses to promote them in rainfed agroecosystems to achieve the United Nations (UN's) Sustainable Development Goals (SDGs).

Evolution of Cancer Care in Karnataka.

Cancer care in Karnataka started in the nineteenth century with the foundation stone of Victoria Hospital in Bangalore. After that the regional cancer center Kidwai in Bangalore and now almost 44 AERB-approved Radiotherapy centers available all over Karnataka. Karnataka, especially Bangalore, have all the high-end cutting-edge technology for cancer care from robotic surgery, Tomotherapy, and CyberKnife Radiosurgery. With initiatives from the government, in all the medical colleges and private hospitals, poor patients are getting higher-end cancer treatment for free under the Ayushman Bharath scheme. We wish cancer care in Karnataka sees more and more new technologies and treatment to conquer the disease, which human battling for centuries.

Adaptations and Safety Modifications to Perform Safe Minimal Access Surgery (MIS: Laparoscopy and Robotic) During the COVID-19 Pandemic: Practice Modifications Expert Panel Consensus Guidelines from Academia of Minimal Access Surgical Oncology (AMASO).

The pandemic of COVID-19 across the globe triggered national lockdowns hampering normal working for all the essential services including healthcare. In order to reduce transmission and safety of patients and healthcare workers, the elective surgeries have been differed. The visits to the hospitals for follow-ups and consultations received temporary halt. However, we cannot halt the treatment for cancer patients who may or may not be COVID-19 positives. These are emergencies and should be treated ASAP. Conducting emergency surgeries during pandemic like COVID-19 is challenge for surgeons and the entire hospital infrastructure. The available information about COVID-19 and its propensity of contamination through droplets and aerosol need some modifications for conducting surgeries successfully without contaminating the hospital buildings, protecting healthcare teams and the patient. With these objectives, some modifications in the operating theater including surgical techniques for minimal access, laparoscopy, and robotic surgery are proposed in this review article. This review article also discusses the safety measures to be followed for the suspected or confirmed COVID-19 patient and the guidelines and recommendations for healthcare teams while treating these patients. Although there is little evidence of viral transmission through laparoscopic or open approaches, modifications to surgical practice such as the use of safe smoke evacuation and minimizing energy device used to reduce the risk of exposure to aerosolized particles to healthcare team are proposed in this review article.

Adsorptive separation of toxic metals from aquatic environment using agro waste biochar: Application in electroplating industrial wastewater.

In this research, raw jujube seeds (RJS) treated with sulphuric acid followed by ultrasonic treatment such as ultrasonic assisted jujube seeds (UAJS) based biochar have been experimented as a viable material for treating Zn(II) and Pb(II) contaminated water. The adsorption ability of UAJS was compared with RJS through Langmuir adsorption capacity. The produced adsorbents were analysed by using BET surface area and thermogravimetric analyses. The removal kinetics, isotherms and thermodynamic behaviours of metal ions adsorption by UAJS were studied. Adsorption equilibrium data were analysed using various equilibrium models and Freundlich isotherm was appropriate towards explain the adsorption characteristics. UAJS Langmuir capacity of 221.1 mg/g and 119.8 mg/g were obtained for Zn(II) ions and Pb(II) ions, respectively. The results observed that UAJS holds higher capacity as compared with RJS. The pseudo-first order model was relevant to address adsorption behaviour. The mechanism on the separation of metal ions by UAJS was tested using diffusion and Boyd models. The mechanism outcomes observed that the internal and external diffusion controlled the separation process. The thermodynamic results explain the separation process was viable, exothermic and natural. The electroplating industrial wastewater was also treated with UAJS biochar to remove the metal ions such as copper, nickel, chromium and zinc ions from wastewater. Desorption process showed that 0.1 N HCl provide the good results as compared with other desorbing agents. The adsorbent property is not lost till the maximum of 5 adsorption/desorption cycles. The produced UAJS can be a better adsorbent for treating the heavy metal polluted wastewater.

Versatility of Rectus Abdominis Myocutaneous Flap in Primary Reconstruction of Defects in Surgical Oncology.

With the advent of microvascular surgery, the choice of reconstruction following resection of the primary has an important bearing on the final functional and cosmetic outcome in surgical oncology. The vertical rectus abdominis myocutaneous (VRAM) flap is arguably the most widely used and versatile flap in reconstructive surgery. All patients undergoing a VRAM flap reconstruction following resection of their tumor in the Surgical Oncology Department of a tertiary cancer center from 2012 to 2019 were included in the study. Defects ranged from the breast (40), head and neck (10), groin (3), and perineum (5). The primary outcome measure was incidence of complete and partial flap necrosis, while incidence of hematoma, seroma, incisional hernia, wound dehiscence, and infection were secondary outcomes measured. The patients were followed up for a minimum period of 1 year. The incidence of complete flap necrosis was 5.1% (3) and partial loss 12% (7). Incidence of minor complications such as seroma was 13.7% (8), hematoma 6.8% (4), wound dehiscence 10.3% (6), and wound infection 5.1% (3). Incisional hernia and donor site wound-related complications were not seen in any. On binary regression analysis, the presence of diabetes mellitus, smoking, and the use of adjuvant treatment were associated significantly with increased odds of flap loss. This study demonstrates the versatility and reliability of the VRAM flap in primary reconstruction of defects in surgical oncology. Optimization of risk factors such as diabetes, smoking, and weight gain can reduce flap loss and improve outcomes.