Adaptation of the Recreovía During COVID-19 Lockdowns: Making Physical Activity Accessible to Older Adults in Bogotá, Colombia.

The community restrictions during the coronavirus disease 2019 pandemic adversely impacted older adults' physical activity levels. This convergent mixed-method study assessed the adaptation of the Recreovía, a community-based physical activity program in Bogotá, and characterized physical activity levels among older adult participants. Our results showed how the Recreovía adapted during the pandemic to continue promoting physical activity, through indoor and outdoor strategies, including virtual physical activity sessions and safety protocols. During this time, 72%-79% of the older adults attending the adapted program were physically active. A greater proportion of park users (84.2%) and more people involved in vigorous physical activity were observed during Recreovía days. Older adults had positive experiences and perceptions of the Recreovía program related to their health and social well-being. Even though the older adults prefer being outdoors, the adapted program allowed participants to continue with their physical activity routines as much as possible during the pandemic.

Evidence on continuous flow peritoneal dialysis: A review.

Clinical application of continuous flow peritoneal dialysis (CFPD) has been explored since the 1960s, but despite anticipated clinical benefits, CFPD has failed to gain a foothold in clinical practice, among others due to the typical use of two catheters (or a dual-lumen catheter) and large dialysate volumes required per treatment. Novel systems applying CFPD via the existing single-lumen catheter using rapid dialysate cycling may solve one of these hurdles. Novel on-demand peritoneal dialysate generation systems and sorbent-based peritoneal dialysate regeneration systems may considerably reduce the storage space for peritoneal dialysate and/or the required dialysate volume. This review provides an overview of current evidence on CFPD in vivo. The available (pre)clinical evidence on CFPD is limited to case reports/series with inherently nonuniform study procedures, or studies with a small sample size, short follow-up, and no hard endpoints. Small solute clearance appears to be higher in CFPD compared to conventional PD, in particular at dialysate flows ≥100 mL/min using two single-lumen catheters or a double-lumen catheter. Results of CFPD using rapid cycling via a single-lumen catheter are too preliminary to draw any conclusions. Continuous addition of glucose to dialysate with CFPD appears to be effective in reducing the maximum intraperitoneal glucose concentration while increasing ultrafiltration efficiency (mL/g absorbed glucose). Patient tolerance may be an issue since abdominal discomfort and sterile peritonitis were reported with continuous circulation of the peritoneal dialysate. Thus, well-designed clinical trials of longer duration and larger sample size, in particular applying CFPD via the existing catheter, are urgently required.

Building healthy schools through technology-enabled citizen science: The case of the our voice participatory action model in schools from Bogotá, Colombia.

The physical and social environment of school settings are important for health promotion among children and adolescents. Efforts to create supportive environments at the school level can benefit from including community engagement and empowerment processes to advocate for health promotion. The Our Voice model presents a unique opportunity for Latin American students to improve their school environments. The objective of this study was to engage and empower students (9-18 years) from five schools in Bogotá, Colombia to use the Our Voice model to assess and seek to improve their local school environments. This study employed Our Voice's 'citizen science by the people' method using a mobile application for data collection. The Our Voice initiative included the following four phases: (1) Design, planning and recruitment; (2) Data collection; (3) Community meetings for thematic analysis, priority setting and initial design of feasible solutions; and (4) Community meetings with decision-makers to advocate for changes. The citizen scientists identified and advocated for safer physical activity-supportive environments and healthier food and drinks availability. This study allowed children and adolescent citizen scientists to make their voices heard by policymakers and empowered them as agents of change in the process of building healthier schools.

Safety of electrooxidation for urea removal in a wearable artificial kidney is compromised by formation of glucose degradation products.

A major challenge for the development of a wearable artificial kidney (WAK) is the removal of urea from the spent dialysate, as urea is the waste solute with the highest daily molar production and is difficult to adsorb. Here we present results on glucose degradation products (GDPs) formed during electrooxidation (EO), a technique that applies a current to the dialysate to convert urea into nitrogen, carbon dioxide, and hydrogen gas. Uremic plasma and peritoneal effluent were dialyzed for 8 hours with a WAK with and without EO-based dialysate regeneration. Samples were taken regularly during treatment. GDPs (glyoxal, methylglyoxal, and 3-deoxyglucosone) were measured in EO- and non-EO-treated fluids. Glyoxal and methylglyoxal concentrations increased 26- and 11-fold, respectively, in uremic plasma (at [glucose] 7 mmol/L) and 209- and 353-fold, respectively, in peritoneal effluent (at [glucose] 100 mmol/L) during treatment with EO, whereas no change was observed in GDP concentrations during dialysate regeneration without EO. EO for dialysate regeneration in a WAK is currently not safe due to the generation of GDPs which are not biocompatible.

Evaluation of a system for sorbent-assisted peritoneal dialysis in a uremic pig model.

A system for sorbent-assisted peritoneal dialysis (SAPD) has been developed that continuously recirculates dialysate via a tidal mode using a single-lumen peritoneal catheter with the regeneration of spent dialysate by means of sorbents. SAPD treatment may improve plasma clearance by the maintenance of a high plasma-to-dialysate concentration gradient and by increasing the mass transfer area coefficient (MTAC) of solutes. The system is designed for daily 8-hr treatment (12 kg, nighttime system). A wearable system (2.3 kg, daytime system) may further enhance the clearance of phosphate and organic waste solutes during the day. Uremic pigs (n = 3) were treated with the day- (n = 3) and nighttime system (n = 15) for 4-8 hr per treatment. Plasma clearance (Cl), MTAC, and total mass transport (MT) of urea, creatinine, phosphate, and potassium were compared with a static dwell (n = 28). Cl, MTAC, and MT of urea, creatinine, phosphate, and potassium were low in the pig as compared to humans due to the pig's low peritoneal transport status and could be enhanced only to a limited extent by SAPD treatment compared with a static dwell (nighttime system: Cl urea: ×1.5 (p = .029), Cl creatinine: ×1.7 (p = .054), Cl phosphate: ×1.5 (p = .158), Cl potassium: ×1.6 (p = .011); daytime system: Cl creatinine: ×2.7 (p = .040), Cl phosphate: ×2.2 (p = .039)). Sorbent-assisted peritoneal dialysis treatment in a uremic pig model is safe and enhances small solute clearance as compared to a static dwell. Future studies in humans or animal species with higher peritoneal transport should elucidate whether our SAPD system enhances clearance to a clinically relevant extent as compared to conventional PD.

In vitro efficacy and safety of a system for sorbent-assisted peritoneal dialysis.

A system for sorbent-assisted peritoneal dialysis (SAPD) was designed to continuously recirculate dialysate via a tidal mode using a single lumen peritoneal catheter with regeneration of spent dialysate by means of sorbent technology. We hypothesize that SAPD treatment will maintain a high plasma-to-dialysate concentration gradient and increase the mass transfer area coefficient of solutes. Thereby, the SAPD system may enhance clearance while reducing the number of exchanges. Application is envisaged at night as a bedside device (12 kg, nighttime system). A wearable system (2.0 kg, daytime system) may further enhance clearance during the day. Urea, creatinine, and phosphate removal were studied with the daytime and nighttime system (n = 3 per system) by recirculating 2 liters of spent peritoneal dialysate via a tidal mode (mean flow rate: 50 and 100 mL/min, respectively) for 8 h in vitro. Time-averaged plasma clearance over 24 h was modeled assuming one 2 liter exchange/day, an increase in mass transfer area coefficient, and 0.9 liters ultrafiltration/day. Urea, creatinine, and phosphate removal was 33.2 ± 4.1, 5.3 ± 0.5, and 6.2 ± 1.8 mmol, respectively, with the daytime system and 204 ± 28, 10.3 ± 2.4, and 11.4 ± 2.1 mmol, respectively, with the nighttime system. Time-averaged plasma clearances of urea, creatinine and phosphate were 9.6 ± 1.1, 9.6 ± 1.7, and 7.0 ± 0.9 mL/min, respectively, with the nighttime system and 10.8 ± 1.1, 13.4 ± 1.8, and 9.7 ± 1.6 mL/min, respectively, with the daytime and nighttime system. SAPD treatment may improve removal of uremic toxins compared with conventional peritoneal dialysis, provided that peritoneal mass transport will increase.

As(V) removal capacity of FeCu bimetallic nanoparticles in aqueous solutions: The influence of Cu content and morphologic changes in bimetallic nanoparticles.

In this study, bimetallic nanoparticles (BMNPs) with different mass ratios of Cu and Fe were evaluated. The influence of the morphology on the removal of pollutants was explored through theoretical and experimental studies, which revealed the best structure for removing arsenate (As(V)) in aqueous systems. To evidence the surface characteristics and differences among BMNPs with different mass proportions of Fe and Cu, several characterization techniques were used. Microscopy techniques and molecular dynamics simulations were applied to determine the differences in morphology and structure. In addition, X-ray diffraction (XRD) was used to determine the presence of various oxides. Finally, the magnetization response was evaluated, revealing differences among the materials. Our cumulative data show that BMNPs with low amounts of Cu (Fe0.9Cu0.1) had a non-uniform core-shell structure with agglomerate-type chains of magnetite, whereas a Janus-like structure was observed in BMNPs with high amounts of Cu (Fe0.5Cu0.5). However, a non-uniform core-shell structure (Fe0.9Cu0.1) facilitated electron transfer among Fe, Cu and As, which increased the adsorption rate (k), capacity (qe) and intensity (n). The mechanism of As removal was also explored in a comparative study of the phase and morphology of BMNPs pre- and post-sorption.

Nanoscale zero valent supported by Zeolite and Montmorillonite: Template effect of the removal of lead ion from an aqueous solution.

In this work, we have studied the Pb(2+) sorption capacity of Zeolite (Z) and Montmorillonite (Mt) functionalized with nanoscale zero-valent iron (nZVI), at 50% w/w, obtained by means of an impregnating process with a solvent excess. The composites were characterized by several techniques including X-ray diffraction; scanning electron microscopy (SEM); BET area; isoelectric point (IEP); and, finally a magnetic response. Comparatively significant differences in terms of electrophoretic and magnetic characteristics were found between the pristine materials and the composites. Both structures show a high efficiency and velocity in the removal of Pb(2+) up to 99.0% (200.0 ppm) after 40 min of reaction time. The removal kinetics of Pb(2+) is adequately described by the pseudo second-order kinetic model, and the maximum adsorbed amounts (q(e)) of this analyte are in close accordance with the experimental results. The intraparticle diffusion model shows that this is not the only rate-limiting step, this being the Langmuir model which was well adjusted to our experimental data. Therefore, maximum sorption capacities were found to be 115.1±11.0, 105.5±9.0, 68.3±1.3, 54.2±1.3, and 50.3±4.2 mg g(-1), for Mt-nZVI, Z-nZVI, Zeolite, Mt, and nZVI, respectively. The higher sorption capacities can be attributed to the synergetic behavior between the clay and iron nanoparticles, as a consequence of the clay coating process with nZVI. These results suggest that both composites could be used as an efficient adsorbent for the removal of lead from contaminated water sources.

Surface rearrangement of nanoscale zerovalent iron: the role of pH and its implications in the kinetics of arsenate sorption.

We consider the use of metallic iron nanoparticles for cleaning contaminated water, focusing our study in the sorption of arsenic compounds. In particular, we discuss the results of their sorption process on the surface of zerovalent iron nanoparticles (nZVI) by performing a complete characterization of the surface modifications. Using scanning electron microscopy, X-ray diffraction analysis and high-resolution transmission electron microscopy, spectroscopy diffraction measurements and elemental mapping, we typify the surface reconstruction during the sorption process of As(V) from aqueous solutions using nZVI when it goes into a crystalline parasymplesite structure. The experimental results were correlated to the Freundlich isotherm sorption where the sorption capacity is depleted by the increase in the pH from 4 to 7 and associated with the surface passivation of nZVI. These techniques confirm the dependence of the sorption of arsenic as a function of pH and describe the specific details on the modification of the surface area of the nanoparticles.

Phenol and nitrophenols in the air and dew waters of Santiago de Chile.

Phenol, nitrophenols and dinitrophenols were measured in air and dews in downtown Santiago de Chile. In both systems, phenol, 2-nitrophenol (2-NP), and 4-nitrophenol (4-NP) were the compounds found in higher concentrations and with major frequency. Temporal profiles in air were compatible with a significant direct incorporation from mobile sources. The data can be explained in terms of a faster removal of 2-NP than 4-NP, with the former predominating in fresh air masses and 4-NP in more aged samples. All these compounds, as well as dinitrophenols, were found in dew waters. Simultaneous measurements in air and dew indicate that phenol present in dew exceeds that expected in equilibrated samples, while the opposite occurs with 4-NP. This last result is associated to mass transfer limitations for the highly water soluble nitroderivative.

Carbon monoxide and carbon dioxide concentrations in Santiago de Chile associated with traffic emissions.

CO/CO(2) ratios have been measured in different locations of Santiago de Chile city. Measurements were carried out in a tunnel (prevailing emissions from cars with catalytic converter) and close to heavy traffic streets. Concentrations measured along the city traffic tunnel or temporal profiles of concentrations measured near heavy traffic streets allow an estimation of CO/CO(2) ratios emitted from mobile sources. Values obtained range from 0.0045 +/- 0.0006 to 0.0100 +/- 0.0004 and depend on the prevailing type of mobile sources. In particular, lowest values were found close to a street with heavy traffic dominated by diesel-powered public transportation, while the highest values were found at the city tunnel. Places located near streets of mixed mobile sources (public buses and cars) showed intermediate values. Average CO/CO(2) ratios are compatible with emission factors proposed for Santiago's main mobile sources.

Carbon monoxide concentrations in Santiago City at street levels and their vertical gradient.

Carbon monoxide concentrations were measured at ground level (1 m) near heavy traffic streets in downtown Santiago de Chile in periods of low (November and December), intermediate (April) and high (May) ambient concentrations. Also, measurements were carried out at several heights (from 1 to 127 m) in Santiago's main street during winter time. Measurements carried out at ground level show maximum values during the morning rush hour, with values considerably higher than those reported by the urban air quality network, particularly in summer time. However, the measured values are below air quality standards. Vertical CO profiles were measured in a tower located in the center of downtown. Below 40 m (average altitude of neighboring buildings), the profiles do not show a consistent vertical gradient, with CO concentrations increasing or decreasing with height, regardless of atmospheric stability. In this low altitude range, the observed vertical profiles are poorly predicted by a street canyon model, and the measured concentrations can not be described by a simple exponential decay. At higher altitudes (40 and 127 m) a negative gradient in CO concentrations is observed, both for stable and unstable atmospheric conditions. The values of CO measured at 127 m are relatively well described by an Eulerian dispersion model running with current CO emission inventories for Santiago, although this model tends to predict stepper CO gradients than the observed ones.

Volatile carbonylic compounds in downtown Santiago, Chile.

Formaldehyde, acetaldehyde, acetone, propanal, butanal, 2-butenal, 3-methylbutanal, hexanal, benzaldehyde, 2-methylbenzaldehyde, and 2,5-dimethylbenzaldehyde were measured during six spring days at downtown Santiago de Chile. Measurements were performed 24h/day and averaged over three hour periods. The averages of the maxima (ppbv) were, formaldehyde: 3.9+/-1.4; butanal: 3.3+/-3.4; acetaldehyde: 3.0+/-0.9; acetone: 2.4+/-1.0; 2-butenal: 0.56+/-0.52; propanal: 0.46+/-0.21; benzaldehyde: 0.34+/-0.3; 3-butanal: 0.11+/-0.05; hexanal: 0.11+/-0.08; 2-methylbenzaldehyde: 0.08+/-0.05; 2,5-dimethylbenzaldehyde: 0.05+/-0.03. Aliphatic aldehydes (C1-C3) are strongly correlated among them and weakly with primary (toluene) and secondary (ozone plus nitrogen dioxide or PAN) pollutants. In particular, the correlation between acetaldehyde and propanal values remains even if diurnal and nocturnal data are considered separately, indicating similar sources. All these aldehydes present maxima values in the morning (9-12h) and minima at night (0-3h). The best correlation is observed when butanal and 2-butenal data are considered (r=0.99, butanal/2-butenal=6.2). These compounds present maxima values during the 3-6h period, with minima values in the 0-3h period. These data imply a strong pre-dawn emission. Other aldehydes show different daily profiles, suggesting unrelated origins. Formaldehyde is the aldehyde whose concentration values best correlate with the levels of oxidants. The contribution of primary emissions and photochemical processes to formaldehyde concentrations were estimated by using a multiple regression. This treatment indicates that (32+/-16)% of measured values arise from direct emissions, while (79+/-23)% is attributable to secondary formation.

Deposition, decomposition and stabilization of peroxides in Santiago City dew waters.

Peroxides present in Santiago City dew waters readily decompose with first order kinetics. In order to minimize the loss of peroxides during the time elapsed between deposition and collection, the collectors were pre-treated with a mercury chloride solution. This reduces, but not completely eliminates, the decomposition. A correction is introduced by a comparison of the levels and decomposition kinetics of the samples collected in treated and untreated collectors. The average concentration estimated by this procedure was 8.1 microM. The mechanism of peroxide decomposition and its stabilization is discussed.