Video-Assisted Thoracic Sympathectomy for Hyperhidrosis.

By the 1980s, endoscopy was in use by some groups in sympathetic denervation of the upper limbs with vascular indications. Low morbidity, cosmetic results, reduction in the incidence of Horner syndrome, and the shortened time in hospital made video-assisted thoracic sympathectomy (VATS) better accepted by those undergoing treatment for hyperhidrosis. Over the last 25 years, this surgical procedure has become routine in the treatment of hyperhidrosis, leading to a significant increase in the number of papers on the subject in the literature.

Degradation of caffeine by photo-Fenton process: optimization of treatment conditions using experimental design.

The degradation of caffeine in different kind of effluents, via photo-Fenton process, was investigated in lab-scale and in a solar pilot plant. The treatment conditions (caffeine, Fe(2+) and H(2)O(2) concentrations) were defined by experimental design. The optimized conditions for each variable, obtained using the response factor (% mineralization), were: 52.0 mg L(-1)caffeine, 10.0 mg L(-1)Fe(2+) and 42.0 mg L(-1)H(2)O(2) (replaced in kinetic experiments). Under these conditions, in ultrapure water (UW), the caffeine concentration reached the quantitation limit (0.76 mg L(-1)) after 20 min, and 78% of mineralization was obtained respectively after 120 min of reaction. Using the same conditions, the matrix influence (surface water - SW and sewage treatment plant effluent - STP) on caffeine degradation was also evaluated. The total removal of caffeine in SW was reached at the same time in UW (after 20 min), while 40 min were necessary in STP. Although lower mineralization rates were verified for high organic load, under the same operational conditions, less H(2)O(2) was necessary to mineralize the dissolved organic carbon as the initial organic load increases. A high efficiency of the photo-Fenton process was also observed in caffeine degradation by solar photocatalysis using a CPC reactor, as well as intermediates of low toxicity, demonstrating that photo-Fenton process can be a viable alternative for caffeine removal in wastewater.