Analysis of perfluorinated compounds in sewage sludge and hydrochar by UHPLC LTQ/Orbitrap MS and removal assessment during hydrothermal carbonization treatment.

Wastewater treatment plants have been recognized as important sinks for per- and polyfluoroalkyl substances (PFAS) because of their ineffectiveness in removing them reflecting both water and sewage sludge discharge routes. Hydrothermal treatment represents an alternative technology for treating sludge to recover energy and other valuable products. In this study, 15 PFAS were determined in sludge and hydrochar substrates using sonication-solid phase extraction procedure and analyzed using LC-Orbitrap-High Resolution-MS/MS. The method was fully validated, exhibiting very good linearity, recoveries in the range of 48 to 126 %, low detection and quantification limits with expanded uncertainty and precision below 32 % and 21.9 %, respectively. The method was applied to sludge samples from the WWTP of Ioannina city (Greece), as well as to hydrothermally treated samples under various conditions. The most abundant PFAS were PFHxA (0.5-38.3 ng g-1) and PFOS (4.4-22.1 ng g-1). Finally, the hydrothermally treated sludge samples spiked with PFAS presented removal efficiencies for total PFAS of 86.9 %, 91.8 % and 95.7 % at three spiking levels namely 10, 50 and 200 ng g-1, respectively. Results indicated that PFCAs were almost completely removed, except for PFOA, while the concentrations of PFSAs increased in the produced hydrochar with the formation of several intermediates, as detected by HR-LC-MS/MS. The results of this study demonstrate the effect of hydrothermal treatment to the fate of PFAS in sewage sludge and contribute for further studies on design and scale up of hydrothermal carbonization technology as a management option for safer disposal of municipal wastewater sludge.

A Fatal Case of Presumptive Diagnosis of Leptospirosis Involving the Central Nervous System.

Leptospirosis is a reemerging zooanthroponosis with a worldwide distribution, though it has a higher incidence in areas with tropical climate. A characteristic finding of the disease is its wide spectrum of symptoms and organ involvement, as it can appear either with very mild flu-like manifestations or with multiorgan failure, affecting the central nervous system (CNS) with a concomitant hepatorenal dysfunction (Weil's syndrome) and significant high mortality rate. We report herein a fatal case of a 25 years old female, previously healthy, with impaired neurological status. She had high fever and severe multiorgan failure. The clinical data and the epidemiological factors were not conclusive for the diagnosis, and the first serology test from the cerebrospinal fluid (CSF) and sera samples were negative. When the repetition of the blood test showed elevated IgM antibodies, Leptospirosis was the presumptive diagnosis. Although CNS involvement is rare, the diagnosis should be considered when there is an elevated risk of exposure. The diagnostic protocol should encompass direct evidence of the bacterium and indirect measurement of antibodies. Timely detection and management are imperative to forestall complications and fatality associated with the disease.

Synthesis, characterization, and application of Cu-substituted LaNiO3 perovskites as photocatalysts and/or catalysts for persulfate activation towards pollutant removal.

The presence of emerging contaminants in environmental aqueous matrices is an ever-growing problem, since conventional wastewater treatment methods fail to adequately remove them. Therefore, the application of non-conventional methodologies such as advanced oxidation processes is of great importance to tackle this modern problem. Photocatalysis as well as catalytic activation of persulfates are promising techniques in this field as they are capable of eliminating various emerging contaminants, and current research aims to develop new materials that can be utilized for both processes. In this light, the present study focused on the use of a simple sol-gel-combustion methodology to synthesize Cu-substituted LaNiO3 perovskite materials in an attempt to improve the photocatalytic and catalytic performance of pure LaNiO3, using molar ratios of Cu:Ni that have not been previously reported in the literature. The morphological, structural, and optical features of the synthesized materials were characterized by a series of analytical techniques (e.g., X-ray diffraction, Fourier-transform infrared spectroscopy, scanning electron microscopy, diffuse reflectance spectroscopy, etc.). Also, their performance as photocatalysts, persulfate anion activators and simultaneously as photocatalysts/persulfate anion activators (hybrid) was evaluated by conducting laboratory-scale experiments using phenol (phenolics) as a model emerging contaminant. Interestingly, the results revealed that LaCu0.25Ni0.75O3 exhibited the best efficiency in all the applied processes, which was mainly attributed to the introduction of oxygen vacancies in the structure of the substituted material. The contribution of selected reactive species in the hybrid photocatalytic/catalytic experiments utilizing LaCu0.25Ni0.75O3 as a (photo)catalyst was investigated using appropriate scavengers, and the results suggested that singlet oxygen is the most dominant. Additionally, the stability of all synthesized perovskites was assessed by monitoring the concentration of the leached Cu and/or Ni cations at the end of every applied process. Finally, the reusability of LaCu0.25Ni0.75O3 was evaluated in three consecutive catalytic cycles using the hybrid experiment methodology, as this process demonstrated the best efficiency in terms of phenolics removal, and the results were rather promising.

Aqueous fate of furaltadone: Kinetics, high-resolution mass spectrometry - based elucidation and toxicity assessment of photoproducts.

Furaltadone (FTD) is an antibiotic belonging to the nitrofurans group. It has been broadly used in livestock and aquaculture for therapeutic purposes, as well as for stimulating promotion. Although the European Union has imposed restrictions on the use of FTD since 1995 due to concerns regarding its toxicity, in many cases FTD has been excessively and/or illegally applied in productive animals in developing countries, because of its high efficacy and low-cost. Unlike other nitrofuran compounds, the hydrolytic and photolytic behavior of FTD in natural aquatic systems has not been thoroughly investigated. To this end, hydrolysis in different pH values and photolysis in aquatic environment, including lake, river and sea water have been both examined. Hydrolysis was found to have an insignificant impact on degradation of FTD in the aquatic environment relevant pH values, whereas indirect photolysis proved to be the main route of its elimination. The identification of tentative photoproducts (PPs) was performed using ultra high performance liquid chromatography coupled to hybrid LTQ/Orbitrap high resolution mass spectrometry. A possible pathway for photolytic transformation of FTD was proposed. Additionally, in silico simulations were used to evaluate the toxicity such as the mutagenicity of FTD and PPs. Complementary to the low-cost and time-limited simulations, an in vitro method (Vibrio Fischeri bioluminescence) was also used to assess ecotoxicity.

Determination of Multiclass Pharmaceutical Residues in Milk Using Modified QuEChERS and Liquid-Chromatography-Hybrid Linear Ion Trap/Orbitrap Mass Spectrometry: Comparison of Clean-Up Approaches and Validation Studies.

A multi-residue method was developed to identify and quantify pharmaceutical drug residues in full-fat milk, using a modified QuEChERS extraction procedure and sonication combined with Ultra-High-Performance Liquid Chromatography-High-Resolution Orbitrap Mass Spectrometry (UHPLC-HR-Orbitrap-MS). Sample preparation involves three different QuEChERS extraction procedures and sorbents for the purification step. The optimized modified extraction method, combined with the clean-up approaches using C18 and the EMR-Lipid sorbent, has been validated in terms of linearity, recovery, precision, LOD and LOQ, matrix effects (ME) and expanded uncertainty. The optimized method showed a linearity >0.9903, recoveries within the range 65.1-120.1%, precision (expressed as %RSD) <17.5%, medium (<39.9%) to low (<16.7%) matrix effects and acceptable expanded uncertainty (<33.1%). Finally, the proposed method was applied to representative real samples of milk (by local markets), revealing the existence of one pharmaceutical drug (imidocarb) in one sample.

Hiccup-like Contractions in Mechanically Ventilated Patients: Individualized Treatment Guided by Transpulmonary Pressure.

Hiccups-like contractions, including hiccups, respiratory myoclonus, and diaphragmatic tremor, refer to involuntary, spasmodic, and inspiratory muscle contractions. They have been repeatedly described in mechanically ventilated patients, especially those with central nervous damage. Nevertheless, their effects on patient-ventilator interaction are largely unknown, and even more overlooked is their contribution to lung and diaphragm injury. We describe, for the first time, how the management of hiccup-like contractions was individualized based on esophageal and transpulmonary pressure measurements in three mechanically ventilated patients. The necessity or not of intervention was determined by the effects of these contractions on arterial blood gases, patient-ventilator synchrony, and lung stress. In addition, esophageal pressure permitted the titration of ventilator settings in a patient with hypoxemia and atelectasis secondary to hiccups and in whom sedatives failed to eliminate the contractions and muscle relaxants were contraindicated. This report highlights the importance of esophageal pressure monitoring in the clinical decision making of hiccup-like contractions in mechanically ventilated patients.

Construction of Pd-Co-Doped CdS Heterojunctions as Efficient Platforms in Photocatalysis.

In this work, we present the structural, optical and photocatalytic properties of CdS semiconducting nanostructures, doped with palladium- and cobalt-based species. XRD analysis, corroborated by Raman and XPS, demonstrated the growth of CdS crystallites in the hexagonal structure, whereas solvothermal conversion of neat precursor metal salts resulted in the formation of metallic Pd and cobalt oxide, respectively. Scanning electron microscopy imaging certified the dendritic structure of hybrids, especially in the case where CdS was grown in the presence of either palladium- or cobalt-based nanoparticles. XPS surface analysis revealed that a major fraction of metallic Pd nanoparticles was converted to PdO during the in situ growth of CdS nanoparticles. The oxidation of Pd nanoparticles could be ascribed to chemisorption of oxygen phases onto the metal surface. The presence of cocatalyst nanoparticles resulted in an appreciable shift of the absorption edge of the ternary hybrids by about 50 nm. The optimized hybrid was found to photodegrade Orange G dye almost quantitatively within 2 h, by simulated solar light irradiation. Scavenging experiments revealed that hydroxy radicals were the main transient intermediate, leading to the oxidative degradation of the dye.

Photocatalytic Degradation of Inherent Pharmaceutical Concentration Levels in Real Hospital WWTP Effluents Using g-C3N4 Catalyst on CPC Pilot Scale Reactor.

The objective of this work was to evaluate the efficiency of a solar photocatalytic process using g-C3N4 as photocatalyst on the degradation of pharmaceutical compounds detected in hospital wastewater treatment plant secondary effluents. A compound parabolic collector pilot plant, established in the secondary effluent stream of the Ioannina city hospital wastewater treatment plant, was used for the photocatalytic experiments. The analysis of the samples before and after the photocatalytic treatment was accomplished using solid phase extraction (SPE), followed by UHPLC-LTQ/Orbitrap HRMS. Initial effluent characterization revealed the presence of ten pharmaceutical compounds. Among these, amisulpride, O-desmethyl venlafaxine, venlafaxine and carbamazepine were detected in all experiments. Initial concentrations ranged from 73 ng L-1 for citalopram to 2924.53 ng L-1 for O-desmethyl venlafaxine. The evolution of BOD5 and COD values were determined before and after the photocatalytic treatment. All detected pharmaceuticals were removed in percentages higher than 54% at an optimum catalyst loading ranging between 200 and 300 mg L-1. The potential of the catalyst to be reused without any treatment for two consecutive cycles was studied, showing a significant efficiency decrease.

Study on the photocatalytic degradation of metronidazole antibiotic in aqueous media with TiO2 under lab and pilot scale.

Nowadays, the increased consumption of antibiotics, such as metronidazole (MTZ), leads to their introduction in wastewater as well as in the receiving surface waters due to their incomplete removal by conventional wastewater treatment plants. Heterogeneous photocatalysis is a versatile technology that can efficiently degrade such organic contaminants. In the present research, the photocatalytic degradation of MTZ with TiO2 P25 was studied under lab and pilot (CPC reactor) conditions. The antibiotic was efficiently removed at high rates in both cases (100 % and 91 %) following pseudo-first order kinetics with rate constants equal to 0.0452 min-1 (±RSD% = 0.68 % - 2.57 %) and 0.0462 L KJ-1 (±RSD% = 8.94 % - 21.64 %) respectively. Also, by scavenging lab scale experiments, the contribution of the generated reactive species was investigated and hydroxy radicals (HO•) were proposed as the predominant species. By applying high resolution mass spectrometry techniques, the transformation products (TPs) were identified and possible transformation pathways were proposed. The ecotoxicity of the TPs was assessed in silico using the ECOSAR software with the results revealing that most of them were less toxic than the parent compound. Similarly, the mutagenicity, developmental toxicity and bioconcentration factors of the TPs were predicted by utilizing the T.E.S.T. software and in their majority, were found to be less mutagenic and developmentally toxic than MTZ. The ecotoxicity monitoring with the Vibrio fischeri bioassay in both laboratory and pilot scale experiments indicated that through heterogeneous photocatalysis it is possible to reduce the toxicity of wastewater containing MTZ. Finally, the stability and reusability of the photocatalyst was investigated through three consecutive catalytic cycles with the results showing that the performance of TiO2 decreased after each use. For the heterogeneous photocatalysis with TiO2 to be a "real life" applicable technique, further studies focusing on catalyst regeneration and optimization of the catalytic conditions must be conducted.

Determination of pharmaceuticals and metabolites in sludge and hydrochar after hydrothermal carbonization using sonication-QuEChERS extraction method and UHPLC LTQ/Orbitrap MS.

Pharmaceuticals (PhACs) are an important group of emerging contaminants that are released continuously in the environment from wastewater treatments plants (WWTPs). They can produce biological effects even though at very low concentrations. Conventional WWTPs are not able to remove or degrade completely emerging pollutants resulting in the presence of PhACs in sewage sludge after wastewater treatment. PhACs are found in sludge at low ppb-ppt levels, and their analysis and detection is a difficult task due to the complexity of sewage sludge matrices. Hydrothermal carbonization is currently being proposed as a suitable conversion technology for sewage sludge management to recover valuable products and to be used for soil amendment. In this work, a modified quick, easy, cheap, effective, rugged, and safe (QuEChERS)-based methodology with a dispersive solid-phase extraction (d-SPE) clean-up followed by ultra-high-performance liquid chromatography coupled with high-resolution linear ion trap-Orbitrap mass spectrometry (UHPLC-LTQ/Orbitrap MS), operated in positive ionization mode, was adopted to investigate 33 multiclass pharmaceuticals in sewage sludge and in hydrochar produced after hydrothermal carbonization. The analytical method was first optimized studying various extraction parameters and finally validated in terms of linearity, recovery, intra and inter-day precisions, expanded uncertainty (%U)/Horrat ratio at three spiking levels, matrix-effects (ME), process efficiency (PE), and limits of detection and quantification. The developed methodology fulfilled all analytical requirements and was finally applied to sludge samples from the WWTP of Ioannina city where a group of antibiotics was detected at concentrations up to 15 ng g-1 and psychiatric drugs such as amisulpride, clozapine, and citalopram were detected at higher concentration levels up to 205, 87.4 and 63.2 ng g-1, respectively. The method was also applied to hydrothermally treated sludge sample under different reaction conditions. Most of the antibiotic compounds were not detected, and several psychiatric drugs such as mirtazapine, bupropion, valsartan, diazepam, and caffeine were found at concentrations below the LOQ.

Removal of drug dexamethasone from aqueous matrices using low frequency ultrasound: Kinetics, transformation products, and effect of microplastics.

Sonochemical oxidation was employed for the degradation of the drug dexamethasone (Dex). The oxidation at 20 kHz followed pseudo-first-order kinetics and increased with applied ultrasound power density. Acoustic cavitation at 71 W/L was able to eliminate 500 µg/L of dexamethasone from ultrapure water at inherent pH in less than 60 min. The oxidation was enhanced at pH 3 and decreased at increased Dex concentration. Scavenging experiments with tert-butanol showed that hydroxyl radicals play a crucial role in decomposition, where the reaction mainly occurs on the gas-liquid interface of the formed cavities. The addition of chloride did not affect Dex removal, while in the presence of 10 mg/L of humic acid or bicarbonate, the apparent kinetic constant decreased from 0.0423 ± 0.004 min-1 to about 0.03 ± 0.002 min-1. The rate in secondary effluent was 3.3 times lower than in ultrapure water due to the complexity of the actual matrix. Six transformation products were identified via high resolution LC-MS during the sonochemical oxidation of 3 mg/L Dex in ultrapure water. The presence of polyethylene or polystyrene microplastics slightly enhanced DEX sonodegradation. The effect of ultrasound irradiation at 71 W/L for 60 min on the microplastics surfaces was inconsiderable.

Highly Efficient Simulated Solar Light-Driven Photocatalytic Degradation of 4-Nitrophenol over CdS/Carbon/MoSx Hybrids.

Among the various organic pollutants and industrial chemicals, 4-nitrophenol has been one of the most monitored substances in aqueous environments, due to its enhanced solubility in such systems. This research reports for the first time the microwave-assisted synthesis of CdS/carbon/MoSx hybrids and the subsequent utilization of such systems as photocatalysts for 4-nitrophenol degradation. The hybrids demonstrated a variable photocatalytic activity, by using a variety of organic substances as precursors for the solvothermal carbonization step. By using ascorbic acid as precursor, the corresponding ternary composite exhibited excellent photocatalytic activity, with the 4-nitrophenol concentration been almost quantitatively decayed within 45 min of irradiation. This could be ascribed due to the generation of a high population of heterojunctions as well as the chemical speciation of Mo-based nanostructures. Such ternary hybrids may be utilized as potential photocatalytic systems in processes, where removal of toxic water-soluble substances is the key issue.

Ventilatory Ratio Threshold for Unassisted Breathing: A Retrospective Exploratory Analysis.

BACKGROUND: The ventilatory ratio (VR) is a simple index of ventilatory efficiency and dead space. Because increased dead space and high ventilatory demands impose a limitation to unassisted ventilation, and may predispose patients to injurious strong efforts during assisted ventilation, evaluation of the VR could provide helpful information during weaning. We hypothesize that there is a threshold of VR associated with tolerance of unassisted breathing. METHODS: In a retrospective analysis, we included subjects ventilated in a control mode for at least 24 h, who were successfully liberated from mechanical ventilation, without use of noninvasive ventilation, and discharged alive from the ICU. We focused on the successful weaning attempts (the last, if more than one was performed) and evaluated the VR at the beginning and at the end of the assisted ventilation period. RESULTS: We examined 2,000 medical records and included in our analysis 572 subjects (age: 68 y, R5-95 = 25-85, 68% male) with main admission diagnosis of respiratory failure (23%), sepsis (11%), brain injury (34%), and postoperative (14%). The VR at the beginning and the end of the assisted ventilation period was 1.5 (R5-95 = 1-2.1) and 1.4 (R5-95 = 1-2), respectively. The median duration of assisted ventilation in subjects with a VR ≥ 2 at the beginning of the assisted ventilation period was 3 d (R5-95 = 0-14 d), significantly longer than in those with a VR < 2, 0.5 d (R5-95 = 0-8 d, P < .001). CONCLUSIONS: Successful liberation from assisted ventilation was associated with a VR < 2. A VR > 2 was associated with longer duration of weaning. The VR could be used as an additional tool to facilitate the decision-making process during weaning.

Accurate mass screening of pesticide residues in wine by modified QuEChERS and LC-hybrid LTQ/Orbitrap-MS.

In this research, a quick, easy, cheap, effective, rugged, and safe (QuEChERS) extraction procedure and Ultra-High Performance Liquid Chromatography-Orbitrap-Mass Spectrometry (UHPLC-Orbitrap-MS), were combined to obtain a sensitive and rapid method for the determination of multiclass pesticides in white and red wines. The optimization strategy involved the selection of buffering conditions, by applying different QuEChERS procedures and sorbents for the cleanup step in order to achieve acceptably high recoveries and low co-extractives in the final extracts. Identification was based on both accurate mass and retention time, while further confirmation was achieved by MS fragmentation. The method was evaluated in terms of linearity, recovery, precision, limit of detection (LOD) and quantification (LOQ), matrix effects (ME) and expanded uncertainty. The validated method was successfully applied to real samples (home-made and commercial) revealing the presence of two selected fungicides, in relatively low levels compared to the MRLs defined by the EU for vinification grapes.

FoodOmicsGR_RI. A Consortium for Comprehensive Molecular Characterisation of Food Products.

The national infrastructure FoodOmicsGR_RI coordinates research efforts from eight Greek Universities and Research Centers in a network aiming to support research and development (R&D) in the agri-food sector. The goals of FoodOmicsGR_RI are the comprehensive in-depth characterization of foods using cutting-edge omics technologies and the support of dietary/nutrition studies. The network combines strong omics expertise with expert field/application scientists (food/nutrition sciences, plant protection/plant growth, animal husbandry, apiculture and 10 other fields). Human resources involve more than 60 staff scientists and more than 30 recruits. State-of-the-art technologies and instrumentation is available for the comprehensive mapping of the food composition and available genetic resources, the assessment of the distinct value of foods, and the effect of nutritional intervention on the metabolic profile of biological samples of consumers and animal models. The consortium has the know-how and expertise that covers the breadth of the Greek agri-food sector. Metabolomics teams have developed and implemented a variety of methods for profiling and quantitative analysis. The implementation plan includes the following research axes: development of a detailed database of Greek food constituents; exploitation of "omics" technologies to assess domestic agricultural biodiversity aiding authenticity-traceability control/certification of geographical/genetic origin; highlighting unique characteristics of Greek products with an emphasis on quality, sustainability and food safety; assessment of diet's effect on health and well-being; creating added value from agri-food waste. FoodOmicsGR_RI develops new tools to evaluate the nutritional value of Greek foods, study the role of traditional foods and Greek functional foods in the prevention of chronic diseases and support health claims of Greek traditional products. FoodOmicsGR_RI provides access to state-of-the-art facilities, unique, well-characterised sample sets, obtained from precision/experimental farming/breeding (milk, honey, meat, olive oil and so forth) along with more than 20 complementary scientific disciplines. FoodOmicsGR_RI is open for collaboration with national and international stakeholders.

An overview of homogeneous and heterogeneous photocatalysis applications for the removal of pharmaceutical compounds from real or synthetic hospital wastewaters under lab or pilot scale.

The last few decades, Pharmaceutical Active Compounds (PhACs) have been considered as emerging contaminants due to their continuous release and persistence to aquatic environment even at low concentrations. A growing number of research articles have shown the occurrence of numerous PhACs in various wastewater treatment plant influents, hospital effluents, and surface waters all over the world. The rising concern regarding PhACs, which present high recalcitrance towards conventional treatment methods, has provoked extensive research in the field of their effective remediation. This review provides a comprehensive assessment of homogeneous and heterogeneous photocatalytic applications for the removal of PhACs, from real or artificial hospital wastewater effluents. These two representative advanced oxidation processes (AOPs) are assessed in terms of their efficiency to remove PhACs, reduce the COD and toxicity as well as increase the biodegradability of the effluent. Simultaneously with their efficiency the operational costs of the processes are considered. Their potential combination with other processes is critically discussed, as this option seems to enhance the treatment efficiency and simultaneously overcome the limitations of each individual process. Moreover, the type of reactors as well as the main parameters that should be considered for the design and the development of photoreactors for wastewater treatment are reviewed. Finally, based on the literature survey, indications for future work are provided.

Assessment of multiclass pharmaceutical active compounds (PhACs) in hospital WWTP influent and effluent samples by UHPLC-Orbitrap MS: Temporal variation, removals and environmental risk assessment.

Nowadays the occurrence and associated risks of Pharmaceutical Active Compounds (PhACs) in the aquatic environment comprises a major issue. In the present study, a comprehensive survey on contamination profiles, occurrence, removals, temporal variation and ecological risk of multiclass multiresidue PhACs, such as antibiotics, non-steroidal anti-inflammatories, lipid regulators and phsychiatrics, (including past and newly monitored PhACs as well as some of their metabolites) was performed in wastewaters from the WWTP of Ioannina University hospital along one year period on a monthly sampling basis. WWTP influent and effluent samples were analyzed for physicochemical quality parameters and PhACs concentration levels using Ultra High Performance Liquid Chromatography-Orbitrap-Mass Spectrometry (UHPLC-Orbitrap-MS), after Solid Phase Extraction (SPE) through Oasis HLB cartridges. Influent concentrations ranged between < LOQ (Limit of Quantification) for diclofenac and tolfenamic acid and 48586 ng/L for caffeine, while effluent concentrations between < LOQ for tolfenamic acid and simvastatin and 3361 ng/L for caffeine. Removal efficiencies ranged between -132.6% for venlafaxine and 100% for caffeine. Environmental risk assessment by means of Risk Quotient (RQ) for maximum and minimum concentration levels as well as optimized by the frequency of exceeding toxicity threshold values, RQf, was applied revealing that up to 12 PhACs posed acute toxicity (clofibric acid, fenofibrate, sulfadiazine, sulfamethoxazole, trimethoprim, amitryptiline, fluoxetine, fluvoxamine, norfluoxetine, sertraline, venlafaxine, caffeine) while up to 4 compounds exerted long-term toxicity (sulfamethoxazole, fluoxetine, sertraline, caffeine) at least for one of the studied organisms. Furthermore, mixture RQMEC/PNEC and RQSTU effect of multiple compounds showed high potential risks of the target groups in some cases, although some contaminants were not included due to lack of available data. Results can be used to prioritization of PhACs and their metabolites for surveillance in receiving water bodies as well as development of knowledge on toxicity and mechanism(s) of action.

Rapid Microwave-Assisted Synthesis of CdS/Graphene/MoSx Tunable Heterojunctions and Their Application in Photocatalysis.

Nanoscale two-dimensional nanostructures have shown great potential as functional components in photocatalysis. Here, investigations on the synthesis of heterostructured hybrids, comprised of 0D CdS nanoparticles as semiconductor and 2D/2D graphene/MoSx as co-catalyst, are reported. The approach involves a rapid microwave-assisted reaction in autoclave conditions, by adopting either a one-step or a two-step protocol. The chemical speciation of the nanocomposites was found to depend strongly on the compounding conditions of the precursor substances. The photocatalytic activity was assessed by monitoring the photodegradation rate of 4-nitrophenol in solution using simulated solar light irradiation. The photocatalytic activity of the hybrids may be attributed to a combination of beneficial characteristics, strongly related to the chemical speciation of the composite components. Moreover, intimate contacts of the latter result in efficient heterojunctions. Overall, the present study provides valuable insight into the development of functional heterostructured photocatalysts comprised of two-dimensional nanomaterials.

Functional Recovery of a Failed Radial Artery Graft After Progression of Native Coronary Stenosis.

Competitive flow from the native vessel can lead to coronary graft failure. However, restoration of graft patency can occasionally occur. We present the case of subtotal occlusion of a radial artery graft bypassing a lesion with moderate stenosis, with subsequent late functional recovery once the native vessel disease had progressed. (Level of Difficulty: Intermediate.).

Arrhythmic risk stratification in post-myocardial infarction patients with preserved ejection fraction: the PRESERVE EF study.

AIMS: Sudden cardiac death (SCD) annual incidence is 0.6-1% in post-myocardial infarction (MI) patients with left ventricular ejection fraction (LVEF)≥40%. No recommendations for implantable cardioverter-defibrillator (ICD) use exist in this population. METHODS AND RESULTS: We introduced a combined non-invasive/invasive risk stratification approach in post-MI ischaemia-free patients, with LVEF ≥ 40%, in a multicentre, prospective, observational cohort study. Patients with at least one positive electrocardiographic non-invasive risk factor (NIRF): premature ventricular complexes, non-sustained ventricular tachycardia, late potentials, prolonged QTc, increased T-wave alternans, reduced heart rate variability, abnormal deceleration capacity with abnormal turbulence, were referred for programmed ventricular stimulation (PVS), with ICDs offered to those inducible. The primary endpoint was the occurrence of a major arrhythmic event (MAE), namely sustained ventricular tachycardia/fibrillation, appropriate ICD activation or SCD. We screened and included 575 consecutive patients (mean age 57 years, LVEF 50.8%). Of them, 204 (35.5%) had at least one positive NIRF. Forty-one of 152 patients undergoing PVS (27-7.1% of total sample) were inducible. Thirty-seven (90.2%) of them received an ICD. Mean follow-up was 32 months and no SCDs were observed, while 9 ICDs (1.57% of total screened population) were appropriately activated. None patient without NIRFs or with NIRFs but negative PVS met the primary endpoint. The algorithm yielded the following: sensitivity 100%, specificity 93.8%, positive predictive value 22%, and negative predictive value 100%. CONCLUSION: The two-step approach of the PRESERVE EF study detects a subpopulation of post-MI patients with preserved LVEF at risk for MAEs that can be effectively addressed with an ICD. CLINICALTRIALS.GOV IDENTIFIER: NCT02124018.