Standardizing urethral stricture models in rats: a comprehensive study on histomorphologic and molecular approach.

PURPOSE: To create a reproducible and standardized urethral stricture model in rats, evaluating both histomorphologic findings and gene expression data. In studies involving experimental animals, more standardization is needed for the creation of a urethral stricture model. METHODS: Sixteen male rats were randomized into two groups. The Sham group (n:8) underwent only a penoscrotal incision, while the stricture group (n:8) had their urethras exposed through a penoscrotal incision, followed by electrocauterization to the corpus spongiosum. On the 15th day, blood and urethral tissues were harvested for histologic and molecular analyses. Histomorphologic, immunohistochemical, and reverse transcription polymerase chain reaction analyses were performed. RESULTS: The stricture group exhibited more severe and intense spongiofibrosis, inflammation, epithelial desquamation, and congestion in vascular structures compared to the controls (p < 0.05). The urethral tissue in the stricture group showed an increased ratio of inflammation parameters, including Collagen 1A1, Collagen 3A1, elastin, Transforming growth factor ß1, α Smooth muscle actin, Platelet-derived growth factor α, and Platelet-derived growth factor ß. Transforming growth factor ß1, Platelet-derived growth factor α, and Platelet-derived growth factor ß each correlated highly with the other six parameters (r > 0.60, p < 0.05). CONCLUSION: Developing electrocoagulation-induced urethral stricture in rats is a simple, reliable, inexpensive, and reproducible. Reporting histologic data with qualitative and semi-quantitative scoring will enhance data standardization, aiding reader understanding and analysis. Transforming growth factor ß and Platelet-derived growth factor play key roles in fibrosis during stricture development. Incorporating these cytokines in urethral stricture animal model studies can demonstrate successful stenosis creation.

Optimizing electrocoagulation for poultry slaughterhouse wastewater treatment: a fuzzy axiomatic design approach.

White meat consumption is increasing day by day, and accordingly, there is an increase in the amount of wastewater resulting from the processes. Today, the reuse of wastewater has become a goal within the scope of the Green Deal. For this reason, wastewater treatment with high pollution and volume has gained importance. In this study, the fuzzy axiomatic design (FAD) method, one of the multi-criteria decision-making methods, has been used. With this method, coagulation, electrocoagulation (EC), dissolved air flotation (DAF), and anaerobic treatment alternatives preferred in poultry slaughterhouse wastewater (PSW) treatment were compared with each other and their information contents were calculated. The information content from the smallest to the largest is EC, DAF, coagulation, and anaerobic treatment, respectively. This treatment method was chosen because the smallest information content is in electrocoagulation. EC was applied to bloody PSW containing 1% blood by volume. The effectiveness of Fe and Al electrodes for PSW treatment in the batch EC reactor has been compared. The effective surface areas of 2 anodes and 2 cathodes connected bipolarly in the processes are 288 cm2. The electrolyte, pH, time, and current density effects on energy consumption were also investigated. The optimum conditions for Al and Fe electrodes were found to be 0.5 g·L-1 NaCl concentration, pH 5, 0.639 mA·cm-2 current density, and 5 min time. Under optimum conditions for the Fe electrode, COD, TOC, TN, and oil-grease removal efficiencies were determined as 76.3%, 71.8%, 70%, and 74%, respectively. Moreover, the highest COD, TOC, TN, and oil-grease removal efficiencies were achieved with an Al electrode (82.2%, 82.3%, 82.7%, and 78.9%, respectively). The experimental data were fit to a variety of isotherms and kinetic models to determine the characteristics of the EC. The results indicated that the pseudo-second-order equation provided the best fit for COD removal. Under optimum conditions, the operating cost was calculated as $3.39 and $3.09 for Al and Fe electrodes, respectively. In this study, the fuzzy axiomatic design method was used for the first time to select the most appropriate treatment method for PSW. In addition, blood, a major problem for the poultry slaughterhouse industry, was mixed with PSW at a ratio of 1% (v/v) and treated with EC for the first time with high removal efficiency. By treating PSW, which has a high pollution load, with electrocoagulation, the pollution load of the water to be given to secondary treatment has been greatly reduced.

Treatment of tomato paste wastewater by electrochemical and membrane processes: process optimization and cost calculation.

This study investigated the treatment of wastewater from tomato paste (TP) production using electrocoagulation (EC) and electrooxidation (EO). The effectiveness of water recovery from the pretreated water was then investigated using the membrane process. For this purpose, the effects of independent control variables, including electrode type (aluminum, iron, graphite, and stainless steel), current density (25-75 A/m2), and electrolysis time (15-120 min) on chemical oxygen demand (COD) and color removal were investigated. The results showed that 81.0% of COD and 100% of the color removal were achieved by EC at a current density of 75 A/m2, a pH of 6.84 and a reaction time of 120 min aluminum electrodes. In comparison, EO with graphite electrodes achieved 55.6% of COD and 100% of the color removal under similar conditions. The operating cost was calculated to be in the range of $0.56-30.62/m3. Overall, the results indicate that EO with graphite electrodes is a promising pretreatment process for the removal of various organics. In the membrane process, NP030, NP010, and NF90 membranes were used at a volume of 250 mL and 5 bar. A significant COD removal rate of 94% was achieved with the membrane. The combination of EC and the membrane process demonstrated the feasibility of water recovery from TP wastewater.

Investigation of the removal of diclofop methyl herbicide by peroxy electrocoagulation process and kinetic and cost analysis.

Pesticides containing chlorine, which are released during agricultural activities, are chemical substances that mix with surface and underground waters and have toxic, carcinogenic, and mutagenic effects on the entire living ecosystem. Due to their chemically stable structure, conventional water and wastewater treatment techniques such as coagulation, flocculation, and biological oxidation do not entirely remove these chemical substances. Therefore, before releasing them into the environmental receptor, these chemical substances must be transformed into harmless products or mineralized through advanced oxidation processes. When we look at the literature, there are not many studies on methods of removing diclofop methyl from aquatic media. Our study on the removal of diclofop methyl herbicide from aquatic media using the peroxy electrocoagulation method will provide the first information on this subject in the literature. In addition, this treatment method will contribute significantly to filling an important gap in the literature as an innovative approach for diclofop methyl removal. Moreover, peroxy electrocoagulation, which produces less sludge, provides treatment in a short time, and is economical, has been determined to be an advantageous process. The effects of conductivity, pH, H2O2 concentration, current, and time parameters on the removal of diclofop methyl were investigated using a GC-MS instrument. Kinetics, energy consumption, and cost calculations were also made. Under the optimum conditions determined (pH = 5, H2O2 = 500 mg/L, NaCl = 0.75 g/L, current density = 2.66 mA/cm2), the peroxydic electrocoagulation process resulted in a diclofop methyl removal efficiency of 79.2% after a 25-min reaction. When the experimental results were analyzed, it was found that the results fitted the pseudo-second-order kinetic model.

Integration of sequential electrocoagulation and adsorption for effective removal of colour and total organic carbon in textile effluents and its utilization for seed germination and irrigation.

Textile effluent discharge can negatively impact the environment and living organisms due to its potential toxicity, higher percentages of total organic carbon (TOC) contents, and so on. The study investigates the extraordinary performance of the electrocoagulation process (ECP) combined with powdered activated carbon (PAC) as a highly effective and environmental friendly method of treating textile effluents. This scientific work mainly includes the focus on removing toxic components in textile effluents, such as high concentrations of colour and TOC using synthesized PAC derived from coconut shells coupled with the ECP (ECP-PAC). Initially, PAC was characterized by using XRD, Raman, BET, FTIR, and TGA studies. Subsequently, the pilot-scale ECP-PAC batch reactor was constructed with iron (Fe) as an anode and copper (Cu) as a cathode. The pilot-scale ECP-PAC batch reactor has achieved higher treatment efficiency in a shorter reaction time with low energy consumption compared to a stand-alone ECP. Further, the optimum conditions for effective ECP-PAC have been optimized, such as pH 7.5, applied current density (0-50 mA/cm2), reaction time (0-30 min), electrode combinations (Fe-Cu) with electrode distances of 5 cm apart, and an optimum dose of 5 g/L of PAC. Specifically, 98% of the colour and 96% of the TOC contents present in the industrial textile effluent were treated in 15 and 30 min, respectively. In quantitative perspectives, the developed batch reactor has sharply decreased TOC (324.1 mg/L), IC (1410 mg/L) and TC (1019 mg/L) to 13.55 mg/L (96%), 31.49 mg/L (97%), and 48.05 mg/L (95%), respectively, in 30 min demonstrating its sensitivity and selectivity with the utmost care. Moreover, the physicochemical properties of the treated water were convincingly assessed. That is, it remains suitable for the seed germination of mung bean and chlorophyll content study. Thus, the developed methodology could effectively reduce freshwater consumption in the agricultural sector, increase freshwater availability in water-scarce regions, and facilitate the increase of the recharging capacity of groundwater tables.

Simultaneous electrocoagulation and E-peroxone coupled with ultrafiltration membrane for shale gas produced water treatment.

Membrane fouling caused by the organics-coated particles was the main obstacle for the highly efficient shale gas produced water (SGPW) treatment and recycling. In this study, a novel hybrid electrocoagulation (EC) and E-peroxone process coupled with UF (ECP-UF) process was proposed to examine the efficacy and elucidate the mechanism for UF fouling mitigation in assisting SGPW reuse. Compared to the TMP (transmembrane pressure) increase of -15 kPa in the EC-UF process, TMP in ECP-UF system marginally increased to -1.4 kPa for 3 filtration cycles under the current density of 15 mA/cm2. Both the total fouling index and hydraulically irreversible fouling index of the ECP-UF process were significantly lower than those of EC-UF process. According to the extended Derjaguin-Landau-Verwey-Overbeek theory, the potential barriers was the highest for ECP-UF processes due to the substantial increase of the acid-base interaction energy in ECP-UF process, which was well consistent with the TMP and SEM results. Turbidity and TOC of ECP-UF process were 63.6% and 45.8% lower than those of EC-UF process, respectively. According to the MW distribution, the variations of compounds and their relative contents were probably due to the oxidation and decomposing products of the macromolecular organics. The number of aromatic compound decreased, while the number of open-chain compounds (i.e., alkenes, alkanes and alcohols) increased in the permeate of ECP-UF process. Notably, the substantial decrease in the relative abundance of di-phthalate compounds was attributed to the high reactivity of these compounds with ·OH. Mechanism study indicated that ECP could realize the simultaneous coagulation, H2O2 generation and activation by O3, facilitating the enhancement of ·OH and Alb production and therefore beneficial for the improved water quality and UF fouling mitigation. Therefore, the ECP-UF process emerges as a high-efficient and space-saving approach, yielding a synergistic effect in mitigating UF fouling for SGPW recycling.

Enhancing municipal solid waste leachate treatment efficiency: AI-based prediction of electrocoagulation/flocculation recovery using iron electrodes.

This study addresses a gap in municipal leachate (MUPL) treatment by introducing a pioneering application of artificial intelligence (AI) in the electrocoagulation/electroflocculation (EC/EF) process utilizing iron electrodes. The overarching aim is to demonstrate the efficacy of AI, particularly a multi-layer perceptron (MLP)-based feed-forward artificial neural network (ANN) incorporating the Levenberg-Marquardt (LMb) algorithm, in predicting and optimizing EC/EF outcomes for turbidity (TDY) removal. The research methodology involved experimentation and robust ANN data modeling. The significance of this work emerges from the successful integration of AI, showcasing its potential in advancing wastewater, demonstrated through a strong positive correlation (0.994) between the ANN model predictions and experimental outcomes. The study achieves a remarkable 99.4% TDY removal at an electrolysis time of 10 min and contributes valuable insights into the critical parameters influencing the EC/EF process. Results from the ANN modeling exhibit high predictive accuracy, supported by elevated R-squared values and minimal mean square error. Statistical analyses underscore the significance of key process parameters, highlighting the influential roles of current intensity and settling time. The study emphasized the favourable impact of maintaining an acidic pH range, as it reduced electrostatic repulsion between particles, facilitating pollutant agglomeration, and identified electrolysis time as a key factor in enhancing treatment efficiency, supported by a strong positive correlation between electrolysis time and TDY reduction. Energy cost savings were realized by not requiring temperature elevation. Achieving a 99.4% TDY removal translates to substantial reductions in other pollutants present in the MUPL, thereby elevating water quality and ensuring compliance.

A hybrid system for Nickel ions removal from synthesized wastewater using adsorption assisted with electrocoagulation.

The presence of heavy metal ions in water environments has raised significant concerns, necessitating practical solutions for their complete removal. In this study, a combination of adsorption and electrocoagulation (ADS + EC) techniques was introduced as an efficient approach for removing high concentrations of nickel ions (Ni2+) from aqueous solutions, employing low-cost sunflower seed shell biochar (SSSB). The combined techniques demonstrated superior removal efficiency compared to individual methods. The synthesized SSSB was characterized using SEM, FT-IR, XRD, N2-adsorption-desorption isotherms, XPS, and TEM. Batch processes were optimized by investigating pH, adsorbent dosage, initial nickel concentration, electrode effects, and current density. An aluminum (Al) electrode electrocoagulated particles and removed residual Ni2+ after adsorption. Kinetic and isotherm models examined Ni2+ adsorption and electrocoagulation coupling with SSSB-based adsorbent. The results indicated that the kinetic data fit well with a pseudo-second-order model, while the experimental equilibrium adsorption data conformed to a Langmuir isotherm under optimized conditions. The maximum adsorption capacity of the activated sunflower seed shell was determined to be 44.247 mg.g-1. The highest nickel ion removal efficiency of 99.98% was observed at initial pH values of 6.0 for ADS and 4.0 for ADS/EC; initial Ni2+ concentrations of 30.0 mg/L and 1.5 g/L of SSSB; initial current densities of 0.59 mA/cm2 and 1.32 kWh/m3 were also found to be optimal. The mechanisms involved in the removal of Ni2+ from wastewater were also examined in this research. These findings suggest that the adsorption-assisted electrocoagulation technique has a remarkable capacity for the cost-effective removal of heavy metals from various wastewater sources.

A hybrid electrocoagulation-biocomposite adsorption system for the decolourization of dye wastewater.

Among the various methods for the removal of azo dye, electrocoagulation is recognized to be highly efficient. However, the process is associated with high operation and maintenance cost, which demands the need for reducing the electrolysis time without compromising the performance efficiency. This can be achieved by adopting hybrid electrocoagulation process with a low-cost but effective process, such as adsorption. The study investigated the performance of a hybrid electrocoagulation-biocomposite system (H-EC-BC) for removing methyl orange dye. Firstly, the operating parameters of electrocoagulation process were optimized and a removal efficiency of 99% has been attained using Fe-SS electrodes at a pH of 6 for a reaction time of 30 min. The performance of EC process was found to be decreasing with increase in dye concentration. Secondly, biocomposite was synthesized from Psidium guajava leaves and characterized using SEM, FTIR, EDAX, and XRD analyses. The results suggested that it is having a porous nature and cellulose crystal structure and confirmed the presence of chemical elements such as carbon (65.2%), oxygen (29.1%) as primary with Fe, Cl, Na and Ca as secondary elements. The performance of the biocomposite was evaluated for the dye adsorption using spectrophotometric methods. Various operating parameters were optimized using experimental methods and a maximum removal efficiency of 65% was achieved at a pH of 6, dosage of 5 g/L and an adsorption contact time of 120 min. The maximum efficiency (92.78%) was obtained with Fe-SS electrodes and KCl as a sustaining electrolyte under acidic circumstances (pH 6). The biocomposite was observed to be more efficient for higher dye concentration. Langmuir and Freundlich adsorption isotherms were fitted with the experimental results with R2 values as 0.926 and 0.980 respectively. The adsorption kinetics were described using Pseudo-first and Pseudo-second order models, wherein Pseudo-second order model fits the experimental results with R2 value of 0.999. The energy consumption of electrocoagulation (EC) process in the hybrid H-EC-BC system was compared to that of a standard EC process. The results demonstrated that the hybrid system is approximately 7 times more energy efficient than the conventional process, thereby implicating its adaptability for field application.

Comparative evaluation of drying methods for struvite produced from electrocoagulated source-separated urine: Implications for quality, energy and cost-effectiveness.

Struvite precipitation from source-separated urine is crucial for waste utilization and sustainability. However, after precipitation, the high moisture content of struvite necessitates an additional drying process that can be costly and inefficient. In the present study, the performance of different drying methods-open sun drying, air drying, conventional drying (20-100 °C), and microwave drying (180-720 W) on the quality of struvite obtained from source-separated urine through electrocoagulation using Mg-Mg electrodes were evaluated. It was found that higher temperatures and power in the convective oven and microwave resulted in higher diffusivity (10-9-10-7 m2s-1), leading to reduced drying times. Different models were employed to comprehend the drying mechanism, and the one with the highest correlation coefficient (R2 = 0.99) and the lowest statistical values was selected. The key findings indicated that higher power and temperature levels were more cost-effective. However, characterization of the dried struvite using X-ray diffraction and Fourier-transformed infrared spectroscopy, disintegration of struvite crystals at temperatures above 60 °C in the conventional oven and 180 W in the microwave oven was observed. Based on the results, we conclude that sun drying is a cost-effective and environmentally friendly alternative for drying struvite without compromising its quality.

Reduction of the environmental and health consequences of cigarette butt recycling by removal of toxic and carcinogenic compounds from its leachate.

Cigarette butt is a hazardous waste, and its management faces many challenges. The generation of leachate containing many pollutants including heavy metals is one of the limitations of recycling cigarette butts. The aim of this study was to reduce organic compounds and heavy metals in leachate resulting from cigarette butt recycling in an electrocoagulation reactor. For this purpose, two samples, including freshly smoked cigarette butts and littered cigarette butts, were processed and the treatment of leachate resulting from them was studied in an electrocoagulation reactor. The efficiency of leachate treatment was investigated in the treatment time of 10-40 min and current intensity of 20-100 mA. The results showed that the minimum reduction of chemical oxygen demand and turbidity was 25.3% and 33.4%, respectively. Increasing the current intensity and treatment time increased the efficiency of removing turbidity and chemical oxygen demand up to 47.1% and 41.2%, respectively, in optimum conditions. The reduction of nickel, chromium, cadmium, and lead in the lowest current density and minimum treatment time was more than 90%, which increased to more than 99% with the increase of the current density and treatment time. The use of electrocoagulation is a suitable solution to reduce heavy metals in leachate resulting from cigarette butt recycling, while the proper reduction of organic compounds in this type of leachate requires further treatment processes.

A new method for the preparation of MgAl layered double hydroxide-copper metal-organic frameworks structures: application to electrocatalytic oxidation of formaldehyde.

In this research, we present a novel design protocol for the in-situ synthesis of MgAl layered double hydroxide-copper metal-organic frameworks (LDH-MOFs) nanocomposite based on the electrocoagulation process and chemical method. The overall goal in this project is the primary synthesis of para-phthalic acid (PTA) intercalated MgAl-LDH with Cu (II) ions to produce the paddle-wheel like Cu-(PTA) MOFs nanocrystals on/in the MgAl-LDH structure. The physicochemical properties of final product; Cu-(PTA) MOFs/MgAl-LDH, were characterized by the surface analysis and chemical identification methods (SEM, EDX, TEM, XRD, BET, FTIR, CHN, DLS, etc.). The Cu-(PTA) MOFs/MgAl-LDH nanocomposite was used to modification of the carbon paste electrode (CPE); Cu-(PTA) MOFs/MgAl-LDH/CPE. The electrochemical performance of Cu-(PTA) MOFs/MgAl-LDH/CPE was demonstrated through the utilization of electrochemical methods. The results show a stable redox behavior of the Cu (III)/Cu (II) at the surface of Cu-(PTA) MOFs/MgAl-LDH/CPE in alkaline medium (aqueous 0.1 M NaOH electrolyte). Then, the Cu-(PTA) MOFs/MgAl-LDH/CPE was used as a new electrocatalyst toward the oxidation of formaldehyde (FA). Electrochemical data show that the Cu-(PTA) MOFs/MgAl-LDH/CPE exhibits superior electrocatalytic performance on the oxidation of FA. Also the diffusion coefficient, exchange current density (J°) and mean value of catalytic rate constant (Kcat) were found to be 1.18 × 10-6 cm2 s-1, 23 mA cm-2 and 0.4537 × 104 cm3 mol-1 s-1, respectively. In general, it can be said the Cu-(PTA) MOFs/MgAl-LDHs is promising candidate for applications in direct formaldehyde fuel cells.

Electrocoagulation in treatment of municipal wastewater- life cycle impact assessment.

The purpose of this study is investigation of electrocoagulation (EC) as a treatment of municipal wastewater, integrating life cycle impact assessment (LCIA) for assessing its environmental performance of investigated treatment. The study evaluated the effectiveness of EC in removing physico-chemical and microbial parameters using aluminum (Al) and iron (Fe) electrodes in monopolar and bipolar modes. Bipolar arrangement of Al(-)/Al/Al/Al(+) electrodes achieved the highest removals: 70% COD, 72% BOD5 followed by complete elimination of total phosphorous, turbidity and microbial parameters. This treatment was subject to investigation of the influence of reaction time (t = 10-60 min) on removals at higher current density (CD = 3.33 mA/cm2). In order to reduce energy consumption, the same reaction time range was used with a reduced CD = 2.33 mA/cm2. Following removal efficiencies obtained: 47-72% COD (higher CD) and 53-78% (lower CD); 69-75% BOD5 (higher CD) and 55-74% CD (lower CD); 12-21% NH4- (higher CD) and 7-22% NH4- (lower CD). Total P, NO3- and NO2- compounds showed the same removals regardless the CD. Decrease in current density did not influence removals of total suspended matter, turbidity, salinity as well as microbial parameters. The bipolar arrangement of Al(-)/Al/Al/Al(+) electrodes, assuming a lower CD = 2.33 mA/cm2 and t = 30 min, was assessed with the Recipe 2016Midpoint (H) and USEtox v.2 LCIA methods to explore the environmental justification of using EC for wastewater treatment. The LCIA results revealed that the EC process significantly reduces water eutrophication and toxicity for freshwater and marine ecosystems, but has higher impacts in global warming, fossil fuel consumption, human toxicity, acidification, and terrestrial ecotoxicity due to high energy consumption. This can be mainly explained by the assumption in the study that the EC precipitate is dispersed to agricultural soil without any pre-treatment and material recovery, along with relatively high energy consumption during the process.

Left endoscopic combined intrarenal surgery with electrocoagulation hemostasis and right flexible ureteroscopic lithotripsy for bilateral upper urinary tract stones: a case report.

Background: Percutaneous nephrolithotomy (PCNL) is the first-line treatment for large renal stones. However, multi-tract or staged procedures may be necessitated in bilateral or anatomically-complex stones to achieve stone clearance. Endoscopic combined intrarenal surgery (ECIRS) integrates the advantages of PCNL and retrograde intrarenal surgery. In this article, we detail a hybrid surgical technique adopted for the management of complex simultaneous bilateral upper urinary tract stones. In addition, we discuss the advantages and disadvantages of combining a variety of new techniques that may improve post-operative outcomes and patient satisfaction. Case Description: We report the case of a 36-year-old male with a large left renal pelvis stone, right proximal ureteric stone, and bilateral renal stones. Biochemical results showed raised inflammatory markers but he denied pre-stenting and staged surgery. After receiving 3-day antibiotic prophylaxis, he underwent an elective hybrid procedure. Under split-leg prone position, we performed a hybrid procedure that included left ECIRS with tubeless single-tract mini PCNL and left flexible ureteroscopy, and right flexible ureteroscopic lithotripsy. Hemostasis was achieved by electrocauterization with a novel device. The patient made an uneventful recovery. Follow-up computed tomography (CT) at 1-month revealed complete stone clearance. Conclusions: Unilateral ECIRS with tubeless single-tract mini PCNL with electrocoagulation hemostasis and adjacent retrograde intrarenal surgery in split-leg prone position is a safe, feasible, and efficient technique to manage large renal stones.

Impact of haemostasis methods during ovarian cystectomy on ovarian reserve: a pairwise and network meta-analysis.

BACKGROUND: Haemostasis during ovarian cystectomy is reported to damage the ovarian reserve, but the comparative impacts of three haemostasis methods (bipolar energy, suture and haemostatic sealant) on ovarian reserve in patients with ovarian cysts are not well known. METHODS: The Cochrane Library, PubMed and Web of Science databases were searched from the date of inception of the database to June 2022 for literature exploring the impact of haemostasis methods during ovarian cystectomy on ovarian reserve. A traditional meta-analysis was performed using Review Manager software. A network meta-analysis (NMA) was performed using Stata and GemTC software. RESULTS: The direct meta-analysis comparison indicated that the mean postoperative reduction of anti-Müllerian hormone (AMH) level was significantly higher in the electrocoagulation (bipolar) group than suture and haemostatic sealant group, both in the overall group and subgroup of women with ovarian endometrioma. In NMA, the reduction of postoperative AMH levels in the electrocoagulation (bipolar) group was higher than the suture group at 6 months with a statistical significance, and at 1, 3 and 12 months without a significant difference. The difference in the postoperative decrease of AMH level did not reach statistical significance between suture and sealant, coagulation and haemostatic sealant. The comprehensive ranking results revealed that suture treatment was, with the highest probability, beneficial to the protection of the ovarian reserve. CONCLUSIONS: There was insufficient research to detect the optimal haemostasis method for ovarian reserve preservation in ovarian cystectomy. Nevertheless, haemostasis by electrocoagulation (bipolar) should be avoided when possible, and the suture might be considered as the best choice.

Haemostasis during ovarian cystectomy is reported to damage the ovarian reserve, but the comparative impacts of three haemostasis methods (bipolar energy, suture and haemostatic sealant) on ovarian reserve in patients with ovarian cysts are not well known. The level of AMH is the most widely used surrogate for ovarian reserve. Our research compared the impact of three haemostasis methods (electrocoagulation, suture and haemostatic sealant) on changes in the levels of anti-Müllerian hormone at 1, 3, 6 and 12 month(s) after the operation. The outcomes revealed that there was insufficient research to detect the optimal haemostasis method for ovarian preservation in ovarian cystectomy. Nevertheless, haemostasis by electrocoagulation (bipolar) should be avoided when possible, and the suture might be considered as the best choice.

Hemodialysis Wastewater Treatment via Electrocoagulation and Electro-Oxidation: Modular Pilot-Level Modeling and Simulation.

Hemodialysis treatment in specialized clinics within the same hospital significantly impacts environmental water health due to contaminated wastewater. The issues observed included changes in electrical conductivity, the presence of dangerous bacterial loads, toxicity from heavy metals, total cyanide content, and helminth parasite eggs. The level of damage is dependent on the patient's health under treatment. This research will use a modular system that employs electrocoagulation and electro-oxidation processes at the laboratory and pilot levels to treat hemodialysis wastewater using synthetically prepared and real samples extracted from local clinics. The results showed that these hybrid systems improved various physicochemical parameters. Specifically, decreases in electrical conductivity of 49 %, total suspended solids of 27-100 %, chemical oxygen demand of 49 %, biochemical oxygen demand of 49 %, and cation and anion loading were observed at 96-100 % and pH 8.13 UpH in accordance with the established standards. With these results and the experimental conditions used, the proposed treatment system was modeled using the GPS-X program, and it was concluded that the modular system used and the electrocoagulation/electro-oxidation/activated carbon configuration is suitable for treating wastewater from hemodialysis and that scaling up this process to facilities that have dialysate machines more advanced than those considered in this work is possible.

Nomogram for predicting electrocoagulation syndrome after endoscopic submucosal dissection of esophageal tumors.

BACKGROUND: Endoscopic submucosal dissection (ESD) was widely used for the removal of esophageal tumors, and post-endoscopic submucosal dissection electrocoagulation syndrome (PEECS) was one of the postoperative adverse events. The aim of this research was to develop and validate a model to predict electrocoagulation syndrome after endoscopic submucosal dissection of esophageal tumors. MATERIALS AND METHODS: Patients who underwent esophageal ESD in our hospital were retrospectively included. A predictive nomogram was established based on the results of multivariate logistic regression analysis, and bootstrapping resampling was used for internal validation. Besides, the clinical usefulness of the nomogram was evaluated using decision curve analysis (DCA) and clinical impact curve. RESULTS: A total of 552 patients who underwent esophageal ESD were included in the study, and the incidence of PPECS was 12.5% (69/552). Risk factors associated with PEECS (p < 0.1) were analyzed by multivariate logistic regression analysis, and the final model included four variables, namely gender, diabetes, tumor size and operation time. The predictive nomogram was constructed based on the above four variables, and the area under the ROC curve (AUC) was 0.811 (95% CI 0.767-0.855). The calibration curve of the nomogram presented good agreement between the predicted and actual probabilities. DCA showed that the model improved patient outcomes by helping to assess the risk of PEECS in patients compared to an all-or-no treatment strategy. In addition, the clinical impact curve of the model also indicates that the nomogram has a high clinical net benefit. CONCLUSION: In conclusion, we have developed a predictive nomogram for PEECS after ESD for esophageal tumors with good predictive accuracy and discrimination. This predictive nomogram can be effectively used to identify high-risk patients with PEECS, which will help clinicians in clinical decision-making and early intervention.

Electrocoagulation enhanced gravity driven membrane bioreactor for advanced treatment of rural sewage.

The daily discharge of rural sewage in China occupies 30 % of the national wastewater discharge, and developing an energy-efficient, easy to operate, and decentralized rural sewage treatment technology becomes an important task. In this work, a novel rural sewage treatment technology, Electrocoagulation enhanced Gravity-Driven Membrane Bioreactor (EC-GDMBR) was exploited for the rural sewage treatment under long-term operation (160 days). Two EC-GDMBRs with various module structures of ceramic membrane (horizontal module and side module) not only displayed the desirable effluent quality, but also sustained the stable flux (8-13 LMH). The electrocoagulation, electrooxidation, biodegradation, and separation in EC-GDMBRs were able to synergistically remove the particle matter, organic (CODCr effluent <11.6 ± 1.2 mg/L) and nutrients (NH3-N effluent <0.1 mg/L, TN effluent <8.5 mg/L, TP effluent <0.05 mg/L). Besides, the high permeability of ceramic membrane and large porosity of biofilm on its surface improved the sustainability of stable flux during the long-term operation. Moreover, by analyzing bacterial abundance, Extracellular Polymeric Substances, Adenosine Tri-Phosphate and Confocal Laser Scanning Microscopy, a large number of microorganisms grew and accumulated on the carrier, as well as formed the biofilm (23.46-659.9 µm), while Nitrobacteria (1.6-4.1 %) and Nitrate (0.01-0.06 %) exited in the carrier biofilms, promoting the nitrogen removal. Compared with EC-GDMBR with side module of ceramic membrane, EC-GDMBR with horizontal module of ceramic membrane has advantages in flux behavior, organic/nutrient removal, microbial abundance/activity, abundance of nitrogen removal functional bacteria and water permeability of biofilm, because the ceramic membrane of horizontal module can promote the uniform growth of biofilm and improve the uniformity of flow penetration distribution. In general, the findings of this work verify the reliability of EC-GDMBR for the sustainable operation of wastewater treatment and improve its application value of rural sewage treatment.

Experimental study on the aluminum aggregate property during the treatment of lightweight oil spills using electrocoagulation.

The properties of aggregates significantly affect the demulsification efficiency within the electrocoagulation reactor. This paper aims to explore aggregate properties including the particle size, strength factor (Fs), and recovery factor (Fr). The experiments were carried out using aluminum-aluminum electrodes. The experimental results indicate that breakage time did not change Fs much but was positively correlated with Fr. When the current was increased from 0.75 A to 1.0 A, Fs experienced a decrease of 12.42%, while Fr exhibited an increase of 19.38%. In comparison to pH 9.0, both Fs and Fr demonstrated an increase at pH levels of 2.0 and 10.0. The size of aggregates significantly decreases under rocking conditions simulating offshore environments, while the oil removal rate does not change much. This phenomenon can be attributed to the fact that different initial mean particle sizes have different Fs and Fr. The aggregates |Fs-Fr| were positively correlated with the initial average particle size of the electroflocculated aggregates. The present study offers a crucial theoretical foundation for the growth and regulation of aggregates formed during electrocoagulation treatment of oil spills on the sea surface.Synopsis: This paper is of great theoretical value for understanding the growth and control of EC aggregates to treat offshore light oil spills using the electrocoagulation process.

Regeneration of As(V)-loaded granular activated carbon through electrocoagulation.

As(V)-loaded granular activated carbon was regenerated through electrocoagulation assisted by elution with NaCl. Adsorption of As(V) by activated carbon was highest at pH 6, and subsequent desorption in water was highest at pH 11, followed by pH 3. Lower initial pH improved arsenic removal during electrocoagulation, NaCl concentration was insignificant, but removal increased with current density. Adding Fe(II) before electrocoagulation led to an improved removal efficiency up to a concentration of 30 mg/L. Regeneration of As(V)-loaded activated carbon increased with current density and time up to a maximum of 85%. An increase in NaCl concentration to 6000 mg/L further improved regeneration to 92%. Regeneration at a lower current density only dropped slightly from 54% to 51% when doubling activated carbon concentration, demonstrating excellent scalability. Repeated adsorption-desorption tests were performed, where 81% and 69% regeneration were obtained after four regenerations with NaCl concentrations of 6000 and 750 mg/L, respectively. NaCl concentration in the tested range did not influence electrocoagulation but improved regeneration through elution. The combination of electrocoagulation and elution facilitated a higher regeneration efficiency, meanwhile removing As(V) from the solution through adsorption on iron hydroxide. PRACTITIONER POINTS: As(V)-loaded activated carbon was regenerated by electrocoagulation with elution. Regeneration increased with regeneration time and current density up to 85%. Addition of 6000 mg/L NaCl further increased regeneration to 93%. Regeneration of 82% was achieved after four regenerations. NaCl did not affect electrocoagulation but improved regeneration through elution.