Sonoprocessing: From Concepts to Large-Scale Reactors.

Intensification of ultrasonic processes for diversified applications, including environmental remediation, extractions, food processes, and synthesis of materials, has received attention from the scientific community and industry. The mechanistic pathways involved in intensification of ultrasonic processes that include the ultrasonic generation of cavitation bubbles, radical formation upon their collapse, and the possibility of fine-tuning operating parameters for specific applications are all well documented in the literature. However, the scale-up of ultrasonic processes with large-scale sonochemical reactors for industrial applications remains a challenge. In this context, this review provides a complete overview of the current understanding of the role of operating parameters and reactor configuration on the sonochemical processes. Experimental and theoretical techniques to characterize the intensity and distribution of cavitation activity within sonoreactors are compared. Classes of laboratory and large-scale sonoreactors are reviewed, highlighting recent advances in batch and flow-through reactors. Finally, examples of large-scale sonoprocessing applications have been reviewed, discussing the major scale-up and sustainability challenges.

Self-cleaning, photocatalytic films on aluminum plates for multi-pollutant air remediation: promoting adhesion and activity by SiO2interlayers.

In recent years, nanoparticles have come under close scrutiny for their possible health and environmental issues, making them less attractive for photocatalytic applications in air or water purification. Replacing free nano-powders with active and stable films is thus a fundamental step towards developing effective photocatalytic devices. Aluminum represents a cheap and technologically-relevant substrate, but its photocatalytic applications have been hampered by adhesion issues and metal ion diffusion within the photocatalytic layer. In this work, the use of silica interlayers is investigated as a strategy to promote adhesion, efficiency and reusability of TiO2films deposited on aluminum plates. Films were prepared from stable titania sols to avoid the use of nano-powders. Aluminum substrates with different surface morphology were investigated and the role of the silica interlayer thickness was studied. Films were extensively characterized, studying their structure, morphology, optical properties, adhesion and hardness. Self-cleaning properties were studied with respect to their superhydrophilicity and ability to resist fouling via alkylsilanes. Photocatalytic degradation tests were carried out using both volatile organic compounds and NOx, also in recycle tests. The presence of the silica interlayer proved crucial to promote the film robustness and photocatalytic activity. The substrate morphology determined the optimal interlayer thickness, especially in terms of the film reusability.

Oxidative Inactivation of SARS-CoV-2 on Photoactive AgNPs@TiO2 Ceramic Tiles.

The current SARS-CoV-2 pandemic causes serious public health, social, and economic issues all over the globe. Surface transmission has been claimed as a possible SARS-CoV-2 infection route, especially in heavy contaminated environmental surfaces, including hospitals and crowded public places. Herein, we studied the deactivation of SARS-CoV-2 on photoactive AgNPs@TiO2 coated on industrial ceramic tiles under dark, UVA, and LED light irradiations. SARS-CoV-2 inactivation is effective under any light/dark conditions. The presence of AgNPs has an important key to limit the survival of SARS-CoV-2 in the dark; moreover, there is a synergistic action when TiO2 is decorated with Ag to enhance the virus photocatalytic inactivation even under LED. The radical oxidation was confirmed as the the central mechanism behind SARS-CoV-2 damage/inactivation by ESR analysis under LED light. Therefore, photoactive AgNPs@TiO2 ceramic tiles could be exploited to fight surface infections, especially during viral severe pandemics.

Indication of prophylactic vaccines as a tool for secondary prevention in HPV-linked disease.

PURPOSE: To determine whether quadrivalent HPV vaccination is effective in reducing recurrent disease in women with a previous history of HPV disease. METHODS: All women under 45 years of age treated for HPV-linked disease and with negative HPV test, cytology and colposcopy 3 months after treatment were enrolled. Women were randomly assigned into two groups: a group that received HPV vaccine post treatment and a group that was only submitted to follow-up. Follow-up was performed every 6 months for a duration of at least 3 years. Kaplan-Meier curve was used to estimate the overall disease-free survival during the follow-up period. Statistical analysis was performed by Fisher's exact test. RESULTS: From November 2013 to October 2014, we enrolled a total of 178 women at Careggi University Hospital in Florence and at Azienda USL in Massa Carrara. 12 out of 89 patients in the non-vaccination group recurred (13.5%), while 3 out of 89 patients in the vaccination group recurred (3.4%). The Kaplan-Meier curves showed a statistically difference in the log rank test (p = 0.0147) for the overall disease-free survival in the study groups during follow-up. The rate of recurrence was significantly higher in the non-vaccination group, with a p = 0.0279 by Fisher exact test. CONCLUSION: The introduction of anti-HPV vaccination during the follow-up post treatment for HPV-linked disease is recommended to reduce the risk of recurrence. The clinical implication of this could be very important to influence post-treatment management of HPV disease.

Erratum to: Long-term reliability of fractioned CO2 laser as a treatment for vulvovaginal atrophy (VVA) symptoms.

In original publication, the Fig. 1 was incorrect. The correct figure has been given below.

Long-term reliability of fractioned CO2 laser as a treatment for vulvovaginal atrophy (VVA) symptoms.

PURPOSE: The aim of this study was to evaluate long-term effects of the fractional CO2 laser for the treatment of vulvovaginal atrophy (VVA) symptoms. METHODS: Women presenting with VVA symptoms and meeting inclusion criterion were enrolled to fractioned CO2 laser therapy. Patient's satisfaction was measured on five-point Likert scale at 4 weeks and 6, 12, 18, 24 months after treatment by interview and clinical examination for vaginal livability. RESULTS: 184 patients constituted the final study group: 128 women were spontaneous menopause and 56 were oncological menopause. 117 women were nulliparous and 36 had previous hysterectomy. 95.4% (172/184) of the patients declared that they were satisfied or very satisfied with the procedure at 4 weeks after treatment. At 6 months 92% (170/184) patients were satisfied; at 12 months 72% (118/162) were satisfied; at 18 months 63% (60/94) were satisfied; at 24 months 25% (4/16) of patients answered they were still satisfied. We observed a decline in patient's satisfaction between 18 and 24 months after laser therapy. Data showed that the time interval from onset of menopause was a statistically significant factor (p < 0.05) for treatment satisfaction in oncological group. CONCLUSION: Long-term data showed that the improvement of vaginal health may continue up to 24 months after fractional CO2 laser treatment although between 18 and 24 months benefits decline, and approximately 80% of women decide to start a new treatment cycle of laser applications.

Fractional CO2 laser for vulvovaginal atrophy (VVA) dyspareunia relief in breast cancer survivors.

PURPOSE: The aim of this study was to evaluate the efficacy of fractional CO2 laser therapy in breast cancer survivors as a therapeutic method for vulvovaginal atrophy (VVA) dyspareunia. METHODS: 50 patients (mean age 53.3 years) underwent fractional microablative CO2 laser treatment for dyspareunia in oncological menopause (mean time of menopause 6.6 years). The Gloria Bachmann's Vaginal Health Index (VHI) score was chosen as system to evaluate the presence of VVA and its improvement after the treatment. Intensity of dyspareunia was evaluated using a visual analog scale (VAS). RESULTS: Data indicated a significant improvement in VVA dyspareunia (p < 1.86e-22) in breast cancer survivors who had undergone 3 sessions of vaginal fractional CO2 laser treatment. Moreover, VHI scores were significantly higher 30 days post-treatment (T4) (p < 0.0001). 76 % of patients were satisfied or very satisfied with the treatment results. The majority (52 %) of patients were satisfied after a long-term follow-up (mean time 11 months). No adverse events due to fractional CO2 laser treatment occurred. CONCLUSIONS: The treatment with fractionated CO2 laser appeared to be a feasible and effective treatment for VVA dyspareunia in breast cancer survivors with contraindications to hormonal treatments.

AuRu/AC as an effective catalyst for hydrogenation reactions.

AuRu bimetallic catalysts have been prepared by sequential deposition of Au on Ru or vice versa obtaining different nanostructures: when Ru has been deposited on Au, a Au(core)-Ru(shell) has been observed, whereas the deposition of Au on Ru leads to a bimetallic phase with Ru enrichment on the surface. In the latter case, the unexpected Ru enrichment could be attributed to the weak adhesion of Ru on the carbon support, thus allowing Ru particles to diffuse on Au particles. Both structures result very active in catalysing the liquid phase hydrogenolysis of glycerol and levulinic acid but the activity, the selectivity and the stability depend on the structure of the bimetallic nanoparticles. Ru@Au/AC core-shell structure mostly behaved as the monometallic Ru, whereas the presence of bimetallic AuRu phase in Au@Ru/AC provides a great beneficial effect on both activity and stability.

Therapy and differential diagnosis of posterior reversible encephalopathy syndrome (PRES) during pregnancy and postpartum.

PURPOSE: Posterior reversible encephalopathy syndrome (PRES) is an usually reversible neuro-radiological clinical entity characterized by headache, confusion, visual disturbances or blindness and seizures. It rarely occurs without seizures. METHODS: We conducted a literature review in MEDLINE about PRES during post partum and pregnancy, focusing on differential diagnosis and therapy. We reviewed 28 articles (case reports, original articles and reviews) describing PRES as well as a case of a severe, immediate postpartum HELLP syndrome (haemolysis, elevated liver enzyme levels, low platelet count) with PRES without generalized seizure. RESULTS: The development of PRES after delivery is unusual. Magnetic resonance imaging represents the gold standard for the diagnosis of this condition. White matter oedema in the posterior cerebral hemispheres is typical on neuroimaging. PRES is reversible when early diagnosis is established and appropriate treatment is started without delay. The pathogenesis of PRES is discussed and the importance of a prompt diagnosis is emphasized, as the crucial role of rapid blood press reduction. CONCLUSION: MRI is the diagnostic gold standard and it may be useful in the differential diagnosis. The goal of the therapy is to control elevated blood pressure and to prevent seizures or promptly manage it.

Interstitial pregnancy treated with a single-dose of systemic methotrexate: A successful management.

Interstitial pregnancy is an ectopic pregnancy at high hemorrhagic risk. It often poses a diagnostic and therapeutic challenge to the clinician, with a significant risk of morbidity and mortality. It presents a difficult management problem with no absolute standard of care; the most appropriate treatment technique for these pregnancies remains controversial. We describe a case of unruptured interstitial pregnancy successfully treated with a single-dose of systemic methotrexate with subsequent ultrasound and serum beta human chorionic gonadotropin monitoring. Medical management can be a safe and successful option in selected cases that satisfy specific criteria and in women who are able to be monitored after treatment.

HPV-related cervical disease and oropharyngeal cancer.

Human papillomavirus (HPV), especially HPV 16, is associated with the development of both cervical and oral cancer. We show the case of a woman affected by HPV-related cervical disease and oropharyngeal squamous cell carcinoma (OPSCC). A 41-year-old woman arrived at our Colposcopy Center following an abnormal Pap smear result (ASC-H) and a diagnosis of moderate cervical dysplasia obtained by a cervical biopsy. She underwent a colposcopy that showed a cervical abnormal transformation zone grade 2. A laser conization was performed in November 2010. Histology reported a moderate/severe dysplasia. The cone resection margins were free. Follow-up colposcopy and cytology were negative. The HPV testing showed an infection by HPV 16. In October 2012, the patient presented to the Head-Neck ER after episodes of hemoptysis; a lesion was found in the left tonsillar lodge. A biopsy was performed with a result of squamous cell carcinoma with low-grade differentiation. The HPV testing detected a high-risk HPV and the immunohistochemical analysis was positive for p16. She was treated by chemotherapy and brachytherapy. She was followed at the head-neck center with monthly visits with oral visual inspection that showed complete absence of mucosal abnormalities. HPV-related OPSCC and cervical precancerous/cancerous lesions have significant similarities in terms of pathogenesis. They are both caused largely by HPV 16, as in the present case. In conclusion, because of this association found in literature and in our case, we think that women with HPV cervical lesions should have regular surveillance for oropharyngeal cancer, whereas women with OPSCC should be encouraged to have diligent cervical screening.

Ultrasonic disintegration of municipal sludge: fundamental mechanisms, process intensification and industrial sono-reactors.

Sludge disintegration is an environmental and industrial challenge that requires intensive research and technological development. Sludge contains a complex structure with a high yield of various chemical and biological compounds. Anaerobic digestion is the most used process for sludge disintegration to produce biogas, detoxify the sludge, and generate biosolids that can be used in agricultural. Biological cell lysis is the rate-limiting cell lysis. This review discusses the application of sonolysis as a sludge pretreatment for enhanced anaerobic digestion via three combined processes: thermal destruction, hydrochemical shear forces, and radical oxidation. The mechanistic pathways of sono-pretreatment to enhance biogas, sludge-enhanced dewatering, activation of filamentous bacteria, oxidation of organic pollutants, release of heavy metals, reduction of bulking and foaming sludge, and boosting ammonia-oxidizing bacteria activity are discussed in this report. The combination of ultrasound with other chemical processes, such as Fenton and cation binding agents for enhanced sludge disintegration, is discussed. Finally, we reviewed the most common large-scale sono-reactors available on the market for sludge disintegration.

Ternary Polyaniline@Bi2O3-BiOCl Nanocomposites as Innovative Highly Active Photocatalysts for the Removal of the Dye under Solar Light Irradiation.

Ternary PANI@Bi2O3-BiOCl nanocomposites were successfully synthesized during the oxidative polymerization of aniline monomer in the presence of Bi2O3. PANI@Bi2O3-BiOCl nanocomposites were characterized by several analytical techniques, including X-ray diffraction (XRD), Fourier Transform Infrared spectroscopy (FTIR), N2 physisorption, UV-Vis Diffuse reflectance spectroscopy (DRS), X-ray photoelectron spectroscopy (XPS), transmission electron microscopy (TEM), and scanning electron microscopy with energy dispersive spectroscopy (SEM-EDS). The effective PANI-semiconductor interaction promotes the fast separation and transfer of photogenerated electrons and holes, enhancing the photocatalytic efficiency of the materials towards methylene blue (MB) degradation under solar light irradiation. The best results were obtained by 0.5%PANI@Bi2O3-BiOCl, leading to 80% MB degradation in 2 h, four times higher than pristine Bi2O3-BiOCl. Moreover, 0.5%PANI@Bi2O3-BiOCl maintained stable photocatalytic performances for four cycles without significant activity loss. Various scavengers (isopropyl alcohol, formic acid, and benzoquinone) were used to identify the active species by trapping holes and radicals generated during the photocatalytic degradation process. Finally, a probable photocatalytic mechanism of PANI@Bi2O3-BiOCl photocatalyst was suggested.

Efficient BiVO4-Based Photoanode with Chemically Precipitated Hierarchical Cobalt Borate (Co-Bi) Oxygen Evolution Reaction Catalysts.

The integration of cobalt borate OER catalysts with electrodeposited BiVO4-based photoanodes through a simple drop casting technique was shown to provide an improvement of the photoelectrochemical performance of electrodes under simulated solar light. Catalysts were obtained by chemical precipitation mediated by NaBH4 at room temperature. Scanning electron microscopy (SEM) investigation of precipitates showed a hierarchical structure with globular features covered in nanometric thin sheets providing a large active area, whereas X-ray diffraction (XRD) and Raman spectroscopy highlighted their amorphous structure. The photoelectrochemical behavior of samples was investigated by linear scan voltammetry (LSV) and electrochemical impedance spectroscopy (EIS) techniques. The amount of particles loaded onto BiVO4 absorbers was optimized by variation of the drop cast volume. The enhancement of photocurrent generation by Co-Bi-decorated electrodes with respect to bare BiVO4 was observed with an increase from 1.83 to 3.65 mA/cm2 at 1.23 V vs RHE under AM 1.5 simulated solar light, corresponding to a charge transfer efficiency of 84.6%. The calculated maximum applied bias photon-to-current efficiency (ABPE) value for optimized samples was 1.5% at 0.5 V applied bias. Under constant illumination at 1.23 V vs RHE, a depletion of photoanode performances was observed within an hour, likely due to the detachment of the catalyst from the electrode surface.

Highly efficient ultrasound-driven Cu-MOF/ZnWO4 heterostructure: An efficient visible-light photocatalyst with robust stability for complete degradation of tetracycline.

Metal-organic frameworks (MOFs) are a significant class of porous, crystalline materials composed of metal ions (clusters) and organic ligands. The potential use of copper MOF (Cu-BTC) for the sonophotocatalytic degradation of Tetracycline (TC) antibiotic was investigated in this study. To enhance its catalytic efficiency, S-scheme heterojunction was created by combining Cu-BTC with Zinc tungstate (ZnWO4), employing an ultrasound-assisted hydrothermal method. The results demonstrated that the Cu-BTC/ZnWO4 heterojunction exhibited complete removal of TC within 60 min under simultaneous irradiation of visible light and ultrasound. Interestingly, the sonophotocatalytic degradation of TC using the Cu-BTC/ZnWO4 heterojunction showed superior efficiency (with a synergy index of ∼0.70) compared to individual sonocatalytic and photocatalytic degradation processes using the same heterojunction. This enhancement in sonophotocatalytic activity can be attributed to the formation of an S-scheme heterojunction between Cu-BTC and ZnWO4. Within this heterojunction, electrons migrated from Cu-BTC to ZnWO4, facilitated by the interface between the two materials. Under visible light irradiation, the built-in electric field, band edge bending, and coulomb interaction synergistically inhibited the recombination of electron-hole pairs. Consequently, the accumulated electrons in Cu-BTC and holes in ZnWO4 actively participated in the redox reactions, generating free radicals that effectively attacked the TC molecules. This study offers valuable perspectives on the application of a newly developed S-scheme heterojunction photocatalyst, demonstrating its effectiveness in efficiently eliminating diverse recalcitrant pollutants via sonophotocatalytic degradation.

Efficient Day-and-Night NO2 Abatement by Polyaniline/TiO2 Nanocomposites.

Finding innovative and highly performing approaches for NOx degradation represents a key challenge to enhance the air quality of our environment. In this study, the high efficiency of PANI/TiO2 nanostructures in the NO2 abatement both in the dark and under light irradiation is demonstrated for the first time. Heterostructures were synthesized by a "green" method and their composition, structure, morphology and oxidation state were investigated by a combination of characterization techniques. The results show that the unique PANI structure promotes two mechanisms for the NO2 abatement in the dark (adsorption on the polymeric chains and chemical reduction to NO), whereas the photocatalytic behavior prevails under light irradiation, leading to the complete NOx degradation. The best-performing materials were subjected to recycling tests, thereby showing high stability without any significant activity loss. Overall, the presented material can represent an innovative and efficient night-and-day solution for NOx abatement.

Effect of nature and location of defects on bandgap narrowing in black TiO2 nanoparticles.

The increasing need for new materials capable of solar fuel generation is central in the development of a green energy economy. In this contribution, we demonstrate that black TiO(2) nanoparticles obtained through a one-step reduction/crystallization process exhibit a bandgap of only 1.85 eV, which matches well with visible light absorption. The electronic structure of black TiO(2) nanoparticles is determined by the unique crystalline and defective core/disordered shell morphology. We introduce new insights that will be useful for the design of nanostructured photocatalysts for energy applications.

CO2 laser total superficial vulvectomy: an outpatient treatment for wide multifocal vulvar intraepithelial neoplasia grade 3.

The ideal treatment of large multifocal vulvar intraepithelial neoplasia grade 3 (VIN 3) in young patients is still debated. The goal is to prevent development of invasive vulvar cancer while preserving normal vulvar anatomy and function. The authors describe the case of a 37-year-old woman affected by a biopsy-proven VIN 3 involving the entire external genitalia. A total superficial vulvectomy was carried out in 2 closer sessions by CO(2) laser used in an excisional way. Both procedures were performed in an outpatient setting with the patient under local anesthesia and without suturing stitches or skin flaps. Definitive pathologic analysis confirmed VIN 3 with free margins. No intraoperative and postoperative complications were documented. Functional and anatomic outcomes were optimal, and no relapse occurred after 12 months of follow-up. Use of CO(2) laser total superficial vulvectomy shows promise of a safe and adequate treatment in selected young patients with VIN 3 involving the entire external genitalia.

pH-Driven Selective Adsorption of Multi-Dyes Solutions by Loofah Sponge and Polyaniline-Modified Loofah Sponge.

In the last decades, sorbent materials characterized by low selectivity have been developed for the removal of pollutants (in particular dyes) from wastewater. However, following the circular economy perspective, the possibility to selectively adsorb and desorb dyes molecules today represents an unavoidable challenge deserving to be faced. Herein, we propose a sequential treatment based on the use of PANI-modified loofah (P-LS) and loofah sponge (LS) to selectively adsorb cationic (rhodamine, RHB, and methylene blue, MB) and anionic (methyl orange, MO) dyes mixed in aqueous solution by tuning the adsorption pH (100% MO removal by P-LS and 100% and 70% abatement of MB and RHB, respectively, by LS). The system maintained high sorption activity for five consecutive cycles. A simple and effective regeneration procedure for the spent adsorbents permits the recovery of the initial sorption capability of the materials (81% for MO, ca. 85% for both RHB and MB, respectively) and, at the same time, the selective release of most of the adsorbed cationic dyes (50% of the adsorbed MB and 50% of the adsorbed RHB), although the procedure failed regarding the release of the anionic component. This approach paved the way to overcome the traditional procedure based on an indiscriminate removal/degradation of pollutants, making the industrial wastewater a potential source of useful chemicals.

Generic Language for Social and Animal Kinds: An Examination of the Asymmetry Between Acceptance and Inferences.

Generics (e.g., "Ravens are black") express generalizations about categories or their members. Previous research found that generics about animals are interpreted as broadly true of members of a kind, yet also accepted based on minimal evidence. This asymmetry is important for suggesting a mechanism by which unfounded generalizations may flourish; yet, little is known whether this finding extends to generics about groups of people (heretofore, "social generics"). Accordingly, in four preregistered studies (n = 665), we tested for an inferential asymmetry for generics regarding novel groups of animals versus people. Participants were randomly assigned to either an Implied Prevalence task (given a generic, asked to estimate the prevalence of a property) or a Truth-Conditions task (given prevalence information, asked whether a generic was true or false). A generic asymmetry was found in both domains, at equivalent levels. The asymmetry also extended to properties varying in valence (dangerous and neutral). Finally, there were differences as a function of property valence in the Implied Prevalence task and a small but consistent interaction between domain and prevalence in the Truth-Conditions task. We discuss the implications of these results for the semantics of generics, theoretical accounts of the asymmetry, and the relation between generics and stereotyping.