Sustainable green nanoadsorbents for remediation of pharmaceuticals from water and wastewater: A critical review

In the last three decades, pharmaceutical research has increased tremendously to offer safe and healthy life. However, the high consumption of these harmful drugs has risen devastating impact on ecosystems. Therefore, it is worldwide paramount concern to effectively clean pharmaceuticals contaminated water streams to ensure safer environment and healthier life. Nanotechnology enables to produce new, high-technical material, such as membranes, adsorbent, nano-catalysts, functional surfaces, coverages and reagents for more effective water and wastewater cleanup processes. Nevertheless, nano-sorbent materials are regarded the most appropriate treatment technology for water and wastewater because of their facile application and a large number of adsorbents. Several conventional techniques have been operational for domestic wastewater treatment but are inefficient for pharmaceuticals removal. Alternatively, adsorption techniques have played a pivotal role in water and wastewater treatment for a long, but their rise in attraction is proportional with the continuous emergence of new micropollutants in the aquatic environment and new discoveries of sustainable and low-cost adsorbents. Recently, advancements in adsorption technique for wastewater treatment through nanoadsorbents has greatly increased due to its low production cost, sustainability, better physicochemical properties and high removal performance for pharmaceuticals. Herein, this review critically evaluates the performance of sustainable green nanoadsorbent for the remediation of pharmaceutical pollutants from water. The influential sorption parameters and interaction mechanism are also discussed. Moreover, the future prospects of nanoadsorbents for the remediation of pharmaceuticals are also presented

Examine the Perceived Risk of Falls Among Patients Receiving Acute Care

Purpose: In an effort to lower the number of falls that occur among hospitalized patients, several facilities have begun introducing various fall prevention programs. However, the efficacy of fall prevention programs is diminished if patients do not consider themselves to be at risk for falls and do not follow recommended procedures. The goal of this study was to characterize how patients in four different acute care specialist services felt about their risk of falling while in the hospital. Methods: One hundred patients admitted to the study hospital with a Morse Fall Scale score of 45 or higher were given the Patient Perception Questionnaire, a tool designed to assess a patient's perception of their own fall risk, fear of falling, and motivation to take part in fall prevention efforts. Scores on the Morse Fall Scale were gathered through a historical assessment of medical records. Descriptive statistics, Pearson's correlation coefficients, and independent sample t tests were used to examine the data. Results: The average age was 65, and around half (52%) were men and half (48%) were women. Based on their ratings on the Morse Fall Scale, all 100 participants were classified as being at high risk for falls. However, only 55.5% of the individuals agreed with this assessment. The likelihood that a patient would seek assistance and the degree to which they feared falling both declined as their faith in their mobility improved. Patients hospitalized after a fall exhibited considerably lower confidence scores and greater fear scores than patients who had not been injured in a fall. Conclusions: Patients who have a high fall risk assessment score may not believe they are at risk for falls and may not take any steps to reduce their risk. The prevalence of falls in hospitals might be mitigated by the creation of a fall risk assessment technique that takes into account both objective and subjective factors

Heat Stroke in Emergency Department: Diagnosis and Management

Background: Heat stroke is a severe health concern with the potential for multi-organ failure, necessitating rapid and effective management. With rising global temperatures, there is increasing concern regarding the vulnerability of populations in high-heat areas, notably in Saudi Arabia, especially during the annual Hajj pilgrimage. Objective: This paper aims to review the epidemiology, evaluation and management techniques of heat stroke, emphasizing the situation during Hajj pilgrimages in Saudi Arabia, and to outline the best practices for emergency management. Methodology: A comprehensive review of literature and studies related to heat stroke, both globally and specific to Saudi Arabia, was undertaken. An in-depth analysis of emergency management, including initial assessment, cooling methods, organ support, medication, and prevention strategies, was conducted. Results: Heat stroke remains a significant cause of emergency department visits, with specific groups, such as men and the elderly, being more susceptible. During the Hajj in 2016, 267 patients were diagnosed with heat-related illnesses, with heatstroke accounting for 29% of these cases. With the threat of global warming, studies indicate a potential tenfold increase in heat stroke risk with a 2°C rise in temperatures. Swift and comprehensive cooling is pivotal for recovery. Management emphasizes rapid recognition, assessment, and varied cooling methods, along with targeted treatments for organ dysfunctions. Prevention strategies play a vital role, given the higher efficacy and practicality over treating organ dysfunctions. Conclusion: Heat stroke is a pressing health challenge, particularly in high-risk environments like Saudi Arabia during the Hajj pilgrimage. While effective emergency management protocols exist, an emphasis on prevention is crucial. It is imperative to incorporate a comprehensive approach to address both the immediate threat and long-term risks of heat stroke, especially with the looming challenge of global warming

Hydrothermal-Assisted Synthesis of Copper Nanoparticles-Decorated Titania Nanofibers for Methylene Blue Photodegradation and Catalyst for Sodium Borohydride Dehydrogenation

Simple and inexpensive electrospinning and hydrothermal techniques were used to synthesize titania nanofibers (TiO2 NFs) (composite NFs) decorated with copper nanoparticle (Cu NPs). The fabricated composite NFs have been tested as a photocatalytic material to degrade methylene blue (MB) as a model dye under visible light. The introduced composite NFs have shown good photocatalytic activity compared with pristine TiO2 NFs; 100% and 50% of dye were degraded in 120 min for composite NFs and pristine TiO2 NFs, respectively. Furthermore, composite NFs demonstrated good stability for four cycles. In addition, the fabricated Cu-TiO2 NFs have shown good photocatalytic activity for the production of H2 from sodium borohydride

Effects of Surfactants on the Morphology and Properties of Electrospun Polyetherimide Fibers

Electrospun fibers often have beads as byproducts. Bead formation can be substantially minimized by the introduction of additives, such as ionic salts or surfactants, to the electrospinning polymeric solution. Polyetherimide (PEI) fibers were fabricated using electrospinning. Four different additives, Lithium Chloride (LiCl), Sodium Chloride (NaCl), Triton X-100 and Hexadecyltrimethylammonium Bromide (HTAB) were utilized to alter the polymer solution electrical conductivity and surface tensions. The effects of solution conductivity and surface tension on the electrospinning and the thermal, mechanical stability of the polymeric fibers were investigated. Morphology, thermal properties, permeability and mechanical strength of the fiber mats were investigated using Scanning Electron Microscopy (SEM), Thermogravimetric Analysis (TGA), Frazier Permeability Test, and Tensile tester respectively. The addition of 1.5wt.% HTAB was found to be the optimum concentration to produce PEI fibers without beads. The addition of HTAB produced fiber mats with higher air permeability, higher thermal stability and higher mechanical strength in comparison to the other additives. Finally, a filtration test was conducted on a simple custom model to compare the performance of beaded and non-beaded PEI fiber mats. The non-beaded PEI fiber mat performed better in terms of both separation efficiency (%E) and differential pressure drop (ΔP) separating water droplets from diesel fuel

Synthesis of Copper/Sulfur Co-Doped TiO₂-Carbon Nanofibers as Catalysts for H₂ Production via NaBH₄ Hydrolysis

Copper/sulfur co-doped titanium dioxide-carbon nanofibers (Cu,S-codoped TiO2 NPs, decorated-CNFs) catalysts were synthesized using the electrospinning process to produce composite nanofibers (NFs). These composite NFs were utilized for the hydrolysis of sodium borohydride (SBH) to generate hydrogen gas (H2), taking advantage of their catalytic properties. The experimental results demonstrated that using 100 mg of composite NFs yielded the highest catalytic activity for H2 production, generating 79 mL of H2 gas within 6 min at 25 °C and 1000 revolutions per minute (rpm) using 1 mmol of SBH. As the catalyst dosage was reduced from 100 mg to 75, 50, and 25 mg, the reaction time increased by 9, 13, and 18 min, respectively. Kinetic studies revealed that the reaction rate followed a first-order reaction, indicating a direct proportionality between the rate of reaction and the catalyst amount. Additionally, it was observed that the concentration of SBH had no influence on the reaction rate, suggesting a zero-order reaction. Increasing the reaction temperature resulted in a reduced reaction time. The activation energy was determined to be 26.16 kJ mol−1. The composite NFs maintained their superior performance over five iterations. These findings suggest that composite nanofibers have the potential to serve as a cost-effective alternative to expensive catalysts in hydrogen production

Electrochemical Oxidation of Urea on NiCu Alloy Nanoparticles Decorated Carbon Nanofibers

Bimetallic Cu3.8Ni alloy nanoparticles (NPs)-anchored carbon nanofibers (composite NFs) were synthesized using a simple electrospinning machine. XRD, SEM, TEM, and TGA were employed to examine the physiochemical characteristics of these composite NFs. The characterization techniques proved that Cu3.8Ni alloy NPs-anchored carbon NFs were successfully fabricated. Urea oxidation (UO) processes as a source of hydrogen and electrical energy were investigated using the fabricated composite NFs. The corresponding onset potential of UO and the oxidation current density (OCD) were measured via cyclic voltammetry as 380 mV versus Ag/AgCl electrode and 98 mA/cm2, respectively. Kinetic study indicated that the electrochemical oxidation of urea followed the diffusion controlled process and the reaction order is 0.5 with respect to urea concentration. The diffusion coefficient of urea using the introduced electrocatalyst was found to be 6.04 × 10−3 cm2/s. Additionally, the composite NFs showed steady state stability for 900 s using chronoamperometry test

CuNi Alloy NPs Anchored on Electrospun PVDF-HFP NFs Catalyst for H2 Production from Sodium Borohydride

Non-noble CuxNi1−x (x = 0, 0.1, 0,2, 0.3, 0.4, 0.5, 0.6, 0.7, 0.8, 0.9, 1) alloy nanoparticles supported on poly(vinylidene fluoride-co-hexafluoropropene) (PVDF-HFP) nanofibers (NFs) are successfully fabricated. The fabrication process is executed through an electrospinning technique and in situ reduction in Cu2+ and Ni2+ salts. The as-synthesized catalysts are characterized using standard physiochemical techniques. They demonstrate the formation of bimetallic NiCu alloy supported on PVDF-HFP. The introduced bimetals show better catalytic activity for sodium borohydride (SBH) hydrolysis to produce H2, as compared to monometallic counterparts. The Cu0.7 Ni0.3/PVDF-HFP catalyst possesses the best catalytic performance in SBH hydrolysis as compared to the others bimetallic formulations. The kinetics studies indicate that the reaction is zero order and first order with respect to SBH concentration and catalyst amount, respectively. Furthermore, low activation energy (Ea = 27.81 kJ/mol) for the hydrolysis process of SBH solution is obtained. The excellent catalytic activity is regarded as the synergistic effects between Ni and Cu resulting from geometric effects over electronic effects and uniform distribution of bimetallic NPs. Furthermore, the catalyst displays a satisfying stability for five cycles for SBH hydrolysis. The activity has retained 93% from the initial activity. The introduced catalyst has broad prospects for commercial applications because of easy fabrication and lability

IDENTIFICATION OF THE VENTRICULAR PUMP PARAMETERS DURING THE EJECTION PHASE OF THE CARDIAC CYCLE.

Cardiac function and measures of cardiac quality have been investigated in a number of ways. The conventional approach is to represent the cardiac pump in terms of one or more physical parameters either as constants or, more recently, in terms of their time variation. Cardiac parameters representing all energy components (inertance, resistance, compliance), however, have thus far not been reported. In this project we estimate all time varying parameters in an unbiased manner; the end diastolic volume is also estimated. Nonlinear and linear estimation methods are used to identify the unknowns. The problem is analyzed for the ejection phase using pressure and flow measured at the root of the aorta or main pulmonary trunk. Sensitivity of the identified parameters to chronotropic and inotropic changes are studied using nonparametric statistical methods. The Resistance parameter emerges as the parameter that best reflects alterations of inotropic state. An equivalent area (related to inertia) is correlated with the cross section of the ventricular outflow tract. The Inertial parameter is shown to contribute significantly to the pressure development. Thus it can not be ignored in a detailed study of the dynamics of the ventricles during ejection. Compliance, represented as the major source of energy during contraction, is related to ATP concentration changes. The results of this study do not fully support all previous related findings and it is likely that resolution of differences will require considerable effort