Adsorption of Organic Pollutants onto Natural Adsorbents

In this research, the adsorptive capacities of kenaf, peat moss, hay, and peanut hulls were evaluated for the removal of TNT and 2,4-DCP from aqueous solutions. Adsorbent loading capacities determined by batch studies were verified by continuous column experiments. It was found that the adsorption capacity of the candidate adsorbents were significantly lower than granular activated carbon (GAC). The impact of surface modification techniques, such as surface oxidation, were evaluated to study the effect on adsorption capacity. At lower equilibrium concentrations of the adsorbate (less than 10 ppb), surface oxidation by ozone showed an increase in the adsorption capacity. The same trend was not observed with peroxone and ultrasound pretreatment. The adsorbent requirement for treating water contaminated with TNT and 2,4-DCP were calculated based on the adsorptive capacity of the adsorbents. Though the adsorbent requirements for the candidate adsorbents were considerably higher than granular activated carbon, the adsorbent requirement costs for most of the candidate adsorbents tested were competitive when compared to GAC costs

Energy Efficient Strategies and Renewable Energy Technologies for Desalination

ABSTRACT Energy is often the most significant factor in the affordability and sustainability of treating various different source waters with reverse osmosis membrane facilities. More than 33% of the cost to produce water using reverse osmosis (RO) technology is attributed to electrical demands. The largest energy-consuming component of the overall treatment are the high pressure pumps required to feed water to the process. Because of the high energy burden and production of greenhouse gas (GHG) emissions, renewable energy is being increasingly considered for desalination projects. The selection of the appropriate renewable energy resource depends on several factors, including plant size, feed water salinity, remoteness, availability of grid electricity, technical infrastructure, and the type and potential of the local renewable energy resource. The cost of desalination with renewable energy resources, as opposed to desalination with conventional energy sources, can be an important alternative to consider when reduced environmental impact and lower gas emissions are required. Considering the proposed climate protection targets that have been set and the strong environmental drivers for lowered energy usage, future water desalination and advanced water treatment systems around the world could be increasingly powered by renewable energy resources. In addition to renewables, energy optimization/minimization is deemed critical to desalting resource management. Methods employed include enhanced system design, high efficiency pumping, energy recovery devices and use of advanced membrane materials

BLOOM: A 176B-Parameter Open-Access Multilingual Language Model

Large language models (LLMs) have been shown to be able to perform new tasks based on a few demonstrations or natural language instructions. While these capabilities have led to widespread adoption, most LLMs are developed by resource-rich organizations and are frequently kept from the public. As a step towards democratizing this powerful technology, we present BLOOM, a 176B-parameter open-access language model designed and built thanks to a collaboration of hundreds of researchers. BLOOM is a decoder-only Transformer language model that was trained on the ROOTS corpus, a dataset comprising hundreds of sources in 46 natural and 13 programming languages (59 in total). We find that BLOOM achieves competitive performance on a wide variety of benchmarks, with stronger results after undergoing multitask prompted finetuning. To facilitate future research and applications using LLMs, we publicly release our models and code under the Responsible AI License

Economic evaluation of shortened, bedaquiline-containing treatment regimens for rifampicin-resistant tuberculosis (STREAM stage 2) : a within-trial analysis of a randomised controlled trial

Background: The STREAM stage 2 trial assessed two bedaquiline-containing regimens for rifampicin-resistant tuberculosis: a 9-month all-oral regimen and a 6-month regimen containing an injectable drug for the first 2 months. We did a within-trial economic evaluation of these regimens. Methods: STREAM stage 2 was an international, phase 3, non-inferiority randomised trial in which participants with rifampicin-resistant tuberculosis were randomly assigned (1:2:2:2) to the 2011 WHO regimen (terminated early), a 9-month injectable-containing regimen (control regimen), a 9-month all-oral regimen with bedaquiline (oral regimen), or a 6-month regimen with bedaquiline and an injectable for the first 2 months (6-month regimen). We prospectively collected direct and indirect costs and health-related quality of life data from trial participants until week 76 of follow-up. Cost-effectiveness of the oral and 6-month regimens versus control was estimated in four countries (oral regimen) and two countries (6-month regimen), using health-related quality of life for cost-utility analysis and trial efficacy for cost-effectiveness analysis. This trial is registered with ISRCTN, ISRCTN18148631. Findings: 300 participants were included in the economic analyses (Ethiopia, 61; India, 142; Moldova, 51; Uganda, 46). In the cost-utility analysis, the oral regimen was not cost-effective in Ethiopia, India, Moldova, and Uganda from either a provider or societal perspective. In Moldova, the oral regimen was dominant from a societal perspective. In the cost-effectiveness analysis, the oral regimen was likely to be cost-effective from a provider perspective at willingness-to-pay thresholds per additional favourable outcome of more than US$4500 in Ethiopia,$1900 in India, $3950 in Moldova, and$7900 in Uganda, and from a societal perspective at thresholds of more than $15 900 in Ethiopia,$3150 in India, and $4350 in Uganda, while in Moldova the oral regimen was dominant. In Ethiopia and India, the 6-month regimen would cost tuberculosis programmes and participants less than the control regimen and was highly likely to be cost-effective in both cost-utility analysis and cost-effectiveness analysis. Reducing the bedaquiline price from$1·81 to $1·00 per tablet made the oral regimen cost-effective in the provider-perspective cost-utility analysis in India and Moldova and dominate over the control regimen in the provider-perspective cost-effectiveness analysis in India. Interpretation: At current costs, the oral bedaquiline-containing regimen for rifampicin-resistant tuberculosis is unlikely to be cost-effective in many low-income and middle-income countries. The 6-month regimen represents a cost-effective alternative if injectable use for 2 months is acceptable. Funding: USAID and Janssen Research & Development

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Sexuality in Older People

Sexuality in older people is affected by various factors including, sexual physiology in old age, physical illness, medication and mental illness; therefore, a thorough sexual history should form part of a comprehensive psychiatric assessment. Also, several sexual problems arise in people suffering from dementia, which range from decreased sexual activity to inappropriate sexual behaviours. Management of inappropriate sexual behaviours include psychological and pharmacological interventions

Curcumin: the spicy modulator of breast carcinogenesis

Abstract Worldwide breast cancer is the most common cancer in women. For many years clinicians and the researchers are examining and exploring various therapeutic modalities for breast cancer. Yet the disease has remained unconquered and the quest for cure is still going on. Present-day strategy of breast cancer therapy and prevention is either combination of a number of drugs or a drug that modulates multiple targets. In this regard natural products are now becoming significant options. Curcumin exemplifies a promising natural anticancer agent for this purpose. This review primarily underscores the modulatory effect of curcumin on the cancer hallmarks. The focus is its anticancer effect in the complex pathways of breast carcinogenesis. Curcumin modulates breast carcinogenesis through its effect on cell cycle and proliferation, apoptosis, senescence, cancer spread and angiogenesis. Largely the NFkB, PI3K/Akt/mTOR, MAPK and JAK/STAT are the key signaling pathways involved. The review also highlights the curcumin mediated modulation of tumor microenvironment, cancer immunity, breast cancer stem cells and cancer related miRNAs. Using curcumin as a therapeutic and preventive agent in breast cancer is perplexed by its diverse biological activity, much of which remains inexplicable. The information reviewed here should point toward potential scope of future curcumin research in breast cancer

Blockchain-Based Physically Secure and Privacy-Aware Anonymous Authentication Scheme for Fog-Based Vanets

Vehicular Ad-hoc Networks (VANETs) have a lot of potential for improving traffic management and driver safety. However, employing a wireless channel for vehicle communication has security and privacy concerns such as authentication, confidentiality, integrity, access control, and availability. Hence, it is indispensable to address the security and privacy aspects of the vehicles utilized in these contexts. In this study, a blockchain-based physically secure, and privacy-aware anonymous authentication technique leveraging the fog computing architecture. The proposed method can efficiently solve security and privacy problems using its attributes of support to movement, reduced latency, and location monitoring. In addition, the decentralized nature of blockchain technology is used to ensure the data security of vehicles. The vehicle is not required to store the secret keys to do anonymous authentication and provides physical security for the vehicle. The implied scheme provides essential security features with less storage, computational and communication costs than related competitive schemes