Electrochemical Filtration Technology for the Removal and Degradation of Ibuprofen and Bisphenol A from Aqueous Solutions

ABSTRACT Electrochemical filtration technology for the removal and degradation of ibuprofen and bisphenol A from aqueous solutions Ahmed R. Bakr, PhD Concordia University, 2017 Electrochemical filtration is a promising technology that aims for the efficient removal of persistent contaminants that cannot be effectively eliminated through conventional treatment methods. Multiwalled carbon nanotubes (MWNTs) and carbon substrates can be employed as filtration media to which a DC potential can be applied for further electrochemical treatment. Ibuprofen and Bisphenol A, two emerging contaminants of concern, have been reported to exist in natural waters, influent, secondary treated effluent of wastewater, and in primary and secondary wastewater sludge. In this study, dead-end electrochemical filtration was investigated as a removal method for these contaminants. This technique has shown promise in the elimination of both of these compounds and the reduction of their overall toxicity. Carboxylated multiwalled carbon nanotubes (MWNTs-COOH) were used with the aim of increasing the filtration efficiency for the removal of carboxylated ibuprofen under different pH and electrolytic conditions. It was found that the presence of oxy-functional groups can increase the functional surface area of MWNTs and increase the filtration capacity in low voltage applications. In high voltage applications, it was found that electrochemical filtration is controlled by bulk electroactive species. Boron doped multiwalled carbon nanotubes (BMWNTs) were also studied, with the goal of improving electrical conductivity during bisphenol A electrochemical filtration experiments. It was found that despite previous reports describing the higher oxidative power of doped carbon nanotubes, with the highest reported for BMWNTs, pristine MWNTs and BMWNTs showed similar outcomes in eliminating bisphenol A. The removal of ibuprofen and bisphenol A was also investigated by using crossflow electrochemical filtration. The crossflow configuration shows great potential in eliminating these two contaminants in both individual component and mixed solutions from pure and fouling electrolytes. This outcome can mainly be attributed to the crossflow mechanism and can be assigned to the horizontal shear flow, which likely leads to a consistent surface coverage. The long residence time within the membrane likely leads to a significant reduction in toxicity under applied voltage. Our results suggest that the electrochemical filtration technology has a potential for use as a polishing step for removal of emerging contaminants from different water sources

Crossflow electrochemical filtration for elimination of ibuprofen and bisphenol a from pure and competing electrolytic solution conditions

For the first time, a crossflow electrochemical filtration system containing multiwalled carbon nanotubes (MWNTs) blended with buckypaper as a flat sheet dual membrane electrode was investigated for the removal of two contaminants of emerging concern, Ibuprofen and Bisphenol A. Breakthrough experiments revealed that a crossflow configuration could be highly efficient in eliminating both contaminants at applied DC potentials of 2 and 3 V over an extended period, from pure salt electrolyte as well as from synthetic secondary wastewater effluent. The shear flow provided consistent surface coverage resulting in excellent sorption performance. The long residence time of the two contaminants within the membrane (18.3 s) was sufficient enough to allow for almost complete degradation of phenolic aromatic products and quinoid rings and the resulting formation of aliphatic carboxylic acids, which was more evident at a higher applied potential (3 V). The formation of the non-toxic aliphatic carboxylic acids is a clear indication of the superior electrochemical performance of the crossflow mode over the dead-end flow-through system. Moreover, this study provides an in-depth understanding of different factors such as filter surface area and residence time that can greatly affect the removal of the contaminants considered

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially