Low-Tech Coconut Shell Activated Charcoal Production

Water treatment technologies in the developing world typically focus on removing two types of impurities from water sources: suspended solids and microbial pathogens. However, as industrialization and high-input agriculture has expanded into the developing world, chemical impurities such as pesticides, herbicides, and fertilizers have found their way into drinking water supplies and have been linked to severe health-related issues. Activated carbon has the capacity to remove these problematic chemicals from water sources. A simple, inexpensive, and effective activated carbon production process using local agricultural waste byproducts was assessed for the community of Bluefields, Nicaragua. Coconut shell charcoal was produced on site, and various chemical activation techniques were investigated. The adsorption capacity of three separate chemically activated coconut shell charcoals was analyzed, with sodium chloride—common table salt—being the most efficient and cost effective activating agent

PTF 10bzf (SN 2010ah): a broad-line Ic supernova discovered by the Palomar Transient Factory

We present the discovery and follow-up observations of a broad-line type-Ic supernova (SN), PTF 10bzf (SN 2010ah), detected by the Palomar Transient Factory (PTF) on 2010 February 23. The SN distance is \cong 218 Mpc, greater than GRB 980425 / SN 1998bw and GRB 060218 / SN 2006aj, but smaller than the other SNe firmly associated with gamma-ray bursts (GRBs). We conducted a multi-wavelength follow-up campaign with Palomar-48 inch, Palomar 60-inch, Gemini-N, Keck, Wise, Swift, the Allen Telescope Array, CARMA, WSRT, and EVLA. Here we compare the properties of PTF 10bzf with those of SN 1998bw and other broad-line SNe. The optical luminosity and spectral properties of PTF 10bzf suggest that this SN is intermediate, in kinetic energy and amount of 56Ni, between non GRB-associated SNe like 2002ap or 1997ef, and GRB-associated SNe like 1998bw. No X-ray or radio counterpart to PTF 10bzf was detected. X-ray upper-limits allow us to exclude the presence of an underlying X-ray afterglow as luminous as that of other SN-associated GRBs like GRB 030329 or GRB 031203. Early-time radio upper-limits do not show evidence for mildly-relativistic ejecta. Late-time radio upper-limits rule out the presence of an underlying off-axis GRB, with energy and wind density similar to the SN-associated GRB 030329 and GRB 031203. Finally, by performing a search for a GRB in the time window and at the position of PTF 10bzf, we find that no GRB in the IPN catalog could be associated with this SN.Comment: 34 pages, 7 figures, to appear in ApJ; revised version addresses referee's comments; P60 data added; results unchange

Recent Innovations & Daily Problems. A new prosthesis in inguinal hernia repair:preliminary results of a pilot study.

Introduction: Elective surgery for inguinal hernia is affected by very low mortality « 1 per 10000 operation); in contrast, when surgery is carried out for complicated inguinal hernia, risks of postoperative complication are higher. TAPP is a world-wide accepted surgical practice in the treatment of elective bilateral or recurrent inguinal hernia, above all in young patients. Few exploratory studies were published on laparoscopic approach in the treatment of urgent complicated inguinal hernia. Aim of this study was to analyze feasibility (operative time, conversion rate), safety (postoperative morbidity, length of hospital stay) and quality of life (acute and chronic pain, return to work) of trans-abdominal pre-peritoneal laparoscopic hernia repair in acute incarcerated inguinal hernia. Rationale of laparoscopic trans-abdominal approach is the easier hernia reduction under vision and a better exploration of the abdominal cavity. Methods: from September 2012 to September 2013, 15 consecutive patients admitted in emergency at the Division of General Surgery of University "Sapienza", Polo Pontino, for acute incarcerated inguinal hernia were submitted to TAPP using 3 trocars (1 of 10 mm and 2 of 5mm) and polyester prosthesis fixed by fibrin glue. Exclusion criteria for laparoscopic approach were age III, previous abdominal surgery, signs of strangulated hernia. All of them were evaluated for operative time, conversion rate, postoperative morbidity, organ resection or other surgery required. All patients were scored for pain by Visual Analogic Scale (VAS) during postoperative in hospital stay at 7 days, 1,6 and 12 months after surgery. Results: median follow-up was 16 months and 12 as minimum. In all cases reduction of hernia was always possible and none conversion to open surgery was recorded, median operative time was 89 minutes (55-137 as range), omental resection was carried out in one patient (6,6%), no other organ resections needed, whereas contralateral hernia was diagnosed and repaired at the same time in 4 patients (26,6%). No major complications were observed, median blood loss was 100 ml, minor morbidity was contained to 18% represented by fever and wound infection of surgical umbilical scar. Median in hospital stay was 1,5 days with 1-5 days as range. Postoperative median acute pain, measured by visual analogic scale (VAS), was 2 (range:0-4), none patient referred any pain during follow-up. Median time of return to work was 6,5 days, ranged between 3 to 15 days. Patients' compliance to treatment and to follow-up was complete as well their satisfaction. Conclusions: In centres skilled for laparoscopy in emergency, TAPP could be considered a feasible and safe technique. In well-selected patients (especially if emolled in controlled clinical trial) TAPP could represent an alternative surgical approach for complicated incarcerated inguinal hernia to conventional open surgery even in urgency. The main advantages of laparoscopic approach are the ability to perform surgical hernia reduction under vision, a better exploration and evaluation of abdominal cavity and diagnosis and treatment of eventual contralateral defect of wall, otherwise often missed. Finally, the good control of acute and chronic pain, faster return to normal activity and work, better aesthetic results contributed to total satisfaction and compliance of the patients

2013 WSES guidelines for management of intra-abdominal infections

Peer reviewe

Private Lives in Public Places: Loneliness of the Homeless

alienation, homelessness, loneliness,