EPIdemiology of Surgery-Associated Acute Kidney Injury (EPIS-AKI) : Study protocol for a multicentre, observational trial

More than 300 million surgical procedures are performed each year. Acute kidney injury (AKI) is a common complication after major surgery and is associated with adverse short-term and long-term outcomes. However, there is a large variation in the incidence of reported AKI rates. The establishment of an accurate epidemiology of surgery-associated AKI is important for healthcare policy, quality initiatives, clinical trials, as well as for improving guidelines. The objective of the Epidemiology of Surgery-associated Acute Kidney Injury (EPIS-AKI) trial is to prospectively evaluate the epidemiology of AKI after major surgery using the latest Kidney Disease: Improving Global Outcomes (KDIGO) consensus definition of AKI. EPIS-AKI is an international prospective, observational, multicentre cohort study including 10 000 patients undergoing major surgery who are subsequently admitted to the ICU or a similar high dependency unit. The primary endpoint is the incidence of AKI within 72 hours after surgery according to the KDIGO criteria. Secondary endpoints include use of renal replacement therapy (RRT), mortality during ICU and hospital stay, length of ICU and hospital stay and major adverse kidney events (combined endpoint consisting of persistent renal dysfunction, RRT and mortality) at day 90. Further, we will evaluate preoperative and intraoperative risk factors affecting the incidence of postoperative AKI. In an add-on analysis, we will assess urinary biomarkers for early detection of AKI. EPIS-AKI has been approved by the leading Ethics Committee of the Medical Council North Rhine-Westphalia, of the Westphalian Wilhelms-University Münster and the corresponding Ethics Committee at each participating site. Results will be disseminated widely and published in peer-reviewed journals, presented at conferences and used to design further AKI-related trials. Trial registration number NCT04165369

Aqueous metal recovery techniques from e-scrap: Hydrometallurgy in recycling

Waste of electric-electronic equipment (WEEE) with an annual growth rate of about 3-5% is the fastest growing waste stream in municipal wastes. Notwithstanding their environmental pollution potential, waste of electrical and electronic equipment (WEEE) with their high content of base and precious metals, in particular, are regarded as a potential secondary resource when compared with ores. For the recovery of metals from WEEE, various treatment options based on conventional physical, hydrometallurgical and pyrometallurgical processes are available. These process options with particular reference to hydrometallurgical processes were reviewed in this study. With their relatively low capital cost, reduced environmental impact (e.g. no hazardous gases/dusts), potential for high metal recoveries and suitability for small scale applications, hydrometallurgical processes are promising options for the treatment of WEEE. Since the metals are present in native form and/or as alloys, an oxidative leaching process is required for the effective extraction of base and precious metals of interest. A two-stage process based on oxidative acid leaching of base metals (Cu in particular) followed by leaching of precious metals using cyanide, thiosulfate, thiourea or halide as lixiviant(s) can be suitably developed for the hydrometallurgical treatment of WEEE. However, further research is required to develop new, cost effective and environmentally friendly processes and/or refine existing ones for leaching and, in particular, downstream processes. © 2011 Elsevier Ltd. All rights reserved

Thyrotoxic hypokalemic periodic paralysis in a Caucasian population: Not too much, not too low - Three new case reports and meta-analysis of 38 Turkish cases

WOS: 000251617800183

Biotechnological strategies for the recovery of valuable and critical raw materials from waste electrical and electronic equipment (WEEE) – A review

Critical raw materials (CRMs) are essential in the development of novel high-tech applications. They are essential in sustainable materials and green technologies, including renewable energy, emissionfree electric vehicles and energy-efficient lighting. However, the sustainable supply of CRMs is a major concern. Recycling end-of-life devices is an integral element of the CRMs supply policy of many countries. Waste electrical and electronic equipment (WEEE) is an important secondary source of CRMs. Currently, pyrometallurgical processes are used to recycle metals from WEEE. These processes are deemed imperfect, energy-intensive and non-selective towards CRMs. Biotechnologies are a promising alternative to the current industrial best available technologies (BAT). In this review, we present the current frontiers in CRMs recovery from WEEE using biotechnology, the biochemical fundamentals of these bio-based technologies and discuss recent research and development (R&D) activities. These technologies encompass biologically induced leaching (bioleaching) from various matrices,biomass-induced sorption (biosorption), and bioelectrochemical systems (BES)

Recent advances on hydrometallurgical recovery of critical and precious elements from end of life electronic wastes - a review

Waste electrical and electronic equipment (WEEE) contains economically significant levels of precious, critical metals and rare earth elements, apart from base metals and other toxic compounds. Recycling and recovery of critical elements from WEEEs using a cost-effective technology are now one of the top priorities in metallurgy due to the rapid depletion of their natural resources. More than 150 publications on WEEE management, leaching and recovery of metals from WEEE were reviewed in this work, with special emphasize on the recent research (2015–2018). This paper summarizes the recent progress regarding various hydrometallurgical processes for the leaching of critical elements from WEEEs. Various methodologies and techniques for critical elements selective recovery (using ionic liquids, solvent extraction, electrowinning, adsorption, and precipitation) from the WEEEs leachates are discussed. Future prospects regarding the use of WEEEs as secondary resources for critical raw materials and its techno-economical and commercial beneficiaries are discussed