Incomplete miscarriage during the first trimester: a comparison of indoor versus outdoor procedure

Introduction: Miscarriage is defined as the natural death of a fetus inside the uterus. To remove complete conception material after a miscarriage, vacuum aspiration or dilatation & curettage are methods to remove uterine contents. Controversies exist regarding both procedures. So we conducted this study to confirm the more successful method. Objective: To compare the effectiveness of manual vacuum aspiration versus traditional evacuation and curettage (E & C) among females presenting with incomplete miscarriage during the first trimester of pregnancy Materials and Methods: This randomized controlled trial was done at the Department of Obstetrics & Gynecology, Shalamar Hospital, Lahore for 6 months. Then the selected females were divided randomly into 2 equal groups. In group A, females had manual vacuum procedure while in group B, females had evacuation & curettage under general anesthesia. After 12 hours of the procedure, ultrasonography was done to confirm complete evacuation. Results: The mean age of the patients was 29.87 ± 6.71 years, the mean gestational age was 8.06 ± 2.82 weeks. The effectiveness was noted in 248 (91.85%) patients. Statistically, manual vacuum showed significantly more effective as compared to evacuation & curettage procedure in the management of incomplete miscarriage i.e. p-value = 0.008. Conclusion: It has been proved that manual vacuum aspiration is more effective than traditional evacuation & curettage in the management of incomplete miscarriage

Cellulose‐based Materials for the Removal of Heavy Metals from Wastewater – An Overview

Water pollution due to increase in population and high rates of wastewater generation have become serious concerns since the last few decades. Heavy metals are amongst the main wastewater pollutants due to their ability to persist in the environment. Materials and techniques are being investigated for the treatment of heavy metals in wastewater. Cellulose is one of the materials gaining attention due to its excellent physical, chemical, and mechanical properties. Cellulose-based materials are being widely studied for the adsorption of heavy metals. This overview highlights research efforts to enhance the role of cellulose in wastewater treatment through cellulose-based materials. It also discusses the effects of cellulose modifications such as cellulose gels, cellulose composites, cellulose derivatives, functionalized cellulose, and nanocrystalline cellulose on the capacity of heavy metals adsorption

Fabrication and Evaluation of Cellulose-Alginate-Hydroxyapatite Beads for the Removal of Heavy Metal Ions from Aqueous Solutions

©2018 Walter de Gruyter GmbH, Berlin/Boston. In the present study, the potential of synthesized mixed cellulose, alginate and hydroxyapatite beads for the efficient removal of Ni (II) and Cu (II) ions from aqueous solutions was investigated. Cellulose, alginate and hydroxyapatite are known for their individual adsorption capacity. Beads were prepared in different ratios of these materials. The prepared beads were characterized by Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), scanning electron microscope (SEM) and thermogravimetric analysis (TGA). FTIR and XRD analysis showed characteristic peaks assigned to cellulose, alginate and hydroxyapatite. Thermal stability was observed to increase with increase of hydroxyapatite percentage in beads. SEM images showed increased surface porosity and roughness with the increase of cellulose percentage. The prepared beads were used for the removal of Ni (II) and Cu (II) ions from aqueous solutions and the process was optimized with respect to pH, contact time, adsorbent dose and initial concentration of metal ions. The values of the coefficient of determination (R2) of the Langmuir and Freundlich adsorption model indicated that the adsorbed Cu (II) and Ni (II) ions form monolayer coverage on the adsorbent surface. In kinetic analysis, Pseudo-second-order model fitted the kinetic experimental data well, as it showed high R2 value; above 0.9990

Lignin and lignin based materials for the removal of heavy metals from waste water - An overview

© 2019 Walter de Gruyter GmbH. Water Pollution through heavy metals is the concerned issue as many industries like tanning, steel production and electroplating are the major contributors. Various toxic Heavy metals are a matter of concern as they have severe environmental and health effects. Most commonly, conventional methods are using to remove these heavy metals like precipitation, ion exchange, which are not economical and have disposal issues. Adsorption of heavy metals by different low-cost adsorbents seems to be the best option in wastewater treatment. Many agricultural by-products proved to be suitable as low-cost adsorbents for removing heavy metals efficiently in a minimum time. Lignin residues that involves both agricultural and wood residues and sometimes separated out from black liquor through precipitation have adsorption capacity and affinity comparable to other natural adsorbents. However, lignin as bio adsorbents have the advantage of less cost and gives efficient adsorption results. This study is a review of the recent literature on the use of natural lignin residues for heavy metals adsorption under different experimental scenarios