Optimizing the removal of methylene blue from aqueous solutions using persulfate activated with nanoscale zero valent iron (nZVI) supported by reduced expanded graphene oxide(rEGO)

Background: To remove methylene blue (MB) from aqueous solutions, nanoscale zero-valent iron (nZVI) predicated on reduced expanded graphene oxide (rEGO) was used as the activator of persulfate. Methods: Scanning electron microscope (SEM) and energy dispersive spectroscopy (EDS) analyses were used to investigate the surface morphology and to examine the surface elemental composition. X-ray diffraction (XRD) was used to determine the chemical compositions of the synthesized compound. In this study, the effects of pH (3-9), activator dose (0.4-1.6 g L-1), persulfate concentration (0.192-0.768 g L-1), and reaction time (0-60 minutes) on the removal of 10 mg L-1 MB were studied by nZVI -reduced expanded graphene oxide/persulfate (nZVI@rEGO/PS) process. Results: The maximum removal efficiencies of MB at optimum operational conditions (pH 3, activator dose = 1.2 g L-1, persulfate concentration = 0.576 g L-1, and reaction time = 20 minutes) by nZVI@rEGO/PS process was 96%. The chemical method was used to prepare expanded graphene. The volume of natural flake graphite increased about 25 times after the process. SEM image of the nZVI@rEGO showed the presence of nZVI placed on the EGO surface in chain structure with a diameter about 100 nm. The EDS analysis of the activator indicated the existence of Fe element to an amount greater than 50%. Conclusion: According to the results, nZVI@rEGO is considered as a promising activator of persulfate. Keywords: Persulfate, Methylene blue, Graphite, Graphene oxide, Kinetic

Study a possibility of saffron (Crocus sativus L.) production in vertical culture

In recent years many research studies have been carried out to use a vertical planting system for production of some plants. Although saffron is one of the most expensive spices in the word, there is no investigation about saffron production in a vertical planting system. Therefore, the growth and production of saffron plant in two different systems (vertical and horizontal) were studied in the agricultural research field of the Tarbiat Modares University during the 2013-2014 growing seasons. In the vertical system, saffron corms were planted in fabric bags containing potting soil. The fabric bags were hanged on a cube of metal with an area of each side of the cube being equal to 2.25 square meters. In the horizontal system, the corms were planted in three plots with the area of each plots being 2.25 square meters. The results showed that in the vertical planting system, the number of flowers, flower dry weight and dry weight of stigma per unit area of land (10 flower, 347.34 and 0.56 mg respectively) were significantly higher than those obtained in the horizontal culture (They were almost three times higher) .In contrast, the numbers and dry weight of lateral corms (2.4 corm and 0.36 g respectively) and the dry weight of apical corm (0.88 g) in the horizontal system were significantly greater than those obtained in the vertical system. Dry weight of leaf and root were significantly greater in the vertical system. The total number of buds and leaves were more in the horizontal culture. However, the maximum leaf length of the vertical planting system was higher than those of the horizontal system

Variations in management of A3 and A4 cervical spine fractures as designated by the AO Spine Subaxial Injury Classification System

© 2022 The authors.OBJECTIVE Optimal management of A3 and A4 cervical spine fractures, as defined by the AO Spine Subaxial Injury Classification System, remains controversial. The objectives of this study were to determine whether significant management variations exist with respect to 1) fracture location across the upper, middle, and lower subaxial cervical spine and 2) geographic region, experience, or specialty. METHODS A survey was internationally distributed to 272 AO Spine members across six geographic regions (North America, South America, Europe, Africa, Asia, and the Middle East). Participants’ management of A3 and A4 subaxial cervical fractures across cervical regions was assessed in four clinical scenarios. Key characteristics considered in the vignettes included degree of neurological deficit, pain severity, cervical spine stability, presence of comorbidities, and fitness for surgery. Respondents were also directly asked about their preferences for operative management and misalignment acceptance across the subaxial cervical spine. RESULTS In total, 155 (57.0%) participants completed the survey. Pooled analysis demonstrated that surgeons were more likely to offer operative intervention for both A3 (p < 0.001) and A4 (p < 0.001) fractures located at the cervicothoracic junction compared with fractures at the upper or middle subaxial cervical regions. There were no significant variations in management for junctional incomplete (p = 0.116) or complete (p = 0.342) burst fractures between geographic regions. Surgeons with more than 10 years of experience were more likely to operatively manage A3 (p < 0.001) and A4 (p < 0.001) fractures than their younger counterparts. Neurosurgeons were more likely to offer surgical stabilization of A3 (p < 0.001) and A4 (p < 0.001) fractures than their orthopedic colleagues. Clinicians from both specialties agreed regarding their preference for fixation of lower junctional A3 (p = 0.866) and A4 (p = 0.368) fractures. Overall, surgical fixation was recommended more often for A4 than A3 fractures in all four scenarios (p < 0.001). CONCLUSIONS The subaxial cervical spine should not be considered a single unified entity. Both A3 and A4 fracture subtypes were more likely to be surgically managed at the cervicothoracic junction than the upper or middle subaxial cervical regions. The authors also determined that treatment strategies for A3 and A4 subaxial cervical spine fractures varied significantly, with the latter demonstrating a greater likelihood of operative management. These findings should be reflected in future subaxial cervical spine trauma algorithms.N

Initial invasive or conservative strategy for stable coronary disease

BACKGROUND Among patients with stable coronary disease and moderate or severe ischemia, whether clinical outcomes are better in those who receive an invasive intervention plus medical therapy than in those who receive medical therapy alone is uncertain. METHODS We randomly assigned 5179 patients with moderate or severe ischemia to an initial invasive strategy (angiography and revascularization when feasible) and medical therapy or to an initial conservative strategy of medical therapy alone and angiography if medical therapy failed. The primary outcome was a composite of death from cardiovascular causes, myocardial infarction, or hospitalization for unstable angina, heart failure, or resuscitated cardiac arrest. A key secondary outcome was death from cardiovascular causes or myocardial infarction. RESULTS Over a median of 3.2 years, 318 primary outcome events occurred in the invasive-strategy group and 352 occurred in the conservative-strategy group. At 6 months, the cumulative event rate was 5.3% in the invasive-strategy group and 3.4% in the conservative-strategy group (difference, 1.9 percentage points; 95% confidence interval [CI], 0.8 to 3.0); at 5 years, the cumulative event rate was 16.4% and 18.2%, respectively (difference, 121.8 percentage points; 95% CI, 124.7 to 1.0). Results were similar with respect to the key secondary outcome. The incidence of the primary outcome was sensitive to the definition of myocardial infarction; a secondary analysis yielded more procedural myocardial infarctions of uncertain clinical importance. There were 145 deaths in the invasive-strategy group and 144 deaths in the conservative-strategy group (hazard ratio, 1.05; 95% CI, 0.83 to 1.32). CONCLUSIONS Among patients with stable coronary disease and moderate or severe ischemia, we did not find evidence that an initial invasive strategy, as compared with an initial conservative strategy, reduced the risk of ischemic cardiovascular events or death from any cause over a median of 3.2 years. The trial findings were sensitive to the definition of myocardial infarction that was used

Health-status outcomes with invasive or conservative care in coronary disease

BACKGROUND In the ISCHEMIA trial, an invasive strategy with angiographic assessment and revascularization did not reduce clinical events among patients with stable ischemic heart disease and moderate or severe ischemia. A secondary objective of the trial was to assess angina-related health status among these patients. METHODS We assessed angina-related symptoms, function, and quality of life with the Seattle Angina Questionnaire (SAQ) at randomization, at months 1.5, 3, and 6, and every 6 months thereafter in participants who had been randomly assigned to an invasive treatment strategy (2295 participants) or a conservative strategy (2322). Mixed-effects cumulative probability models within a Bayesian framework were used to estimate differences between the treatment groups. The primary outcome of this health-status analysis was the SAQ summary score (scores range from 0 to 100, with higher scores indicating better health status). All analyses were performed in the overall population and according to baseline angina frequency. RESULTS At baseline, 35% of patients reported having no angina in the previous month. SAQ summary scores increased in both treatment groups, with increases at 3, 12, and 36 months that were 4.1 points (95% credible interval, 3.2 to 5.0), 4.2 points (95% credible interval, 3.3 to 5.1), and 2.9 points (95% credible interval, 2.2 to 3.7) higher with the invasive strategy than with the conservative strategy. Differences were larger among participants who had more frequent angina at baseline (8.5 vs. 0.1 points at 3 months and 5.3 vs. 1.2 points at 36 months among participants with daily or weekly angina as compared with no angina). CONCLUSIONS In the overall trial population with moderate or severe ischemia, which included 35% of participants without angina at baseline, patients randomly assigned to the invasive strategy had greater improvement in angina-related health status than those assigned to the conservative strategy. The modest mean differences favoring the invasive strategy in the overall group reflected minimal differences among asymptomatic patients and larger differences among patients who had had angina at baseline