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

Reductive dissolution by waste newspaper for enhanced meso-acidophilic bioleaching of copper from low grade chalcopyrite: A new concept of biohydrometallurgy

Dumping of low-grade chalcopyrite encompasses several environmental problems. Despite slow dissolution rate, meso-acidophilic bioleaching is preferred for the extraction of copper from such ores. In the present study, meso-acidophilic bioleaching of a low-grade chalcopyrite in the presence of an acid-processed waste newspaper (PWp) is discussed for the first time. The study illustrated a strong catalytic response of PWp with enhanced bio-recovery of copper from acid-conditioned chalcopyrite. A maximum of 99.13% copper recovery (0.36% Cu dissolution/day) was obtained in 6 days of bioleaching in the presence of 2 gL- 1 PWp in contrast to only 5.7% copper in its absence. FTIR analysis of bioleached residues revealed similar spectral patterns to the original acid-conditioned ore in the presence of PWp, thus indicating less development of passivation layer which was also confirmed through a complementary Raman characterization of the bioleached residues. Further, a reaction mechanism (chemistry) was proposed suggesting the possible role of PWp as the electron donor under oxygen limiting conditions which facilitated microbial reduction of Fe (III). The resulting biochemical changes provided an energy source for the bacteria, thus allowing free flow of electrons through the ore surface, thus contributing towards enhanced bioleaching of copper

The political life of rising acid mine water

The discovery of gold on the Witwatersrand in 1886 that gave rise to the exploitation of the world’s largest gold reserves inaugurated new associations of air and earth, science and politics, humans and nonhumans. Very rapidly, these were organised into two apparently distinct realms—an aboveground world of capital, commerce, culture and politics and a belowground world of labour, minerals, rocks and science. Yet the two realms were deeply interconnected, and the threshold between them was always, literally and figuratively, in danger of collapsing. In this paper, I explore the use of legislation and cartography to stabilise this section and keep the two realms apart, and the aesthetic practices that portrayed their interrelatedness. I then chronicle the incursion of acid mine water, a geological by-product of mining operations, from the mining voids into the above-ground world of human affairs. This not only made the invisible processes of its commodification visible but also became a proposition around which new forms of political life have been assembled