Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

HDT of the model diesel feed over Ir-modified Zr-SBA-15 catalysts

Iridium catalyst using different zirconium modified-SBA-15 supports were tested in the HDT of tetralin and typical sulfur and nitrogen compounds present in diesel feed. The zirconium modified-SBA-15 supports were synthesized by sol-gel method using two sources of zirconium, zirconyl chloride and zirconium (IV) propoxide. Regarding XRD, N2 adsorption isotherms and TEM, we obtained better textural and structural properties using the alkoxide, especially when lactic acid was added in order to decrease the hydrolysis rate of zirconium propoxide. In addition, XPS and DRUV-Vis demonstrated that zirconium was incorporated mainly as tetrahedral Zr4+ species NH3-TPD showed that higher acidity is observed when tetrahedral Zr4+ species are present. Iridium dispersion was determined by TEM and H2-chemisorption and reducibility by XPS and TPR. Among the catalysts prepared, the catalyst synthesized using zirconium propoxide and lactic acid presented the highest dispersion, lowest cluster size and lowest reduction temperature. Consequently, this was the most active catalyst for the hydrogenation of tetralin, the HDN of indole and quinoline and the HDS of dibenzothiophene (DBT) and 4,6-dimethyldibenzothiophene (4,6-DMDBT). The presence of Zr+4 had a remarkable effect on the dispersion and reducibility capacity of the iridium actives species. In addition, the presence of moderate acidity in this material gives the best catalyst for HDN and HDS in the studied conditions. The inhibition effect of the sulfur and nitrogen compounds over tetralin hydrogenation was studied using individual feeds and a mixture feed. We observe that 4,6-DMDBT and quinoline were the most refractory compounds and they showed the highest inhibition effect. Tetralin hydrogenation was stronger inhibited when using the mixture feed compared with the individual feeds. This can be explained in terms of the competition between the different compounds that retard the rate of hydrogenation of tetralin. However, a high conversion of tetralin was achieved even when 300 ppm of S or N was added. The most active catalyst synthesized by direct synthesis using propoxide and lactic acid was stable after several catalytic cycles making this material as potential catalyst for HDT reaction at mild conditions.Fil: Vallés, Verónica Alejandra. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Sa-ngasaeng, Yanika. Chulalongkorn University; TailandiaFil: Martinez, Maria Laura. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; ArgentinaFil: Jongpatiwut, Siriporn. Chulalongkorn University; TailandiaFil: Beltramone, Andrea Raquel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentin

Catalytic oxidation of sulfur compounds over Ce-SBA-15 and Ce-Zr-SBA-15

The catalytic oxidation of different sulfur compounds, commonly present in liquid fuel, was studied over a series of ceria and ceria-zirconium based oxidation mesoporous catalysts. SBA-15 was synthesized using sol-gel method and Ce and Ce-Zr were added by two different procedures: i) directly during the synthesis and ii) via post-synthesis method. The catalysts were characterized by XRD, N2 adsorption isotherms, XPS, DRUV-Vis, TEM, SEM and Py-FTIR. Low angle XRD, N2 isotherms and TEM confirmed that the structure was not changed after metal incorporation. Wide angle XRD, UV–vis-DRS, XPS and TEM determined that the catalysts prepared by direct synthesis presented higher dispersion of Ce oxides, smaller particle size and isolated Zr4+ species. FTIR of adsorbed/desorbed pyridine indicated that zirconium as promoter increases the Lewis acidity of the catalysts, especially during direct synthesis. Ce-Zr-SBA-15 catalyst prepared by direct synthesis was very active in the oxidation of dibenzothiophene, 4,6-dimethyl dibenzothiophene and benzothiophene using hydrogen peroxide (H2O2) as oxidant agent and acetonitrile as polar solvent. The effect of acidity in the catalyst, hydrogen peroxide concentration and temperature was studied. The deactivation test demonstrated that the catalyst is stable and adequate for the industrial process.Fil: Rivoira, Lorena Paola. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación y Tecnología Química; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Vallés, Verónica Alejandra. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Martínez, María L.. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; ArgentinaFil: Sa-ngasaeng, Yanika. Chulalongkorn University; TailandiaFil: Jongpatiwut, Siriporn. Chulalongkorn University; TailandiaFil: Beltramone, Andrea Raquel. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentin

Magnetic Fe3O4atSiO2-Pt and Fe3O4atSiO2-PtatSiO2 structures for HDN of indole

The effect of a second porous SiO2 shell in the activity and selectivity of the Fe3O4atSiO2-Pt catalyst in the hydrodenitrogenation of indole is reported. The double Fe3O4atSiO2-PtatSiO2 structure was prepared by coating Fe3O4 nanoparticles with tetraethyl orthosilicate (TEOS) with a further impregnation of 1.0 wt.% of Pt on the (3-aminopropyl)triethoxysilane functionalized Fe3O4atSiO2 structures. The second porous SiO2 shell, obtained by using a hexadecyltrimethylammonium bromide (CTAB) template, covered the Fe3O4atSiO2-Pt catalyst with a well-defined and narrow pore-sized distribution. The full characterization by TEM, inductively coupled plasma-optical emission spectroscopy (ICP-OES), XRD, and N2 adsorption isotherm at 77 K and vibrating sample magnetometry (VSM) of the catalysts indicates homogeneous coreatshell structures with a controlled nano-size of metallic Pt. A significant effect of the double SiO2 shell in the catalytic performance was demonstrated by both a higher activity to eliminate the nitrogen atom of the indole molecule present in model liquid fuel and the improvement of the catalytic stability reaching four consecutive reaction cycles with only a slight conversion level decrease.Fil: Dinamarca, Robinson. Universidad de Concepción; ChileFil: Vallés, Verónica Alejandra. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Ledesma, Brenda Cecilia Soledad. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Campos, Cristian H.. Universidad de Concepción; ChileFil: Pecchi, Gina. Universidad de Concepción; Chile. Pontificia Universidad Católica de Chile; ChileFil: Beltramone, Andrea Raquel. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentin

Hydrogenation of tetralin in presence of nitrogen using a noble-bimetallic couple over a Ti-modified SBA-15

Monometallic Pt- and bimetallic Pt-Ir-modified Ti-SBA-15 were used in the hydrogenation of tetralin to decalin in the presence of 150 ppm of N as quinoline and indole at 250 °C and 15 atm of pressure of hydrogen, using a Parr reactor. The catalyst was synthesized using sol-gel method and Ti was added during the synthesis using Tetraethyl Orthotitanate. Pt/Ir was added by wetness impregnation. The catalysts prepared were extensively characterized by X-ray diffraction (XRD), N2 adsorption isotherms, UV–vis-DRS, Raman spectroscopy, XPS, TEM-EDS and TPR. UV–vis-DRS and Raman spectroscopy confirmed that Ti was incorporated in tetrahedral coordination in the framework of the SBA-15. The analysis showed that the mesoporous structure was maintained after metal incorporation and Ti incorporation helps to reduce significantly the size of the metals clusters and improves its dispersion considerably. Pt-Ir/Ti-SBA-15 was the most active catalyst. The experimental data were quantitatively represented by a modified Langmuir-Hinshelwood type rate equation. The preliminary results show these materials as a promising catalyst for HDT reactions.Fil: Vallés, Verónica Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; ArgentinaFil: Ledesma, Brenda Cecilia Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; ArgentinaFil: Pecchi Sanchez, Gina Angela. Universidad de Concepcion; ChileFil: Anunziata, Oscar Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; ArgentinaFil: Beltramone, Andrea Raquel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentin

Experimental design optimization of the tetralin hydrogenation over Ir-Pt-SBA-15

Experiment design-response surface methodology (RSM) is used in this work to model and optimize two responses in the hydrogenation of tetralin to decalin using bimetallic Ir-Pt-SBA-15 catalyst. In this study, we analyze the influence of the nature of the catalyst (metal molar fraction and metal loading), the catalyst/substrate ratio and the temperature of the reaction as factors for the design. The responses analyzed were conversion at 3 h and at 5 h of reaction time. The response surfaces were obtained with the Box-Behnken design, finding the best combination between the reaction parameters that allowed optimizing the process. By applying the statistic methodology, the higher levels of the two objective functions were obtained employing the catalyst with 1 wt.% of iridium and 0.7-0.8 wt.% of platinum; the optimal ratio between mass of catalyst and mole of tetralin was 17-19 g/mol and temperature between 200 and 220 °C.Fil: Vallés, Verónica Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; ArgentinaFil: Ledesma, Brenda Cecilia Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; ArgentinaFil: Rivoira, Lorena Paola. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; ArgentinaFil: Cussa, Jorgelina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; ArgentinaFil: Anunziata, Oscar Alfredo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; ArgentinaFil: Beltramone, Andrea Raquel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentina. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentin

Sulfur elimination by oxidative desulfurization with titanium-modified SBA-16

TiO2-modified mesoporous SBA-16 and titanium-substituted mesoporous SBA-16 were developed and tested in the oxidative desulfurization (ODS) of dibenzothiophene prevailing in liquid fuel. Pure TiO2 was used as reference. The titania-based catalysts were characterized by chemical analysis, XRD, EDX and TEM. The titanium state as tetrahedral (in Ti-SBA-16 sample) or octahedral (in TiO2/SBA-16 sample) coordination surrounding in the silicate matrix was determined by XPS, UV-vis DRS, FTIR, Raman and XANES. We assessed the impact exerted on performance of different reaction variables, including (nature and amount of the active catalytic species, phase system, molar ratio of oxidant H2O2 and DBT, reaction temperature, nature of the substrate and reuse of catalysts). In addition, we carried out a kinetic study and the activation energy was determined. We achieved 90% of S removal from a 0.2 wt.% dibenzothiophene solution at 60 °C in less than 1 h of reaction. The best catalytic results are obtained with high exposed surface of nanometric TiO2 species of TiO2/SBA-16 sample. The activated catalyst is very active in ODS reaction and can be reused four times with no loss in activity.Fil: Rivoira, Lorena Paola. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Vallés, Verónica Alejandra. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Ledesma, Brenda Cecilia Soledad. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Ponte, María Virginia. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Martinez, Maria Laura. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Anunziata, Oscar Alfredo. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; ArgentinaFil: Beltramone, Andrea Raquel. Universidad Tecnológica Nacional. Facultad Regional Córdoba. Centro de Investigación en Nanociencia y Nanotecnología; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba; Argentin