12 research outputs found

    Correction to: Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members

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    Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic. Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine. Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approaches reported by 67.3% of the participants, especially in uncomplicated appendicitis, cholecystitis and multiple-recurrent diverticulitis. Conclusions: The SARS-CoV-2 pandemic still significantly impacts on care and outcome of patients in ES. Well-known problems with in-hospital logistics are not sufficiently resolved by now; however, medical staff shortages and reduced capacities have been dramatically aggravated over last two pandemic years

    Study of electrochemical and biological processes for the removal of water pollutants : application to nitrates and carbamazepine

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    L'eau est vitale pour l'existence de tous les organismes vivants, mais cette ressource précieuse est de plus en en plus menacée et polluée à cause de l’augmentation de la demande en eau potable qui résulte à la fois de l’accroissement de la population mondiale mais aussi de l’activité économique tant au niveau de l’agriculture que de l’industrie. La préservation de cette ressource est aujourd'hui l'une des premières préoccupations de la recherche dans le domaine du traitement des eaux. Dans ce travail, l’élimination de deux polluants typiques des activités humaines, les nitrates et la carbamazépine, est étudiée au moyen de méthodes de traitements électrochimiques et biologiques non-conventionnelles. Le travail se concentre d'une part sur l'électrocoagulation (EC) qui associe les avantages d'être non-spécifique et de combiner plusieurs mécanismes de dépollution simultanés (adsorption, électro-oxydation ...); d’autre part, un traitement biologique innovant de faible coût utilisant une algue verte, Ankistrodesmus braunii, a été développé. Enfin, les avantages, limitations et perspectives de ces deux procédés sont comparés à ce qui existe dans la littérature et sont discutés.Water is vital to the existence of all living organisms, but this valued resource is increasingly being threatened and polluted as human populations and activities grow and demand more water of high quality for domestic purposes and economic activities. Wastewater treatment for resource preservation is nowadays one of the first concerns of research in this field of science. In this work, two typical pollutants from agriculture and domestic activity, Nitrates and Carbamazepine, are quantitatively addressed by non-conventional electrochemical and biological treatment methods. The study focuses, on the one side, on electrocoagulation (EC) that exhibits the advantages to be non-specific and to combine various depollution mechanisms (adsorption, electro-oxidation...) that act simultaneously; on the other side, innovative and low-cost biological treatments using green algae, Ankistrodesmus braunii, are developed. Finally, the respective advantages, limitations and perspectives of these processes are compared to the literature and discussed

    Etude des procédés electrochimiques et biologiques pour le traitement des eaux : application à l'élimination des nitrates et de la carbamazépine

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    Water is vital to the existence of all living organisms, but this valued resource is increasingly being threatened and polluted as human populations and activities grow and demand more water of high quality for domestic purposes and economic activities. Wastewater treatment for resource preservation is nowadays one of the first concerns of research in this field of science. In this work, two typical pollutants from agriculture and domestic activity, Nitrates and Carbamazepine, are quantitatively addressed by non-conventional electrochemical and biological treatment methods. The study focuses, on the one side, on electrocoagulation (EC) that exhibits the advantages to be non-specific and to combine various depollution mechanisms (adsorption, electro-oxidation...) that act simultaneously; on the other side, innovative and low-cost biological treatments using green algae, Ankistrodesmus braunii, are developed. Finally, the respective advantages, limitations and perspectives of these processes are compared to the literature and discussed.L'eau est vitale pour l'existence de tous les organismes vivants, mais cette ressource précieuse est de plus en en plus menacée et polluée à cause de l’augmentation de la demande en eau potable qui résulte à la fois de l’accroissement de la population mondiale mais aussi de l’activité économique tant au niveau de l’agriculture que de l’industrie. La préservation de cette ressource est aujourd'hui l'une des premières préoccupations de la recherche dans le domaine du traitement des eaux. Dans ce travail, l’élimination de deux polluants typiques des activités humaines, les nitrates et la carbamazépine, est étudiée au moyen de méthodes de traitements électrochimiques et biologiques non-conventionnelles. Le travail se concentre d'une part sur l'électrocoagulation (EC) qui associe les avantages d'être non-spécifique et de combiner plusieurs mécanismes de dépollution simultanés (adsorption, électro-oxydation ...); d’autre part, un traitement biologique innovant de faible coût utilisant une algue verte, Ankistrodesmus braunii, a été développé. Enfin, les avantages, limitations et perspectives de ces deux procédés sont comparés à ce qui existe dans la littérature et sont discutés

    Towards a Better Understanding of the Removal of Carbamazepine by Ankistrodesmus braunii: Investigation of Some Key Parameters

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    International audienceNowadays, water pollution by pharmaceuticals is a major issue that needs an urgent solution, as these compounds, even when found at trace or ultra-trace levels, could have harmful effects on organisms. Carbamazepine (CBZ) is a pharmaceutical product that is detected as a micropollutant in many water resources. Different treatment methods were lately employed for the removal of CBZ, which are often cheap but inefficient or efficient but expensive. Yet, there are limited available studies on the elimination of this molecule by algae despite their well-known highly adaptive abilities. In this study, the biological treatment of CBZ was carried out using the green microalgae, Ankistrodesmus braunii (A. braunii), which has been reported to be particularly resistant to CBZ toxicity in the literature. The respective effects of the culture medium, the initial inoculum, and CBZ concentrations were studied on CBZ removal. Lastly, the mechanism of CBZ elimination by A. braunii was investigated. The presented data clearly demonstrates that the presence of this molecule did not completely repress A. braunii growth or the ability of these algae to remove CBZ; after 60 days of incubation, the highest percentage of CBZ elimination achieved was 87.6%. Elimination was more successful in Bold's basal medium than in proteose peptone medium. Finally, the removal mechanism was also investigated to provide a better understanding of the transformation mechanism of this molecule. It was shown that the main removal mechanism was the bioaccumulation of CBZ by A. braunii cells, but the biotransformation of the initial CBZ into metabolites was also observed

    Controlling contamination for determination of ultra-trace levels of priority pollutants chlorophenols in environmental water matrices

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    International audienceRecently, environmental scientists have been focused their attention on the occurrence of emerging contaminants in water, such as disinfection by products (DBPs), including chlorophenols. These pollutants can be a public health problem due to their carcinogenic properties. In this work, ultra-high pressure liquid chromatography (UHPLC) coupled to a photodiode array detector (PDA) was used for the development of an analytical method capable of simultaneous identification and quantification of two chlorophenols namely, 2-chlorophenol and 2,4-dichlorophenol in water samples. In addition, a solid phase extraction (SPE) procedure for the extraction of these compounds was optimized. The chlorophenols were separated by an Acquity BEH C18 (100 x 2.1 mm, 1.7 μm) column with a mobile phase of acetonitrile/ultrapure water/formic acid (55/45/0.1, v/v/v). The flow rate of the mobile phase was 0.4 mL min-1. The optimized SPE-UHPLC/PDA technique was evaluated in terms of robustness, considering the enrichment factor for all of the studied chlorophenols. Linear calibration was obtained with correlation coefficients r2 ⩾ 0.998. Intra-day and inter-day precision was less than 5% and accuracy ranged from 99.95% to 103.32%, respectively. The obtained extraction recoveries were higher than 98%. The pre-concentration factor was 2.500 for the both analytes. Under optimized conditions, the detection limits of the overall SPE-UHPLC/PDA method were in the ng L-1 level. The excellent performance of the developed method, as well as the short analysis time makes it a promising analytical tool for the screening of chlorophenols in environmental water sample
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