2 nd Brazilian Consensus on Chagas Disease, 2015

Abstract Chagas disease is a neglected chronic condition with a high burden of morbidity and mortality. It has considerable psychological, social, and economic impacts. The disease represents a significant public health issue in Brazil, with different regional patterns. This document presents the evidence that resulted in the Brazilian Consensus on Chagas Disease. The objective was to review and standardize strategies for diagnosis, treatment, prevention, and control of Chagas disease in the country, based on the available scientific evidence. The consensus is based on the articulation and strategic contribution of renowned Brazilian experts with knowledge and experience on various aspects of the disease. It is the result of a close collaboration between the Brazilian Society of Tropical Medicine and the Ministry of Health. It is hoped that this document will strengthen the development of integrated actions against Chagas disease in the country, focusing on epidemiology, management, comprehensive care (including families and communities), communication, information, education, and research

Amino-modified hollow alumina spheres: effective adsorbent for Cd2+, Pb2+, As(V), and diclofenac removal

A simple sol-gel method and external gelatinization method of hollow alumina spheres synthesis were developed in this study. The spheres were modified with polyethyleneimine (PEI) producing PEI-Al2O3 via (3-glycidyloxypropyl)trimethoxy-silane, GLYMO, linker. Characterization results, obtained using XRD and SEM microscopy revealed spherical geometry with a hollow core of PEI-Al2O3 adsorbent. Introduction of a large number of the amino group, 6.9 mmol g(-1), contributes to achieving high adsorption capacities, q(m), of 95.6, 124.9, 61.3, and 125.9 mg g(-1) for Cd2+, Pb2+, As(V), and DCF, respectively, which is obtained by using the Langmuir model. Thermodynamic studies indicated feasible adsorption and higher spontaneity with temperature increase. The kinetic study conveniently modeled using pseudo-second-order (PSO) and Weber-Morris kinetic model, as well as single resistance mass transfer model, indicated a change of the contribution of diffusional processes during adsorption with a dominance of intra-particle diffusion. The fixed-bed column adsorption data, fitted using Bohart-Adams, Clark, Yoon-Nelson, and Thomas models, showed lower capacity in comparison to batch study, and thus clear potential applicability of PEI-Al2O3 was deduced even at a high loading of feed water