Photocatalytic mineralization and degradation kinetics of sulphamethoxazole and reactive red 194 over silver-zirconium co-doped titanium dioxide: Reaction mechanisms and phytotoxicity assessment

The photodegradation and phytotoxicity of the pharmaceutical antibiotic, sulphamethoxazole (SMX) and the azo-dye reactive-red-194 (RR194) under visible-light irradiation of TiO2 nanoparticles modified by silver and zirconium was investigated. The results indicated that sulphamethoxazole and its toxic degradation by product, 3-amino-5-methylisoxazole and RR-194 could be degraded efficiently by the co-doped Zr/Ag-TiO2 catalyst. PL studies and ROS generation results suggested that the effective charge separation was carried out while irradiation of the modified TiO2 nanoparticles. Phytotoxicity tests demonstrated lower percentage of germination in P. vulgaris (40%), V. radiata (30%) and P. lunatus (30%) of the seeds treated with 50 ppm of SMX, compared to the seeds treated with the degradation products (100%). The results with 50 ppm of RR-194 also showed lower percentage of germination in P. vulgaris (40%), V. radiata (50%) and P. lunatus (30%) compared to the degradation products (100%). Furthermore, significant increase in root and shoot development was observed in the seeds treated with the degraded products when compared with SMX and RR-194. Overall, this study contributes to further understanding the photodegradation mechanisms, degradation products and environmental fate of SMX and RR-194 in water which helps in the evaluation and mitigation of the environmental risk of SMX and RR-194 for water reuse and crop irrigation

Mediastinitis and sternal prosthesis infection successfully treated by minimally invasive omental flap transposition

Purulent mediastinitis is a possible serious complication after mediastinal surgery. We report the case of a localized sternal plasmocytoma treated by sternectomy and prosthetic repair, who needed a second surgery for a fistulizing mediastinitis. Five months earlier, in another Hospital, the patient underwent sternal resection and reconstruction with a “sandwich” prosthesis (Methyl-methacrylate and Marlex mesh). Suppurative mediastinitis occurred and septic shock resolution was observed after the spontaneous opening of a mediastinal cutaneous fistula. After referring to our Unit the patient underwent extensive local and systemic preparation and nutritional support; the infected prosthesis was then removed and the gap filled by a laparoscopically-prepared omental flap. Adequate preoperative management, removal of any infected material and minimally invasive omental flap transposition allowed the successful treatment of this life-threatening condition

Some New Graceful Generalized Classes of Diameter Six Trees

Here we denote a {\it diameter six tree} by $(c; a_{1}, a_{2}, \ldots, a_{m}; b_{1}, b_{2}, \ldots, b_{n}; c_{1}, c_{2}, \ldots, c_{r})$, where $c$ is the center of the tree; $a_{i}, i = 1, 2, \ldots, m$, $b_{j}, j = 1, 2, \ldots, n$, and $c_{k}, k = 1, 2, \ldots, r$ are the vertices of the tree adjacent to $c$; each $a_{i}$ is the center of a diameter four tree, each $b_{j}$ is the center of a star, and each $c_{k}$ is a pendant vertex. Here we give graceful labelings to some new classes of diameter six trees $(c; a_{1}, a_{2}, \ldots, a_{m}; b_{1}, b_{2}, \ldots, b_{n}; c_{1}, c_{2}, \ldots, c_{r})$ in which a diameter four tree may contain any combination of branches with the total number of branches odd though with some conditions on the number of odd, even, and pendant branches. Here by a branch we mean a star, i.e. we call a star an odd branch if its center has an odd degree, an even branch if its center has an even degree, and a pendant branch if it is a pendant vertex

Intensification of ozonation processes in a novel, compact, multi-orifice oscillatory baffled column

A novel approach for the intensification of ozonation of water and wastewater is presented using a highly efficient and compact Multi-Orifice Oscillatory Baffled Column (MOBC) ozonation contactor. The MOBC uniquely yielded full (i.e. 100%) use of the ozone supplied with a very short (2.25 min) liquid contact time under continuous operation and reducing the need of further gas-liquid contacting equipment downstream from the MOBC. The increased performance of the MOBC ozonation reactor was benchmarked against a bubble column (BC) design and resulted in 20% increase on the rate of p-hydroxybenzoic acid (p-HBA) degradation, 75% increase in the rate of mineralization of p-HBA per mole of ozone consumed, and 3.2-fold increase in the rate of mineralization of p-HBA per mole of ozone supplied. This results from the very small size of bubbles (few hundreds of microns) and enhanced gas-liquid mass transfer and hold-up generated in the presence of small fluid pulsations and orifice baffles

Complete removal of heavy metals with simultaneous efficient treatment of etching terminal wastewater using scaled-up microbial electrolysis cells

The treatment of actual low and high strengths etching terminal wastewater (ETW) from plating and electronic industry meeting national discharge standards is demonstrated in laboratory scale (1 L) and in scaled-up (40 L) microbial electrolysis cells (MECs). Both cylindrical single-chamber MECs achieved complete removal of heavy metals and efficient treatment of organics using either low strength ETW at an hydraulic retention time (HRT) of 5 d, or high strength wastewater at HRTs of 7 d (1 L) or 9 d (40 L). The removal rate of organics and heavy metals increased by 36-fold and scaled almost with the reactor volume ratio of 40. Electrode potentials in the scaled-up MECs (40 L) were resilient to the wastewater strength. Bacterial communities on both anodes and cathodes of the 1 L and the 40 L reactors experienced a selective shock and a significant community change after switching from low to high strengths wastewater, although reactor performance was effectively maintained. This study demonstrates complete removal of multiple heavy metals with simultaneous efficient wastewater treatment in MECs of different scales meeting China national discharge standards and provides a plausible approach for simultaneous removal of value-added products (e.g., heavy metals) and efficient treatment of practical etching terminal wastewater

Dynamic titanium prosthesis based on 3D-printed replica for chest wall resection and reconstruction

3D-printing technologies can assist the surgical planning and prosthesis engineering for the management of extended chest wall resection. Different types of prosthesis have been utilized over time, but some concerns remain about their impact on the respiratory function. Here we present a new kind of 3D-printed titanium prosthesis designed to be either strong and flexible. The prosthesis was created on a 1:1 3D-printed anatomic replica of the chest, used to delineate surgical margins and to define the reconstructive requirements

BCR-ABL1 doubling-times and halving-times may predict CML response to tyrosine kinase inhibitors

In Chronic Myeloid Leukemia (CML), successful treatment requires accurate molecular monitoring to evaluate disease response and provide timely interventions for patients failing to achieve the desired outcomes. We wanted to determine whether measuring BCR-ABL1 mRNA doubling-times (DTs) could distinguish inconsequential rises in the oncogene’s expression from resistance to tyrosine kinase inhibitors (TKIs). Thus, we retrospectively examined BCR-ABL1 evolution in 305 chronic-phase CML patients receiving imatinib mesylate (IM) as a first line treatment. Patients were subdivided in two groups: those with a confirmed rise in BCR-ABL1 transcripts without MR3.0 loss and those failing IM. We found that the DTs of the former patients were significantly longer than those of patients developing IM resistance (57.80 vs. 41.45 days, p = 0.0114). Interestingly, the DT values of individuals failing second-generation (2G) TKIs after developing IM resistance were considerably shorter than those observed at the time of IM failure (27.20 vs. 41.45 days; p = 0.0035). We next wanted to establish if decreases in BCR-ABL1 transcripts would identify subjects likely to obtain deep molecular responses. We therefore analyzed the BCR-ABL1 halving-times (HTs) of a different cohort comprising 174 individuals receiving IM in first line and observed that, regardless of the time point selected for our analyses (6, 12, or 18 months), HTs were significantly shorter in subjects achieving superior molecular responses (p = 0.002 at 6 months; p < 0.001 at 12 months; p = 0.0099 at 18 months). Moreover, 50 patients receiving 2G TKIs as first line therapy and obtaining an MR3.0 (after 6 months; p = 0.003) or an MR4.0 (after 12 months; p = 0.019) displayed significantly shorter HTs than individuals lacking these molecular responses. Our findings suggest that BCR-ABL1 DTs and HTs are reliable tools to, respectively, identify subjects in MR3.0 that are failing their assigned TKI or to recognize patients likely to achieve deep molecular responses that should be considered for treatment discontinuation

TWO CASES OF NON-ALCOHOLIC WERNICKE ENCEPHALOPATHY SUCCESSFULLY TREATED BY THIAMINE REPLACEMENT: DIAGNOSTIC AND THERAPEUTIC CONSIDERATIONS

Wernicke\u2019s encephalopathy (WE) is an acute neurologi- cal disorder, due to a lack of thiamin (vitamin B1) which is observed mainly in alcoholic patients. Unfortunately, the syn- drome is underestimated in clinical practice and most often recognized only on autopsy, especially among non-alcoholics. The common clinical picture include mental status changes, ocular dysfunction, and gait ataxia. Treatment consists of timely thiamine replacement through intravenous infusion. We describe the case of two patients who developed a non-alcoholic WE post-surgical, regressed completely after intravenous infusion of thiamine. These cases suggest intere- sting diagnostic and therapeutic implications

Stage-related outcome for thymic epithelial tumours

Background: Thymic epithelial tumours (TETs) are characterized by a wide variety of biological behaviors. Radical resection and stage are strong prognostic factors. Aim of this study is to review our Single Center Experience. Methods: One hundred and seventy-seven patients observed in the period from January 2000 to December 2016 were included in the study. Data regarding clinicopathologic features, treatment, and survival were collected. Stage-related clinical standpoints and therapeutic options were also evaluated. Results: Non-surgical treatment was primarily performed in 15 (8.47%), unresectable disease was intraoperatively found in 12 cases (7.4%). The analysis of 150 patients undergoing curative surgery revealed 70 stage I TET (46.66%), 49 stage II (32.66%), 19 stage III (12.66%), 6 stage IVa (4%) and 6 stage IVb (4%) at the first hospital admission. Histology identified 12 A thymoma (8%), 38 AB (25.33%), 24 B1 (16%), 50 B2 (33.33%), 19 B3 (12.66%) and 7 carcinomas (4.66%). The mean follow up time was 84.14 months (sd = 61.68 months). Disease relapse occurred in 13 patients (8.78%) at a mean period of 78.85 months (sd = 60.87 months) after surgery. Exitus due to thymoma happened in 6 cases (4.05%) after a mean survival of 56.02 months (sd = 25.17 months). The 5-year overall survival rate was 0.94 (95%CI 0.88-0.97) and the 5-year disease-free survival rate was 0.90 (95%CI 0.83-0.94). The 5-year overall survival rates were 96.1% (95% CI, 89.9-98.5%) for the early stages and 87.4% (95% CI, 65.6-95.8%) for the advanced stages (p = 0.670). The 5-year disease-free survival rates resulted being 98.8% (95% CI, 92.3-99.8%) for the early stages and 59.8% (95% CI, 37.8-76.2%) for the advanced stages (p < 0.001). Conclusions: Advanced stage TETs are characterized by higher mortality and recurrence rates. Although technically demanding, surgery, as part of multimodality therapy, could prolong survival. Iterative surgical treatment of recurrences is a viable option for selected patients. Trial registration: The study was approved by the Institutional Review Board of Perugia and Terni University Hospitals [Code T1003] and was retrospectively registered