Management of adults with diabetes on dialysis: Summary of recommendations of the Joint British Diabetes Societies guidelines 2022.

Diabetes is the commonest cause of end-stage kidney disease in many parts of the world, and many people on dialysis programmes live with diabetes. Such people are vulnerable to complications from their diabetes, and their care may be fragmented due to the many specialists involved. This updated guidance from the Joint British Diabetes Societies aims to review and update the 2016 guidance, with particular emphasis on glycaemic monitoring in the light of recent advances in this area. In addition, the guidance covers clinical issues related to the management of diabetes in people on peritoneal dialysis, along with acute complications such as hypoglycaemia and ketoacidosis, and chronic complications such as foot and eye disease.

Oxidation of Benzene by Persulfate in the Presence of Fe(III)- and Mn(IV)-Containing Oxides: Stoichiometric Efficiency and Transformation Products.

Sulfate radical (SO4(•-)) is a strong, short-lived oxidant that is produced when persulfate (S2O8(2-)) reacts with transition metal oxides during in situ chemical oxidation (ISCO) of contaminated groundwater. Although engineers are aware of the ability of transition metal oxides to activate persulfate, the operation of ISCO remediation systems is hampered by an inadequate understanding of the factors that control SO4(•-) production and the overall efficiency of the process. To address these shortcomings, we assessed the stoichiometric efficiency and products of transition metal-catalyzed persulfate oxidation of benzene with pure iron- and manganese-containing minerals, clays, and aquifer solids. For most metal-containing solids, the stoichiometric efficiency, as determined by the loss of benzene relative to the loss of persulfate, approached the theoretical maximum. Rates of production of SO4(•-) or hydroxyl radical (HO(•)) generated from radical chain reactions were affected by the concentration of benzene, with rates of S2O8(2-) decomposition increasing as the benzene concentration increased. Under conditions selected to minimize the loss of initial transformation products through reaction with radicals, the production of phenol only accounted for 30%-60% of the benzene lost in the presence of O2. The remaining products included a ring-cleavage product that appeared to contain an α,ß-unsaturated aldehyde functional group. In the absence of O2, the concentration of the ring-cleavage product increased relative to phenol. The formation of the ring-cleavage product warrants further studies of its toxicity and persistence in the subsurface.

In situ chemical oxidation of contaminated groundwater by persulfate: decomposition by Fe(III)- and Mn(IV)-containing oxides and aquifer materials.

Persulfate (S2O8(2-)) is being used increasingly for in situ chemical oxidation (ISCO) of organic contaminants in groundwater, despite an incomplete understanding of the mechanism through which it is converted into reactive species. In particular, the decomposition of persulfate by naturally occurring mineral surfaces has not been studied in detail. To gain insight into the reaction rates and mechanism of persulfate decomposition in the subsurface, and to identify possible approaches for improving its efficacy, the decomposition of persulfate was investigated in the presence of pure metal oxides, clays, and representative aquifer solids collected from field sites in the presence and absence of benzene. Under conditions typical of groundwater, Fe(III)- and Mn(IV)-oxides catalytically converted persulfate into sulfate radical (SO4(•-)) and hydroxyl radical (HO(•)) over time scales of several weeks at rates that were 2-20 times faster than those observed in metal-free systems. Amorphous ferrihydrite was the most reactive iron mineral with respect to persulfate decomposition, with reaction rates proportional to solid mass and surface area. As a result of radical chain reactions, the rate of persulfate decomposition increased by as much as 100 times when benzene concentrations exceeded 0.1 mM. Due to its relatively slow rate of decomposition in the subsurface, it can be advantageous to inject persulfate into groundwater, allowing it to migrate to zones of low hydraulic conductivity where clays, metal oxides, and contaminants will accelerate its conversion into reactive oxidants.

Multi-temperature zone, droplet-based microreactor for increased temperature control in nanoparticle synthesis.

Microreactors are an emerging technology for the controlled synthesis of nanoparticles. The Multi-Temperature zone Microreactor (MTM) described in this work utilizes thermally isolated heated and cooled regions for the purpose of separating nucleation and growth processes as well as to provide a platform for a systematic study on the effect of reaction conditions on nanoparticle synthesis.

Kinetics and efficiency of H2O2 activation by iron-containing minerals and aquifer materials.

To gain insight into factors that control H(2)O(2) persistence and ·OH yield in H(2)O(2)-based in situ chemical oxidation systems, the decomposition of H(2)O(2) and transformation of phenol were investigated in the presence of iron-containing minerals and aquifer materials. Under conditions expected during remediation of soil and groundwater, the stoichiometric efficiency, defined as the amount of phenol transformed per mole of H(2)O(2) decomposed, varied from 0.005 to 0.28%. Among the iron-containing minerals, iron oxides were 2-10 times less efficient in transforming phenol than iron-containing clays and synthetic iron-containing catalysts. In both iron-containing mineral and aquifer materials systems, the stoichiometric efficiency was inversely correlated with the rate of H(2)O(2) decomposition. In aquifer materials systems, the stoichiometric efficiency was also inversely correlated with the Mn content, consistent with the fact that the decomposition of H(2)O(2) on manganese oxides does not produce ·OH. Removal of iron and manganese oxide coatings from the surface of aquifer materials by extraction with citrate-bicarbonate-dithionite slowed the rate of H(2)O(2) decomposition on aquifer materials and increased the stoichiometric efficiency. In addition, the presence of 2 mM of dissolved SiO(2) slowed the rate of H(2)O(2) decomposition on aquifer materials by over 80% without affecting the stoichiometric efficiency.

Dissolution of Mesoporous Silica Supports in Aqueous Solutions: Implications for Mesoporous Silica-based Water Treatment Processes.

Under pH 7 - 10 conditions, the mesoporous silica supports proposed for use in water treatment are relatively unstable. In batch experiments conducted in pH 7 solutions, the commonly used support SBA-15 dissolved quickly, releasing approximately 30 mg/L of dissolved silica after 2 hours. In column experiments, more than 45% of an initial mass of 0.25 g SBA-15 dissolved within 2 days when a pH 8.5 solution flowed through the column. In a mixed iron oxide/SBA-15 system, the dissolution of SBA-15 changed the iron oxide reactivity toward H(2)O(2) decomposition, because dissolved silica deposited on iron oxide surface and changed its catalytic active sites. As with SBA-15, other mesoporous silica materials including HMS, MCM-41, four types of functionalized SBA-15, and two types of metal oxide-containing SBA-15 also dissolved under circumneutral pH solutions. The dissolution of mesoporous silica materials raises questions about their use under neutral and alkaline pH in aqueous solutions, because silica dissolution might compromise the behavior of the material.

Inhibitory effect of dissolved silica on H2O2 decomposition by iron(III) and manganese(IV) oxides: implications for H2O2-based in situ chemical oxidation.

The decomposition of H(2)O(2) on iron minerals can generate •OH, a strong oxidant that can transform a wide range of contaminants. This reaction is critical to In Situ Chemical Oxidation (ISCO) processes used for soil and groundwater remediation, as well as advanced oxidation processes employed in waste treatment systems. The presence of dissolved silica at concentrations comparable to those encountered in natural waters decreases the reactivity of iron minerals toward H(2)O(2), because silica adsorbs onto the surface of iron minerals and alters catalytic sites. At circumneutral pH values, goethite, amorphous iron oxide, hematite, iron-coated sand, and montmorillonite that were pre-equilibrated with 0.05-1.5 mM SiO(2) were significantly less reactive toward H(2)O(2) decomposition than their original counterparts, with the H(2)O(2) loss rates inversely proportional to SiO(2) concentrations. In the goethite/H(2)O(2) system, the overall •OH yield, defined as the percentage of decomposed H(2)O(2) producing •OH, was almost halved in the presence of 1.5 mM SiO(2). Dissolved SiO(2) also slowed H(2)O(2) decomposition on manganese(IV) oxide. The presence of dissolved SiO(2) results in greater persistence of H(2)O(2) in groundwater and lower H(2)O(2) utilization efficiency and should be considered in the design of H(2)O(2)-based treatment systems.

A silica-supported iron oxide catalyst capable of activating hydrogen peroxide at neutral pH values.

Iron oxides catalyze the conversion of hydrogen peroxide (H(2)O(2)) into oxidants capable of transforming recalcitrant contaminants. Unfortunately, the process is relatively inefficient at circumneutral pH values because of competing reactions that decompose H(2)O(2) without producing oxidants. Silica- and alumina-containing iron oxides prepared by sol-gel processing of aqueous solutions containing Fe(ClO(4))(3), AlCl(3), and tetraethyl orthosilicate efficiently catalyzed the decomposition of H(2)O(2) into oxidants capable of transforming phenol at circumneutral pH values. Relative to hematite, goethite, and amorphous FeOOH, the silica-iron oxide catalyst exhibited a stoichiometric efficiency, defined as the number of moles of phenol transformed per mole of H(2)O(2) consumed, which was 10-40 times higher than that of the iron oxides. The silica-alumina-iron oxide catalyst had a stoichiometric efficiency that was 50-80 times higher than that of the iron oxides. The significant enhancement in oxidant production is attributable to the interaction of Fe with Al and Si in the mixed oxides, which alters the surface redox processes, favoring the production of strong oxidants during H(2)O(2) decomposition.

Ion flotation of Co2+, Ni2+, and Cu2+ using dodecyldiethylenetriamine (Ddien).

Ion flotation is a separation process involving the adsorption of a surfactant and counterions at an air/aqueous solution interface. It shows great promise for removing toxic heavy metal ions from dilute aqueous solutions. It was found that a chelating surfactant, dodecyldiethylenetriamine (Ddien), could selectively remove one metal ion over others at different pH values. Selectivity was attributed to the formation of surface-active chelated species at specific pH. Surface tension data show that [M-(Ddien)2]2+ is more surface-active than [M-(Ddien)]2+ and other Ddien species, thus the relative fraction of [M-(Ddien)2]2+ in the solution determined the metal ion flotation efficiency. The ion flotation results were consistent with the surface tension data and the relevant speciation diagrams. Theoretical discussion reveals that DeltaG0ads and DeltaG0chelation for the Ni(II) and Co(II) ions in the Ddien-Ni(II) and Ddien-Co(II) systems are more negative than those for Cu(II) in the Ddien-Cu(II) system.

The effect of triethylenetetraamine (Trien) on the ion flotation of Cu(2+) and Ni(2+).

Ion flotation is a separation process involving the adsorption of a surfactant and counterions at an air/aqueous solution interface. It shows promise for removing toxic heavy metal ions from dilute aqueous solutions. Here we report the effect of a neutral chelating ligand, triethylenetetraamine (Trien), on the ion flotation of cations with dodecylsulfate, DS(-), introduced as sodium dodecylsulfate, SDS. Ion flotation in the aqueous SD-Cu(II)-Ca(II)-Trien system gave strongly preferential removal of Cu(II) over Ca(II), which is a reversal of the order of selectivity seen in the SDS-Cu(II)-Ca(II) system containing no Trien. The removal rates of Cu(2+) and Ni(2+) with DS(-) were much faster in the presence of Trien than for simple aquo ions, and the final metal concentration was significantly lower. Surface tension measurements showed that Trien enhanced the surface activity and adsorption density for SDS-Cu(II) and SDS-Ni(II) solutions. The overall change in the Gibbs free energy for adsorption resulting from complexation was -3.60 kJ/mol for Cu(II) and -3.50 kJ/mol for Ni(II). This included the effects of hydrophobic interactions between the metal-Trien complexes at the air/solution interface, along with changes in the amount of dehydration associated with cosorption of the metal-Trien complex with DS(-) at the air/solution interface.