A review on recent environmental electrochemistry approaches for the consolidation of a circular economy model.

Availability of raw materials in the chemical industry is related to the selection of the chemical processes in which they are used as well as to the efficiency, cost, and eventual evolution to more competitive dynamics of transformation technologies. In general terms however, any chemically transforming technology starts with the extraction, purification, design, manufacture, use, and disposal of materials. It is important to create a new paradigm towards green chemistry, sustainability, and circular economy in the chemical sciences that help to better employ, reuse, and recycle the materials used in every aspect of modern life. Electrochemistry is a growing field of knowledge that can help with these issues to reduce solid waste and the impact of chemical processes on the environment. Several electrochemical studies in the last decades have benefited the recovery of important chemical compounds and elements through electrodeposition, electrowinning, electrocoagulation, electrodialysis, and other processes. The use of living organisms and microorganisms using an electrochemical perspective (known as bioelectrochemistry), is also calling attention to "mining", through plants and microorganisms, essential chemical elements. New process design or the optimization of the current technologies is a major necessity to enhance production and minimize the use of raw materials along with less generation of wastes and secondary by-products. In this context, this contribution aims to show an up-to-date scenario of both environmental electrochemical and bioelectrochemical processes for the extraction, use, recovery and recycling of materials in a circular economy model.

A review of electro-Fenton and ultrasound processes: towards a novel integrated technology for wastewater treatment.

Nowadays, the presence of persistent dissolved pollutants in water has received increasing attention due to their toxic effects on living organisms. Considering the limitations of conventional wastewater treatment processes for the degradation of these compounds, advanced oxidation processes such as electro-Fenton and sono-chemical process, as well as their combination, appear as potentially effective options for the treatment of wastewater contaminated with bio-recalcitrant pollutants. In view of the importance of the development of processes using real effluents, this review aims to provide a comprehensive perspective of sono-electro-Fenton-related processes applied for real wastewater treatment. In the first section, the fundamentals and effectiveness of both homogeneous and heterogeneous electro-Fenton approaches for the treatment of real wastewater are presented. While the second part of this work describes the fundamentals of ultrasound-based processes, the last section focuses on the coupling of the two methods for real wastewater treatment and on the effect of the main operational parameters of the process. On the basis of the information presented, it is suggested that sono-electro-Fenton processes substantially increase the efficiency of the treatment as well as the biodegradability of the treated wastewater. The combined effect results from mass transfer improvement, electrode cleaning and activation, water electrolysis, and the electro-Fenton-induced production of hydroxyl radicals. The information presented in this work is expected to be useful for closing the gap between laboratory-scale assays and the development of novel wastewater technologies.

Inpatient Zoledronic Acid and Integrated Orthopedic and Fracture Liaison Services Improve Osteoporosis Treatment Rates.

CONTEXT: Fragility fractures increase risks for future fractures, morbidity, and mortality. Available pharmacotherapy for underlying osteoporosis is safe and effective but underused. OBJECTIVE: To improve pharmacotherapy rate representing secondary prevention of osteoporotic fractures. METHODS: This single-center, observational, follow-up study included patients with fragility fractures admitted to the Massachusetts General Hospital between February 2016 and December 2019. For patients admitted to the orthopedics service with fragility fracture, the Massachusetts General Hospital Fracture Liaison Service (FLS) was systematically consulted. Initial outpatient follow-up with FLS was established in conjunction with the orthopedic postoperative follow-up visit. Patients at risk for failing timely outpatient follow-up were administered zoledronic acid (ZA) during the index fracture hospitalization. The main outcome measures were percentage of patients with fragility fracture(s) started on pharmacotherapy for osteoporosis and average length of stay and 30-day readmission rate of patients treated with ZA. RESULTS: Compared with baseline (8-11%) and reference (5-20%) rates, integration of FLS to the orthopedics service, along with appropriate inpatient administration of ZA, increased the pharmacotherapy rate to 70% (412/589) among eligible patients with verified treatment status. Inpatient ZA administration neither affected the average length of stay nor 30-day readmission rate. Treatment status of 37.9% (471/1240) of the study patients remained unknown due to lack of or unknown follow-up. CONCLUSION: Integration of a FLS and orthopedics services along with inpatient ZA administration improved the osteoporosis pharmacotherapy rate among patients with fragility fracture(s) who often had obstacles for outpatient follow-up.

Study of the performance of a cylindrical flow-through electro-Fenton reactor using different arrangements of carbon felt electrodes: effect of key operating parameters.

In this work, a cylindrical flow-through electro-Fenton reactor containing graphite felt electrodes and an Fe(II) loaded resin was evaluated for the production of the Fenton reaction mixture and for the degradation of amoxicillin (AMX) and fecal coliforms containing aqueous solutions. First, the influence of several factors such as treatment time, current intensity, flow rate, and electrode position was investigated for the electrogeneration of H2O2 and the energetic consumption by means of a factorial design methodology using a 24 factorial matrix. Electric current and treatment time were found to be the pivotal parameters influencing the H2O2 production with contributions of 40.2 and 26.9%, respectively. The flow rate had low influence on the responses; however, 500 mL min-1 (with an average residence time of 1.09 min obtained in the residence time distribution analysis) allowed to obtain a better performance due to the high mass transport to and from the electrodes. As expected, polarization was also found to play an important role, since for the cathode-to-anode flow direction, lower H2O2 concentrations were observed when compared with the anode-to-cathode flow arrangement, indicating that part of the H2O2 produced in the cathode was destroyed at the anode. A fluorescence study of hydroxyl radical production, on the other hand, showed that higher yields were obtained using an anode-to-cathode flow direction (up to 3.88 µM), when compared with experiments carried out using a cathode-to-anode flow path (3.11 µM). The removal of a commercial formulation of the antibiotic AMX was evaluated in terms of total organic carbon, achieving up to 57.9% and 38.63% of pollutant mineralization using synthetic and real sanitary wastewater spiked, respectively. Finally, the efficiency of the process on the inactivation of fecal coliforms in sanitary wastewater samples was assessed, reducing 90% of the bacteria after 5 min of electrolysis.

Photo-assisted electrochemical advanced oxidation processes for the disinfection of aqueous solutions: A review.

Disinfection is usually the final step in water treatment and its effectiveness is of paramount importance in ensuring public health. Chlorination, ultraviolet (UV) irradiation and ozone (O3) are currently the most common methods for water disinfection; however, the generation of toxic by-products and the non-remnant effect of UV and O3 still constitute major drawbacks. Photo-assisted electrochemical advanced oxidation processes (EAOPs) on the other hand, appear as a potentially effective option for water disinfection. In these processes, the synergism between electrochemically produced active species and photo-generated radicals, improve their performance when compared with the corresponding separate processes and with other physical or chemical approaches. In photo-assisted EAOPs the inactivation of pathogens takes place by means of mechanisms that occur at different distances from the anode, that is: (i) directly at the electrode's surface (direct oxidation), (ii) at the anode's vicinity by means of electrochemically generated hydroxyl radical species (quasi-direct), (iii) or at the bulk solution (away from the electrode surface) by photo-electrogenerated active species (indirect oxidation). This review addresses state of the art reports concerning the inactivation of pathogens in water by means of photo-assisted EAOPs such as photo-electrocatalytic process, photo-assisted electrochemical oxidation, photo-electrocoagulation and cathodic processes. By focusing on the oxidation mechanism, it was found that while quasi-direct oxidation is the preponderant inactivation mechanism, the photo-electrocatalytic process using semiconductor materials is the most studied method as revealed by numerous reports in the literature. Advantages, disadvantages, trends and perspectives for water disinfection in photo-assisted EAOPs are also analyzed in this work.

Study of polarized activated carbon filters as simultaneous adsorbent and 3D-type electrode materials for electro-Fenton reactors.

Electro-Fenton (EF) based water treatment processes using activated carbon (AC) packed beds constitute an attractive approach for the development of competitive degradation technology of persistent pollutants in aqueous effluents. In this work, the results of a study aimed to assess the effect on the EF performance of different parameters of the reactor's operation are presented. By means of a factorial experimental design, the influence of the AC source (lignitic or vegetal), AC acid pre-treatment, particle size distribution and the amount of Fe loaded resin in the reactor were analyzed. From the resulting data it was found that the most influential parameter in the EF performance of the reactor is the AC source. Modest effects were observed for AC acid pre-treatment, which limits Fe ion adsorption on the AC substrate. The use of a wide particle distribution of AC particles was also found to improve inter-particle electrical contact, thus favoring the electrochemical processes that take place inside the reactor. An investigation on the effect of the amount of Fe in the reactor as well as its distribution dynamics, also revealed that an excess of Fe ions in the reactor decreases the EF performance of the system since Fe ions efficiently adsorb on the AC substrate, particularly in non- acid treated samples. The best operation conditions consisted on using un-meshed vegetable AC, without acid pretreatment in an EF reactor loaded with 0.25 g of Fe, which allowed to reach full color removal of bright blue FCP model dye in 70 min.

Inactivation of helminth eggs in an electro-Fenton reactor: Towards full electrochemical disinfection of human waste using activated carbon.

The disinfection of helminth eggs and Escherichia coli contaminated aqueous solutions, was studied using an electro-Fenton reactor equipped with a polarized activated carbon (AC) packed bed and two chambers loaded with cation exchange resins. Experiments using different arrangements and operation conditions, revealed that effective elimination of Escherichia coli takes place in all electrochemical disinfection tests. For the more resistant helminth eggs however, adsorption, electro-oxidation and electro-Fenton experiments showed retention within the reactor and pathogen inactivation values of 0, 16, and 25%, respectively. Using helminth eggs concentration data in different sections of the reactor, optical microscopy analysis and an exploratory computer simulation, differences in the disinfection performance were explained and new recirculation and flow direction and polarization switching operation schemes were defined. The corresponding experiments revealed that the effective coupling between adsorption and electro-Fenton phenomena, all along the AC packed bed compartment, results in 100% inactivation of helminth eggs.

Electrochemical degradation of triclosan in aqueous solution. A study of the performance of an electro-Fenton reactor.

The electro-Fenton degradation of Triclosan in aqueous solution was studied using a cylindrical reactor in which polarized carbon cloth electrodes and a cation exchange resin were employed. Using a factorial design of experiments approach, the effect of four variables (considering two levels for each one), was measured on four response parameters that reflect the electrooxidation efficiency of the electrochemical reactor. The results revealed that in all cases triclosan degradation was very efficient (above 95%) and that while there is a reasonable effect of all variables and their interactions, the one with the strongest influence on the process is the nature and magnitude of the ionic strength of the electrolytic solution. In this way, while the presence of a buffer species in this solution can keep the pH in a value that affects the generation of •OH radicals from the Fenton mixture, a high ionic strength solution can promote the elimination of Fe ionic species from the reactor by decreasing resin Fe retention due to competition effects of other ions for the binding sites of the substrate. HPLC experiments of the effluent solutions, also revealed that the degradation by-products of triclosan were dependent on the nature and ionic strength of the electrolytic solution in the electro-Fenton process under study. Finally, comparison of the different operation modes, also suggested that electro-adsorption of Fe cationic species in the negatively polarized cathode surface, is the main factor that controls Fe ion retention within the reactor.

Degradation of pharmaceutical compounds in water by oxygenated electrochemical oxidation: Parametric optimization, kinetic studies and toxicity assessment.

The pharmaceutical compounds sulfamethoxazole (SMX), propranolol (PRO) and carbamazepine (CBZ) are biorecalcitrant and frequently detected in waters causing negative impacts on human health and aquatic organisms. Electrochemical oxidation appears as an effective option for the removal of recalcitrant compounds and its enhancement is an important issue for the removal of emerging compounds in water. The contribution of this research lies in the comprehensive analysis of the oxygenated electro chemical oxidation of CBZ, SMX and PRO using Nb/BDD mesh anode. The effect of treatment time, current, pH and oxygen injection on the SMX, PRO and CBZ degradation was assessed using Na2SO4 as electrolyte, process optimization was performed, by-products were identified, kinetic and toxicity tests were carried out using different electrolytes. Finally, the process effectiveness was tested using real secondary effluent spiked with the mixture of the pharmaceutical compounds and the acute toxicity was determined. The obtained results indicated that the oxygenated electrochemical oxidation allows effective simultaneous SMX, PRO and CBZ degradation, which showed a significant dependence of treatment time, current and oxygen injection in Na2SO4 electrolyte. At 90 min of electrolysis the parent compounds were detected as well as eight by-products. At 150 min of treatment, further to the already determined by-products and the parent compounds, appeared phenol and p-benzoquinone. Based on the identified compounds, degradation pathways were explained as a result of two main mechanisms: transformation (hydroxylation, deamination, desulfunation) and bond rupture. The kinetic study indicated an increase of the first-order kinetic constant in the oxygenated electrochemical oxidation process using Na2SO4 and NaBr as electrolyte, nevertheless the constant decreased in the presence of NaCl. In the assays with secondary effluent spiked with SMX, PRO and CBZ, the oxygenation did not enhance the performance of the process, however; pharmaceuticals were degraded with a higher removal rates compared with the ones determined in the Na2SO4 synthetic solutions assays; the oxygenation enhanced the TOC and COD removal. The acute toxicity of spiked secondary effluent was reduced from the first few minutes of the electrochemical oxidation process.

Effect of electrolytes on the simultaneous electrochemical oxidation of sulfamethoxazole, propranolol and carbamazepine: behaviors, by-products and acute toxicity.

In this work, the effect of supporting electrolytes on the simultaneous electrochemical oxidation of the pharmaceuticals sulfamethoxazole (SMX), propranolol (PRO), and carbamazepine (CBZ) in aqueous solutions has been studied. Based on the identified by-products, the degradation mechanisms were proposed and the acute toxicity was evaluated for each electrolyte. Assays were carried out in batch mode in a 2 L undivided reactor using a niobium coated with boron-doped diamond (Nb/BDD) mesh anode and Ti cathode at 2.5 A in presence of different supporting electrolytes (Na2SO4, NaCl, or NaBr) at the same concentration of 7 mM. The degradation rates were higher in the assays with NaCl and NaBr. Reaction by-products were identified by gas chromatography-mass spectrometry. Indirect oxidation by electrogenerated reactive halogen species (RHS) was the main mechanism when halide ions were used as electrolytes. Ten by-products were detected using Na2SO4 as electrolyte, while 19 (12 non-halogenated and 7 halogenated) and 20 (10 non-halogenated and 10 halogenated) using NaCl and NaBr respectively. The proposed degradation pathways involve transformation (hydroxylation, deamination, desulfonation, and halogenation) and bond rupture to produce less molecular weight compounds and their further transformation until total degradation. Chlorinated and brominated by-products confirm halogenation reactions. The electrogenerated RHS presented a significant inhibition effect on Vibrio fischeri; nevertheless, acute toxicity was not presented using Na2SO4 as electrolyte and a pharmaceutical concentration of 5 µg/L. In this view, the role of the supporting electrolyte in electrochemical oxidation process is crucial since it strongly influence degradation rate, by-products, and acute toxicity.

Electrochemical carbamazepine degradation: Effect of the generated active chlorine, transformation pathways and toxicity.

Carbamazepine (CBZ) is a biorecalcitrant pharmaceutical compound frequently detected in wastewater and water bodies which has numerous negative effects on living organisms. In this investigation the effect of electrocatalytically generated active chlorine on CBZ degradation was studied using Nb/BDD or Ti/IrO2 anodes. Subsequently, a response surface methodology based on a factorial plan and central composite design was carried out to determine the contribution of individual factors and to obtain the optimal experimental parameters for CBZ abatement. Electric current and treatment time were found to be the pivotal parameters influencing the degradation efficiency with respective contributions of 45.19% and 35.44%. The anode material had lower influence on the response, however, using an Nb/BDD anode, the oxidation was more effective due to the increased production of OH radicals as well as HClO, Cl and ClO- species. Considering CBZ degradation and energetic consumption, the percentage of degraded CBZ was 88.70 ± 0.35% consuming 1.07 kWh m-3 (at 1.0 A, NaCl concentration of 14 mM after 12.45 min, using Nb/BDD anode). First order kinetic constant (k) value of 0.189 min-1 was obtained at optimal conditions when demineralized water was used for the NaCl supporting electrolyte, while k was lower when tap water or treated wastewaters were used for this purpose. Oxidation of CBZ yielded six aromatic intermediates, identified by gas chromatography - mass spectrometry technique and degradation pathways were proposed. The performed acute toxicity tests indicated an increase during the treatment, which was demonstrated to be mainly attributed to the remnant active chlorine.

Prevalencia de hipertensión arterial en adolescentes del preuniversitario "Salvador Allende" / Prevalence of hypertension in adolescents of "Salvador Allende" senior high school

Se realizó un estudio analítico, de corte transversal, desde octubre 2012 hasta febrero de 2013, de 829 escolares de décimo y onceno grados, que cursaban estudios en el Preuniversitario "Salvador Allende" del municipio de Boyeros en La Habana, con vistas a determinar la prevalencia de hipertensión arterial y su asociación con algunos factores de riesgo. Se encontró que la prevalencia general de prehipertensos fue de 3,8 y la de hipertensos de 5,9 por cada 100 estudiantes; asimismo, existió una asociación entre esta y el índice de masa corporal. Finalmente, dicha prevalencia estuvo entre el rango permisible en investigaciones internacionales y fue evidente que esta enfermedad era desconocida por más de 90 % de los afectados.

An analytic cross-sectional study, was carried out from October, 2012 to February, 2013 in 829 scholars of tenth, and eleventh grades who studied in "Salvador Allende" senior high school in Boyeros, Havana city, aimed at determining the prevalence of hypertension and its association with some risk factors. It was found that the general prevalence of prehypertensive students was 3.8 and that of hypertensive students of 5.9 every 100 students; also, there was an association between this prevalence and body mass index. Finally, this prevalence was in the permissible range in international investigations and it was evident that this disease was unknown for more than 90% of the affected students.

Prevalencia de hipertensión arterial en adolescentes del preuniversitario Salvador Allende / Prevalence of hypertension in adolescents of Salvador Allende senior high school

Se realizó un estudio analítico, de corte transversal, desde octubre 2012 hasta febrero de 2013, de 829 escolares de décimo y onceno grados, que cursaban estudios en el Preuniversitario Salvador Allende del municipio de Boyeros en La Habana, con vistas a determinar la prevalencia de hipertensión arterial y su asociación con algunos factores de riesgo. Se encontró que la prevalencia general de prehipertensos fue de 3,8 y la de hipertensos de 5,9 por cada 100 estudiantes; asimismo, existió una asociación entre esta y el índice de masa corporal. Finalmente, dicha prevalencia estuvo entre el rango permisible en investigaciones internacionales y fue evidente que esta enfermedad era desconocida por más de 90 por ciento de los afectados(AU)

An analytic cross-sectional study, was carried out from October, 2012 to February, 2013 in 829 scholars of tenth, and eleventh grades who studied in Salvador Allende senior high school in Boyeros, Havana city, aimed at determining the prevalence of hypertension and its association with some risk factors. It was found that the general prevalence of prehypertensive students was 3.8 and that of hypertensive students of 5.9 every 100 students; also, there was an association between this prevalence and body mass index. Finally, this prevalence was in the permissible range in international investigations and it was evident that this disease was unknown for more than 90 percent of the affected students(AU)

Performance of electrochemical oxidation process for removal of di (2-ethylhexyl) phthalate.

Di (2-ethylhexyl) phthalate (DEHP) is the most detected and concentrated plasticizer in environment and wastewaters, worldwide. In this study, different operating parameters such as current intensity, treatment time, type of anodes, and supporting electrolytes were tested to optimized the electro-oxidation process (EOP) for the removal of DEHP in the presence of methanol as a dissolved organic matter. Among the anodes, the Nb/BDD showed the best degradation rate of DEHP, at low current intensity of 0.2 A after 90 min of treatment time with a percentage of degradation recorded of 81 %, compared to 70 % obtained with the Ti/IrO2-RuO2. Furthermore, due to the combination of direct and indirect oxidation, the removal of DEHP in the presence of 1 g/L Na2SO4 was higher than NaBr, even though the oxidant production of NaBr was 11.7 mmol/L against 3.5 mmol/L recorded in the presence of sulfate at 0.5 A and after 60 min of electrolysis time. Under optimal condition (current intensity = 0.5 A, time = 120 min, using Nb/BDD anode and Na2SO4 as supporting electrolyte), the removal of 87.2 % of DEHP was achieved. The total cost of 0.106 US$/m(3) of treated water was achieved based on economical optimization of reactor with current intensity of 0.2 A and 1 g/L Na2SO4.