Herbs carbonization and activation for fast sorption of nitrate ions: a new challenge for a full treatment of groundwater pollution.

The evolution of low-cost ecotechnologies in water treatment and purification is highly increased. Face to the growing global demand for eco-friendly water treatment materials, the non-valorized herb-based biomass covering a large area could be a promising alternative. Herbs (HB) are currently one of the cheapest biomasses. Therefore, the utilization of HB for environmental applications is relevant. HB was treated and activated in this work to produce an eco-friendly adsorbent for nitrate removal from groundwater. HB was treated with modified carbonization at 220 °C to produce highly reactive biochar (BCH). Ammonium groups (AM) are immobilized covalently over the BCH surface, and then, the resulting materials BCH-AM are fully characterized. Results showed that ammonium is successfully grafted at the BCH surface, producing a highly stable material. Measurements on nitrate ion adsorption revealed that BCH-AM are of great interest as 80% of nitrate ions (NO3-) were removed. Importantly, the eco-friendly BCH-AM demonstrated the ability to easily desorb the nitrate ions using Na2CO3 as a green eluent. Parametric studies confirmed the effectiveness of the prepared adsorbent and approved that the adsorption occurred by electrostatic interactions. To demonstrate the performance of the adsorbent, BCH-AM was evaluated to remove NO3- from groundwater upstream in a water treatment plant. This work opens an immense perspective for herb biomass to be the actual challenge to resolve environmental problems.

Interfacility Transport of Mechanically Ventilated Patients with Suspected COVID-19 in the Prone Position.

OBJECTIVE: Prone positioning during mechanical ventilation in patients with severe respiratory failure is an important intervention with both physiologic and empiric rationale for its use. This study describes a consecutive cohort of patients with severe hypoxemic respiratory failure due to COVID-19 who were transported in the prone position in order to determine the incidence of serious adverse events (SAEs) during transport. METHODS: This retrospective study used prospectively collected data from a provincial air and land critical care transport system where specially trained critical care paramedic crews transported intubated and mechanically ventilated patients with COVID-19 in the prone position. SAEs were determined a priori, and included markers of new hemodynamic or respiratory instability, new resuscitative measures, and equipment or vehicle malfunction. Two authors independently reviewed each patient care record to identify SAEs during transport, and the ability of the crews to successfully manage such events. RESULTS: From April 2020 to June 2021, 127 intubated and mechanically ventilated patients were transported in the prone position. Of these, 117 were transported by land vehicle, 7 by rotor-wing, and 3 by fixed wing aircraft. 67 (52.8%) were vasopressor-dependent, 5 (3.9%) were receiving inhaled vasodilators, 9 (7.1%) were hypoxic (SpO2 < 88%), and 3 (2.4%) were hypotensive (SBP < 90 or MAP < 65 mm Hg) when the transport crew made patient contact at the sending hospital. Of the 122 (96.1%) patients in which a pre-transport PaO2/FiO2 ratio was available, the mean (median; range) was 86.7 (81; 47-144), with 27 patients greater having a ratio greater than 100. The mean (median; range) transport time was 49 (45; 14-176) minutes. There were 19 SAEs in 18 (14.2%) patients during transport, the most common of which was new hypoxia requiring ventilator adjustments (15 of 18 patients). All SAEs were successfully managed by the transport crews. No patient experienced tracheal tube obstruction, unintentional extubation, cardiac arrest, or died during transport. CONCLUSION: Patients with severe hypoxemic respiratory failure due to COVID-19 can be safely transported in the prone position by specially trained critical care paramedic crews.