This study presents the deep removal of copper (Ⅱ) from the simulated cobalt electrolyte using fabricated polystyrene-supported 2-aminomethylpyridine chelating resin (PS-AMP) in a fixed-bed.The effects of bed height ...This study presents the deep removal of copper (Ⅱ) from the simulated cobalt electrolyte using fabricated polystyrene-supported 2-aminomethylpyridine chelating resin (PS-AMP) in a fixed-bed.The effects of bed height (7.0–14.0 cm),feed flow rate (4.5–9.0 mL/min),initial copper (Ⅱ) concentration of the feed (250–1000 mg/L),feed temperature (25–40 ℃) and the value of pH (2.0–4.0) on the adsorption process of the PS-AMP resin were investigated.The experimental data showed that the PS-AMP resin can deeply eliminate copper (Ⅱ) from the simulated cobalt electrolyte.The bed height,feed flow rate,initial copper (Ⅱ) concentration of the feed,feed temperature and feed pH value which corresponded to the highest removal of copper (Ⅱ) were 7.0 cm with 35 mm of the column diameter,4.5 mL/min,40℃,1000 mg/L and 4.0,respectively.The breakthrough capacity,the saturated capacity of the column and the mass ratio of Cu/Co (g/g) in the saturated resin were correspondingly 16.51 mg/g dry resin,61.72 mg/g dry resin and 37.67 under the optimal experimental conditions.The copper (Ⅱ) breakthrough curves were fitted by the empirical models of Thomas,Yoon-Nelson and Adam-Bohart,respectively.The Thomas model was found to be the most suitable one for predicting how the concentration of copper (Ⅱ) in the effluent changes with the adsorption time.展开更多
SP-C was applied for the removal of Cu^2+ from simulated cobalt sulfate electrolyte containing Co2+ 50 g/L and Cu2+ 0.5-2.0 g/L. Experimental conditions included pH of 2-4, temperature of 20-60℃ and contact time o...SP-C was applied for the removal of Cu^2+ from simulated cobalt sulfate electrolyte containing Co2+ 50 g/L and Cu2+ 0.5-2.0 g/L. Experimental conditions included pH of 2-4, temperature of 20-60℃ and contact time of 10-40 min. The investigation demonstrated that SP-C had recommendable efficiency in adsorbing Cu2+ from the electrolyte with 25- to 100-fold of Co2+ The optimal adsorption conditions of SP-C were pH of 4, contact time of 30 min and ambient temperature. The study also showed that the loaded resin could be effectively eluted with 2.0 mol/L H2SO4 solution at a contact time of 40 min; the peak concentration of Cu2+ in the eluate was about 35 g/L. The sorption characteristics of Cu2+ by SP-C could be described by Langrnuir isotherm and the pseudo second-order kinetic equation. Infrared spectra showed that nitrogen atoms in the functional group coordinated with Cu2+ to form coordination bands.展开更多
Platy potassium magnesium titanate (K0.8Mg0.4Ti1.6O4, KMTO) was synthesized by a flux method. The potential application of KMTO in removing copper ions from water pollutants was investigated. The crystal phases of spe...Platy potassium magnesium titanate (K0.8Mg0.4Ti1.6O4, KMTO) was synthesized by a flux method. The potential application of KMTO in removing copper ions from water pollutants was investigated. The crystal phases of specimens were identified by XRD. The morphology and structural information were characterized by SEM and TEM. The adsorption behavior under different conditions was investigated, including different pH values and different initial copper ion concentrations. The results show that the maximum adsorption capacity of Cu(II) ions is 290.697 mg/g, and almost 99.9% of Cu(II) ions can be removed, which is much higher than that of other sorbents reported. The kinetics of KMTO for the adsorption of Cu(II)ions was studied and the best fit can be obtained by the pseudo-second-order model. Adsorption isothermal data can be well interpreted by the Freundlich equation (R2=0.991). In conclusion, this study highlights that KMTO is a potential material for the efficient removal of heavy metal ions in polluted water. It also opens up a new opportunity for the applications of platy KMTO.展开更多
Copper is difficult to separate from nickel electrolyte due to low concentration of copper (0.53 g/L) with high concentration of nickel (75 g/L). Manganese sulfide (MnS) was used to deeply remove copper from the elect...Copper is difficult to separate from nickel electrolyte due to low concentration of copper (0.53 g/L) with high concentration of nickel (75 g/L). Manganese sulfide (MnS) was used to deeply remove copper from the electrolyte. Experimental results show that the concentration of copper (ρ(Cu)) decreases from 530 to 3 mg/L and the mass ratio of copper to nickel (RCu/Ni) in the residue reaches above 15 when the MnS dosage is 1.4 times the theoretical valueDt,MnS (Dt,MnS=0.74 g) and the pH value of electrolyte is 4?5 with reaction time more than 60 min at temperatures above 60 °C. The concentration of newly generated Mn2+(ρ(Mn)) in the solution is also reduced to 3 mg/L by the oxidation reaction. The values ofρ(Cu),ρ(Mn)andRCu/Ni meet the requirements of copper removal from the electrolyte. It is shown that MnS can be considered a highly effective decoppering reagent.展开更多
A facile method for removing copper from guanyl-0-alkylisourea copper complex was found by using electrolysis.The complex was electrolyzed at a copper cathode in dilute hydrochloric or nitric acid to give guanyl-O- al...A facile method for removing copper from guanyl-0-alkylisourea copper complex was found by using electrolysis.The complex was electrolyzed at a copper cathode in dilute hydrochloric or nitric acid to give guanyl-O- alkylisourea salt in high yield and current efficiency.展开更多
AIM: To study the efficacy and the safety of laser lithotripsy without direct visual control by using a balloon catheter in patients with bile duct stones that could not be extracted by standard technique. METHODS: Th...AIM: To study the efficacy and the safety of laser lithotripsy without direct visual control by using a balloon catheter in patients with bile duct stones that could not be extracted by standard technique. METHODS: The seventeen patients (7 male and 10 female; mean age 67.8 years) with difficult common bile duct (CBD) stones were not amenable for conventional endoscopic maneuvers such as sphincterotomy and mechanical lithotripsy were included in this study. Laser wavelengths of 532 nm and 1064 nm as a double pulse were applied with pulse energy of 120 mJ. The laser fiber was advanced under fluoroscopic control through the ERCP balloon catheter. Laser lithotripsy was continued until the fragment size seemed to be less than 10 mm. Endoscopic extraction of the stones and fragments was performed with the use of the Dormia basket and balloon catheter. RESULTS: Bile duct clearance was achieved in 15 of 17 patients (88%). The mean number of treatment sessions was 1.7 ± 0.6. Endoscopic stone removal could not be achieved in 2 patients (7%). Adverse effects were noted in three patients (hemobilia, pancreatitis, and cholangitis). CONCLUSION: The Frequency Doubled Double Pulse Nd:YAG (FREDDY) laser may be an effective and safe technique in treatment of difficult bile duct stones.展开更多
Poly(p-phenylenediamine)/chitosan (PPPDA/Chi) composite was prepared by in situ chemical oxidative polymerization of p-phenylenediamine (PPPDA) into chitosan (Chi) using ammonium persulphate (APS) as an oxidant. PPPDA...Poly(p-phenylenediamine)/chitosan (PPPDA/Chi) composite was prepared by in situ chemical oxidative polymerization of p-phenylenediamine (PPPDA) into chitosan (Chi) using ammonium persulphate (APS) as an oxidant. PPPDA and PPPDA/Chi composite were characterized by FT-IR spectra and SEM before and after copper loading. In batch adsorption method, the maximum removal of copper was experienced when 1 g/L of PPPDA and PPPDA/Chi composite dosages were used at pH 5.0 for PPPDA and 6.0 for PPPDA/Chi composite for 360 min for both sorbents. PPPDA showed adsorption capacity q<sub>e</sub><sup>max</sup> of 650 mg/g whereas its composite achieved q<sub>e</sub><sup>max</sup> of 573 mg/g. The experimental data correlate well with the Freundlich isotherm equation and the pseudo-second order kinetic model. The Cu(II), loaded PPPDA and its composite can be efficiently reused for as many as four cycles. The Cu(II)-loaded sorbents showed high antibacterial efficiency against Gram-positive and Gram-negative bacteria than their unloaded forms.展开更多
A factorial experimental design method was used to examine the “Cu2+” removal from acid mine drainage wastewater by ion exchange technique. Ion Exchange technique is preferred because of reduced sludge generation co...A factorial experimental design method was used to examine the “Cu2+” removal from acid mine drainage wastewater by ion exchange technique. Ion Exchange technique is preferred because of reduced sludge generation compared to conventional treatment techniques and better decontamination efficiency from highly diluted solutions. Factorial design of experiments is employed to study the effect of four factors pH (3, 5, and 6), flow rate (5, 10, 15 L/hr), resin bed height (20, 40 and 60 cm) and initial concentration of the metal (100, 150 and 200 mgl-1) at three levels. The efficiency of metal removal was determined after 100 min of treatment. Main effects and interaction effects of the four factors were analyzed using statistical techniques. A regression model was recommended and it was found to fit the experimental data very well. The results were analyzed statistically using the Student’s t-test, analysis of variance, F-test and lack of fit to define most important process variables affecting the percentage “Cu2+” removal. In this study , pH was thus found to be the most important variable.展开更多
Mixed mesophilic and extreme thermophilic bioleaching were evaluated to remove copper from the molybdenite concentrate.Bioleaching tests were carried out in shake flasks and in a 50-L bioreactor.The shake flask tests ...Mixed mesophilic and extreme thermophilic bioleaching were evaluated to remove copper from the molybdenite concentrate.Bioleaching tests were carried out in shake flasks and in a 50-L bioreactor.The shake flask tests were performed with different inoculum size,solids density,pH.and temperature in order to identify optimum conditions.The highest amount of copper elimination,75%was obtained with extreme thermophilic microorganisms(at 12%inoculation,10%solids,65℃and a pH of 1.5).The highest copper elimination by mesophilic microorganisms was 55%(at 12%inoculation,5%solids,30℃at pH 2).The optimum conditions in shake flask tests were applied to 7 days batch tests in a50-L bioreactor.Extreme thermophilic experiment gave the best copper elimination of 60%(at 12%inoculation,10%solids,65℃and pH 1.5).Mesophilic test removed 50%of the copper(at 12%inoculation,10%solids,35℃at pH 2).展开更多
Calcination and acid leaching of coal kaolin were studied to determine an effective and economical preparation method of calcined kaolin. Thermogravimetric-differential thermal analysis (TG-DTA) and X-ray diffracti...Calcination and acid leaching of coal kaolin were studied to determine an effective and economical preparation method of calcined kaolin. Thermogravimetric-differential thermal analysis (TG-DTA) and X-ray diffraction (XRD) demonstrated that 900&#176;C was the suitable temperature for the calcination. Leaching tests showed that hydrochloric acid was more effective for iron dissolution from raw coal kaolin (RCK), whereas oxalic acid was more effective on iron dissolution from calcined coal kaolin (CCK). The iron dissolution from CCK was 28.78wt%, which is far less effective than the 54.86wt% of RCK under their respective optimal conditions. Through analysis by using M?ssbauer spectroscopy, it is detected that nearly all of the structural ferrous ions in RCK were removed by hydrochloric acid. However, iron sites in CCK changed slightly by oxalic acid leaching because nearly all ferrous ions were transformed into ferric species after firing at 900&#176;C. It can be concluded that it is difficult to remove the structural ferric ions and ferric oxides evolved from the structural ferrous ions. Thus, iron removal by acids should be conducted prior to calcination.展开更多
The Ni-B-Oδ and Ni-B-Zr-Oδ catalysts were prepared by the method of chemical reduction, and the deep removal of CO by selective methanation from the reformed fuels was performed over the as-prepared catalysts. The r...The Ni-B-Oδ and Ni-B-Zr-Oδ catalysts were prepared by the method of chemical reduction, and the deep removal of CO by selective methanation from the reformed fuels was performed over the as-prepared catalysts. The results showed that zirconium strongly influenced the activity and selectivity of the Ni-B-Zr-Oδ catalysts. Over the Ni-B-Oδ catalyst, the highest CO conversion obtained was only 24.32% under the experi-mental conditions studied. However, over the Ni-B-Zr-Oδ catalysts, the CO methanation conversion was higher than 90% when the temperature was increased to 220℃. Additionally, it was found that the Ni/B mole ratio also affected the performance of the Ni-B-Zr-Oδ catalysts. With the increase of the Ni/B mole ratio from 1.8 to 2.2, the CO methanation activity of the catalyst was improved. But when the Ni/B mole ratio was higher than 2.2, the performance of the catalyst for CO selective methanation decreased instead. Among all the catalysts, the Ni29B13Zr58Oδ catalyst investigated here exhibited the highest catalytic performance for the CO selective methanation, which was capable of reducing the CO outlet concentration to less than 40 ppm from the feed gases stream in the temperature range of 230-250℃, while the CO2 conversion was kept below 8% all along. Characterization of the Ni-B-Oδ and Ni-B-Zr-Oδ catalysts was provided by XRD, SEM, DSC, and XPS.展开更多
Recently, a renewed interest in techniques for heavy metal removal of wastewater has been growing because of embarking opportunities for industrial applications. We investigated the adsorption capacity of the copper o...Recently, a renewed interest in techniques for heavy metal removal of wastewater has been growing because of embarking opportunities for industrial applications. We investigated the adsorption capacity of the copper on the poly(vinyl alcohol) hydrogel from the aqueous solution. Chemical structure and water absorption of the hydrogel were studied using FTIR and water uptake measurement, respectively. The results showed that the poly(vinyl alcohol) was crosslinked with glutaraldehyde, and the hydrogel highly exhibited the equilibrium swelling ratio because of its hydrophilicity property. Additionally, it was found that the adsorption process followed the pseudo-second-order kinetics and the mechanism diffusion was controlled by particle and film diffusions.展开更多
In order to reasonably utilize the iron resources of copper slags, the smelting chlorination process was used to remove copper from copper slags. Higher holding temperature and O2 flow rate are beneficial to increasin...In order to reasonably utilize the iron resources of copper slags, the smelting chlorination process was used to remove copper from copper slags. Higher holding temperature and O2 flow rate are beneficial to increasing copper removal rate. However,the Cu2O mode is formed by the reaction of surplus O2 and CuCl with O2 flow rate increasing over 0.4 L/min, causing CuCl volatilization rate and copper removal rate to decrease. The resulting copper removal rate of 84.34% is obtained under the optimum conditions of holding temperature of 1573 K, residence time of 10 min, Ca Cl2 addition amount of 0.1(mass ratio of CaCl2 and the copper slag) and oxygen flow rate of 0.4 L/min. The efficient removal of copper from copper slags through chlorination is feasible.展开更多
Catalysts using α-FeOOH nanoparticles as the active ingredient were testedby a microreactor-chromatography assessing apparatus at atmospheric pressure between 25 and 60 ℃with a gas hourly space velocity of 10,000 h^...Catalysts using α-FeOOH nanoparticles as the active ingredient were testedby a microreactor-chromatography assessing apparatus at atmospheric pressure between 25 and 60 ℃with a gas hourly space velocity of 10,000 h^(-1), while the removal performance of H_2S withcatalysts was investigated using the thermal gravimetric method. The results show that the catalystsare highly active for COS hydrolysis at low temperatures (≤60 ℃) and high gas hourly spacevelocity, and the highest activity can reach 100%. The catalyst is particularly stable for 12 h, andno deactivation is observed. Nanoparticle α-FeOOH prepared using hydrated iron sulfate showshigher COS hydrolysis activity, and the optimum calcination temperature for the catalyst is 260 ℃.In addition, the catalysts can remove COS and H_2S simultaneously, and 60 ℃ is favorable for theremoval of H_2S. The compensation effect exists in nanoparticle-based catalysts.展开更多
The present study is aimed to examine the adsorption characteristics of Cu(II) by using the novel cellulose acetate composite and to apply it for the removal of Cu(II) from real wastewater samples. In order to achieve...The present study is aimed to examine the adsorption characteristics of Cu(II) by using the novel cellulose acetate composite and to apply it for the removal of Cu(II) from real wastewater samples. In order to achieve this objective, ethylenediamine, diethylenetriamine, triethylenetetramine and te-traethylenepentanene were used for immobilization of grafted cellulose acetate-nanoscale manganese dioxide. Cellulose was extracted from mangrove species Avicennia marina and converted to cellulose acetate then it was formed composite with nano-manganese dioxide via precipitation of nano-manganese dioxide on it. The composite was grafted with acrylamide monomer before immobilization. The synthesized compounds were used for adsorption of Cu(II) and characterized by FT-IR, TGA and SEM. The adsorption characteristics of synthesized sorbents were optimized. Langmuir and Freundlich models were used to establish sorption equilibria. The analytical applications of these modified materials were applied successfully for the removal of Cu(II).展开更多
Objective To evaluate the sickle renal parenchyma incision for the removal of complex staghorn renal calculi. Methods Sickle parenchyma incision was used to remove stones in 37 patients with complex staghorn renal cal...Objective To evaluate the sickle renal parenchyma incision for the removal of complex staghorn renal calculi. Methods Sickle parenchyma incision was used to remove stones in 37 patients with complex staghorn renal calculi. The procedure was as follows; the kidney was disected free and the pelvis within sinus renalis was isolated. Two of botton style sutures were made on the renal parenchyma with 2-0 plain catgut along mid-lower 1 /3 of the dorsal surface of kidney free of vessels (Brodie’ s line) from the renal posterior lib to the plane of lower major calyx. The renal parenchyma was opened. Then, the incision was developed from the plane of lower major calyx through the middle major calyx to the plane of upper major calyx. The shape of this incision appeared like a sickle. The renal parenchyma and each calyx along this incision were opened and so was all the stones could then be easily removed. The calyces could well be observed. Results The calculi were completely removed in all the 37 cases. 21展开更多
Dust removal from pyrolytic vapors at high temperatures is an obstacle to the industrialization of the coal pyrolysis process.In this work,a granular bed with expanded perlites as filtration media was designed and int...Dust removal from pyrolytic vapors at high temperatures is an obstacle to the industrialization of the coal pyrolysis process.In this work,a granular bed with expanded perlites as filtration media was designed and integrated into a 10 t·d^(–1)coal pyrolysis facility.The testing results showed that around 97.56%dust collection efficiency was achieved.As a result,dust content in tar was significantly lowered.The pressure drop of the granular bed maintained in the range of 356 Pa to 489 Pa.The dust size in the effluent after filtration exhibited a bimodal distribution,which was attributed to the heterogeneity of the dust components.The effects of filtration bed on pyrolytic product yields were also discussed.A modified filtration model based on the macroscopic phenomenological theory was proposed to describe the performance of the granular bed.The computation results were well agreed with the experimental data.展开更多
The pursuit of incorporating eco-friendly reinforcing agents in polymer composites has accentuated the exploration of various natural biomass-derived materials.The burgeoning environmental crisis spurred by the discha...The pursuit of incorporating eco-friendly reinforcing agents in polymer composites has accentuated the exploration of various natural biomass-derived materials.The burgeoning environmental crisis spurred by the discharge of synthetic dyes into wastewater has catalyzed the search for effective and sustainable treatment technologies.Among the various sorbent materials explored,biochar,being renewable,has gained prominence due to its excellent adsorption properties and environmental sustainability.It has also emerged as a focal point for its potential to replace other conventional reinforcing agents,viz.,fumed silica,aluminum oxide,treated clays,etc.This study introduces a novel class of polymer nanocomposites comprising of lignin-based biochar particles and poly(ester amide urethane)matrix via a feasible method.The structural evaluation of these nanocomposites was accomplished using Fourier-transform infrared spectroscopy,X-ray photoelectron spectroscopy,and powder X-ray diffraction.The polymer nanocomposites exhibited superior mechanical properties with an increment in tensile strength factor by 45%in comparison to its pristine matrix,along with an excellent toughness value of 90.22 MJm^(−3)at a low loading amount of only 1 wt%.The composites showed excellent improvement in thermal properties with a sharp rise in the glass transition temperature(Tg)value from−28.15℃to 84℃,while also championing sustainability through inherent biodegradability attributes.Beyond their structural prowess,these polymer nanocomposites demonstrated excellent potential as adsorbents,displaying efficient removal of malachite green and tartrazine dyes from aqueous systems with a removal efficiency of 87.25%and 73.98%,respectively.The kinetics study revealed the pseudo second order model to be the precision tool to assess the dye removal study.Complementing this,the Langmuir adsorption isotherm provided a framework to assess the sorption features of the polymer nanocomposites.Overall,these renewable biochar integrated polymer matrices boast remarkable recovery capabilities up to seven cycles of usage with an excellent dye recovery percentage of 95.21%for the last cycle,thereby defining sustainability as well as economic feasibility.展开更多
Background,aim,and scope Owing to the rapid development of modernisation and urbanisation,living standards have gradually improved.However,the widespread use of high-energy-consuming indoor appliances and furniture ha...Background,aim,and scope Owing to the rapid development of modernisation and urbanisation,living standards have gradually improved.However,the widespread use of high-energy-consuming indoor appliances and furniture has made indoor environments a primary environmental problem affecting human health.Sick building syndrome(SBS)and building-related illness(BRI)have occurred,and indoor air conditions have been extensively studied.Common indoor pollutants include CO,CO_(2),volatile organic compounds(VOCs)(such as the formaldehyde and benzene series),NOx(NO and NO_(2)),and polycyclic aromatic hydrocarbons(PAHs).VOCs have replaced SO_(2)as the“The Fourteenth Five-Year Plan”urban air quality assessment new indicators.Indoor VOCs can cause diseases such as cataract,asthma,and lung cancer.To protect human health,researchers have proposed several indoor air purification technologies,including adsorption,filtration,electrostatic dust removal,ozonation,and plant purification.However,each technology has drawbacks,such as high operating costs,high energy consumption,and the generation of secondary waste or toxic substances.Plant degradation of VOCs as a bioremediation technology has the characteristics of low cost,high efficiency,and sustainability,thereby becoming a potential green solution for improving indoor air quality.This study introduces the research status and mechanism of plant removal of indoor VOCs and provides an experimental basis and scientific guidance for analysing the mechanism of plant degradation of pollutants.Materials and methods This study reviews studies on the harm caused by indoor pollutants to human health and related sources,mainly investigating the degradation of indoor formaldehyde,BTEX(benzene,toluene,ethylbenzene,and xylene)plant mechanisms,and research results.Results Plants can remove VOCs via stomatal and non-stomatal adsorption,interfoliar microbial,rhizosphere microbial,and growth media.Benzene,toluene,and xylene(BTX)are adsorbed by pores,hydroxylated into fumaric acid,and then removed into CO_(2)and H2O by TCA.Formaldehyde enters plant leaves through the stomata and epidermal waxy substances and is adsorbed.After the two steps of enzymatic oxidation,formic acid and CO_(2)are generated.Finally,it enters the Calvin cycle and removes glucose and other nontoxic compounds.Discussion The non-stomatal degradation of VOCs can be divided into adsorption by cuticular wax and active adsorption by plant surface microorganisms.The leaf epidermal waxy matter content and the lipid composition of the epidermal membrane covering the plant surface play important roles in the non-stomatal adsorption of indoor air pollutants.The leaf margin of a plant is an ecological environment containing various microbial communities.The endophytic and inoculated microbiota in plant buds and leaves can remove VOCs(formaldehyde and BTEX).Formaldehyde can be directly absorbed by plant leaves and converted into organic acids,sugars,CO_(2)and H2O by microbes.Bioremediation of indoor VOCs is usually inefficient,leading to plant toxicity or residual chemical substance volatilisation through leaves,followed by secondary pollution.Therefore,plants must be inoculated with microorganisms to improve the efficiency of plant degradation of VOCs.However,the effectiveness of interfoliar microbial removal remains largely unknown and several microorganisms are not culturable.Therefore,methods for collecting,identifying,and culturing microorganisms must be developed.As the leaf space is a relatively unstable environment,the degradation of VOCs by rhizosphere microorganisms is equally important,and formaldehyde is absorbed more by rhizosphere microorganisms at night.The inoculation of bacteria into the rhizosphere improves the efficiency of plants in degrading VOCs.However,most of these studies were conducted in simulation chambers.To ensure the authenticity of these conclusions,the ability of plants to remove indoor air pollutants must be further verified in real situations.Conclusions Plant purification is an economical,environment-friendly,and sustainable remediation technology.This review summarises the mechanisms of VOC plant degradation and presents its limitations.Simultaneously,it briefly puts forward a plant selection scheme according to different temperatures,light,and specific VOCs that can be absorbed to choose the appropriate plant species.However,some studies have denied the purification effect of plants and proposed that numerous plants are required to achieve indoor ventilation effects.Therefore,determining the ability of plants to remove indoor VOCs requires a combination of realistic and simulated scenarios.Recommendations and perspectives Plants and related microorganisms play an important role in improving indoor air quality,therefore,the effect of plants and the related microorganisms on improving indoor air quality must be studied further and the effect of plants on indoor VOCs will be the focus of future research.展开更多
BACKGROUND Choosing an optimal post-polypectomy management strategy of malignant colorectal polyps is challenging,and evidence regarding a surveillance-only strategy is limited.AIM To evaluate long-term outcomes after...BACKGROUND Choosing an optimal post-polypectomy management strategy of malignant colorectal polyps is challenging,and evidence regarding a surveillance-only strategy is limited.AIM To evaluate long-term outcomes after endoscopic removal of malignant colorectal polyps.METHODS A single-center retrospective cohort study was conducted to evaluate outcomes after endoscopic removal of malignant colorectal polyps between 2010 and 2020.Residual disease rate and nodal metastases after secondary surgery and local and distant recurrence rate for those with at least 1 year of follow-up were invest-igated.Event rates for categorical variables and means for continuous variables with 95%confidence intervals were calculated,and Fisher’s exact test and Mann-Whitney test were performed.Potential risk factors of adverse outcomes were RESULTS In total,135 lesions(mean size:22.1 mm;location:42%rectal)from 129 patients(mean age:67.7 years;56%male)were enrolled.The proportion of pedunculated and non-pedunculated lesions was similar,with en bloc resection in 82%and 47%of lesions,respectively.Tumor differentiation,distance from resection margins,depth of submucosal invasion,lymphovascular invasion,and budding were reported at 89.6%,45.2%,58.5%,31.9%,and 25.2%,respectively.Residual tumor was found in 10 patients,and nodal metastasis was found in 4 of 41 patients who underwent secondary surgical resection.Univariate analysis identified piecemeal resection as a risk factor for residual malignancy(odds ratio:1.74;P=0.042).At least 1 year of follow-up was available for 117 lesions from 111 patients(mean follow-up period:5.59 years).Overall,54%,30%,30%,11%,and 16%of patients presented at the 1-year,3-year,5-year,7-year,and 9-10-year surveillance examinations.Adverse outcomes occurred in 9.0%(local recurrence and dissemination in 4 patients and 9 patients,respectively),with no difference between patients undergoing secondary surgery and surveillance only.CONCLUSION Reporting of histological features and adherence to surveillance colonoscopy needs improvement.Long-term adverse outcome rates might be higher than previously reported,irrespective of whether secondary surgery was performed.展开更多
基金Project(2014CB643401)supported by the National Basic Research Program of ChinaProjects(51134007,51474256)supported by the National Natural Science Foundation of ChinaProject(2017TP1001)supported by the Hunan Provincial Science and Technology Plan Project,China
文摘This study presents the deep removal of copper (Ⅱ) from the simulated cobalt electrolyte using fabricated polystyrene-supported 2-aminomethylpyridine chelating resin (PS-AMP) in a fixed-bed.The effects of bed height (7.0–14.0 cm),feed flow rate (4.5–9.0 mL/min),initial copper (Ⅱ) concentration of the feed (250–1000 mg/L),feed temperature (25–40 ℃) and the value of pH (2.0–4.0) on the adsorption process of the PS-AMP resin were investigated.The experimental data showed that the PS-AMP resin can deeply eliminate copper (Ⅱ) from the simulated cobalt electrolyte.The bed height,feed flow rate,initial copper (Ⅱ) concentration of the feed,feed temperature and feed pH value which corresponded to the highest removal of copper (Ⅱ) were 7.0 cm with 35 mm of the column diameter,4.5 mL/min,40℃,1000 mg/L and 4.0,respectively.The breakthrough capacity,the saturated capacity of the column and the mass ratio of Cu/Co (g/g) in the saturated resin were correspondingly 16.51 mg/g dry resin,61.72 mg/g dry resin and 37.67 under the optimal experimental conditions.The copper (Ⅱ) breakthrough curves were fitted by the empirical models of Thomas,Yoon-Nelson and Adam-Bohart,respectively.The Thomas model was found to be the most suitable one for predicting how the concentration of copper (Ⅱ) in the effluent changes with the adsorption time.
文摘SP-C was applied for the removal of Cu^2+ from simulated cobalt sulfate electrolyte containing Co2+ 50 g/L and Cu2+ 0.5-2.0 g/L. Experimental conditions included pH of 2-4, temperature of 20-60℃ and contact time of 10-40 min. The investigation demonstrated that SP-C had recommendable efficiency in adsorbing Cu2+ from the electrolyte with 25- to 100-fold of Co2+ The optimal adsorption conditions of SP-C were pH of 4, contact time of 30 min and ambient temperature. The study also showed that the loaded resin could be effectively eluted with 2.0 mol/L H2SO4 solution at a contact time of 40 min; the peak concentration of Cu2+ in the eluate was about 35 g/L. The sorption characteristics of Cu2+ by SP-C could be described by Langrnuir isotherm and the pseudo second-order kinetic equation. Infrared spectra showed that nitrogen atoms in the functional group coordinated with Cu2+ to form coordination bands.
基金Project(51272289)supported by the National Natural Science Foundation of ChinaProject(51021063)supported by the Creative Research Group of National Science Foundation of China
文摘Platy potassium magnesium titanate (K0.8Mg0.4Ti1.6O4, KMTO) was synthesized by a flux method. The potential application of KMTO in removing copper ions from water pollutants was investigated. The crystal phases of specimens were identified by XRD. The morphology and structural information were characterized by SEM and TEM. The adsorption behavior under different conditions was investigated, including different pH values and different initial copper ion concentrations. The results show that the maximum adsorption capacity of Cu(II) ions is 290.697 mg/g, and almost 99.9% of Cu(II) ions can be removed, which is much higher than that of other sorbents reported. The kinetics of KMTO for the adsorption of Cu(II)ions was studied and the best fit can be obtained by the pseudo-second-order model. Adsorption isothermal data can be well interpreted by the Freundlich equation (R2=0.991). In conclusion, this study highlights that KMTO is a potential material for the efficient removal of heavy metal ions in polluted water. It also opens up a new opportunity for the applications of platy KMTO.
基金Project(51104183)supported by the National Natural Science Foundation of ChinaProject supported by the China Scholarship Council
文摘Copper is difficult to separate from nickel electrolyte due to low concentration of copper (0.53 g/L) with high concentration of nickel (75 g/L). Manganese sulfide (MnS) was used to deeply remove copper from the electrolyte. Experimental results show that the concentration of copper (ρ(Cu)) decreases from 530 to 3 mg/L and the mass ratio of copper to nickel (RCu/Ni) in the residue reaches above 15 when the MnS dosage is 1.4 times the theoretical valueDt,MnS (Dt,MnS=0.74 g) and the pH value of electrolyte is 4?5 with reaction time more than 60 min at temperatures above 60 °C. The concentration of newly generated Mn2+(ρ(Mn)) in the solution is also reduced to 3 mg/L by the oxidation reaction. The values ofρ(Cu),ρ(Mn)andRCu/Ni meet the requirements of copper removal from the electrolyte. It is shown that MnS can be considered a highly effective decoppering reagent.
文摘A facile method for removing copper from guanyl-0-alkylisourea copper complex was found by using electrolysis.The complex was electrolyzed at a copper cathode in dilute hydrochloric or nitric acid to give guanyl-O- alkylisourea salt in high yield and current efficiency.
基金The 2007 research fund of Wonkwang University and Wonkwang Clinical Research Institute
文摘AIM: To study the efficacy and the safety of laser lithotripsy without direct visual control by using a balloon catheter in patients with bile duct stones that could not be extracted by standard technique. METHODS: The seventeen patients (7 male and 10 female; mean age 67.8 years) with difficult common bile duct (CBD) stones were not amenable for conventional endoscopic maneuvers such as sphincterotomy and mechanical lithotripsy were included in this study. Laser wavelengths of 532 nm and 1064 nm as a double pulse were applied with pulse energy of 120 mJ. The laser fiber was advanced under fluoroscopic control through the ERCP balloon catheter. Laser lithotripsy was continued until the fragment size seemed to be less than 10 mm. Endoscopic extraction of the stones and fragments was performed with the use of the Dormia basket and balloon catheter. RESULTS: Bile duct clearance was achieved in 15 of 17 patients (88%). The mean number of treatment sessions was 1.7 ± 0.6. Endoscopic stone removal could not be achieved in 2 patients (7%). Adverse effects were noted in three patients (hemobilia, pancreatitis, and cholangitis). CONCLUSION: The Frequency Doubled Double Pulse Nd:YAG (FREDDY) laser may be an effective and safe technique in treatment of difficult bile duct stones.
文摘Poly(p-phenylenediamine)/chitosan (PPPDA/Chi) composite was prepared by in situ chemical oxidative polymerization of p-phenylenediamine (PPPDA) into chitosan (Chi) using ammonium persulphate (APS) as an oxidant. PPPDA and PPPDA/Chi composite were characterized by FT-IR spectra and SEM before and after copper loading. In batch adsorption method, the maximum removal of copper was experienced when 1 g/L of PPPDA and PPPDA/Chi composite dosages were used at pH 5.0 for PPPDA and 6.0 for PPPDA/Chi composite for 360 min for both sorbents. PPPDA showed adsorption capacity q<sub>e</sub><sup>max</sup> of 650 mg/g whereas its composite achieved q<sub>e</sub><sup>max</sup> of 573 mg/g. The experimental data correlate well with the Freundlich isotherm equation and the pseudo-second order kinetic model. The Cu(II), loaded PPPDA and its composite can be efficiently reused for as many as four cycles. The Cu(II)-loaded sorbents showed high antibacterial efficiency against Gram-positive and Gram-negative bacteria than their unloaded forms.
文摘A factorial experimental design method was used to examine the “Cu2+” removal from acid mine drainage wastewater by ion exchange technique. Ion Exchange technique is preferred because of reduced sludge generation compared to conventional treatment techniques and better decontamination efficiency from highly diluted solutions. Factorial design of experiments is employed to study the effect of four factors pH (3, 5, and 6), flow rate (5, 10, 15 L/hr), resin bed height (20, 40 and 60 cm) and initial concentration of the metal (100, 150 and 200 mgl-1) at three levels. The efficiency of metal removal was determined after 100 min of treatment. Main effects and interaction effects of the four factors were analyzed using statistical techniques. A regression model was recommended and it was found to fit the experimental data very well. The results were analyzed statistically using the Student’s t-test, analysis of variance, F-test and lack of fit to define most important process variables affecting the percentage “Cu2+” removal. In this study , pH was thus found to be the most important variable.
基金supported by the National Iranian Copper Industry Co.
文摘Mixed mesophilic and extreme thermophilic bioleaching were evaluated to remove copper from the molybdenite concentrate.Bioleaching tests were carried out in shake flasks and in a 50-L bioreactor.The shake flask tests were performed with different inoculum size,solids density,pH.and temperature in order to identify optimum conditions.The highest amount of copper elimination,75%was obtained with extreme thermophilic microorganisms(at 12%inoculation,10%solids,65℃and a pH of 1.5).The highest copper elimination by mesophilic microorganisms was 55%(at 12%inoculation,5%solids,30℃at pH 2).The optimum conditions in shake flask tests were applied to 7 days batch tests in a50-L bioreactor.Extreme thermophilic experiment gave the best copper elimination of 60%(at 12%inoculation,10%solids,65℃and pH 1.5).Mesophilic test removed 50%of the copper(at 12%inoculation,10%solids,35℃at pH 2).
基金financially supported by Zhejiang Natural Science Foundation(No.Y1080393)Opening Foundation of State Key Laboratory of Clean Energy Utilization(No.ZJUEDU2012001)
文摘Calcination and acid leaching of coal kaolin were studied to determine an effective and economical preparation method of calcined kaolin. Thermogravimetric-differential thermal analysis (TG-DTA) and X-ray diffraction (XRD) demonstrated that 900&#176;C was the suitable temperature for the calcination. Leaching tests showed that hydrochloric acid was more effective for iron dissolution from raw coal kaolin (RCK), whereas oxalic acid was more effective on iron dissolution from calcined coal kaolin (CCK). The iron dissolution from CCK was 28.78wt%, which is far less effective than the 54.86wt% of RCK under their respective optimal conditions. Through analysis by using M?ssbauer spectroscopy, it is detected that nearly all of the structural ferrous ions in RCK were removed by hydrochloric acid. However, iron sites in CCK changed slightly by oxalic acid leaching because nearly all ferrous ions were transformed into ferric species after firing at 900&#176;C. It can be concluded that it is difficult to remove the structural ferric ions and ferric oxides evolved from the structural ferrous ions. Thus, iron removal by acids should be conducted prior to calcination.
基金the National Natural Science Foundation of China (20576023)the Guangdong Province Natural Science Foundation (06025660)
文摘The Ni-B-Oδ and Ni-B-Zr-Oδ catalysts were prepared by the method of chemical reduction, and the deep removal of CO by selective methanation from the reformed fuels was performed over the as-prepared catalysts. The results showed that zirconium strongly influenced the activity and selectivity of the Ni-B-Zr-Oδ catalysts. Over the Ni-B-Oδ catalyst, the highest CO conversion obtained was only 24.32% under the experi-mental conditions studied. However, over the Ni-B-Zr-Oδ catalysts, the CO methanation conversion was higher than 90% when the temperature was increased to 220℃. Additionally, it was found that the Ni/B mole ratio also affected the performance of the Ni-B-Zr-Oδ catalysts. With the increase of the Ni/B mole ratio from 1.8 to 2.2, the CO methanation activity of the catalyst was improved. But when the Ni/B mole ratio was higher than 2.2, the performance of the catalyst for CO selective methanation decreased instead. Among all the catalysts, the Ni29B13Zr58Oδ catalyst investigated here exhibited the highest catalytic performance for the CO selective methanation, which was capable of reducing the CO outlet concentration to less than 40 ppm from the feed gases stream in the temperature range of 230-250℃, while the CO2 conversion was kept below 8% all along. Characterization of the Ni-B-Oδ and Ni-B-Zr-Oδ catalysts was provided by XRD, SEM, DSC, and XPS.
基金supported by Special Computer Science Project,Faculty of Science at Siracha, Kasetsart University (Grant number 012554)
文摘Recently, a renewed interest in techniques for heavy metal removal of wastewater has been growing because of embarking opportunities for industrial applications. We investigated the adsorption capacity of the copper on the poly(vinyl alcohol) hydrogel from the aqueous solution. Chemical structure and water absorption of the hydrogel were studied using FTIR and water uptake measurement, respectively. The results showed that the poly(vinyl alcohol) was crosslinked with glutaraldehyde, and the hydrogel highly exhibited the equilibrium swelling ratio because of its hydrophilicity property. Additionally, it was found that the adsorption process followed the pseudo-second-order kinetics and the mechanism diffusion was controlled by particle and film diffusions.
基金Project(51204082)supported by the National Natural Science Foundation of ChinaProject(KKZ3201252011)supported by Talent Cultivation Project of Kunming University of Science and Technology,China
文摘In order to reasonably utilize the iron resources of copper slags, the smelting chlorination process was used to remove copper from copper slags. Higher holding temperature and O2 flow rate are beneficial to increasing copper removal rate. However,the Cu2O mode is formed by the reaction of surplus O2 and CuCl with O2 flow rate increasing over 0.4 L/min, causing CuCl volatilization rate and copper removal rate to decrease. The resulting copper removal rate of 84.34% is obtained under the optimum conditions of holding temperature of 1573 K, residence time of 10 min, Ca Cl2 addition amount of 0.1(mass ratio of CaCl2 and the copper slag) and oxygen flow rate of 0.4 L/min. The efficient removal of copper from copper slags through chlorination is feasible.
文摘Catalysts using α-FeOOH nanoparticles as the active ingredient were testedby a microreactor-chromatography assessing apparatus at atmospheric pressure between 25 and 60 ℃with a gas hourly space velocity of 10,000 h^(-1), while the removal performance of H_2S withcatalysts was investigated using the thermal gravimetric method. The results show that the catalystsare highly active for COS hydrolysis at low temperatures (≤60 ℃) and high gas hourly spacevelocity, and the highest activity can reach 100%. The catalyst is particularly stable for 12 h, andno deactivation is observed. Nanoparticle α-FeOOH prepared using hydrated iron sulfate showshigher COS hydrolysis activity, and the optimum calcination temperature for the catalyst is 260 ℃.In addition, the catalysts can remove COS and H_2S simultaneously, and 60 ℃ is favorable for theremoval of H_2S. The compensation effect exists in nanoparticle-based catalysts.
文摘The present study is aimed to examine the adsorption characteristics of Cu(II) by using the novel cellulose acetate composite and to apply it for the removal of Cu(II) from real wastewater samples. In order to achieve this objective, ethylenediamine, diethylenetriamine, triethylenetetramine and te-traethylenepentanene were used for immobilization of grafted cellulose acetate-nanoscale manganese dioxide. Cellulose was extracted from mangrove species Avicennia marina and converted to cellulose acetate then it was formed composite with nano-manganese dioxide via precipitation of nano-manganese dioxide on it. The composite was grafted with acrylamide monomer before immobilization. The synthesized compounds were used for adsorption of Cu(II) and characterized by FT-IR, TGA and SEM. The adsorption characteristics of synthesized sorbents were optimized. Langmuir and Freundlich models were used to establish sorption equilibria. The analytical applications of these modified materials were applied successfully for the removal of Cu(II).
文摘Objective To evaluate the sickle renal parenchyma incision for the removal of complex staghorn renal calculi. Methods Sickle parenchyma incision was used to remove stones in 37 patients with complex staghorn renal calculi. The procedure was as follows; the kidney was disected free and the pelvis within sinus renalis was isolated. Two of botton style sutures were made on the renal parenchyma with 2-0 plain catgut along mid-lower 1 /3 of the dorsal surface of kidney free of vessels (Brodie’ s line) from the renal posterior lib to the plane of lower major calyx. The renal parenchyma was opened. Then, the incision was developed from the plane of lower major calyx through the middle major calyx to the plane of upper major calyx. The shape of this incision appeared like a sickle. The renal parenchyma and each calyx along this incision were opened and so was all the stones could then be easily removed. The calyces could well be observed. Results The calculi were completely removed in all the 37 cases. 21
基金financial support from the National Key Research and Development Program of China(2018YFB0605003).
文摘Dust removal from pyrolytic vapors at high temperatures is an obstacle to the industrialization of the coal pyrolysis process.In this work,a granular bed with expanded perlites as filtration media was designed and integrated into a 10 t·d^(–1)coal pyrolysis facility.The testing results showed that around 97.56%dust collection efficiency was achieved.As a result,dust content in tar was significantly lowered.The pressure drop of the granular bed maintained in the range of 356 Pa to 489 Pa.The dust size in the effluent after filtration exhibited a bimodal distribution,which was attributed to the heterogeneity of the dust components.The effects of filtration bed on pyrolytic product yields were also discussed.A modified filtration model based on the macroscopic phenomenological theory was proposed to describe the performance of the granular bed.The computation results were well agreed with the experimental data.
文摘The pursuit of incorporating eco-friendly reinforcing agents in polymer composites has accentuated the exploration of various natural biomass-derived materials.The burgeoning environmental crisis spurred by the discharge of synthetic dyes into wastewater has catalyzed the search for effective and sustainable treatment technologies.Among the various sorbent materials explored,biochar,being renewable,has gained prominence due to its excellent adsorption properties and environmental sustainability.It has also emerged as a focal point for its potential to replace other conventional reinforcing agents,viz.,fumed silica,aluminum oxide,treated clays,etc.This study introduces a novel class of polymer nanocomposites comprising of lignin-based biochar particles and poly(ester amide urethane)matrix via a feasible method.The structural evaluation of these nanocomposites was accomplished using Fourier-transform infrared spectroscopy,X-ray photoelectron spectroscopy,and powder X-ray diffraction.The polymer nanocomposites exhibited superior mechanical properties with an increment in tensile strength factor by 45%in comparison to its pristine matrix,along with an excellent toughness value of 90.22 MJm^(−3)at a low loading amount of only 1 wt%.The composites showed excellent improvement in thermal properties with a sharp rise in the glass transition temperature(Tg)value from−28.15℃to 84℃,while also championing sustainability through inherent biodegradability attributes.Beyond their structural prowess,these polymer nanocomposites demonstrated excellent potential as adsorbents,displaying efficient removal of malachite green and tartrazine dyes from aqueous systems with a removal efficiency of 87.25%and 73.98%,respectively.The kinetics study revealed the pseudo second order model to be the precision tool to assess the dye removal study.Complementing this,the Langmuir adsorption isotherm provided a framework to assess the sorption features of the polymer nanocomposites.Overall,these renewable biochar integrated polymer matrices boast remarkable recovery capabilities up to seven cycles of usage with an excellent dye recovery percentage of 95.21%for the last cycle,thereby defining sustainability as well as economic feasibility.
文摘Background,aim,and scope Owing to the rapid development of modernisation and urbanisation,living standards have gradually improved.However,the widespread use of high-energy-consuming indoor appliances and furniture has made indoor environments a primary environmental problem affecting human health.Sick building syndrome(SBS)and building-related illness(BRI)have occurred,and indoor air conditions have been extensively studied.Common indoor pollutants include CO,CO_(2),volatile organic compounds(VOCs)(such as the formaldehyde and benzene series),NOx(NO and NO_(2)),and polycyclic aromatic hydrocarbons(PAHs).VOCs have replaced SO_(2)as the“The Fourteenth Five-Year Plan”urban air quality assessment new indicators.Indoor VOCs can cause diseases such as cataract,asthma,and lung cancer.To protect human health,researchers have proposed several indoor air purification technologies,including adsorption,filtration,electrostatic dust removal,ozonation,and plant purification.However,each technology has drawbacks,such as high operating costs,high energy consumption,and the generation of secondary waste or toxic substances.Plant degradation of VOCs as a bioremediation technology has the characteristics of low cost,high efficiency,and sustainability,thereby becoming a potential green solution for improving indoor air quality.This study introduces the research status and mechanism of plant removal of indoor VOCs and provides an experimental basis and scientific guidance for analysing the mechanism of plant degradation of pollutants.Materials and methods This study reviews studies on the harm caused by indoor pollutants to human health and related sources,mainly investigating the degradation of indoor formaldehyde,BTEX(benzene,toluene,ethylbenzene,and xylene)plant mechanisms,and research results.Results Plants can remove VOCs via stomatal and non-stomatal adsorption,interfoliar microbial,rhizosphere microbial,and growth media.Benzene,toluene,and xylene(BTX)are adsorbed by pores,hydroxylated into fumaric acid,and then removed into CO_(2)and H2O by TCA.Formaldehyde enters plant leaves through the stomata and epidermal waxy substances and is adsorbed.After the two steps of enzymatic oxidation,formic acid and CO_(2)are generated.Finally,it enters the Calvin cycle and removes glucose and other nontoxic compounds.Discussion The non-stomatal degradation of VOCs can be divided into adsorption by cuticular wax and active adsorption by plant surface microorganisms.The leaf epidermal waxy matter content and the lipid composition of the epidermal membrane covering the plant surface play important roles in the non-stomatal adsorption of indoor air pollutants.The leaf margin of a plant is an ecological environment containing various microbial communities.The endophytic and inoculated microbiota in plant buds and leaves can remove VOCs(formaldehyde and BTEX).Formaldehyde can be directly absorbed by plant leaves and converted into organic acids,sugars,CO_(2)and H2O by microbes.Bioremediation of indoor VOCs is usually inefficient,leading to plant toxicity or residual chemical substance volatilisation through leaves,followed by secondary pollution.Therefore,plants must be inoculated with microorganisms to improve the efficiency of plant degradation of VOCs.However,the effectiveness of interfoliar microbial removal remains largely unknown and several microorganisms are not culturable.Therefore,methods for collecting,identifying,and culturing microorganisms must be developed.As the leaf space is a relatively unstable environment,the degradation of VOCs by rhizosphere microorganisms is equally important,and formaldehyde is absorbed more by rhizosphere microorganisms at night.The inoculation of bacteria into the rhizosphere improves the efficiency of plants in degrading VOCs.However,most of these studies were conducted in simulation chambers.To ensure the authenticity of these conclusions,the ability of plants to remove indoor air pollutants must be further verified in real situations.Conclusions Plant purification is an economical,environment-friendly,and sustainable remediation technology.This review summarises the mechanisms of VOC plant degradation and presents its limitations.Simultaneously,it briefly puts forward a plant selection scheme according to different temperatures,light,and specific VOCs that can be absorbed to choose the appropriate plant species.However,some studies have denied the purification effect of plants and proposed that numerous plants are required to achieve indoor ventilation effects.Therefore,determining the ability of plants to remove indoor VOCs requires a combination of realistic and simulated scenarios.Recommendations and perspectives Plants and related microorganisms play an important role in improving indoor air quality,therefore,the effect of plants and the related microorganisms on improving indoor air quality must be studied further and the effect of plants on indoor VOCs will be the focus of future research.
基金Supported by the New National Excellence Program of the Ministry for Innovation and Technology From the Source of the National Research,Development and Innovation Fund,No.ÚNKP-22-4-SZTE-296,No.ÚNKP-23-3-SZTE-268,and No.ÚNKP-23-5-SZTE-719the EU’s Horizon 2020 Research and Innovation Program under Grant Agreement,No.739593.
文摘BACKGROUND Choosing an optimal post-polypectomy management strategy of malignant colorectal polyps is challenging,and evidence regarding a surveillance-only strategy is limited.AIM To evaluate long-term outcomes after endoscopic removal of malignant colorectal polyps.METHODS A single-center retrospective cohort study was conducted to evaluate outcomes after endoscopic removal of malignant colorectal polyps between 2010 and 2020.Residual disease rate and nodal metastases after secondary surgery and local and distant recurrence rate for those with at least 1 year of follow-up were invest-igated.Event rates for categorical variables and means for continuous variables with 95%confidence intervals were calculated,and Fisher’s exact test and Mann-Whitney test were performed.Potential risk factors of adverse outcomes were RESULTS In total,135 lesions(mean size:22.1 mm;location:42%rectal)from 129 patients(mean age:67.7 years;56%male)were enrolled.The proportion of pedunculated and non-pedunculated lesions was similar,with en bloc resection in 82%and 47%of lesions,respectively.Tumor differentiation,distance from resection margins,depth of submucosal invasion,lymphovascular invasion,and budding were reported at 89.6%,45.2%,58.5%,31.9%,and 25.2%,respectively.Residual tumor was found in 10 patients,and nodal metastasis was found in 4 of 41 patients who underwent secondary surgical resection.Univariate analysis identified piecemeal resection as a risk factor for residual malignancy(odds ratio:1.74;P=0.042).At least 1 year of follow-up was available for 117 lesions from 111 patients(mean follow-up period:5.59 years).Overall,54%,30%,30%,11%,and 16%of patients presented at the 1-year,3-year,5-year,7-year,and 9-10-year surveillance examinations.Adverse outcomes occurred in 9.0%(local recurrence and dissemination in 4 patients and 9 patients,respectively),with no difference between patients undergoing secondary surgery and surveillance only.CONCLUSION Reporting of histological features and adherence to surveillance colonoscopy needs improvement.Long-term adverse outcome rates might be higher than previously reported,irrespective of whether secondary surgery was performed.