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Photocatalytic membranes are a promising technology for water and wastewater treatment. Towards circular economy, extending the lifetime of reverse osmosis (RO) membranes for as long as possible is extremely important, due to the great amount of RO modules discarded every year around the world. Therefore, in the present study, photocatalytic membranes made of recycled post-lifespan RO membrane (polyamide thin-film composite), TiO2 nanoparticles and graphene oxide are used in the treatment tertiary-treated domestic wastewater to remove trace organic compounds (TrOCs). The inclusion of dopamine throughout the surface modification process enhanced the stability of the membranes to be used as long as 10 months of operation. We investigated TrOCs removal by the membrane itself and in combination with UV-C and visible light by LED. The best results were obtained with integrated membrane UV-C system at pH 9, with considerable reductions of diclofenac (92%) and antipyrine (87%). Changes in effluent pH demonstrated an improvement in the attenuation of TrOCs concentration at higher pHs. By modifying membranes with nanocomposites, an increase in membrane hydrophilicity (4° contact angle reduction) was demonstrated. The effect of the lamp position on the light fluence that reaches the membrane was assessed, and greater values were found in the middle of the membrane, providing parameters for process optimization (0.29 ± 0.10 mW cm-2 at the center of the membrane and 0.07 ± 0.03 mW cm-2 at the right and left extremities). Photocatalytic recycled TiO2-GO membranes have shown great performance to remove TrOCs and extend membrane lifespan, as sustainable technology to treat wastewater.

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INTRODUCTION: Venous thromboembolism (VTE) is a serious, frequent, and preventable medical complication in hospitalized patients. Although the efficacy of prophylaxis (pharmacological and/or mechanical) has been demonstrated, compliance with prophylaxis is poor at international and national levels. AIM: To determine the indication and use of pharmacological thromboprophylaxis in hospitalized patients in Uruguay. METHODS: An observational, descriptive, cross-sectional, multicentre study involving 31 nationwide healthcare facilities was conducted. Baseline characteristics associated with hospital admission, the percentage of the population with an indication for thromboprophylaxis, and the percentage of patients receiving pharmacological thromboprophylaxis were assessed. The VTE risk was determined using the Padua score for medical patients; the Caprini score for surgical patients; the Royal College of Obstetricians and Gynaecologists (RCOG) guidelines for pregnant-postpartum patients. RESULTS: 1925 patients were included, representing 26% of hospitalized patients in Uruguay. 71.9% of all patients were at risk of VTE. Of all patients at risk of VTE, 58.6% received pharmacological thromboprophylaxis. The reasons for not receiving thromboprophylaxis were prescribing omissions in 16.1% of cases, contraindication in 15.9% and 9.4% of patients were already anticoagulated for other reasons. Overall, just 68% of patients were "protected" against VTE. Recommendations of major thromboprophylaxis guidelines were followed in 70.1% of patients at risk. CONCLUSIONS: Despite the progress made in adherence to thromboprophylaxis indications, nonadherence remains a problem, affecting one in six patients at risk of VTE in Uruguay.

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Microplastics have long been present in marine and terrestrial environments and have emerged in recent decades as a global environmental concern. This pollutant has been detected with increasing frequency in Brazilian territory and herein primarily highlights current information and developments about the quantity, distribution, techniques of identification, origins, and sources of microplastics and related pollutants in the Brazilian environment. We evaluated 79 publications from 2018 to December 2022, and some aspects can be highlighted: 27% of studies were published in the Journal Marine Pollution Bulletin; 22% of all studies were conducted in São Paulo city; and 52% of all microplastics found were collected from biota followed by sediment samples. According to the findings given here, microplastics in Brazilian habitats, which can reach concentrations of 4367 to 25,794 items m-2 in sediments, are becoming a serious problem in the Anthropocene age, and some topics regarding the open questions in this area were pointed out in this review.

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Background: Children from low-middle income countries (LMIC) are disproportionately affected by obesity, and low physical activity (PA) and high screen time (ST) are major contributors. Parents are key influencers on children's PA and ST, yet, no study has investigated relationships between parenting practices and children's PA and ST in LMIC families. This study examined parental influences on PA and ST among preschool-aged children from low-income families in Brazil. Methods: Parents completed a validated, culturally adapted interviewer-administered survey assessing child ST and parenting practices. Child sedentary time, total movement, and energetic play were measured by accelerometery. Results: Data were available on 77 parent-child dyads [mean age 4.6 years (standard deviation = 0.8), 53% male, and 41% mixed-race]. Parenting practices associated with greater PA were use of PA to reward/control behavior (rho = 0.34-0.49), limiting or monitoring ST (rho = 0.30), explicit modeling/enjoyment of PA (rho = 0.24), verbal encouragement for PA (rho = 0.30), and importance and value of PA (rho = 0.24-0.38; p < 0.05). Parenting practices associated with higher ST were rules around active play indoor (rho = 0.23), use of ST to reward/control behavior (rho = 0.30), exposure to screens (rho = 0.40), and explicit modeling/enjoyment of ST (rho = 0.50; p < 0.05). Conclusion: Recognized parenting practices such as explicit modeling of PA and ST, monitoring and limiting ST, and rules and restrictions about PA and ST are associated with young children's PA and ST in low-income Brazilian families. The findings identify potential targets for family-based interventions to promote healthy lifestyle behaviors and prevent childhood obesity.

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Despite the widespread use of membrane separation processes for water treatment, operation costs and fouling still restrict their application. Costs can be overcome by recycled membranes whereas fouling can be mitigated by membrane modification. In this work, the performance of recycled reverse osmosis membranes modified by greener titanium dioxide (TiO2) and graphene oxide (GO) in different modification routes were investigated and compared. The use of recycled membranes as a support acted more than a strategy for costs reduction, but also as an alternative for solid waste reduction. Low adhesion of nanoparticulate materials to the membrane surfaces were verified in depositions by self-assembly, whereas filtration and modification with dopamine generated membranes with well adhered and homogeneous layers. Considering the stability, permeability, and rejection efficiency of dyes as model substrates, the membranes modified with the aid of dopamine-TiO2-GO were the most promising. The nanomaterials increased the membrane hydrophilicity and formed a hydrated layer that repels the organic contaminants and reduces fouling. Besides membrane rejection, adsorption (contribution: ∼10%) and photocatalysis (contribution: ∼20%) were additional mechanisms for pollutants removal by the modified membranes. The photocatalytic membrane modified with dopamine-TiO2-GO was furthermore evaluated for the removal of six different pharmaceutical active compounds (PhACs), noticing gains in terms of removal efficiency (up to 95.7%) and fouling mitigation for the modified membrane compared to the original membranes. The photocatalytic activity still contributed to a simultaneous degradation of PhACs avoiding the generation of a concentrated stream for further disposal.

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TiO2semiconductor nanoparticles (NPs) in the anatase phase have presented limitations of application in photocatalysis, mainly due to the fast recombination of photoexcited electrons. The combination with other nanoparticles/nanostructures has been shown to be a promising solution for increasing photocatalytic efficiency. In this work, titanium dioxide (TiO2) nanoparticles in different crystalline phases were prepared through a rapid microwave-assisted synthesis and modified by silver nanoparticles (Ag) and graphene oxide (GO). The samples were characterized by x-ray diffraction, transmission electron microscopy, energy dispersive x-ray spectroscopy, infrared spectroscopy and gas adsorption. Crystalline anatase NPs were obtained in basic conditions (pH = 8) while in acidic conditions (pH = 1), single-crystalline rutile NPs were formed. Different previous drying methods: oven and freeze-drying used led to a differentiation in crystallographic phases obtained. Anatase TiO2and anatase-rutile mixture NPs calcined at 400 °C showed properties as high specific surface area, crystallinity and reduced electron-hole recombination which contributed to an enhanced photocatalytic activity, when compared to the Degussa P25 photoactivity. The effect of silver nanoparticles and GO addition to TiO2nanopowder was evaluated for photocatalysis activity. An improvement in the methylene blue and rhodamine B dyes photodegradation was observed for both anatase and rutile TiO2nanocomposites. We noted that anatase TiO2nanoparticles degraded 53% of rhodamine B, and when functionalized with GO, the photodegradation increased to 69%. Comparatively, the addition of silver nanoparticles to anatase TiO2increased the dye degradation to 97% in 180 min. Hence, we revel that in the TiO2nanocomposites, silver nanoparticles showed better interfacial charge transfer than GO, contributing more effectively to the dye photodegradation process.

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BACKGROUND: Childhood obesity has increased remarkably in low and middle-income (LMIC) countries. Movement behaviors (physical activity, screen time, and sleep) are crucial in the development of overweight and obesity in young children. Yet, few studies have investigated the relationship between children's movement behaviors and parenting practices because validated measures for use among families from LMIC are lacking. This study evaluated the psychometric properties of previously validated measures of young children's physical activity, screen time, and sleep and parenting practices, translated and culturally adapted to Brazilian families. METHODS: A total of 78 parent-child dyads completed an interviewer-administered survey twice within 7 days. Child physical activity, sedentary time and sleep were concurrently measured using a wrist-worn accelerometer. Internal consistency and test-retest reliability was assessed using McDonald's Omega and Intraclass Correlation Coefficients (ICC's). Concurrent validity was evaluated by calculating Spearman correlations between parent reported child behaviors and accelerometer measured behaviors. RESULTS: Seventeen of the 19 parenting practices scales exhibited acceptable internal consistency reliability (Ω ≥ 0.70). Test-retest reliability ICC's were acceptable and ranged from 0.82 - 0.99. Parent reported child physical activity was positively correlated with objectively measured total movement (rho= 0.29 - 0.46, p < .05) and energetic play (rho= 0.29 - 0.40, p < .05). Parent reported child screen time was positively correlated with objectively measured sedentary time; (rho = 0.26, p < .05), and inversely correlated with total movement (rho = - 0.39 - - 0.41, p < .05) and energetic play (rho = - 0.37 - - 0.41, p < .05). Parent reported night-time sleep duration was significantly correlated with accelerometer measured sleep duration on weekdays (rho = 0.29, p < .05), but not weekends. CONCLUSIONS: Measurement tools to assess children's movement behaviors and parenting practices, translated and culturally adapted for use in Brazilian families, exhibited acceptable evidence of concurrent validity, internal consistency, and test-retest reliability.

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In the present study, the simultaneous adsorption degradation of norfloxacin (NOR) by graphene oxide from aqueous matrix was verified. Graphene oxide (GO, ~ 8 layers) was prepared using modified Hummers method through the oxidation/exfoliation of expanded graphite. Spectroscopic techniques confirmed the NOR adsorption onto GO surface and the partial antibiotic degradation promoted by hydroxyl radicals derived from GO. Furthermore, the mass spectra after the adsorption-degradation processes showed NOR degradation intermediates that was compared and confirmed by other studies. The nanomaterial showed a removal capacity of 374.9 ± 29.8 mg g-1, observing greater contribution from the NOR in the zwitterionic form and removals up to 94.8%. The intraparticle diffusion process, assessed by Boyd's model and Fick's law, presented a greater contribution in the removal process, reaching the equilibrium 30 min after the beginning. In addition, the temperature increase would disadvantage the process, which was considered thermodynamically viable throughout the evaluated temperature range. Finally, the process was scaled-up in a single stage batch adsorber considering a NOR removal efficiency of 95%. This resulted in mass requirement of 63.6 g of GO in order to treat 0.5 m3 of contaminated water. In general, the simultaneous adsorption-degradation process was considered innovative and promising in pharmaceutical compounds remediation.

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