Adsorption of Pb2+, Co2+, and Cd2+ from Aqueous Solution Using Nitric Acid Modified Kola Nut Husk Adsorbent

The potential of nitric acid modified kola nut pod adsorbent (MKNP) in removing selected heavy metals such as lead (Pb2+), cobalt (Co2+), and cadmium (Cd2+) ions from aqueous solution was investigated. FTIR spectra before and after the adsorption indicates the presence of functional groups such as hydroxyl and carboxylic acid which are responsible for its surface chemistry. The percentage removal largely depends on pH, contact time and temperature. The results showed that metal ions removal at optimum pH, contact time and temperature were: (Pb2+: 89.58, 97.04, 97.11%); (Co2+: 77.53, 75.17, 65.42%), and (Cd2+: 96.99, 97.06, 96.94%) respectively. The thermodynamic studies revealed that the enthalpy change was negative across the initial metal ion concentrations, indicating that the adsorption process was exothermic. The Gibb’s free energy change (∆G) values at all temperatures (298, 313, 328, 343 and 358K) were also negative, indicating that the adsorption process was spontaneous and feasible. Kinetics parameters obtained showed that pseudo-second order was obeyed throughout the adsorption process. In conclusion, from the favorability of the adsorption process, MKNP would be an efficient, eco-friendly and cheap adsorbent in removing toxic heavy metals ions from wastewater and industrial effluents

Long COVID and cardiovascular disease: a prospective cohort study

Background Pre-existing cardiovascular disease (CVD) or cardiovascular risk factors have been associated with an increased risk of complications following hospitalisation with COVID-19, but their impact on the rate of recovery following discharge is not known. Objectives To determine whether the rate of patient-perceived recovery following hospitalisation with COVID-19 was affected by the presence of CVD or cardiovascular risk factors. Methods In a multicentre prospective cohort study, patients were recruited following discharge from the hospital with COVID-19 undertaking two comprehensive assessments at 5 months and 12 months. Patients were stratified by the presence of either CVD or cardiovascular risk factors prior to hospitalisation with COVID-19 and compared with controls with neither. Full recovery was determined by the response to a patient-perceived evaluation of full recovery from COVID-19 in the context of physical, physiological and cognitive determinants of health. Results From a total population of 2545 patients (38.8% women), 472 (18.5%) and 1355 (53.2%) had CVD or cardiovascular risk factors, respectively. Compared with controls (n=718), patients with CVD and cardiovascular risk factors were older and more likely to have had severe COVID-19. Full recovery was significantly lower at 12 months in patients with CVD (adjusted OR (aOR) 0.62, 95% CI 0.43 to 0.89) and cardiovascular risk factors (aOR 0.66, 95% CI 0.50 to 0.86). Conclusion Patients with CVD or cardiovascular risk factors had a delayed recovery at 12 months following hospitalisation with COVID-19. Targeted interventions to reduce the impact of COVID-19 in patients with cardiovascular disease remain an unmet need

Incidence of diabetes mellitus following hospitalisation for COVID-19 in the United Kingdom: A prospective observational study

Background People hospitalised for coronavirus disease 2019 (COVID-19) have elevated incidence of diabetes. However, it is unclear whether this is due to shared risk factors, confounding or stress hyperglycaemia in response to acute illness. Methods We analysed a multicentre prospective cohort study (PHOSP-COVID) of people ≥18 years discharged from NHS hospitals across the United Kingdom following COVID-19. Individuals were included if they attended at least one research visit with a HbA1c measurement within 14 months of discharge and had no history of diabetes at baseline. The primary outcome was new onset diabetes (any type), as defined by a first glycated haemoglobin (HbA1c) measurement ≥6.5% (≥48 mmol/mol). Follow-up was censored at the last HbA1c measurement. Age-standardised incidence rates and incidence rate ratios (adjusted for age, sex, ethnicity, length of hospital stay, body mass index, smoking, physical activity, deprivation, hypertension, hyperlipidaemia/hypercholesterolaemia, intensive therapy unit admission, invasive mechanical ventilation, corticosteroid use and C-reactive protein score) were calculated using Poisson regression. Incidence rates were compared with the control groups of published clinical trials in the United Kingdom by applying the same inclusion and exclusion criteria, where possible. Results Incidence of diabetes was 91.4 per 1000 person-years and was higher in South Asian (incidence rate ratios [IRR] = 3.60; 1.77, 7.32; p < 0.001) and Black ethnic groups (IRR = 2.36; 1.07, 5.21; p = 0.03) compared with White ethnic groups. When restricted to similar characteristics, the incidence rates were similar to those in UK clinical trials data. Conclusion Diabetes incidence following hospitalisation for COVID-19 is high, but it remains uncertain whether it is disproportionately higher than pre-pandemic levels

Post-acute COVID-19 neuropsychiatric symptoms are not associated with ongoing nervous system injury

A proportion of patients infected with severe acute respiratory syndrome coronavirus 2 experience a range of neuropsychiatric symptoms months after infection, including cognitive deficits, depression and anxiety. The mechanisms underpinning such symptoms remain elusive. Recent research has demonstrated that nervous system injury can occur during COVID-19. Whether ongoing neural injury in the months after COVID-19 accounts for the ongoing or emergent neuropsychiatric symptoms is unclear. Within a large prospective cohort study of adult survivors who were hospitalized for severe acute respiratory syndrome coronavirus 2 infection, we analysed plasma markers of nervous system injury and astrocytic activation, measured 6 months post-infection: neurofilament light, glial fibrillary acidic protein and total tau protein. We assessed whether these markers were associated with the severity of the acute COVID-19 illness and with post-acute neuropsychiatric symptoms (as measured by the Patient Health Questionnaire for depression, the General Anxiety Disorder assessment for anxiety, the Montreal Cognitive Assessment for objective cognitive deficit and the cognitive items of the Patient Symptom Questionnaire for subjective cognitive deficit) at 6 months and 1 year post-hospital discharge from COVID-19. No robust associations were found between markers of nervous system injury and severity of acute COVID-19 (except for an association of small effect size between duration of admission and neurofilament light) nor with post-acute neuropsychiatric symptoms. These results suggest that ongoing neuropsychiatric symptoms are not due to ongoing neural injury

Numerical Modelling of Oil Spill Transport in Tide-Dominated Estuaries: A Case Study of Humber Estuary, UK

Oil spills in estuaries are less studied and less understood than their oceanic counterparts. To address this gap, we present a detailed analysis of estuarine oil spill transport. We develop and analyse a range of simulations for the Humber Estuary, using a coupled hydrodynamic and oil spill model. The models were driven by river discharge at the river boundaries and tidal height data at the offshore boundary. Satisfactory model performance was obtained for both model calibration and validation. Some novel findings were made: (a) there is a statistically significant (p < 0.05) difference in the influence of hydrodynamic conditions (tidal range, stage and river discharge) on oil slick transport; and (b) because of seasonal variation in river discharge, winter slicks released at high water did not exhibit any upstream displacement over repeated tidal cycles, while summer slicks travelled upstream into the estuary over repeated tidal cycles. The implications of these findings for operational oil spill response are: (i) the need to take cognisance of time of oil release within a tidal cycle; and (ii) the need to understand how the interaction of river discharge and tidal range influences oil slick dynamics, as this will aid responders in assessing the likely oil trajectories