Clonal hematopoiesis in patients with autoimmune thrombocytopenia: an international multicenter study.

Diagnostic boundaries between immune thrombocytopenia (ITP) and other thrombocytopenic states such as thrombocytopenic myelodysplastic syndromes, may be difficult to establish, and the detection of somatic mutations by next generation sequencing (NGS) may be of aid. Here we aimed at characterizing the prevalence and clinical significance of clonal hematopoiesis in ITP. In this multicentric retrospective observational study we enrolled 167 adult ITP patients, followed at 13 centers in Italy, UK, and USA.

Mitigating risks and maximizing sustainability of treated wastewater reuse for irrigation.

Scarcity of freshwater for agriculture has led to increased utilization of treated wastewater (TWW), establishing it as a significant and reliable source of irrigation water. However, years of research indicate that if not managed adequately, TWW may deleteriously affect soil functioning and plant productivity, and pose a hazard to human and environmental health. This review leverages the experience of researchers, stakeholders, and policymakers from Israel, the United-States, and Europe to present a holistic, multidisciplinary perspective on maximizing the benefits from municipal TWW use for irrigation.

Solar photo-Fenton optimization at neutral pH for microcontaminant removal at pilot plant scale.

The increasing occurrence of micropollutants in natural water bodies has medium to long-term effects on both aquatic life and human health. The aim of this study is to optimize the degradation of two pharmaceutical pollutants of emerging concern: amoxicillin and acetaminophen in aqueous solution at laboratory and pilot scale, by solar photo-Fenton process carried out at neutral pH using ethylenediamine-N,N'-disuccinic acid (EDDS) as a complexing agent to maintain iron in solution. The initial concentration of each compound was set at 1 mg/L dissolved in a simulated effluent from a municipal wastewater treatment plant (MWTP).

Individual and combined effect of ions species and organic matter on the removal of microcontaminants by Fe-EDDS/solar-light activated persulfate.

This work is focused on improving the understanding of the complex water matrix interactions occurring during the removal of a microcontaminants mixture (acetamiprid, carbamazepine and caffeine) by solar/Fe-EDDS/persulfate process. The individual and combined effects of sulfates (100-500 mg/L), nitrates (20-160 mg/L), bicarbonates (77-770 mg/L) and chlorides (300-1500 mg/L) were assessed by comparing the outcomes obtained in different synthetic and actual water matrices. In general, the results showed negligible effects of the different anions on Fe-EDDS concentration and PS consumption profiles, while the combination of bicarbonates and chlorides seemed to be the key for the MC removal efficiency decrease found when working with complex matrixes.

Minimal residual disease detection by next-generation sequencing in multiple myeloma: Promise and challenges for response-adapted therapy.

Assessment of minimal residual disease (MRD) is becoming a standard diagnostic tool for curable hematological malignancies such as chronic and acute myeloid leukemia. Multiple myeloma (MM) remains an incurable disease, as a major portion of patients even in complete response eventually relapse, suggesting that residual disease remains. Over the past decade, the treatment landscape of MM has radically changed with the introduction of new effective drugs and the availability of immunotherapy, including targeted antibodies and adoptive cell therapy.

Simultaneous disinfection and microcontaminants elimination of urban wastewater secondary effluent by solar advanced oxidation sequential treatment at pilot scale.

The effect of different times of Fe:Ethylenediamine-N, N'-disuccinic acid (EDDS) dosing and HO as well as different Fe:EDDS concentrations in the sequential treatment sunlight/HO followed by sunlight/HOFe:EDDS at circumneutral pH was investigated for the first time focusing both in contaminants of emerging concern (CECs) and bacteria removal in urban wastewater treatment plant effluents. Process efficiency was evaluated in terms of (i) degradation of five CECs (namely caffeine, carbamazepine, diclofenac, sulfamethoxazole and trimethoprim) at the initial concentration of 100 μgL each and (ii) bacteria inactivation (Escherichia coli (E. coli) and Salmonella spp).

Valorization of UWWTP effluents for ammonium recovery and MC elimination by advanced AOPs.

The main objective of this study was to generate ready-to-use revalorized irrigation water for fertilization from urban wastewater treatment plant (UWWTP) effluents. The focus was on controlled retention of NH and microcontaminants (MC), using nanofiltration. Retentates generated were treated by solar photo-Fenton at circumneutral pH using Ethylenediamine-N, N'-disuccinic acid (EDDS) iron complexing agent.

Removal of microcontaminants by zero-valent iron solar processes at natural pH: Water matrix and oxidant agents effect.

This work deals with microcontaminants (MCs) removal by natural solar zero-valent iron (ZVI) process at natural pH in actual matrices. Commercial ZVI microspheres were selected as ZVI source and hydrogen peroxide and persulfate were used as oxidant agents. The experimental plan comprised the evaluation of sulphates and carbonates/bicarbonates effect on process performance, the possibility of adding an iron chelate (EDDS) to take advantage of leached iron and the treatment of MCs in actual MWWTP secondary effluent.

A Rational Analysis on Key Parameters Ruling Zerovalent Iron-Based Treatment Trains: Towards the Separation of Reductive from Oxidative Phases.

The development of treatment trains for pollutant degradation employing zerovalent iron has been attracting a lot of interest in the last few years. This approach consists of pre-treatment only with zerovalent iron, followed by a Fenton oxidation taking advantage of the iron ions released in the first step. In this work, the advantages/disadvantages of this strategy were studied employing commercial zerovalent iron microparticles (mZVI).

Solar-driven free chlorine advanced oxidation process for simultaneous removal of microcontaminants and microorganisms in natural water at pilot-scale.

Contamination of natural water (NW) by emerging contaminants has been widely pointed out as one of the main challenges to ensure high-quality drinking water. Thus, the effectiveness of a solar-driven free chlorine advanced oxidation process simultaneously investigating the elimination of six organic microcontaminants (OMCs) and three bacteria from NW at a pilot-scale was evaluated in this study. Firstly, the solar/free chlorine process was studied at lab-scale using a solar simulator to evaluate the effect of free chlorine concentration (0.

Solar processes and ozonation for fresh-cut wastewater reclamation and reuse: Assessment of chemical, microbiological and chlorosis risks of raw-eaten crops.

In this study, a full cycle of agricultural reuse of agro-food wastewater (synthetic fresh-cut wastewater, SFCWW) at pilot plant scale has been investigated. Treated SFCWW by ozonation and two solar processes (HO/solar, Fe-EDDHA/HO/solar) was used to irrigate two raw-eaten crops (lettuce and radish) grown in peat. Two foodborne pathogens (E.

Evaluation of commercial zerovalent iron sources in combination with solar energy to remove microcontaminants from natural water at circumneutral pH.

Solar zerovalent iron (ZVI) was studied at circumneutral pH in combination with hydrogen peroxide and persulfate for removal of imidacloprid as a model contaminant in natural water. Three commercial ZVI sources, steel wool (ZVI-SW) and two iron micro-powders (ZVI-MS and ZVI-S) were independently evaluated. First, different ZVI corrosion conditions were tested in contact with air, exposed to natural solar radiation and with addition of oxidants, such as HO and SO, demonstrating the importance of released iron.

Solar photo-assisted electrochemical processes applied to actual industrial and urban wastewaters: A practical approach based on recent literature.

The application of electrochemical processes for wastewater treatment has increase significantly in the last two decades. However, most of the works are focused on lab-scale systems testing in saline simulated solutions spiked with a reference organic compound, evidencing the scarcity of studies on actual wastewaters through a more realistic practical approach. The aim of the present work is assessing the performance of electrochemical treatments in actual matrices, considering the formation of different oxidants species, apart from hydroxyl radicals, from dissolved ions contained in target effluents as well as both, the regeneration of Fe and their combination with a light irradiation source.

Sunlight advanced oxidation processes vs ozonation for wastewater disinfection and safe reclamation.

Solar processes (sunlight/HO solar photo-Fenton with EDDS at neutral pH) were compared to a consolidated technology (ozonation) in the inactivation of target bacteria (E. coli, Salmonella spp. and Enterococcus spp.

Carbon-based cathodes degradation during electro-Fenton treatment at pilot scale: Changes in HO electrogeneration.

Autopsy of carbon-PTFE cathodes was performed by addressing their degradation in a commercial plate-and-frame cell equipped with a Nb-BDD anode. Cell is arranged within an electrochemical pilot plant designed for treating wastewaters by electrochemical Fenton-like processes, thus an efficient electrocatalytic production of HO is necessary to guarantee Fenton's reaction. Significant decrease in HO electrogeneration occurred during pilot plant operation, hindering the efficient performance of Fenton-like processes.

Simultaneous removal of contaminants of emerging concern and pathogens from urban wastewater by homogeneous solar driven advanced oxidation processes.

Simultaneous removal of contaminants of emerging concern and bacteria inactivation in simulated municipal wastewater effluent (SMWW) through solar advanced oxidation processes, namely sunlight/HO and solar photo-Fenton with Ethylenediamine-N,N'-disuccinic acid (EDDS) at neutral pH was investigated. Process efficiency was evaluated in terms of (i) degradation of five contaminants of emerging concern (CECs, namely caffeine, carbamazepine, diclofenac, sulfamethoxazole and trimethoprim) at the initial concentration of 100 μgL each and (ii) bacteria inactivation (E. coli, S.

Effect of salinity on preconcentration of contaminants of emerging concern by nanofiltration: Application of solar photo-Fenton as a tertiary treatment.

This study focused on the effect of salinity on the performance of a pilot-scale nanofiltration (NF) for preconcentration of microcontaminants (MCs) in combination with solar photo-Fenton or photo-Fenton-like treatment for their elimination from NF permeate and concentrate streams. Photo-Fenton was carried out in a solar simulator at pH of 3 and at natural pH using Ethylenediamine-N, N'-disuccinic acid (EDDS) as an iron complexing agent. Degradation efficacy was tested with MCs commonly found in urban wastewater treatment plant effluents (caffeine, imidacloprid, thiacloprid, carbamazepine and diclofenac).

Aluminized surface to improve solar light absorption in open reactors: Application for micropollutants removal in effluents from municipal wastewater treatment plants.

This work proposes the evaluation of an aluminized surface on the bottom of open reactors to perform a photo-Fenton process, at circumneutral pH (using Fe III-Ethylenediamine-N,N'-disuccinic acid complex), for elimination of micropollutants (MPs) in real effluents from municipal wastewater treatment plants (EMWWTP). Firstly, the strategy was to initially investigate the real EMWWTP spiked with several MPs (acetaminophen, diclofenac, carbamazepine, caffeine, trimethoprim and sulfamethoxazole) with 20 and 100 μg L in a laboratory scale (evaluated by HPLC-UV) using a solar simulator. Finally, the removal of all MCs present in the real EMWWTP was monitored (evaluated by HPLC-MS) in a pilot-scale (90 L) in a raceway pond reactor (RPR).

Solar photocatalytic degradation of pesticides over TiO-rGO nanocomposites at pilot plant scale.

Two TiO-rGO nanocomposites were prepared by hydrothermal method from commercial TiO (P25 and Hombikat UV100, HBK). In both cases TiO nanoparticles appeared intimate and homogeneously distributed on rGO surface, but forming a dense network in P25-rGO nanocomposite, and a more open structure in HBK-rGO. Zeta potential and particle size distribution favored the ease of HBK-rGO nanocomposite to form stable suspensions.

Olive mill wastewater reuse to enable solar photo-Fenton-like processes for the elimination of priority substances in municipal wastewater treatment plant effluents.

Olive mill wastewater (OMW) appears as an interesting and innovative natural alternative to synthetic chelating agents of iron in solar photo-Fenton processes at circumneutral pH due to its high polyphenol content, valorizing wastewater typically found in sunny countries. The aim of this work was the reuse of OMW for the elimination of other recalcitrant microcontaminants: terbutryn, chlorfenvinphos, diclofenac, and pentachlorophenol. Highly diluted OMW (1:1500) was employed to keep the iron in solution at circumneutral pH.

Best available technologies and treatment trains to address current challenges in urban wastewater reuse for irrigation of crops in EU countries.

Conventional urban wastewater treatment plants (UWTPs) are poorly effective in the removal of most contaminants of emerging concern (CECs), including antibiotics, antibiotic resistant bacteria and antibiotic resistance genes (ARB&ARGs). These contaminants result in some concern for the environment and human health, in particular if UWTPs effluents are reused for crop irrigation. Recently, stakeholders' interest further increased in Europe, because the European Commission is currently developing a regulation on water reuse.

Electro-oxidation process assisted by solar energy for the treatment of wastewater with high salinity.

Industrial wastewaters characterized by its high content in organics and conductivity entails a challenge for conventional treatments due to its low biodegradability. Electro-oxidative processes have been successfully applied for the treatment of this kind of wastewaters achieving high organics and ammonia removal. The degradation process is executed mainly by electrochemically generated active chlorine species, as HClO and ClO with E = 1.

Synthetic fresh-cut wastewater disinfection and decontamination by ozonation at pilot scale.

In this research, the capability of ozonation and peroxone treatment for the simultaneous disinfection and decontamination of wash water from the fresh-cut industry has been investigated at pilot plant scale (10 L). The removal efficiency of six organic microcontaminants (OMCs) (four of them priority substances) and the inactivation of two foodborne pathogens (Escherichia coli O157:H7 and Salmonella enteritidis) in synthetic fresh-cut wastewater (SFCWW) has been assessed. Ozonation and peroxone (O with 20 mgL of HO) process has been investigated under several operational conditions: natural SFCWW pH (6.

Second primary malignancies in ruxolitinib-treated myelofibrosis: real-world evidence from 219 consecutive patients.

We present real-world data on all ruxolitinib-treated myelofibrosis patients in a 10-million-resident region, with a follow-up of 2 years. We found no evidence of an increased risk of developing lymphomas.