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This study aims to demonstrate that orange-derived and lemon-derived systems can be used in continuous processes as efficient adsorbents to the entrapment of some anionic and cationic dyes in the textile dyeing wastewater effluents.

Physically and chemically modified orange and lemon mesocarps are used as natural adsorbents for the cationic dyes Basic Blue 3, Basic Yellow 21, Basic Red 18 and Basic Green 4 and the anionic dyes Acid Blue 264, Acid Yellow 49 and Acid Red 337, all commonly used in the textile dyeing industry. Adsorption capacities of the orange-derived and lemon-derived adsorbents on the dyes are studied simulating a batch and continuous industrial processes.

Results demonstrate that treated orange mesocarp (orange-derived adsorbent) can adsorb up to 97% of cationic Basic Green 4 in 30 min, whereas the lemon mesocarp (lemon-derived adsorbent) can retain up to 88% within the same time. In the case of anionic, 91% Acid Blue 264 is adsorbed by the orange mesocarp in 15 min, whereas 92% is adsorbed by the lemon homologue within the same time.

As far as the authors know, physically and chemically modified orange and lemon mesocarps have not been used on the removal of cationic (Basic Blue 3, Basic Yellow 21, Basic Red 18 and Basic Green 4) and anioinic (Acid Blue 264, Acid Yellow 49 and Acid Red 337) dyes of textile dyeing wastewater industry. It is a costless and efficient treatment that supposes, on the one hand, an eco-friendly and feasible process for discolouration of wastewater and, on the other, a valorisation (upcycling) of orange and lemon peels, which are not currently used.

To assess the effectiveness of an integrated care program for post-acute care of stroke patients, the return home program (RHP program), deployed in Barcelona (North-East Spain) between 2016 and 2017 in a context of health and social care information systems integration.

The RHP program was built around an electronic record that integrated health and social care information (with an agreement for coordinated access by all stakeholders) and an operational re-design of the care pathways, which started upon hospital admission instead of discharge. The health outcomes and resource use of the RHP program participants were compared with a population-based matched control group built from central healthcare records of routine care data.

The study included 92 stroke patients attended within the RHP program and the patients' matched controls. Patients in the intervention group received domiciliary care service, home rehabilitation, and telecare significantly earlier than the matched controls. Within the first two years after the stroke episode, recipients of the RHP program were less frequently institutionalized in a long-term care facility (5 vs 15%). The use of primary care services, non-emergency transport, and telecare services were more frequent in the RHP group.

The authors' analysis shows that an integrated care program can effectively promote and accelerate delivery of key domiciliary care services, reducing institutionalization of stroke patients in the mid-term. The integration of health and social care information allows not only a better coordination among professionals (thus avoiding redundant assessments) but also to monitor health and resource use outcomes of care delivery.