Changing Behavior for Energy Saving and Health Indoor Best Practices for Public Administration and School Study Case

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Improved Thermal Transmittance Measurement with HFM Technique on Building Envelopes in the Mediterranean Area

Abstract Although the designed theoretical value of U can be derived from the thermal parameters of layers composing an opaque element, according to ISO 6946:2007, measurements are necessary to confirm the expected behaviour. Currently, the measurements of thermal transmittance based on Heat Flow Meter method (HFM) and according to standard ISO 9869-1:2014 are widely accepted. Anyway, some issues related to difficulties in measurements are present: the roughness of wall surfaces, the proper contact between the heat flow plate and the temperature probes with wall surfaces, undesired changes in weather conditions. This work presents the results obtained in thermal transmittance measurements with a modified HFM method, widely described in this paper. Differences between U-values obtained with the modified HFM method and theoretical ones were in the range 0.6 - 6.5 %. Moreover, the modified HFM method provided a result closer to the theoretical one, when compared to that obtained with standard HFM method (discrepancy with theoretical value were 0.6% and 16.4%, respectively)

Fatal herpesvirus-6 encephalitis in a recipient of a T-cell-depleted peripheral blood stem cell transplant from a 3-loci mismatched related donor

Human herpesvirus-6 (HHV-6), like all the other herpes viruses, remains latent in host cells after primary infection but can be reactivated In immuno-compromised patients causing fever, skin rash, bone marrow (BM) suppression, pneumonitis, Sinusitis and meningoencephalitis. We describe the case of a man with chronic myelogenous leukemia who developed encephalitis associated with acute graft-versus-host disease two months after a T-cell-depleted mismatched peripheral blood stem cell transplant. Magnetic resonance images of the brain revealed multiple bilateral foci of signal abnormality. HHV-6 was the only pathogen detected in cerebrospinal fluid by PCR. treatment with both ganciclovir and foscarnet was unsuccessful and the patient gradually deteriorated and died. Other cases of HHV-6 encephalitis after bone marrow transplantation are reviewed

Clinical Effectiveness and Safety of Once-Weekly GLP-1 Receptor Agonist Dulaglutide as Add-On to Metformin or Metformin Plus Insulin Secretagogues in Obesity and Type 2 Diabetes

Aims and methods: The aim of this monocentric retrospective observational study was to evaluate the 18-month safety and effectiveness of GLP-1 receptor agonist (GLP-1 RA) dulaglutide (DU) 1.5 mg/once weekly as an add-on to metformin (MET) or MET plus conventional insulin secretagogues in a study cohort with excess body weight and type 2 diabetes (T2D). Comparative efficacy versus liraglutide (LIRA) 1.2–1.8 mg/once daily in a study sample naïve to GLP-1 RAs, frequency matching for age, gender, T2D duration, degree of glycemic impairment, cardiovascular comorbidities, and medications, was addressed as a secondary aim. Clinical and biochemical data for efficacy outcomes and information on drug discontinuation due to adverse events (AEs) were collected from digital records. Results: Initial analysis included 126 overweight and obese T2D patients (48.4% females). Out of these, 13 discontinued DU due to moderate–severe gastrointestinal AEs after a mean follow-up of 6 (4 standard deviations (SD)) months, while 65 completed 18 months of continuous therapy. At 6 months, there was a significant mean HbA1c reduction of −0.85% (1.17 SD) with respect to baseline values (p < 0.001), which remained stable during 18 months follow-up. These results were accompanied by a moderate weight loss sustained over time, with a mean reduction of −2.0% (4.3 SD) at 6 months and −1.3% (4.8 SD) at 18 months (p = 0.091). At univariate analysis, a negative correlation between baseline body mass index (BMI) and risk of drug discontinuation due to gastrointestinal AEs was observed. The protective effect of obesity against drug discontinuation was confirmed by logistic regression analysis. Neither gender, nor age, nor T2D duration, nor concomitant conventional insulin secretagogue use, nor switching to DU from other GLP-1 RAs influenced its long-term effectiveness. However, higher baseline HbA1c values emerged as predictors of clinically relevant efficacy outcomes, either in terms of HbA1c reduction ≥ 0.5% or body weight loss ≥ 5%. The efficacy outcomes were corroborated by head-to-head comparison with LIRA, a GLP-1 RA with durable beneficial effects on glycemic control and body weight in real-world experiences. With the advantage of once-weekly administration, at 18-month follow-up, a significantly larger fraction of patients on DU therapy reached glycemic targets (HbA1c ≤ 7.0%) when compared to those on LIRA: from 14.8% at baseline (both groups) to 64.8% with DU and 42.6% with LIRA (p = 0.033). Conclusions: Although limited by a retrospective design and lack of constant up-titration for LIRA to the highest dose, these findings indicate that the beneficial responses to DU on a background of MET or MET plus insulin secretagogues are durable, especially in the presence of obesity and greater HbA1c impairment

Influence of Carding and Pressing on Hygrothermal Properties and Fire Reaction of Hemp Fiber Nonwoven Mats

This article depicts the effect of carding and pressing on hygrothermal properties of hemp fibers nonwoven mats, trying to understand if their implementation can improve their behavior when employed as insulation materials in buildings. Hemp fibers belonging to Cannabis Sativa species and coming from local area (Apulia - Italy) were examined, then samples of carded and pressed hemp fibers nonwoven mats were prepared. According to European standards, the thermal conductivity, the vapor permeability and the fire reaction of hemp fibers samples were measured. Results were compared to each other and with those of a commercial nonwoven mat made with hemp (90 wt. %) and synthetic fibers (10 wt. %), used as reference. We observed that carded and pressed hemp fibers were characterized by a lower thermal conductivity when compared to unprocessed hemp fibers, likely because the removing of wood elements. On the other hand, not processed hemp fibers show higher breathability when compared to carded and pressed ones, as well as with respect to the commercial nonwoven mat. Moreover, it was proved that the absence of synthetic commingled fibers in hemp fibers allows a better behavior in fire reaction. At last, the improvement in terms of insulation properties of a hollow brick when filled with hemp fibers was verified, by comparing the thermal conductivities of an empty and a filled hollow brick; as expected, the filled hollow brick shows a lower thermal conductivity, underlining the effectiveness of hemp fibers as insulation material

Hempcrete Buildings: Environmental Sustainability and Durability of Two Case-Studies in North and South Italy

In the framework of Circular Economy policies aimed at reducing the consumption of raw materials, shives, as an agricultural by-product of hemp cultivation, have gained a renovated life in the construction sector. Its excellent thermal insulating properties permitted the development of new building materials to be used in various executive technologies. When shives are mixed with a mineral binder such as lime or cement, the mixture is usually referred to as hempcrete. In Italy, the use of hempcrete and the development of new production chains and implementation techniques dates back only to about the last decade, while other European countries have more long-lasting experiences (90s). In order to assess the potential benefits of hempcrete in the construction sector, its environmental performances were evaluated using the LCA methodology, by comparing four non-loadbearing representative walls, one made with hempcrete blocks and the others with more “traditional” materials. This research constitutes a solid basis for the development of future guidelines and/or regulations at national and international level in order to guarantee the maximum diffusion of this type of product. Then, a study has been carried out regarding the functionality of hempcrete blocks in masonry, layered with finishing plaster made of fine hemp shives, to evaluate the in-situ hygrothermal building performance. In particular, measurement methods were developed and analysis were carried out on two houses, one in northern Italy and one in southern Italy, and precisely in Sicily, focusing the study on the performances of the walls subjected to warm Mediterranean climates. Indeed, the literature on masonry behavior in hot Mediterranean climates is much scarcer than in cold climates

Fiber Optic Chemical Sensors Based on Single-Walled Carbon Nanotubes: Perspectives and Challenges

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Cystatin C, a Controversial Biomarker in Hypothyroid Patients under Levothyroxine Therapy: THYRenal, a Pilot Cohort Observational Study

Cystatin C (Cys-C) is recognized as one of the most reliable renal function parameters in the general population, although it might be biased by thyroid status. Herein, we tested Cys-C and conventional renal parameters in a cohort of hypothyroid patients treated with Levothyroxine

Post Transplant Lymphoproliferative Disorders In Liver Transplanted Patients: A Single Centre Experience

Post-transplant lymphoproliferative disorder (PTLD) is a life-threatening complication after solid organ transplantation. Reduction of immunosuppression (RI) is accepted as a first step treatment with a long-term complete response rate observed in 23-50% of patients. Chemotherapy for diseases refractory to RI is based on small cohorts treated with different regimens. This paper reports on 10 consecutive cases of PTLD after liver transplantation. The median time from transplantation to PTLD diagnosis was 5 years. PTLD was frequently extranodal involving the transplanted liver. Seven monomorphic PTLD, 2 polymorphic and one Hodgkin disease were observed. Epstein Barr virus was present in tumour tissue only in one case. Initial therapy included RI in all patients. Chemotherapy was used in eight patients. No treatment-related mortality was observed and no patient developed graft rejection during chemotherapy. At a median follow-up period of 25 months, 6 of the 10 patients were alive and without evidence of disease