497 research outputs found
Static and Dynamic Lung Volumes in Swimmers and Their Ventilatory Response to Maximal Exercise
Purpose
While the static and dynamic lung volumes of active swimmers is often greater than the predicted volume of similarly active non-swimmers, little is known if their ventilatory response to exercise is also different.
Methods
Three groups of anthropometrically matched male adults were recruited, daily active swimmers (n = 15), daily active in fields sport (Rugby and Football) (n = 15), and recreationally active (n = 15). Forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), and maximal voluntary ventilation (MVV) was measured before and after exercise to volitional exhaustion.
Results
Swimmers had significantly larger FVC (6.2 ± 0.6 l, 109 ± 9% pred) than the other groups (5.6 ± 0.5 l, 106 ± 13% pred, 5.5 ± 0.8, 99% pred, the sportsmen and recreational groups, respectively). FEV1 and MVV were not different. While at peak exercise, all groups reached their ventilatory reserve (around 20%), the swimmers had a greater minute ventilation rate than the recreational group (146 ± 19 vs 120 ± 87 l/min), delivering this volume by breathing deeper and slower.
Conclusions
The swimmers utilised their larger static volumes (FVC) differently during exercise by meeting their ventilation volume through long and deep breaths
Integrating open dialogue with coordinated specialty care in a southeastern U.S. public hospital: a qualitative study of clinicians’ perspectives
Application of Life Cycle Assessment in the Environmental Study of Sustainable Ceramic Bricks Made with 'alperujo' (Olive Pomace)
Investigations on the application of Life Cycle Assessment (LCA) to the construction sector have shown that the environmental impact of construction products can be significantly reduced. To achieve this, the use of best available techniques and eco-innovation in production plants must be promoted. In this way, the use of finite natural resources can be replaced by waste generated in other production processes, preferably available locally, stimulating the creation of more sustainable products. Conducting a comparative LCA study between the traditional ceramic brick manufacturing process and the ceramic brick manufacturing process incorporating 'alperujo' (waste generated in the virgin oil extraction process), is an inevitable step to achieve the integration of circularity and eco-innovation in the production system of traditional ceramic materials, through the CML(Centrum voor Milieukunde Leiden) and IPCC(The Intergovernmental Panel on Climate Change) methodology. The obtained results suggest that the environmental benefits in this practice are very limited, even taking into account the contribution of different amounts of this waste to the production of bricks
Antiinflammatory Therapy with Canakinumab for Atherosclerotic Disease
Background: Experimental and clinical data suggest that reducing inflammation without affecting lipid levels may reduce the risk of cardiovascular disease. Yet, the inflammatory hypothesis of atherothrombosis has remained unproved. Methods: We conducted a randomized, double-blind trial of canakinumab, a therapeutic monoclonal antibody targeting interleukin-1β, involving 10,061 patients with previous myocardial infarction and a high-sensitivity C-reactive protein level of 2 mg or more per liter. The trial compared three doses of canakinumab (50 mg, 150 mg, and 300 mg, administered subcutaneously every 3 months) with placebo. The primary efficacy end point was nonfatal myocardial infarction, nonfatal stroke, or cardiovascular death. RESULTS: At 48 months, the median reduction from baseline in the high-sensitivity C-reactive protein level was 26 percentage points greater in the group that received the 50-mg dose of canakinumab, 37 percentage points greater in the 150-mg group, and 41 percentage points greater in the 300-mg group than in the placebo group. Canakinumab did not reduce lipid levels from baseline. At a median follow-up of 3.7 years, the incidence rate for the primary end point was 4.50 events per 100 person-years in the placebo group, 4.11 events per 100 person-years in the 50-mg group, 3.86 events per 100 person-years in the 150-mg group, and 3.90 events per 100 person-years in the 300-mg group. The hazard ratios as compared with placebo were as follows: in the 50-mg group, 0.93 (95% confidence interval [CI], 0.80 to 1.07; P = 0.30); in the 150-mg group, 0.85 (95% CI, 0.74 to 0.98; P = 0.021); and in the 300-mg group, 0.86 (95% CI, 0.75 to 0.99; P = 0.031). The 150-mg dose, but not the other doses, met the prespecified multiplicity-adjusted threshold for statistical significance for the primary end point and the secondary end point that additionally included hospitalization for unstable angina that led to urgent revascularization (hazard ratio vs. placebo, 0.83; 95% CI, 0.73 to 0.95; P = 0.005). Canakinumab was associated with a higher incidence of fatal infection than was placebo. There was no significant difference in all-cause mortality (hazard ratio for all canakinumab doses vs. placebo, 0.94; 95% CI, 0.83 to 1.06; P = 0.31). Conclusions: Antiinflammatory therapy targeting the interleukin-1β innate immunity pathway with canakinumab at a dose of 150 mg every 3 months led to a significantly lower rate of recurrent cardiovascular events than placebo, independent of lipid-level lowering. (Funded by Novartis; CANTOS ClinicalTrials.gov number, NCT01327846.
Recycling of ‘alperujo’ (olive pomace) as a key component in the sintering of lightweight aggregates
The current environmental problems that threaten our society can only be mitigated with a radical change in the paradigm of production and consumption. Recycling waste is a key element in this. This work has focused on the valorization of a widely spread agricultural waste: the so-called ‘alperujo’ (olive pomace). For the first time, olive pomace (OP) has been used as a component in the manufacture of lightweight aggregates (LWAs). Mixtures with 0, 1.25, 2.5, 5 and 10 wt% OP have been prepared from three different clays. The research results show that the addition of OP in low proportions (mainly 2.5%) is more positive to achieve aggregate bloating, pore formation and a lighter structure. The high calorific value of OP also helps to reduce the firing temperature significantly, which would result in energy savings. In the same way, bloating would be favored with the increase of the time and the temperature, especially with this last one. The materials obtained have excellent properties. In addition, the study of leachate in the most expanded aggregate shows that the concentration of heavy metals is very low, representing no danger to the environment. According to these findings, the recycling of olive pomace can be an excellent alternative in the manufacture of LWAs.This research was carried out as part of the project “Implementación de una alternativa sostenible para la gestión integral del alpeorujo, un residuo contaminante de la industrial oleícola (CTM2016-75977-R)”, funded by the Spanish Ministry of Economy and Competitiveness and FEDER (MINECO-FEDER). The authors also acknowledge with gratitude the technical and human support provided by the CICT of the University of Jaén and the SCAI of the University of Málaga (UJA, UMA, MINECO, Junta de Andalucía, FEDER)
Analyzing the Role of Fe0 and Fe3+ in the Formation of Expanded Clay Aggregates
The effect of the addition of Fe0 and Fe3+ on the formation of expanded clay aggregates was studied using iron-free kaolin as an aluminosilicates source. Likewise, the incorporation of cork powder as a source of organic carbon and Na2CO3 as a flux in the mixtures was investigated in order to assess its effect in combination with the iron phases. An experimental protocol, statistically supported by a mixture experiments/design of experiments approach, was applied to model and optimize the bloating index, density, absorption capacity, and mechanical strength. The process of expansion and pore generation and the associated decrease in density required the addition of iron, such that the optimum mixtures of these properties presented between 25 and 40 wt.% of Fe0 or Fe3+, as well as the incorporation of 3.5–5 wt.% of organic carbon. The addition of Fe3+ produced a greater volumetric expansion (max. 53%) than Fe0 (max. 8%), suggesting that the formation of the FeO leading to this phenomenon would require reducing and oxidizing conditions in the former and the latter, respectively. The experimental and model-estimated results are in good agreement, especially in the aggregates containing Fe0. This reinforces the application of statistical methods for future investigations.Many thanks for Mark Tyrer (https://orcid.org/0000-0003-3327-895X, accessed on 20 June 2023) that help us to improve the english for our research work. This research was conducted as a part of the ECO-MET-AL Project, PID2019-109520RB-I00/AEI/10.13039/501100011033, “Can industrial and mining metalliferous wastes produce green lightweight aggregates? Applying the Circular Economy” funded by the Spanish Ministry of Science, Innovation and Universities and ERDF funds, framed in the “Ayudas a “Proyectos I+D+i” en el marco de los Programas Estatales de Generación de Conocimiento y Fortalecimiento Científico y Tecnológico del Sistema de I+D+i y de I+D+i orientada a los Retos de la Sociedad, Convocatoria 2019”. We also wish to thank the SCAI of the University of Jaén, the University of Castilla-La Mancha and the University of Málaga for their services
Respiratorni simptomi u radnica na preradi riba na obali Jadrana u Hrvatskoj
This article describes respiratory symptoms and lung function in 98 fish processing female workers employed in a fish processing plant located on the Croatian Adriatic coast and 95 matching controls. The study included chronic and acute respiratory symptoms which developed during the shifts. Lung function measurements included forced vital capacity (FVC), one-second forced expiratory volume (FEV1) and maximal expiratory rates at 50 % and the last 25 % (FEF50, FEF25). Chronic respiratory symptoms were significantly dominant in fish processing workers compared to controls. The most common chronic symptoms were hoarseness (57.1 %), nasal catarrh (51.0 %), chronic cough (42.9 %), chronic phlegm (34.7 %), and frequent chest cold (35.7 %). Exposed smokers and nonsmokers had a similar prevalence of chronic respiratory symptoms. Acute symptoms over the work shift were high, with headache in lead (smokers: 62.5 %; nonsmokers: 56.1 %). Most of the ventilatory capacity parameters were significantly lower than predicted, FEF25 in particular, indicating obstructive changes predominantly in the smaller airways. These findings suggest that fish processing workers are prone to developing acute and chronic respiratory symptoms as well as to lung function changes. This calls for medical and technical preventive measures to be introduced in the work environment of the fi sh processing plant.Cilj je ovoga istraživanja bio ispitati respiratorne simptome i plućnu funkciju radnica zaposlenih na preradi riba u industriji na obali Jadranskog mora u Hrvatskoj. U istraživanje je uključeno 98 radnica zaposlenih na preradi riba i 95 žena neizložene kontrolne skupine. Ispitivani su kronični i akutni respiratorni simptomi koji se razvijaju tijekom radne smjene. Mjerena je plućna funkcija registriranjem forsiranoga vitalnog kapaciteta (FVC), forsiranoga ekspiracijskog volumena u prvoj sekundi (FEV1) te maksimalnoga ekspiracijskog protoka pri 50 % i zadnjih 25 % forsiranoga vitalnog kapaciteta (FEF50, FEF25) na krivulji maksimalni ekspiracijski protok-volumen (MEPV). Učestalost većine kroničnih respiracijskih simptoma bila je značajno viša u eksponiranih u usporedbi s kontrolnom skupinom. U eksponiranih radnica utvrđena je i visoka prevalencija akutnih simptoma koji se razvijaju tijekom radne smjene, posebno za promuklost (57,1 %) i katar nosa (51 %), potom slijedi kronični kašalj (42,9 %), kronični iskašljaj (34,7 %), upale sinusa (32 %) i česte prehlade (35,7 %). S obzirom na naviku pušenja pušači i nepušači imali su sličnu prevalenciju kroničnih respiratornih simptoma. Izložene radnice imale su visoku prevalenciju akutnih simptoma tijekom radne smjene i to naročito za glavobolju (pušači 62,5 %; nepušači 56,1 %). Ventilacijska funkcija pluća bila je značajno smanjena u usporedbi s predviđenim normalnim vrijednostima posebice za FEF25 % upućujući na opstruktivne promjene pretežno u manjim dišnim putovima. Naši podaci upućuju na opasnost razvoja kroničnih i akutnih respiracijskih simptoma i promjena plućne funkcije u radnika koji rade u industriji na preradi riba. Medicinske i tehničke preventivne mjere u radnom okolišu treba preporučiti u industriji prerade riba
Smallest detectable change in volume differs between mass flow sensor and pneumotachograph
<p>Abstract</p> <p>Background</p> <p>To assess a pulmonary function change over time the mass flow sensor and the pneumotachograph are widely used in commercially available instruments. However, the smallest detectable change for both devices has never been compared. Therefore, the aim of this study is to determine the smallest detectable change in vital capacity (VC) and single-breath diffusion parameters measured by mass flow sensor and or pneumotachograph.</p> <p>Method</p> <p>In 28 healthy pulmonary function technicians VC, transfer factor for carbon monoxide (DLCO) and alveolar volume (VA) was repeatedly (10×) measured. The smallest detectable change was calculated by 1.96 x Standard Error of Measurement ×√2.</p> <p>Findings</p> <p>The mean (range) of the smallest detectable change measured by mass flow sensor and pneumotachograph respectively, were for VC (in Liter): 0.53 (0.46-0.65); 0.25 (0.17-0.36) (<it>p </it>= 0.04), DLCO (in mmol*kPa<sup>-1</sup>*min<sup>-1</sup>): 1.53 (1.26-1.7); 1.18 (0.84-1.39) (<it>p </it>= 0.07), VA (in Liter): 0.66. (0.53-0.82); 0.43 (0.34-0.53) (<it>p </it>= 0.04) and DLCO/VA (in mmol*kPa<sup>-1</sup>*min<sup>-1</sup>*L<sup>-1</sup>): 0.22 (0.19-0.28); 0.19 (0.14-0.22) (<it>p </it>= 0.79).</p> <p>Conclusions</p> <p>Smallest detectable significant change in VC and VA as measured by pneumotachograph are smaller than by mass flow sensor. Therefore, the pneumotachograph is the preferred instrument to estimate lung volume change over time in individual patients.</p
Study of the synergistic impact of Fe3O4, Na2CO3 and organic C on kaolin-based lightweight aggregates by a DOE (Mixture Experiments) approach
The compositional synergies involved in the thermal formation of lightweight aggregates (LWAs) have been investigated through four pure phases: non-expansive kaolin (K); cork powder (C); sodium carbonate (N) and magnetite-Fe3O4 (M). Mixture Experiments has been applied for formulation, modeling and optimization. LWAs have been manufactured from 36 starting mixtures and the main technological properties have been characterized: bloating index (BI), particle density (ρrd), water absorption (WA24) and crushing strength (S). Maximum BI and WA24 together with minimum density are associated with the addition of a significant amount of iron phase in combination with small proportions of organic carbon (Optimal [BI > 60%]: 56.0% K + 40.2% M + 3.9% C + 0% N), while S increases antagonistically with expansion. Iron reduction by incomplete combustion of C appears to be critical in pore formation and concomitant bloating. N has enhanced the sphericity of the expanded specimens. The contrast between experimental and estimated data has shown that the models have generally performed very well.This research was conducted as a part of the ECO-MET-AL Project, PID2019-109520RB-I00 / AEI / 10.13039/501100011033, “Can industrial and mining metalliferous wastes produce green lightweight aggregates? Applying the Circular Economy” funded by the Spanish Ministry of Science, Innovation and Universities and ERDF funds, framed in the “Ayudas a Proyectos I + D + i en el marco de los Programas Estatales de Generación de Conocimiento y Fortalecimiento Científico y Tecnológico del Sistema de I + D + i y de I + D + i orientada a los Retos de la Sociedad, Convocatoria 2019”
Can statistical methods optimize complex multicomponent mixtures for sintering ceramic granular materials? A case of success with synthetic aggregates
The relationship between the proportions of multicomponent mixtures with the technological properties of ceramic granular materials (synthetic aggregates) has been studied using statistical methods. The four phases involved in the formulations have been: kaolin (K) as aluminosilicate source; cork powder (C) as organic carbon source; sodium carbonate (N) as flux and pyrite (P) as source of iron and sulfur. The Mixture Experiments - Design of Experiments (ME-DOE) has been the statistical methodology applied from the initial configuration of the 36 starting formulations to the final validation of the models and optimums. After granulation, artificial aggregates have been obtained by sintering in a rotary kiln, and their main technological properties have been determined. Bloating index (BI), particle density (ρrd), water absorption (WA24) and crushing strength (S) were selected as the four key characteristics to be modeled and optimized, using response surface and effect plots to assess the effect of K, C, N and P on such properties. 32 out of 36 starting varieties met the density criteria for lightweight aggregates. In the optimum formulations obtained, the minimum percentage of K was 83 wt%, so that the variations in the percentages of P, C and N were the critical variables for determining the final properties of the aggregate. The contrast between experimental and estimated data has shown that the models fit adequately, indicating that this type of approach may have enormous potential for future research on artificial aggregates and other ceramic materialsThis research was conducted as a part of the ECO-MET-AL Project, PID2019-109520RB-I00 / AEI / 10.13039/501100011033, “Can industrial and mining metalliferous wastes produce green lightweight aggregates? Applying the Circular Economy” funded by the Spanish Ministry of Science, Innovation and Universities and ERDF funds, framed in the “Ayudas a “Proyectos I + D + i" en el marco de los Programas Estatales de Generación de Conocimiento y Fortalecimiento Científico y Tecnológico del Sistema de I + D + i y de I + D + i orientada a los Retos de la Sociedad, Convocatoria 2019”. Thanks also to the SCAI of the University of Jaén, the University of Castilla-La Mancha and the University of Málaga for their service
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