Improvement in workability of terminals placed along the inner side of port vertical breakwaters by means of recurved parapet walls

The function of main port breakwaters is to protect harbour basins from incoming waves and currents. In the event that a maritime terminal is placed on the inner side of a main breakwater, it is extremely important to limit waves overtopping the structure, because the overtopping flows may be very dangerous for the safety of the operations taking place in the terminal. Very often during storms if the overtopping discharges are severe, the terminal is temporarily closed, reducing its average annual workability accordingly. Wave overtopping is normally limited by using high parapet walls (crownwalls) which are not well considered from an environmental point of view due to their visual impact. A good solution to reduce wave overtopping limiting the increasing of the crownwalls height, is to use recurved parapet walls. The paper presents a new formula for recurved walls which can be used to estimate the overtopping flow rates reduction compared to normal vertical parapets. The formula has been obtained for vertical breakwaters by using numerical computations. The recurved parapet has the shape of a circumference sector, characterized by a radius and an opening angle. The numerical computations were performed applying OpenFOAM® which solves the 3D RANS equations for multiphase flows (air and water). The results show the high hydraulic efficiency of recurved walls in reducing overtopping rates compared to traditional vertical parapets

Numerical and Physical Modeling of Ponte Liscione (Guardialfiera, Molise) Dam Spillways and Stilling Basin

Issues such as the design or reauditing of dams due to the occurrence of extreme events caused by climatic change are mandatory to address to ensure the safety of territories. These topics may be tackled numerically with Computational Fluid Dynamics and experimentally with physical models. This paper describes the 1:60 Froude-scaled numerical model of the Liscione (Guardialfiera, Molise, Italy) dam spillway and the downstream stilling basin. The k-omega SST turbulence model was chosen to close the Reynolds-averaged Navier-Stokes equations (RANS) implemented in the commercial software Ansys Fluent(R). The computation domain was discretized using a grid with hexagonal meshes. Experimental data for model validation were gathered from the 1:60 scale physical model of the Liscione dam spillways and the downstream riverbed of the Biferno river built at the Laboratory of Hydraulic and Maritime Constructions of the Sapienza University of Rome. The model was scaled according to the Froude number and fully developed turbulent flow conditions were reproduced at the model scale (Re > 10,000). From the analysis of the results of both the physical and the numerical models, it is clear that the stilling basin is undersized and therefore insufficient to manage the energy content of the fluid output to the river, with a significant impact on the erodible downstream river bottom in terms of scour depths. Furthermore, the numerical model showed that a less vigorous jet-like flow is obtained by removing one of the sills the dam is supplied with

Effects of dietary protein restriction on albumin and fibrinogen synthesis in macroalbuminuric type 2 diabetic patients

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Arterial Stiffness in the Heart Disease of CKD

CKD frequently leads to chronic cardiac dysfunction. This complex relationship has been termed as cardiorenal syndrome type 4 or cardio-renal link. Despite numerous studies and reviews focused on the pathophysiology and therapy of this syndrome, the role of arterial stiffness has been frequently overlooked. In this regard, several pathogenic factors, including uremic toxins (, uric acid, phosphates, endothelin-1, advanced glycation end-products, and asymmetric dimethylarginine), can be involved. Their effect on the arterial wall, direct or mediated by chronic inflammation and oxidative stress, results in arterial stiffening and decreased vascular compliance. The increase in aortic stiffness results in increased cardiac workload and reduced coronary artery perfusion pressure that, in turn, may lead to microvascular cardiac ischemia. Conversely, reduced arterial stiffness has been associated with increased survival. Several approaches can be considered to reduce vascular stiffness and improve vascular function in patients with CKD. This review primarily discusses current understanding of the mechanisms concerning uremic toxins, arterial stiffening, and impaired cardiac function, and the therapeutic options to reduce arterial stiffness in patients with CKD

Altilix\uae Supplement Containing Chlorogenic Acid and Luteolin Improved Hepatic and Cardiometabolic Parameters in Subjects with Metabolic Syndrome: A 6 Month Randomized, Double-Blind, Placebo-Controlled Study

The objective was to evaluate the eects of 6 months of supplementation with Altilix\uae, containing chlorogenic acid and its derivatives, and luteolin and its derivatives, on cardiovascular risk and hepatic markers in subjects with metabolic syndrome (MetS). A randomized, double-blind, placebo-controlled study was performed in 100 subjects with MetS with a follow-up period of 6 months; 50 subjects were randomized to Altilix\uae (26 men and 24 women, mean age 63 8 years) and the other 50 to placebo (28 men and 22 women, mean age 63 11 years). Anthropometric, cardiometabolic, and hepatic parameters were assessed at baseline and at the end of follow-up. Carotid intima-media thickness and endothelial function were assessed by doppler ultrasound and by flow-mediated dilation of the brachial artery, respectively. The presence and degree of non-alcoholic fatty liver disease (NAFLD) was assessed by the fatty liver index (FLI), and subjects were divided into three subgroups: (1) without NAFLD; (2) with borderline NAFLD; and (3) with NAFLD. After 6 months of Altilix\uae supplementation, we found a significant improvement vs. placebo in most of the evaluated parameters, including body weight (2.40% (95% CI 3.79, 1.01); p < 0.001), waist circumference (2.76% (95% CI 4.55, 0.96); p = 0.003), HbA1c (0.95% (95% CI 1.22, 0.67); p < 0.001), plasma lipids, FLI (21.83% (95% CI 27.39, 16.27); p < 0.001), hepatic transaminases, flow-mediated dilation (10.56% (95% CI 5.00, 16.12); p < 0.001), and carotid intima-media thickness (39.48% (95% CI 47.98, 30.97); p < 0.001). Further, the improvement in cardiometabolic variables was independent of the degree of hepatic steatosis. Altilix\uae supplementation improved hepatic and cardio-metabolic parameters in MetS subjects. Altilix\uae supplementation was a beneficial approach in the management of hepatic and cardiometabolic alterations in MetS subjects

Pulse wave velocity differs between ulcerative colitis and chronic kidney disease

Background: We hypothesized that a reversal of the physiological stiffness gradient, previously reported in end-stage renal disease, begins in the early stages of chronic kidney disease (CKD) and that chronic inflammation produces a different arterial phenotype in patients with ulcerative colitis (UC). Objectives: To assess the extent of arterial stiffening in the central (carotid-femoral pulse wave velocity, cf.-PWV) and peripheral arteries (carotid-radial pulse wave velocity, cr-PWV) and to explore the determinants of the stiffness gradient in UC and in CKD. Methods: We enrolled 45 patients with UC, 45 patients with stage 3-4 CKD and 45 matched controls. Results: Despite the comparable cf.-PWV, the cr-PWV was higher in patients with UC than in those with CKD (median: 8.7 vs. 7.5. m/s; p <. 0.001) and, consequently, the PWV ratio was lower (median: 0.97 vs. 1.12; p <. 0.001). In patients with CKD a stiffness mismatch was reported starting from stage 3B. The PWV ratio was associated with age and C-reactive protein (beta: 0.08 z-score, 95%CI 0.02-0.14; p = 0.01) or active disease (beta: 0.43 z-score, 95%CI 0.003-0.857; p = 0.048) in patients with UC and with age and glomerular filtration rate (beta: -0.56 z-score, 95%CI -1.05 to -0.07; p = 0.02) in patients with CKD. Conclusions: The arterial phenotype differed between UC and CKD. The reversal of the arterial stiffness gradient is evident in CKD patients starting from stage 3B but not in patients with UC and comparable cf.-PWV. In patients with UC, the stiffness of both elastic and muscular arteries is increased as a consequence of inflammation

Biochar/Zinc Oxide Composites as Effective Catalysts for Electrochemical CO2 Reduction

Novel electrocatalysts based on zinc oxide (ZnO) and biochars are prepared through a simple and scalable route and are proposed for the electrocatalytic reduction of CO2 (CO2RR). Materials with different weight ratios of ZnO to biochars, namely, pyrolyzed chitosan (CTO) and pyrolyzed brewed waste coffee (CBC), are synthesized and thoroughly characterized. The physicochemical properties of the materials are correlated with the CO2RR to CO performance in a comprehensive study. Both the type and weight percentage of biochar significantly influence the catalytic performance of the composite. CTO, which has pyridinic- and pyridone-N species in its structure, outperforms CBC as a carbon matrix for ZnO particles, as evidenced by a higher CO selectivity and an enhanced current density at the ZnO_CTO electrode under the same conditions. The study on various ZnO to CTO weight ratios shows that the composite with 40.6 wt % of biochar shows the best performance, with the CO selectivity peaked at 85.8% at -1.1 V versus the reversible hydrogen electrode (RHE) and a CO partial current density of 75.6 mA cm-2 at -1.3 V versus RHE. It also demonstrates good stability during the long-term CO2 electrolysis, showing high retention in both CO selectivity and electrode activity

The soluble terminal complement complex (SC5b-9) up-regulates osteoprotegerin expression and release by endothelial cells: Implications in rheumatoid arthritis

Objective. Complement activation products contribute to a large number of inflammatory diseases, including RA. We have investigated whether osteoprotegerin (OPG) may concur with the soluble terminal complement complex (SC5b-9) to the inflammatory cascade characterizing RA. Methods. Levels of SC5b-9 and OPG in the plasma and SF of patients with active RA were determined by ELISA. The presence of SC5b-9 and OPG in RA synovial lesions was analysed by immunohistochemistry. Cultured endothelial cells were used for in vitro leucocyte/endothelial cell adhesion assays. In addition, endothelial cells were exposed to SC5b-9 in order to evaluate the effects on the production of OPG protein, as well as the activation of the OPG promoter. Results. Patients affected by active RA are characterized by elevated levels of both SC5b-9 and OPG in plasma and/or SF. Of note, we have observed a co-localization of SC5b-9 and OPG in endothelial cells of post-capillary venules of RA synovial lesions. Data on endothelial cell cultures showed that exposure to SC5b-9 induced the up-regulation of OPG expression/release, stimulating the transcriptional activity of the OPG promoter, and synergized with TNF-α in up-regulating OPG production. Conclusions. Our findings demonstrate that SC5b-9 induces OPG production by endothelial cells and we propose that the SC5b-9-mediated up-regulation of OPG may be an important mechanism whereby complement contributes in promoting and/or enhancing the inflammation in RA. © The Author 2009. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved

Sodium-Glucose Linked Transporter-2 Inhibitors in Chronic Kidney Disease

SGLT2 inhibitors are new antihyperglycaemic agents whose ability to lower glucose is directly proportional to GFR. Therefore, in chronic kidney disease (CKD) the blood glucose lowering effect is reduced. Unlike many current therapies, the mechanism of action of SGLT2 inhibitors is independent of insulin action or beta-cell function. In addition, the mechanism of action of SGLT2 inhibitors is complementary and not alternative to other antidiabetic agents. SGLT2 inhibitors could be potentially effective in attenuating renal hyperfiltration and, consequently, the progression of CKD. Moreover, the reductions in intraglomerular pressure, systemic blood pressure, and uric acid levels induced by SGLT inhibition may potentially be of benefit in CKD subjects without diabetes. However, at present, only few clinical studies were designed to evaluate the effects of SGLT2 inhibitors in CKD. Consequently, safety and potential efficacy beyond blood glucose lowering should be better clarified in CKD. In this paper we provide an updated review of the use of SGLT2 inhibitors in clinical practice, with particular attention on subjects with CKD