Digital assessment of individual engineering assignments in mass courses

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Study of the intima-media thickening in carotid arteries of healthy elderly with high blood pressure and elderly with high blood pressure and dyslipidemia

Elizabete Viana de Freitas, Andréa Araújo Brandão, Roberto Pozzan, Maria Eliane Magalhães, Márcia Castier, Airton Pires BrandãoCardiology Department, Pedro Ernesto University Hospital, State University of Rio de Janeiro, BrazilObjective: The objective of this study was to assess the mean intima-media thickening of carotid arteries of elderly subjects, and its relationship with age, anthropometric measurements, high systolic blood pressure and dyslipidemia.Methods: In this investigation, 129 subjects were enrolled between 1995 and 1998, age ranging from 29 to 94 years. They were assigned to one of 4 groups, including 2 control groups (group I, of healthy younger subjects; group II of healthy elderly subjects). Groups III and IV included those who presented with isolated systolic hypertension (ISH), and ISH and dyslipidemia, respectively. All subjects were submitted to a medical interview, lab tests with measurement of cholesterol levels, electrocardiogram, and carotid ultrasound. The ultrasound included measurement of the intima-media thickening (IMT) of the carotid arteries, the right carotid artery (RCA) and left carotid artery (LCA), and assessment of the presence of plaques. Blood fat and glucose were measured by a standard method. The results were compared among the groups through statistical tests. The tests employed were: Chi-Square, Pearson’s and Likelihood Ratio, Student’s t, Mann-Whitney; ANOVA followed by Tukey’s test, Kruskal-Wallis nonparametric test, and test for multiple comparisons and Odds Ratio determination (OR).Results: In this investigation, a positive association was observed between aging and IMT. In relation to systolic hypertension, a significant association was observed with IMT (IMT-RCA p = 0.0034; IMT-LCA p = 0.0196; IMT-RLCA p = 0.0299), and with the presence of plaques (PlaqueR p = 0.0110; PlaqueL p = 0.0294; PlaqueRL p = 0.0040).Conclusion: This investigation evidenced the important role of aging in IMT, and of systolic hypertension in the IMT and presence of plaque. However, further studies are needed for a better understanding of the actual role of risk factors in aging.Keywords: aging, elderly, carotid arteries, high blood pressur

Experimental and DFT Approach on the Determination of Natural Gas Hydrate Equilibrium with the use of Excess N2 and Choline-Chloride Ionic Liquid as an Inhibitor

This work presents the characterization of hydrate-forming conditions of a Qatari natural gas-type mixture, QNG-S1, obtained using two different experimental methods, namely, a benchtop reactor and a gas hydrate autoclave. The obtained experimental results were found to be in agreement with each other. Another mixture in which the QNG-S1 sample was diluted with nitrogen (N2) in a 1:1 ratio was also characterized for hydrate dissociation conditions using a rocking cell apparatus only. The thermodynamic hydrate inhibition effect of a biocompatible ionic liquid, choline chloride (ChCl), was tested for both QNG-S1 and QNG-S1+N2 at two concentrations (1 and 5 wt %) using the rocking cell apparatus. It was found that the ChCl shows a typical classical thermodynamic inhibitor behavior for both tested mixtures QNG-S1 and QNG-S1+N2 by shifting the hydrate equilibrium toward lower temperature and higher pressure. Likewise, the interaction between ChCl and model hydrate cages was analyzed using density functional theory to characterize the ionic liquid inhibition mechanism at the nanoscopic level. 2016 American Chemical Society.Scopu

Influence of a family history of type 2 diabetes, demographic and clinical data on carotid intima-media thickness in patients with type 1 diabetes: a cross-sectional study

BACKGROUND: Intima-media thickness (IMT) of the common carotid artery is a surrogate end point of cardiovascular disease (CVD). Identifying the factors associated with a higher IMT may contribute to the identification of subjects with higher CVD risk. Our objective was to compare the common carotid IMT of type 1 diabetes patients to healthy control subjects. The secondary objective was to determine factors associated with a higher carotid IMT. METHODS: We conducted a cross-sectional study between March 2009 and October 2013, comprising 127 type 1 diabetes patients and 125 control subjects matched by age, gender and body mass index (BMI). Carotid IMT was measured using semi-automated edge detection software. RESULTS: Type 1 diabetes patients had a higher median IMT compared with control subjects (0.538; IQR: 0.500-0.607 vs 0.513 mm; IQR: 0.481-0.557, respectively p = 0.001). Women with type 1 diabetes had a higher median IMT difference compared to the control group (0.537; IQR: 0.495-0.596 vs 0.502 mm; IQR: 0.472-0.543, respectively p = 0.003) than did men with type 1 diabetes (0.547; IQR: 0.504-0.613 vs 0.528 mm; IQR: 0.492-0.575, respectively p = 0.2). Age and diabetes duration had an additive effect on the IMT of type 1 diabetes patients. Multivariate gamma regression model analysis showed that in type 1 diabetes patients, the IMT was associated with age (Exp (β) = 1.006, p < 0.001), duration of diabetes (Exp (β) = 1.004, p = 0.001), BMI (Exp (β) = 1.005, p = 0.021), family history of type 2 diabetes (Exp (β) = 1.044, p = 0.033), total cholesterol (Exp (β) = 0.999, p = 0.001) and creatinine clearance (Exp (β) = 1.000, p = 0.043). CONCLUSIONS: Patients with type 1 diabetes have increased IMT, a marker of subclinical atherosclerosis. The CVD risk may be similar between men and women with type 1 diabetes, suggesting a loss of gender protection. Also, CVD risk may be higher in those with a family history of type 2 diabetes. Prospective studies are needed to confirm the predictive value of these findings and the causal effect between IMT and CVD in patients with type 1 diabetes

Bronchodilation induced by PGE2 is impaired in Group-III pulmonary hypertension

BACKGROUND AND PURPOSE: In patients with pulmonary hypertension (PH) associated with lung disease and/or hypoxia (Group III), a reduction of pulmonary vascular tone and tissue hypoxia are considered therapeutically beneficial. Prostaglandin (PG) E2 and PGI2 induce potent relaxation of human bronchi from non-PH (control) patients via EP4 and IP receptors, respectively. However, the effects of PGE2 /PGI2 and their mimetics on human bronchi from PH-patients are unknown. Our aim was to compare the relaxant effects of several PGI2 -mimetics approved for treating PH-Group I with several PGE2 -mimetics in bronchial preparations derived from PH-Group III and control patients. EXPERIMENTAL APPROACH: Using an organ bath system, the tone of bronchial muscle was investigated in tissue from either control or PH-Group III patients. Expression of prostanoid receptors were analyzed by Western blot and real-time PCR and endogenous PGE2 , PGI2 and cAMP levels were determined by ELISA. KEY RESULTS: Maximal relaxations induced by different EP4 agonists (PGE2 , L-902688, ONO-AE1-329) were significantly decreased in human bronchi from PH-patients versus controls. In contrast, the maximal relaxations produced by PGI2 -mimetics (iloprost, treprostinil, beraprost) were similar for both groups of patients. Both EP4 and IP receptor protein and mRNA expressions were significantly lower in human bronchi from PH-patients. cAMP levels significantly correlated with PGI2 but not with PGE2 levels. CONCLUSION AND IMPLICATIONS: This study shows that PGI2 -mimetics have preserved maximal bronchodilation in PH-Group III patients. The decreased bronchodilation induced by EP4 agonists suggests that restoration of EP4 expression in airways of PH-patients with respiratory diseases could bring additional therapeutic benefit

Reactive Distillation Applied to Biodiesel Production by Esterification: Simulation Studies

Reactive distillation is an operation that combines chemical reaction and separation in a single equipment, presenting various technical and economic benefits. In this chapter, an introduction to the reactive distillation process applied to the biodiesel industry was developed and complemented by case studies regarding the production of biodiesel through esterification a low-cost acid feedstock (corn distillers oil) and valorization of by-products (glycerol) through ketalization. The kinetic parameters of both reactions were estimated with an algorithm that performs the minimization of the quadratic differences between experimental and calculated data through a Nelder-Mead simplex method. A 4th order Runge Kutta method was employed to integrate the conversion or concentration equations used to describe the kinetics of the reactions in a batch reactor. Both processes were simulated in the commercial software Aspen Plus with the estimated kinetic parameters. The results obtained are promising and indicate that the productivity of both processes can be improved with the application of reactive distillation technologies. The simulated esterification process with an optimized column resulted in a fatty acids conversion increase of 84% in comparison to the values lower than 50% obtained in the experimental tests. Solketal production through ketalization also achieved a high glycerol conversion superior to 98%