Management of pericarditis in women

The risk of developing pericarditis is similar in men and women. However, systemic autoimmune diseases are more common in women and may determine an increased risk of recurrences and complications. Specific management issues for women with pericarditis include pregnancy and lactation. Relatively few data have been published on pericardial involvement during pregnancy, and major concerns of clinicians are related to management issues, especially medical treatment. Nowadays, the general outcomes of these pregnancies can be similar to that expected in the general population when carefully followed by dedicated multidisciplinary teams. The aim of this article is to review the management of pericarditis with a focus on gender-specific issues

Low delta-V near-Earth asteroids: A survey of suitable targets for space missions

In the last decades Near-Earth Objects (NEOs) have become very important targets to study, since they can give us clues to the formation, evolution and composition of the Solar System. In addition, they may represent either a threat to humankind, or a repository of extraterrestrial resources for suitable space-borne missions. Within this framework, the choice of next-generation mission targets and the characterisation of a potential threat to our planet deserve special attention. To date, only a small part of the 11,000 discovered NEOs have been physically characterised. From ground and space-based observations one can determine some basic physical properties of these objects using visible and infrared spectroscopy. We present data for 13 objects observed with different telescopes around the world (NASA-IRTF, ESO-NTT, TNG) in the 0.4 - 2.5 um spectral range, within the NEOSURFACE survey (http://www.oa-roma.inaf.it/planet/NEOSurface.html). Objects are chosen from among the more accessible for a rendez-vous mission. All of them are characterised by a delta-V (the change in velocity needed for transferring a spacecraft from low-Earth orbit to rendez-vous with NEOs) lower than 10.5 km/s, well below the Solar System escape velocity (12.3 km/s). We taxonomically classify 9 of these objects for the first time. 11 objects belong to the S-complex taxonomy; the other 2 belong to the C-complex. We constrain the surface composition of these objects by comparing their spectra with meteorites from the RELAB database. We also compute olivine and pyroxene mineralogy for asteroids with a clear evidence of pyroxene bands. Mineralogy confirms the similarity with the already found H, L or LL ordinary chondrite analogues.Comment: 9 pages, 7 figures, to be published in A&A Minor changes by language edito

Pollutants removal from municipal sewage by means of microalgae

Microalgae are microorganisms able to photosynthesize, namely transforming inorganic substrates and sun light into organic compounds and chemical energy. The industry of microalgae has expanded in the last decades and several applications are now developed, making their biomass interesting under an economic perspective. Nannochlopsis gaditana is one of the most interesting species already employed in industry because of its high content in lipids that could be employed as source for biodiesel synthesis but also in other fields such as cosmetic and pharmaceutic. One of the most promising application is the exploitation of microalgal grow for bioremediating wastewaters polluted with inorganic nutrients such as nitrates and phosphates that microalgae are able to employ as nutrients. Bio-treatment of wastewaters by using microalgae has the advantage to reclassify the water and preserve it from wasting while producing a valuable biomass. In this work, a microalgal strain, Nannochloropsis gaditana, was employed for testing its performance in the bioremediation of municipal sewages. The wastewater was taken from a municipal plant, after the primary treatment, and the algae processing was aimed at replacing the secondary treatment. Algal growth in its growth medium and in the sewage was compared and algal biomass was characterized. Biochemical Oxygen Demand (BOD), Chemical Oxygen Demand (COD), total nitrogen and total phosphorous levels of the sewage before and after algae treatment were also determined in order to evaluate the efficiency of this microalgal strain on wastewater bioremediation. Our results showed that N. gaditana grows better in wastewater than in the control growth medium and it is able to efficiently remove nutrients from the sewage. However, COD and BOD values did not decrease after algal treatment. These results suggest that the use of selected bacteria and/or yeast strains (together with microalgae) could improve the efficiency of wastewater treatments decreasing BOD and COD values

An Ion Exchange Membrane Crystallisation reactor for Magnesium recovery from brines

CrIEM technology is a novel ion exchange application that allows reactive crystallization for separation of valuable species (e.g. Mg from brines) with a large flexibility in the choice of reactants

Supercritical water gasification of waste oils as a source of syngas

A huge amount of waste oil is produced worldwide. Also substantial amount of virgin oils is available that are interesting candidates for upgrading into syngas. Supercritical water gasification (SCWG) can be considered as an aqueous phase reforming process to produce syngas from oils. In this work, a variety of waste and virgin oils were gasified in a continuous down-flow autoclave reactor at supercritical conditions. Experiments were carried out at 430 °C and 660 °C, 25 MPa, with a residence time in the range 103-170 s, in order to investigate gasification and carbon efficiency, hydrogen yield and composition of the produced gas. All the analysed feedstocks were suspended in water at various concentrations before gasification. Pyrolysis bio-oil showed a gasification efficiency of 74 % and 86 % for mixtures with 3 and 10 oil/water wt ratio, respectively. Waste motor oil, suspended in water at a concentration of 1 % wt thanks to the use of surfactants, was successfully gasified with a gasification efficiency of 73 %. Virgin motor oil gasification efficiency higher than 60% had been obtained for both analysed concentrations (5 % wt and 10 % wt of oil). Gasification of rapeseed oil at 5 % wt showed a gasification efficiency close to 88 %. On the contrary, the gasification of sunflower oil at 430 °C showed that this temperature is not high enough to obtain acceptable gasification efficiencies that varied from 20 % to 15 % for concentrations of oil from 2 % wt to 8 % wt, respectively. The analysis of the gas composition, in all the studied cases, showed that the obtained gas stream was rich in H2, CH4 and CO2, with variable quantities of light hydrocarbons (C2H4, C2H6 and C3H8)

Acute idiopathic pericarditis: current immunological theories

Alida LP Caforio,1 Renzo Marcolongo,2 Antonio Brucato,3 Luca Cantarini,4 Massimo Imazio,5 Sabino Iliceto11Division of Cardiology, Department of Cardiology, Thoracic and Vascular Sciences, University of Padua, Padua; 2Haematology and Clinical Immunology, Department of Medicine, University of Padua, Padua, 3Internal Medicine, Ospedali Riuniti, Bergamo, 4Rheumatology Unit, Policlinico Le Scotte, University of Siena, Siena, 5Department of Cardiology, Maria Vittoria Hospital, Torino, ItalyAbstract: Idiopathic recurrent acute pericarditis (IRAP) is a rare disease of suspected immune-mediated pathogenesis. It represents a diagnosis of exclusion. It is necessary to rule out infectious and noninfectious causes of pericardial inflammation, including systemic autoimmune and immune-related disorders, eg, Sjögren's disease, systemic lupus erythematosus. Since pericarditis may precede diagnosis of these disorders, IRAP diagnosis is often made after a long follow-up. According to the two main pathogenetic theories IRAP may represent an organ-specific autoimmune disease or an autoinflammatory disease (AInfD). The main evidence for autoimmunity in IRAP is provided by the detection of serum antiheart and antiintercalated-disk autoantibodies, and the response to anti-inflammatory or immunosuppressive therapy. The findings of familial forms and of proinflammatory cytokines in the pericardial fluid in IRAP would be in keeping with both organ-specific autoimmune disease and AInfD. In fact, AInfD are genetic disorders characterized by primary dysfunction of the innate immune system, due to mutations of genes involved in the regulation of the inflammatory response, in the absence of antigen specific T cells or autoantibodies. In AInfD there are active disease phases with raised non-cardiac specific inflammatory markers, such as C-reactive protein, as well as symptom-free intervals with possible C-reactive protein normalization. A minority of IRAP patients (6%) carry a mutation in the TNFRSF1A gene, encoding the receptor for tumor necrosis factor-alfa. This suggests that some IRAP patients may have an atypical or subclinical form of AInfD. Thus, IRAP may represent a syndrome with distinct pathogenetic mechanisms in different patients' subsets.Keywords: pericarditis, autoimmunity, autoantibodies, heart disease, immune factor

CFD simulation of radially stirred baffled and unbaffled tanks

Stirred tanks typically employed in process industries are provided with baffles. Although the presence of baffles is known to guarantee good mixing rates, unbaffled vessels may be compulsory in some applications as crystallization, bioremediation, biotechnology and ore industry. A better understanding of unbaffled stirred vessels flow dynamics may allow (i) a proper design to be performed and (i) conditions/processes where baffle presence can be avoided to be recognized. In the present study, the k-\u3c9 SST was used to simulate an unbaffled tank from early to fully turbulent regime (Re 48600-33,000). The unbaffled tank simulated has a diameter T=0.19m and is stirred by a standard six-bladed Rushton turbine with diameter D=T/2 and clearance C=T/3. A corresponding baffled tank was also simulated in order to compare the the two systems. A time dependent Sliding Grid approach was employed for the baffled tank to account for the impeller-to-baffle relative rotation. Conversely, for the case of the unbaffled vessel, a reference frame rotating with the impeller was adopted. Experimental literature data concerning the power and pumping numbers were employed for the simulation validation. RANS results were in good agreement with the experimental data for the baffled case at the largest Re, whereas predictions for the unbaffled vessel exhibited a less satisfactory agreement with experimental data. The latter finding may be due to the poor capability of the two-equations model to manage the anisotropic turbulence typical of high swirling flows

Update on safety during pregnancy of biological agents and some immunosuppressive anti-rheumatic drugs

A consensus paper concerning the interaction of anti-rheumatic drugs and reproduction was published in 2006, representing data collected during the year 2004 and 2005. Because of an increasing use of biological agents in women of fertile age, the information was updated for the years 2006 and 2007. Experts disagree whether TNF-inhibitors should be stopped as soon as pregnancy is recognized or may be continued throughout pregnancy. Pregnancy experience with abatacept and rituximab is still too limited to prove their safety for the developing fetus. They must be withdrawn before a planned pregnancy. LEF has not been proven to be a human teratogen. Registries of transplant recipients have shown that cyclosporin (CsA) and tacrolimus do not increase the rate of congenital anomalies, whereas mycophenolate mofetil (MMF) clearly carries a risk for congenital anomalies. Prophylactic withdrawal of drugs before pregnancy is mandatory for abatacept, rituximab, LEF and MMF. Data remain insufficient for gonadal toxicity of immunosuppressive drugs in men and for excretion of these drugs in human breast mil

Update on safety during pregnancy of biological agents and some immunosuppressive anti-rheumatic drugs

A consensus paper concerning the interaction of anti-rheumatic drugs and reproduction was published in 2006, representing data collected during the year 2004 and 2005. Because of an increasing use of biological agents in women of fertile age, the information was updated for the years 2006 and 2007. Experts disagree whether TNF-inhibitors should be stopped as soon as pregnancy is recognized or may be continued throughout pregnancy. Pregnancy experience with abatacept and rituximab is still too limited to prove their safety for the developing fetus. They must be withdrawn before a planned pregnancy. LEF has not been proven to be a human teratogen. Registries of transplant recipients have shown that cyclosporin (CsA) and tacrolimus do not increase the rate of congenital anomalies, whereas mycophenolate mofetil (MMF) clearly carries a risk for congenital anomalies. Prophylactic withdrawal of drugs before pregnancy is mandatory for abatacept, rituximab, LEF and MMF. Data remain insufficient for gonadal toxicity of immunosuppressive drugs in men and for excretion of these drugs in human breast mil

Marco Polo: near Earth object sample return mission

Marco Polo is a joint European-Japanese mission of sample return from a Near Earth Object. The Marco Polo proposal was submitted to ESA on July 2007 in the framework of the Cosmic Vision 2015-2025 context, and on October 2007 passed the first evaluation process. The primary objectives of this mission is to visit a primitive NEO, belonging to a class that cannot be related to known meteorite types, to characterize it at multiple scales, and to bring samples back to Earth. Marco Polo will give us the first opportunity for detailed laboratory study of the most primitive materials that formed the planets. This will allow us to improve our knowledge on the processes which governed the origin and early evolution of the Solar System, and possibly of the life on Earth