Disfunção tiróidea e amiodarona

Although most patients remain clinically euthyroid, some develop amiodarone-induced hyperthyroidism (HPEAI) or hypothyroidism (HPOAI). The authors present a retrospective analysis of ten patients with amiodarone-induced thyroid dysfunction. Six patients were female and mean amiodarone intake was 17.7 months. HPOIA was more common (six patients). From all the patients with HPEAI, two had type 2, one had type 1, and one had type 3 hyperthyroidism. Symptoms suggestive of thyroid dysfunction occurred in five patients, most of them with HPOAI. In HPEAI, the most frequent symptom was exacerbation of arrhythmia (three patients). Discontinuation of amiodarone and treatment with levothyroxine was chosen in 83.3% of the HPOAI cases, while thyonamide treatment with corticosteroids and without amiodarone was the option in 75% of the HPEAI cases. There were three deaths, all in patients with HPEAI. HPEAI is potentially fatal. The clinical picture may be vague, so the thyroid monitoring is mandatory

Using the jet stream for sustainable airship and balloon transportation of cargo and hydrogen

© 2019 The Author(s) The maritime shipping sector is a major contributor to CO2 emissions and this figure is expected to rise in coming decades. With the intent of reducing emissions from this sector, this research proposes the utilization of the jet stream to transport a combination of cargo and hydrogen, using airships or balloons at altitudes of 10–20 km. The jet streams flow in the mid-latitudes predominantly in a west–east direction, reaching an average wind speed of 165 km/h. Using this combination of high wind speeds and reliable direction, hydrogen-filled airships or balloons could carry hydrogen with a lower fuel requirement and shorter travel time compared to conventional shipping. Jet streams at different altitudes in the atmosphere were used to identify the most appropriate circular routes for global airship travel. Round-the-world trips would take 16 days in the Northern Hemisphere and 14 in the Southern Hemisphere. Hydrogen transport via the jet stream, due to its lower energy consumption and shorter cargo delivery time, access to cities far from the coast, could be a competitive alternative to maritime shipping and liquefied hydrogen tankers in the development of a sustainable future hydrogen economy

Survey of Zoonotic Diarrheagenic Protist and Hepatitis E Virus in Wild Boar (Sus scrofa) of Portugal

Simple Summary Enteropathogenic viruses, such as hepatitis E virus, and diarrhoeagenic protists have been frequently reported in swine and can infect a wide range of mammals, including humans. Data on their fecal shedding and circulation pathways are still lacking or incomplete. Hence, the aim of the present study was to characterize the presence of microeukaryotes and HEV in the wild boar of Portugal. Of the 144 samples tested, 2 showed the presence of Cryptosporidium scrofarum, 21 Balantioides coli, 42 Blastocystis ST5, and 4 HEV genotype 3. The present work shows that potentially zoonotic protozoa and HEV are circulating in wild boar populations in Portugal. Enteropathogenic parasites and viruses have been frequently reported in swine and can infect a wide range of mammals, including humans. Among the wide variety of parasites infecting swine, diarrhoeagenic protists are among those that cause significant morbidity. Hepatitis E virus (HEV) has also been reported both in domestic pigs and wild boar and is known to have an important public health significance. These agents share the fecal-oral transmission route, but data on their fecal shedding and circulation pathways are still lacking or incomplete. Hence, the aim of the present study was to characterize the presence of microeukaryotes and HEV in the wild boar of Portugal. Wild boar stool samples (n = 144) were obtained during the official hunting seasons (October to February) in 2018/2019, 2019/2020, and 2021/2022 and tested for Cryptosporidium spp., Balantioides coli, Giardia duodenalis, Blastocystis sp., Enterocytozoon bieneusi and HEV by molecular assays, followed by sequencing and phylogenetic analysis. We have detected Cryptosporidium scrofarum (1.4%, 95% CI: 0.2-4.9), B. coli (14.6%, 95% CI: 9.2-21.4), Blastocystis ST5 (29.2%, 95% CI: 21.9-37.2) and HEV genotype 3 (2.8%, 95% CI: 0.7-6.9; subgenotypes 3e and 3m). Co-infections were observed in thirteen animals where two were positive for both HEV and B. coli, one was positive for both C. scrofarum and Blastocystis ST5, and ten were positive for both B. coli and Blastocystis ST5. Giardia duodenalis and E. bieneusi were not detected in the surveyed wild boar population. As far as we know, this is the first report describing protist infections by Cryptosporidium spp., B. coli, and Blastocystis sp., as well as the first identification of the emerging HEV genotype 3m in wild boar of Portugal. The present work shows that potentially zoonotic protozoa and HEV are circulating in wild boar populations in Portugal. Awareness and epidemic-surveillance network implementation measures targeting wild boar are needed to prevent the spread of these pathogenic agents to humans.This research was funded by Fundacao para Ciencia e Tecnologia (FCT), grant number 2021.09461.BD

No contribution of GSTM1 and GSTT1 null genotypes to the risk of neutropenia due to benzene exposure in Southeastern Brazil

Exposure to benzene has been associated with haematological diseases such as neutropenia (NEB) and acute myeloid leukaemia (AML). We tested whether the null genotypes of the GSTM1 and GSTT1 genes, involved in benzene inactivation, altered the risk for NEB in southeastern Brazil. Genomic DNA from 55 NEB patients and 330 controls was analysed by multiplex-polymerase chain reaction. The frequency of the GSTM1, GSTT1 and combined null genotypes was similar in patients and controls (GSTM1, 27.3% vs. 38.8%, p = 0.16; GSTT1, 25.5% vs. 19.7%, p = 0.24; GSTM1/GSTT1, 12.7% vs. 6.7%, p = 0.26; respectively). The distribution of genotype classes in NEB patients was similar to normal controls, suggesting that GSTM1 and GSTT1 null genotypes make no specific contribution to the risk of NEB. As the GSTM1 and GSTT1 null genotypes were previously associated with increased risk for AML in Brazil and elsewhere, we hypothesise that different thresholds of chemical exposure relative to distinct GSTM1 and GSTT1 genotypes may determine whether AML or NEB manifests in benzene exposed individuals from southeastern Brazil. Although indicative, our results still require support by prospective and large scale epidemiological studies, with rigorous assessment of daily chemical exposures and control of the possible contribution of other polymorphic genes involved in benzene metabolism

Sedimentary Basin Water and Energy Storage: A Low Environmental Impact Option for the Bananal Basin

Groundwater storage is an important water management solution that is overlooked by several countries worldwide. This paper evaluates the potential for storing water in the Bananal sedimentary basin and proposes the construction of canals to reduce sediment obstructions in the river flow and harmful flood events. This would allow for better control of the water level. The water stored in the sedimentary basin can be used as a climate change adaptation measure to ensure that the level of the flood plain is maintained high during a drought or low during an intense flood event. Additionally, the flood plain will function as a water reservoir, regulate the river flow downstream from the flood plain, and enhance hydropower generation. A significantly smaller reservoir area is expected to store water, as the water will be stored as groundwater in the sedimentary basin. Results show that the Bananal basin has the potential to store up to 49 km3 of water, which can add up to 11.7 TWh of energy storage to the Brazilian energy matrix for a CAPEX energy storage cost of 0.095 USD/kWh. This is an interesting solution for the Araguaia basin and several other basins worldwide

Swimming pool thermal energy storage, an alternative for distributed cooling energy storage

© 2020 The Author(s) The rise in distributed renewable energy generation creates a growing need to find viable solutions for energy storage to match energy demand and supply at any time. This paper evaluates the possibility of using swimming pools as a long-term cooling energy storage solution, i.e., Swimming Pool Thermal Energy Storage (SPTES). This technology allows a small building to store solar energy for cooling purposes in a yearly cycle, by filling the pool with ice slurry in winter and using that ice to cool the house in the summertime. Additionally, the pool can be used as a heat sink for a heat pump to heat the house during the winter. Results show that the energy storage cost of 0.078 US$kWhe−1 is substantially smaller when compared with batteries (125 US$ kWhe−1). This makes SPTES a good alternative to support the development of 100% renewable energy systems in locations where the climate has a highly seasonal variation in temperature and the cooling demand is high in summer

X-ray Studies of Exoplanets: A 2020 Decadal Survey White Paper

Over the last two decades, the discovery of exoplanets has fundamentally changed our perception of the universe and humanity's place within it. Recent work indicates that a solar system's X-ray and high energy particle environment is of fundamental importance to the formation and development of the atmospheres of close-in planets such as hot Jupiters, and Earth-like planets around M stars. X-ray imaging and spectroscopy provide powerful and unique windows into the high energy flux that an exoplanet experiences, and X-ray photons also serve as proxies for potentially transfigurative coronal mass ejections. Finally, if the host star is a bright enough X-ray source, transit measurements akin to those in the optical and infrared are possible and allow for direct characterization of the upper atmospheres of exoplanets. In this brief white paper, we discuss contributions to the study of exoplanets and their environs which can be made by X-ray data of increasingly high quality that are achievable in the next 10--15 years