28 research outputs found

    Omecamtiv mecarbil in chronic heart failure with reduced ejection fraction, GALACTIC‐HF: baseline characteristics and comparison with contemporary clinical trials

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    Aims: The safety and efficacy of the novel selective cardiac myosin activator, omecamtiv mecarbil, in patients with heart failure with reduced ejection fraction (HFrEF) is tested in the Global Approach to Lowering Adverse Cardiac outcomes Through Improving Contractility in Heart Failure (GALACTIC‐HF) trial. Here we describe the baseline characteristics of participants in GALACTIC‐HF and how these compare with other contemporary trials. Methods and Results: Adults with established HFrEF, New York Heart Association functional class (NYHA) ≄ II, EF ≀35%, elevated natriuretic peptides and either current hospitalization for HF or history of hospitalization/ emergency department visit for HF within a year were randomized to either placebo or omecamtiv mecarbil (pharmacokinetic‐guided dosing: 25, 37.5 or 50 mg bid). 8256 patients [male (79%), non‐white (22%), mean age 65 years] were enrolled with a mean EF 27%, ischemic etiology in 54%, NYHA II 53% and III/IV 47%, and median NT‐proBNP 1971 pg/mL. HF therapies at baseline were among the most effectively employed in contemporary HF trials. GALACTIC‐HF randomized patients representative of recent HF registries and trials with substantial numbers of patients also having characteristics understudied in previous trials including more from North America (n = 1386), enrolled as inpatients (n = 2084), systolic blood pressure < 100 mmHg (n = 1127), estimated glomerular filtration rate < 30 mL/min/1.73 m2 (n = 528), and treated with sacubitril‐valsartan at baseline (n = 1594). Conclusions: GALACTIC‐HF enrolled a well‐treated, high‐risk population from both inpatient and outpatient settings, which will provide a definitive evaluation of the efficacy and safety of this novel therapy, as well as informing its potential future implementation

    Field Performance Evaluation of Air Quality Low-Cost Sensors Deployed in a Near-City Space-Airport

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    Air pollution is a current problem for the environment and public health. Its impact needs to be monitored in urban agglomerates and critical hot spots such as airports. Green aviation with low air emissions is a sustainable goal for the future. The air pollutants are monitored by governmental agencies that employ regulatory monitoring stations, which are very accurate but also very expensive, bulky, and maintenance demands. On the contrary, low-cost sensor systems can offer a proper solution to cover large areas at high spatial-temporal resolution. However, the low-cost air quality sensors are less accurate than reference analyzers operating in the regulatory stations. To enhance the sensor accuracy, field calibration, and data correction with reference instrumentation is a valid strategy to improve sensor data quality. In this study, a sensor system with a selected set of air quality gas sensors (NO2, O3) and particulate matter (PM10, PM2.5) has been developed and deployed in a near-city space-airport at Grottaglie (Southern Italy) to perform measurements in a period of 4 months, from October 2021 to February 2022. The sensor units installed in the Airbox system used for this measurements campaign are the GS+4NO2 (DD Scientific) for NO2 measurements, the O3-3E1F (City Technology, Sensoric) for O3 measurements, and the NextPM (Tera Sensor) for PM10 and PM2.5 measurements. Data gathered by the low-cost air quality sensors have been compared to reference instrumentations both co-located (ca. 1 m distance) together with low-cost sensors (PM10, R2 > 0.87; PM2.5, R2 > 0.50) and a distributed regulatory network of 14 environmental stations operating in the local area around space-airport at a distance ranging from 3 to 26 km

    Urban Air Quality Monitoring with Networked Low-Cost Sensor-Systems

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    A sensors network based on 11 nodes (10 stationary and 1 mobile mounted on public bus) distributed in Bari (Italy) has been deployed for urban air quality (AQ) monitoring. The low-cost sensor-systems have been installed in specific sites (buildings, offices, schools, streets, port, airport) to enhance environmental awareness of the citizens and to supplement the expensive official air monitoring stations with cost-effective sensor-nodes at high spatial and temporal resolution. Continuous measurements were performed by low-cost electrochemical gas sensors (CO, NO2, O3, SO2), optical particle counter (PM1.0, PM2.5, PM10), NDIR infrared sensor (CO2), photo-ionisation detector (total VOCs), including microsensors for temperature and relative humidity. The sensors are running to assess the performance during a campaign (June 2015–December 2017) of several months for citizen science in sustainable smart cities. The air quality index (AQI) for a given pollutant has been measured and compared to the public reference environmental data. The results of the AQ monitoring long-term campaign for selected sensor-nodes are presented

    Wireless Sensors Network Monitoring of Saharan Dust Events in Bari, Italy

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    A sensors network based on 8 stationary nodes distributed in Bari (Southern Italy) hasbeen deployed for urban air quality monitoring during advection events of Saharan dust in theperiod 2015⁻2017. The low-cost sensor-systems have been installed in specific sites (buildings,offices, schools, streets, airport) to assess the PM10 concentration at high spatial and temporalresolution in order to supplement the expensive official air monitoring stations for citizen sciencepurposes. Continuous measurements were performed by a cost-effective optical particle counter(PM10), including temperature and relative humidity sensors. They are operated to assess theperformance during a long-term campaign (July 2015⁻December 2017) of 30 months for smart citiesapplications. The sensor data quality has been evaluated by comparison to the reference data of the9 Air Quality Monitoring Stations (AQMS), managed by local environmental agency (ARPA-Puglia)in the Bari city

    Application of Low-Cost Sensors in Stationary and Mobile Nodes for Urban Air Quality Index Monitoring

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    The air quality in modern cities and urban areas is strongly affected by chemical pollutants such as toxic gases, volatile organic compounds, and particulate matter. They are monitored by governmental agencies using regulatory monitoring stations, which are highly accurate, but also very expensive, bulky, and maintenance demanding. There is a compulsory need to monitor air quality at high spatial–temporal resolution in smart cities for public health protection and environmental sustainability. Properly calibrated low-cost and low-accuracy sensors are usually deployed in stationary and mobile nodes for urban air quality monitoring. A simple indicator of the current status of urban air pollution is the Air Quality Index (AQI) used to communicate the pollution level under the time-changing trend of a specific pollutant. In this study, continuous measurements have been performed in the city of Bari (southern Italy) by electrochemical gas sensors (NO2, O3, CO), optical particle counters (OPC) for particulate matter (PM10), and NDIR infrared sensors (CO2), including microsensors for temperature and relative humidity. The sensors have been installed in stationary nodes located in urban sites and in a mobile node mounted on a public bus moving on urban routes. AQI data gathered by the low-cost sensors have been compared with reference instrumentations as a case study of citizen science

    EXPERIMENTAL AND NUMERICAL STUDY OF PARTICLE INGESTION IN AIRCRAFT ENGINE

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    This study is focused on volcanic ash ingestion in aircraft engines, that can lead to slow but constant deterioration in engine performance and engine failure because of the mechanical damages to the wall surface. In particular the particles that impact on blades surfaces cause erosion damage and permanent losses in engine performance. Aircraft engine fans could be severely damaged by the ash flow.. In order to clarify the erosion phenomenon the fan has been simulated through the general-purpose CFD code and the numerical simulations were performed using the Reynolds–Averaged Navier–Stokes (RANS). After validating the numerical modeling of the flow without erosion by comparisons with experimental data in literature, a surface injection of a discrete phase has been introduced in order to evaluate particle ingestion of volcanic ash. This phenomenon is a typical gasparticle two-phase turbulent flow and a multi-physics problem where the flow field, particle trajectory and wall deformation interact with among others. A wide experimental investigation has been carried out on an ash sample from Etna volcano. In particular a sieve analysis to obtain particles dimensional distribution and an analysis of SEM images to calculate particles shape factor. These data were used to modeling the particle injection in the CFD model. The numerical investigation was aimed to clarify the effects of particle erosion and to evaluate the change of the flow field in the case of eroded blades. By erosion rate patterns, the eroded mass was estimated and it was used to model the eroded geometry, by a user routine implemented in the dynamic mesh module of the code. So the performances of the damaged fan were estimated and compared with the baseline geometry without erosion

    A case-study of microsensors for landfill air-pollution monitoring applications

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    The purpose of this paper is to present a research study on application of low-cost solid-state gas microsensors for odour control and air-pollution monitoring in a landfill. The method introduces microsensors based on commercial devices of n-type metal oxides for cost-effective and real-time monitoring. This research provides a comparative study and assessment of the sensor response for odour detection and potential continuous monitoring of methane (CH4) and Non-Methanic Hydro-Carbons (NMHC) in a landfill. This leads to an insight into low-cost gas sensing capability for practical applications. The environmental measurements have been performed by a sensor-array with multiple sensing elements for high sensitivity and broad selectivity detection. This sensor technology may be useful for the development of a portable, compact, wireless and cost-effective system for gas monitoring applications and industrial process control. The results are discussed as the outcome of an experimental work carried in field at a landfill and demonstrate the efficiency of the low-cost chemo-resistors array for odour sensing and environmental monitoring. Additional long-term investigations need to address some drawbacks on sensors stability and cross-sensitivity

    Global extinction probabilities of terrestrial, freshwater, and marine species groups for use in Life Cycle Assessment

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    Human activities put pressure on the natural environmental and the Life Cycle Assessment methodology (LCA) is becoming a more prevalent tool to assess the relevant environmental impacts from products and processes on terrestrial, marine and freshwater ecosystems. The Global Life Cycle Impact Assessment Method (GLAM) project of the Life Cycle Initiative hosted by the UN Environment Programme aims at making recommendations for new impact assessment models (such as for land use, water consumption and eutrophication) and improving the consistency and comparability across impact categories. An important aspect to ensure the comparability of these categories across geographic regions is to identify and quantify the scale of impacts, i.e., distinguish if an impact to an area results in local species losses or global species extinctions. This distinction is of high relevance because a species lost at a local level may still exist in other regions of the world and could potentially reestablish in that area, whereas global extinctions are irreversible. A consistent approach to scale impacts from local to global scales is currently not implemented within the LCIA framework, but is crucial to appropriately consider potential biodiversity impacts across impact categories. Here we present an updated approach for calculating a scaling factor, called the Global Extinction Probability (GEP), and calculate it for more than 98 000 species in 20 species groups across marine, terrestrial and freshwater ecosystems. We also provide the GEPs for different spatial scales, such as grid cells, ecoregions or watersheds and country averages. We found that GEP varies over orders of magnitude across the world, emphasizing the relevance of considering the spatial dimension of such extinction probabilities. We recommend quantifying global extinctions based on local species loss by multiplying local species loss within a certain spatial unit with the GEP corresponding to the same spatial unit. GEPs harmonize the quantification of biodiversity impacts across impact categories, improving information to support environmentalinfo:eu-repo/semantics/publishedVersio

    Global extinction probabilities of terrestrial, freshwater, and marine species groups for use in Life Cycle Assessment

    Get PDF
    Human activities put pressure on the natural environmental and the Life Cycle Assessment methodology (LCA) is becoming a more prevalent tool to assess the relevant environmental impacts from products and processes on terrestrial, marine and freshwater ecosystems. The Global Life Cycle Impact Assessment Method (GLAM) project of the Life Cycle Initiative hosted by the UN Environment Programme aims at making recommendations for new impact assessment models (such as for land use, water consumption and eutrophication) and improving the consistency and comparability across impact categories. An important aspect to ensure the comparability of these categories across geographic regions is to identify and quantify the scale of impacts, i.e., distinguish if an impact to an area results in local species losses or global species extinctions. This distinction is of high relevance because a species lost at a local level may still exist in other regions of the world and could potentially reestablish in that area, whereas global extinctions are irreversible. A consistent approach to scale impacts from local to global scales is currently not implemented within the LCIA framework, but is crucial to appropriately consider potential biodiversity impacts across impact categories. Here we present an updated approach for calculating a scaling factor, called the Global Extinction Probability (GEP), and calculate it for more than 98 000 species in 20 species groups across marine, terrestrial and freshwater ecosystems. We also provide the GEPs for different spatial scales, such as grid cells, ecoregions or watersheds and country averages. We found that GEP varies over orders of magnitude across the world, emphasizing the relevance of considering the spatial dimension of such extinction probabilities. We recommend quantifying global extinctions based on local species loss by multiplying local species loss within a certain spatial unit with the GEP corresponding to the same spatial unit. GEPs harmonize the quantification of biodiversity impacts across impact categories, improving information to support environmental decision-making.ISSN:1470-160XISSN:1872-703

    Global extinction probabilities of terrestrial, freshwater, and marine species groups for use in Life Cycle Assessment

    No full text
    Human activities put pressure on the natural environmental and the Life Cycle Assessment methodology (LCA) is becoming a more prevalent tool to assess the relevant environmental impacts from products and processes on terrestrial, marine and freshwater ecosystems. The Global Life Cycle Impact Assessment Method (GLAM) project of the Life Cycle Initiative hosted by the UN Environment Programme aims at making recommendations for new impact assessment models (such as for land use, water consumption and eutrophication) and improving the consistency and comparability across impact categories. An important aspect to ensure the comparability of these categories across geographic regions is to identify and quantify the scale of impacts, i.e., distinguish if an impact to an area results in local species losses or global species extinctions. This distinction is of high relevance because a species lost at a local level may still exist in other regions of the world and could potentially reestablish in that area, whereas global extinctions are irreversible. A consistent approach to scale impacts from local to global scales is currently not implemented within the LCIA framework, but is crucial to appropriately consider potential biodiversity impacts across impact categories. Here we present an updated approach for calculating a scaling factor, called the Global Extinction Probability (GEP), and calculate it for more than 98 000 species in 20 species groups across marine, terrestrial and freshwater ecosystems. We also provide the GEPs for different spatial scales, such as grid cells, ecoregions or watersheds and country averages. We found that GEP varies over orders of magnitude across the world, emphasizing the relevance of considering the spatial dimension of such extinction probabilities. We recommend quantifying global extinctions based on local species loss by multiplying local species loss within a certain spatial unit with the GEP corresponding to the same spatial unit. GEPs harmonize the quantification of biodiversity impacts across impact categories, improving information to support environmental decision-making
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