760 research outputs found

    Changes in symptoms of asthma and rhinitis by sensitization status over ten years in a cohort of young Chilean adults

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    BACKGROUND: We investigated the net changes in prevalence of symptoms of asthma and rhinitis over 10 years in a cohort of young by baseline sensitization status. METHODS: One thousand one hundred ninety three Chilean adults subjects aged 22-28 living in a semi-rural area of central Chile answered a lifestyle and the European Community Respiratory Health Survey (ECRHS) questionnaires. Bronchial hyper-responsiveness (BHR) and skin prick test (SPT) to eight allergens were measured at baseline in 2001. Ten years later, 772 participants completed the questionnaires again. Estimates of adjusted net changes in prevalence of symptoms by sensitization status at baseline and association between sensitization status at baseline and respiratory symptoms ten years later were assessed. RESULTS: A quarter of the participants were sensitized to at least one allergen in 2001. Prevalence of wheeze had a net change per year of -0.37 % (95 % Confidence Interval -0.71 to 0.02 %; p = 0.067). Self-reported nasal allergies in the last 12 months increased by 0.83 % per year (95 % CI 0.49 to 1.17 %; p < 0.001). Those sensitized to either cat fur (OR 1.76; CI 1.01 to 3.05), cockroach, (OR 2.09; 1.13 to 3.86) blend of grass and pollens (1.78; 95 % CI 1.08 to 2.92), or weeds (OR 1.77; 95 % CI 1.01 to 3.12) in 2001 were more likely to have wheeze in the last 12 months 10 years later. CONCLUSION: Symptoms of asthma remained stable or slightly changed over 10 years in adults, whilst rhinitis and nasal allergies greatly increased. Being sensitized to at least one allergen is a risk factor for persistent symptoms of asthma and rhinitis, but not for determining net changes of symptoms over time. The underlying causes for the contrasting trends between asthma and nasal allergy are unknow

    Diagnosing air quality changes in the UK during the COVID-19 lockdown using TROPOMI and GEOS-Chem

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    The dramatic and sudden reduction in anthropogenic activity due to lockdown measures in the UK in response to the COVID-19 outbreak has resulted in a concerted effort to estimate local and regional changes in air quality, though changes in underlying emissions remain uncertain. Here we combine satellite observations of tropospheric NO_{2} from TROPOspheric Monitoring Instrument and the Goddard Earth Observing System (GEOS)-Chem 3D chemical transport model to estimate that NO_{x} emissions declined nationwide by ~20% during the lockdown (23 March to 31 May 2020). Regionally, these range from 22% to 23% in the western portion of the country to 29% in the southeast and Manchester, and >40% in London. We apply a uniform 20% lockdown period emission reduction to GEOS-Chem anthropogenic emissions over the UK to determine that decline in lockdown emissions led to a national decline in PM_{2.5} of 1.1 μg m^{−3}, ranging from 0.6 μg m^{−3} in Scotland to 2 μg m^{−3} in the southwest. The decline in emissions in cities (>40%) is greater than the national average and causes an increase in ozone of ~2 ppbv in London and Manchester. The change in ozone and PM_{2.5} concentrations due to emission reductions alone is about half the total change from 2019 to 2020. This emphasizes the need to account for emissions and other factors, in particular meteorology, in future air pollution abatement strategies and regulatory action

    Preparation and characterization of in situ polymerized cyclic butylene terephthalate/graphene nanocomposites

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    Graphene reinforced cyclic butylene terephthalate (CBT) matrix nanocomposites were prepared and characterized by mechanical and thermal methods. These nanocomposites containing different amounts of graphene (up to 5 wt%) were prepared by melt mixing with CBT that was polymerized in situ during a subsequent hot pressing. The nanocomposites and the neat polymerized CBT (pCBT) as reference material were subjected to differential scanning calorimetry (DSC), dynamical mechanical analysis (DMA), thermogravimetrical analysis (TGA) and heat conductivity measurements. The dispersion of the grapheme nanoplatelets was characterized by transmission electron microscopy (TEM). It was established that the partly exfoliated graphene worked as nucleating agent for crystallization, acted as very efficient reinforcing agent (the storage modulus at room temperature was increased by 39 and 89% by incorporating 1 and 5 wt.% graphene, respectively). Graphene incorporation markedly enhanced the heat conductivity but did not influence the TGA behaviour due to the not proper exfoliation except the ash content

    Application of the PISA design model to monopiles embedded in layered soils

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    The PISA design model is a procedure for the analysis of monopile foundations for offshore wind turbine applications. This design model has been previously calibrated for homogeneous soils; this paper extends the modelling approach to the analysis of monopiles installed at sites where the soil profile is layered. The paper describes a computational study on monopiles embedded in layered soil configurations comprising selected combinations of soft and stiff clay and sand at a range of relative densities. The study comprises (a) analyses of monopile behaviour using detailed three-dimensional (3D) finite-element analysis, and (b) calculations employing the PISA design model. Results from the 3D analyses are used to explore the various influences that soil layering has on the performance of the monopile. The fidelity of the PISA design model is assessed by comparisons with data obtained from equivalent 3D finite-element analyses, demonstrating a good agreement in most cases. This comparative study demonstrates that the PISA design model can be applied successfully to layered soil configurations, except in certain cases involving combinations of very soft clay and very dense sand. </jats:p

    PISA design methods for offshore wind turbine monopiles

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    Abstract This paper provides an overview of the PISA design model recently developed for laterally loaded offshore wind turbine monopiles through a major European joint-industry academic research project, the PISA Project. The focus was on large diameter, relatively rigid piles, with low length to diameter (L/D) ratios, embedded in clay soils of different strength characteristics, sand soils of different densities and in layered soils combining clays and sands. The resulting design model introduces new procedures for site specific calibration of soil reaction curves that can be applied within a one-dimensional (1D), Winkler-type, computational model. This paper summarises the results and key conclusions from PISA, including design methods for (a) stiff glacial clay till (Cowden till), (b) brittle stiff plastic clay (London clay), (c) soft clay (Bothkennar clay), (d) sand of varying densities (Dunkirk), and, (e) layered profiles (combining soils from (a) to (d)). The results indicate that the homogeneous soil reaction curves applied appropriately for layered profiles in the 1D PISA design model provide a very good fit to the three-dimensional finite element (3D FE) calculations, particularly for profiles relevant to current European offshore wind farm sites. Only a small number of cases, involving soft clay, very dense sand and L/D = 2 monopiles, would appear to require more detailed and bespoke analysis.</jats:p

    PISA design model for monopiles for offshore wind turbines: Application to a marine sand

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    This paper describes a one-dimensional (1D) computational model for the analysis and design of laterally loaded monopile foundations for offshore wind turbine applications. The model represents the monopile as an embedded beam and specially formulated functions, referred to as soil reaction curves, are employed to represent the various components of soil reaction that are assumed to act on the pile. This design model was an outcome of a recently completed joint industry research project – known as PISA – on the development of new procedures for the design of monopile foundations for offshore wind applications. The overall framework of the model, and an application to a stiff glacial clay till soil, is described in a companion paper by Byrne and co-workers; the current paper describes an alternative formulation that has been developed for soil reaction curves that are applicable to monopiles installed at offshore homogeneous sand sites, for drained loading. The 1D model is calibrated using data from a set of three-dimensional finite-element analyses, conducted over a calibration space comprising pile geometries, loading configurations and soil relative densities that span typical design values. The performance of the model is demonstrated by the analysis of example design cases. The current form of the model is applicable to homogeneous soil and monotonic loading, although extensions to soil layering and cyclic loading are possible. </jats:p

    Long-term effects of delayed-release dimethyl fumarate in multiple sclerosis: Interim analysis of ENDORSE, a randomized extension study

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    BACKGROUND: Delayed-release dimethyl fumarate (DMF) demonstrated strong efficacy and a favorable benefit-risk profile for patients with relapsing-remitting multiple sclerosis (RRMS) in phase 3 DEFINE/CONFIRM studies. ENDORSE is an ongoing long-term extension of DEFINE/CONFIRM. OBJECTIVE: We report efficacy and safety results of a 5-year interim analysis of ENDORSE (2 years DEFINE/CONFIRM; minimum 3 years ENDORSE). METHODS: In ENDORSE, patients randomized to DMF 240 mg twice (BID) or thrice daily (TID) in DEFINE/CONFIRM continued this dosage, and those initially randomized to placebo (PBO) or glatiramer acetate (GA) were re-randomized to DMF 240 mg BID or TID. RESULTS: For patients continuing DMF BID (BID/BID), annualized relapse rates were 0.202, 0.163, 0.139, 0.143, and 0.138 (years 1-5, respectively) and 63%, 73%, and 88% were free of new or enlarging T2 hyperintense lesions, new T1 hypointense lesions, and gadolinium-enhanced lesions, respectively, at year 5. Adverse events (AEs; serious adverse events (SAEs)) were reported in 91% (22%; BID/BID), 95% (24%; PBO/BID), and 88% (16%; GA/BID) of the patients. One case of progressive multifocal leukoencephalopathy was reported in the setting of severe, prolonged lymphopenia. CONCLUSION: Treatment with DMF was associated with continuously low clinical and magnetic resonance imaging (MRI) disease activity in patients with RRMS. These interim data demonstrate a sustained treatment benefit and an acceptable safety profile with DMF
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