Physical exercise and Sport activities in patients with and without coronary heart disease

Background: The quantity and intensity of physical activity required for the primary prevention of coronary heart disease remain unclear. Therefore, we examined the association between physical activity and coronary risk. Methods: We studied 100 patients with chest pain, 78 men and 22 women, not older than 65 years, admitted to a coronary care unit. Patients were subdivided in 3 groups: the first group included patients with acute myocardial infarction, the second group included patients with chronic heart disease, the third included patients with non-ischemic chest-pain. A questionnaire on daily physical activity was filled by each patient. Results: A significantly higher percentage of patients with myocardial infarction and coronary heart disease had a sedentary life style compared to patients of the third group. Compared with subjects without heart disease, a significantly higher percentage of patients of the first and second group covered a daily average distance shorter than 500 meters, while a significantly inferior percentage covered a distance longer than 1 Km every day. A significantly lower percentage of patients with coronary heart disease practised sport compared with the third group. At the time of hospitalization a very small percentage of coronary heart disease patients still practised sport. Conclusions: The association between physical activity and reduced coronary risk is clear; in order to obtain benefits it is sufficient just walking every day. Regarding physical activity, continuity is important: patients, who practised sport only in juvenile age, breaking off when older, may lose the obtained advantages

Clinical outcome with different doses of low-molecular-weight heparin in patients hospitalized for COVID-19

A pro-thrombotic milieu and a higher risk of thrombotic events were observed in patients with CoronaVirus disease-19 (COVID-19). Accordingly, recent data suggested a beneficial role of low molecular weight heparin (LMWH), but the optimal dosage of this treatment is unknown. We evaluated the association between prophylactic vs. intermediate-to-fully anticoagulant doses of enoxaparin and in-hospital adverse events in patients with COVID-19. We retrospectively included 436 consecutive patients admitted in three Italian hospitals. Outcome according to the use of prophylactic (4000IU) vs. higher (>4000IU) daily dosage of enoxaparin was evaluated. The primary end-point was in-hospital death. Secondary outcome measures were in-hospital cardiovascular death, venous thromboembolism, new-onset acute respiratory distress syndrome (ARDS) and mechanical ventilation. A total of 287 patients (65.8%) were treated with the prophylactic enoxaparin regimen and 149 (34.2%) with a higher dosing regimen. The use of prophylactic enoxaparin dose was associated with a similar incidence of all-cause mortality (25.4% vs. 26.9% with the higher dose; OR at multivariable analysis, including the propensity score: 0.847, 95% CI 0.400-0.1.792; p=0.664). In the prophylactic dose group, a significantly lower incidence of cardiovascular death (OR 0.165), venous thromboembolism (OR 0.067), new-onset ARDS (OR 0.454) and mechanical intubation (OR 0.150) was observed. In patients hospitalized for COVID-19, the use of a prophylactic dosage of enoxaparin appears to be associated with similar in-hospital overall mortality compared to higher doses. These findings require confirmation in a randomized, controlled study

Coke-Resistant Rh and Ni Catalysts Supported on γ-Al2O3 and CeO2 for Biogas Oxidative Steam Reforming

The depletion of fossil fuels and the growing concerns related to the environmental impact of their processing has progressively switched the interest towards the utilization of biomass-derived materials for a large variety of processes. Among them, biogas, which is a CH4-rich gas deriving from anaerobic digestion of biomass, has acquired a lot of interest as a feedstock for reforming processes. The main issue in employing biogas is related to the carbon deposition and active metal sintering, which are both responsible for the deactivation of the catalyst. In this work, bimetallic and monometallic Rh- and Ni-based formulations were supported on alumina and ceria with the aim of evaluating their activity and stability in biogas oxidative steam reforming. The Rh addition to the monometallic Ni/γ-Al2O3 formulation enhances its catalytic performances; nevertheless, this induces a higher coke deposition, thus suggesting a preferential coke formation on Rh sites. The initial activity of the CeO2-supported catalysts was found to be lower than the Al2O3-supported catalysts, but the 5%Ni/CeO2 sample showed a very good stability during the test and, despite the lower activity, 0.5%Rh-5%Ni/CeO2 did not show coke deposition. The results suggest that the promotion of Ni/CeO2 catalysts with other active metals could lead to the selection of a highly stable and performing formulation for biogas oxidative steam reforming

Cardiac complications in thalassemia: noninvasive detection methods and new directions in the clinical management.

The natural history of thalassemia has shown substantial change during these years. This applies for each aspect of the pathology (for example, endocrinological, hepatological and psychological) and also for the pathology that has presented and still presents the main cause of death: myocardial dysfunction. In this review, the pathophysiology of cardiac complications, possible role of myocarditis, new knowledge on pathogenesis, and noninvasive detection methods for iron overload in the heart are pointed out. Prophylaxis of cardiomyopathy and new therapy strategies of myocardial dysfunction, including the impact of the new chelation treatment, are discussed

Investigation on four Centuripe vases (late 3rd-2nd cent. B.C.) by portable X-ray fluorescence and total reflectance-FTIR

Four Centuripe vases dated back to the late 3rd-2nd centuries B.C. were analysed using imaging undervisible and ultra-violet illumination as well as complementary non-invasive and non-destructive portableX-Ray Fluorescence (XRF) and Total Reflectance – Fourier Transform InfraRed (TR-FTIR) spectroscopies. The vases are of great importance since they represent a rare expression of the Hellenistic vase painting.Four specimens, a “pyxis”, a “lebes gamikos” and two “lekanides” decorated with figures of different type,are exhibited in the Antonino Salinas Archaeological Museum in Palermo-Italy.The investigation was aimed to identify the used pigments and the painting technique, to recognize the retouched areas and, eventually, to acknowledge the authenticity of these vases. Imaging techniques allowed us to have a general view of the vases, highlighting areas of probable interventions. XRF and TR-FTIR investigation was performed on selected parts of different coloured representative areas and of later restorations.The obtained results allowed acquiring information about the technology of vase production as well as on the painting technique.One of the most exciting results concerns the identification of two calcium sulphate phases: gyp-sum and bassanite, whose presence could constitute a criterion to discriminate original areas from later restorations or falsifications

Electrified Hydrogen Production from Methane for PEM Fuel Cells Feeding: A Review

The greatest challenge of our times is to identify low cost and environmentally friendly alternative energy sources to fossil fuels. From this point of view, the decarbonization of industrial chemical processes is fundamental and the use of hydrogen as an energy vector, usable by fuel cells, is strategic. It is possible to tackle the decarbonization of industrial chemical processes with the electrification of systems. The purpose of this review is to provide an overview of the latest research on the electrification of endothermic industrial chemical processes aimed at the production of H2 from methane and its use for energy production through proton exchange membrane fuel cells (PEMFC). In particular, two main electrification methods are examined, microwave heating (MW) and resistive heating (Joule), aimed at transferring heat directly on the surface of the catalyst. For cases, the catalyst formulation and reactor configuration were analyzed and compared. The key aspects of the use of H2 through PEM were also analyzed, highlighting the most used catalysts and their performance. With the information contained in this review, we want to give scientists and researchers the opportunity to compare, both in terms of reactor and energy efficiency, the different solutions proposed for the electrification of chemical processes available in the recent literature. In particular, through this review it is possible to identify the solutions that allow a possible scale-up of the electrified chemical process, imagining a distributed production of hydrogen and its consequent use with PEMs. As for PEMs, in the review it is possible to find interesting alternative solutions to platinum with the PGM (Platinum Group Metal) free-based catalysts, proposing the use of Fe or Co for PEM application

The Route from Green H₂ Production through Bioethanol Reforming to CO₂ Catalytic Conversion: A Review

Currently, a progressively different approach to the generation of power and the production of fuels for the automotive sector as well as for domestic applications is being taken. As a result, research on the feasibility of applying renewable energy sources to the present energy scenario has been progressively growing, aiming to reduce greenhouse gas emissions. Following more than one approach, the integration of renewables mainly involves the utilization of biomass-derived raw material and the combination of power generated via clean sources with conventional power generation systems. The aim of this review article is to provide a satisfactory overview of the most recent progress in the catalysis of hydrogen production through sustainable reforming and CO2 utilization. In particular, attention is focused on the route that, starting from bioethanol reforming for H2 production, leads to the use of the produced CO2 for different purposes and by means of different catalytic processes, passing through the water–gas shift stage. The newest approaches reported in the literature are reviewed, showing that it is possible to successfully produce “green” and sustainable hydrogen, which can represent a power storage technology, and its utilization is a strategy for the integration of renewables into the power generation scenario. Moreover, this hydrogen may be used for CO2 catalytic conversion to hydrocarbons, thus giving CO2 added value

Development of Innovative Structured Catalysts for the Catalytic Decomposition of N2O at Low Temperatures

Nitrous oxide (N2O), produced from several human activities, is considered a greenhouse gas with significant environmental impacts. The most promising abatement technology consists of the catalytic decomposition of N2O into nitrogen and oxygen. Many recently published papers dealing with N2O catalytic decomposition over Ni-substituted Co3O4 are related to the treatment of N2O concentrations less than 2 vol% in the feed stream. The present work is focused on developing catalysts active in the presence of a gaseous stream richer in N2O, up to 20 vol%, both as powder and in structured configurations suitable for industrial application. With this aim, different nickel-cobalt mixed oxides (NixCo1−xCo2O4) were prepared, characterized, and tested. Subsequently, since alumina-based slurries assure successful deposition of the catalytic species on the structured carrier, a screening was performed on three nickel-cobalt-alumina mixed oxides. As the latter samples turned out to be excellent catalysts for the N2O decomposition reaction, the final catalytic formulation was transferred to a silicon carbide monolith. The structured catalyst led to the following very promising results: total N2O conversion and selectivity towards N2 and O2 were reached at 510 °C by feeding 20 vol% of N2O. It represents an important achievement in the view of developing a more concretely applicable catalytic system for industrial processes