XXIV Congreso Argentino de Hipertensión Arterial en Mendoza : abril de 2017

Fil: Renna, Nicolás F..Fil: Miatello, Roberto M.

La investigación en la formación médica

Fil: Renna, Nicolás F.. Universidad Nacional de Cuyo. Facultad de Ciencias MédicasFil: Miatello, Roberto M. . Universidad Nacional de Cuyo. Facultad de Ciencias Médica

Advances in the valorization of waste and by-product materials as thermal energy storage (TES) materials

Today, one of the biggest challenges our society must face is the satisfactory supply, dispatchability and management of the energy. Thermal Energy Storage (TES) has been identified as a breakthrough concept in industrial heat recovery applications and development of renewable technologies such as concentrated solar power (CSP) plants or compressed air energy storage (CAES). A wide variety of potential heat storage materials has been identified depending on the implemented TES method: sensible, latent or thermochemical. Although no ideal storage material has been identified, several materials have shown a high potential depending on the mentioned considerations. Despite the amount of studied potential heat storage materials, the determination of new alternatives for next generation technologies is still open. One of the main drawbacks in the development of storage materials is their cost. In this regard, this paper presents the review of waste materials and by-products candidates which use contributes in lowering the total cost of the storage system and the valorization of waste industrial materials have strong environmental and societal benefits such as reducing the landfilled waste amounts, reducing the greenhouse emissions and others. This article reviews different industrial waste materials that have been considered as potential TES materials and have been characterized as such. Asbestos containing wastes, fly ashes, by-products from the salt industry and from the metal industry, wastes from recycling steel process and from copper refining process and dross from the aluminum industry, and municipal wastes (glass and nylon) have been considered. Themophysical properties, characterization and experiences using these candidates are discussed and compared. This review shows that the revalorization of wastes or by-products as TES materials is possible, and that more studies are needed to achieve industrial deployment of the idea

Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

Hypertension, defined as persistently elevated systolic blood pressure (SBP) >140 mmHg and/or diastolic blood pressure (DBP) at least 90 mmHg (International Society of Hypertension guidelines), affects over 1.5 billion people worldwide. Hypertension is associated with increased risk of cardiovascular disease (CVD) events (e.g. coronary heart disease, heart failure and stroke) and death. An international panel of experts convened by the International Society of Hypertension College of Experts compiled lifestyle management recommendations as first-line strategy to prevent and control hypertension in adulthood. We also recommend that lifestyle changes be continued even when blood pressure-lowering medications are prescribed. Specific recommendations based on literature evidence are summarized with advice to start these measures early in life, including maintaining a healthy body weight, increased levels of different types of physical activity, healthy eating and drinking, avoidance and cessation of smoking and alcohol use, management of stress and sleep levels. We also discuss the relevance of specific approaches including consumption of sodium, potassium, sugar, fibre, coffee, tea, intermittent fasting as well as integrated strategies to implement these recommendations using, for example, behaviour change-related technologies and digital tools

Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

Hypertension, defined as persistently elevated systolic blood pressure (SBP) >140 mmHg and/or diastolic blood pressure (DBP) at least 90 mmHg (International Society of Hypertension guidelines), affects over 1.5 billion people worldwide. Hypertension is associated with increased risk of cardiovascular disease (CVD) events (e.g. coronary heart disease, heart failure and stroke) and death. An international panel of experts convened by the International Society of Hypertension College of Experts compiled lifestyle management recommendations as first-line strategy to prevent and control hypertension in adulthood. We also recommend that lifestyle changes be continued even when blood pressure-lowering medications are prescribed. Specific recommendations based on literature evidence are summarized with advice to start these measures early in life, including maintaining a healthy body weight, increased levels of different types of physical activity, healthy eating and drinking, avoidance and cessation of smoking and alcohol use, management of stress and sleep levels. We also discuss the relevance of specific approaches including consumption of sodium, potassium, sugar, fibre, coffee, tea, intermittent fasting as well as integrated strategies to implement these recommendations using, for example, behaviour change-related technologies and digital tools

Corrigendum to: Vascular Repair and Remodeling: A Review

Vascular remodeling is alterations in the structure of resistance vessels contributing to elevated systemic vascular resistance in hypertension. In this review, physiopathology of vascular remodeling is discussed, and the impact of antihypertensive drug treatment on remodeling is described, emphasizing on human data, fundamentally as an independent predictor of cardiovascular risk in hypertensive patients. Then we discussed a vascular repair by endothelial progenitor cells (EPCs) that play important roles in the regeneration of the vascular endothelial cells (ECs). The normal arterial vessel wall is mostly composed of ECs, vascular smooth muscle cells (VSMCs), and macrophages. Endothelial impairment is a major contributor to atherosclerosis and restenosis after percutaneous coronary intervention (PCI). Reendothelialization can effectively inhibit VSMC migration and proliferation and decrease neointimal thickening

Pathophysiology of Vascular Remodeling in Hypertension

Vascular remodeling refers to alterations in the structure of resistance vessels contributing to elevated systemic vascular resistance in hypertension. We start with some historical aspects, underscoring the importance of Glagov’s contribution. We then move to some basic concepts on the biomechanics of blood vessels and explain the definitions proposed by Mulvany for specific forms of remodeling, especially inward eutrophic and inward hypertrophic. The available evidence for the existence of remodeled resistance vessels in hypertension comes next, with relatively more weight given to human, in comparison with animal data. Mechanisms are discussed. The impact of antihypertensive drug treatment on remodeling is described, again with emphasis on human data. Some details are given on the three mechanisms to date which point to remodeling resistance arteries as an independent predictor of cardiovascular risk in hypertensive patients. We terminate by considering the potential role of remodeling in the pathogenesis of endorgan damage and in the perpetuation of hypertension

Role of Cox-2 in Vascular Inflammation: An Experimental Model of Metabolic Syndrome

The objective of this work was to demonstrate the role of COX-2 enzyme at the vascular in experimental model of metabolic syndrome. SHR male WKY rats were employed; they were distributed in 8 groups (n=8 each): control (W); W + L: WKY rats receiving 20 mg/kg of lumiracoxib by intraesophageal administration; SHR; SHR + L: SHR + 20 mg/kg of lumiracoxib by intraesophageal administration; Fructose-Fed Rats (FFR): WKY rats receiving 10% (w/v) fructose solution in drinking water during all 12 weeks; FFR + L: FFR + 20 mg/kg of lumiracoxib by intraesophageal administration; Fructose-Fed Hypertensive Rats (FFHR): SHR receiving 10% (w/v) fructose solution in drinking water during all 12 weeks; and FFHR + L: FFHR + 20 mg/kg of lumiracoxib by intraesophageal administration. Metabolic variables, blood pressure, morphometric variables, and oxidative stress variables were evaluated; also MMP-2 and MMP-9 (collagenases), VCAM-1, and NF-κB by Westernblot or IFI were evaluated. FFHR presented all variables of metabolic syndrome; there was also an increase in oxidative stress variables; vascular remodeling and left ventricular hypertrophy were evidenced along with a significant increase in the expression of the mentioned proinflammatory molecules and increased activity and expression of collagenase. Lumiracoxib was able to reverse vascular remodeling changes and inflammation, demonstrating the involvement of COX-2 in the pathophysiology of vascular remodeling in this experimental model

Advances in the valorization of waste and by-product materials as thermal energy storage (TES) materials

Today, one of the biggest challenges our society must face is the satisfactory supply, dispatchability and management of the energy. Thermal Energy Storage (TES) has been identified as a breakthrough concept in industrial heat recovery applications and development of renewable technologies such as concentrated solar power (CSP) plants or compressed air energy storage (CAES). A wide variety of potential heat storage materials has been identified depending on the implemented TES method: sensible, latent or thermochemical. Although no ideal storage material has been identified, several materials have shown a high potential depending on the mentioned considerations. Despite the amount of studied potential heat storage materials, the determination of new alternatives for next generation technologies is still open. One of the main drawbacks in the development of storage materials is their cost. In this regard, this paper presents the review of waste materials and by-products candidates which use contributes in lowering the total cost of the storage system and the valorization of waste industrial materials have strong environmental and societal benefits such as reducing the landfilled waste amounts, reducing the greenhouse emissions and others. This article reviews different industrial waste materials that have been considered as potential TES materials and have been characterized as such. Asbestos containing wastes, fly ashes, by-products from the salt industry and from the metal industry, wastes from recycling steel process and from copper refining process and dross from the aluminum industry, and municipal wastes (glass and nylon) have been considered. Themophysical properties, characterization and experiences using these candidates are discussed and compared. This review shows that the revalorization of wastes or by-products as TES materials is possible, and that more studies are needed to achieve industrial deployment of the idea

Lifestyle management of hypertension : International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension

Hypertension, defined as persistently elevated systolic blood pressure (SBP) >140 mmHg and/or diastolic blood pressure (DBP) at least 90 mmHg (International Society of Hypertension guidelines), affects over 1.5 billion people worldwide. Hypertension is associated with increased risk of cardiovascular disease (CVD) events (e.g. coronary heart disease, heart failure and stroke) and death. An international panel of experts convened by the International Society of Hypertension College of Experts compiled lifestyle management recommendations as first-line strategy to prevent and control hypertension in adulthood. We also recommend that lifestyle changes be continued even when blood pressure-lowering medications are prescribed. Specific recommendations based on literature evidence are summarized with advice to start these measures early in life, including maintaining a healthy body weight, increased levels of different types of physical activity, healthy eating and drinking, avoidance and cessation of smoking and alcohol use, management of stress and sleep levels. We also discuss the relevance of specific approaches including consumption of sodium, potassium, sugar, fibre, coffee, tea, intermittent fasting as well as integrated strategies to implement these recommendations using, for example, behaviour change-related technologies and digital tools