7 research outputs found
Catalytic transformation of biomass-derived 5-hydroxymethylfurfural over supported bimetallic iridium-based catalysts
5-Hydroxymethylfurfural (HMF) is a biobased platform chemical that can be valorized into a spectrum of valuable products. In this report, supported Ir, Ir–Co, Ir–Ni, and Ir–Ru catalysts were investigated for this purpose. Only hydrogenation of HMF to 2,5-bis-(hydroxymethyl)furan (BHMF) occurred over all catalysts. The effect of the second metal (Co, Ni, and Ru) on Ir/SiO2 was reflected by the kinetic constants being in the order Ir–Ni/SiO2 > Ir–Co/SiO2 > Ir–Ru/SiO2. The oxophilic nature of the secondary metal improved the catalytic performance of the bimetallic catalysts compared to the monometallic iridium catalyst (Ir/SiO2). Addition of HCOOH and H2SO4 as cocatalysts is a strategy to reach one-pot conversion of HMF to 2,5-di-methylfuran (DMF). Over-hydrogenolysis products such as 2,5-dimethyltetrahydrofuran were formed when only H2SO4 was added, giving higher activity compared to addition of HCOOH. Simultaneous presence of acids gave the highest HMF conversion, promoting esterification to 5-formyloxymethyl furfural and allowing the one-pot transformation of HMF to DMF. Thermodynamic analysis of HMF transformations revealed that both hydrogenation and dehydration steps are feasible.Peer ReviewedPostprint (author's final draft
Evaluation of Lipid Profile and Intima Media Thickness in Antiretroviral-Experienced HIV-Infected Patients Treated with Protease Inhibitor-Based Regimens versus Protease Inhibitor-Sparing Regimens
Background: Antiretroviral therapy has increasingly improved management of HIV infection, ensuring long-term efficacy and tolerability. Each class of antiretrovirals has, however, different characteristics and different tolerability profiles. The literature data show that protease inhibitors (PIs) are associated with a higher incidence of dyslipidemia. The aim of our study was to evaluate whether patients treated with PIs have both greater dyslipidemia and increased intima media thickness (IMT) and atheromatous plaques compared to patients treated without PIs. Materials and methods: A total of 110 HIV-experienced patients screened with Doppler ultrasonography of the supra-aortic trunks in December 2019 were enrolled in a retrospective cross-sectional observational study. Patients were divided into two groups: 59 in the PI-based group, treated with PIs, and 51 in the PI-sparing group. In the two groups, we evaluated lipids, cardiovascular risk factors (smoking, BMI, age, hypertension), increased pathological IMT (a value > 1 mm), and possible atheromatous plaque. Results: Serum LDL (p 0.04) and percentage of patients with hypercholesterolemia (p 0.03) were higher in the PI-based than in the PI-sparing group. Doppler data showed a trend in increase of IMT > 1 in the PI-based group, which appeared statistically significant for the section of the left common carotid artery (p 0.03). However, in multivariate logistic regression models, none of the evaluated variables were significantly associated with IMT > 1. Conclusions: Our real-life data show that patients treated with PIs have a trend of developing both greater dyslipidemia and increased pathological IMT and atheromatous plaques These findings may be useful to optimize antiretrovirals for patients with cardiovascular risk factors
Comfort and economic criteria for selecting passive measures for the energy refurbishment of residential buildings in Catalonia
This paper presents a detailed method to develop cost-optimal studies for the energy renovation of residential buildings. A realistic characterization of the building has been introduced, using measurement and survey data. The method allows improving the interaction between the occupancy and the building,and the characterization of the real state of the construction. In addition, the building simulation includes vernacular strategies of the Mediterranean architecture, as for example the natural ventilation and theuse of solar protection. The method presented takes part of an innovative approach: two-step evaluation considering thermal comfort, energy and economic criteria. The passive evaluation is the focus of the paper and evaluates the passive measures from an economic and thermal comfort point of view. This method prioritizes the passive measures rather than the active ones, considering the thermal comfort of the users as a criterion of decision. The paper shows the results of a multi-family building built in the years 1990–2007 and located in two climates C2 and B3 (Barcelona and Tarragona). The method provides technical and economic information about a set of passive energy efficiency measures, with the objective to help to make decisions for choosing the appropriate combination of passive measures.Peer Reviewe
Obesity as a Risk Factor of Severe Outcome of COVID-19: A Pair-Matched 1:2 Case-Control Study
Background and aim. The nature of the association between obesity and poor prognosis of COVID-19 without the evaluation of other co-pathologies associated has not yet been clearly evaluated. The aim of the present pair-matched case-control study was to investigate the outcome of patients with SARS-CoV-2 infection in obese and non-obese patients matched considering gender, age, number of comorbidities, and Charlson Comorbidity Index. Methods. All the adults hospitalized for SARS-CoV-2 infection and with BMI & GE; 30 kg/m(2) were included (Cases). For each Case, two patients with BMI < 30 kg/m(2) pair matched for gender, age (& PLUSMN;5 years), number of comorbidities (excluding obesity), and Charlson Comorbidity Index (& PLUSMN;1) were enrolled (Controls). Results. Of the 1282 patients with SARS-CoV-2 infection followed during the study period, 141 patients with obesity and 282 patients without were enrolled in the case and control groups, respectively. Considering matching variables, there was no statistical difference between the two groups. Patients in the Control group developed more frequently a mild-moderate disease (67% vs. 46.1%, respectively), whereas obese patients were more prone to need intensive care treatment (41.8% vs. 26.6%, respectively; p = 0.001). Moreover, the prevalence of death during hospitalization was higher in the Case group than in the Control group (12.1% vs. 6.4%, p = 0.046). Discussion. We confirmed an association between obesity and severe outcome of patients with COVID-19, also considering other factors associated with a severe outcome of COVID-19. Thus, in the case of SARS-CoV-2 infection, the subjects with BMI & GE; 30 kg/m(2) should be evaluated for early antiviral treatment to avoid the development of a severe course
Ventilation and outcomes following robotic-assisted abdominal surgery : an international, multicentre observational study
Background: International data on the epidemiology, ventilation practice, and outcomes in patients undergoing abdominal robotic-assisted surgery (RAS) are lacking. The aim of the study was to assess the incidence of postoperative pulmonary complications (PPCs), and to describe ventilator management after abdominal RAS.
Methods: This was an international, multicentre, prospective study in 34 centres in nine countries. Patients >= 18 yr of age undergoing abdominal RAS were enrolled between April 2017 and March 2019. The Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) score was used to stratify for higher risk of PPCs (>= 26). The primary outcome was the incidence of PPCs. Secondary endpoints included the preoperative risk for PPCs and ventilator management.
Results: Of 1167 subjects screened, 905 abdominal RAS patients were included. Overall, 590 (65.2%) patients were at increased risk for PPCs. Meanwhile, 172 (19%) patients sustained PPCs, which occurred more frequently in 132 (22.4%) patients at increased risk, compared with 40 (12.7%) patients at lower risk of PPCs (absolute risk difference: 12.2% [95% confidence intervals (CI), 6.8-17.6%]; P<0.001). Plateau and driving pressures were higher in patients at increased risk, compared with patients at low risk of PPCs, but no ventilatory variables were independently associated with increased occurrence of PPCs. Development of PPCs was associated with a longer hospital stay.
Conclusions: One in five patients developed one or more PPCs (chiefly unplanned oxygen requirement), which was associated with a longer hospital stay. No ventilatory variables were independently associated with PPCs