Audiometric Characteristics in Patients With Noise-Induced Hearing Loss After Sodium Enoxaparin Treatment

OBJECTIVES:The aim of this study was to evaluate the effect of sodium enoxaparin treatment on patients with noise-induced hearing loss. METHODS: Sixty patients with noise-induced hearing loss were included and randomly divided into two numerically equal groups. Group A underwent therapy with sodium enoxaparin for 10 days, followed by an additional 10 days of treatment after 10 days of no treatment. Group B received placebo as a control. Before treatment, at the end of treatment, and 2 months after the end of treatment, all patients underwent evaluation by laboratory tests, pure tone audiometry, transient evoked otoacoustic emissions (TEOAEs) testing, distortion product otoacoustic emissions (DPOAEs) testing, and auditory brain stem response testing. RESULTS: In contrast to group B, at the end of the treatment in group A pure tone audiometry showed a significant (p < 0.05) improvement of the audiometric thresholds at 0.5, 1, 2, 4, and 8 kHz. Depending on the air and bone conduction thresholds, TEOAEs and DPOAEs, which had previously been absent, were evoked at the frequencies examined. These improvements were confirmed at last follow-up. We found no significant differences in auditory brain stem responses or laboratory results. CONCLUSIONS: These preliminary data encourage further studies to collect additional evidence on the effect of sodium enoxaparin in preventing the development of noise-induced hearing loss

On the Mechanical Energy Involved in the Catastrophic Rupture of Liquid Hydrogen Tanks

Hydrogen can play a central role in the energy transition thanks to its unique properties. However, its low density is one of the main drawbacks. The liquefaction process can drastically increase its density up to virtually 71 kg m-3 at atmospheric pressure and -253°C (NIST, 2019). The safety knowledge gap on physical explosions is still broad in the case of liquid hydrogen (LH2). For instance, it is unclear what are the consequences yields as well as the probabilities of a catastrophic rupture of an LH2 tank. A boiling liquid expanding vapour explosion (BLEVE) might arise after this top event. In this case, the expansion of the compressed gaseous phase is followed by the flashing of a fraction of the liquid. Moreover, combustion may occur for hydrogen since it is highly flammable. This complex phenomenon was not widely explored for LH2 yet. This study focused on the physical explosion by also considering the combustion process. Many integral models were adopted to estimate the mechanical energy developed by the explosion. The tank pressure prior to the rupture was considered below the critical one (1.298 MPa (NIST, 2019)). It was assumed that both liquid and gaseous phases are present inside the tank. The influences of the filling degree of the tank (liquid level) and the temperatures of the liquid and gaseous phases on the explosion energy were analysed. The results were compared with the ones of a previous study where similar models were employed to estimate the mechanical energy of an LH2 tank with different initial conditions (Ustolin et al., 2020a). In particular, the effect of the combustion process on the explosion energy and shock wave overpressure was not accounted for. The aim of this study is to conduct a comparison between different models and assess which are the most and the least conservative. The outcomes of this work provide critical suggestions on the consequence analysis of cryogenic liquefied gas vessels explosions

Obstructive sleep apnoea/hypopnoea syndrome: Relationship with obesity and management in obese patients

SUMMARY Obstructive sleep apnoea/hypopnoea syndrome (OSAHS) is a disease characterised by upper airway obstruction during sleep, quite frequent in the general population, even if underestimated. Snoring, sleep apnoea and diurnal hypersomnia are common in these patients. Central obesity plays a key role: it reduces the size and changes the conformation of the upper airways, besides preventing lung expansion, with consequent reduction of lung volumes. Furthermore, obese people are also resistant to leptin, which physiologically stimulates ventilation; as a result, this causes scarce awakening during apnoea. OSAHS diagnosis is based on the combination of clinical parameters, such as apnoea/hypopnoea index (AHI), medical history, physical examination and Mallampati score. The first objective reference method to identify OSAHS is polysomnography followed by sleep endoscopy. Therapy provides in the first instance reduction of body weight, followed by continuous positive airway pressure (CPAP), which still remains the treatment of choice in most patients, mandibular advancement devices (MAD) and finally otolaryngology or maxillofacial surgery. Among surgical techniques, central is barbed reposition pharyngoplasty (BRP), used in the field of multilevel surgery

Hb Vila Real [beta36(C2)Pro®His] in Italy: characterization of the amino acid substitution and the DNA mutation

A rare high oxygen affinity hemoglobin variant was identified in a 22-year-old male patient from Napoli (Naples, Italy) affected by erythrocytosis. A detailed structural characterization of the variant hemoglobin was carried out, both at the protein and DNA levels essentially by mass spectrometric procedures and allele-specific amplification techniques. The amino acid substitution was determined by liquid chromatography tandem mass spectrometric analysis of the tryptic digest as β36(C2)Pro → His; the corresponding DNA mutation was identified as C → A at the second position of codon 36 of the β chain (CCT → CAT). These variations identified the presence of Hb Vila Real, described only once before in a Portuguese woman. Haplotype analysis of DNA polymorphisms showed that the β-globin gene of Hb Vila Real was associated with haplotype I

Fragments Generated during Liquid Hydrogen Tank Explosions

Liquid hydrogen (LH2) may be employed to transport large quantities of pure hydrogen or be stored onboard of ships, airplanes and trains fuelled by hydrogen, thanks to its high density compared to gaseous compressed hydrogen. LH2 is a cryogenic fluid with an extremely low boiling point (-253°C at atmospheric pressure) that must be stored in double-walled vacuum insulated tanks to limit the boil-off formation. There is limited knowledge on the consequences of LH2 tanks catastrophic rupture. In fact, the yield of the consequences of an LH2 tank explosion (pressure wave, fragments and fireball) depend on many parameters such as tank dimension, filling degree, and tank internal conditions (temperature and pressure) prior the rupture. Only two accidents provoked by the rupture of an LH2 tank occurred in the past and a couple of experimental campaigns focussed on this type of accident scenario were carried out for LH2. The aim of this study is to analyse one of the LH2 tank explosion consequences namely the fragments. The longest horizontal and vertical ranges of the fragments thrown away from the blast wave are estimated together with the spatial distribution around the tank. Theoretical models are adopted in this work and validated with the experimental results. The proposed models can aid the risk analysis of LH2 storage technologies and provide critical insights to plan a prevention and mitigation strategy and improve the safety of hydrogen applications

Importance of the morphology and structure of the primary aggregates for the dispersibility of carbon nanotubes in polymer melts

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Testing feasibility of scalar-tensor gravity by scale dependent mass and coupling to matter

We investigate whether there are any cosmological evidences for a scalar field with a mass and coupling to matter which change accordingly to the properties of the astrophysical system it "lives in", without directly focusing on the underlying mechanism that drives the scalar field scale-dependent properties. We assume a Yukawa type of coupling between the field and matter and also that the scalar field mass grows with density, in order to overcome all gravity constraints within the solar system. We analyse three different gravitational systems assumed as "cosmological indicators": supernovae type Ia, low surface brightness spiral galaxies and clusters of galaxies. Results show that: a) a quite good fit to the rotation curves of low surface brightness galaxies only using visible stellar and gas mass components is obtained; b) a scalar field can fairly well reproduce the matter profile in clusters of galaxies, estimated by X-ray observations and without the need of any additional dark matter; c) there is an intrinsic difficulty in extracting information about the possibility of a scale-dependent massive scalar field (or more generally about a varying gravitational constant) from supernovae type Ia.Comment: 30 pages, 15 figures, to appear in Phys. Rev.