Recovery of Cork Manufacturing Waste within Mortar and Polyurethane: Feasibility of Use and Physical, Mechanical, Thermal Insulating Properties of the Final Green Composite Construction Materials

The valorization of industrial waste is a hot topic toward circular economy and sustainability. Several wastes have been proposed as resources for different production processes; however, others are still disposed to landfill or waste-to-energy plants. For the first time, this work suggests a sustainable alternative to managing cork waste from bottle caps manufacturing; this is generated by a local company at about 220,000 m3/year. The powder waste has a 0.063–1 mm particle size and is mainly composed of cork, polyurethane adhesive, and paraffin. Its valorization is proposed as filler in construction materials such as lime-based mortar (1–4 wt%) and polyurethane (5–15 wt%). Thermal, spectroscopic, and physical characterizations are performed on the cork waste, and mainly result in a low apparent density (340 kg/m3) and high-water absorption (177%). Cork properties allow consideration of extra water in the mortar mix and improve lightness without significantly affecting compressive, bending strength, and thermal insulation. Cork waste in polyurethanes promotes a color change, slightly increases the density (up to 12.5%), and still results in producing a thermally insulating material (<0.06 W/mK). Considering the promising results, this study demonstrates the feasibility of using the manufacturing waste from cork bottle caps to produce green construction materials, thus upgrading it from waste to secondary raw material

Training Attention in Physical Education: Effects on Typically Developing and DCD Children

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SARS-CoV-2 and the nervous system: review on pathogenesis of nervous system SARS-CoV-2 damage

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Waste Cork in Metakaolin–Geopolymer Matrix: Physico-Mechanical Characterization

Cork powdery waste (CW) from agglomerated cork caps manufacturing is commonly transported to waste-to-energy plants, although it could be locally exploited for lightweight building materials. The transformation of CW into a geopolymer formulation to obtain a novel composite formulation suitable for insulating panels is presented in this contribution. The geopolymer mix was based on metakaolin added to NaOH and Na silicate solutions, to which 2.4, 4.8 and 9.1 wt% (calculated upon dry metakaolin) of CW in the form of as-received powdery waste were added. No pre-treatments were performed on CW and no thermal curing was conducted for the alkaliactivated product that was consolidated at room temperature to improve product sustainability. The insulating panel presented an apparent density of about 1.521 to 0.990 ± 0.001 g/cm3 , combined with a total porosity in the range of 35.61 to 56.22 ± 0.003 % for 2.4 to 9.1 wt% of CW, respectively, and this was dependent upon ageing time. The values of its mechanical properties (compressive strength ranged from 2.5 to 1.5 MPa at 28 and 90 days of curing time, complying with UNI EN 998-2) and thermal insulating properties (thermal conductivity around 0.1146 W/mK) indicated that the highest percentage of CW in the formulations, i.e., 9.1 wt%, was suitable to obtain self-standing insulating panels

Does Patient Compliance Influence Wearable Cardioverter Defibrillator Effectiveness? A Single-Center Experience

The study was designed to assess patient adherence to wearable cardioverter defibrillator as an indicator of device effectiveness. The patient training is not widely properly standardized. We enrolled 25 patients with a wearable cardioverter defibrillator to prevent sudden cardiac death between June 2020 and August 2022. Among them, 84% were male with a median age of 63.6 years. The indication was an ischemic (44%) and a non-ischemic (56%) disease. The patients were followed-up until the decision to upgrade to an implantable device was taken. We trained the patients according to our suggested protocol. The median wear time was 90 days, and the median daily wear time was 23.5 h, similar throughout sex, age, and indication groups. In total, 24% of the participants underwent cardioverter defibrillator implantation. Between the device-implanted and non-implanted groups, left ventricular ejection fraction and left ventricular indexed end-diastolic volume were significantly different (EF 35.8 & PLUSMN; 12 vs. 46.4 & PLUSMN; 8.5%, p = 0.028, iEDV 108 & PLUSMN; 52 vs. 70.7 & PLUSMN; 21.1 mL/m(2), p = 0.024). We did not find any differences in cardiac magnetic resonance data, even though all patients who underwent device implantation had late gadolinium enhancement spots. Our results support standardized patient training to obtain great patient adherence to the instructions to the wearable device and therefore its effectiveness

Syncope and Cannabis: hypervagotonia from chronic abuse? A case report and literature review

Background: Cannabis is the most consumed drug worldwide and number of users is increasing, particularly among youth. Moreover, cannabis potential therapeutic properties have renewed interest to make it available as a treatment for a variety of conditions. Albeit rarely, cannabis consumption has been associated with cardiovascular diseases such as arrhythmias, myocardial infarction (MI) and potentially sudden death. Case presentation: A 24-year-old woman presented to the emergency department sent by her cardiologist because of a recent finding of a 16 seconds asystole on the implantable loop recorder (ILR) she implanted 7 months before for recurrent syncopes. She declared that she is a heavy cannabis user (at least 5 cannabis-cigarette per day, not mixed up with tobacco, for no less than 12 years) and all syncopes occurred shortly after cannabis consumption. After a collective discussion with the heart team, syncope unit, electrophysiologists and toxicologist, we decided to implant a dual chamber pacemaker with a rate response algorithm due to the high risk of trauma of the syncopal episodes. 24 months follow-up period was uneventful. Conclusions: Cannabis cardiovascular effects are not well known and, although rare, among these we find ischemic episodes, tachyarrhythmias, symptomatic sinus bradycardia, sinus arrest, ventricular asystole and possibly death. Because of cannabis growing consumption both for medical and recreational purpose, cardiovascular diseases associated with cannabis use may become more and more frequent. In the light of the poor literature, we believe that cannabis may produce opposite adverse effects depending on the duration of the habit. Acute administration increases sympathetic tone and reduces parasympathetic tone; conversely, with chronic intake an opposite effect is observed: repetitive dosing decreases sympathetic activity and increases parasympathetic activity. Clinicians should be aware of the increased risk of cardiovascular complications associated with cannabis use and should investigate its consumption especially in young patients presenting with cardiac dysrhythmias

Influence of different stabilizing operations and storage time on the composition of essential oil of thyme (Thymus officinalis L.) and rosemary (Rosmarinus officinalis L.)

Abstract The effect of different stabilizing techniques on the composition of essential oil of rosemary (Rosmarinus officinalis L.) and thyme (Thymus officinalis L.) during one year of storage is reported. The study was aimed to know what is the stabilizing technique to keep at the best the original essential oil composition. The fresh samples were collected and treated as follows: air-dried in a laboratory scale pilot dryer, frozen in a forced-air freezer and freeze-dried in a laboratory freeze-dryer. The fresh sample served as control. The treated samples were packaged with appropriate packaging material and stored at 20 °C or −20 °C for 12 months. All the samples were hydrodistilled every three months and the oils composition was obtained by means of gas chromatography/mass spectrometry (GC/MS). Quantification of known compounds was done with the use of an internal standard. Freezing best maintained the composition of rosemary and thyme essential oil. Appropriate packaging of air-dried and freeze-dried herbs resulted in negligible quality loss up to one year of storage. The frozen and stored thyme samples showed the best retention of thymol, the most important compound, as well as of γ-terpinene and carvacrol

Catecholamine-induced Takotsubo syndrome: a case series

Background: Catecholamine-induced Takotsubo Syndrome (cat-TS) is a type of secondary Takotsubo syndrome, characterized by rapid onset of symptoms, high rate of complications during the acute phase, good short-term prognosis, and frequent apical sparing at echocardiogram. We present two clinical cases of cat-TS treated in our department. Case summary: Case one: 78-year-old man, admitted to Ear Nose and Throat Unit for surgical removal of oral squamous cellular carcinoma. During surgery, the occurrence of hypotensive episode was treated with catecholamines. After surgery, the occurrence of atrial fibrillation was followed by evidence of phasic increase of troponin levels and akinesia of midventricular segments. Angiography showed the absence of significant coronary stenoses, and during hospital stay, we observed rapid recovery of wall motion abnormalities. Case two: 64-year-old woman, admitted for hysteropexy surgery, during which cardiac arrest occurred, treated with epinephrine i.v.1 mg and DC shock. Two hours after resuscitation, the patient developed pulmonary oedema, troponin levels increased progressively, and the echocardiogram demonstrated hypokinesia in all midventricular segments with apical sparing. Afterwards, an urgent angiography highlighted normal coronary anatomy. Cardiac magnetic resonance imaging (MRI) revealed oedema corresponding to hypokinetic areas. On the seventh day, echocardiogram showed a complete remission of wall motion abnormalities. Discussion: These cases warn the physicians about the importance of routinely screening myocardial impairment through clinical assessment, electrocardiogram (ECG) monitoring, and serial cardiac troponin testing after catecholamine i.v. bolus administration. In case of alterations of these exams, performing a prompt echocardiogram allows early detection of cat-TS, to provide immediate suitable medical support and avoid complications