Evaluating the pure effect of weight on cardiac function in patients with cardiac syndrome X.

BACKGROUND: Obese patients have more coronary artery disease (CAD) risk factors that may affect myocardial function. We aimed to assess the ability of echocardiography-derived conventional parameters, left atrial strain, and global longitudinal strain to detect early diastolic and systolic dysfunction in obese individuals with almost no CAD risk factors. METHOD: We studied 100 participants with structurally normal hearts, ejection fractions above 50%, almost normal coronary arteries in coronary angiogram (syndrome X), and no cardiovascular risk factor except dyslipidemia. Participants were classified as normal-weight (BMI < 25.0 kg/m2 , n = 28) and high-weight (BMI ≥ 25.0 kg/m2 , n = 72). Conventional echocardiographic parameters and two-dimensional speckle tracking (2DSTE) were used to measure peak LA strain and global longitudinal strain to evaluate diastolic and systolic function, respectively. RESULT: There was no significant difference in the standard and conventional echocardiographic parameters between the two groups. 2DSTE echocardiographic parameters of the longitudinal deformation of the LV myocardium were not significantly different within the two groups. However, there were significant differences between the subjects with normal-weight and high-weight in terms of LA strain (34.51 ± 8.98% vs. 39.06 ± 8.62%, p = .021). The normal-weight group had lower LA strain, in compression with the high-weight group. All echocardiographic parameters were in the normal range. CONCLUSION: In the present study we demonstrated that global longitudinal subendocardial deformations, for the evaluation of systolic function, and conventional echocardiographic parameters, for the evaluation of diastolic function, were not significantly different between normal- and high-weight groups. Although LA strain was higher among overweight patients, it was not above the normal range of diastolic dysfunction.

Application of recycled crushed glass in road pavements and pipeline bedding: An integrated environmental evaluation using LCA.

The study aims to conduct a comprehensive life cycle assessment (LCA) of mixed glass waste (MGW) recycling processes to quantify the environmental impacts of crushed glass as a partial substitute for virgin aggregate. Upstream washing, crushing, and sorting conducted at material recycling facilities (MRF) are the prime activities to assess whether reprocessed MGW in pavement construction is an alternate feasible solution. None of the previous studies explicitly account for the relative uncertainties and optimization of waste glass upstream processes from an environmental perspective. The study calculates environmental impacts using the LCA tool SimaPro considering design factors attributed to transportation, electricity consumption, use of chemicals, and water for reprocessing glass waste. Relative uncertainties of design variables and the national transition policy (2021-2030) from non-renewable to renewable energy sources have been validated by performing detailed Monte Carlo simulations. The correlation coefficients (r = 0.64, 0.58, and 0.49) of successive variables explain how the higher environmental gains of the glass recycling process are outweighed by diesel, energy consumption, and transportation distances. Compared to natural quarry sand, the recycled glass aggregate produced through crushing and recycling of its by-products reduces CO2eq emissions by 16.2 % and 46.7 %, respectively. The need for a washing line at the plant, in addition to crushing, results in a higher environmental impact over natural sand by 90.1 % and emphasizes the benefits of collecting waste glass through a separate bin, hence avoiding contamination. The result indicates that the benefit of lowering emissions varies significantly when considering waste glass landfilling. Moreover, this study evaluates the potential impacts on asphalt and reinforced concrete pavements (RCP) with 5 %, 10 %, 15 %, and 20 % replacement of natural sand with recycled glass aggregate. The LCA emphasizes the limitations of energy-intensive waste glass reprocessing. The obtained results and uncertainty analysis based on primary MRF data and recycled product applications provide meaningful suggestions for a more fit-for-purpose waste management and natural resource conservation.