Variability of green infrastructure performance due to climatic regimes across Sweden.

In the context of increasing urbanization and global warming, there is a growing interest in the implementation of green infrastructure (GI) across different climates and regions. Identifying an appropriate GI design criteria is essential to ensure that the design is tailored to satisfy local environmental requirements. This article aims to compare the hydrological performance of GI facilities in eleven Swedish cities by isolating the effect of climatic conditions using an identical GI design configuration. Long-term simulations based on 23-years of meteorological time-series were used as inputs for the Storm Water Management Model (SWMM) with Low Impact Development (LID) controls representing two types of facilities: a biofilter cell (BC) and a green roof. (GR). Large differences in potential annual and seasonal runoff retention were found between locations, driven mainly by the extent of winter/spring season, and the distribution of precipitation patterns (for BCs) and the sequence of rainy days-dry periods and evapotranspiration rates (for GRs). Winter/spring and summer demonstrated the highest/lowest differences between the seasons, results that suggest that implications for design might be aligned to the spatio-temporal distribution of precipitation patterns, and runoff regimes generated by snowmelt and rain-on-snow events, in locations where snowmelt represent high portion of runoff generation.

Red Blood Cell Transfusion and its Relationship with Pedicle Thrombosis in Microvascular Free Flaps.

BACKGROUND: Free flaps have become a highly valuable tool for complex reconstructive surgeries. The requirement of red blood cell transfusion (RBCT) during the perioperative period is common and its effect on the free flap survival is debatable. The aim of this study was to determine the relationship between perioperative RBCT and vascular pedicle thrombosis (VPT). METHODS: For this study 302 free flaps performed between January 2006 and December 2019 were retrospectively analyzed. It included their characteristics from before, during, and after the surgical procedure. The incidence of VPT and flap survival were calculated based on Kaplan Meier's method and the relationship between VPT and perioperative variables were analyzed by Cox regression models. RESULTS: The transfusion group was represented by 62 flaps (20.5%) and no transfusion by 240 flaps. The overall transfusion requirement was 20.5% and the cumulative incidence of VPT was 9.11%. A statistically significant relationship was not demonstrated between flap survival and transfusion status (HR = 1.73 IC 95%: 0.5 to 3.96; p = 0.192) (p = 0.192) independently from the number of units transfused, the preoperative diagnosis of anemia, and the type of flap used and did not establish an increased risk of VPT. CONCLUSION: This study did not demonstrate an association between RBCT during preoperative period and the risk for VPT or microvascular free flap survival rate on postoperative follow up.

Techno-economic analysis of aniline production via amination of phenol.

The purpose of this research is to demonstrate through a techno-economic assessment that aniline can be industrially produced using a profitable and inherently safer process than the ones currently employed. The aniline production process was designed using process simulation software. From this, the mass and energy balances were determined, the equipment sizing was performed and the net present value (NPV) was calculated to be USD 93.5 million. Additionally, a heat integration analysis was carried out in order to improve process profitability, obtaining a new NPV of USD 97.5 million. The economic sensitivity analysis showed that the process could withstand fixed capital investment changes of up to +89%, weighted average cost of capital changes between 16-24% and a decrease in cyclohexylamine demand of up to 44%. The conceptual design is still profitable when aniline price is varied in a range of 1224-1840 $/t and phenol cost in a range of 815-1178 $/t.

Trypanosoma cruzi Detection in Colombian Patients with a Diagnosis of Esophageal Achalasia.

Achalasia is a motility disorder of the esophagus that might be secondary to a chronic Trypanosoma cruzi infection. Several studies have investigated esophageal achalasia in patients with Chagas disease (CD) in Latin America, but no related studies have been performed in Colombia. The goals of the present study were to determine the presence of anti-T. cruzi antibodies in patients with esophageal achalasia who visited a referral hospital in Bogotá, Colombia, and to detect the presence of the parasite and its discrete typing units (DTUs). This cross-sectional study was conducted in adult patients (18-65 years old) who were previously diagnosed with esophageal achalasia and from whom blood was drawn to assess antibodies against T. cruzi using four different serological tests. Trypanosoma cruzi DNA was detected by conventional polymerase chain reaction (cPCR) and quantitative polymerase chain reaction (qPCR). In total, 38 patients, with an average age of 46.6 years (standard deviation of ±16.2) and comprising 16 men and 22 women, were enrolled. Five (13.15%) patients were found to be positive for anti-T. cruzi antibodies by indirect immunofluorescence assay (IFA), and two patients who were negative according to IFA were reactive by both enzyme-linked immunosorbent assay and immunoblot (5.3%). Parasite DNA was detected in two of these seven patients by cPCR and in one of these by qPCR. The parasite DTU obtained was TcI. In summary, this study identified T. cruzi in Colombian patients with esophageal achalasia, indicating that digestive compromise could also be present in patients with chronic CD.