Percutaneous left ventricular assistance in cardiogenic shock due to Takotsubo cardiomyopathy secondary to status epilepticus.

Takotsubo syndrome is an acute reversible cardiomyopathy with left ventricular dysfunction and a clinical presentation similar to an acute coronary syndrome. Emotional or physical triggers can cause it, including neurological conditions such as seizures. We describe a case of a woman in her 50s with Takotsubo syndrome secondary to status epilepticus, presenting with cardiac arrest and cardiogenic shock. We excluded acute coronary syndrome with coronary angiography. Despite inotropic support, she remained haemodynamically unstable and a percutaneous left ventricular assistance with an Impella CP catheter was initiated. This resulted in a quick weaning of haemodynamic support and recovery of left ventricle systolic function in 2 weeks. This case illustrates the importance of a high index of suspicion to make this diagnosis and link it to neurological triggers, as well as to consider mechanical circulatory support in managing cardiogenic shock due to this cardiomyopathy.

Potential of rainwater harvesting in the retail sector: a case study in Portugal.

Water is a crucial resource for life, and it is increasingly scarce in many regions of the globe. In addition, retail water use is responsible for up to 19% of public water globally supplied. Hence, this study has set out to explore the technical and economic feasibility of rainwater harvesting systems as an alternative water source for a retail store located in southern Portugal. Water consumption data from 2018 to 2021 was collected from water bills, placing average monthly water consumption at around 400 m3. Next, rainfall data was collected from the nearest meteorological station, comprising 54 years of daily rainfall data between 1932 and 2008 with an annual average of 685 mm. The simulation of a rainwater harvesting system was performed, resorting to the mass-balance model. The optimal tank size was found to be 100 m3 considering simply the relation with the relative water savings variation on the graph relating the water savings with the tank size. Results show that the simulated rainwater harvesting system would allow saving 32-36% of the water consumed, despite the store's location in a dry climate, representing a financial gain of €330-372 per month. Findings suggest a substantial potential for the technical and economic feasibility of rainwater systems in retail stores, which makes them relevant solutions to achieve important water-savings in the retail sector, thus positively influencing retailers' direct water footprint.

Caracterização da seca histórica da década de 2010 na Bacia do Rio Paraíba do Sul, Estado de São Paulo, Brasil / Characterization of the 2010-decade historical drought in Paraiba do Sul River Basin, São Paulo State, Brazil

RESUMO A Bacia Hidrográfica do Rio Paraíba do Sul foi afetada por uma das secas mais severas de sua história, durante os anos de 2013 a 2015, que resultou em várias consequências para o gerenciamento de seus recursos hídricos. O objetivo deste artigo foi contribuir com o entendimento desse evento histórico, no trecho Paulista da Bacia do Rio Paraíba do Sul, por meio do cálculo e da análise do índice padronizado de precipitação. Esse índice foi calculado nas escalas de 1, 3, 6 e 12 meses, para 22 estações pluviométricas localizadas na área de estudo. Os resultados demonstraram que a seca ocorrida entre 2013 e 2014 foi uma das mais severas já registradas, e que o verão de 2014 foi o período crítico no que diz respeito à redução da chuva regional. Essa seca impactou o armazenamento e a capacidade de regularização do principal reservatório da região, o Reservatório de Paraibuna. Embora o pico da crise hídrica tenha ocorrido, principalmente, em razão da seca de 2013/2014, verificou-se que ele foi influenciado pelo efeito cumulativo de uma seca anterior, ocorrida desde o início do ano de 2011. Esse resultado reforça a importância do planejamento plurianual da operação do Sistema Hidráulico da Bacia do Rio Paraíba do Sul.

ABSTRACT The Paraiba do Sul River Basin was affected by one of the most severe drought periods in its recent history, during the years 2013 to 2015, which resulted in several consequences for the management of its water resources. This article aims to contribute to the understanding of this historical event in the São Paulo Stretch of the Paraiba do Sul River Basin, through the calculation and analysis of the standardized precipitation index (SPI). SPI was calculated for the time scales of 1, 3, 6, and 12 months, for 22 rainfall stations located in the study area. The results showed that the drought occurred between 2013 and 2014 was one of the most severe ever recorded, and that the summer of 2014 was the critical period in terms of reduction of regional rainfall. This drought impacted the storage and regularization capacity of the main reservoir of the region, the Paraibuna Reservoir. Although the peak of the water crisis occurred mainly due to the 2013/2014 drought, it was found that it was influenced by the cumulative effect of a previous dry period, that occurred since the beginning of the year of 2011. This result reinforces the importance of multiannual planning for the operation of the Paraíba do Sul River Basin Hydraulic System.

Carbon (CI) and energy intensity (EI) dataset for retail stores.

This data article presents data collected from the 250 highest revenue retailers around the world, assessed according to publicly available data from the fiscal year 2016, in order to determine retailer׳s overall carbon intensity (CI) and energy intensity (EI). Data collection included additional variables such as retailers' revenue rank, operational typology, number of stores, store sales area and number of workers. Based on this dataset, CI and EI benchmarks were calculated for food and non-food retailers, applying the statistic function first quartile (Q1) for the best practice, second (Q2) and third (Q3) quartiles for conventional practice and fourth quartile (Q4) for worst practice and correlations were tested between the variables "EI", "CI" and "retailer revenue", applying the statistic function CORREL (Ferreira et al., In press) [1]. Finally, a cluster analysis was performed for food and non-food retailers, to identify possible segmentation patterns between the variables "EI", "CI" and "retailer revenue". The information provided in this data article is useful for furthering research developments on the influence of isolated variables on retail EI and CI and in assisting retailers, architects, engineers, and policy makers in establishing optimal energy performance goals for the design and operation of retail stores. For further data interpretation and discussion, see the article "Combined carbon and energy intensity benchmarks for sustainable retail stores" (Ferreira et al., In press), of the same authors.

Trends in Mean Annual Streamflows in Serra da Mantiqueira Environmental Protection Area

The aim of this study was to detect trends in the mean annual streamflow in watersheds of Serra da Mantiqueira Environmental Protection Area, an important Brazilian conservation area located between Minas Gerais, São Paulo and Rio de Janeiro States. Historical series of four selected streamgage stations were analyzed for the periods of 1980-1998 and 1980-2009, using the Mann-Kendall and Regional Mann-Kendall tests. The results showed that the mean annual streamflows of Serra da Mantiqueira Environmental Protection Area watersheds did not change during the complete period of 1980-2009. The tests detected statistically significant trends of reduction of mean annual streamflow during the 1980-1998 period. The confrontation of this result with the inexistence of rainfall trends during the same period suggested that the streamflow changes detected were consequences of changes in the watersheds physical characteristics, and/or increases in water abstraction for multiple uses.