Hemogram-derived ratios as prognostic markers of ICU admission in COVID-19.

BACKGROUND: The vast impact of COVID-19 call for the identification of clinical parameter that can help predict a torpid evolution. Among these, endothelial injury has been proposed as one of the main pathophysiological mechanisms underlying the disease, promoting a hyperinflammatory and prothrombotic state leading to worse clinical outcomes. Leukocytes and platelets play a key role in inflammation and thrombogenesis, hence the objective of the current study was to study whether neutrophil-to-lymphocyte ratio (NLR), platelets-to-lymphocyte ratio (PLR), the systemic immune-inflammation index (SII) as well as the new parameter neutrophil-to-platelet ratio (NPR), could help identify patients who at risk of admission at Intensive Care Units. METHODS: A retrospective observational study was performed at HM Hospitales including electronic health records from 2245 patients admitted due to COVID-19 from March 1 to June 10, 2020. Patients were divided into two groups, admitted at ICU or not. RESULTS: Patients who were admitted at the ICU had significantly higher values in all hemogram-derived ratios at the moment of hospital admission compared to those who did not need ICU admission. Specifically, we found significant differences in NLR (6.9 [4-11.7] vs 4.1 [2.6-7.6], p <  0.0001), PLR (2 [1.4-3.3] vs 1.9 [1.3-2.9], p = 0.023), NPR (3 [2.1-4.2] vs 2.3 [1.6-3.2], p <  0.0001) and SII (13 [6.5-25.7] vs 9 [4.9-17.5], p <  0.0001) compared to those who did not require ICU admission. After multivariable logistic regression models, NPR was the hemogram-derived ratio with the highest predictive value of ICU admission, (OR 1.11 (95% CI: 0.98-1.22, p = 0.055). CONCLUSIONS: Simple, hemogram-derived ratios obtained from early hemogram at hospital admission, especially the novelty NPR, have shown to be useful predictors of risk of ICU admission in patients hospitalized due to COVID-19.

An environmental impact calculator for greenhouse production systems.

Multiple web-based calculators have come on the market as tools to support sustainable decision making, but few are available to agriculture. Life cycle assessment (LCA) has proved to be an objective, transparent tool for calculating environmental impacts throughout the life cycle of products and services, but can often be too complex for non-specialists. The objective of this study was therefore to develop an environmental support tool to determine the environmental impacts of protected crops. An effort was made to provide an easy-to-use tool in order to reach a wide audience and help horticulture stakeholders choose efficient options to mitigate the environmental impacts of protected crops. Users can estimate the environmental performance of their crops by entering a limited amount of data and following a few easy steps. A questionnaire must be answered with data on the crop, greenhouse dimensions, substrate, waste management, and the consumption of water, energy, fertilisers and pesticides. The calculator was designed as a simplified LCA, based on two scenarios analysed in detail in previous tasks of the EUPHOROS project and used as reference systems in this study. Two spreadsheets were provided based on these reference scenarios: one for a tomato crop in a multi-tunnel greenhouse under Southern European climate conditions and the other for a tomato crop in a Venlo glass greenhouse under Central European climate conditions. The selected functional unit was one tonne of tomatoes. Default data were given for each reference system for users who did not have complete specific data and to provide results for comparison with users' own results. The results were presented for water use as an inventory indicator and for the impact categories abiotic depletion, acidification, eutrophication, global warming, photochemical oxidation and cumulative energy demand. In the multi-tunnel greenhouse, the main contributors based on the default data were the structure, fertilisers and auxiliary equipment, whereas, for the Venlo glass greenhouse, the main contributors were energy consumption for heating and, to a lesser extent, the structure. The results were evaluated for alternative options of electricity, fertilisers, pesticides and means of transport, as these areas were found to have potential variability, depending on the characterisation model and datasets used. The resulting calculator is a useful tool to simulate the environmental performance of protected horticultural production systems and is also helpful to growers and advisers for evaluating the efficiency of input reduction options.

Environmental analysis of the logistics of agricultural products from roof top greenhouses in Mediterranean urban areas.

BACKGROUND: As urban populations increase so does the amount of food transported to cities worldwide, and innovative agro-urban systems are being developed to integrate agricultural production into buildings; for example, by using roof top greenhouses (RTGs). This paper aims to quantify and compare, through a life cycle assessment, the environmental impact of the current linear supply system with a RTG system by using a case study for the production of tomatoes. RESULTS: The main results indicate that a change from the current linear system to the RTG system could result in a reduction, per kilogram of tomatoes (the functional unit), in the range of 44.4-75.5% for the different impact categories analysed, and savings of up to 73.5% in energy requirements. These savings are associated with re-utilisation of packaging systems (55.4-85.2%), minimisation of transport requirements (7.6-15.6%) and reduction of the loss of product during transportation and retail stages (7.3-37%). CONCLUSIONS: The RTG may become a strategic factor in the design of low-carbon cities in Mediterranean areas. Short-term implementation in the city of Barcelona could result in savings of 66.1 tonnes of CO2 eq. ha(-1) when considering the global warming potential, and of 71.03 t ha(-1) when considering that the transformation from woodland to agricultural land is avoided.

Technical feasibility and carbon footprint of biochar co-production with tomato plant residue.

World tomato production is in the increase, generating large amounts of organic agricultural waste, which are currently incinerated or composted, releasing CO2 into the atmosphere. Organic waste is not only produced from conventional but also urban agricultural practices due recently gained popularity. An alternative to current waste management practices and carbon sequestration opportunity is the production of biochar (thermally converted biomass) from tomato plant residues and use as a soil amendment. To address the real contribution of biochar for greenhouse gas mitigation, it is necessary to assess the whole life cycle from the production of the tomato biomass feedstock to the actual distribution and utilisation of the biochar produced in a regional context. This study is the first step to determine the technical and environmental potential of producing biochar from tomato plant (Solanum lycopersicum arawak variety) waste biomass and utilisation as a soil amendment. The study includes the characterisation of tomato plant residue as biochar feedstock (cellulose, hemicellulose, lignin and metal content); feedstock thermal stability; and the carbon footprint of biochar production under urban agriculture at pilot and small-scale plant, and conventional agriculture at large-scale plant. Tomato plant residue is a potentially suitable biochar feedstock under current European Certification based on its lignin content (19.7%) and low metal concentration. Biomass conversion yields of over 40%, 50% carbon stabilization and low pyrolysis temperature conditions (350-400°C) would be required for biochar production to sequester carbon under urban pilot scale conditions; while large-scale biochar production from conventional agricultural practices have not the potential to sequestrate carbon because its logistics, which could be improved. Therefore, the diversion of tomato biomass waste residue from incineration or composting to biochar production for use as a soil amendment would environmentally be beneficial, but only if high biochar yields could be produced.

Building-integrated agriculture: A first assessment of aerobiological air quality in rooftop greenhouses (i-RTGs).

Building-integrated rooftop greenhouse (i-RTG) agriculture has intensified in recent years, due to the growing interest in the development of new agricultural spaces and in the promotion of food self-sufficiency in urban areas. This paper provides a first assessment of the indoor dynamics of bioaerosols in an i-RTG, with the aim of evaluating biological air quality in a tomato greenhouse near Barcelona. It evaluates the greenhouse workers' exposure to airborne pollen and fungal spores in order to prevent allergy problems associated with occupational tasks. Moreover, it evaluates whether the quality of the hot air accumulated in the i-RTG is adequate for recirculation to heat the building. Daily airborne pollen and fungal spore concentrations were measured simultaneously in the indoor and outdoor environments during the warm season. A total of 4,924pollengrains/m3 were observed in the i-RTG, with a peak of 334pollengrains/m3day, and a total of 295,038 fungal spores were observed, reaching a maximum concentration of 26,185spores/m3day. In general, the results showed that the most important source of pollen grains and fungal spores observed indoors was the outdoor environment. However, Solanaceae pollen and several fungal spore taxa, such as the allergenic Aspergillus/Penicillium, largely originated inside the greenhouses or were able to colonize the indoor environment under favourable growing conditions. Specific meteorological conditions and agricultural management tasks are related to the highest observed indoor concentrations of pollen grains and fungal spores. Therefore, preventive measures have been suggested in order to reduce or control the levels of bioaerosols indoors (to install a system to interrupt the recirculation of air to the building during critical periods or to implement appropriate air filters in ventilation air ducts). This first evaluation could help in making decisions to prevent the development of fungal diseases, specifically those due to Oidium and Torula.