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Objective The current guidelines suggest alcohol septal ablation (ASA) is less effective in hypertrophic obstructive cardiomyopathy (HOCM) patients with severe left ventricular hypertrophy, despite acknowledging that systematic data are lacking. Therefore, we analysed patients in the Euro-ASA registry to test this statement. Methods We compared the short-term and long-term outcomes of patients with basal interventricular septum (IVS) thickness <30 mm Hg to those with ≥30 mm Hg treated using ASA in nine European centres. Results A total of 1519 patients (57±14 years, 49% women) with symptomatic HOCM were treated, including 67 (4.4%) patients with IVS thickness ≥30 mm. The occurrence of short-term major adverse events were similar in both groups. The mean follow-up was 5.4±4.3 years and 5.1±4.1 years, and the all-cause mortality rate was 2.57 and 2.94 deaths per 100 person-years of follow-up in the IVS <30 mm group and the IVS ≥30 mm group (p=0.047), respectively. There were no differences in dyspnoea (New York Heart Association class III/IV 12% vs 16%), residual left ventricular outflow tract gradient (16±20 vs 16±16 mm Hg) and repeated septal reduction procedures (12% vs 18%) in the IVS <30 mm group and IVS ≥30 mm group, respectively (p=NS for all). Conclusions The short-term results and the long-term relief of dyspnoea, residual left ventricular outflow obstruction and occurrence of repeated septal reduction procedures in patients with basal IVS ≥30 mm is similar to those with IVS <30mm. However, long-term all-cause and cardiac mortality rates are worse in the ≥30 mm group.

False codling moth Thaumatotibia leucotreta (Meyrick) is a pest native to sub-Saharan Africa infesting over 100 plant species including tomato. Its survival and performance are influenced by changes in precipitation and stress-related biochemical changes in the host plant. Water availability for agricultural production continues to decline due to climate change affecting drought-sensitive crops like tomatoes. Little is known on host plant-insect interactions of T. leucotreta and tomato as influenced by moisture stress. Hence, our study tested the impact of different water holding capacities (WHC) (40%, 50%, 60%, 70%, and 90%) of plant growing media on the growth of Anna F1 and Yaye tomato varieties and the infestation rate and development of T. leucotreta on the two varieties. WHC significantly influenced the growth of Anna F1 and Yaye tomato varieties. WHC significantly affected stem girth of Anna F1 variety and leaf length, leaf width, stem girth, and plant height of the Yaye variety. For Yaye variety, T. leucotreta laid a significantly high number of eggs when grown at 70% WHC and had the highest pupation when grown at 60% WHC. The development of T. leucotreta as observed on wing growth was highest at 40% and 50% WHC for both Anna F1 variety and Yaye variety. Our study shows that the infestation of tomato by T. leucotreta is likely to be high when grown in water-scarce media. The results are useful for predicting possible future T. leucotreta trends with increasing water scarcity due to climate change and in designing pest management programmes.

In this paper the results from a in-depth life cycle analysis of production and use of a novel grid-connected photovoltaic micromorph system are presented and compared to other thin film and traditional crystalline silicon photovoltaic technologies. Among the new thin film technologies, the micromorph tandem junction appears to be one of the most promising devices from the industrial point of view. The analysis was based on actual production data given to the authors directly from the PRAMAC Swiss Company and it is consistent with the recommendations provided by the ISO norms and updates. The gross energy requirement, green house gas emissions and energy pay-back time have been calculated for the electric energy output virtually generated by the studied system in a lifetime period of 20 years. A comparative framework is also provided, wherein results obtained for the case study are compared with data from literature previously obtained for the best commercially available competing photovoltaic technologies. Results clearly show a significant decrease in gross energy requirement, in green house gas emissions and also a shorter energy pay-back time for the micromorph technology.

Tools and experience on solar thermal cooling system sizing and design are still limited, as less than one thousand plants have been built until now. In this paper, a design tool for mid-size thermal solar cooling systems is presented. The tool consists of a model realised in TRNSYS and validated using the data of a real solar air conditioning system installed in the green building of Shanghai Research Institute of Building Science. Characteristic features of the system are the use of adsorption chillers driven by low-temperature solar heat from U-type and heat pipe evacuated solar collectors. The model has subsequently been employed for a technical analysis: the most relevant parameters have been varied and figures of merit calculated. An energy analysis has been performed for 6 reference cities, differing for climates and latitudes, highlighting the possibility to use only renewable energy for cooling purposes. Eventually, the systems have been compared with reference ones. Comparison highlighted that considerable savings in primary energy and CO2 emissions can be achieved: 0.97 MWh per installed square meter of solar collectors and up to 22 tons of CO2 annually, thus indicating a great potential for increasing energy efficiency and reduce CO2 emissions.

A linear-array, silicon pixel detector, capable of counting single photons, was applied to mammography by using a synchrotron radiation beam. Images were obtained of both a mammographic phantom and a breast-tissue sample. The phantom image was acquired with a mean glandular dose of 0.32 mGy. This detector combined with a synchrotron radiation beam allows acquisition of high-contrast, low-dose images of soft tissues.

Abstract Methane conversion to a rich H2 fuel by reforming reactions is a largely applied industrial process. Recently, it has been considered for applications combined to gas turbine powerplants, as a mean for (I) chemical recuperation (i.e. chemical looping CRGT) and (II) decarbonising the primary fuel and make the related power cycle a low CO2 releaser. The possibility of enhancing methane conversion by the addition of CO2 to the steam reactant flow (i.e. tri-reforming) has been assessed and showed interesting results. When dealing with gas turbines, the possibility of applying tri-reforming is related to the availability of some CO2 into the fluegas going to the reformer. This happens in semi-closed gas turbine cycles (SCGT), where the fluegas has a typical 14–15% CO2 mass content. The possibility of joining CRGT and SCGT technologies to improve methane reforming and propose an innovative, low CO2 emissions gas turbine cycle was assessed here. One of the key issues of this joining is also the possibility of greatly reduce the external water consumption due to the reforming, as the SCGT is a water producer cycle. The SCGT-TRIREF cycle is an SCGT cycle where fuel tri-reforming is applied. The steam due to the reformer is generated by the vaporization of the condensed water coming out from the fluegas condensing heat exchanger, upstream the main compressor, where the exhausts are cooled down and partially recirculated. The heat due to the steam generation is recuperated from the turbine exhausts cooling. The reforming process is partially sustained by the heat recovered from the turbine exhausts (which generates superheated steam) and partially by the auto thermal reactions of methane with fresh air, coming from the compressor (i.e. partial combustion). The effect of CO2 on methane reforming (tri-reforming effect) increases with decreasing steam/methane ratio: at very low values, around 30% of methane is converted by reactions with CO2. At high values of steam/methane ratio, the steam reforming reactions are dominant and only a marginal fraction of methane is interested to tri-reforming. Under optimised conditions, which can be reached at relatively high pressure ratios (25–30), the power cycle showed a potential efficiency around 46% and specific work at 550 kJ/kg level. When the amine CO2 capture is applied, the specific CO2 emissions range between 45 and 55 g CO 2 / kW h .

Forest trees dominate many Alpine landscapes that are currently exposed to changing climate. Norway spruce is one of the most important conifer species of the Italian Alps, and natural populations are found across steep environmental gradients with large differences in temperature and moisture availability. This study seeks to determine and quantify patterns of genetic diversity in natural populations toward understanding adaptive responses to changing climate. Across the Italian species range, 24 natural stands were sampled with a major focus on the Eastern Italian Alps. Sampled trees were genotyped for 384 selected single nucleotide polymorphisms (SNPs) from 285 genes. A wide array of potential candidate genes was tested for correlation with climatic parameters. To minimize false-positive association between genotype and climate, population structure was investigated. Pairwise F ST estimates between sampled populations ranged between 0.000 and 0.075, with the highest values involving the two disjoint populations, Valdieri, on the western Italian Alps, and Campolino, the most southern population on the Apennines. Despite considerable genetic admixture among populations, both Bayesian and multivariate approach identified four genetic clusters. Selection scans revealed five F ST outliers, and the environmental association analysis detected ten SNPs associated to one or more climatic variables. Overall, 13 potentially adaptive loci were identified, three of which have been reported in a previous study on the same species conducted on a broader geographical scale. In our study, precipitation, more than temperature, was often associated with genotype; therefore, it appears as the most important environmental variable associated with the high sensitivity of Norway spruce to soil water supply. These findings provide relevant information for understanding and quantifying climate change effects on this species and its ability to genetically adapt.