Deleterious cardiovascular effect of exosome in digitalis‐treated decompensated congestive heart failure

Heart failure (HF) is a medical condition inability of the heart to pump sufficient blood to meet the metabolic demand of the body to take place. The number of hospitalized patients with cardiovascular diseases is estimated to be more than 1 million each year, of which 80% to 90% of patients ultimately progress to decompensated HF. Digitalis glycosides exert modest inotropic actions when administered to patients with decompensated HF. Although its efficacy in patients with HF and atrial fibrillation is clear, its value in patients with HF and sinus rhythm has often been questioned. A series of recent studies have cast serious doubt on the benefit of digoxin when added to contemporary HF treatment. We are hypothesizing the role and mechanism of exosome and its biological constituents responsible for worsening the disease state and mortality in decompensated HF patients on digitalis.     

Lifting the veil on the correction of double counting incidents in hybrid life cycle assessment

Life cycle assessment (LCA) and environmentally extended input–output analyses (EEIOA) are two techniques commonly used to assess environmental impacts of an activity/product. Their strengths and weaknesses are complementary, and they are thus regularly combined to obtain hybrid LCAs. A number of approaches in hybrid LCA exist, which leads to different results. One of the differences is the method used to ensure that mixed LCA and EEIOA data do not overlap, which is referred to as correction for double counting. This aspect of hybrid LCA is often ignored in reports of hybrid assessments and no comprehensive study has been carried out on it. This article strives to list, compare, and analyze the different existing methods for the correction of double counting. We first harmonize the definitions of the existing correction methods and express them in a common notation, before introducing a streamlined variant. We then compare their respective assumptions and limitations. We discuss the loss of specific information regarding the studied activity/product and the loss of coherent financial representation caused by some of the correction methods. This analysis clarifies which techniques are most applicable to different tasks, from hybridizing individual LCA processes to integrating complete databases. We finally conclude by giving recommendations for future hybrid analyses.     

Eco‐efficiency assessment of calcium sulfoaluminate clinker production

Calcium sulfoaluminate‐based cements (CSA) are proposed as a cement alternative with a low carbon footprint. The nature of CSA makes the manufacturing process to require lower temperature, less fuel, and less calcite. However, it requires aluminum oxide, Al₂O₃, which would be originated from bauxite and bauxite‐derived wastes, and sulfur, coming from calcium sulfate or elemental sulfur. An eco‐efficiency assessment of CSA cements, benchmarked against the conventional Portland cement, has been performed following the principles of ISO 14045 on eco‐efficiency for a total of 240 CSA clinker production scenarios. The eco‐efficiency indicator relates an environmental indicator with a product system value indicator, and it is calculated for each of the studied parameters: bauxite geographical origin, the fuel used for clinkering, the source of sulfur, and the composition of the clinker. Eco‐efficiency results show a strong dependence on the origin of bauxite, while other parameters, as the fuel used, its content in sulfur, or the supply of other raw materials, are of less importance. The most eco‐efficient solutions are those with certain closeness to bauxite sources. To achieve global solutions, that is, cement‐making based on CSA independently of the origin of the raw materials, the amount of bauxite needs to be minimized and CSA composition restricted.