Accuracy of 24 h ambulatory blood pressure recordings for diagnosing high 44 h blood pressure in hemodialysis: a diagnostic test study.

Hypertension is highly prevalent in hemodialysis patients. Ambulatory-BP-monitoring(ABPM) during the 44 h interdialytic interval is recommended for hypertension diagnosis and management in these subjects. This study assessed the diagnostic accuracy of fixed 24 h ABPM recordings with 44 h BP in hemodialysis patients. 242 Greek hemodialysis patients that underwent valid 48 h ABPM(Mobil-O-Graph NG device) were included in the analysis. We used 44 h BP as reference method and tested the accuracy of the following BP metrics: 1st 24 h without HD period (20 h-1st), 1st 24 h including HD period (24 h-1st) and 2nd 24 h(24 h-2nd). All studied metrics showed strong correlations with 44 h SBP/DBP (20 h-1st: r = 0.973/0.978, 24 h-1st: r = 0.964/0.972 and 24 h-2nd: r = 0.978/0.977, respectively). In Bland-Altman analysis, small between-method differences (-1.70, -1.19 and +1.45 mmHg) with good 95% limits-of agreement([-10.83 to 7.43], [-11.12 to 8.74] and [-6.33 to 9.23] mmHg, respectively) for 20 h-1st, 24 h-1st and 24 h-2nd SBP were observed. The sensitivity/specificity and κ-statistic for diagnosing 44 h SBP ≥ 130 mmHg were high for 20 h-1st SBP(87.2%/96.0%, κ-statistic = 0.817), 24 h-1st SBP(88.7%/96.0%, κ-statistic = 0.833) and 24 h-2nd SBP (95.0%/88.1%, κ-statistic = 0.837). Similar observations were made for DBP. In ROC-analyses, all studied BP metrics showed excellent performance with high Area-Under-the- Curve values (20 h-1st: 0.983/0.992; 24 h-1st: 0.984/0.987 and 24 h-2nd: 0.982/0.989 for SBP/DBP respectively). Fixed 24 h ABPM recordings during either the first or the second day of interdialytic interval have high accuracy and strong agreement with 44 h BP in hemodialysis patients. Thus, ABPM recordings of either the first or the second interdialytic day could be used for hypertension diagnosis and management in these subjects.

Triglycerides as Novel Phase-Change Materials: A Review and Assessment of Their Thermal Properties.

Latent Heat Storage (LHS) with Phase-Change Materials (PCMs) represents a high energy density storage technology which could be applied in a variety of applications such as waste heat recovery and integration of renewable energy technologies in energy systems. To increase the sustainability of these storage solutions, PCMs have to be developed with particular regard to bio-origin and biodegradability. Triglycerides represent an interesting class of esters as the main constituents of animal and vegetable fats, with attractive thermal properties. In order to be used as PCMs, the thermal behaviour of triglycerides has to be fully understood, as in some cases they have been reported to show polymorphism and supercooling. This study assesses the suitability of triglycerides as PCMs by reviewing the literature published so far on their behaviour and properties. In particular, melting points, enthalpies of fusion, polymorphism, thermal conductivities, heat capacities and thermal cycling stabilities are considered, with a focus on LHS and thermal energy storage applications. In addition, the efforts conducted regarding modelling and the prediction of melting points and enthalpies based on chemical structures are summarized and assessed.

Investigation of the Thermal Properties of Diesters from Methanol, 1-Pentanol, and 1-Decanol as Sustainable Phase Change Materials.

Esters present several advantages when compared to traditional materials used for thermal energy storage, amongst which are better sustainability and greater chemical stability. However, at present, their thermal properties remain mostly unknown or not well documented. In this study, 12 diesters from four dicarboxylic acids (oxalic, succinic, suberic, sebacic) and three alcohols (methanol, 1-pentanol, 1-decanol) have been assessed as bio-based phase change materials for thermal energy storage. All diesters have been synthesized via Fischer esterification to high purities, and their chemical structures, as well as thermal properties, have been fully characterized. The diesters investigated show phase change transitions in a low-mid temperature range between -32 and 46 °C with maximum enthalpies of 172 J/g and show higher degrees of supercooling compared to fatty monoesters. Similarly to other esters classes, some trends correlating the chemical structures to the thermal properties were identified, which would allow for the development of property prediction tools.

Investigation of Lactones as Innovative Bio-Sourced Phase Change Materials for Latent Heat Storage.

In the presented work, five bio-based and bio-degradable cyclic esters, i.e. lactones, have been investigated as possible phase change materials for applications in latent heat storage systems. Commercial natural lactones such as ε-caprolactone and γ-valerolactone were easily purchased through chemical suppliers, while 1,2-campholide, oxa-adamantanone and dibenzochromen-6-one were synthesized through Baeyer-Villiger oxidation. The compounds were characterized with respect to attenuated total reflectance spectroscopy and gas chromatography coupled with mass spectroscopy, in order to confirm their chemical structures and identity. Subsequently, thermogravimetric analysis and differential scanning calorimetry were used to measure the phase change temperatures, enthalpies of fusion, degradation temperatures, as well to estimate the degree of supercooling. The lactones showed a wide range of phase change temperatures from -40 °C to 290 °C, making them a high interest for both low and high temperature latent heat storage applications, given the lack of organic phase change materials covering phase change temperature ranges below 0 °C and above 80 °C. However, low enthalpies of fusion, high degrees of supercooling and thermal degradations at low temperatures were registered for all samples, rendering them unsuitable as phase change materials.

Modification of asphalt mixtures for cold regions using microencapsulated phase change materials.

Phase change materials (PCMs) may be used to regulate the temperature of road surfaces to avoid low-temperature damages when asphalt materials become brittle and prone to cracking. With this in mind, different asphalt mixtures were modified with microencapsulated phase change materials (i.e. tetradecane) to assess their thermal benefits during the phase change process. Likewise, the effect on the mechanical performance of PCMs as a replacement of mineral filler was assessed. Special attention was paid to dry and wet modification processes for incorporating the PCMs into the mixtures. The results showed that PCM modifications are indeed able to slow down cooling and affect temperatures below zero. Approximately, a maximum of 2.5 °C offset was achieved under the tested cooling conditions compared to the unmodified reference specimens. Regarding the mechanical response at 0 °C and 10 °C, the results indicated that the PCM modification significantly reduces the stiffness of the material in comparison with the values obtained for the reference mixture.

Storage of Heat, Cold and Electricity.

A promising energy storage system is presented based on the combination of a heat pump, a heat engine, a hot and a cold storage. It can be operated as a pure bulk electricity storage (alternative to Pumped Heat Electrical Storage (PHES)/Compressed Air Energy Storage (CAES)) or as combined storage of heat, cold and electricity. Both variations have been evaluated using a steady state, thermodynamic model and two promising concepts are proposed: A transcritical CO(2) cycle for the pure electricity storage and a subcritical NH(3) cycle for combined storage of electricity, heat and cold. Parametric studies are used to evaluate the influence of different parameters on the roundtrip efficiency of the storage system.