BackgroundA few patients, after receiving solid organ transplantation, return to performing various sports and competitions; however, at present, data no study had evaluated the effects of endurance cycling races on their renal function.MethodsRace times and short form (36) health survey questionnaires of 10 kidney transplant recipients (KTR) and 8 liver transplant recipients (LTR) transplanted recipients involved in a road cycling race (130 km) were compared with 35 healthy control subjects (HCS), also taking laboratory blood and urine tests the day before the race, at the end of the race, and 18 to 24 hours after competing.ResultsThe 3 groups showed similar race times (KTR, 5 hours 59 minutes ± 0 hours 39 minutes; LTR, 6 hours 20 minutes ± 1 hour 11 minutes; HCS, 5 hours 40 minutes ± 1 hour 28 minutes), similar short form (36) health survey scores, and similar trend of laboratory parameters which returned to baseline after 18 to 24 hours. After the race, there was an increase in creatinine (0.24 mg/dL; effect size [ES] = 0.78; P < 0.001), urea (22 mg/dL; ES = 1.42; P < 0.001), and a decrease of estimated glomerular filtration rate (−17 mL/min; ES = 0.85; P < 0.001). The increase of blood uric acid was more remarkable in HCS and KTR (2.3 mg/dL; ES = 1.39; P < 0.001). The KTR showed an increase of microalbuminuria (167.4 mg/L; ES = 1.20; P < 0.001) and proteinuria (175 mg/mL; ES = 0.97; P < 0.001) similar to LTR (microalbuminuria: 176.0 mg/L; ES = 1.26; P < 0.001; proteinuria: 213 mg/mL; ES = 1.18; P < 0.001), with high individual variability. The HCS had a nonsignificant increase of microalbuminuria (4.4 mg/L; ES = 0.03; P = 0.338) and proteinuria (59 mg/mL; ES = 0.33; P = 0.084).ConclusionsSelected and well-trained KTR and LTR patients can participate to an endurance cycling race showing final race times and temporary modifications of kidney function similar to those of HCS group, despite some differences related to baseline clinical conditions and pharmacological therapies. Patients involved in this study represent the upper limit of performance currently available for transplant recipients and cannot be considered representative of the entire transplanted population.

Biomass gasification is a favourable process to produce a H2-rich fuel gas from biogenic waste materials. In particular, the dual bubbling fluidized bed (DBFB) technology consists of the separation of the combustion chamber, fed with air, from the gasification chamber, fed with steam, allowing to obtain a concentrated syngas stream without N2 dilution. In a previous work, an innovative design of a DBFB reactor was developed and its hydrodynamics tested in a cold model; in this work, the novel gasifier was realized at pilot scale (100 kWth) and operated for preliminary biomass gasification tests. The results showed a high-quality syngas, composed of H2 = 35%, CO = 23%, CO2 = 20%, and CH4 = 11%, as a confirmation of the design efficacy in the separation of the reaction chambers. The dry gas yield obtained was 1.33 Nm3/kg of biomass feedstock and the carbon conversion was 73%. Tars were sampled and measured both in the raw syngas, giving a content of 12 g/Nm3, and downstream from a traditional conditioning system composed of a cyclone and a water scrubber, showing a residual tar content of 3 g/Nm3, mainly toluene. The preliminary tests showed promising results; further gasification tests are foreseen to optimize the main process parameters.

This work concerns the activities of the European project BLAZE that aims to integrate a pilot-scale gasifier unit with a Solid Oxide Fuel Cell (SOFC). The objective is to identify the optimal operating conditions for a gasifier and hot gas cleaning and conditioning unit to produce H2-rich syngas with contaminants levels within the limits for the safe operation of the SOFC (750 mg/Nm3 and 75 mg/Nm3 for toluene and naphthalene, respectively). Experimental tests were carried out on a bench-scale gasification plant with a catalytic filter candle placed in the freeboard, to study the influence of temperature (1032 up to 1137 K), bed materials (olivine or olivine/dolomite 80/20%), and a nickel-based catalyst. The tests with a ceramic filter candle filled with catalyst and the mixture of olivine and dolomite in the bed gave the best results in terms of gas composition and gas yield, but the tar content was still higher than the limits for the SOFC. To increase the residence time of the gas in the catalytic bed a new metallic filter candle was tested. This candle, with almost the same external volume, allowed doubling the amount of catalyst used. Under these conditions, the content of toluene and naphthalene was reduced below 150 and 50 mg/Nm3, respectively.

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