Metazoan parasite communities and diet of the velvet belly lantern shark Etmopterus spinax (Squaliformes: Etmopteridae): a comparison of two deep-sea ecosystems.

By combining an examination of stomach contents yielding a snapshot of the most recent trophic niche and the structure of parasite communities reflecting a long-term feeding niche, this study aimed at gaining more comprehensive information on the role of the small-sized deep-water velvet belly lantern shark Etmopterus spinax in the local food webs of the Galicia Bank and the canyon and valley system of the Avilés Canyon, which have been both proposed for inclusion in the Natura 2000 network of protected areas. As far as is known, this study provides the first comparative parasite infracommunity data for a deep-sea shark species. Component parasite communities in E. spinax were relatively rich, whereas the infracommunities were rather depauperate, with similar low diversity at both localities. The significant differences in the composition and structure of both parasite communities and prey assemblages indicate differential effects of the two deep-sea ecosystems on both long-term and most recent trophic niches of E. spinax. These results underline the importance of the use of multivariate analyses for the assessment of geographical variation in shark populations based on parasites and diet data.

Cadmium and lead bioavailability and their effects on polycyclic aromatic hydrocarbons biodegradation by spent mushroom substrate.

Bioremediation of mixed metal-organic soil pollution constitutes a difficult task in different ecosystems all around the world. The aims of this work are to determine the capacity of two spent mushroom substrates (Agaricus bisporus and Pleurotus ostreatus) to immobilize Cd and Pb, to assess the effect of these metals on laccase activity, and to determine the potential of spent A. bisporus substrate to biodegrade four polycyclic aromatic hydrocarbons (PAH): fluorene, phenanthrene, anthracene, and pyrene, when those toxic heavy metals Cd and Pb are present. According to adsorption isotherms, spent P. ostreatus and A. bisporus substrates showed a high Pb and Cd adsorption capacity. Pb and Cd interactions with crude laccase enzyme extracts from spent P. ostreatus and A. bisporus substrates showed Cd and Pb enzyme inhibition; however, laccase activity of A. bisporus presented lower inhibition. Spent A. bisporus substrate polluted with PAH and Cd or Pb was able to biodegrade PAH, although both metals decrease the biodegradation rate. Spent A. bisporus substrate contained a microbiological consortium able to oxidize PAH with high ionization potential. Cd and Pb were immobilized during the bioremediation process by spent A. bisporus substrate. Consequently, spent A. bisporus substrate was adequate as a multi-polluted soil bioremediator.

Phytoextraction of cadmium by four Mediterranean shrub species.

The possibility of remediating contaminated soils though the use of high biomass-generating, native plant species capable of removing heavy metals is receiving increased attention. The cadmium (Cd) accumulation capacities of the native Mediterranean, perennial shrubs Atriplex halimus, Phyllirea angustifolia, Rhamnus alaternus and Rosmarinus officinalis were tested by growing transplanted specimens in a pine bark compost substrate (pH 5.6) contaminated with 100 mg Cd kg(-1). After 70 days, only R. alaternus showed reduced growth. The increase in biomass seen in all the test species enhanced the phytoextraction of Cd. However, the species behaved as metal excluders, except for the halophyte A. halimus, which behaved as an indicator plant. In this species the leaf Cd concentration reached 35 mg Cd kg(-1), with the shoot responsible for some 86% of total Cd accumulation. Atriplex halimus showed the highest bioconcentration factor (BCF) (0.36) and leaf Cd transport index (1.68); consequently, this species showed the highest Cd phytoextraction capacity.

Results of liver transplantation from donors over 75 years: case control study.

INTRODUCTION: The use of elderly donors can increase the pool of organs available for transplant. The aim of this study was to analyze the outcomes of grafts from donors older than 75 years. PATIENTS AND METHODS: We selected 29 patients transplanted from January 2003 to January 2010 with livers from donors older than 75 years for comparison with a control group (58 patients), selected among patients transplanted immediately before or after each study case. Data analyzed using SPSS 15.0 were considered statistically significant at P < .05. RESULTS: Statistically significant differences were evident in the mean age of donors (78.3 ± 2.9 vs 50.4 ± 17.8 years, P < .001), levels of aspartate aminotransferase alanine aminotransferase (30.8 ± 18.13/24.9 ± 14.4 vs 53.81 ± 68.4/39.37 ± 39.94 U/L, P < .05), and waiting list time of (122.4 ± 94.3 vs 169.2 ± 135.5 days, P = .034) of elderly donor versus control graft cohorts. The median follow-up was 32 months (range: 4-88.0) No differences were observed at 1 and 3 years after transplantation: graft survival was 78% and 61% in the older donor group and 83% and 71% in the younger donor group, respectively. CONCLUSION: The use of expanded donors from elderly subjects can increase the donor pool with good results.

Transhepatic portal venous angioplasty with stenting for bleeding jejunal angiodysplasias in a retrasplant patient: a case report.

A 41-year-old man, who had undergone liver retransplantation, was admitted to our institution complaining of rectorraghia. Gastroscopy and colonoscopy failed to detect the source of bleeding. Computed tomographic angiography detected a stenosis at the portal anastomosis. Capsule endoscopy showed the presence of multiple small bowel angiodysplasias. After a surgical failure, direct portography revealed severe stenosis of the extrahepatic portal vein. Subsequent to percutaneous transhepatic portography, we dilated the stenosis using a balloon catheter and placed an expandable metallic stent, stopping the bleeding without further episodes of gastrointestinal bleeding.

Perioperative fast track program in intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) after cytoreductive surgery in advanced ovarian cancer.

INTRODUCTION: Diffuse peritoneal dissemination in advanced ovarian cancer can be treated using optimal effort surgery involving peritonectomy procedures and the administration of hyperthermic intraoperative intraperitoneal chemotherapy (HIPEC). OBJECTIVE: To report on our experience in the treatment of advanced ovarian cancer using peritonectomy procedures and HIPEC through the fast track program. PATIENTS AND METHOD: From September 2008 until May 2010, forty-six patients with primary advanced (stage III-C) or recurrent ovarian cancer have been included in the fast track protocol if they had optimal cytoreduction CC-0 or CC-1 accompanied by HIPEC and there had no more than one digestive anastomosis. RESULTS: The mean peritoneal cancer index (PCI) was 12.35 (3-21). The median operation time was 380 min (200-540). Optimal surgery CC-0 was achieved in 38 of the 46 patients and CC-1 in the remaining 8. Mean postoperative hospital stay was 6.94 ± 1.56 days (3-11). Major morbidity rates were 15.3%. Paralytic ileus was the most frequent of these. There was no mortality related to the procedure. CONCLUSION: Surgery with peritonectomy procedures and HIPEC in advanced ovarian carcinoma is possible under fast track surgery programs in patients with low volume peritoneal carcinomatosis. Prospective and randomized studies are needed.

Chemical characterization and evaluation of composts as organic amendments for immobilizing cadmium.

The ability of three composted materials to immobilize cadmium (Cd) was examined in order to assess their potential for recovering soils contaminated with this metal. Composted pine bark (PB) pH 5.6, spent mushroom compost (SM) pH 8.0, and composted pruning waste+biosolids (BS) pH 6.9 (containing 81%, 75% and 47% total organic matter, respectively) were characterized. FT-IR and CP-MAS (13)C NMR spectroscopy indicated the BS and SM to have a higher percentage of aliphatic and carboxyl groups than PB. The composts were artificially contaminated with Cd (80 and 200 mg kg(-1)) and, after 4 weeks incubation, subjected to sequential extraction. In column leaching experiments, the total Cd leached from the composts exposed to both Cd treatments was similar, but much less leached from the BS (0.2%) than the PB (4.0%) or SM (0.7%). The greater capacity of BS to immobilize Cd was attributed to the greater humification of its organic matter and higher content of inorganic components, particularly Fe.

Improving the waiting list by using 75-year-old donors for recipients with hepatocellular carcinoma.

The best treatment for hepatocellular carcinoma (HCC) associated with liver cirrhosis is liver transplantation and the best results are obtained when the tumors fulfill the Milan criteria. However, although the number of transplants is increasing, the organ deficit is growing, which lengthens time on the waiting list, increasing the risk of tumor progression of and exclusion from the list. The use of elderly donors is a valid option for patients on the transplant waiting list with HCC, reducing time on the waiting list. We report our experience with patients transplanted for HCC associated with hepatic cirrhosis using livers from donors >75 years of age. Our preliminary results supported the use of elderly suboptimal donors making it possible to give priority to these patients. All patients in the series achieved good graft function after a follow-up of 2 years with a 100% disease-free survival rate. More extensive long-term studies are needed to confirm these findings.

Resource utilization by deep-sea sharks at the Le Danois Bank, Cantabrian Sea, north-east Atlantic Ocean.

The feeding habits of birdbeak dogfish Deania calcea, velvet belly lantern shark Etmopterus spinax and blackmouth catshark Galeus melastomus at Le Danois Bank, Cantabrian Sea, south Bay of Biscay were studied in relation to their bathymetric distribution. Deep-sea sharks were collected during two multidisciplinary surveys carried out in October 2003 and April 2004 at the Le Danois Bank. Two different habitats were defined: (1) the top of the bank, ranging from 454 to 642 m depth and covered by fine-sand sediments with a low percentage of organic matter, and (2) the inner basin located between the bank and the Cantabrian Sea's continental shelf, at depths of 810-1048 m, which was characterized by a high proportion of silt and organic matter. Deania calcea was not present at the top of the bank but was abundant below 642 m, while E. spinax was abundant in the shallower top of the bank but was not found in the deeper inner basin. There was almost no bathymetric overlap between these two deep-sea shark species. Galeus melastomus was found over the whole depth range. There seemed to be an ontogenetic segregation with depth for this species, however, since 80% of the specimens collected at the top of the bank were < 600 mm total length (L(T)) (mean 510 mm L(T)), whereas larger individuals (mean 620 mm L(T)) inhabited deeper zones. Galeus melastomus exhibited a significantly higher feeding intensity than both E. spinax at the top of the bank and D. calcea in the inner basin. Little dietary overlap between D. calcea and G. melastomus in the inner basin was found, with D. calcea being an ichthyophagous predator while the diet of G. melastomus at these depths was composed of a variety of meso-bathypelagic shrimps (e.g. Acantephyra pelagica, Pasiphaea spp. and Sergia robusta), cephalopods and fishes. The diets of E. spinax and G. melastomus at the top of the bank showed a high dietary overlap of euphausiids, which represented the main prey taxa for both species. Euphausiids declined in abundance with depth which was reflected in the diet of G. melastomus. The cluster analysis of prey affinities among hauls depicted two major groups, corresponding to the two different habitats (top of the bank and inner basin). Redundancy analysis also indicated top-basin segregation, with euphausiids representing the main prey taxa at the top of the bank and bathypelagic shrimps in the inner basin. Euphausiids and Micromesistius poutassou were key prey within the Le Danois Bank ecosystem since they were positively selected by the three deep-sea shark species. These results show that the feeding ecology of these predators in Le Danois Bank ecosystem is highly influenced by depth-related variables, as a result of changes in prey availability. Overall results were analysed in relation to the deep-sea Le Danois ecosystem structure and functioning.

Un caso de cáncer ovárico de célula pequeña hipercalcémico / No disponible

El carcinoma ovárico de célula pequeña hipercalcémicoes un tumor raro y agresivo con mayor incidenciaen mujeres jóvenes.La hipercalcemia es una de sus características clínicas.El tratamiento multidisciplinar parece incrementarla supervivencia en un número pequeño de casos.Presentamos el caso de una mujer diagnosticadade este tipo de tumor, su evolución clínica y el tratamientoque recibió

The hypercalcemic ovarian small cell carcinomais a very rare aggressive tumor affecting young women.Hypercalcemia is among its clinical features.Prognosis is poor despite aggressive treatment,but combined treatment seems to increase survivalin a small subset of patients.We report a case of a woman diagnosed of hypercalcemicovary small cell cancer, her clinical evolution and the treatment she received (AU)

[Gastrointestinal stromal tumors presenting as pelvic masses]. / Tumores del estroma gastrointestinal que comienzan como masas pelvianas.

Gastrointestinal stromal tumors (GIST) appear in the abdominal cavity in less than 5% of patients. We present two cases of extraintestinal GIST attended in our service and treated with imatinib mesylate. We review the current treatment of these neoplasms with targeted therapies.

Un caso de melanoma maligno meníngeo en un varón adulto que debuta con paraplejia / A case of meningeal malignant melanoma in an adult man presenting with paraplegia

Este es el caso de un varón afecto de un probable melanoma meníngeo que debuta con una paraplejia por compresión medular. El melanoma maligno de localización en el sistema nervioso central varía en las características citológicas mucho más que en otros lugares. En ocasiones puede resultar muy dificultosa e incluso imposible su precisa clasificación histológica. Paralelamente se revisará el tratamiento bioquimioterápico en este tipo de tumores (AU)