Helical structure of the ventricular myocardium. A narrative review of cardiac mechanics.

To date, the ventricular myocardial band is the anatomical-functional model that best explains cardiac mechanics during systolic-diastolic phenomena in the cardiac cycle. The implications of the model fundamentally affect the anatomical interpretation of the ventricular myocardium, giving meaning to the direction that muscle fibers take, turning them into an object of study with potential clinical, imaging, and surgical applications. Re-interpreting the anatomy of the ventricular muscle justifies changes in the physiological interpretation, from its functional focus as a fiber unraveling the mechanical phenomena carried out during systole and diastole. We identify the functioning of the heart from the electrical and hemodynamic point of view, but it is necessary to delve into the mechanics that originate the hemodynamic changes observed flowmetrically, and that manifested during the pathology. In this review, the mechanical phenomena that the myocardium performs in each phase of the cardiac cycle are broken down in detail, emphasizing the physical displacements that each of the muscle segments presents, as well as a vision of their alteration and in which pathologies they are mainly identified. Visually, an anatomical correlation to the echocardiogram is provided, pointing out the direction of the segmental myocardial displacement by the strain velocity vector technique.

Factors influencing the cleaning of plant samples with ultrasonic technology.

Effective cleaning of biological samples is a critical step in environmental studies. However, the literature lacks standardized cleaning procedures and protocols and there is little information about how even the most basic conditions may affect cleaning efficiency. Here, leaves of different species were first exposed to the soil naturally containing mercury particles and then washed in an ultrasound water bath under the following conditions: newly cleaned/reused beakers, water temperature, sample immersion/free-floating, sample quantity, and the number of washing cycles. Additionally, the effects of sample pubescence on cleaning efficacy were also assessed. Results indicated that the best cleaning efficacy was recorded when samples were placed in cold water under forced immersion and beakers were cleaned between washing cycles. At least two of these three conditions were needed for adequate washing. The results also indicated that, for the glabrous leaves, a cumulative leaf surface area of ≤10,000 mm2 was efficiently cleaned after 3-5 washing cycles, while as pubescence increased, 9-11 cycles were needed and often the sample quantity had to be reduced (<5,000 mm2). Our experiments reveal that cleaning can be optimized by applying easy procedures and according to individual sample typology, resulting in faster and more effective cleaning. Novelty statementThe cleaning of samples is a frequent stage in the analytical processes of phytoremediation studies. This work provides new and valuable information to optimize the cleaning of plant samples by simply applying ultrasonic technology and distilled water. In fact, we have tested the influence of some factors never taken into account previously.

Cardiopulmonary Imaging Utilization and Findings among Hospitalized COVID-19 Patients in Latin America: (From "RIMAC: Registry IMAging Cardiopulmonary among Hospitalized COVID-19 Patients in LATAM").

Objectives: Describe the use and findings of cardiopulmonary imaging-chest X-ray (cX-ray), echocardiography (cEcho), chest CT (cCT), lung ultrasound (LUS), and/or cardiac magnetic resonance imaging (cMRI)-in COVID-19 hospitalizations in Latin America (LATAM). Background: There is a lack of information on the images used and their findings during the SARS-CoV-2 pandemic in LATAM. Methods: Multicenter, prospective, observational study of COVID-19 inpatients, conducted from March to December 2020, from 12 high-complexity centers, in nine LATAM countries. Adults (>18 years) with at least one imaging modality performed, followed from admission until discharge and/or in-hospital death, were included. Results: We studied 1,435 hospitalized patients (64% males) with a median age of 58 years classified into three regions: Mexico (Mx), 262; Central America and Caribbean (CAC), 428; and South America (SAm), 745. More frequent comorbidities were overweight/obesity, hypertension, and diabetes. During hospitalization, 58% were admitted to the ICU. The in-hospital mortality was 28%, and it was highest in Mx (37%).The most frequent images performed were cCT (61%), mostly in Mx and SAm, and cX-ray (46%), significant in CAC. The cEcho was carried out in 18%, similarly among regions, and LUS was carried out in 7%, with a higher frequently in Mx. Abnormal findings on the cX-ray were peripheral or basal infiltrates, and in cCT abnormal findings were the ground glass infiltrates, more commonly in Mx. In LUS, interstitial syndrome was the most abnormal finding, predominantly in Mx and CAC.Renal failure was the most prevalent complication (20%), predominant in Mx and SAm. Heart failure developed in 13%, predominant in Mx and CAC. Lung thromboembolism was higher in Mx while myocardial infarction was in CAC.Logistic regression showed associations of abnormal imaging findings and their severity, with comorbidities, complications, and evolution. Conclusions: The use and findings of cardiopulmonary imaging in LATAM varied between regions and had a great impact on diagnosis and prognosis.

Effects of mercury on the germination and growth of Quercus ilex L. seedlings.

While it is well-known that the toxicity of mercury for plants is related to its bioavailability in the environment in which the plant lives, few studies have addressed Hg effects under controlled conditions of life-limiting available Hg concentrations. This study examines the effects of Hg on the holm oak (Quercus ilex L.) exposed to medium-high available Hg concentrations. Holm oak seeds were sown in a perlite substrate and grown in the presence of a nutrient solution containing 0, 5, 25, or 50 µM Hg. The variables determined as outcome measures were impacts on germination, growth, and nutrient accumulation along with Hg concentration in leaves, stems, and roots at different growth stages. Our findings suggest no overall detrimental effects of the metal on germination, nutrient accumulation, and plant growth, although root morphology was clearly modified. Mercury accumulation in the plant varied according to time, organ, Hg treatment dose, and plant growth stage. When comparing Hg build-up in the different organs, highest concentrations of the metal were detected in the roots, followed by the leaves and stems. The Hg accumulation pattern was positively correlated with time and Hg dose, whereas negative correlation was observed with growth stage. The impacts of all these factors on Hg accumulation were not additive pointing to interesting interaction effects that should be explored in future work.

Metagenomic Insights into the Bacterial Functions of a Diesel-Degrading Consortium for the Rhizoremediation of Diesel-Polluted Soil.

Diesel is a complex pollutant composed of a mixture of aliphatic and aromatic hydrocarbons. Because of this complexity, diesel bioremediation requires multiple microorganisms, which harbor the catabolic pathways to degrade the mixture. By enrichment cultivation of rhizospheric soil from a diesel-polluted site, we have isolated a bacterial consortium that can grow aerobically with diesel and different alkanes and polycyclic aromatic hydrocarbons (PAHs) as the sole carbon and energy source. Microbiome diversity analyses based on 16S rRNA gene showed that the diesel-degrading consortium consists of 76 amplicon sequence variants (ASVs) and it is dominated by Pseudomonas, Aquabacterium, Chryseobacterium, and Sphingomonadaceae. Changes in microbiome composition were observed when growing on specific hydrocarbons, reflecting that different populations degrade different hydrocarbons. Shotgun metagenome sequence analysis of the consortium growing on diesel has identified redundant genes encoding enzymes implicated in the initial oxidation of alkanes (AlkB, LadA, CYP450) and a variety of hydroxylating and ring-cleavage dioxygenases involved in aromatic and polyaromatic hydrocarbon degradation. The phylogenetic assignment of these enzymes to specific genera allowed us to model the role of specific populations in the diesel-degrading consortium. Rhizoremediation of diesel-polluted soil microcosms using the consortium, resulted in an important enhancement in the reduction of total petroleum hydrocarbons (TPHs), making it suited for rhizoremediation applications.

Discussion paper: Sustainable increase of crop production through improved technical strategies, breeding and adapted management - A European perspective.

During the next decade it will be necessary to develop novel combinations of management strategies to sustainably increase crop production and soil resilience. Improving agricultural productivity, while conserving and enhancing biotic and abiotic resources, is an essential requirement to increase global food production on a sustainable basis. The role of farmers in increasing agricultural productivity growth sustainably will be crucial. Farmers are at the center of any process of change involving natural resources and for this reason they need to be encouraged and guided, through appropriate incentives and governance practices, to conserve natural ecosystems and their biodiversity, and minimize the negative impact agriculture can have on the environment. Farmers and stakeholders need to revise traditional approaches not as productive as the modern approaches but more friendly with natural and environmental ecosystems values as well as emerging novel tools and approaches addressing precise farming, organic amendments, lowered water consumption, integrated pest control and beneficial plant-microbe interactions. While practical solutions are developing, science based recommendations for crop rotations, breeding and harvest/postharvest strategies leading to environmentally sound and pollinator friendly production and better life in rural areas have to be provided.

Mercury species accumulation and distribution in Typha domingensis under real field conditions (Almadén, Spain).

Monomethylmercury (MeHg) is one of the most toxic and the most commonly occurring organomercury compound and the wetlands are one of the main areas of generation of this Hg form. Concretely, it is in the macrophyte root system where better conditions are given for its generation. However, the knowledge of absorption and subsequent distribution of mercury (Hg) and monomethylmercury in aquatic plants is still limited. Mercury mining district such as Almadén (Ciudad Real, Spain) is a natural laboratory where different rivers flow and the species Typha domingensis Pers. is a common macrophyte which grows in their riverbanks. The aim of the present work is to apply a recently developed method specially designed to analyze Hg species in plant tissues to the different fractions of T. domingensis under real field conditions and to study the accumulation and distribution of Hg species (inorganic Hg and MeHg) within the plant. The results proved that whatever Hg species has preference to be accumulated in the belowground fractions and demonstrated a high efficiency in the accumulation of MeHg.

Echocardiographic measurements of epicardial adipose tissue and comparative ability to predict adverse cardiovascular outcomes in patients with coronary artery disease.

The present study aimed to compare echocardiography measurements of epicardial adipose tissue (EAT) thickness and other risk factors regarding their ability to predict adverse cardiovascular outcomes in patients with coronary artery disease (CAD). Outcomes of 107 patients (86 males, 21 females, mean age 63.6 years old) submitted to diagnostic echocardiography and coronary angiography were prospectively analyzed. EAT (measures over the right ventricle, interventricular groove and complete bulk of EAT) and left ventricle ejection fraction (LVEF) were performed by echocardiography. Coronary complexity was evaluated by Syntax score. Primary endpoints were major adverse cardiovascular events (MACE's), composite of cardiovascular death, myocardial infarction, unstable angina, intra-stent re-stenosis and episodes of decompensate heart failure requiring hospital attention during a mean follow up of 15.94 ± 3.6 months. Mean EAT thickness was 4.6 ± 1.9 mm; and correlated with Syntax score and body mass index; negatively correlated with LVEF. Twenty-three cases of MACE's were recorded during follow up, who showed higher EAT. Diagnostic ability of EAT to discriminate MACE's was comparable to LVEF (AUROC > 0.5); but higher than Syntax score. Quartile comparison of EAT revealed that measurement of the complete bulk of EAT provided a better discrimination range for MACE's, and higher, more significant adjusted risk (cutoff 4.6 mm, RR = 3.91; 95% CI 1.01-15.08; p = 0.04) than the other risk factors. We concluded that echocardiographic measurement of EAT showed higher predicting ability for MACE's than the other markers tested, in patients with CAD. Whether location for echocardiographic measurement of EAT impacts the diagnostic performance of this method deserves further study.

Fast method for the simultaneous determination of monomethylmercury and inorganic mercury in rice and aquatic plants.

Recent investigations revealed that monomethylmercury (MMHg) can be absorbed and accumulated by plants, i.e. rice crops, thus becoming an important route of human exposure to MMHg through diet. The increasing concern about this fact makes that appropriate analytical methods for Hg speciation in these samples are urgently required. Therefore, the aim of this work has been the development of a fast and sensitive method which enables the simultaneous determination of MMHg and inorganic Hg in rice and aquatic plants. The proposed methodology is based on the extraction of Hg species by closed-vessel microwave heating, subsequent derivatization by ethylation and analysis by gas chromatography coupled to atomic fluorescence detection via pyrolysis (GC-pyro-AFS). A careful optimization of the extraction, using both acid (6N HNO3) and alkaline (tetramethylammonium hydroxide, TMAH) extractants, and derivatization conditions has been carried out. Spiked and unspiked aquatic plants (Typha domingensis) and CRMs certified for Total-Hg (BCR-60, BCR-482 and NCS ZC73027, corresponding to aquatic plant, lichen and rice, respectively) have been used. Under the final optimized conditions the simultaneous determination of MMHg and inorganic Hg can be carried out in less than 40min with no tedious clean-up steps. Quantitative recoveries (from 92% to 101%) were obtained in aquatic plants (Typha domingensis) and CRMs spiked with known concentrations of MMHg. For unspiked BCR-60 and BCR-482, no statistically significant differences (p=0.05) were found in Total-Hg concentrations between those obtained by the sum of species and the certified values for both acid and alkaline extraction. For the analysis of low Hg polluted samples, an additional preconcentration step by evaporation under nitrogen stream was required but adequate blanks were only obtained for acid extraction. Detection limits in the low ng/g range (0.7-1.0ng/g) were consequently achieved for both Hg species in the case of acid extraction and the analysis of NCS ZC73027 gave satisfactory results without statistically significant differences between the found and certified values (p = 0.05).

Cultivation of Solanum tuberosum in a former mining district for a safe human consumption integrating simulated digestion.

BACKGROUND: Potato (Solanum tuberosum) is a global crop and by far the most important non-cereal crop in the world. Therefore, it is necessary to assure its safe consumption. This is especially relevant in the case of its cultivation in abandoned mining areas, where the population tends to return to agriculture. In the present work, the objective is to evaluate the contribution to the diet of nutrients and contaminants of potato grown in soils from the Almadén area (mining district) by studying the intestinal absorption (in vitro) of the tuber, taking into account the preparation methods for its consumption. RESULTS: The results of contaminant and nutrient contents show that the potato peel retains significantly more elements (mainly in the case of toxic elements) than the flesh. Furthermore, potato (peel and flesh) is a good source of iron. CONCLUSION: It is recommended to boil potatoes with the peel in order to minimize nutrient loss and, before consumption, peeling them to eliminate possible risks due to contaminants. In addition, to minimize the risk due of mercury and to improve the levels of calcium, magnesium, potassium and sodium, it is recommended to add salt during the boiling process. © 2017 Society of Chemical Industry.

Pro-atherogenic mediators and subclinical atherogenesis are related to epicardial adipose tissue thickness in patients with cardiovascular risk.

Objective To evaluate the relationship between pro-atherogenic biomarkers and epicardial adipose tissue (EAT) thickness in patients with cardiovascular risk factors. Methods Plasma nitric oxide (NO), soluble intercellular adhesion molecule-1 and malondialdehyde (MDA) levels, EAT thickness, flow-mediated dilation (FMD) and carotid intima media thickness (CIMT) were determined in patients aged >18 years who were referred for echocardiography for heart ischemia or non-ischemic diseases. Cardiovascular risk factors (Framingham score [FS] ≥ 20) were weighted. Results Hypertension, dyslipidaemia and type 2 diabetes mellitus were prevalent (≥55% of 40 patients). Patients with FS ≥ 20 ( n = 21) showed significantly higher EAT and CIMT values. Globally, MDA, CIMT, age, waist circumference, high-density lipoprotein cholesterol (HDL-C) and FS were associated with EAT thickness. EAT was significantly associated with NO in patients with FS ≥ 20. Significant differences in EAT thickness were found between patients stratified by NO value, FMD, age, smoking status, dyslipidaemia, type 2 diabetes mellitus and FS. An EAT-associated atherogenic risk (CIMT ≥ 1 mm) model was statistically significant when MDA and type 2 diabetes mellitus were included. Conclusion EAT thickness was associated with MDA, CIMT, age, waist circumference, HDL-C and FS globally, but with NO only in patients with FS≥20. EAT may be used to identify vascular damage stage, possibly influenced by MDA and type 2 diabetes mellitus.

Colonización orofaríngea perinatal por el virus del papiloma humano / Oropharyngeal perinatal colonization by human papillomavirus

Introducción y objetivo: La infección por el virus del papiloma humano (VPH) es la enfermedad de transmisión sexual más frecuente del ser humano. Su relevancia clínica radica en que tal condición es causa necesaria para el desarrollo de cáncer epitelial de cuello uterino y también un factor estrechamente asociado a la aparición de tumores y diversas lesiones benignas y malignas del área cráneo-cervical. El mecanismo infectivo para la mayoría de estos casos está asociado a la participación del individuo en prácticas sexuales de diverso tipo, pero existen en la actualidad evidencias científicas que indican la posibilidad de que dicha infección pueda ser también adquirida por otras vías de contagio no necesariamente ligadas al contacto sexual. Una de ellas es la transmisión desde la madre al hijo, bien durante la gestación, bien en el momento del parto. El objetivo de nuestra investigación es profundizar en el estudio de la transmisión materno-fetal de VPH durante el parto, estableciendo la tasa de colonización orofaríngea neonatal por VPH en los partos vaginales. Método: Se determinó la presencia y tipo de ADN viral de VPH en el momento del parto en las muestras obtenidas de las secreciones cervicales maternas, líquido amniótico, sangre venosa de cordón y orofaringe neonatal en las embarazadas (y sus recién nacidos). Resultados: La tasa de colonización orofaríngea neonatal por VPH en los partos vaginales de madres inmunocompetentes portadoras del germen fue del 58,24%. Conclusiones: El mecanismo de contaminación materno-neonatal por VPH es esencialmente, que no exclusivamente, transvaginal (AU)

Introduction and objective: Human papillomavirus (HPV) infection is the most common human sexually transmitted disease. It is clinically relevant because this condition is necessary for the development of epithelial cervical cancer, and it is also a factor closely associated with the occurrence of diverse tumours and various benign and malignant lesions of the head and neck area. The infective mechanism in most of these cases is associated with sexual intercourse, but there is recent scientific evidence suggesting that HPV infection may also be acquired by other routes of infection not necessarily linked to sexual contact. One of them is vertical transmission from mother to child, either during pregnancy or at the time of delivery. The aim of our research was to study maternal-foetal HPV transmission during childbirth in detail, establishing the rate of oropharyngeal neonatal HPV in vaginal deliveries. Method: The presence and type of HPV viral DNA at the time of delivery in samples of maternal cervical secretions, amniotic fluid, venous cord blood samples and neonatal oropharynx in pregnant women (and their babies) were determined. Results: The rate of oropharyngeal neonatal HPV colonization in vaginal deliveries was 58.24%. Conclusions: The maternal and neonatal HPV colonization mechanism is essentially, but not exclusively, transvaginal (AU)

Oropharyngeal perinatal colonization by human papillomavirus. / Colonización orofaríngea perinatal por el virus del papiloma humano.

INTRODUCTION AND OBJECTIVE: Human papillomavirus (HPV) infection is the most common human sexually transmitted disease. It is clinically relevant because this condition is necessary for the development of epithelial cervical cancer, and it is also a factor closely associated with the occurrence of diverse tumours and various benign and malignant lesions of the head and neck area. The infective mechanism in most of these cases is associated with sexual intercourse, but there is recent scientific evidence suggesting that HPV infection may also be acquired by other routes of infection not necessarily linked to sexual contact. One of them is vertical transmission from mother to child, either during pregnancy or at the time of delivery. The aim of our research was to study maternal-foetal HPV transmission during childbirth in detail, establishing the rate of oropharyngeal neonatal HPV in vaginal deliveries. METHOD: The presence and type of HPV viral DNA at the time of delivery in samples of maternal cervical secretions, amniotic fluid, venous cord blood samples and neonatal oropharynx in pregnant women (and their babies) were determined. RESULTS: The rate of oropharyngeal neonatal HPV colonization in vaginal deliveries was 58.24%. CONCLUSIONS: The maternal and neonatal HPV colonization mechanism is essentially, but not exclusively, transvaginal.

Sustainable remediation of mercury contaminated soils by thermal desorption.

Mercury soil contamination is an important environmental problem that needs the development of sustainable and efficient decontamination strategies. This work is focused on the application of a remediation technique that maintains soil ecological and environmental services to the extent possible as well as search for alternative sustainable land uses. Controlled thermal desorption using a solar furnace at pilot scale was applied to different types of soils, stablishing the temperature necessary to assure the functionality of these soils and avoid the Hg exchange to the other environmental compartments. Soil mercury content evolution (total, soluble, and exchangeable) as temperature increases and induced changes in selected soil quality indicators are studied and assessed. On total Hg, the temperature at which it is reduced until acceptable levels depends on the intended soil use and on how restrictive are the regulations. For commercial, residential, or industrial uses, soil samples should be heated to temperatures higher than 280 °C, at which more than 80 % of the total Hg is released, reaching the established legal total Hg level and avoiding eventual risks derived from high available Hg concentrations. For agricultural use or soil natural preservation, conversely, maintenance of acceptable levels of soil quality limit heating temperatures, and additional treatments must be considered to reduce available Hg. Besides total Hg concentration in soils, available Hg should be considered to make final decisions on remediation treatments and potential future uses. Graphical Abstract Solar energy use for remediation of soils affected by mercury.