Early diagnosis of cardiovascular diseases in workers: role of standard and advanced echocardiography

Cardiovascular disease (CVD) still remains the main cause of morbidity and mortality and consequently early diagnosis is of paramount importance. Working conditions can be regarded as an additional risk factor for CVD. Since different aspects of the job may affect vascular health differently, it is important to consider occupation from multiple perspectives to better assess occupational impacts on health. Standard echocardiography has several targets in the cardiac population, as the assessment of myocardial performance, valvular and/or congenital heart disease, and hemodynamics. Three-dimensional echocardiography gained attention recently as a viable clinical tool in assessing left ventricular (LV) and right ventricular (RV), volume, and shape. Two-dimensional (2DSTE) and, more recently, three-dimensional speckle tracking echocardiography (3DSTE) have also emerged as methods for detection of global and regional myocardial dysfunction in various cardiovascular diseases, and applied to the diagnosis of subtle LV and RV dysfunction. Although these novel echocardiographic imaging modalities have advanced our understanding of LV and RV mechanics, overlapping patterns often show challenges that limit their clinical utility. This review will describe the current state of standard and advanced echocardiography in early detection (secondary prevention) of CVD and address future directions for this potentially important diagnostic strategy

Chiral sulfoxides as activators of allyl trichlorosilanes in the stereoselective allylation of aldehydes

Chiral aryl methyl sulfoxides proved to be efficient activators in the asymmetric allylation of aldehydes with allyl trichlorosilanes. High enantioselectivity was found in the case of electron-poor aldehydes. The high levels of diastereoselectivity and the detection of nonlinear effects have allowed the elucidation of some mechanistic aspects of the reaction

Dataset on the use of 3D speckle tracking echocardiography in light-chain amyloidosis

The dataset presented in this article is related to the research article entitled “Biventricular assessment of light-chain amyloidosis using 3D speckle tracking echocardiography: Differentiation from other forms of myocardial hypertrophy” (Vitarelli et al.,2018) [1], which examined the potential utility of left ventricular (LV) and right ventricular (RV) deformation and rotational parameters derived from three-dimensional speckle-tracking echocardiography (3DSTE) to diagnose cardiac amyloidosis(CA) and differentiate this disease from other forms of myocardial hypertrophy. The combined assessment of LV basal longitudinal strain, LV basal rotation and RV basal longitudinal strain had a high discriminative power for detecting CA. The data of this study provides more understanding on the value of LV 3DSTE deformation parameters as well as RV parameters in this particular cardiomyopathy

Crohn's Disease Imaging: A Review

Crohn's disease is a chronic granulomatous inflammatory disease of the gastrointestinal tract, which can involve almost any segment from the mouth to the anus. Typically, Crohn's lesions attain segmental and asynchronous distribution with varying levels of seriousness, although the sites most frequently involved are the terminal ileum and the proximal colon. A single gold standard for the diagnosis of CD is not available and the diagnosis of CD is confirmed by clinical evaluation and a combination of endoscopic, histological, radiological, and/or biochemical investigations. In recent years, many studies have been performed to investigate the diagnostic potential of less invasive and more patient-friendly imaging modalities in the evaluation of Crohn's disease including conventional enteroclysis, ultrasonography, color-power Doppler, contrast-enhanced ultrasonography, multidetector CT enteroclysis, MRI enteroclysis, and 99mTc-HMPAO-labeled leukocyte scintigraphy. The potential diagnostic role of each imaging modality has to be considered in different clinical degrees of the disease, because there is no single imaging technique that allows a correct diagnosis and may be performed with similar results in every institution. The aim of this paper is to point out the advantages and limitations of the various imaging techniques in patients with suspected or proven Crohn's disease

A catalytic asymmetric allylation of aldehydes with allyl trichlorosilane activated by a chiral tetradentate bis-sulfoxide

Chiral homoallylic alcohols are easily accessible by asymmetric allylation of aldehydes with allyl trichlorosilane in the presence of catalytic amounts of a chiral tetradentate bis-sulfoxide, as organocatalyst, whose synthesis is reported

On Water Formation in the Interstellar Medium: Laboratory Study of the O+D Reaction on Surfaces

In the interstellar medium (ISM), an important channel of water formation is the reaction of atoms on the surface of dust grains. Here, we report on a laboratory study of the formation of water via the O+D reaction network. While prior studies were done on ices, as appropriate to the formation of water in dense clouds, we explored how water formation occurs on bare surfaces, i.e., in conditions mimicking the transition from diffuse to dense clouds (Av ~ 1-5). Reaction products were detected during deposition and afterward when the sample is brought to a high temperature. We quantified the formation of water and intermediary products, such as D2O2, over a range of surface temperatures (15-25 K). The detection of OD on the surface signals the importance of this reactant in the overall scheme of water formation in the ISM

FORMATION OF MOLECULAR OXYGEN AND OZONE ON AMORPHOUS SILICATES

Oxygen in the interstellar medium is seen in the gas phase, in ices (incorporated in H{sub 2}O, CO, and CO{sub 2}), and in grains such as (Mg{sub x} Fe{sub 1-x} )SiO{sub 3} or (Mg{sub x} Fe{sub 1-x} ){sub 2}SiO{sub 4}, 0 < x < 1. In this investigation, we study the diffusion of oxygen atoms and the formation of oxygen molecules and ozone on the surface of an amorphous silicate film. We find that ozone is formed at low temperature (<30 K), and molecular oxygen forms when the diffusion of oxygen atoms becomes significant, at around 60 K. This experiment, besides being the first determination of the diffusion energy barrier (1785 {+-} 35 K) for oxygen atoms on a silicate surface, suggests bare silicates as a possible storage place for oxygen atoms in low-A{sub v} environments

Alignment procedure for detector integration and characterization of the CaSSIS instrument onboard the TGO mission

The Colour and Stereo Surface Imaging System (CaSSIS) is a high-resolution camera for the ESA ExoMars Trace Gas Orbiter mission launched in March 2016. CaSSIS is capable of acquiring color stereo images of features on the surface of Mars to better understand the processes related to trace gas emission. The optical configuration of CaSSIS is based on a three-mirror anastigmatic off-axis imager with a relay mirror; to attain telecentric features and to maintain compact the design, the relay mirror has power. The University of Bern had the task of detector integration and characterization of CaSSIS focal plane. An OGSE (Optical Ground Support Equipment) characterization facility was set up for this purpose. A pinhole, imaged through an off-axis paraboloidal mirror, is used to produce a collimated beam. In this work, the procedures to align the OGSE and to link together the positions of each optical element will be presented. A global Reference System (RS) has been defined using an optical cube placed on the optical bench (OB) and linked to gravity through its X component; this global RS is used to correlate the alignment of the optical components. The main steps to characterize the position of the object to that of the CaSSIS focal plane have been repeated to guide and to verify the operations performed during the alignment procedures. A calculation system has been designed to work on the optical setup and on the detector simultaneously, and to compute online the new position of the focus plane with respect to the detector. Final results will be shown and discussed. <P /

Contemporary urologic minilaparoscopy : indications, techniques, and surgical outcomes in a multi-institutional European cohort

OBJECTIVES: To provide an analytical overview of contemporary indications, techniques, and outcomes of urologic minilaparoscopy (ML) in multiple European centers. METHODS: Data of patients who had undergone a minilaparoscopic urologic procedure at nine European institutions between 2009 and 2012 were retrospectively gathered. Surgical procedures were classified as upper or lower urinary tract and as ablative or extirpative and reconstructive. The main surgical outcome parameters were analyzed and relevant operative data related to the surgical technique were recorded. RESULTS: Overall, 192 patients (mean age 45.25±17.8 years) were included in the analysis. Most of them were nonobese (mean body mass index [BMI] 24.7±3.6?kg/m(2)) at low estimated surgical risk (mean American Society of Anesthesiologists [ASA] 1.69±0.68). Indications for surgery were mostly nononcologic (132 cases, 68.8%). Most of the procedures were done in the upper urinary tract (133 cases, 69.2%) and were mostly with a reconstructive intent (109 cases, 56.7%). Overall operative time was 132.7±52.3 minutes with an estimated blood loss of 60.9±47.6?mL while the mean hospital stay was 5±2.1 days. Most of the postoperative complications were low Clavien grade (1 and 2), with only one (0.5%) grade 3 and one (0.5%) grade 4 complications recorded. CONCLUSIONS: A broad range of common procedures can be safely and effectively performed with ML techniques. By duplicating the principles of standard laparoscopy, but potentially offering less surgical scar and trauma, ML can be regarded as a viable option when looking for a virtually "scarless" surgery

Three-dimensional technology facilitates surgical performance of novice laparoscopy surgeons: a quantitative assessment on a porcine kidney model

Objective To determine whether the use of 3-dimensional (3D) imaging translates into a better surgical performance of naïve urologic laparoscopic surgeons during pyeloplasty (PY) and partial nephrectomy (PN) procedures. Materials and Methods Eighteen surgeons without any previous laparoscopic experience were randomly assigned to perform PY and PN in a porcine model using initially 2-dimensional (2D) and 3D laparoscopy. A surgical performance score was rated by an "expert" tutor through a modified 5-item global rating scale contemplating operative field view, bimanual dexterity, efficiency, tissue handling, and autonomy. Overall surgical time, complications, subjective perception of participating surgeons, and inconveniences related to the 3D vision were recorded. Results No difference in terms if operative time was found between 2D or 3D laparoscopy for both the PY (P =.51) and the PN (P =.28) procedures. A better rate in terms of surgical performance score was noted by the tutors when the study participants were using 3D vs 2D, for both PY (3.6 [0.8] vs 3.0 [0.4]; P =.034) and PN (3.6 [0.51] vs 3.15 [0.63]; P =.001). No complications occurred in any of the procedures. Most (77.2%) of the participating na??ve laparoscopic surgeons had the perception that 3D laparoscopy was overall easier than 2D. Headache (18.1%), nausea (18.1%), and visual disturbance (18.1%) were the most common issues reported by the surgeons during 3D procedures. Conclusion Despite the absence of translation in a shorter operative time, the use of 3D technology seems to facilitate the surgical performance of naive surgeons during laparoscopic kidney procedures on a porcine model