Independent, additive and interactive effects of acute normobaric hypoxia and cold on submaximal and maximal endurance exercise

Purpose: To evaluate the independent and combined effects of hypoxia (FiO2 = 13.5%) and cold (- 20 °C) on physiological and perceptual responses to endurance exercise. Methods: 14 trained male subjects ([Formula: see text]O2max: 64 ± 5 mL/kg/min) randomly performed a discontinuous maximal incremental test to exhaustion on a motorized treadmill under four environmental conditions: Normothermic-Normoxia (N), Normothermic-Hypoxia (H), Cold-Normoxia (C) and Cold-Hypoxia (CH). Performance and physiological and perceptual responses throughout exercise were evaluated. Results: Maximal WorkLoad (WL) and WL at lactate threshold (LT) were reduced in C (- 2.3% and - 3.5%) and H (- 18.0% and - 21.7%) compared to N, with no interactive (p = 0.25 and 0.81) but additive effect in CH (- 21.5% and - 24.6%). Similarly, HRmax and Vemax were reduced in C (- 3.2% and - 14.6%) and H (- 5.0% and - 7%), showing additive effects in CH (- 7.7% and - 16.6%). At LT, additive effect of C (- 2.8%) and H (- 3.8%) on HR reduction in CH (- 5.7%) was maintained, whereas an interactive effect (p = 0.007) of the two stressors combined was noted on Ve (C: - 3.1%, H: + 5.5%, CH: - 10.9%). [La] curve shifted on the left in CH, displaying an interaction effect between the 2 stressors on this parameter. Finally, RPE at LT was exclusively reduced by hypoxia (p < 0.001), whereas TSmax is synergistically reduced by cold and hypoxia (interaction p = 0.047). Conclusion: If compared to single stress exposure, exercise performance and physiological and perceptual variables undergo additive or synergistic effects when cold and hypoxia are combined. These results provide new insight into human physiological responses to extreme environments

Diatoms in very-shallow pools of the site of community importance danta di cadore mires (South-Eastern Alps), and the potential contribution of these habitats to diatom biodiversity conservation

Mires are very selective habitats, and the colonisation by specifically adapted organisms makes them very important both for nature conservation and environmental education. They have, however, been threatened by different types of impacts. Our objective was to study diatoms in stations representative of the main typologies in the Site of Community Importance IT3230060 "Danta Mires", also to produce data for a management plan in the frame of a Life Project. Five shallow pools within different mountain mires were sampled in summer 2005 and morphologically and physicochemically characterized. The sampled sites cover a rather wide pH and TDS content gradient with very low nitrate and silica values. Diatoms were found to dominate in terms of numbers of taxa, followed by desmids, cyanoprokaryotes and filamentous green algae. In total, 86 diatom taxa, belonging to 35 genera, were found. As expected for acidic, low-mineralization waters the genera with the highest number of taxa were Eunotia and Pinnularia, followed by Encyonema, Cymbopleura, Gomphonema, and Nitzschia. The most frequent and abundant taxa were: Frustulia crassinervia, Nitzschia acidoclinata, Kobayasiella micropunctata, Encyonema neogracile, Brachysira brebissonii, Nitzschia perminuta, and Encyonema lunatum. Taxa abundant only in one or few sites were: Eunotia paludosa, Staurosira spinarum, Encyonopsis cesatii, and Achnanthidium minutissimum. Several rare taxa of special interest for their distribution and/or rarity could be found (e.g. Chamaepinnularia schauppiana, Cymbopleura incertiformis var. linearis, C. subapiculata, Eunotia lapponica, Microfissurata paludosa). On average, 17 taxa per site were found. The highest number (26) was found in a sediment sample taken in a site with special hydrochemical characteristics, and the minimum (11 taxa) in the sediment sample of the demolition materials dump mire. Diatom communities allowed characterising the mire pools studied as oligotrophic, acidic environments often affected by desiccation. On the basis of the autecology and distribution of the most frequent and abundant taxa, pH and hydroperiod appeared to be the most relevant environmental determinants. A striking result, also in view of eventual management consequences, was the very high proportion (72%) of rare and Red List taxa (including also species of the categories "Threatened with extinction", "Severely endangered", and "Endangered"). To preserve diatom biodiversity, these mires must be sheltered from uses other than recreational ones, and abrupt changes in hydrological regime and increases in nutrient input must be prevented. © 2011 J. Cramer in Gebr

18-Florodeoxyglucose positron emission tomography in predicting survival of patients with pancreatica carcinoma

The prediction of survival of patients with pancreatic cancer is usually based on tumor staging and grading and on the level of tumor markers. However, accurate tumor staging can be obtained only after resection, and still there is a great difference in survival rates among patients with the same clinicopathologic parameters. Recently the uptake of 18-fluorodeoxyglucose (FDG) by positron emission tomography (PET) has been found to be correlated with survival in patients with pancreatic cancer. This study evaluated the role of 18FDG PET as a prognostic factor for patients with pancreatic cancer. From June 1996 to July 2002, a total of 118 patients underwent PET for pancreatic cancer. The standardized uptake value (SUV) of 18FDG was calculated in 60 of them, and these patients were divided into high (>4) and low (< or =4) SUV groups. They were also evaluated according to the tumor node metastasis (TNM) classification system of the International Union Against Cancer, and by tumor grade, medical or surgical treatment, diabetes, age, sex, and CA 19-9 serum levels. Twenty-nine cancers showed high and 31 showed low SUVs. Survival was significantly influenced by tumor stage (P=0.0001), tumor grade (P=0.01), and SUV (P=0.005). Multivariate analysis showed that only stage (P=0.001) and SUV (P=0.0002) were independent predictors of survival. When patients who were analyzed for SUV were stratified according to the other variables, FDG uptake was related to survival also after stratification for the following: stage III to IVa (P=0.002), stage IVb (P=0.01), tumor resection (P=0.006), moderately differentiated tumors (P=0.01), age less than 65 years (P=0.006), CA 19-9 levels greater than 300 kU/L (P=0.002), and absence of diabetes (P=0.0001). The SUV calculated with 18FDG PET is an important prognostic factor for patients with pancreatic cancer and may be useful in selecting patients for therapeutic management

Occurrence of PAH in the seasonal snowpack of the Eastern Italian Alps

none6PAH concentrations have been determined in 47 seasonal snowpack samples collected in the Valbelluna valley and in the Bellunesi Dolomites National Park, in the Italian North-Eastern Alps, during the winter of 2005. The sum of PAH concentration in high-altitude alpine sites (above 1700 m) was 32 +- 20 ng/kg while in valley bottom urban areas it was 165 +- 54 ng/kg with maximum values of 290 ng/kg. The GIS mapping technique was employed to produce a PAH spatial distribution. The urbanized Valbelluna valley, and in particular the SW part, had the highest accumulation of all PAH, with values an order of magnitude more than those in rural and alpine areas. This behaviour is consistent with urban air quality data, and is due to geo-morphological and meteorological factors such as the deeper shape of the valley at the position of the town of Feltre and the low altitude of the boundary layer during the winter season.Web of Science Category: Environmental Sciences Subject Category: Environmental Sciences & Ecology IDS Number: 655OVnoneGABRIELI J; DECET F; LUCHETTA A; VALT M; PASTORE P; BARBANTE CGabrieli, J; Decet, F; Luchetta, A; Valt, M; Pastore, Paolo; Barbante, C

Occurrence of PAH in the seasonal snowpack of the Eastern Italian Alps.

PAH concentrations have been determined in 47 seasonal snowpack samples collected in the Valbelluna valley and in the Bellunesi Dolomites National Park, in the Italian North-Eastern Alps, during the winter of 2005. The sum of PAH concentration in high-altitude alpine sites (above 1700 m) was 32 +- 20 ng/kg while in valley bottom urban areas it was 165 +- 54 ng/kg with maximum values of 290 ng/kg. The GIS mapping technique was employed to produce a PAH spatial distribution. The urbanized Valbelluna valley, and in particular the SW part, had the highest accumulation of all PAH, with values an order of magnitude more than those in rural and alpine areas. This behaviour is consistent with urban air quality data, and is due to geo-morphological and meteorological factors such as the deeper shape of the valley at the position of the town of Feltre and the low altitude of the boundary layer during the winter season

18-FDG PET in differentiating malignant from benign pancreatic cysts: a prospective study

Abstract The differential diagnosis between benign and malignant pancreatic cystic lesions may be very difficult. We recently found that F-18-fluorodeoxyglucose positron emission tomography (18-FDG PET) was useful for the preoperative work-up of pancreatic cystic lesions. This study was undertaken to confirm these results. From February 2000 to July 2003, 50 patients with a pancreatic cystic lesion were prospectively investigated with 18-FDG PET in addition to helical computed tomography (CT) and, in some instances, magnetic resonance imaging (MRI). The validation of diagnosis was based on pathologic findings after surgery (n=31), percutaneous biopsy (n=4), and according to follow-up in 15 patients. The 18-FDG PET was analyzed visually and semiquantitatively using the standard uptake value (SUV). The accuracy of FDG PET and CT was determined for preoperative diagnosis of malignant cystic lesions. Seventeen patients had malignant cystic lesions. Sixteen (94%) showed increased 18-FDG uptake (SUV>2.5), including two patients with carcinoma in situ. Eleven patients (65%) were correctly identified as having malignancy by CT. Thirty-three patients had benign tumors: two patients showed increased 18-FDG uptake, and four patients showed CT findings of malignancy. Sensitivity, specificity, positive and negative predictive value, and accuracy of 18-FDG PET and CT in detecting malignant tumors were 94%, 94%, 89%, 97%, and 94% and 65%, 88%, 73%, 83%, and 80%, respectively. 18-FDG PET is accurate in identifying malignant pancreatic cystic lesions and should be used in combination with CT in the preoperative evaluation of patients with pancreatic cystic lesions. A negative result with 18-FDG PET may avoid unnecessary operation in asymptomatic or high-risk patients

Are convexity meningiomas all the same? A clinico-radiological analysis of surgically treated eloquent areas convexity meningiomas.

BACKGROUND: Convexity meningiomas are considered low-risk tumors, with high possibility of cure and low risk of relapse after resection. Very few studies have investigated meningiomas located in or around highly eloquent regions (namely perirolandic and perisylvian fissures). This study aimed to determine the differences in preoperative characteristics and postoperative outcomes between convexity meningiomas at eloquent area and non-eloquent areas. METHODS: Retrospective study on patients who underwent surgical resection for convexity meningioma. Patients were divided into eloquent and non-eloquent area. Statistical analysis was made comparing preoperative and postoperative data of both groups. RESULTS: The study included a total of 117 patients: 80 with eloquent area tumor and 37 with non- eloquent area tumor. Statistically significant differences were detected between the groups in preoperative KPS (93 ± 10 in eloquent vs. 97 ± 6 in non-eloquent; p = .008) and in large-caliber vein involvement (76.3% in cases vs. 16.2% in controls; p < .001). Postoperatively, patients with eloquent area tumors showed initial deterioration in neurological status followed by recovery; final outcomes were comparable to that of patients with non-eloquent area tumors. However, patients with eloquent area meningiomas had higher propensity to suffer from seizures postoperatively. Postoperative complications and long-term outcomes were not significantly different between the two groups. CONCLUSIONS: Patients with eloquent areas convexity meningiomas do not appear to have higher surgical risk. Neurological status is more likely to worsen immediately after surgery but long-term recovery is satisfactory. Seizure control after surgery appears to be poorer in patients with perirolandic meningioma