Effects of Bisphenol A on early development of two ascidian species

Bisphenol A(BPA) is an organic compound present in plastic products that is released into the environment after degradation. BPA is both a teratogenic substance and an endocrine disruptor. The phylogenetic position of tunicates as sister group of vertebrates and their cosmopolitan distribution in marine ecosystems make them reliable model organisms for ecotoxicology bioassays. We tested the effects of different concentration of BPA (0.1, 0.5, 1, 5, 10, and 20 \u3bcM) on sperm viability, fertilization and embryogenesis of two ascidian species, Phallusia mammillata and Ciona intestinalis. We evaluated the type and the incidence of induced malformations. Then we focused on the effects on the nervous system performing animmunostaining of central nervous system (CNS) and whole mount in situ hybridization (WISH) with neural specific markers. Exposure of sperm to BPA did not influence fertilization rate. Co-exposure of eggs and sperm to concentrations higher than 5\u3bcM caused incomplete division of zygotethat did not develop further. In P. mammillata, embryonic development was altered by 20\u3bcM BPA causing a severe phenotype with malformed sensory organs in almost all treated larvae. In C. intestinalis 20 \u3bcM BPA was lethal, while 10 \u3bcM concentration caused alteration to the sensory organs, indicating that C. intestinalis is less tolerant to BPA. Nervous system is a target of BPA action that caused an altered pattern of neural fibers. WISH with Ci-GAD and Ci-TH showed an alterationof dopaminergic and GABAergic cells after exposureto 10 \u3bcM BPA. These results showed that the most sensitive process to BPA is the first cell division. After 2-cell stage, higher concentrations are required to alter the development. BPA confirmed its teratogenic effects on ascidians and its interference with CNS development

Third degree of atrioventricular block: A rare geriatric complication that may cause sudden death Remarks on two clinical cases

Two clinical cases are reported that have in common the electrocardiographic detection of a third degree atrioventricular block (AVB), which occurred in the first case in a man of 78 years, hospitalized in our unit after an accidental fall with an ensuing head trauma, and in the second case, in a woman of 67 years, after cataract surgery on her left eye. The complete or third degree AVB is a bradyarrhythmia characterized by the absence of paroxystic or permanent atrioventricular conduction. Several studies conducted on subjects between the ages of 60 and 85 pointed out that the incidence of AVB-type bradyarrhythmias of a degree greater than the first is extremely rare, i.e., it is close to zero. It is, however, necessary to make an early diagnosis of the AVB, as in many cases it may complicate the patient's clinical progress and may often lead to sudden death. Clinical and experimental observations have shown that electrocardiographic alterations and arrhythmias are frequent complications of cerebral accidents such as head traumas, or of ophthalmic surgery. It is therefore necessary, especially in elderly patients in whom bradyarrhythmias are characterized by the presence of widespread histological alterations of the conduction system, to perform a 24-h monitoring of all adverse events that may lead to an AVB. (C) 2009 Published by Elsevier Ireland Ltd

Impact of the COVID-19 pandemic in nuclear medicine departments: preliminary report of the first international survey

Purpose: Coronavirus disease-19 (COVID-19) pandemic is challenging the availability of hospital resources worldwide. The Young Group of the Italian Association of Nuclear Medicine (AIMN) developed the first international survey to evaluate the impact of COVID-19 in nuclear medicine (NM). The aim of this study was to perform a preliminary report of the ongoing survey. Methods: A questionnaire of thirty questions was prepared for all NM professionals addressing three main issues: (1) new scheduling praxes for NM diagnostic and therapeutic procedures, (2) assistance of patients with diagnosed or suspected COVID-19, and (3) prevention of COVID-19 spreading in the departments. An invitation to the survey was sent to the corresponding authors of NM scientific papers indexed in SCOPUS in 2019. Personal data were analysed per individual responder. Organisation data were evaluated per single department. Results: Two-hundred and ninety-six individual responders from 220 departments were evaluated. Most of the responders were from Europe (199/296, 67%). Approximately, all departments already changed their scheduling praxes due to the pandemic (213/220, 97%). In most departments, scheduled diagnostic and therapeutic procedures were allowed but quantitatively reduced (112/220, 51%). A significant reduction of diagnostic and therapeutic procedures (more than 20%) affected 198/220 (90%) and 158/220 (72%) departments, respectively. Incidental COVID-19 signs in NM exams occurred in 106/220 departments (48%). Few departments were closed or shifted to assist patients with COVID-19 (36/220, 16%). Most of the responders thought that pandemic would not permanently change the work of NM departments in the future (189/296, 64%). Conclusions: According to this preliminary report of the first international survey, COVID-19 heavily impacted NM departments and professionals. New praxes for NM procedures, assistance, and prevention of COVID-19 have been applied during the pandemic