Peach

65 Pags., Tabls., Bibliograf.The peach is the third most produced temperate tree fruit species behind apple and pear. This diploid species, Prunus persica, is naturally self-pollinating unlike most of the other cultivated Prunus species. Its center of diversity is in China, where it was domesticated. Starting about 3,000 years ago, the peach was moved from China to all temperate and subtropical climates within the Asian continent and then, more than 2,000 years ago, spread to Persia (present day Iran) via the Silk Road and from there throughout Europe. From Europe it was taken by the Spanish and Portuguese explorers to the Americas. It has an extensive history of breeding that has resulted in scion cultivars with adaptability from cold temperate to tropical zones, a ripening season extending for 6–8 months, and a wide range of fruit and tree characteristics. Peach has also been crossed with species in the Amygdalus and Prunophora subgenera to produce interspecific rootstocks tolerant to soil and disease problems to which P. persica has limited or no resistance. It is the best known temperate fruit species from a genetics perspective and as a model plant has a large array of genomics tools that are beginning to have an impact on the development of new cultivars.Peer reviewe

Ultrasound localization of central vein catheter tip by contrast-enhanced transthoracic ultrasonography: a comparison study with trans-esophageal echocardiography

Background To assess the usefulness of pre-operative contrast-enhanced transthoracic echocardiography (CE-TTE) and post-operative chest-x-ray (CXR) for evaluating central venous catheter (CVC) tip placements, with trans-esophageal echocardiography (TEE) as gold standard. Methods A prospective single-center, observational study was performed in 111 patients requiring CVC positioning into the internal jugular vein for elective cardiac surgery. At the end of CVC insertion by landmark technique, a contrast-enhanced TTE was performed by both the apical four-chambers and epigastric bicaval acoustic view to assess catheter tip position; then, a TEE was performed and considered as a reference technique. A postoperative CXR was obtained for all patients. Results As per TEE, 74 (67%) catheter tips were correctly placed and 37 (33%) misplaced. Considering intravascular and intracardiac misplacements together, they were detected in 8 patients by CE-TTE via apical four-chamber view, 36 patients by CE-TTE via epigastric bicaval acoustic view, and 12 patients by CXR. For the detection of catheter tip misplacement, CE-TTE via epigastric bicaval acoustic view was the most accurate method providing 97% sensitivity, 90% specificity, and 92% diagnostic accuracy if compared with either CE-TTE via apical four-chamber view or CXR. Concordance with TEE was 79% (p < 0.001) for CE-TTE via epigastric bicaval acoustic view. Conclusions The concordance between CE-TTE via epigastric bicaval acoustic view and TEE suggests the use of the former as a standard technique to ensure the correct positioning of catheter tip after central venous cannulation to optimize the use of hospital resources and minimize radiation exposure