Computer tomography guided transthoracic periaortic abscess needle biopsy in late mediastinitis after heart surgery

Mediastinitis is a well-known complication of open heart surgery. Abscess as late complication, presenting years after heart surgery, is adegnotical. Transthoracic needle biopsies of lung parenchyma guided by computer tomography are widely accepted. The puncture of periaortic masses is not routinely performed. We report the case of an encapsulated mediastinal abscess localized next to ascending vascular graft. The febrile 47-year-old white male patient with history of Bentall operation was admitted to Cardiac Surgery Department. He was transferred for urgent chest tomography after International Normalization Ratio was reversed by prothrombin complex concentrate. Tomography revealed 7 × 5 × 4 cm mass between the sternum and ascending aorta, that was punctured by the needle. After biopsy specimen was sent for microbiology, the patient was transferred for surgery. There was no vascular graft invasion by the mass. The surgery was limited to abscess removal with postoperative drainage of periaortic area. The 6-week antibiotic therapy was applied. Patient recovered uneventfully

Plasma hemostasis disturbances after heart transplantation procedure corrected by of human prothrombin complex

Hemostasis involves complex processes meaning blood not to extravasate. It's temporary cessation is necessary to perform cardiac surgery procedure with cardiopulmonary bypass. In heart transplantation, standard procedures of heparine neutralization are insufficient. We present results obtained from the group of 10 patients (8 men and 2 women) in mean age of 41±15 years, who underwent heart transplantation procedure with Lower-Shumway technique in moderate hypothermia (28°C). Mean cardiopulmonary bypass time was 218±20min, cross clampling aortic time was 114±18min and organ cold ischemia time was 221±16min. Postoperative human prothrombin complex was given after INR result (2.2±0.3) was obtained followed by normalized activated clotting time (ACT) 124±17seconds. In high risk patients undergoing cardiac surgery procedure, standard international normalized ration (INR) measurements following ACT results are required to obtain more detailed information concerning plasma hemostasis disturbances. Prothromplex Total NF (Baxter International Inc, USA) is a safe option to correct the problem without risk of overloading the patients circulatory system

Effects of Forest Fragmentation on the Volume of Wood Resources in Managed, Pine-Dominated Forests in Poland

Forest fragmentation is a widespread phenomenon that directly or indirectly affects the processes that take place both in forest ecosystems and in their immediate surroundings. So far, many studies confirm its negative effects, especially on biodiversity. On the other hand, there are few studies that address the effects of forest fragmentation on the amount of accumulated biomass or carbon, as well as on the characteristics of wood resources in managed forests. Therefore, issues related to timber production, which are important from the point of view of multifunctional forest management, are omitted. The aim of our research was to add to the knowledge in this area. In particular, we focused on assessing the impact of forest fragmentation on wood resources based on an analysis of edge effects in forest patches (units formed by combining forest fragments characterized by structural connectivity). Vector data describing the topography of forest fragments in Poland and the results of the National Forest Inventory (NFI) from 2015–2019 were used as material for solving this problem. The results of our research showed that the effects of fragmentation on managed pine stands depend on the age of the stand and the fertility of the habitat. In young stands growing on barren or strongly barren habitats, growing stock volume turned out to be significantly higher in the edge zone. In older stands, especially on moderately fertile habitats, significantly higher resources were found in the interior zone of forest patches. Habitat quality also had a significant effect on the amount of carbon accumulated. In strongly barren habitats, higher carbon mass was found in edge zones, while in moderately fertile habitats, stands had higher carbon volume in the interior zone. Our results illustrate that forest fragmentation is a very complex process that can increase or reduce wood resources, depending on the age of the stand and the quality of the habitat. From the standpoint of measurable benefits, it was concluded that protection from the negative effects of fragmentation should focus primarily on older stands and more fertile habitats

Effects of Forest Fragmentation on the Volume of Wood Resources in Managed, Pine-Dominated Forests in Poland

Forest fragmentation is a widespread phenomenon that directly or indirectly affects the processes that take place both in forest ecosystems and in their immediate surroundings. So far, many studies confirm its negative effects, especially on biodiversity. On the other hand, there are few studies that address the effects of forest fragmentation on the amount of accumulated biomass or carbon, as well as on the characteristics of wood resources in managed forests. Therefore, issues related to timber production, which are important from the point of view of multifunctional forest management, are omitted. The aim of our research was to add to the knowledge in this area. In particular, we focused on assessing the impact of forest fragmentation on wood resources based on an analysis of edge effects in forest patches (units formed by combining forest fragments characterized by structural connectivity). Vector data describing the topography of forest fragments in Poland and the results of the National Forest Inventory (NFI) from 2015–2019 were used as material for solving this problem. The results of our research showed that the effects of fragmentation on managed pine stands depend on the age of the stand and the fertility of the habitat. In young stands growing on barren or strongly barren habitats, growing stock volume turned out to be significantly higher in the edge zone. In older stands, especially on moderately fertile habitats, significantly higher resources were found in the interior zone of forest patches. Habitat quality also had a significant effect on the amount of carbon accumulated. In strongly barren habitats, higher carbon mass was found in edge zones, while in moderately fertile habitats, stands had higher carbon volume in the interior zone. Our results illustrate that forest fragmentation is a very complex process that can increase or reduce wood resources, depending on the age of the stand and the quality of the habitat. From the standpoint of measurable benefits, it was concluded that protection from the negative effects of fragmentation should focus primarily on older stands and more fertile habitats

EXPERIMENTAL CARDIOVASCULAR AND LUNG RESEARCH Brain activity monitoring by compressed spectral array during deep hypothermic circulatory arrest in acute aortic dissection surgery

Liquid chromatography/negative electrospray ionization mass spectrometry [LC/(−)ESI-MS] is routinely employed to characterize the identity and abundance of molecular products in secondary organic aerosol (SOA) derived from monoterpene oxidation. Due to a lack of authentic standards, however, commercial terpenoic acids (e.g., cis-pinonic acid) are typically used as surrogates to quantify both monomeric and dimeric SOA constituents. Here, we synthesize a series of enantiopure, pinene-derived carboxylic acid and dimer ester homologues. We find that the (−)ESI efficiencies of the dimer esters are 19–36 times higher than that of cis-pinonic acid, demonstrating that the mass contribution of dimers to monoterpene SOA has been significantly overestimated in past studies. Using the measured (−)ESI efficiencies of the carboxylic acids and dimer esters as more representative surrogates, we determine that molecular products measureable by LC/(−)ESI-MS account for only 21.8 ± 2.6% and 18.9 ± 3.2% of the mass of SOA formed from ozonolysis of α-pinene and β-pinene, respectively. The 28–36 identified monomers (C₇₋₁₀H₁₀₋₁₈O₃₋₆) constitute 15.6–20.5% of total SOA mass, whereas only 1.3–3.3% of the SOA mass is attributable to the 46–62 identified dimers (C₁₅₋₁₉H₂₄₋₃₂O₄₋₁₁). The distribution of identified α-pinene and β-pinene SOA molecular products is examined as a function of carbon number (n_C), average carbon oxidation state (OS_C), and volatility (C*). The observed order-of-magnitude difference in (−)ESI efficiency between monomers and dimers is expected to be broadly applicable to other biogenic and anthropogenic SOA systems analyzed via (−) or (+) LC/ESI-MS under various LC conditions, and demonstrates that the use of unrepresentative surrogates can lead to substantial systematic errors in quantitative LC/ESI-MS analyses of SOA