Structural abnormalities of the coronary arterial wall - in addition to luminal narrowing - Affect myocardial blood flow reserve

Multislice CT provides information on coronary luminal narrowing and on the structural abnormalities of the coronary arterial wall using densitometric analysis. We sought to investigate the effects of coronary luminal narrowing, structural abnormalities of the coronary arterial wall, and cardiovascular risk factors on regional and global myocardial blood flow (MBF) reserve. Methods: We studied 68 patients (mean age ± SD, 61 ± 10 y; 41 men, 27 women) with an intermediate probability of coronary artery disease. We measured the severity of coronary stenoses and the fibroadipose, fibromuscular, and calcium components of the coronary arterial wall by 64-row multislice CT coronary angiography. We also measured regional and global MBF reserve by PET using 13N-ammonia as a flow tracer at rest and after dipyridamole. Results: One or more significant coronary stenoses (≥50% luminal narrowing) was present in 32 patients (47%), and nonsignificant stenoses were present in 15 patients (22%). Regional MBF reserve was significantly different in the territories perfused by normal coronary arteries, nonsignificant coronary stenoses, and significant coronary stenoses (P < 0.001). Calcium content was higher in the coronary arteries with significant or nonsignificant stenoses (0.95% ± 1.08% and 0.73% ± 0.93%, respectively) than in those without stenoses (0.11% ± 0.38%, P < 0.001). Significant coronary stenosis (P = 0.047) and calcium content (P = 0.017) were the only independent determinants of impaired regional MBF reserve using multivariate analysis. At multiple logistic regression analysis, the Framingham risk score, an index of global cardiovascular risk burden, was the only significant determinant of global MBF reserve (P = 0.028). Conclusion: Coronary stenoses and coronary calcium content independently affect regional MBF reserve. Framingham risk score is the only significant determinant of global MBF reserve. Copyright © 2011 by the Society of Nuclear Medicine, Inc

By-catch of cetaceans and other species of conservation concern during pair trawl fishing operations in the Adriatic Sea (Italy)

By-catch is one of the main sources of anthropogenic mortality in marine species of conservation concern worldwide. Between 2006 and 2008, the Consorzio Nazionale Interuniversitario per le Scienze del Mare (CoNISMa) coordinated a monitoring programme of cetacean by-catch in Italian pelagic trawlers, funded in compliance with European Regulation 812/2004. Sixteen independent observers monitored a total of 3141 hauls. The observation coverage ranged between 0.9 and 6.3% of the regional fishing effort. Almost all by-catch events were recorded in the northern Adriatic Sea. By-catch rates of bottlenose dolphins (Tursiops truncatus) and loggerhead turtles (Caretta caretta) were 0.0006 and 0.0255 individuals per haul, respectively. Given the low number of observed deaths, reliable estimates of total mortality for these two species were not obtained. The annual number of by-caught turtles was 863 (CV=0.15), with 99% released alive. A ‘hotspot’ for turtle captures was found off Goro (south Venice). The existence of lethal interactions makes it important to understand whether the scale of this mortality is sufficient to pose a threat at population level. Finally, annual by-catch estimates for rays and sharks were 5436 (CV=0.08) and 5414 (CV=0.15), respectively. Thintail threshers (Alopias vulpinus), piked dogfish (Squalus acanthias) and smooth-hounds (Mustelus mustelus), which are both commercial and vulnerable to overfishing, were taken in large numbers

Levodopa-responsive breathing discomfort in Parkinson\u2019s disease patients

In Parkinson\u2019s disease (PD), respiratory disturbances have been reported and the effect of levodopa on respiratory function remains controversial. The objective of this study was to evaluate pulmonary function utilizing spirometric and subjective evaluations in mild to moderated PD. Thirty-four consecutive sporadic PD patients (Hoehn and Yahr scale: 1\u20133) were prospectively evaluated using clinimetric scales, spirometry and modified Borg scale, all in off- and on-conditions. To check the respiratory function, a follow-up was performed at 4 years in a subgroup of these patients. Spirometric results were normal for all patients in both the on- and off-conditions at baseline. After levodopa administration, in addition to a significant improvement in subjective state of breathing discomfort, the mean forced expiratory volume in 1 s (FEV1), vital capacity (VC), forced vital capacity (FVC) values and their mean percentages predicted values (FEV1%, VC%, FVC%) were significantly increased (p < 0.05). Moreover, residual volume, total lung capacity, and the FEV1/FVC ratio were not significantly different for the ON and OFF conditions. At 4-year follow-up no resulting variations in the baseline values for FEV1%, FVC% or VC% were revealed. The results from this prospective study suggest that PD patients report frequently pulmonary discomfort. Levodopa improves respiratory symptoms. Pulmonary restrictive and obstructive dysfunctions, when not present at baseline, might not be present at 4-year follow-up