Impact of the Degrading Toxicity of Metallic Trace Elements on the Flora and Fauna of the Matete River in Kinshasa

This work presents the results for which the general objective pursued in this study is to assess the impact of the degrading toxicity of metallic trace elements on the flora and fauna of the Matete river in Kinshasa. This evaluation was studied through the understanding of the accumulative power of species of flora and fauna in this same ecosystem with metallic elements. In particular: Pistia stratiotes (manganese): 10.7 ± 1.1 and 236.4 × 101 ± 248.8 mg / kg, iron: from 187.5 × 101 ± 61.9 and 500.0 × 101 ± 0, 1 mg / kg, potassium: between 314.8 ± 12.1 and 119.0 × 103 ± 6981.1 mg / kg, calcium: <10 ± <0.3 and 252200 ± 1892.8 mg / kg, cobalt: <3.0 ± <0.2, nickel: <0.5 ± <0.1 and 20.6 ± 0.5 mg / kg, zinc: 1.9 ± 0.0 and 98.7 × 101 ± 0.0 mg / kg, copper: <0.5 ± <0.1 and 79.4 ± 1.2 mg / kg, aluminum: 56.3 × 101 ± 53.1 and 5229.0 × 101 ± 583, 8 mg / kg, chromium: <1.0 ± <0.1 mg / kg and 21.6 ± 4.0 mg / kg, cadmium: 2.8 ± 0.3 and 25.6 ± 0.4 mg / kg, lead: 0.5 ± 0.4 and 86.7 ± 5.5 mg / kg and for Lemna minor (manganese): 5.10 ± 0.1 and 5.80 ± 0.3 mg / kg, iron: 49.9 × 101 ± 18.8 and 6784.0 × 101 ± 709.5 mg / kg, potassium: 113.8 ± 4.4 and 2712.0 × 101 ± 98.8 mg / kg, calcium: <10 ± <0.1 and 97830 ± 2073.9 mg / kg, cobalt: <3.0 ± <0.2 mg / kg, nickel: 0.001 ± 0.00 and 0.004 ± 0.00 mg / kg, zinc : 3.12 ± 0.17 and 4.00 ± 0.82 mg / kg, copper: 0.001 ± 0.0001 and 0.006 ± 0.0004 mg / kg, aluminum: 0.02 ± 0.00 mg / kg and 0.15 ± 0.06 mg / kg, chromium: 0.001 ± 0.0001 and 0.003 ± 0.0002 mg / kg, cadmium: 0.0004 ± 0.00002 and 0.001 ± 0.00003 mg / kg, lead: 0.001 ± 0.00 and 0.004 ± 0.0002 mg / kg. On the other hand, Oreochromis niloticus (Calcium): <0.1 × 102 ± 0.3 and 25 220.0 × 101 ± 48094.1mg / kg, Iron: 10350.7 × 101 ± 5131.7 and 102158.0 × 101 ± 27182.7,Manganese: 1.815 × 101 ± 0.931mg / kg and 7.945 × 101 ± 2.131 mg / kg, Cobalt: <6.0 ± <0.0 mg / kg, Nickel: <0.501 ± <0.049 mg / kg and 61.503 ± 1.302 mg / kg, Zinc: <0.736 ± 0.015 mg / kg and 42.923 × 101 ± 3.176 mg / kg, Copper: 1.902 ± 0.007 mg / kg and 35.302 ± 0.247 mg / kg, Aluminum: 1.414 × 103 ± 70.464mg / kg and 9.493 × 103 ± 147.214 mg / kg, Chromium: <1.0001 ± <0.0408 and <1.0003 ± <0.0105, Cadmium: 0.2002 ± 0.0718 mg / kg and 19.0001 ± 0.8981mg / kg and Lead: <1, 0002 ± <0.0051 mg / kg and 3.9004 ± 0.0895 mg / kg of dry matter. One of the serious causes of their persistence is their biomagnification in the food chain. This is why the response of  Pistia stratiotes, water lettuce and Lemna minor from the nine sampling sites of the Matete river to large and / or low concentrations of metallic elements is reflected either by an inhibition of photosynthetic processes (antagonism and effect synergistic) and the instinct of certain species. However, this ecosystem offers an ecological niche low in dissolved oxygen and a nutrient-poor and toxic diet for the species that live there. In this regard, the flora of the Matete river accumulates the metallic elements in a significant way and according to the diversity of the environments and the size of the species

Influence de la saison sur l’ecodistribution des glossines, tabanides, stomoxes du Baï de Momba Makokou, Gabon

Dans un souci de valorisation écotouristique du baï de Momba, la dynamique saisonnière des glossines, tabanidés et stomoxes a été évaluée. Dix pièges Vavoua ont été utilisés durant 7 j consécutifs soit un effort de piégeage de 70 pièges-j. Un total de 2 641 stomoxes (57 %), 1 680 glossines (36 %) et 325 tabanidés (7 %) ont été capturés pendant la saison des pluies et la saison sèche. La plus forte densité a été obtenueavec les glossines indépendamment des saisons, soit une DAP = 5,91 glossines/piège/j en saison des pluies et DAP = 6,09 glossine/piège/jour en saison sèche. L’indice de Shannon a montré que la plus forte diversité spécifique de glossines a été observée en saison sèche (0,58) et la plus faible en saison des pluies (0,48). Les tabanidés ont une DAP de 2,02 tabanidés/piège/j et une DAP de 0,3 tabanidé/piège/j respectivement en saison des pluies et en saison sèche. L’indice de Shannon est de 0,69 en saison des pluies et de 0,68 en saison sèche. Tandis que les stomoxes ont une DAP de 18,69 stomoxes/piège/j en saison des pluies et une DAP de 0,18 stomoxe/piège/j en saison sèche. L’indice de Shannon de ces espèces est de 0,4 en saison des pluies et de 0,23 en saison sèche. La présence de vecteurs de trypanosomoses et de filarioses dans ce milieu écologique très particulier suggère d’inclure des stratégies de lutte contre ces insectes dans le processus de valorisation du baï de Momba en termes d’écotourisme.Mots clés : Glossines, tabanidés, stomoxes, baï de Momba, Gabon

Etude préliminaire de l’infestation des glossines par les trypanosomes dans le baï de Momba (Nord-Est Gabon)

Une étude préliminaire entomo-parasitologique a été effectuée pendant la grande saison sèche à l’interieur et autour du baï de Momba (nord-est Gabon) pour examiner les espèces de Trypanosomes transmises par les glossines. Ces dernières ont été capturées à l’aide des pièges vavoua et nzi. Les infections par les trypanosomes chez ces glossines ont été recherchées à l’aide d’un microscope au niveau des glandes salivaires, proboscis et intestins moyens des glossines. Ainsi, une infection du proboscis seul correspond à T. vivax, celles des glandes salivaires à T. brucei et celle du proboscis et de l’intestin moyen à T. congolense. Au total six espèces de glossines ont été identifiées : Glossina palpalis palpalis, G. nashi, G. fusca congolensis, G. tachinoides, G. frezili et G. fuscipes fuscipes. Le taux global d’infestation des glossines disséquées et observées au microscope a été estimé à 30 %. L’infestation des glossines par les trypanosomes témoigne de l’existence d’un risque trypanosomien dans le baï de Momba et suggère ainsi l’établissement d’un cycle de transmission Animal-Glossine-Homme dans ce milieu.Mots clés: Glossina, T. vivax, T. congolense, baï de Momba, trypanosomes. Preliminary study of infection of tsetse by trypanosomes in the baï of Momba North East GabonA preliminary study are insect parasitology was carried out during the long dry season in and around the baï of Momba (north-east Gabon) to examine the species of trypanosomes transmitted by tsetse flies. The flies were captured using traps and Vavoua nzi. Infections by trypanosomes were investigated using a microscope in the salivary glands and the proboscis intestines means tsetse. In total six tsetse species were identified : Glossina palpalis palpalis, G. nashi, G. fusca congolensis, G. tachinoides, G. frezili and G. fuscipes fuscipes. The overall rate of infestation of flies dissected and observed under the microscope is estimated at 30 %. The infestation of Bai Momba by flies carrying trypanosomes demonstrates the existence of a trypanosome risk and thus suggests the establishment of a transmission cycle Human-Animal-Glossina in this environment.Keywords: tsetse flies, T. vivax, T. congolense, baï of Momba, trypanosome

Primary Cardiac Sarcoma: A Rare, Aggressive Malignancy with a High Propensity for Brain Metastases.

Introduction: Primary cardiac sarcoma (PCS) has a poor prognosis compared to other sarcomas due to late presentation, challenging resection, incidence of metastases, and limited efficacy of systemic therapies. Methods: A medical record search engine was queried to identify patients diagnosed with PCS from 1992 to 2017 at the University of Michigan. Results: Thirty-nine patients with PCS had a median age of 41 years (range 2-77). Common histologies were angiosarcoma (AS, 14), high-grade undifferentiated pleomorphic sarcoma (UPS, 10), and leiomyosarcoma (LMS, 5). Sites of origin were left atrium (18), right atrium (16), and pericardium (5). AS was the most common right-sided tumor; UPS was more common on the left. Eighteen patients presented with metastases involving lung (10), bone (7), liver (5), and brain (4). Twenty-five patients underwent resection, achieving 3 R Conclusions: PCS portends a poor prognosis, because of difficulty in obtaining complete resection of sarcoma, advanced stage at diagnosis, and high risk of brain metastases. Providers should be aware of the increased risk of brain metastases and consider brain imaging at diagnosis and follow-up

Primitive Tumour of the Pulmonary Valve: Discussion of the Differential Diagnosis

There is a paucity of information concerning cardiac tumours of the pulmonary valve due to their rarity at this location. We report a case of a 47-year-old patient suffering from haemoptysis, asthenia, and acute kidney injury (AKI). A transthoracic echocardiography (TTE) revealed a mass on the pulmonary valve. Further diagnostic investigation was completed until he exhibited worsening hemodynamic instability. This case emphasizes the lack of information regarding the management of a pulmonary valve tumour

Late homograft valve insertion after transannular patch repair of tetralogy of Fallot.

BACKGROUND AND AIMS OF THE STUDY: Transannular patch repair of tetralogy of Fallot leads to pulmonary insufficiency and progressive right ventricular dilatation responsible for a decreased exercise capacity. We studied the impact of late homograft insertion on the regression of the right ventricular volumes in symptomatic patients. METHODS: Between July 1992 and August 1996, 15 consecutive patients (age range: 4 to 24 years) were operated on at a median of 13 years (range: 3 to 20 years) after transannular patch repair of tetralogy of Fallot. All patients complained of exertional dyspnea and fatigue. Syncopes were reported in six patients and four patients had sustained episodes of ventricular tachycardia. Fourteen had pulmonary regurgitation grade 3 or 4 and one had an associated stenosis and insufficiency. All patients had a dilated right ventricle. At reoperation, no patients presented with major aneurysm. The patch was resected and the right ventricular outflow tract reconstructed with a cryopreserved pulmonary homograft. Right ventricular volumes were studied before the procedures and at the last follow up consultation. RESULTS: There was no operative death. One patient who had a concomitant patch repair of a hypoplastic left pulmonary artery needed extracorporeal circulatory support for eight days. After a median follow up of 25 months (range: 3 to 54 months) all patients but one are in NYHA class I. There were no late deaths. The mean end-diastolic diameter of the right ventricle decreased from 36 +/- 9 mm before surgery to 31 +/- 6 mm (not significant). The mean ratio between the end-diastolic diameter of the right and left ventricles decreased from 0.94 +/- 0.3 to 0.74 +/- 0.2 (p < 0.01). CONCLUSION: An increasing number of patients who had transannular patch repair for tetralogy of Fallot will require reoperation for symptomatic long-term pulmonary regurgitation. Homograft reconstruction of the right ventricular outflow tract of these patients induces regression of their right ventricular dilatation and leads to their functional recovery

Early balloon dilatation of the pulmonary valve in infants with tetralogy of Fallot. Risks and benefits.

BACKGROUND: Balloon dilatation, an established treatment for pulmonary valve stenosis, remains a controversial procedure in tetralogy of Fallot. METHODS AND RESULTS: Balloon dilatation of the pulmonary valve was performed in 19 infants with tetralogy of Fallot. Its effects on the severity of cyanosis, the growth of the pulmonary valve and pulmonary arteries, and the need for transannular patching were evaluated. Clinical, echographic, angiographic, hemodynamic, and operative data were analyzed. The procedure was safe in all, without significant complications. After balloon dilatation, systemic oxygen saturation increased from a mean value of 79% to 90%. This increase proved to be short-lasting in 4 patients, who required surgery before the age of 6 months. Balloon dilatation increased pulmonary annulus size in each case, from a mean value of 4.9 to 6.9 mm (P < .001). This gain in size remained stable over time, with a mean Z score of -4.8 SD before dilatation, -3.1 SD immediately after the procedure, and -2.7 SD at preoperative catheterization (P < .001). Pulmonary artery dimensions remained unchanged immediately after balloon dilatation but increased at follow-up from a Z score mean value of -2.5 to -0.06 SD and from -2.2 to 0.04 SD for right and left pulmonary arteries, respectively (P < .001). At the time of corrective surgery, the pulmonary annulus was considered large enough to avoid a transannular patch in 69% of the infants. This represented a 30% to 40% reduction in the need for a transannular patch compared with the incidence of transannular patch expected before balloon dilatation. CONCLUSIONS: Pulmonary valve dilatation in infants with tetralogy of Fallot is a relatively safe procedure and appears to produce adequate palliation in most patients. It allowed the growth of the pulmonary annulus and of the pulmonary arteries, resulting in a mean gain of 2 SD for those structures

Clinical application of next generation sequencing in lymphoma.

Successful treatment of relapsed/refractory and rare subtypes of lymphomas remains a therapeutic challenge. Though the use of tumor profiling is increasing, little is described about how providers ultimately utilize this information in clinical decision-making. We reviewed 92 adult lymphoma patients who underwent an IRB-approved tumor sequencing protocol at the University of Michigan, MI-ONCOSEQ. Of this cohort, 60 had a targeted treatment suggested by their test results, and 11 patients ultimately underwent the MI-ONCOSEQ recommended therapy. One obtained complete response based on precision treatment recommendations. The two main barriers for targeted treatment utilization included inopportune timing (the patient either was sequenced too early or too late in their disease course) and clinical trial availability. While this study demonstrates the success of sequencing lymphomas for the identification of novel therapies, it also underlines the clinical challenges, namely the optimal timing and availability of trials, inherent in the successful application of this technology