Germination and seedling growth of Indian mustard exposed to cadmium and chromium

To make phytoremediation a technically viable option for large-scale applications we need plants that are able to guarantee high biomass yield as well as high accumulation of heavy metals in their aerial parts. The aim of this investigation was to study the performance of aquacultured plants of Indian mustard in the presence of different concentrations of cadmium and chromium since seed germination. The effects on germination and growth of seedlings of Indian mustard (Brassica juncea L. Czern) cv. WNFP, Varuna and Barton, were investigated in/under hydroponic conditions during a 4-week experiment. Cadmium and chromium were provided since germination as cadmium nitrate Cd(NO3)2 and chromium bichromate K2Cr2O7 (0.5, 1 and 1.5 M). Plant biomass growth measured at the end of the experiments varied with the different metal concentrations in the nutrient solution and the accumulation of the elements in the plant fractions differed significantly among/between cultivars. Ability in the uptake of metals and their mobilization and storage in the aerial plant biomass, expressed by the bioconcentration factor (BCF) and translocation factor (TF), respectively, are the most important traits of plants with phytoextraction potential. Brassica juncea was confirmed as being a highly tolerant species, but poor metal translocation values were registered, therefore the high amount of Cd and Cr concentrated in the root systems did not migrate to the aerial, harvestable, part of the plant

Clinical management and therapy of idiopathic recurrent pericarditis

Recurrent pericarditis is defined when pericarditic chest pain reappears after a symptom-free period of at least 4 to 6 weeks and after completion of full-dose anti-inflammatory therapy. Idiopathic pericarditis is the commonest etiology. The diagnosis of idiopathic cases is essentially an exclusion diagnosis, supported by a typical clinical course. The diagnosis is based on the association of typical symptoms and signs: mainly pericarditic chest pain plus pericardial rubs or electrocardiographic alterations or pericardial effusion. The optimal regimen for recurrences includes combination of non-steroidal anti-inflammatory agents, colchicine, and corticosteroids. In the resistant forms, immunotherapy (azathioprine, intravenous immunoglobulins, and particularly anakinra) has shown to be effective. The long term outcome of idiopathic recurrent pericarditis is good, with no evolution towards constrictive form

Risk factors for three-month mortality after discharge in a cohort of non-oncologic hospitalized elderly patients: Results from the REPOSI study

Background: Short-term prognosis, e.g. mortality at three months, has many important implications in planning the overall management of patients, particularly non-oncologic patients in order to avoid futile practices. The aims of this study were: i) to investigate the risk of three-month mortality after discharge from internal medicine and geriatric wards of non-oncologic patients with at least one of the following conditions: permanent bedridden status during the hospital stay; severely reduced kidney function; hypoalbuminemia; hospital admissions in the previous six months; severe dementia; ii) to establish the absolute risk difference of three-month mortality of bedridden compared to non-bedridden patients. Methods: This prospective cohort study was run in 102 Italian internal medicine and geriatric hospital wards. The sample included all patients with three-months follow-up data. Bedridden condition was defined as the inability to walk or stand upright during the whole hospital stay. The following parameters were also recorded: estimated GFR <= 29 mL/min/1.73 m(2); severe dementia; albuminemia << 2.5 g/dL; hospital admissions in the six months before the index admission. Results: Of 3915 patients eligible for the analysis, three-month follow-up were available for 2058, who were included in the study. Bedridden patients were 112 and the absolute risk difference of mortality at three months was 0.13 (CI 95% 0.08-0.19, p << 0.0001). Logistic regression analysis also adjusted for age, sex, number of drugs and comorbidity index found that bedridden condition (OR 2.10, CI 95% 1.12-3.94), severely reduced kidney function (OR 2.27, CI 95% 1.22-4.21), hospital admission in the previous six months (OR 1.96, CI 95% 1.22-3.14), severe dementia (with total or severe physical dependence) (OR 4.16, CI 95% 2.39-7.25) and hypoalbuminemia (OR 2.47, CI 95% 1.12-5.44) were significantly associated with higher risk of three-month mortality. Conclusions: Bedridden status, severely reduced kidney function, recent hospital admissions, severe dementia and hypoalbuminemia were associated with higher risk of three-month mortality in non-oncologic patients after discharge from internal medicine and geriatric hospital wards