Burnt Plastic (Pyroplastic) from the M/V Ship Fire and Plastic Spill Contain Compounds That Activate Endocrine and Metabolism-Related Human and Fish Transcription Factors.

In May 2021, the M/V ship fire disaster led to the largest maritime spill of resin pellets (nurdles) and burnt plastic (pyroplastic). Field samples collected from beaches in Sri Lanka nearest to the ship comprised nurdles and pieces of pyroplastic. Three years later, the toxicity of the spilled material remains unresolved.

[Treatment of acute postoperative pain and prevention of chronic postoperative pain syndrome].

Objective: To analyze the effectiveness of cognitive-behavioral therapy (CBT) combined with pharmacotherapy for treatment and prevention postoperative pain syndrome.

Material And Methods: The study included 62 patients after cardiac surgery. In the main group (=31), patients underwent standard therapy combined with CBT including cognitive restructuring, behavioral activation and exposure therapy.

[Transitional pain service in surgery as an optimal strategy for the treatment and prevention of chronic postoperative pain].

The problem of chronic postoperative pain (CPP) has remained relevant over the past decades, despite the active development of anesthesiology and surgery. Existing approaches to the treatment of acute postoperative pain do not provide effective prevention of CPP. The analysis of the results of studies on this problem was carried out.

[Functional assessment of internal carotid artery tortuosity in patients with multifocal atherosclerosis].

The review is devoted to diagnosis and treatment of internal carotid artery tortuosity. The authors consider modern classification, epidemiology and diagnostic options using neuroimaging or ultrasound-assisted functional stress tests depending on medical history and complaints. In addition to standard Doppler ultrasound, rotational and orthostatic tests are advisable due to possible changes of local shape and hemodynamic parameters following body position changes, especially in patients with concomitant atherosclerotic stenosis.

[Dynamic functional assessment of internal carotid artery tortuosity in patients with multifocal atherosclerosis].

A personalized approach with attention to anamnesis and specific symptoms is necessary in patients with internal carotid artery tortuosity. Neuroimaging (especially before elective surgery) or functional stress tests following ultrasound of supra-aortic vessels may be necessary depending on medical history and complaints. In addition to standard Doppler ultrasound, these patients should undergo rotational and orthostatic transformation tests.