Pollution affects even oceanic marine protected areas in Southwestern Atlantic.

Reefs are facing a global decline with sewage pollution emerging as a significant and poorly understood threat. Inadequate wastewater management and disorderly urbanization contribute to water pollution globally. Tropical Southwestern Atlantic comprises a set of oceanic Marine Protected Areas (MPAs) including the Fernando de Noronha Archipelago in Brazil, which has experienced significant population growth without expanding the sewage infrastructure.

Rare earth elements as tracers of iron ore tailings on the Brazilian eastern continental shelf.

Iron ore tailings are stored in large dams and pose risks to the environment around the world. In Brazil, the rupture of these dams has become frequent and has generated environmental and social concern. Rare earth elements are good tracers of sediment sources and our results indicated chronic contamination of the seabed sediment from the marine region affected by the Fundão Dam tailings since 2015, including areas of environmental protection.

Polycyclic aromatic hydrocarbons in estuarine sediments as a consequence of the mine tailings remobilization and transport in the Rio Doce basin.

The Fundão dam failure in 2015 severely impaired the economy, the lives of riverine communities, and the aquatic ecosystems of the Rio Doce basin in southeast Brazil. Several contaminants, including polycyclic aromatic hydrocarbons (PAHs), were transported downstream, deposited in the estuary, and released into the Atlantic Ocean. The high concentration of PAHs in estuarine sediments may pose ecological risks and deleterious effects to benthic organisms, so here we aimed at determining the source and fate of these compounds before and after the tailings' arrival.

Historical contamination with a current problem: Can mining tailings enhance coastal arsenic pollution?

The coast of Espírito Santo state (Southeast Brazil) is recognized for its environmental arsenic (As) enrichment and, over the years, mining operations have potentialized it. We aimed to evaluate the effect of Rio Doce discharge on As inputs and the role of iron ore tailings from the Fundão dam disaster in enhancing As contamination in the marine sediment. Two scenarios were evaluated: Predisaster and Postdisaster; dry and wet conditions were considered in each period.

The Fundão dam failure: Iron ore tailing impact on marine benthic macrofauna.

The Fundão dam failure, the worst environmental disaster in Brazilian history, launched 50 million m of iron ore tailings mud through the Doce River, reaching the Atlantic Ocean. Generally, mine tailings increase the sediment inflow, leading to mud burial of epibenthic macrofauna, and the raise of metal(oid)s concentration causing macrofauna long-term changes. After almost four years, tailings mud was still spreading on the Doce River Shelf, while impacts on marine macrofauna were still unknown.

Investigating men's motivations to engage in genetic screening for BRCA1 and BRCA2 mutations.

BRCA1 and BRCA2 mutations are associated with an increased risk of developing numerous cancers, including breast, ovarian, pancreatic, melanoma and prostate cancer. Men face BRCA-related cancer risks as women do. However, there is considerably less research on the psychological determinants of men engaging in BRCA1/2-related cancer prevention compared to women.

Responses of marine zooplankton indicators after five years of a dam rupture in the Doce River, Southeastern Brazil.

Since November of 2015, when ore tailings from a dam rupture reached the Atlantic Ocean, researchers are trying to assess the degree of impact across the Doce River and adjacent coastal area. This study aims to use the zooplankton dynamics as a tool to evaluate the environmental impact in the coastal region, five years after the rupture, during periods of low and high river flow. Doce River flow varied from 49 to 5179 m/s and structured the zooplankton community between periods of low and high river flow, but salinity and chlorophyll-a had stronger correlation with depth (r = 0.

An integrated study of the plankton community after four years of Fundão dam disaster.

Mining activities can affect the environment either by the tailings releasing or dams failures. The impact of the tailings can last decades and cause chronic effects due to their toxicity. The Fundão dam collapse, a relevant environmental disaster, occurred in November 2015 in Southeastern Brazil.

Environmental quality assessment in a marine coastal area impacted by mining tailing using a geochemical multi-index and physical approach.

Mining has been described as an important source of contaminants to the coastal zone worldwide, which is greatly intensified in the case of tailing dam ruptures. This study assessed the environmental quality of the marine coastal area impacted by a mining disaster (Fundão Mine dam collapse on 05 November 2015, Southeast Brazil) by applying a geochemical multi-index and physical approach over 18 months (from October 2018 to March 2020). Nutrients, metal(oid)s and Polycyclic Aromatic Hydrocarbons (PAHs) were integrated by quality indexes: Canadian Council of Ministers of the Environment Water Quality Index (CWQI) and the Pollution Load Index (PLI) for water quality; Sediment Quality Guideline Quotients (SQG-q metal(oid)s and SQG-q PAHs) for sediment quality.

Iron ore tailings as a source of nutrients to the coastal zone.

The Fundão dam rupture was one of the largest environmental disasters worldwide and released millions of m of iron ore tailings into the Doce River basin in southeastern Brazil. Here we assessed the supply of dissolved nutrients associated to tailings in the Doce River estuary and its adjacent coastal zone. First, we observed an acute increase in dissolved silicates (From 16.

Time-sequence development of metal(loid)s following the 2015 dam failure in the Doce river estuary, Brazil.

In the context of the Doce river (Southeast Brazil) Fundão dam disaster in 2015, we monitored the changes in concentrations of metal(loid)s in water and sediment and their particulate and dissolved partitioning over time. Samples were collected before, during, and after the mine tailings arrival to the Doce river estuary (pre-impact: 12, 10, 3 and 1 day; acute stage: tailing day - TD and 1 day after - DA; chronic stage: 3 months and 1 year post-disaster). Our results show that metal(loid) concentrations significantly increased with time after the disaster and changed their chemical partitioning in the water.

Marine zooplankton dynamics after a major mining dam rupture in the Doce River, southeastern Brazil: Rapid response to a changing environment.

Zooplankton were sampled five days after the tailings from the Samarco dam rupture reached the ocean in the coastal region at the mouth of the Doce River. This was one of the largest environmental disasters in Brazilian history, and the impacts on the marine biota are not yet fully understood. This study aimed to evaluate the zooplankton community short term responses to the metal enrichment after the tailings reached the coastal region in different scenarios.

Risk factors for metabolic syndrome in stable Italian renal transplant patients.

Background: The prevalence of metabolic syndrome (MS) in renal transplant recipients (RTR) is still under investigation.

Methods: We performed a cross-sectional study of 107 stable RTR who were diagnosed as having MS defined by the Adult Treatment Panel III of the National Cholesterol Education Program (NCEP-ATP III) criteria. Anthropometric, clinical and biochemical data were collected.

Pulmonary hypertension in dialysis patients: a cross-sectional italian study.

Introduction. Pulmonary hypertension (PHT) is an independent predictor of mortality. The aim of this study was to relate pulmonary arterial pressure (PAP) to the cardiovascular status of dialysis patients.

Detection of urinary abnormalities in a community from northern Italy based on the World Kidney Day screening program.

Background: Chronic kidney disease (CKD) is a worldwide health problem, and promotion of the World Kidney Day has improved general population education and awareness of renal illnesses aimed at ameliorating disease prevention. The Kidney Day was also an opportunity for us to investigate risk factors for CKD in an Italian population.

Patients And Methods: A total of 1,341 subjects from the general population living in the area of Ferrara, a town in the northeast of Italy, aged 50-70 years, were investigated.

Estimation of renal function in patients with eating disorders.

Background: Renal function could be evaluated with different equations such as Cockcroft-Gault formula (C-G), Mayo Clinic Quadratic (MAYO) and four MDRD variables. Clinical application of different formulae in conditions with severe energy restriction or in obese subjects is still a matter of investigation.

Method: Renal function of 55 anorexia nervosa (AN) and 44 bulimia nervosa (BN) patients was evaluated with C-G formula for creatinine clearance calculation, and glomerular filtration rate (GFR) was estimated with MAYO and MDRD equations.

Cardiorenal syndrome: still not a defined entity.

Because of the increasing incidence of cardiac failure and chronic renal failure due to the progressive aging of the population, the extensive application of cardiac interventional techniques, the rising rates of obesity and diabetes mellitus, coexistence of heart failure and renal failure in the same patient are frequent. More than half of subjects with heart failure had renal impairment, and mortality worsened incrementally across the range of renal dysfunctions. In patients with heart failure, renal dysfunction can result from intrinsic renal disease, hemodynamic abnormalities, or their combination.

Dialysis initiation and survival in patients with refractory congestive heart failure.

Background: It has been reported that more than 30% of patients present with congestive heart failure at the initiation of renal replacement therapy (RRT). We followed up a cohort of patients with refractory congestive heart failure (RCHF) who started dialysis between 2005 and 2006 and conducted an observational cohort study in order to evaluate the clinical features at the time RRT was started, and the survival rate of patients with RCHF METHODS: Data were collected on 33 uremic subjects (24 male) with RCHF, referred by cardiologists, who started dialysis between 2005 and 2006 and were followed-up for 42 months. The following parameters were derived from clinical records: age, sex, history of ischemic heart disease (IHD), cerebrovascular disease (CVD), peripheral vascular disease (PVD), diabetes, smoking, hypertension, myeloma or malignancies, the cause for dialysis and procedure used to initiate treatment.

Clinical approach to lupus nephritis: recent advances.

Kidney involvement is common in systemic lupus erythematosus (SLE). Its clinical presentations are highly variable, ranging from mild asymptomatic proteinuria and/or hematuria to rapidly progressive uremia. Histological evidence of lupus nephritis is present in most patients with SLE, even when they do not yet have clinical manifestations.

The management of viral hepatitis in CKD patients: an unresolved problem.

Chronic kidney disease (CKD) patients in dialysis (HD) show peculiar, atypical features of clinical presentation and diseases (cardiovascular, metabolic, hematologic). This is also true for viral hepatitis infections, for which CKD patients represent an important risk group. In the past, hepatitis B virus (HBV) was the major cause of viral hepatitis in end-stage renal disease (ESRD).

Management of secondary hyperparathyroidism in uremic patients: the role of the new vitamin D analogs.

Secondary hyperparathyroidism - a common comorbid condition in patients with chronic renal insufficiency - is considered a consequence of critical determinants such as hypocalcemia, phosphate retention and reduced levels of calcitriol production. In this complex mechanism, the skeletal apparatus and the nonskeletal targets such as vascular and heart valves are often involved, thus explaining the increased risk of cardiovascular morbidity and mortality of uremic patients. In this review we will focus on the major role played by Calcitriol deficiency as a trigger of secondary hyperparathyroidism and the crucial need for obiquitous vitamin D receptor activation in order to have an optimal PTH control and to obtain a modulation between inhibitors and inducers of soft tissue calcification.

Inappropriate left ventricular mass: Reliability and limitations of echocardiographic measurement for risk stratification and follow-up in single patients.

Background: The appropriateness of left ventricular (LV) mass to cardiac workload may be calculated by the ratio of observed LV mass to the value predicted for an individual's sex, height, and stroke work at rest.

Objective: To investigate test-retest reproducibility of observed/predicted LV mass in a single patient.

Design And Methods: We measured intraclass correlation and interval of agreement between two M-mode tracings, recorded both at the same session and 3-10 days apart in 200 participants (45 +/- 13 years, body mass index 25 +/- 4 kg/m; 99 hypertensive and 101 normotensive; 50% of each group were women) in 16 centres in Italy.

The association between atrial septal aneurysm and mitral valve prolapse in patients with recent stroke and normal carotid arteries.

Background: The association between mitral valve prolapse (MVP) and cryptogenic stroke is controversial. The Atrial Septal Aneurysm Multicenter Italian (ASA-MI) Study is a prospective multicenter study evaluating the prevalence of atrial septal aneurysm (ASA) in patients with a recent stroke and normal carotid arteries. The aim of the present research was to evaluate the frequency of ASA and its association with MVP in the stroke population and in the subgroup of young patients (< 55 years) included in the ASA-MI Study.

Association between atrial septal aneurysm and patent foramen ovale in young patients with recent stroke and normal carotid arteries.

Background: Atrial septal aneurysm (ASA) has been considered a potential source of cardiogenic embolism for many years. The ASA Multicenter Italian (ASA-MI) Study evaluated the prevalence and characteristics of ASA in patients with stroke and normal carotid arteries compared with control patients without stroke. The purpose of the present study was to evaluate the frequency of ASA and the association with patent foramen ovale (PFO) in the subgroup of younger patients (aged less than 55 years) included in the ASA-MI Study.