Stanford A aortic dissection 40 years after aortic valve replacement with a Starr-Edwards caged-ball prosthesis: a case report.

Stanford A aortic dissection is one of the most devastating acute medical conditions due to its high morbidity and mortality. We describe a 77-year-old male patient with a medical history of surgical aortic valve replacement with a still functioning Starr-Edwards caged-ball valve 40 years prior. The patient was promptly diagnosed with an ascending aortic aneurysm and dissection, and an emergency Bentall procedure in deep hypothermic circulatory arrest was performed.

Dihydrolipoamide dehydrogenase deficiency in five siblings with variable phenotypes, including fulminant fatal liver failure despite good engraftment of transplanted liver.

Dihydrolipoamide dehydrogenase (DLD) deficiency can, in one of its forms, be a rare cause of acute liver failure. Clinical presentation is nonspecific. Biochemical findings can reflect metabolic block, but vary depending on patient and his condition.

Maintenance of High Phytoplankton Diversity in the Danubian Floodplain Lake over the Past Half-Century.

Riverine floodplains are recognized as centers of biodiversity, but due to intense anthropogenic pressures, many active floodplains have disappeared during the last century. This research focuses on the long-term changes in phytoplankton diversity in the floodplain lake situated in the Kopački Rit (Croatia), one of the largest conserved floodplains in the Middle Danube. The recent dataset from 2003 to 2016 and historical data from the 1970s and 1980s indicate high phytoplankton diversity, summarising 680 taxa for nearly half a century.

Thallium in Technosols from Allchar (North Macedonia): Isotopic and speciation insights.

Allchar (North Macedonia) mining area is known for anomalous background Tl concentrations. In this study, we combine accurate detection of Tl stable isotope ratios with data on mineralogy/speciation and chemical extraction of Tl in Tl-contaminated Technosol profiles. We demonstrate that Tl in the studied soils varies significantly in both concentration (500 mg/kg-18 g/kg) and isotopic composition (-1.

Metal(loid)s in urban soil from historical municipal solid waste landfill: Geochemistry, source apportionment, bioaccessibility testing and human health risks.

Landfills, especially those poorly managed, can negatively affect the environment and human beings through chemical contamination of soils and waters. This study investigates the soils of a historical municipal solid waste (MSW) landfill situated in the heart of a residential zone in the capital of Slovakia, Bratislava, with an emphasis on metal (loid) contamination and its consequences. Regardless of the depth, many of the soils exhibited high metal (loid) concentrations, mainly Cd, Cu, Pb, Sb, Sn and Zn (up to 24, 2620, 2420, 134, 811 and 6220 mg/kg, respectively), classifying them as extremely contaminated based on the geo-accumulation index (I >5).

Tracing anthropogenic mercury in soils from Fe-Hg mining/smelting area: Isotopic and speciation insights.

Mercury (Hg) stable isotope ratios supplemented by Hg solid speciation data were determined in soils in a former Fe-Hg mining/smelting area (Jedová hora, Czech Republic, Central Europe). The dominant Hg phase in the studied soils was found to be cinnabar (HgS). A secondary form of soil Hg(II) was represented by Hg weakly and strongly bound to mineral (micro)particles, as revealed by thermo-desorption analysis.

Neuroimaging alterations and relapse in early-stage psychosis.

Background: Recent reports have indicated that symptom exacerbation after a period of improvement, referred to as relapse, in early-stage psychosis could result in brain changes and poor disease outcomes. We hypothesized that substantial neuroimaging alterations may exist among patients who experience relapse in early-stage psychosis.

Methods: We studied patients with psychosis within 2 years after the first psychotic event and healthy controls.

Distribution of selenium: A case study of the Drava, Danube and associated aquatic biotopes.

This paper presents the results of the research on the overall distribution of selenium (Se) in various aquatic compartments (water, sediment, plankton and macrophytes) at six selected sites of the Croatian part of the Drava and Danube rivers, the connected floodplain lake and the melioration channel system carried out in two sampling periods (flooding in June and the drought period in September). In addition, the physicochemical water properties, plankton composition and biomass were analysed. Our study revealed low mean Se contents in sediments and water, indicating Se deficiency in the studied freshwater systems.

Reduction of N-acetyl aspartate (NAA) in association with relapse in early-stage psychosis: a 7-Tesla MRS study.

Understanding the biological underpinning of relapse could improve the outcomes of patients with psychosis. Relapse is elicited by multiple reasons/triggers, but the consequence frequently accompanies deteriorations of brain function, leading to poor prognosis. Structural brain imaging studies have recently been pioneered to address this question, but a lack of molecular investigations is a knowledge gap.

De novo variants in RNF213 are associated with a clinical spectrum ranging from Leigh syndrome to early-onset stroke.

Purpose: RNF213, encoding a giant E3 ubiquitin ligase, has been recognized for its role as a key susceptibility gene for moyamoya disease. Case reports have also implicated specific variants in RNF213 with an early-onset form of moyamoya disease with full penetrance. We aimed to expand the phenotypic spectrum of monogenic RNF213-related disease and to evaluate genotype-phenotype correlations.

Bioaccessible metals in dust materials from non-sulfide Zn deposit and related hydrometallurgical operation.

Mining and processing of ores in arid (desert) areas generates high amounts of dust, which might be enriched in potentially harmful elements. We studied dust fractions of ores, soils, and technological materials from mining and related hydrometallurgical operation at former Skorpion Zinc non-sulfide Zn deposit in southern Namibia (closed and placed under maintenance in 2020). Chemical and mineralogical investigation was combined with oral bioaccessibility testing of fine dust fractions (<48 μm and <10 μm) in simulated gastric fluid (SGF) to assess potential risk of intake of metallic contaminants (Cd, Cu, Pb, Zn) for staff operating in the area.

Contaminant release from massive copper metallurgical slags: Insights from long-term monolithic leaching tests.

Compared to compliance leaching tests performed on granular materials, leaching experiments on monolithic slags are more suitable for predicting the contaminant release when large boulders or poured slag layers are submerged in water, a specific environmental scenario typical for many smelting sites. We conducted EN 15863 dynamic monolithic leaching tests on massive copper slags over a prolonged period of 168 d. The patterns of the major contaminant (Cu, Co) fluxes indicated an initial diffusion process followed by the dissolution of primary sulfides with the maximum cumulative releases attaining 75.

Relation between white matter integrity, perfusion, and processing speed in early-stage schizophrenia.

Objective: Cerebral blood flow (CBF) plays a critical role in the maintenance of neuronal integrity, and CBF alterations have been linked to deleterious white matter changes. Several studies report CBF and white matter structural alterations individually. However, whether and how these pathological changes relate to each other remains elusive.

Olfactory neuronal cells as a promising tool to realize the "druggable genome" approach for drug discovery in neuropsychiatric disorders.

"Druggable genome" is a novel concept that emphasizes the importance of using the information of genome-wide genetic studies for drug discovery and development. Successful precedents of "druggable genome" have recently emerged for some disorders by combining genomic and gene expression profiles with medical and pharmacological knowledge. One of the key premises for the success is the good access to disease-relevant tissues from "living" patients in which we may observe molecular expression changes in association with symptomatic alteration.

Effects of airgun discharges used in seismic surveys on development and mortality in nauplii of the copepod Acartia tonsa.

Seismic surveys are conducted worldwide to explore for oil and gas deposits and to map subsea formations. The airguns used in these surveys emit low-frequency sound waves. Studies on zooplankton responses to airguns report a range of effects, from none to substantial mortality.

Smelter-derived soil contamination in Luanshya, Zambia.

Extensive mining and smelting contributed to the declining quality of Luanshya soils. The local smelter was the epicenter of contamination as shown by a spatial distribution analysis. Closeby soil profiles smelter exhibit extremely high Cu concentrations (up to 46,000 mg kg Cu) relative to deeper layers where only background levels of trace elements were observed.

Contaminant Binding and Bioaccessibility in the Dust From the Ni-Cu Mining/Smelting District of Selebi-Phikwe (Botswana).

We studied the dust fractions of the smelting slag, mine tailings, and soil from the former Ni-Cu mining and processing district in Selebi-Phikwe (eastern Botswana). Multi-method chemical and mineralogical investigations were combined with oral bioaccessibility testing of the fine dust fractions (<48  and <10 μm) in a simulated gastric fluid to assess the potential risk of the intake of metal(loid)s contaminants. The total concentrations of the major contaminants varied significantly (Cu: 301-9,600 mg/kg, Ni: 850-7,000 mg/kg, Co: 48-791 mg/kg) but were generally higher in the finer dust fractions.

Anterior Insula-Associated Social Novelty Recognition: Pivotal Roles of a Local Retinoic Acid Cascade and Oxytocin Signaling.

Objective: Deficits in social cognition consistently underlie functional disabilities in a wide range of psychiatric disorders. Neuroimaging studies have suggested that the anterior insula is a "common core" brain region that is impaired across neurological and psychiatric disorders, which include social cognition deficits. Nevertheless, neurobiological mechanisms of the anterior insula for social cognition remain elusive.

Estimation of mercury emissions from the forest floor of a pine plantation during a wildfire in central Portugal.

Mercury (Hg) concentrations in soils and Hg releases from soils during wildfires are not well characterised in Portugal, even though wildfire activity continues to increase around the Mediterranean. This study focused on the low to moderate severity wildfire in Pombal (Portugal) in 2019, which consumed 12.5 ha of maritime pine (Pinus pinaster Ait.

The association between cannabis use and facial emotion recognition in schizophrenia, siblings, and healthy controls: Results from the EUGEI study.

Schizophrenia is frequently accompanied with social cognitive disturbances. Cannabis represents one established environmental factor associated with the onset and progression of schizophrenia. The present cross-sectional study aimed to investigate the association of facial emotion recognition (FER) performance with cannabis use in 2039 patients with schizophrenia, 2141 siblings, and 2049 healthy controls (HC).

Metal(loid) concentrations, bioaccessibility and stable lead isotopes in soils and vegetables from urban community gardens.

Community gardens are "green oases" of recent cities with many benefits for human society. From a human health perspective, these benefits can be damaged by chemical contamination of soil and cultivated vegetables. Using geochemical approaches, this study characterised (i) total metal(loid) concentrations in soils and two commonly grown vegetables in urban community gardens (Bratislava, Slovakia), (ii) gastrointestinal bioaccessibility using a modified physiologically based extraction test (PBET), and (iii) stable lead (Pb) isotopes in order to identify sources of metal(loid)s, solubilisation in the human body and migration of Pb from soil to vegetables.