Occurrence Of POPs Research Articles

First assessment of persistent organic pollutants and halogenated natural compounds in an omnivorous resident coral-reef fish species, black triggerfish, Melichthys niger, from an Atlantic oceanic island, Brazil

Studies on the occurrence of POPs and other persistent compounds in pristine areas are extremely valuable, as they offer insights on the long-range transportation of POPs and the occurrence of natural compound producers' areas. In this regard, this study aimed to report data of both anthropogenic (polychlorinated biphenyls, PCBs, and polybrominated diphenyl ethers, PBDEs) and natural (methoxylated PBDEs, MeO-BDEs) compounds in tissues of the black triggerfish, Melichthys niger (Tetraodontiformes, Balistidae), specimens (n = 30) sampled in 2018 during a scientific expedition conducted at Trindade Island. Concentrations of ∑28PCBs ranged from 73 to 1052 ng g−1 lw in liver, 334 to 1981 ng g−1 lw in gonads, and 20 to 257 ng g−1 lw in muscle, with the predominance of PCB-180 in liver and PCB-52 in gonad and muscle. Concentrations of ∑7PBDEs ranged from <LOD to 1.8 ng g−1 lw in liver, <LOD to 14 ng g−1 lw in muscle, and they were < LOD in gonads. The BDE-47 was the most representative congener detected in liver and muscle. Mean concentrations of ∑8MeO-BDEs were 270 ng g−1 lw, 442 ng g−1 lw, and 70 ng g−1 lw in liver, gonad, and muscle, respectively. The 2-MeO-BDE-68 was the most representative congener among MeO-BDEs. The mobilization of lower chlorinated PCBs from liver to other tissues, with possible retention of higher chlorinated PCBs in liver, can be a factor of concern considering the chronic exposure of those fish. PBDEs and MeO-BDEs in fish from remote environments were reported in a low number of studies worldwide. Considering that remote sites face environmental pollution either directly by anthropogenic influence or by long-range transportation, more studies on the occurrence of persistent compounds in these environments are paramount, and it is fundamental to understand the dispersion and accumulation of POPs.

Comparative study of lesions obtained with radiofrequency between irrigated ablation catheter with flexible tip and non-irrigated catheter in ex vivo porcine heart slices

Abstract Background Lesion formation through radiofrequency (RF) is related to various parameters, including power, contact force, duration of energy delivery and temperature. Notably, the characteristics of the lesions differ when comparing irrigated to non-irrigated catheters. Non-irrigated catheter lesions present a larger surface area and shallower depth, while irrigated catheters induce deeper lesions with higher volumes. Particularly, flexible-tip open-irrigated catheter exhibit unique irrigation characteristics and the resulting lesions may show a reduced surface area but extend deeper into the tissue. Main drawbacks of using non-irrigated catheter are the risk of clot formation and of steam pops, both possibly avoidable with an irrigated catheter. Purpose The aim of the study was to demonstrate that flexible-tip open-irrigated catheter generate lesions with a smaller surface area and deeper extension when compared to non-irrigated catheter. Methods An ex vivo model consisting of porcine heart slices in a warmed saline chamber was used. A flexible-tip open-irrigated ablation catheter and a non-irrigated catheter were positioned with a stable tissue contact weight ranging from 10 to 20 g of force in perpendicular position. RF was delivered at powers of 20, 30 and 40 Watt for 60s. Lesion dimensions were analyzed. The occurrence of steam pop was registered. Results The ablations were conducted using flexible-tip open-irrigated (n=55) and non-irrigated (n=39) catheters in a power-control mode. Superficial length and width of lesions were greater with the non-irrigated catheter than with the irrigated catheter, irrespective of the power delivered (superficial length: p=0,0001 at 20W, p=0,002 at 30 W and p=0,0001 at 40 W; superficial width: p=0,001 at 20 W, p=0,019 at 30 W and p=0,003 at 40 W). When computing superficial areas, lesions performed with the non-irrigated catheter were significantly wider, regardless of the power delivered (p=0,001 at 20 W, p=0,005 at 30 W and p=0,001 at 40 W). The irrigated catheter determined significantly greater values of lesion maximum depth at high power delivery (40 W, p=0.007). No steam pop was observed using the irrigated ablation catheter, while 12 steam pops occurred with the non-irrigated catheter. Conclusions This study highlights that RF ablation using flexible-tip open-irrigated catheter has the potential to generate smaller lesion areas when compared to a non-irrigated tip. Furthermore, it may contribute to decrease steam pops, even with escalating power output. This irrigated catheter might be a preferable choice when precision is crucial, particularly in determining superficial area of lesions. Specifically, it might be advantageous for procedure as atrioventricular nodal reentry tachycardia (AVNRT) ablation, minimizing the risk of iatrogenic conduction disturbance related to RF delivery in the region of the compact AV node, located superficially at a millimeter distance from the ablation site.Experiment setting, lesion measurementsLesion superficial area

The influence of electrode-tissue-coverage on RF lesion formation and local impedance: Insights from an ex vivo model.

The influence of power, duration and contact force (CF) on radiofrequency (RF) lesion formation is well known, whereas data on local impedance (LI) and electrode-tissue-coverage (ETC) is scarce. The objective was to investigate their effect on lesion formation in an ex vivo model. An ex vivo model was developed utilizing cross-sections of porcine heart preparations and a force-sensing, LI-measuring catheter. N=72 lesion were created systematically varying ETC (minor/full), CF (1-5g, 10-15g, 20-25g) and power (20W, 30W, 40W, 50W). In minor ETC, the distal tip of the catheter was in electric contact with the tissue, in full ETC the whole catheter tip was embedded within the tissue. Lesion size and all parameters were measured once per second (n=3320). LI correlated strongly with lesion depth (r=-0.742 for ΔLI; r=0.781 for %LI-drop). Lesions in full ETC were significantly wider and deeper compared to minor ETC (p<.001) and steam pops were more likely. Baseline LI, ΔLI, and %LI-drop were significantly higher in full ETC (p<.001). In lesions resulting in steam pops, baseline LI, and ΔLI were significantly higher. The influence of CF on lesion size was higher in minor ETC than in full ETC. ETC is a main determinant of lesion size and occurrence of steam pops. Baseline LI and LI-drop are useful surrogate parameters for real-time assessment of ETC and ΔLI correlates strongly with lesion size.

Tissue poromechanical deformation effects on steam pop likelihood in 3-D radiofrequency cardiac ablation

Radiofrequency Cardiac Ablation (RFCA) is a common procedure that heats cardiac tissue to destroy abnormal signal pathways to eliminate arrhythmias. The complex multiphysics phenomena during this procedure need to be better understood to improve both procedure and device design. A deformable poromechanical model of cardiac tissue was developed that coupled joule heating from the electrode, heat transfer, and blood flow from normal perfusion and thermally driven natural convection, which mimics the real tissue structure more closely and provides more realistic results compared to previous models. The expansion of tissue from temperature rise reduces blood velocity, leading to increased tissue temperature, thus affecting steam pop occurrence. Detailed temperature velocity, and thermal expansion of the tissue provided a comprehensive picture of the process. Poromechanical expansion of the tissue from temperature rise reduces blood velocity, increasing tissue temperature. Tissue properties influence temperatures, with lower porosity increasing the temperatures slightly, due to lower velocities. Deeper electrode insertion raises temperature due to increased current flow. The results demonstrate that a 5% increase in porosity leads to a considerable 10% increase in maximum tissue temperature. These insights should greatly help in avoiding undesirable heating effects that can lead to steam pop and in designing improved electrodes.

Electrode tissue coupling (ETC) influences lesion formation stronger than contact force

Abstract Funding Acknowledgements Type of funding sources: None. Background Several parameters are assumed to influence lesion size in RF ablation. Especially RF power, duration and contact force are considered for optimizing lesion quality and creating durable lesions. Recent data showed a significant influence of electrode-tissue-coupling (ETC) on lesion size and occurrence of steam pops. Therefore, this study aimed to investigate the impact of ETC and contact force on lesion progression in RF ablation. Methods RF-lesions were created using a contact force sensing catheter with the ability of measuring local impredance in an ex vivo porcine cardiac model. The experimental setup consisted of a saline-filled container, a dispersive electrode, a heated thermostat and a circulation pump to imitate in vivo conditions. Global impedance was kept at 120 Ohm as well as the temperature at 37°C. RF power of 20W, 30W, 40W, and 50W was used. The ETC levels (full/minor) and CF-level (1-5g, 10-15g and 20-25g) were systematically varied between minor and full coupling. In minor ETC-level, only the distal end of the catheter is in contact with the tissue. In full ETC-level, the whole catheter tip is in contact with the tissue. All parameters (power, temperature, global and local impedance, contact force, ETC, lesion size) were measured constantly during application of RF-current, enabling real-time correlation of RF parameters and lesion size. In case of an audible steam pop, RF application was stopped. Results 8654 measurements out of 72 lesions were included in analysis. Significant differences in lesion size were observed when ETC-level was differed. Lesion depth was significantly higher in full ETC-level (5.13 ± 0.99 mm vs. 9.45 ± 1.45 mm, p&amp;lt;0.001). No significant difference was seen in lesion diameter and depth by varying CF-level, when lesions were created in full ETC-level (Table 1). These findings are also illustrated in Figure 1. When lesions were analyzed in minor ETC-level only, significant differences were observed, when CF-levels were varied (Table 2). Conclusion ETC is a main predictor of lesion size in RF-ablation. CF also influences lesion depth and diameter. However, significant differences were only observed in minor ETC-levels. Consequently, CF might be a main factor for durable lesions in RF-ablation, but the influence of varied CF decreases when ETC-level is rising.

Pre-operative prognostic nutrition index and post-operative pneumonia in aneurysmal subarachnoid hemorrhage patients.

Post-operative pneumonia (POP), a common complication, may be associated with prolonged hospitalization and long-term mortality in aneurysmal subarachnoid hemorrhage (aSAH) patients. This study aimed to explore the association between pre-operative prognostic nutrition index (PNI) and POP in aSAH patients. A total of 280 aSAH patients were enrolled from Nanjing Drum Tower Hospital. PNI was calculated as follows: [10 × albumin(gr/dl)] + [0.005 × absolute pre-operative lymphocyte count (per mm3)]. We utilized multivariate analyses, restricted cubic spline, net reclassification improvement (NRI), and integrated discrimination improvement (IDI) to elucidate the role of PNI in POP. Pre-operative PNI levels in the POP group were higher, compared with the non-POP group (41.0 [39.0, 45.4] vs. 44.4 [40.5, 47.3], P = 0.001). When we included PNI as a categorical variable in the multivariate analysis, the levels of PNI were associated with POP (odds ratio, 0.433; 95% confidence interval, 0.253-0.743; P=0.002). In addition, when we included PNI as a continuous variable in the multivariate analysis, the PNI levels were also associated with POP (odds ratio, 0.942; 95% confidence interval, 0.892-0.994; P = 0.028). The level of albumin was also a predictor of the occurrence of POP, with a lower diagnostic power than PNI [AUC: 0.611 (95% confidence interval, 0.549-0.682; P = 0.001) for PNI vs. 0.584 (95% confidence interval, 0.517-0.650; P = 0.017) for albumin]. Multivariable-adjusted spline regression indicated a linear dose-response association between PNI and POP in aSAH participants (P for linearity = 0.027; P for non-linearity = 0.130). Reclassification assessed by IDI and NRI was significantly improved with the addition of PNI to the conventional model of POP in aSAH patients (NRI: 0.322 [0.089-0.555], P = 0.007; IDI: 0.016 [0.001-0.031], P = 0.040). The lower levels of pre-operative PNI may be associated with the higher incidence of POP in aSAH patients. Neurosurgeons are supposed to pay more attention to pre-operative nutrition status in aSAH patients.

Natural convection effects on heat transfer in a porous tissue in 3-D radiofrequency cardiac ablation

Radiofrequency Cardiac Ablation (RFCA) is a non-surgical procedure to destroy abnormal pathways causing cardiac arrhythmias within the cardiac chamber. RF energy from electrodes contacting the cardiac tissue generates heat, raising tissue temperature and ablating it. Success of the procedure, as in avoiding complications like steam pops, requires its comprehensive mechanistic understanding. Using a 3-D porous media-based model of the cardiac tissue and surrounding chamber blood, with coupled fluid flow, heat transfer (including evaporation and thermally driven natural convection), and resistive heating, provided a more complete picture of the thermal ablation process. Circulation of blood due to buoyancy-driven natural convection reduces the non-uniformity of temperatures, by reducing temperatures initially in the target region but increasing them in the later stages, compared to when natural convection effects are not included. Thus, natural convection affects possible steam pop occurrence differently over the time for the procedure. The more complete picture of the RFCA procedure provided here by the detailed physics-based model can benefit with increased accuracy and thus reduced re-ablation (thus higher success rates), and reduced costs for catheter design and development.

RISK FACTORS FOR VAGINAL PROLAPSE AFTER HYSTERECTOMY

Objective:- To identify risk factors for pelvic organ prolapse and their influence on the occurrence of vaginal prolapse after hysterectomy. Methods:- Medical records from 2 groups of women who had undergone hysterectomy were reviewed retrospectively. The study group of 82 women who had undergone surgery for vaginal prolapse i.e. hysterectomy,the control group was 124 women who had undergone hysterectomy with no diagnosis vaginal prolapse at the time of study. All hysterectomy procedures had been performed for benign gynaecological disease, including POP. Both groups of women completed a self-administered questionnaire to obtain additional information on the occurrence of POP. Results:- the incidences of vaginal prolapsed after hysterectomy was significantly higher in women with a higher number of vaginal deliveries,more difficult deliveries,fewer caesareans,complication after hysterectomy, heavy physical work,neurological disease,hysterectomy for pelvic organ prlapse and/or family history of pelvic organ prolapse. Premenopausal women had vaginal prolapse corrected an average of 16 years after hysterectomy, and postmenopausal women 7 years post hysterectomy. Conclusion:- Before deciding on hysterectomy as the approach to treat a women with pelvic floor dysfunction, the surgeon should evaluate these risk factors and discuss then with the patient

Ablation index-guided cavotricuspid isthmus ablation with contiguous lesions using fluoroscopy integrated 3D mapping in atrial flutter

PurposeThe feasibility and safety of cavotricuspid isthmus (CTI) ablation with contiguous lesions using ablation index (AI) under the guidance of fluoroscopy integrated 3D mapping (CARTO UNIVU/CU) in typical atrial flutter (AFL) remains uncertain. This study aimed to determine the efficacy of AI-guided CTI ablation with contiguous lesions in patients with AFL.MethodsIn this single-center, prospective, non-randomized, single-arm, observational study, procedural outcomes were determined in 151 patients undergoing AI-guided CTI ablation (AI group) with a target AI value of 450 and an interlesion distance of ≤ 4 mm under CU guidance. These outcomes were compared with those of 30 patients undergoing non-AI-guided ablation (non-AI group).ResultsAmong 151 patients, first-pass conduction block was achieved in 120 (80%) patients in the AI group (67% in the non-AI group, P = 0.152) with a shorter fluoroscopy time of 0.2 ± 0.4 min (1.7 ± 2.0 min in the non-AI group, P < 0.001). Conduction gaps were located at the atrial aspects near the inferior vena cava in 24 of 31 (78%) patients without first-pass conduction block. The AI group received 11 ± 5 (12 ± 4 in the non-AI group, P = 0.098) radiofrequency (RF) applications, and the RF time was 4.2 ± 2.4 (5.1 ± 2.5 min in the non-AI group, P = 0.011). Despite the occurrence of steam pop in 3 (2%) patients, none of them developed cardiac tamponade. No patients had recurrence within 6 months of follow-up.ConclusionsAI-guided CTI ablation in combination with CU was feasible and effective in reducing radiation exposure in patients with AFL.

Occurrence and air-water diffusive exchange legacy persistent organic pollutants in an oligotrophic north Patagonian lake.

In this study, the occurrence and diffusive air-water exchange of POPs in Panguipulli Lake (39°42'S-72°13'W), an oligotrophic lake located in northern Patagonia (Chile), were determined. Air and water samples were collected between March and August 2017 (autumn-winter) and analyzed for concentrations of OCPs (α-HCH, β-HCH, γ-HCH and HCB) and PCBs (PCB-28,-52,-101,-118,-153,-158,-180) using gas chromatography coupled with an electron capture detector. The direction of air-water exchange direction was evaluated using a fugacity approach (ƒw ƒa-1), and net diffusive exchange fluxes (FAW, ng m-2 d-1) were also estimated. Total ∑4OCP levels in air ranged from 0.31 to 37pgm-3, with a maximum for β-HCH, while Σ7PCB levels ranged from 3.05 to 43pgm-3. The most abundant congener was PCB-153, accounting for 60% of the total PCBs in air. Surface water ∑4OCPs measured in this study ranged from 1.01 to 3.9pgL-1, with γ-HCH predominating, while surface water Σ7PCB levels ranged from 0.32 to 24pgL-1, with PCB-101, PCB-118, and PCB-153 presenting the highest levels. Diffusive air-water exchanges of HCB, α-HCH, γ-HCH and PCBs in the form of volatilization from the lake to air predominated; in contrast, for β-HCH net deposition dominated during the sampling period. Estimates suggested faster microbial degradation in the dissolved phase compared to atmospheric degradation for all analyzed POPs. Overall, these results could indicate that the oligotrophic lakes of northern Patagonia act as a secondary source of atmospheric POPs, mainly PCBs and some OCPs. This study is a first attempt to understand the occurrence of POPs in air and water, as well as their dynamics in oligotrophic lakes in the southern hemisphere.

Impedance fluctuation and steam pop occurrence during radiofrequency current ablation: An experimental in vitro model.

The radiofrequency impedance measurement is one of the basic parameters monitored during ablation procedures. An abrupt rise in impedance is often observed corresponding to a steam pop. The exact correlation between the occurrence of steam pop and subsequent rise in impedance has not been experimentally described so far. To evaluate the relationship between steam pop occurrence and impedance fluctuations observed during radiofrequency ablation (RFA). Porcine heart tissue specimens were appropriately prepared and placed in an experimental setup connected to electrophysiological equipment with 3D anatomical mapping facilities. The RFA lesions were performed in standardized conditions with the use of contact force measurement-enabled open irrigation ablation catheter (ThermoCool SmartTouch™, 3.5 mm tip, F-J curvature; Biosense Webster, Irvine, USA) in the power-control mode. The RFA delivery was stopped when the steam pop occurred. Time taken for the steam pop to occur and to the subsequent abrupt impedance rise was recorded, along with the impedance fluctuations during an application. In total, 25 experimental radiofrequency (RF) current deliveries ended up with steam pops, which occurred after 30-60 s. The time recorded from the beginning of the application up to the steam pop was shorter if increased power was applied (35 W compared to 30 W: 41.5 ±9.9 s compared to 49.9 ±8.2 s; p = 0.046). During all RF applications, impedance significantly but gradually decreased from 122.9 ±7.9 Ω to 87.5 ±3.6 Ω (p < 0.001) with a mean drop rate of 0.8 ±0.2 Ω/s. During all experiments, the abrupt and significant impedance increase (8.2 ±2.0 Ω, p < 0.001) was observed always after steam pop occurrence (207.4 ±155.9 ms). During RF current delivery which ended up with steam pop, an abrupt impedance increase was always registered after the occurrence of this phenomenon. Therefore, the impedance rise observed during steam popping cannot be used for its prediction. The time to steam pop was shorter for applications with increased power but not with greater contact force.

Catheter Ablation Using Half-Normal Saline and Dextrose Irrigation in an OvineVentricularModel.

This study hypothesized that catheter ablation in healthy ovine ventricular myocardium using low ionic 0.45% saline (half-normal saline [HNS]) and nonionic 5% dextrose in water (D5W) would result in larger lesions compared with use of 0.9% saline (normal saline [NS]). Limited data exist regarding the safety and efficacy of catheter ablation using low and nonionic irrigants. Open irrigated ablation was performed on 14 beating ovine hearts (NS, n=5; HNS, n=4; D5W, n=5). Ablation was delivered by using identical parameters (ie, 30W in power control mode, 60-second duration, contact force of 10-20g in the endocardial ventricles and 5-10g in the epicardium). Catheter orientation and tissue contact were optimized by using intracardiac echocardiography. Lesion width, depth, and volume and number of steam pops were compared. Overall, 196 lesions were analyzed (mean duration: 56.7 ± 8.3 seconds; mean contact force: 15.3 ± 6.1 g; and mean impedance drop: 31 ± 19.1Ω). Compared with NS, HNS and D5W resulted in larger lesion volumes (NS 349.2 ± 245.1mm3 vs HNS 645.7 ± 386.4mm3 vs D5W 633.2 ± 387.1mm3; HNS vs NS; P< 0.001; D5W vs NS; P< 0.001; D5W vs HNS; P=0.87). However, D5W was associated with higher steam pop occurrence (NS 5% vs HNS 11% vs D5W 35%; HNS vs NS; P=0.22; D5W vs NS; P< 0.001; D5W vs HNS; P=0.002). Catheter ablation with HNS and D5W resulted in larger ablation lesions compared with NS but similar lesion dimensions between HNS and D5W. The increase in lesion size with HNS and D5W was associated with a higher incidence of steam pops, especially with D5W, compared with NS.

Persistent organic pollutants and chlorpyrifos in the cockfish Callorhinchus callorynchus (Holocephali: Callorhynchidae) from Argentine coastal waters: Influence of sex and maturity

Organic contaminants are of great environmental concern due to their negative impacts on coastal ecosystems, especially on highly vulnerable species as chondrichthyans. Accumulation of organochlorine pesticides (OCPs), polychlorinated biphenyls (PCBs), polybrominated diphenyl ethers (PBDEs) and chlorpyrifos was assessed in muscle, gonads, and liver of the cockfish Callorhinchus callorynchus for both sexes and maturity stages. This species has a wide distribution in South Atlantic Ocean and it is an important resource for coastal Argentine fisheries. Pollutants were quantified by gas chromatography with electron capture detector and the distribution pattern found in C. callorynchus was the following: (∑OCPs+chlorpyrifos) > ∑PCBs>∑PBDEs. Endosulfan was predominant among OCP groups, penta-CBs and hexaCBs among PCBs and BDE 47, 66, 99, and 100 in PBDE group. The highest levels were found in liver followed by muscle and gonads. The highest percentage of lipids was also observed in the liver. Moreover, the concentrations of ∑OCPs and ∑PCBs in C. callorynchus liver varied with maturity stage, and ∑OCPs also with sexes. Females presented higher values than males, and mature individuals showed higher concentrations than immature ones, according with biological parameters such as age, sex, maturity stage, metabolic and redistribution processes and habitat use influence. These results indicate that C. callorynchus reflects a historical and recent contamination in their tissues, and therefore, especially females, becomes as a good biomonitor of these pollutants in the marine environment. To our knowledge, this work represents one of the few investigations on the occurrence of POPs and chlorpyrifos in chondrichtyans from South Atlantic Ocean; therefore more research is mandatory for an adequate management and conservation of existing fisheries and aquatic resources.

Neutrophil to lymphocyte ratio is a prognosis factor for post-operative pneumonia in aneurysmal subarachnoid hemorrhage patients.

Background:Although a variety of risk factors of pneumonia after clipping or coiling of the aneurysm (post-operative pneumonia [POP]) in patients with aneurysmal subarachnoid hemorrhage (aSAH) have been studied, the predictive model of POP after aSAH has still not been well established. Thus, the aim of this study was to assess the feasibility of using admission neutrophil to lymphocyte ratio (NLR) to predict the occurrence of POP in aSAH patients.Methods:We evaluated 711 aSAH patients who were enrolled in a prospective observational study and collected admission blood cell counts data. We analyzed available demographics and baseline variables for these patients and analyzed the correlation of these factors with POP using Cox regression. After screening out the prognosis-related factors, the predictive value of these factors for POP was further assessed.Results:POP occurred in 219 patients (30.4%) in this cohort. Patients with POP had significantly higher NLR than those without (14.11 ± 8.90 vs. 8.80 ± 5.82, P < 0.001). Multivariate analysis revealed that NLR remained a significant factor independently associated with POP following aSAH after adjusting for possible confounding factors, including the age, World Federation of Neurosurgical Societies (WFNS) grade, endovascular treatment, and ventilator use. And the predictive value of NLR was significantly increased after WFNS grade was combined with NLR (NLR vs. WFNS grade × NLR, P = 0.011).Conclusions:Regardless of good or poor WNFS grade, patients having NLR >10 had significantly worse POP survival rate than patients having NLR ≤10. NLR at admission might be helpful as a predictor of POP in aSAH patients.

Sedimentary evolution of PAHs, POPs and ECs: Historical sedimentary deposition and evolution of persistent and emerging organic pollutants in sediments in a typical karstic river basin

Knowledge on the occurrence and distributions of organic compounds, especially PAHs, POPs and ECs, in karstic river basins is limited. This study aims to determine the depositional history and sources of PAHs, PCBs, OCPs, antibiotics, EDCs and phenolic compounds and the ecological risk they have in the Panyang River Basin, an area with a typical karstic landscape and a high-longevity population. Sediment core analysis was adopted, correlation and principal component analyses were conducted to analyze pollution sources, and lead isotope technology was implemented for dating analysis. The sediment core covered 108 years. PCBs were detected with concentrations ranging from 3.80 to 16.18 μg/kg in the core with two concentration peaks in 1950 and 2005 that were related to anthropogenic effects. Eight of the 20 targeted phenolic compounds were detected, with concentrations ranging from 0.42 to 1.10 mg/kg. All PAHs were detected in the cores, with concentrations from 12.91 to 37.80 μg/kg. They were mainly related to natural diagenetic processes and domestic and agricultural sources. The concentrations of different OCP compounds ranged from undetected to 213.43 μg/kg and were mainly related to agricultural activities and long-range transportation. These key findings can assist environmental planning and management in this river basin.

High-power short-duration vs. standard radiofrequency cardiac ablation: comparative study based on an in-silico model

Purpose While the standard setting during radiofrequency catheter ablation (RFCA) consists of applying low power for long times, a new setting based on high power and short duration (HPSD) has recently been suggested as safer and more effective. Our aim was to compare the electrical and thermal performance of standard vs. HPSD settings, especially to assess the effect of the catheter orientation. Methods A 3D computational model was built based on a coupled electric-thermal-flow problem. Standard (20 W–45 s and 30 W–30 s) and HPSD settings (70 W–7 s and 90 W–4 s) were compared. Since the model only included a cardiac tissue fragment, the power values were adjusted to 80% of the clinical values (15, 23, 53 and 69 W). Three catheter-tissue orientations were considered (90°, 45° and 0°). Thermal lesions were assessed by the Arrhenius equation. Safety was assessed by checking the occurrence of steam pops (100 °C in tissue) and thrombus formation (80 °C in blood). Results The computed thermal lesions were in close agreement with the experimental data in the literature, in particular with in vivo studies. HPSD created shallower and wider lesions than standard settings, especially with the catheter at 45°. Steam pops occurred earlier with HPSD, regardless of catheter orientation. Conclusion HPSD seems to be more effective in cases that need shallow and extensive lesions, especially when the catheter is at 0° or at 45°, as used in pulmonary vein isolation.

Evaluation of Radiofrequency AblationIrrigation Type: InVivo Comparison of Normal Versus Half-Normal SalineLesionCharacteristics.

This study investigated the impact of the type of catheter irrigant used during delivery of radiofrequency ablation. The use of half-normal saline (HNS) as an irrigant has been suggested as a method for increasing ablation lesion size but has not been rigorously studied in the beating heart or the use of a low-flow irrigation catheter. Sixteen swine underwent left ventricular mapping and ablation using either normal saline (NS) (group 1: n=9) or half-normal saline (HNS) (group 2: n=7). All lesions were delivered using identical parameters (40W with 10-second ramp, 30-second duration, 15ml/min flow, and 8- to14-g target contact force). An occurrence of steam pop, catheter char, or thrombus was assessed using intracardiac echocardiography and catheter inspection following each application. Lesion depth, width, and area were measured using electronic calibers. A total of 109 lesions were delivered in group 1 and 77 in group 2. There were significantly more steam pops in group 2 (32 of 77 [42%] vs. 24 of 109 [22%], respectively). The frequencies of catheter tip char were similar (group 1: 9 of 109 [8%] vs. group 2: 10 of 77 [13%]; p=0.29). Lesion depths, widths, and areas also were similar in both groups. The use of an HNS irrigant using a low-flow open irrigated ablation catheter platform results in more tissue heating due to higher radiofrequency current delivery directed to tissue, but this can lead to higher rate of steam pops. In this invivo porcine beating-heart model, the use of HNS does not appear to significantly increase lesion size innormal myocardium despite evidence of increased radiofrequency heating.

Bipolar catheter ablation in ventricular myocardium

Recurrence rates after catheter radiofrequency ablation (RFA) for arrhythmias arising from deep myocardial substrates can exceed 40%. Failure of RFA is in part due to the inability of widely used unipolar ablation (UA) to create transmural lesions capable of disrupting the critical components of the arrhythmia circuit. A radiofrequency generator was custom-made to deliver bipolar ablation (BA) to test the hypothesis that BA is more effective compared to UA in achieving transmurality and to determine the optimal configuration for ventricular BA. Sequential UA and BA were created in porcine ventricular septal and free wall preparations using irrigated, contact-force sensing ablation catheters, orientated perpendicularly to the myocardium. Return catheters, durations of ablation, irrigating fluids, and power settings were varied to determine the optimal configuration for BA. Lesion characteristics, transmurality, and occurrence of steam pops were analyzed. In both ventricular septal and free wall models, BA resulted in significantly more transmural lesions while causing less steam pops (P<.01). BA lesions were deeper, narrower but larger in volume. Use of 8mm ground catheters in the epicardium resulted in overheating during BA with temperatures exceeding 95°C, limiting power delivery. Increasing duration and powers of BA resulted in progressively larger lesions and increased transmurality (all P<.01), and 0.45% saline as the irrigation did not enhance BA. BA created larger lesions with increased chances of transmurality but at lower risks of steam pops. Use of an irrigated catheter as the return electrode and 30 W of BA delivered over 120 seconds provides the optimal balance between creating deep, transmural lesions and avoiding steam pops.

Relationship between the ablation index, lesion formation, and incidence of steam pops.

BackgroundThe ablation index (AI) is reported to be useful for a durable pulmonary vein isolation (PVI). However, there have been no studies investigating the relationship between the power, contact force (CF), AI, and steam pops.MethodsUsing an in vitro model, ablation energy was delivered until a steam pop occurred and the time to the steam pop and AI when the steam pop occurred were measured. The experiment was performed with a combination of various powers (20, 30, 40, and 50 W) and contact forces (CFs) (10, 30, and 50 g) 20 times for each setting. The analysis consisted of two protocols. The first protocol was a comparison between the ablation power and several parameters under the same CF (10, 30, and 50 g). The second protocol was a comparison between the CF and several parameters under the same power (20, 30, 40, and 50 W). The correlation between the lesion formation and ablation parameters was evaluated.ResultsThe AI value when steam pops occurred varied depending on the ablation settings. All AI median values were <500 under an ablation power of 50 W. On other hand, the median ablation time up to the steam pop was more than 46 seconds, but all median values of the AI were more than 550 under an ablation with 20 W.ConclusionsThe AI cannot predict steam pops. A low power and long duration ablation could obtain a high AI value. However, high‐power ablation could not obtain a high AI value because of an early occurrence of steam pops.

Organochlorine contaminants in freshwater mussels; occurrence, bioaccumulation pattern, spatio-temporal distribution and human health risk assessment from the tributaries of River Ravi, Pakistan

ABSTRACTThe present study was conducted to investigate the bioavailable levels and human health risk of organochlorine contaminants (OCs), particularly organochlorine pesticides (OCPs) and polychlorinated biphenyls (PCBs) in freshwater mussels from northern three tributaries of River Ravi, Pakistan that provides the pioneer data for the occurrence of POPs in the freshwater mussels from Pakistan. The Σ23OCPs and Σ35PCBs concentrations in mussels were ranged from 189.66–2049.40 ng/g and 25.81 to 135.38 ng/g, respectively. The comparison of current bioavailable levels of OCs with maximum residual limits (MRLs) established by Food and Agricultural Organization and European Union revealed that Σendosulfan (100%), ΣDDTs (93%), HCB (87%), β-HCH (77%), endrin (77%), γ-HCH (70%), heptachlor (67%), aldrin (67%), dielrin (67%), Chlordane (70%), α-HCH (40%), and WHO-TEQ (2005) values for PCB-126, PCB-169 and Σ8DL-PCBs were exceeding the permissible limits. The human health risk assessment revealed the occurrence of substantial lifetime carcinogenic risk for OCPs and PCBs at both 50th and 95th percentile concentrations in freshwater mussels from the tributaries of River Ravi. Therefore, the freshwater mussels are recommended to be used in environmental toxicological studies to assess the bioavailable levels of pollution in hostile environment.