The natural abundance of carbon stable isotopes (δ(13) C) of marine macrophytes has been measured in previous studies and used to analyze differences in Ci assimilation among the three macroalgal phyla, Chlorophyta, Ochrophyta, and Rhodophyta, and seagrasses, distinguishing diffusive CO2 entry from the operation of a CO2 -concentrating mechanisms (CCM). The work reported here further resolves the patterns of δ(13) C variation in aquatic macrophytes related to their taxonomy, geographic location (and consequently climatic conditions), and vertical zonation. Analyses of δ(13) C for 87 species are reported, including eight that have not been previously examined, belonging to taxa in the three macroalgal phyla, plus two species of seagrasses, collected at different latitudes. For one species of each phylum, analyses were also conducted through a vertical depth gradient. Representative species were used in a pH drift experiment, in order to compare the mechanism of Ci acquisition for photosynthesis with the δ(13) C subsequently determined on the same specimen. Our results suggest that the δ(13) C values were mostly determined by taxonomy. Depth effects on C stable isotope composition differed among taxa. The parallel measurements of δ(15) N are more difficult to interpret mechanistically; there are no robust phylogenetic and large-scale biogeographic correlations; local factors of natural (e.g., upwellings) and anthropogenic (e.g., sewage outfall) inputs predominate in determining the macrophyte δ(15) N.

The preliminary results of this real-world multicenter study showed that EVAS with Nellix for the management of AAAs appears feasible. This device platform is associated with acceptable procedure-related mortality and low overall complication and reintervention rates. Definitive conclusions on the value of this novel device await long-term follow-up data.

No abstract

a b s t r a c tObjective: The atherosclerotic plaque that is vulnerable to rupture and to superimposed thrombosis is mainly represented by a thin-cap fibroatheroma with or without ulceration/thrombosis and inflammatory infiltrates. Total serum gamma-glutamyltransferase (GGT) activity is an independent predictor for cardiovascular events. Four GGT fractions have been identified in plasma and only one of them (b-GGT) in atherosclerotic plaques, but the possible role of GGT in plaque pathophysiology has not been assessed yet. We investigated the relationships between plaque b-GGT activity and the histological features of plaque vulnerability. Methods and results: Plaque GGT activity was investigated in 65 patients undergoing carotid endarterectomy; plaques were histologically characterized and immunostained for GGT. Intra-plaque total and fractional GGT activity was determined by a cost-effective test of molecular size exclusion chromatography, and compared with histological markers of plaque vulnerability. Plaque cholesterol content was also measured by chromatography. b-GGT was the only fraction detected within the atherosclerotic plaques and intra-plaque b-GGT activity correlated to plaque cholesterol content (r ¼ 0.667, P < 0.0001), plasma b-GGT and f-GGT fractions (r ¼ 0.249; r ¼ 0.298, both P < 0.05). Higher b-GGT activity was found in thin-cap fibroatheromas and it was associated to histological markers of vulnerable plaques, i.e., larger necrotic areas, greater macrophage infiltration and higher cholesterol content (P < 0.05). Conclusions: intra-plaque b-GGT activity correlates with the histological markers of vulnerable plaque and with plasma b-GGT in human carotid atherosclerosis; these data support the possible role of b-GGT in clinically significant atherosclerotic disease.

BackgroundRural populations experience several barriers to accessing clinical facilities for malaria diagnosis. Increasing penetration of ICT and mobile-phones and subsequent m-Health applications can contribute overcoming such obstacles.MethodsGIS is used to evaluate the feasibility of m-Health technologies as part of anti-malaria strategies. This study investigates where in Uganda: (1) malaria affects the largest number of people; (2) the application of m-Health protocol based on the mobile network has the highest potential impact.ResultsAbout 75% of the population affected by Plasmodium falciparum malaria have scarce access to healthcare facilities. The introduction of m-Health technologies should be based on the 2G protocol, as 3G mobile network coverage is still limited. The western border and the central-Southeast are the regions where m-Health could reach the largest percentage of the remote population. Six districts (Arua, Apac, Lira, Kamuli, Iganga, and Mubende) could have the largest benefit because they account for about 28% of the remote population affected by falciparum malaria with access to the 2G mobile network.ConclusionsThe application of m-Health technologies could improve access to medical services for distant populations. Affordable remote malaria diagnosis could help to decongest health facilities, reducing costs and contagion. The combination of m-Health and GIS could provide real-time and geo-localized data transmission, improving anti-malarial strategies in Uganda. Scalability to other countries and diseases looks promising.