Impact of renal impairment on atrial fibrillation: ESC-EHRA EORP-AF Long-Term General Registry

Background: Atrial fibrillation (AF) and renal impairment share a bidirectional relationship with important pathophysiological interactions. We evaluated the impact of renal impairment in a contemporary cohort of patients with AF. Methods: We utilised the ESC-EHRA EORP-AF Long-Term General Registry. Outcomes were analysed according to renal function by CKD-EPI equation. The primary endpoint was a composite of thromboembolism, major bleeding, acute coronary syndrome and all-cause death. Secondary endpoints were each of these separately including ischaemic stroke, haemorrhagic event, intracranial haemorrhage, cardiovascular death and hospital admission. Results: A total of 9306 patients were included. The distribution of patients with no, mild, moderate and severe renal impairment at baseline were 16.9%, 49.3%, 30% and 3.8%, respectively. AF patients with impaired renal function were older, more likely to be females, had worse cardiac imaging parameters and multiple comorbidities. Among patients with an indication for anticoagulation, prescription of these agents was reduced in those with severe renal impairment, p <.001. Over 24 months, impaired renal function was associated with significantly greater incidence of the primary composite outcome and all secondary outcomes. Multivariable Cox regression analysis demonstrated an inverse relationship between eGFR and the primary outcome (HR 1.07 [95% CI, 1.01–1.14] per 10 ml/min/1.73 m2 decrease), that was most notable in patients with eGFR <30 ml/min/1.73 m2 (HR 2.21 [95% CI, 1.23–3.99] compared to eGFR ≥90 ml/min/1.73 m2). Conclusion: A significant proportion of patients with AF suffer from concomitant renal impairment which impacts their overall management. Furthermore, renal impairment is an independent predictor of major adverse events including thromboembolism, major bleeding, acute coronary syndrome and all-cause death in patients with AF

Fish photobacteriosis—The importance of rapid and accurate identification of Photobacterium damselae subsp. piscicida

MALDI-TOF MS was tested for the identification of Photobacterium damselae subsp. piscicida on isolates grown on two media, cultured at three incubation times and applied on the target plate by the direct sample spotting (DS), by the on-target extraction (OTE) and by the full extraction (FE) method, in triplicates. The identification of samples grown on blood agar (BA) outperformed identification on tryptic soya agar (TSA) by 0.64% for DS and OTE. The OTE gave the highest scores in both culture media, all incubation times and replicates. Reliable 24-hr species identification was 61.54%, 84.61% and 53.85% for samples grown on TSA and identified by DS, OTE and FE, respectively. For isolates grown on BA, they were 76.92%, 96.15% and 30.77%, respectively. When identified by OTE, the 48-hr identification was 93.58%, but for 72 hr declined to 71.79%. The reliable identification with the highest score from the first measurement was 100% only for OTE from BA (24 hr), whereas OTE from TSA gave 84.61% (24 hr), 76.92% (48 hr) and 84.61% (72 hr). The reliable MALDI-TOF MS identification of Ph. damselae subsp. piscicida is incubation time, media, target plate preparation and replicate-dependent

Biological, Biochemical and Elemental Traits of Clavelina oblonga, an Invasive Tunicate in the Adriatic Sea

Clavelina oblonga is an invasive tropical tunicate recently introduced into the Adriatic Sea as a consequence of globalization and climate change. Mussel aquaculture sites provide an ideal environment for this colonial ascidian, where it has recently become the dominant fouling species. This study represents the first investigation of its biological and physical characteristics, as well as its proximal, fatty acid, macroelement, trace element, and toxic metal composition. The entire-tissue chemical composition of C. oblonga resulted in 95.44% moisture. Its composite structure revealed several strong peaks, attributed to O-H, C-H, C-N, and C=O stretching, along with cellulose components overlapping with proteins and carbohydrates. The major fatty acids were palmitic, stearic, and docosahexaenoic acid, followed by docosanoic, elaidic, linoleic, and myristic acid. The saturated fatty acids, polyunsaturated fatty acids, and monounsaturated fatty acids comprised 51.37, 26.96, and 15.41% of the total fatty acids, respectively. Among the analysed trace and macroelements, aluminium and sodium were predominant. C. oblonga exhibited different concentrations of toxic metals, such as arsenic and lead, compared to fouled mussels in the Istria region. It appears that the tunicate has adapted to the environmental conditions of the Adriatic, reaching its maximum spread and biomass in mid-autumn. There is a strong possibility that C. oblonga could colonize and establish itself permanently in the Adriatic. This would have a strong negative impact on shellfish farming, the structure of the ecosystem, plankton biomass, and the distribution of other marine species. However, it also represents a biomass resource with high potential of utilization in different industries

Blood chemistry and histological properties of wild and cultured sea bass (Dicentrarchus labrax) in the North Adriatic Sea

Histological and biochemical properties were employed to study liver histomorphology, plasma aspartate and alaine aminotransferases (AST, ALT), triglyceride (TRIG), cholesterol (CHOL), glucose (GLU) and total protein (TP) plasma levels of cultured (CSB) and wild sea bass (WSB) (Dicentrarchus labrax) from the notrhern part of the Adriatic Sea. Histopathological changes of livers included varying degrees of infiltration and lipid degeneration of hepatocytes in examined cultured fish. No significant differences between AST median values of CSB (44 IU) and WSB (45 IU) were observed. Values of ALT were <5 IU in both groups. TRIG, CHOL, GLU and TP levels were higher in CSB (2.08 mmol/L, 3.67 mmol/L, 10.66 mmol/L, 3.68 mmol/L, and 36 g/L, respectively). The study showed difference between plasma biochemical paramteters and liver histomorhology of CSB and WSB. This can be explained as a consequence of different diets (artificial in contrast to natural foods), which influence energy metabolism