Diagnostic Performance of Circulating miRNAs and Extracellular Vesicles in Acute Ischemic Stroke.

BACKGROUND: Increased inflammation activates blood coagulation system, higher platelet activation plays a key role in the pathophysiology of ischemic stroke (IS). During platelet activation and aggregation process, platelets may cause increased release of several proinflammatory, and prothrombotic mediators, including microRNAs (miRNAs) and extracellular vesicles (EVs). In the current study we aimed to assess circulating miRNAs profile related to platelet function and inflammation and circulating EVs from platelets, leukocytes, and endothelial cells to analyse their diagnostic and predictive utility in patients with acute IS. METHODS: The study population consisted of 28 patients with the diagnosis of the acute IS. The control group consisted of 35 age- and gender-matched patients on acetylsalicylic acid (ASA) therapy without history of stroke and/or TIA with established stable coronary artery disease (CAD) and concomitant cardiovascular risk factors. Venous blood samples were collected from the control group and patients with IS on ASA therapy (a) 24 h after onset of acute IS, (b) 7-days following index hospitalization. Flow cytometry was used to determine the concentration of circulating EVs subtypes (from platelets, leukocytes, and endothelial cells) in platelet-depleted plasma and qRT-PCR was used to determine several circulating plasma miRNAs (miR-19a-3p, miR-186-5p and let-7f). RESULTS: Patients with high platelet reactivity (HPR, based on arachidonic acid-induced platelet aggregometry) had significantly elevated platelet-EVs (CD62+) and leukocyte-EVs (CD45+) concentration compared to patients with normal platelet reactivity at the day of 1 acute-stroke (p = 0.012, p = 0.002, respectively). Diagnostic values of baseline miRNAs and EVs were evaluated with receiver operating characteristic (ROC) curve analysis. The area under the ROC curve for miR-19a-3p was 0.755 (95% CI, 0.63-0.88) p = 0.004, for let-7f, it was 0.874 (95% CI, 0.76-0.99) p = 0.0001; platelet-EVs was 0.776 (95% CI, 0.65-0.90) p = 0.001, whereas for leukocyte-EVs, it was 0.715 (95% CI, 0.57-0.87) p = 0.008. ROC curve showed that pooling the miR-19a-3p expressions, platelet-EVs, and leukocyte-EVs concentration yielded a higher AUC than the value of each individual biomarker as AUC was 0.893 (95% CI, 0.79-0.99). Patients with moderate stroke had significantly elevated miR-19a-3p expression levels compared to patients with minor stroke at the first day of IS. (AUC: 0.867, (95% CI, 0.74-0.10) p = 0.001). CONCLUSION: Combining different biomarkers of processes underlying IS pathophysiology might be beneficial for early diagnosis of ischemic events. Thus, we believe that in the future circulating biomarkers might be used in the prehospital phase of IS. In particular, circulating plasma EVs and non-coding RNAs including miRNAs are interesting candidates as bearers of circulating biomarkers due to their high stability in the blood and making them highly relevant biomarkers for IS diagnostics.

Computational multivariate modelling of electrical activity of the porcine uterus during spontaneous and hormone-induced oestrus.

NEW FINDINGS: What is the central question of this study? Does oestrous cycle synchronization influence myoelectrical activity of porcine myometrium? What is the main finding and its importance? Exogenous hormones used to synchronize oestrus in pigs altered myoelectrical activity, which was effectively modelled. Higher-order multivariate statistic modelling provided evidence of similar activity in both types of oestrus, but a larger order of EMG signals during induced oestrus. Higher-order statistical analysis of the probabilistic model suggests the beginning of the early follicular phase and the mid-luteal phase to be most important in evaluation of the natural patterns of myoelectrical activity. Higher-order multivariate cumulants are more informative than classical statistics in characterization of myoelectrical activity changes in porcine myometrium. ABSTRACT: In pig production units, control of the oestrous cycle and synchronization of ovulation have become routine herd management procedures. During the oestrous cycle, in both induced and spontaneous conditions, the ovaries and the uterus undergo hormone-dominated physiological changes, which are consistent with the hypothesis that there is a functional role of uterine contractions in promoting fertilization. We have used electromyography to determine whether the use of exogenous hormones, such as equine chorionic gonadotrophin and human chorionic gonadotrophin, which have the potential to control the timing of ovulation in female pigs, changes the multivariate relationships between parameters of electrical bursts and modulates the patterns of myoelectrical activity. We used the mathematical approach of higher-order multivariate cumulants in complex modelling of the myometrial electrical activity. The experiment was conducted on 12 mature Polish Landrace sows, and uterine activity was recorded during both spontaneous and induced oestrous cycles. The burst parameters were determined using six features in the time domain and, after Fast Fourier transformation, in the frequency domain. Evaluation of myoelectrical activity patterns was conducted based on classical univariate statistical methods and multivariate probabilistic modelling. The classical statistical approach indicated weaker myoelectrical activity after hormonal stimulation, whereas the higher-order multivariate statistical model showed evidence of similar status of activity and a larger order of signals during induced oestrus. Routine oestrous cycle synchronization affects the multivariate probabilistic model of myometrial electrical activity.

Uterine EMG activity in the non-pregnant sow during estrous cycle.

BACKGROUND: Uterine myoactivity is crucial for successful reproductive performance of the sow. Spontaneous contractions of the uterus are strictly controlled and coordinated. Uterine electromyographic (EMG) activity undergoes hormonal regulation with rapid and long-term effects. What is more, interstitial Cajal-like Cells (ICLC) appear essential for smooth muscle contractility in the reproductive tract where they are suspected to be playing a major role in generating, coordinating, modulating and synchronizing slow triggering waves. The aim of this study was to investigate the myoelectrical activity of sow's uterus during estrus cycle. RESULTS: Study was conducted on 10 Polish Landrace sows. Propagation mechanisms and their connection with the uterine EMG activity were considered in correlation with expression of c-kit, progesterone and oxytocin receptors of the non-pregnant sow. ICLC were labeled with antibody directed against c-kit receptor and visualized by confocal microscopy and scanning cytometer for positive cells percentage assessment. EMG signal was recorded directly from the myometrium with telemetry transmitters and electrodes located in different topographic regions of reproductive tracts. The stages of estrus cycle were determined by monitoring levels of luteinizing hormone, progesterone and estrogen with radioimmunoassays. Significant differences of the EMG signal parameters between diestrus and estrus and the correlations with density of labelled receptors were demonstrated. Moreover, the electrophysiological studies indicated that ICLC in the myometrium in the tip of uterine horn may participate in the regulation of slow waves duration and frequency. CONCLUSIONS: The pattern of EMG signal propagation in the wall of the non-pregnant porcine uterus occurs in an orderly, bidirectional fashion and at distinctive speed, with no differences between diestrus and estrus.

Assessment of the technological reliability of a hybrid constructed wetland for wastewater treatment in a mountain eco-tourist farm in Poland.

The aim of the present study was to assess the technological reliability of a domestic hybrid wastewater treatment installation consisting of a classic three-chambered (volume 6 m3) septic tank, a vertical flow trickling bed filled with granules of a calcinated clay material (KERAMZYT), a special wetland bed constructed on a slope, and a permeable pond used as a receiver. The test treatment plant was located at a mountain eco-tourist farm on the periphery of the spa municipality of Krynica-Zdrój, Poland. The plant's operational reliability in reducing the concentration of organic matter, measured as biochemical oxygen demand (BOD5) and chemical oxygen demand (COD), was 100% when modelled by both the Weibull and the lognormal distributions. The respective reliability values for total nitrogen removal were 76.8% and 77.0%, total suspended solids - 99.5% and 92.6%, and PO4-P - 98.2% and 95.2%, with the differences being negligible. The installation was characterized by a very high level of technological reliability when compared with other solutions of this type. The Weibull method employed for statistical evaluation of technological reliability can also be used for comparison purposes. From the ecological perspective, the facility presented in the study has proven to be an effective tool for protecting local aquifer areas.

Using terrestrial laser scanning in inventorying of a hybrid constructed wetland system.

The goal of this paper was to evaluate the possibility of using terrestrial laser scanning (TLS) for inventorying of a hybrid constructed wetland (CW) wastewater treatment plant. The object under study was a turtle-shaped system built in 2015 in Eastern Poland. Its main purpose is the treatment of wastewater from the Museum and Education Centre of Polesie National Park. The study showed that the CW system had been built in compliance with the technical documentation, as differences between values obtained from the object and those given in the design project (max. ± 20 cm for situation and ±5 cm for elevation) were within the range defined by the legislator. It was also shown that the results were sufficiently precise to be used for as-built surveying of the aboveground elements of the CW system. The TLS technique can also be employed to analyse quantitative changes in object geometry arising during long-term use (e.g. landmass slides or erosion), the identification of which can help in selecting the hot-spots at risk of damage and thus restore the object to its original state as well as prevent new changes.

Ticagrelor downregulates the expression of proatherogenic and proinflammatory miR125-b compared to clopidogrel: A randomized, controlled trial.

BACKGROUND: Platelet P2Y12 antagonist ticagrelor reduces cardiovascular mortality after acute myocardial infarction (AMI) compared to clopidogrel, but the underlying mechanism is unknown. Because activated platelets release proatherogenic and proinflammatory microRNAs, including miR-125a, miR-125b and miR-223, we hypothesized that the expression of these miRNAs is lower on ticagrelor, compared to clopidogrel. OBJECTIVES: We compared miR-125a, miR-125b and miR-223 expression in plasma of patients after AMI treated with ticagrelor or clopidogrel. METHODS: After percutaneous coronary intervention on acetylsalicylic acid and clopidogrel, 60 patients with first AMI were randomized to switch to ticagrelor or to continue with clopidogrel. Plasma expression of miR-223, miR-125a-5p, miR-125b was measured using quantitative polymerase chain reaction at baseline and after 72 h and 6 months of treatment with ticagrelor or clopidogrel in patients and one in 30 healthy volunteers. Multiple electrode aggregometry using ADP test was used to determine platelet reactivity in response to P2Y12 inhibitors. RESULTS: Expression of miR-125b was higher in patients with AMI 72 h and 6 months, compared to healthy volunteers (p = 0.001), whereas expression of miR-125a-5p and miR-223 were comparable. In patients randomized to ticagrelor, expression of miR-125b decreased at 72 h (p = 0.007) and increased back to baseline at 6 months (p = 0.005). Expression of miR-125a-5p and miR-223 was not affected by the switch from clopidogrel to ticagrelor. CONCLUSIONS: Ticagrelor treatment leads to lower plasma expression of miR-125b after AMI, compared to clopidogrel. Higher expression of miR-125b might explain recurrent thrombotic events and worse clinical outcomes in patients treated with clopidogrel, compared to ticagrelor.

Coagulation Disorders and Thrombotic Complications in Heart Failure With Preserved Ejection Fraction.

Heart failure with preserved ejection fraction (HFpEF) is associated with multiple cardiovascular and noncardiovascular comorbidities and risk factors which increase the risk of thrombotic complications, such as atrial fibrillation, chronic kidney disease, arterial hypertension and type 2 diabetes mellitus. Subsequently, thromboembolic risk stratification in this population poses a great challenge. Since date from the large randomized clinical trials mostly include both patients with truly preserved EF, and those with heart failure with mildly reduced ejection fraction, there is an unmet need to characterize the patients with truly preserved EF. Considering the significant evidence gap in this area, we sought to describe the coagulation disorders and thrombotic complications in patients with HFpEF and discuss the specific thromboembolic risk factors in patients with HFpEF, with the goal to tailor risk stratification to an individual patient.

Partitioning of heavy metals in sub-surface flow treatment wetlands receiving high-strength wastewater.

The retention of heavy metals at two pilot-scale treatment wetlands (TWs), consisting of two vertical flow beds (VSSF) followed by a horizontal flow bed (HSSF) was studied. The TWs received high-strength wastewater: reject waters from sewage sludge centrifugation (RW) and landfill leachate (LL). The concentrations of the metals Fe, Mn, Zn, Al, Pb, Cu, Cd, Co, and Ni were measured in treated wastewater, substrate of the beds and in plant material harvested from the beds (separately in above ground (ABG) parts and below ground (BG) parts). The TWs differed in metals retention. In the RW treating TW the metal removal efficiencies varied from 27% for Pb to over 97% for Fe and Al. In the LL treating system the concentrations of most metals decreased after VSSF-1 and VSSF-2 beds; however, in the outflow from the last (HSSF) bed, the concentrations of metals (apart from Al) increased again, probably due to the anaerobic conditions at the bed. A major removal pathway was sedimentation and adsorption onto soil substrate as well as precipitation and co-precipitation. In the LL treating facility the plants contained substantially higher metal concentrations in BG parts, while the upward movement of metals was restricted. In the RW treating facility the BG/ABG ratios were lower, indicating that metals were transported to shoots.

SGLT2 Inhibitors vs. GLP-1 Agonists to Treat the Heart, the Kidneys and the Brain.

Sodium glucose cotransporter 2 (SGLT2) inhibitors and glucagon-like-peptide-1 receptor (GLP-1-R) agonists are novel therapeutic agents used for the management of type 2 diabetes mellitus (T2DM). Recently, large-scale randomized clinical trials have been conducted to assess the cardiovascular safety of these medications. The findings of these trials have revealed that both SGLT2 inhibitors and GLP-1-R agonists exhibit favorable cardioprotective effects, including reduction in cardiovascular and all-cause mortality, a decreased risk of chronic kidney disease progression, a decrease in hospitalization for heart failure (HF), an effect shown by SGLT2 inhibitors, and stroke prevention, an effect shown by GLP-1-R agonists. Based on the results from above studies, the European and American Diabetes Associations have issued new recommendations strongly endorsing the use of SGLT2 inhibitors and GLP-1-R agonists in combination with metformin for patients with T2DM who have additional cardiovascular (CV) comorbidities or risk factors. The primary aim of this combined therapy is to prevent CV events. Although both medication groups offer beneficial effects, they demonstrate slightly different profiles. SGLT2 inhibitors have exhibited better effects regarding a reduced incidence of HF, whereas GLP-1-R agonists have shown a reduced risk of CV events, particularly stroke. Moreover, recent European Society of Cardiology as well as American College of Cardiology and American Heart Association guidelines of HF treatment stressed the importance of SGLT2 inhibitor administration in patients with HF regardless of T2DM. In this context, we present and discuss the outcomes of the most recent trials investigating the impact of SGLT2 inhibitors and GLP-1-R agonists on renal and cardiovascular outcomes in patients, both with and without T2DM. Additionally, we explore the synergistic effects of combining SGLT2 inhibitors and GLP-1-R agonists in patients with cardiovascular disease.

From the pills to environment - Prediction and tracking of non-steroidal anti-inflammatory drug concentrations in wastewater.

The extend of environment pollution by pharmaceuticals is in a stage that required more automatic and integrated solutions. The non-steroidal anti-inflammatory drugs (NSAIDs) are one of the most popular pharmaceutical in the world and emerging pollutants of natural waters. The aim of the paper was to check the correlation of the sales data of selected NSAIDs (ibuprofen, naproxen, diclofenac) and their concentration in the WWTP in order to enable predicting their loads, having only the sales data. For calculations, we apply three discharge scenarios (the fates between purchased to the presence in influents), having in mind that some part of sold mass can be improperly dispose to sewage system. To support predictions, chemical analysis was conducted in two conventional wastewater treatment plants (WWTPs) located in Poland during 2018 and 2020, thereby before and during pandemic situation. The NSAIDs concentration in the influent was higher than that which would be obtained if all of the administrated mass of the pharmaceutical went through the metabolic pathway of transformation. This means that substantial mass of sold NSAIDs in improperly dispose to sewage system, and this factor need to be taken into account in future predictions. Furthermore, results indicate that the variance of naproxen and diclofenac concentrations in the influent has no correlation with relatively stable sales throughout whole year. The pandemic situation had yet no direct effect to diclofenac concentrations in influents, despite observed increasing of sales. It was calculated that more than 60 kg of diclofenac was discharged into the Baltic Sea in 2018, and 20 kg in the first half of 2021 from two tested WWTPs. The presence of 4OH-diclofenac in effluents often in higher concentration compared to diclofenac mean that this still biologically active compound need to be taken into account in future risk assessment.

Microbiological Quality and Safety of Traditional Raw Milk Cheeses Manufactured on a Small Scale by Polish Dairy Farms.

Polish raw milk artisanal cheese may pose a threat to consumer safety due to pathogen presence. The aim of this study was to assess the microbiological safety, quality and physicochemical composition of cow's and goat's milk fresh cheeses produced by farmers on a small scale. A total of 62 samples of six cheese types were analyzed for Listeria monocytogenes, Salmonella spp., lactic acid bacteria and coliform presence and concentration levels. The physicochemical analysis estimated energy, water, protein, fat, carbohydrate, ash and salt content. The cheeses were also tested for heavy metal contamination. Listeria monocytogenes and Salmonella spp. were not detected in any of the samples. Coliforms were present in all the goat's milk cheeses and only in two of the cow's milk cheeses. Low levels of cadmium, below 0.008 ppm, were detected in three of the cows' milk samples. The raw milk cheeses studied were free of the pathogens examined and were of high nutritional value.

Technical solutions and benefits of introducing rain gardens - Gdansk case study.

Nowadays, Nature-Based Solutions (NBSs) are developing as innovative multifunctional tools to maximize urban ecosystem services such as storm water preservation, reduction of runoff and flood protection, groundwater pollution prevention, biodiversity enhancement, and microclimate control. Gdansk is one of the first Polish cities to widely introduce rain gardens (one example of an NBS) in different areas such as parks, city center, main crossroads, and car parks. They involve different technical innovations individually tailored to local architecture, including historic buildings and spaces. Gdanskie Wody, which is responsible for storm water management in the city, adopted a pioneering strategy and started the construction of the first rain garden in 2018. Currently, there are a dozen rain gardens in the city, and this organisation's policy stipulates the construction of NBSs in new housing estates without building rainwater drainage. Various types of rain gardens can be created depending on location characteristics such as geo-hydrology, as well as local conditions and needs. Furthermore, each of them might be equipped with specific technical solutions to improve the rain garden's function - for example, an oil separator or setter can be included to absorb the initial, most polluted runoff. During winter, the large amount of sodium chloride usually used to grit the roads may pose the greatest threat to biodiversity and plants. These installations have been included in a large rain garden in Gdansk, located in the central reservation of the main streets in the city center. This work presents various technical considerations and their impact on ecosystem functions, and the urban circularity challenges provided by rain gardens operating in different technologies and surroundings. The precipitation quantity and the following infiltration rate were estimated by installing pressure transducers. Furthermore, mitigation of the urban heat island was analysed based on remote sensing images.

Extreme weather layer method for implementation of nature-based solutions for climate adaptation: Case study Slupsk.

One of the most severe climate risks that is expected to affect all regions is related to stormwater. Climate models, constructed based on long-term trends, show that extreme weather events such as storms, cloudbursts and a large rise in sea level will be significant in the coming decades. Moreover, even the frequency and intensity of "normal" rainfall events, such as microbursts, are expected to be remarkably higher than today in some regions. The efficiency of urban drainage systems is affected by the land use in its whole catchment. In addition to the climate stress, there is ongoing continuous densification of urban space, resulting in more buildings and larger areas being covered with impervious surfaces. Planning decisions today approving such compaction do not consider the impacts beyond the close proximity of the land parcel. As a result, by following the current planning practices, cities are becoming extremely vulnerable to stormwater flooding (flash floods). This study presents a holistic and dynamic planning method - the Extreme Weather Layer (EWL) - that makes it possible to analyse the impact of a single development (e.g. paving a gravel parking lot with asphalt or turning an area of urban greenery into a shopping centre) on the performance of the urban drainage system and therefore on the flooding risk of the whole catchment. The EWL is based on a widely accepted drainage modelling engine coupled with GIS system and other databases which provide spatial information. Thus, the EWL combined with the systemic approach of turning from grey to green infrastructure could be a smart tool for implementing NBS solutions for stormwater management in climate adaptation in urban areas. This smart tool could indicate how much more green infrastructure is needed and which places in the city the mitigative NBS measures would help significantly.

Automatic air volume control system for ventilation of two patients using a single ventilator: a large animal model study.

The COVID-19 pandemic outbreak led to a global ventilator shortage. Hence, various strategies for using a single ventilator to support multiple patients have been considered. A device called Ventil previously validated for independent lung ventilation was used in this study to evaluate its usability for shared ventilation. We performed experiments with a total number of 16 animals. Eight pairs of pigs were ventilated by a ventilator or anesthetic machine and by Ventil for up to 27 h. In one experiment, 200 ml of saline was introduced to one subject's lungs to reduce their compliance. The experiments were analyzed in terms of arterial blood gases and respiratory parameters. In addition to the animal study, we performed a series of laboratory experiments with artificial lungs (ALs). The resistance and compliance of one AL (affected) were altered, while the tidal volume (TV) and peak pressure (Ppeak) in the second (unaffected) AL were analyzed. In addition, to assess the risk of transmission of pathogens between AL respiratory tracts, laboratory tests were performed using phantoms of virus particles. The physiological level of analyzed parameters in ventilated animals was maintained, except for CO2 tension, for which a permissive hypercapnia was indicated. Experiments did not lead to injuries in the animal's lungs except for one subject, as indicated by CT scan analysis. In laboratory experiments, changes in TV and Ppeak in the unaffected AL were less than 11%, except for 2 cases where the TV change was 20%. No cross-contamination was found in simulations of pathogen transmission. We conclude that ventilation using Ventil can be considered safe in patients undergoing deep sedation without spontaneous breathing efforts.

[Elaboration of chemotaxonomical detection method of presence Legionella pneumophila cultures in water samples by GC-MS technique]. / Opracowanie chemiotaksonomicznej metody wykrywania obecnosci bakterii z rodzaju Legionella pneumophila w próbkach wody technika GC-MS.

The aim of this study was elaboration of chemotaxonomical detection method of presence Legionella pneumophila cultures in water samples. In research, the profile of ester-linked fatty acids were specified, which are situated in the cell wall of the model bacteria cultures Legionella pneumophila 33152, which originate from ATCC collection Philadelphia 1 type. The profile were applied as a standard to detection L. pneumophila presence in water supply network. During the research, water samples were esterified and extracted and then specific taxonomic markers of this bacteria were indicated by gas chromatography coupled with mass spectrometry technique (GC-MS). The limit of detection were determined to 100 jtk/100 ml water. Innovative chemotaxonomic method may be used in preliminary selection of water samples in routine analyses. Its application cuts down on time of analysis, by limitation on number of samples being diagnosed by classical microbiological methods.

Assessment of diversity and composition of bacterial community in sludge treatment reed bed systems.

Due to their low emission of odours and lack of the need to apply additional chemical agents, sludge treatment reed beds (STRBs) constitute an economically feasible and eco-friendly approach to sewage sludge management. Correctly designed and operated STRBs ensure effective reduction of the dry matter content coupled with the mineralisation of organic compounds. Successful operation of STRBs relies on complex interactions between the plants and microorganisms responsible for the decomposition of organic matter and nutrient cycling. While the biocenoses of wetland systems dedicated to wastewater treatment have been intensively investigated, in the case of sludge treatment applications, there is a deficit of available microbial data. The aim of this study was to explore the diversity and spatial distribution of the bacteria in three distinct STRBs which differ in maturation and feeding patterns. Analyses of the dry mass and organic matter content showed the general trend of the sludge stabilisation processes advancing through the bed depth, with the best performance in the Matured Continuous Feed (MCF) bed being noted. Samples from the MCF bed showed the statistically greatest biodiversity in relation to the other beds. Moreover, increased biodiversity of microorganisms was observed on the surface of the STRBs and the bottom zone of the MCF equipped with a passive aeration system, which proves the application of such solutions in order to enhance the performance of the process. The results of 16S rRNA gene sequencing revealed that Bacteroidetes, Proteobacteria and Firmicutes contributed approximately 80% of all identified sequences read. Network analysis revealed dominant role of Bacteroidetes in the formation of interspecies co-existence patterns. Nitrospira was the most abundant organism responsible for nitrogen metabolism in the STRBs.

Pleiotropic Effects of Acetylsalicylic Acid after Coronary Artery Bypass Grafting-Beyond Platelet Inhibition.

Acetylsalicylic acid (ASA) is one of the most frequently used medications worldwide. Yet, the main indications for ASA are the atherosclerosis-based cardiovascular diseases, including coronary artery disease (CAD). Despite the increasing number of percutaneous procedures to treat CAD, coronary artery bypass grafting (CABG) remains the treatment of choice in patients with multivessel CAD and intermediate or high anatomical lesion complexity. Taking into account that CABG is a potent activator of inflammation, ASA is an important part in the postoperative therapy, not only due to ASA antiplatelet action, but also as an anti-inflammatory agent. Additional benefits of ASA after CABG include anticancerogenic, hypotensive, antiproliferative, anti-osteoporotic, and neuroprotective effects, which are especially important in patients after CABG, prone to hypertension, graft occlusion, atherosclerosis progression, and cognitive impairment. Here, we discuss the pleiotropic effects of ASA after CABG and provide insights into the mechanisms underlying the benefits of treatment with ASA, beyond platelet inhibition. Since some of ASA pleiotropic effects seem to increase the risk of bleeding, it could be considered a starting point to investigate whether the increase of the intensity of the treatment with ASA after CABG is beneficial for the CABG group of patients.

Is sequential batch reactor an efficient technology to protect recipient against non-steroidal anti-inflammatory drugs and paracetamol in treated wastewater?

The tested facility was a wastewater treatment plant (WWTP) in Swarzewo, where the wastewater treatment takes place in aeration chambers with activated sludge using sequential batch reactors (SBRs). The concentration of the following pharmaceuticals: ibuprofen, paracetamol, flurbiprofen, naproxen, diclofenac, and its metabolites 5OH-diclofenac and 4OH-diclofenac was tested in influents and effluents. Simultaneously, the conventional parameters were characterised. The removal of conventional pollutants was high (94.4-99.5%). At the same time, the removal of pharmaceuticals was variable. In the case of diclofenac and its metabolites, the concentration in the effluent was higher than in the influents. The risk quotients (RQs) calculated for analyzed pharmaceuticals suggest low environmental risk for selected species. However, negative impact for the biota due to the chronic presence of diclofenac cannot be excluded. It can be concluded that the SBRs, similarly to traditional flow activated sludge technology, are not efficient in the removal of target pharmaceuticals.

Kinetics of pollutants removal in vertical and horizontal flow constructed wetlands in temperate climate.

This paper reports a comparative study on kinetics of organic matter expressed as BOD5 and nitrogen removal in constructed wetlands operated in Poland. Analyzed data were collected at eight wetland systems, composed of subsurface flow beds: horizontal flow (HF) and vertical flow (VF), in different number and sequences. The analysis involved particularly mass removal rates (MRR) and first-order removal rate coefficients of BOD5 and total nitrogen (kA and kv for VF and HF filters, respectively, and k20 as a parameter averaged for a temperature of 20 °C). It was found that the higher the load of pollutants applied to the beds, the higher MRR values were obtained. The average k-rates in analyzed systems were mostly lower than those reported in the literature, especially in the case of total nitrogen. Its removal obtained in horizontal flow beds was kv = 0.002-0.042 d-1, while in vertical flow systems kA varied from 0.007 m d-1 to 0.0037 m d-1. According to data given by previous studies, first-order reaction rates for nitrogen removal varied in range from kv = 0.048 d-1 to kv = 0.19 d-1 and kA from 0.007 to 0.1 m d-1 in HF and VF beds, respectively. Regarding BOD5 shown in literature, removal rate kv for HF beds varied from 0.071 to 6.11 d-1, and kA for VF beds varied from 0.019 to 1.0 m d-1, while in this study lower k-rates were obtained: kv = 0.005-0.085 d-1 and kA = 0.015-0.130 m d-1. Relatively long monitoring period, for some of constructed wetland up to 16 years, resulted in good data set and enables creation of the graphs, which could be helpful in evaluation and designing of constructed wetlands for PE bigger than 50, in moderate climate conditions.

Early Biomarkers of Neurodegenerative and Neurovascular Disorders in Diabetes.

Diabetes mellitus (DM) is a common disease worldwide. There is a strong association between DM and neurovascular and neurodegenerative disorders. The first group mainly consists of diabetic retinopathy, diabetic neuropathy and stroke, whereas, the second group includes Alzheimer's disease, Parkinson's disease, mild cognitive impairment and dementia. The aforementioned diseases have a common pathophysiological background including insulin resistance, oxidative stress, atherosclerosis and vascular injury. The increasing prevalence of neurovascular and neurodegenerative disorders among diabetic patients has resulted in an urgent need to develop biomarkers for their prediction and/or early detection. The aim of this review is to present the potential application of the most promising biomarkers of diabetes-related neurodegenerative and neurovascular disorders, including amylin, ß-amyloid, C-reactive protein (CRP), dopamine, gamma-glutamyl transferase (GGT), glycogen synthase kinase 3ß, homocysteine, microRNAs (mi-RNAs), paraoxonase 1, phosphoinositide 3-kinases, tau protein and various growth factors. The most clinically promising biomarkers of neurovascular and neurodegenerative complications in DM are hsCRP, GGT, homocysteine and miRNAs. However, all biomarkers discussed in this review could become a part of the potential multi-biomarker screening panel for diabetic patients at risk of neurovascular and neurodegenerative complications.