Molecular signatures of atherosclerotic plaques: An up-dated panel of protein related markers.

Atherosclerosis remains the leading cause of ischemic syndromes such as myocardial infarction or brain stroke, mainly promoted by plaque rupture and subsequent arterial blockade. Identification of vulnerable or high-risk plaques constitutes a major challenge, being necessary to identify patients at risk of occlusive events in order to provide them with appropriate therapies. Clinical imaging tools have allowed the identification of certain structural indicators of prone-rupture plaques, including a necrotic lipidic core, intimal and adventitial inflammation, extracellular matrix dysregulation, and smooth muscle cell depletion and micro-calcification. Additionally, alternative approaches focused on identifying molecular biomarkers of atherosclerosis have also been applied. Among them, proteomics has provided numerous protein markers currently investigated in clinical practice. In this regard, it is quite uncertain that a single molecule can describe plaque rupture, due to the complexity of the process itself. Therefore, it should be more accurate to consider a set of markers to define plaques at risk. Herein, we propose a selection of 76 proteins, from classical inflammatory to recently related markers, all of them identified in at least two proteomic studies analyzing unstable atherosclerotic plaques. Such panel could be used as a prognostic signature of plaque instability.

Thrombosed Popliteal Artery Pseudoaneurysm as Herald of Tibial Osteochondroma.

BACKGROUND: Osteochondroma is the most common non-malignant tumour of bone, accounting for approximately one third of benign lesions in the skeleton. They often develop around the knee in the distal femur and in the proximal tibia and fibula. They present as a painless slow growing mass during adolescence and have been reported to cause damage to adjacent structures such as blood vessels; arterial damage is more common than venous injury and is usually a result of compression, stretching, and rubbing of the arterial wall. Such lesions include stenosis, thrombosis, and pseudoaneurysm formation possibly causing lower limb claudication or acute limb ischemia. METHODS: An 18 year old male patient with a 4 week history of pain, hematoma, and oedema of the left calf without previous trauma is reported. A computed tomography scan (CT) revealed a large popliteal artery pseudoaneurysm and its close relationship to a protrusion of the proximal tibia. RESULTS: The popliteal artery was repaired by an external saphenous patch and the exostosis was removed. The patient had palpable popliteal and distal pulses after surgery and during the first year follow-up. CONCLUSIONS: Tibial osteochondroma should be considered in the differential diagnosis in young patients, among the potential causes of pseudoaneurysm of the femoral or popliteal artery. Surgical repair should be performed to restore normal blood flow with resection of the exostosis to prevent recurrence.

Long and short-term performance of a stabilized/solidified electric arc furnace dust.

The application of class F fly ash, cement and lime to the Stabilization/Solidification (S/S) of electric arc furnace dust containing hazardous metals such as Zn, Pb, Cd, and Cr is described. The aim of the study was to determine the influence of the setting conditions during the S/S treatment and to know the behaviour of an aged solidified and stabilized waste. In order to determine the efficiency attained by the S/S process, USEPA TCLP, and other leaching tests have been accomplished. In addition, the compressive strength of the solidified waste at different times has been determined. In order to study the influence of the environmental conditions in which setting occurs, experiments were carried out with samples of the same composition, under different setting conditions: laboratory environment, stove at a temperature of 40-60 degrees C and setting in a hermetically sealed plastic bag at room temperature. All the samples were subjected to the TCLP test at 28 days, and the metal content of the resulting leachates was analysed. The results show that in some cases the setting conditions of the mixtures have a noticeable influence on the characteristics of the leachate. The evolution with time of some S/S solids, one month after their manufacture and more than 9 years after that has also been evaluated, by means of their leaching behaviour. The results obtained in this work have shown, in all the laboratory cured samples that the leachate pH decrease in the course of time, and consequently the leaching behaviour is in general worse. This could be due to the carbonation of the S/S solid and the subsequent loss of alkalinity.

Solidification/stabilization of electric arc furnace dust using coal fly ash. Analysis of the stabilization process.

In this paper, the stabilization of electric arc furnace (EAF) dust containing hazardous metals such as Pb, Cd, Cr or Zn is described. The treatment involves a waste solidification/stabilization (S/S) process, using coal fly ash as the fundamental raw material and main binder. The article also contains a brief review of the most important recent publications related to the use of fly ash as S/S agents. The efficacy of the process has been evaluated mainly through leaching tests on the solidified products and compliance with some imposed leachate limits. The concentration of metals leaching from the S/S products was strongly leachate pH dependent; thus, the final pH of the leachate is the most important variable in reaching the limits and, therefore, in meeting the stabilization goals. In this study, the dependence relationship between the leachate pH and the concentrations of metals in the leachate are analyzed; in some cases, this allows us to estimate the speciation of contaminants in the S/S solids and to understand the mechanism responsible for reduced leachability of heavy metals from solidified wastes.

Stabilization of a chromium-containing solid waste: immobilization of hexavalent chromium

This article describes the stabilization/solidification (S/S) of a steel industry waste, using a common type-F fly ash from a coal power station as the main binder. The waste, which contains hazardous levels of metals, may be stabilized by a conventional S/S to achieve permissible Pb, Cd, and Zn concentrations in the Toxicity Characteristic Leaching Procedure (TCLP) leachates of S/S solids. On the other hand, the stabilization of Cr(VI), also present in the waste, requires a reducing pretreatment stage with ferrous sulfate to attain TCLP leachates within limits. A bibliographic study on the stabilization of Cr(VI)-containing wastes is included in the paper, along with a discussion on the lowest Cr concentration in TCLP and aqueous (DIN) leachates.

Subperiosteal new bone formation in association with vascular graft sepsis.

Hypertrophic osteoarthropathy (HOA) is a clinical and radiologic syndrome that consists of periosteal new bone formation, synovitis, and digital clubbing. Secondary HOA has been reported confined to one or two extremities that are perfused by Dacron grafts that have become infected. Herein we include a report of a vascular graft infection that shares some of the clinical features with HOA and a brief review of pathophysiologic theories. We conclude emphasizing that periostitis and other HOA signs and symptoms may play a role as a clue to support the suspicion of vascular graft infection when confusing and vague clinical features are present.