Effect of right internal mammary artery versus radial artery as a second graft vessel in coronary artery bypass grafting on postoperative wound infection in patients: A meta-analysis.

Few studies have shown that radial artery (RA), which is used as a secondary arterial graft, offers superior results compared with right internal thoracic artery (RIMA) in coronary artery bypass grafting (CABG). In a meta-analysis of observational studies starting in 2023, we looked at the effect of re-operation on postoperative infection and haemorrhage in CABG with RA vs. RIMA. The electronic database up to October 2023 was examined in the course of the research. Analysis was carried out on the clinical trials of postoperative wound infections and haemorrhage re-surgery. Among 912 trials associated with CABG, we selected 8 trials to be included in the final data analysis. The main results were secondary wound infection and re-operation after surgery. The odds ratios (OR) and confidence intervals (CIs) were computed on the basis of a randomized or fixed-effect model of wound infection and re-operation. Seven trials showed a significant reduction in the risk of wound infection in RA treated as a secondary artery transplant compared with RIMA (OR, 1.60; 95% CI, 1.03, 2.47 p = 0.04); Four trials showed that RIMA was not significantly different from RA in the rate of re-operation for postoperative bleeding (OR, 1.31; 95% CI, 0.60, 2.88 p = 0.50). In CABG, RA is used as a secondary arterial conduit graft to lower the risk of wound infection in CABG patients.

Assessment of growth rate, chlorophyll a fluorescence, lipid peroxidation and antioxidant enzyme activity in Aphanizomenon flos-aquae, Pediastrum simplex and Synedra acus exposed to cadmium.

In this study, the effects of cadmium on the cyanobacterium Aphanizomenon flos-aquae, the green alga Pediastrum simplex and the diatom Synedra acus was evaluated on the basis of growth rate, chlorophyll a fluorescence, lipid peroxidation and antioxidant enzyme activity. The EC50 values (effective concentration inducing 50 % of growth inhibition) of cadmium in A. flos-aquae, P. simplex and S. acus were 1.18 ± 0.044, 4.32 ± 0.068 and 3.7 ± 0.055 mg/L, respectively. The results suggested that cadmium stress decreases growth rate and chlorophyll a concentration. The normalized chlorophyll a fluorescence transients significantly increased at cadmium concentrations of 5.0, 10.0 and 20.0 mg/L, but slightly decreased at concentrations of 0.2, 0.5 and 1.0 mg/L. The chlorophyll fluorescence parameters showed considerable variation among the three species, while lipid peroxidation and antioxidant enzyme activities showed a significant increase. Our results demonstrated that blockage of electron transport on the acceptor side of photosystem II is the mechanism responsible for cadmium toxicity in freshwater microalgae, and that the tolerance of the three species to cadmium was in the order green alga P. simplex > diatom S. acus > cyanobacterium A. flos-aquae.

The response and detoxification strategies of three freshwater phytoplankton species, Aphanizomenon flos-aquae, Pediastrum simplex, and Synedra acus, to cadmium.

The response and detoxification mechanisms of three freshwater phytoplankton species (the cyanobacterium Aphanizomenon flos-aquae, the green alga Pediastrum simplex, and the diatom Synedra acus) to cadmium (Cd) were investigated. The cell growth of each species was measured over 10 days, and chlorophyll a fluorescence, Cd bioaccumulation (including surface-adsorbed and intracellular Cd), and phytochelatin (PC) synthesis were determined after 96-h exposures. The growth of the three phytoplankton species was significantly inhibited when Cd concentrations were ≥5 mg L(-1). Compared with P. simplex, greater growth inhibition in S. acus and A. flos-aquae occurred. The changes in chlorophyll fluorescence parameters including the maximal quantum yield of PSII (Fv/Fm) and relative variable fluorescence of the J point (Vj) demonstrated that the increase in Cd concentration damaged PSII in all three species. After 96-h exposures, the accumulation of surface-adsorbed Cd and intracellular Cd increased significantly in all three species, with the increase of Cd concentrations in the media; total cadmium accumulation was 245, 658, and 1670 times greater than that of the control in A. flos-aquae, P. simplex, and S. acus, respectively, after exposure to 10 mg L(-1). Total thiols exhibited a similar trend to that of Cd accumulation. PC3 was found in A. flos-aquae and P. simplex in all Cd treatments. Glutathione (GSH) and PC2 were also produced in response to exposure to high concentrations of Cd. PC4 was only discovered at exposure concentrations of 10 mg L(-1) Cd and only in S. acus. The intracellular Cd/PCs ratio increased in all three phytoplankton with an increase in Cd concentrations, and a linear relationship between the ratio and the growth inhibition rates was observed with P. simplex and S. acus. Our results have demonstrated that metal detoxification mechanisms were dependent on the species. This study suggested that the variance of metal detoxification strategies, such as cadmium accumulation and PCs, might be an explanation why algal species have different sensitivity to Cd at various levels.