Identification of the main determinants of abdominal aorta size: a screening by Pocket Size Imaging Device.

BACKGROUND: Ultrasound exam as a screening test for abdominal aorta (AA) can visualize the aorta in 99% of patients and has a sensitivity and specificity approaching 100% in screening settings for aortic aneurysm. Pocket Size Imaging Device (PSID) has a potential value as a screening tool, because of its possible use in several clinical settings. Our aim was to assess the impact of demographics and cardiovascular (CV) risk factors on AA size by using PSID in an outpatient screening. METHODS: Consecutive patients, referring for a CV assessment in a 6 months period, were screened. AA was visualized by subcostal view in longitudinal and transverse plans in order to determine the greatest anterior-posterior diameter. After excluding 5 patients with AA aneurysm, 508 outpatients were enrolled. All patients underwent a sequential assessment including clinical history with collection of CV risk factors, physical examination, PSID exam and standard Doppler echoc exam using a 2.5 transducer with harmonic capability, both by expert ultrasound operators, during the same morning. Standard echocardiography operators were blinded on PSID exam and viceversa. RESULTS: Diagnostic accuracy of AA size by PSID was tested successfully with standard echo machine in a subgroup (n = 102) (rho = 0.966, p < 0.0001). AA diameter was larger in men than in women and in ≥50 -years old subjects than in those <50 -years old (both p < 0.0001). AA was larger in patients with coronary artery disease (CAD) (p < 0.0001). By a multivariate model, male sex (p < 0.0001), age and body mass index (both p < 0.0001), CAD (p < 0.01) and heart rate (p = 0.018) were independent predictors of AA size (cumulative R 2 = 0.184, p < 0.0001). CONCLUSION: PSID is a reliable tool for the screening of determinants of AA size. AA diameter is greater in men and strongly influenced by aging and overweight. CAD may be also associated to increased AA diameter.

Left atrium by echocardiography in clinical practice: from conventional methods to new echocardiographic techniques.

Although often referred to as "the forgotten chamber", compared with left ventricle (LV), especially in the past years, the left atrium (LA) plays a critical role in the clinical expression and prognosis of patients with heart and cerebrovascular disease, as demonstrated by several studies. Echocardiographers initially focused on early detection of atrial geometrical abnormalities through monodimensional atrial diameter quantification and then bidimensional (2D) areas and volume estimation. Now, together with conventional echocardiographic parameters, new echocardiographic techniques, such as strain Doppler, 2D speckle tracking and three-dimensional (3D) echocardiography, allow assessing early LA dysfunction and they all play a fundamental role to detect early functional remodelling before anatomical alterations occur. LA dysfunction and its important prognostic implications may be detected sooner by LA strain than by volumetric measurements.

The Effects of a Microorganisms-Based Commercial Product on the Morphological, Biochemical and Yield of Tomato Plants under Two Different Water Regimes.

The practice of organic agriculture represents an essential requirement for conserving natural resources and for providing the food necessary for a growing population, on a sustainable basis. Tomatoes are considered to be one of the most important crops worldwide. In this context, the organic production of tomatoes should be taken into more consideration. The use of microorganisms-based commercial products is an alternative to chemical fertilizers. Anyway, the results of their use are still variable because of various factors. The aim of this study was to test the effect of inoculation with AMF, PGPR and fungi-based products (Rizotech plus®) on the morphological (length of the plants), biochemical (lycopen, polyphenols, antioxidant activity), and number of fruits and yields of four tomato cultivars (Siriana F1, HTP F1, Minaret F1, Inima de Bou) in two different water regimes used for irrigation (200 m3 or 300 m3 of water/hectare) under a protected area. The results showed that the efficiency of Rizotech plus® application is dependent on the cultivar and the amount of water used. Also, it was clearly demonstrated that the microorganism inoculation significantly increased the yield of Minaret F1, Siriana F1 and HTP F1 cultivars as compared to the uninoculated plants, regardless of the water amount used in the experiment. Moreover, it was observed that for the irrigation of all four cultivars, inoculated with Rizotech plus®, a lower amount of water (200 m3·ha-1) can be used to get the same length of plants, number of fruits and yield as in the case of a higher amount of water (300 m3·ha-1). In the case of lycopene, polyphenols and antioxidant activity, the results varied with the cultivar and the water amount used. This study gives new information about the functionality and performance of the microorganisms from Rizotech plus® product when applied to different tomato cultivars grown in a tunnel, in the condition of two different water regimes, contributing to a better characterization of it and maybe to a more efficient use in agriculture to achieve optimum results.