Global mercury concentrations in biota: their use as a basis for a global biomonitoring framework.

An important provision of the Minamata Convention on Mercury is to monitor and evaluate the effectiveness of the adopted measures and its implementation. Here, we describe for the first time currently available biotic mercury (Hg) data on a global scale to improve the understanding of global efforts to reduce the impact of Hg pollution on people and the environment. Data from the peer-reviewed literature were compiled in the Global Biotic Mercury Synthesis (GBMS) database (>550,000 data points). These data provide a foundation for establishing a biomonitoring framework needed to track Hg concentrations in biota globally. We describe Hg exposure in the taxa identified by the Minamata Convention: fish, sea turtles, birds, and marine mammals. Based on the GBMS database, Hg concentrations are presented at relevant geographic scales for continents and oceanic basins. We identify some effective regional templates for monitoring methylmercury (MeHg) availability in the environment, but overall illustrate that there is a general lack of regional biomonitoring initiatives around the world, especially in Africa, Australia, Indo-Pacific, Middle East, and South Atlantic and Pacific Oceans. Temporal trend data for Hg in biota are generally limited. Ecologically sensitive sites (where biota have above average MeHg tissue concentrations) have been identified throughout the world. Efforts to model and quantify ecosystem sensitivity locally, regionally, and globally could help establish effective and efficient biomonitoring programs. We present a framework for a global Hg biomonitoring network that includes a three-step continental and oceanic approach to integrate existing biomonitoring efforts and prioritize filling regional data gaps linked with key Hg sources. We describe a standardized approach that builds on an evidence-based evaluation to assess the Minamata Convention's progress to reduce the impact of global Hg pollution on people and the environment.

A Pilot Study of Mercury Distribution in the Carapace of Four Species of Sea Turtles from Northeastern Brazil.

Scutes present very complex morphologies with different growth rates at different areas of the carapace that can change the accumulation process of essential and non-essential metals. To infer the effects of morphology and growth on Hg concentrations in scutes, we mapped them in the carapace of one individual of four species of sea turtles sampled along the Brazilian coast. The results showed that Hg concentrations were higher in the vertebral scutes of Chelonia mydas and Eretmochelys imbricata suggesting variation in growth rates of different carapace areas since the vertebral area is the first to develop prior to costal areas. Caretta caretta and Lepidochelys olivacea did not show differences between carapace areas. The preliminary data from this pilot study indicate that vertebral scutes may be suitable for monitoring Hg in C. mydas and E. imbricata, since they reflect longer exposure period. A species-to-species comparison of Hg concentrations is not possible due to the small number of sampled individuals, nevertheless, E. imbricata showed remarkably lower Hg concentrations compared to the other three species. Further studies are required for all four species, with a larger number of individuals, preferentially of varying life stages, due to the unknown effects of different diets, Hg exposure, and migration histories.

Development and validation of a sexual relations satisfaction scale in patients with breast cancer - "SEXSAT-Q".

PURPOSE: Because the currently available questionnaires to evaluate sexual changes on breast cancer women only address the sexual sphere with a few questions our purpose was to develop a questionnaire that assesses changes in sexual dysfunction and satisfaction in women treated for breast cancer. METHODS: A sample was selected of women aged between 18 and 65 who had had surgery for breast cancer, completed neoadjuvant/adjuvant chemotherapy treatment and could be receiving adjuvant hormonal treatment, with an active sex life at least 3 months before starting treatment. Metastatic disease was excluded. A questionnaire structured in 4 dimensions was developed. The MOS SF-12 and QLQ-BR23 questionnaires were also provided. The following metric properties were evaluated: item analysis; internal consistency; temporal stability; construct validity; concurrent, convergent and divergent validity; and feasibility. RESULTS: Three samples were recruited: a pilot sample of 20; a reduction sample of 152; and a validation sample of 148. The presence of 6 dimensions was confirmed: 1) Loss of sex drive; 2) worsening of body image; 3) psychological coping; 4) discomfort during intercourse; 5) satisfaction with sexual relations; and 6) satisfaction with breast reconstruction. Good goodness-of-fit statistics were obtained (χ2/df = 1.5, GFI = 0.9, AGFI = 0.84, CFI = 0.959, RMSEA = 0.062). Reliability was good (α = 0.855), as was test-retest stability (r = 0.838). The correlation with the convergent questionnaires proved to be higher than that obtained with generic measurements. CONCLUSIONS: We were able to develop a short questionnaire (17 items) capable of measuring sexual satisfaction in women with breast cancer with good metric properties.

Mercury and methylmercury in carapace of the marine turtle Caretta caretta, in northeastern Brazil and its potential for environmental monitoring.

The present work tests the use of carapace fragments of the marine turtle Caretta caretta as a tool for environmental biomonitoring of mercury (Hg) and to evaluate the influence of biological and ecological factors in Hg concentrations. Samples of carapace fragments were obtained during the nesting season of 2012 and 2016 and were analyzed for their total-Hg and methyl-Hg concentrations and the isotopic composition of carbon and nitrogen (δ15N and δ13C). Seventy-six females were sampled, with an average size of 87.1 to 107 cm of curved carapace length (CCL). The results showed a wide variation in total Hg concentrations (3.3 - 1,672 ng g-1) and low concentrations of methyl-Hg, not showing any pattern of accumulation among the individuals. The isotopic composition of δ15N and δ13C suggests that the individuals sampled belong to a high trophic level but did not present any relationship with the Hg concentrations. It suggests that, at least with the existing results, and unlike other turtle species, carapace fragments of C. caretta cannot yet be used in environmental monitoring.

[Lemmel's syndrome: report of a case]. / Síndrome de Lemmel: reporte de un caso.

Lemmel's syndrome is a very rare condition as a cause of obstructive jaundice secondary to the presence of a duodenal diverticulum. We report a case, a 68-year-old female patient with a cholestatic pattern, biliary tract dilatation, who underwent ERCP, with a juxtapapillary diverticulum compressing the distal bile duct, which was sphincterotomy.

Biological and ecological traits rather than geography control mercury (Hg) in scutes of marine turtles from the Southwest Atlantic.

The use of sentinel species in monitoring programs for toxic metals such as mercury (Hg) is essential to understand these pollutants' impact on the environment. For this purpose, it is essential to use organisms that have a lifespan compatible with the residence time of Hg in the oceans, and preferably with a wide geographical distribution, such as sea turtles. Here, we assess the regional variability of Hg concentrations using carapace scutes of four sea turtle species along the foraging and spawning area in the northeast coastline of Brazil. Mercury concentrations in samples showed no relationship with the environmental Hg levels (obtained from literature). Rather, Hg concentrations varied according to species-specific biological, and ecological traits. Characteristics such as the ontogenetic shift in the diet of Chelonia mydas, capital breeding in females, depth of foraging in oceanic waters, and selectivity of food items, such as in Eretmochelys imbricata, significantly influenced Hg concentrations.

Influence of size on total mercury (THg), methyl mercury (MeHg), and stable isotopes of N and C in green turtles (Chelonia mydas) from NE Brazil.

The green turtle (Chelonia mydas) is known to present an herbivorous diet as an adult; however, juveniles may have an omnivore habit, and these changes in food preference may affect the uptake and accumulation of pollutants, such as mercury (Hg). In order to better understand the influence of this ontogenetic shift on Hg accumulation, this study evaluates the concentrations of total mercury (THg), methyl mercury (MeHg), and stable isotopes of carbon and nitrogen (δ13C and δ15N) in a group of juveniles of the green turtle. Tissue samples (liver, kidney, muscle, and scutes) were sampled from 47 turtles stranded dead on the coast of Bahia, NE, Brazil, between 2009 and 2013. The turtles analyzed showed a size range of 24.9-62.0 cm and an average of 36.4 ± 7.2 cm of curved carapace length. The scutes showed to be a viable method for Hg monitoring in the green turtles. The concentrations of THg and MeHg decreased with increasing size. The isotope values of δ15N and δ13C did not show a clear relationship with the size, suggesting that the green turtles used in our work would be occupying similar trophic levels, and foraging habitat.

Síndrome de Lemmel: reporte de un caso / Lemmel's syndrome: report of a case

El síndrome de Lemmel es una patología muy rara como causa de ictericia obstructiva secundaria a la presencia de un divertículo duodenal. Se reporta un caso, paciente mujer de 68 años con patrón colestásico, dilatación de vías biliares, a la cual se le realizo CPRE, encontrándose divertículo yuxtapapilar que comprimía colédoco distal, a la que se realizó esfinterotomía.

Lemmel's syndrome is a very rare condition as a cause of obstructive jaundice secondary to the presence of a duodenal diverticulum. We report a case, a 68-year-old female patient with a cholestatic pattern, biliary tract dilatation, who underwent ERCP, with a juxtapapillary diverticulum compressing the distal bile duct, which was sphincterotomy.