Surgical Management of Giant Intrapericardial Teratoma Encasing the Coronary Artery.

Intrapericardial teratomas are rare, predominantly benign tumors that warrant surgical resection in the neonatal period because of their potential detrimental effects on the cardiorespiratory system. Surgical resection can be a challenge when the tumor encases and obscures a coronary artery. Adherence to certain operative principles is necessary to achieve successful outcomes.

Inferior Right Ventricular Wall Thickness by Echocardiogram: A Novel Method of Assessing Hypertrophy in Neonates and Infants.

An established echocardiographic (echo) standard for assessing the newborn right ventricle (RV) for hypertrophy has not been thoroughly developed. This is partially due to the RV's complex architecture, which makes quantification of RV mass by echo difficult. Here, we retrospectively evaluate the thickness of the inferior RV wall (iRVWT) by echo in neonates and infants with normal cardiopulmonary physiology. Inferior RVWT was defined at the medial portion of the inferior wall of the RV at the mid-ventricular level, collected from a subxiphoid, short axis view. iRVWT was indexed to body surface area (BSA) to the 0.5 power and normalized to iLVWT to explore the best normalization method. Ninety-eight neonates and 32 infants were included in the final analysis. Mean age for neonates and infants was 2 days and 59 days, respectively. Mean ± SD for neonate and infant end-diastole iRVWT was 2.17 ± 0.35 mm and 1.79 ± 0.28 mm, respectively. There was no residual relationship between the index iRVWT and BSA (r = 0.03, p = NS). In the infant cohort, the iRVWT was significantly lower and iLVWT was significantly higher compared to neonate, consistent with known physiologic changes of RV and LV mass. Thus, iRVWT may serve as a reliable and accurate proxy for RV mass and the parameter warrants further evaluation.

A new framework for approaching precision bioremediation of PAH contaminated soils.

Bioremediation is a sustainable treatment strategy which remains challenging to implement especially in heterogeneous environments such as soil and sediment. Herein, we present a novel precision bioremediation framework that integrates amplicon based metagenomic analysis and chemical profiling. We applied this approach to samples obtained at a site contaminated with polycyclic aromatic hydrocarbons (PAHs). Geobacter spp. were identified as biostimulation targets because they were one of the most abundant genera and previously identified to carry relevant degradative genes. Mycobacterium and Sphingomonads spp. were identified as bioaugmentation and genetic bioaugmentation targets, respectively, due to their positive associations with PAHs and their high abundance and species diversity at all sampling locations. Overall, this case study suggests this framework can help identify bacterial targets for precision bioremediation. However, it is imperative that we continue to build our databases as the power of metagenomic based approaches remains limited to microorganisms currently in our databases.

Chlorpyrifos degradation via photoreactive TiO2 nanoparticles: Assessing the impact of a multi-component degradation scenario.

High concentrations of pesticides enter surface waters following agricultural application, raising environmental and human health concerns. The use of photoreactive nanoparticles has shown promise for contaminant degradation and surface water remediation. However, it remains uncertain how the complexity of natural waters will impact the photodegradation process. Here, we investigate the photoreactivity of titanium dioxide nanoparticles, the capability to degrade the pesticide chlorpyrifos, and the effect of and impact on bacteria during the photodegradation process. Loss of chlorpyrifos in solution resulted solely from photocatalytic oxidation, with 80% degradation observed after 24 h in our reactor, either in the presence or absence of bacteria. Degradation of chlorpyrifos to chlorpyrifos oxon and 3,5,6-trichloro-2-pyridinol was observed via LC/MS-MS and effectively modeled for the given reactor conditions. Bacterial inactivation occurred over 60 min and was not impacted by the presence of chlorpyrifos. The relative affinity of bacteria and chlorpyrifos for the nanoparticle surface decreased the amount of Reactive Oxygen Species (ROS) detected in the bulk by up to 94%, suggesting that ROS measurements in simplified systems may overestimate the reactivity of photoreactive nanoparticles in complex environments.