Social Isolation, Loneliness, and Cardiovascular Mortality: The Role of Health Care System Interventions.

PURPOSE OF REVIEW: The world is proliferating rapidly, with science and technology advancing at an incredible rate. These advances have, however, ushered in an age with a rise in social isolation (SI) and loneliness. SI is an objective term that refers to lacking social contact or support. On the other hand, loneliness is subjective and refers to feeling alone or isolated. These concepts are rapidly gaining prominence mainly due to their negative impact on the physical and psychological health of the population, mainly through behavioural modifications that encompass substance abuse, decreased physical activity and unhealthy food habits, and poor sleep hygiene. This review summarizes the pathophysiology, evaluates the evidence behind impact of SI on cardiovascular mortality, and interventions to overcome SI. RECENT FINDINGS: Through proposed mechanisms, such as activation of the sympathetic nervous system and the hypothalamic-pituitary-adrenal axis, both SI and loneliness have strong evidence linking them to cardiovascular morbidity and mortality. A systematic review and meta-analysis of 90 prospective cohort studies including 2,205,199 individuals reported that SI was independent predictor of cardiovascular mortality with a point estimate of 1.34 (95% confidence interval:1.25-1.44). The evidence so far is compelling and necessitates urgent action with the implementation of strict policies to tackle this issue. As healthcare professionals, it becomes even more critical to remain vigilant, recognize this insidious pandemic, and take appropriate action.

Silver nanoparticles in plant health: Physiological response to phytotoxicity and oxidative stress.

Silver nanoparticles (AgNPs) have gained significant attention in various fields due to their unique properties, but their release into the environment has raised concerns about their environmental and biological impacts. Silver nanoparticles can enter plants following their exposure to roots or via stomata following foliar exposure. Upon penetrating the plant cells, AgNPs interact with cellular components and alter physiological and biochemical processes. One of the key concerns associated with plant exposure to AgNPs is the potential of these materials to induce oxidative stress. Silver nanoparticles can also suppress plant growth and development by disrupting essential plant physiological processes, such as photosynthesis, nutrient uptake, water transport, and hormonal regulation. In crop plants, these disruptions may, in turn, affect the productivity and quality of the harvested components and therefore represent a potential threat to agricultural productivity and ecosystem stability. Understanding the phytotoxic effects of AgNPs is crucial for assessing their environmental implications and guiding the development of safe nanomaterials. By delving into the phytotoxic effects of AgNPs, this review contributes to the existing knowledge regarding their environmental risks and promotes the advancement of sustainable nanotechnological practices.

Transhepatic Access for Percutaneous Mitral Balloon Commissurotomy With Dextrocardia and Inferior Vena Cava Interruption.

We report a successful percutaneous mitral balloon commissurotomy via left transhepatic venous access in a 42-year-old female patient with dextrocardia, situs inversus totalis, and inferior vena cava interruption. fWe also discuss the revisions required for optimal trans-septal approach from the left transhepatic vein.