Search

Background: Cardiac hemangiomas are very uncommon benign primary tumors. They are usually located preferentially in the right atrium and their location in the interatrial septum is extremely rare. Case presentation: We report the case of a 41-year-old patient who was admitted due to a stroke. The transthoracic echocardiogram revealed a large mass in the right atrium adhered to the interatrial septum. Suspecting an atrial myxoma, surgical intervention was performed confirming that the mass extended within the thickness of the interatrial septum, protruding into the right atrial cavity. The histologic report confirmed a hemangioma. Conclusions: Cardiac hemangiomas are rare primary tumors and are usually misdiagnosed as other cardiac tumors. Histopathological examination is essential for a definitive diagnosis. [ABSTRACT FROM AUTHOR]

Public procurement can help drive a transition to a more sustainable food system based on local agroecological production. In countries with large public education systems, school and university canteen services can play a significant role by virtue of their enormous centralized purchasing power. In this study, we investigate the potential and feasibility of implementing an enduring transformation to a sustainable food procurement model in public higher education institutions based on agroecological principles for the case of Spain. To address our research questions, we employed participatory workshops and a questionnaire survey (1,058 respondents) to analyze perceptions and priorities around sustainable food practices on campus of the university community across three Spanish public universities. Workshop participants proposed and prioritized interventions aimed at improving the sustainability of oncampus food services. Some recommendations for action for policy makers are detailed in the Discussion section, as key actors in this process. Pathways toward a future transition to more sustainable practices included the importance of food services to the university community, the high level of understanding of food system impacts and demand for change from consumers on university campuses, the universities’ commitment to the UN Sustainable Development Goals and the potential of university networks as a powerful agent of social change and social innovation. [ABSTRACT FROM AUTHOR]