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Purpose: In Italy, the training of sports workers was carried out through national sports federations (NSF), sports promotion bodies (SPB) and associated disciplines (AD) since there were no laws regarding specific professional figures on a par with other labor sectors. New and recent legislation stipulates that specific training is the responsibility of universities, with the 3-year bachelor's degree program in Exercise and Sports Science (L22) for the cultural and scientific profiling of the new professional figure of the basic kinesiologist. The study measures the perceptions and opinions that students have with respect to the training in their studies and also analyze any gaps in terms of knowledge and skills to be applied in the professional field. Methods: A questionnaire was administered to 30 students consisting of 15 questions divided into three sections: Sect. 1 of sample identification, Sect. 2 assessing perceptions on knowledge acquired, and Sect. 3 assessing perceptions on skills learned. A chi-square (χ2) analysis was performed to check for significant differences. Results: The results showed a difference of opinion. Although 84.2% of the sample thought highly of the training offered, discordant data emerged on the knowledge and skills taught within the courses of study. Although this high percentage is convinced and entrusts their training to the university pathway, it is found that 19% have qualifications issued by NSF, 4.8% by other and 1.6% by SPB. In addition there is significance P =.001 demonstrating liking with respect to the training received. Conclusion: The basic kinesiologist is a key figure within sports organizations, and university training is also considered positive by those trained by NSF, SPB, and AD. [ABSTRACT FROM AUTHOR]

Purpose: The implementation of the 2021 sports reform in Italy introduced new professional figures, including the sports manager, defined by Legislative Decree no. 36/2021. According to this law, a master's degree in Organization and Management of Services for Exercise and Sport Sciences (LM-47) is required to practice as a sports manager. However, some universities offer bachelor's and master's degree courses in sports management under different study classes, such as Sciences of Legal Services (L-14), Administration and Organization Sciences (L-16), Business and Management Sciences (L-18), and Business Economics (LM-77). These degree courses may qualify individuals as pseudo-sports managers, despite substantial differences in the educational content compared to the legally defined sports manager profile. This study aimed to assess the illegitimate overlap of degree courses outside the class LM-47 and the discrepancies in their study plans compared to those of LM-47, which is the only one corresponding to the sports manager profile. Methods: This documentary investigation used the two Ministerial Decrees of 2007 of the bachelor's and master's degree classes to extrapolate the degree courses involved in the overlap. Universitaly portal was used to identify the relevant subjects included in the individual degree courses in sports management other than the LM-47. The textual analysis of the objectives and content of the degree courses was done through the literature review tool Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), highlighting the relevant or consistent elements of the profile of the sports manager as established by law. Results: Degree courses in Law and Sports Management in class L-14 have a juridical professional profile, which is minimally relevant to the sports manager's role. Similarly, degree courses in Economics and Business Management Sciences in the class L-18 and Administration and Organization Sciences in the class L-16 focus on economic–financial administration and management control, lacking alignment with the sports manager profile. Even master's degree courses in the class LM-77 exhibit disparities with the sports manager profile as defined by the law. Furthermore, all these degree courses lack European credit transfer system (ECTS) credits in the exercise and sport sciences area, an essential aspect of the sports manager profession. Conclusion: There are evident contradictions in the degree courses designed for sports managers other than LM-47. According to the law, a master's degree in study class LM-47 is required to pursue this profession, but there are several degree programs from different classes of study (juridical and economic) available in the national educational offering. This situation may lead to the misapplication of Legislative Decree no. 36/2021 and result in problems with professional accreditation and limited employment opportunities for graduates of such courses. To promote the development of this professional figure, it is necessary to improve the educational offerings in the LM-47 with a more integrated approach to various economic and juridical knowledge to meet the educational needs of future sports managers who navigate the real dynamics of the sports industry. [ABSTRACT FROM AUTHOR]

Purpose: This study aims to measure the number of scientific production of Italian professors, as framed on academic disciplines of Physical training and methodology (code M-EDF/01) and Sport sciences and methodology (code M-EDF/02), afferents to academic recruitment field of Exercise and sports sciences (code 06/N2) and Didactics, special education and educational research (code 11/D2). Methods: The sample consisted of the entire population of full professors (n = 30) of M-EDF/01 and M-EDF/02, plus a proportional representation of the two academic recruitment fields with at least one associate professor per university, for a total of 78 professors. The titles of the first ten scientific products in terms of more citations from the Google Scholar database were analysed for each scientist. The title's full coherence at the scientific declaration of the two academic disciplines of M-EDF/01 and M-EDF/02 and biomedicine and pedagogy domains were assessed. One-way ANOVA with Bonferroni post hoc test was used to compare the two academic disciplines of the two academic recruitment fields with the three domains to highlight the separated data's greater, average and lesser significance. Results: The aggregate data showed a prevalence of the biomedicine domain over the sport and physical activity ones in M-EDF/01 and M-EDF/02 in the academic recruitment field of 06/N2. On the other hand, in the academic recruitment of 11/D2, there was a prevalence of sport and physical activity domain over the biomedicine ones. In addition, a modest pedagogy scientific production in 06/N2 and biomedical in 11/D2 were found. Conclusion: The existence of the problem of the different coherence of the scientific profiles of the researchers concerning the relevant academic recruitment field and possibly also to the two academic disciplines was confirmed. [ABSTRACT FROM AUTHOR]

Urotensin II (UTII) and its seven trans-membrane receptor (UTR) are up-regulated in the heart under pathological conditions. Previous in vitro studies have shown that UTII trans-activates the epidermal growth factor receptor (EGFR), however, the role of such novel signalling pathway stimulated by UTII is currently unknown. In this study, we hypothesized that EGFR trans-activation by UTII might exert a protective effect in the overloaded heart. To test this hypothesis, we induced cardiac hypertrophy by transverse aortic constriction (TAC) in wild-type mice, and tested the effects of the UTII antagonist Urantide (UR) on cardiac function, structure, and EGFR trans-activation. After 7 days of pressure overload, UR treatment induced a rapid and significant impairment of cardiac function compared to vehicle. In UR-treated TAC mice, cardiac dysfunction was associated with reduced phosphorylation levels of the EGFR and extracellular-regulated kinase (ERK), increased apoptotic cell death and fibrosis. In vitro UTR stimulation induced membrane translocation of β-arrestin 1/2, EGFR phosphorylation/internalization, and ERK activation in HEK293 cells. Furthermore, UTII administration lowered apoptotic cell death induced by serum deprivation, as shown by reduced TUNEL/Annexin V staining and caspase 3 activation. Interestingly, UTII-mediated EGFR trans-activation could be prevented by UR treatment or knockdown of β-arrestin 1/2. Our data show, for the first time in vivo, a new UTR signalling pathway which is mediated by EGFR trans-activation, dependent by β-arrestin 1/2, promoting cell survival and cardioprotection. [ABSTRACT FROM AUTHOR]

ß-adrenergic receptors (ßARs) are powerful regu- lators of cardiac function in vivo, activating heterotrimeric G proteins and the effector molecule adenylyl cyclase (AC). Interestingly, cardiac-specific overexpression of different AC isoforms leads to variable changes in cardiac function. Whether AC overexpression affects intrinsic cardiac contractility in an isoform-specific fashion determining a change in exercise capacity is currently unknown. To address this issue, we performed load-independent measurements of cardiac systolic and diastolic function by pressure–volume (PV) loop analysis in intact wild-type mice (WT) and transgenic mice overexpressing the AC isoforms 5 or 8. Here we show that cardiac overexpression of either AC5 or AC8 transgenic mice determined an increase in intrinsic cardiac contractility. Interestingly, AC8 transgenic mice displayed a significantly greater increase in cardiac contractility and improved active phase of relaxation. Despite these differences detected by PV loop analysis, both AC5 and AC8 mice showed a marked increase in exercise capacity on treadmill testing. Our results demonstrate that load-independent measurements of cardiac function are needed to compare different groups of genetically-modified mouse models and to detect subtle AC isoform-specific changes in cardiac performance. [ABSTRACT FROM AUTHOR]

Background: Anal fistula and perianal abscess are commonly acquired anorectal pathologies in children. Surgical treatment options commonly adopted are fistulotomy, fistulectomy, cutting seton placement, and more recently video-assisted anal fistula treatment (VAAFT). Optimal postoperative wound dressing remains debated. This study aimed to report our series of pediatric patients, who received VAAFT and postoperative wound dressing using ozonide oil. Methods: All patients who underwent VAAFT between August 2018 and May 2023 were included in the study. Demographics, clinical features, pre-operative imaging, surgical details, outcome, and mid-term outcome data were retrospectively reviewed for each patient. All VAAFT procedures were performed under general anesthesia and using a 10-Ch fistuloscope. Results: Thirty-three VAAFT procedures were performed in 30 patients over the study period. The median patient age was 5.7 years (range 1.75–14). Anal fistula was idiopathic in 26/30 (86.6%), iatrogenic in 2/30 (6.7%), and secondary to Crohn's disease in 2/30 (6.7%). The median duration of surgery was 23 min (range 18–40). All patients received ozonide oil dressing twice a day for 5 weeks postoperatively. The median hospital stay was 24 h (range 9–36). The median healing time was 28 days (range 17–39). With a median follow-up of 2 years (range 0.5–5), disease recurrence occurred in 3/30 (10%) patients with idiopathic fistula, who were re-operated using the same technique, with no further recurrence. No fecal incontinence or soiling was observed. Conclusion: Our series confirmed that VAAFT is a safe and effective technique to treat children with perianal fistula. The technique is versatile, allowing to treat fistulae of different etiologies. Postoperative course was painless and fast. Future comparative prospective studies are needed to better establish these conclusions. [ABSTRACT FROM AUTHOR]

Heart failure (HF) with preserved ejection fraction (HFpEF) is a prevalent global condition affecting approximately 50% of the HF population. With the aging of the worldwide population, its incidence and prevalence are expected to rise even further. Unfortunately, until recently, no effective medications were available to reduce the high mortality and hospitalization rates associated with HFpEF, making it a significant unmet need in cardiovascular medicine. Although HFpEF is commonly defined as HF with normal ejection fraction and elevated left ventricular filling pressure, performing invasive hemodynamic assessments on every individual suspected of having HFpEF is neither feasible nor practical. Consequently, several clinical criteria and diagnostic tools have been proposed to aid in diagnosing HFpEF. Overall, these criteria and tools are designed to assist healthcare professionals in identifying and evaluating patients who may have HFpEF based on a combination of signs, symptoms, biomarkers, and non-invasive imaging findings. By employing these non-invasive diagnostic approaches, clinicians can make informed decisions regarding the best pharmacological and rehabilitation strategies for individuals with suspected HFpEF. This literature review aims to provide an overview of all currently available methods for diagnosing and monitoring this disabling condition. [ABSTRACT FROM AUTHOR]

In the last 20 years, endoscopic injection (EI) has affirmed as a valid alternative to open surgery for management of pediatric vesicoureteral reflux (VUR). This study aimed to investigate and discuss some debated aspects such as indications, bulking agents and comparison, techniques of injection and comparison, predictive factors of success, use in specific situations. EI is minimally invasive, well accepted by patients and families, with short learning curve and low-morbidity profile. It provides reflux resolution rates approaching those of open reimplantation, ranging from 69 to 100%. Obviously, the success rate may be influenced by several factors. Recently, it is adopted as first-line therapy also in high grade reflux or complex anatomy such as duplex, bladder diverticula, ectopic ureters. The two most used materials for injection are Deflux and Vantris. The first is absorbable, easier to inject, has lower risk of obstruction, but can lose efficacy over time. The second is non-absorbable, more difficult to inject, has higher risk of obstruction, but it is potentially more durable. The two main techniques are STING and HIT. To date, the ideal material and technique of injection has not yet clearly established, but the choice remains dependent on surgeon’s preference and experience. [ABSTRACT FROM AUTHOR]

Environmental pollution in considered an established determinant of non-communicable illness, including cardiovascular diseases (CVDs). Air pollution is the result of a complex combination of chemical, physical, and biological agents, and represents one of the main causes of mortality and morbidity in the world population. It is responsible for 7.6% of global mortality. In this regard, it has been documented that it increases the risk of CVDs and major adverse cardiovascular and cerebrovascular events. In northern regions of China, long-term exposures to the particulate matter < 2.5 µm (PM2.5) increase in the risk of ischemic heart disease by almost two-folds. Similarly, the additional risk for stroke, increases by almost 10% for long-term exposure to PM2.5. The detrimental effects of air pollution on cardiovascular system are particularly manifest in vulnerable subjects, such as the elderly, patients with heart disease, and obese individuals. Therefore, nowadays, cardiovascular prevention strategies, in addition to controlling traditional risk factors, should also include measures to improve the environment. This goal can be achieved by the implementation of the health surveillance in occupational medicine and by the extensive application of the national and international legislative measures. In fact, the health surveillance represents a crucial preventive measure for workers exposed to health risks (chemical, physical agents, etc.) that may lead to occupational diseases after long-term exposure. On the other hand, since environmental pollution does not recognize well-defined boundaries, only the implementation of regulations among large territorial areas can be useful to improve the quality of environment. [ABSTRACT FROM AUTHOR]

The assessment of vascular complexity in the lower limbs provides relevant information about peripheral artery occlusive diseases (PAOD), thus fostering improvements both in therapeutic decisions and prognostic estimation. The current clinical practice consists of visually inspecting and evaluating cine-angiograms of the interested region, which is largely operator-dependent. We present here an automatic method for segmenting the vessel tree and compute a quantitative measure, in terms of fractal dimension (FD), of the vascular complexity. The proposed workflow consists of three main steps: (i) conversion of the cine-angiographies to single static images with a broader field of view, (ii) automatic segmentation of the vascular trees, and (iii) calculation and assessment of FD as complexity index. In particular, this work defines (1) a method to reduce the inter-observer variability in judging vascular complexity in cine-angiography images from patients affected by peripheral artery occlusive disease (PAOD), and (2) the use of Fractal Dimension as a metric of shape complexity of vascular tree. The inter-class correlation coefficient (ICC) is computed as inter-observer agreement metric and to account for possible systematic error, that depends on the experience of the raters. The automatic segmentation of vascular tree achieved an Area Under the Curve mean value of 0.77 ± 0.07 , with a min-max range of 0.57 - 0.87 . Absolute operator agreement was higher over the segmented image ( I C C = 0.96 ) compared to the video ( I C C = 0.76 ) and the a broader field of view image ( I C C = 0.92 ). Fractal Dimension computed on both manual segmented images (ground truths) and automatically showed a good correlation with the clinical score (0.85 and 0.75, respectively). Experimental analyses suggest that extracting the vascular tree from cine-angiography can substantially improve the reliability of visual assessment of vascular complexity in PAOD. Results also reveal the effectiveness of FD in evaluating complex vascular tree structures. [ABSTRACT FROM AUTHOR]

Introduction: No data are available on the diagnostic algorithms recommended by guidelines for the assessment of diastolic dysfunction (DD) in patients with arterial hypertension.To fill this gap, we evaluated diastolic function in hypertensive patients with and without LVH matched with healthy subjects by applying 2016 American Society of Echocardiography-European Association of Cardiovascular Imaging Guidelines for the evaluation of LV diastolic function.717 healthy and hypertensives with normal LV ejection fraction and with and without LV hypertrophy (LVH), matched 1:1:1 from two prospective registries, represented the study population.By applying algorithm A, indeterminate pattern was found in 0.4% of healthy, in 6.3% of hypertensives without LVH, and in 21% with LVH (overall p < 0.05 vs. healthy). DD was absent in healthy, however present in 2 and 8% of hypertensives without and with LVH (p = 0.06 and p = 0.001 vs. healthy, respectively). By applying algorithm B, no cases of indeterminate pattern were found. DD was observed in 2.9% of healthy, 7 and 10.5% of hypertensives without and with LVH (p < 0.05 vs. healthy).The use of algorithm A should be limited only to truly normal subjects, whereas algorithm B should be applied to all patients with hypertension, even without comorbidities and irrespective of LVH.Aim: No data are available on the diagnostic algorithms recommended by guidelines for the assessment of diastolic dysfunction (DD) in patients with arterial hypertension.To fill this gap, we evaluated diastolic function in hypertensive patients with and without LVH matched with healthy subjects by applying 2016 American Society of Echocardiography-European Association of Cardiovascular Imaging Guidelines for the evaluation of LV diastolic function.717 healthy and hypertensives with normal LV ejection fraction and with and without LV hypertrophy (LVH), matched 1:1:1 from two prospective registries, represented the study population.By applying algorithm A, indeterminate pattern was found in 0.4% of healthy, in 6.3% of hypertensives without LVH, and in 21% with LVH (overall p < 0.05 vs. healthy). DD was absent in healthy, however present in 2 and 8% of hypertensives without and with LVH (p = 0.06 and p = 0.001 vs. healthy, respectively). By applying algorithm B, no cases of indeterminate pattern were found. DD was observed in 2.9% of healthy, 7 and 10.5% of hypertensives without and with LVH (p < 0.05 vs. healthy).The use of algorithm A should be limited only to truly normal subjects, whereas algorithm B should be applied to all patients with hypertension, even without comorbidities and irrespective of LVH.Methods: No data are available on the diagnostic algorithms recommended by guidelines for the assessment of diastolic dysfunction (DD) in patients with arterial hypertension.To fill this gap, we evaluated diastolic function in hypertensive patients with and without LVH matched with healthy subjects by applying 2016 American Society of Echocardiography-European Association of Cardiovascular Imaging Guidelines for the evaluation of LV diastolic function.717 healthy and hypertensives with normal LV ejection fraction and with and without LV hypertrophy (LVH), matched 1:1:1 from two prospective registries, represented the study population.By applying algorithm A, indeterminate pattern was found in 0.4% of healthy, in 6.3% of hypertensives without LVH, and in 21% with LVH (overall p < 0.05 vs. healthy). DD was absent in healthy, however present in 2 and 8% of hypertensives without and with LVH (p = 0.06 and p = 0.001 vs. healthy, respectively). By applying algorithm B, no cases of indeterminate pattern were found. DD was observed in 2.9% of healthy, 7 and 10.5% of hypertensives without and with LVH (p < 0.05 vs. healthy).The use of algorithm A should be limited only to truly normal subjects, whereas algorithm B should be applied to all patients with hypertension, even without comorbidities and irrespective of LVH.Results: No data are available on the diagnostic algorithms recommended by guidelines for the assessment of diastolic dysfunction (DD) in patients with arterial hypertension.To fill this gap, we evaluated diastolic function in hypertensive patients with and without LVH matched with healthy subjects by applying 2016 American Society of Echocardiography-European Association of Cardiovascular Imaging Guidelines for the evaluation of LV diastolic function.717 healthy and hypertensives with normal LV ejection fraction and with and without LV hypertrophy (LVH), matched 1:1:1 from two prospective registries, represented the study population.By applying algorithm A, indeterminate pattern was found in 0.4% of healthy, in 6.3% of hypertensives without LVH, and in 21% with LVH (overall p < 0.05 vs. healthy). DD was absent in healthy, however present in 2 and 8% of hypertensives without and with LVH (p = 0.06 and p = 0.001 vs. healthy, respectively). By applying algorithm B, no cases of indeterminate pattern were found. DD was observed in 2.9% of healthy, 7 and 10.5% of hypertensives without and with LVH (p < 0.05 vs. healthy).The use of algorithm A should be limited only to truly normal subjects, whereas algorithm B should be applied to all patients with hypertension, even without comorbidities and irrespective of LVH.Conclusions: No data are available on the diagnostic algorithms recommended by guidelines for the assessment of diastolic dysfunction (DD) in patients with arterial hypertension.To fill this gap, we evaluated diastolic function in hypertensive patients with and without LVH matched with healthy subjects by applying 2016 American Society of Echocardiography-European Association of Cardiovascular Imaging Guidelines for the evaluation of LV diastolic function.717 healthy and hypertensives with normal LV ejection fraction and with and without LV hypertrophy (LVH), matched 1:1:1 from two prospective registries, represented the study population.By applying algorithm A, indeterminate pattern was found in 0.4% of healthy, in 6.3% of hypertensives without LVH, and in 21% with LVH (overall p < 0.05 vs. healthy). DD was absent in healthy, however present in 2 and 8% of hypertensives without and with LVH (p = 0.06 and p = 0.001 vs. healthy, respectively). By applying algorithm B, no cases of indeterminate pattern were found. DD was observed in 2.9% of healthy, 7 and 10.5% of hypertensives without and with LVH (p < 0.05 vs. healthy).The use of algorithm A should be limited only to truly normal subjects, whereas algorithm B should be applied to all patients with hypertension, even without comorbidities and irrespective of LVH.Graphical Abstract: No data are available on the diagnostic algorithms recommended by guidelines for the assessment of diastolic dysfunction (DD) in patients with arterial hypertension.To fill this gap, we evaluated diastolic function in hypertensive patients with and without LVH matched with healthy subjects by applying 2016 American Society of Echocardiography-European Association of Cardiovascular Imaging Guidelines for the evaluation of LV diastolic function.717 healthy and hypertensives with normal LV ejection fraction and with and without LV hypertrophy (LVH), matched 1:1:1 from two prospective registries, represented the study population.By applying algorithm A, indeterminate pattern was found in 0.4% of healthy, in 6.3% of hypertensives without LVH, and in 21% with LVH (overall p < 0.05 vs. healthy). DD was absent in healthy, however present in 2 and 8% of hypertensives without and with LVH (p = 0.06 and p = 0.001 vs. healthy, respectively). By applying algorithm B, no cases of indeterminate pattern were found. DD was observed in 2.9% of healthy, 7 and 10.5% of hypertensives without and with LVH (p < 0.05 vs. healthy).The use of algorithm A should be limited only to truly normal subjects, whereas algorithm B should be applied to all patients with hypertension, even without comorbidities and irrespective of LVH. [ABSTRACT FROM AUTHOR]

The aim of this study was to develop a mathematical model to assess the effect of soluble microbial products production and external carbon source addition on the performance of a sulfur-driven autotrophic denitrification (SdAD) process. During SdAD, the growth of autotrophic biomass (AUT) was accompanied by the proliferation of heterotrophic biomass mainly consisting of heterotrophic denitrifiers (HD) and sulfate-reducing bacteria (SRB), which are able to grow on both the SMP derived from the microbial activities and on an external carbon source. The process was supposed to occur in a sequencing batch reactor to investigate the effects of the COD injection on both heterotrophic species and to enhance the production and consumption of SMP. The mathematical model was built on mass balance considerations and consists of a system of nonlinear impulsive differential equations, which have been solved numerically. Different simulation scenarios have been investigated by varying the main operational parameters: cycle duration, day of COD injection and quantity of COD injected. For cycle durations of more than 15 days and a COD injection after the half-cycle duration, SdAD represents the prevailing process and the SRB represent the main heterotrophic family. For shorter cycle duration and COD injections earlier than the middle of the cycle, the same performance can be achieved increasing the quantity of COD added, which results in an increased activity of HD. In all the performed simulation even in the case of COD addition, AUT remain the prevailing microbial family in the reactor. [ABSTRACT FROM AUTHOR]

Performing transcatheter aortic valve implantation with high implantation technique, i.e. with an aorto-ventricular ratio > 60/40, reduces the need of permanent pacemaker implantation. Valve calcification and prosthesis oversizing are predictors of permanent pacemaker implantation, but there are no available data on their role when transcatheter aortic valve implantation is performed with an aorto-ventricular ratio > 60/40. The aim of this study was to evaluate the effect of leaflets/annulus calcification and prosthesis oversizing on the incidence of permanent pacemaker implantation after transcatheter aortic valve implantation with a high implantation technique. Transcatheter aortic valve implantation was performed in 48 patients implanting a balloon-expandable transcatheter heart valve with an aorto-ventricular ratio > 60/40. Calcium burden was assessed by preprocedural multidetector computed tomography. An invasive electrophysiological study was performed before and after transcatheter aortic valve implantation. Five patients (10.4%) needed permanent pacemaker implantation. At univariate analysis, baseline right bundle branch block and postprocedural PR, QRS and His-ventricular interval elongation significantly predicted permanent pacemaker implantation (p < 0.05). Receiver-operating characteristic curve analysis showed a correlation between transcatheter heart valve oversizing and permanent pacemaker implantation need, with the best cut-off being 17% (AUC = 0.72, p = 0.033). Linear regression analysis demonstrated that QRS complex elongation was related to total, left and non-coronary leaflet calcification (p < 0.05). This study demonstrates that, when transcatheter aortic valve implantation is performed using a balloon-expandable transcatheter heart valve deployed with an aorto-ventricular ratio > 60/40, the presence of leaflets/annulus calcification or the need to oversize the prosthesis correlate with the occurrence of pathological cardiac conduction delays. [ABSTRACT FROM AUTHOR]

To evaluate longitudinal systolic function in patients with myocarditis, its correlation with cardiac magnetic resonance (CMR) features, and its predictive value in functional recovery and arrhythmias onset during follow-up (FU) on optimized medical therapy (OMT). Patients with acute myocarditis, confirmed through CMR criteria, and age- and sex-matched healthy controls were enrolled. Two-dimensional (2D) transthoracic echocardiography, including speckle tracking analysis, was performed at admission and after 6 months of FU. Patients of myocarditis group also underwent 24 h ECG Holter monitoring during FU. 115 patients with myocarditis (mean age 41 ± 17, 70% males) and 70 healthy subjects were enrolled. Global longitudinal strain (GLS) and sub-epicardial strain were markedly lower in the myocarditis group than in controls (mean GLS%: − 14.1 ± 5.1 vs − 23.1 ± 3.6, p < 0.001). A strong positive correlation between total scar burden (TSB) on CMR and baseline LV GLS was found (r = 0.67, p < 0.0001). GLS improved after 6 months of FU in myocarditis on OMT (mean GLS%: − 14.1 ± 5.1 vs − 16.5 ± 4.8, p < 0.01). By bivariate correlation analysis, baseline LVEF, GLS, and TSB were all associated with LVEF at 6 months of FU. Moreover, by multivariable linear regression analysis, these parameters confirmed to be independent predictors of functional recovery at 6 months (LVEF β 0.38, p < 0.01; GLS β − 0.35, p < 0.01; total scar burden β − 0.52, p < 0.0001). Segmental peak systolic strain was significantly different between segments with and without late gadolinium enhancement on CMR (− 13.2 ± 3.1% vs − 18.1 ± 3.5%, p < 0.001). A segmental strain of − 12% identified scar with a sensitivity of 79% and a specificity of 84% (AUC = 0.91; 95% CI 0.73–0.97; p < 0.001). In addition, baseline LV GLS in myocarditis resulted predictive of non-sustained ventricular tachycardias (cut-off value > − 12%; sensitivity84%; specificity74.4%; AUC = 0.75). Parameters of myocardial longitudinal deformation are importantly associated with the presence of a scar on CMR and are predictors of functional outcome and ventricular arrhythmias in patients with acute myocarditis. Their assessment during ultrasound examination should be considered to get more information about the prognosis and risk stratification of this subset of patients. [ABSTRACT FROM AUTHOR]

Prompt detection of cardiovascular abnormalities in children with anorexia nervosa and physical instability requiring hospitalization is essential to identify patients at higher cardiovascular risk. We studied all anorexia nervosa children requiring admission at Paediatric Institute in the period 2015–2019. Anorexia nervosa cardiopathy at admission was defined by the presence of at least two of the following clinical findings: pericardial effusion, mitral regurgitation, bradycardia, mitral billowing, aortic regurgitation, altered LV morphology and ECG abnormalities. Echocardiographic data were compared with those registered at 3–8-month follow-up and with data from a healthy population. Thirty-eight anorexia nervosa children were examined. Prevalence of anorexia nervosa cardiopathy at admission was 63% (24 patients). Pericardial effusion, bradycardia and mitral regurgitation were present together in 26% of patients. Most cardiovascular changes recovered at follow-up. Anorexia nervosa cardiopathy was associated with significantly lower left ventricle end-diastolic diameters and mass, and higher E wave, E/A and E/e′ ratios and left ventricle sphericity index values vs healthy population and vs anorexia nervosa children without cardiopathy (p<0.05). Left ventricle global longitudinal strain was significantly reduced only in anorexia nervosa cardiopathy patients but recovered, whereas end-diastolic diameters, E/A ratio and sphericity index values remained impaired. Conclusion: Among anorexia nervosa children requiring hospitalization, those presenting several cardiac findings together express an acute anorexia nervosa cardiopathy which is characterized by worse LV filling, geometry and subclinical myocardial deformation impairment. Despite treatment, in those patients, some alterations persist at mid-term follow-up. What is Known: • Cardiac and electrocardiographic changes are present in anorexia nervosa children at diagnosis or during stable disease, and most recover after body-weight treatment. • It is unknown if anorexia nervosa children with more severe cardiac impairment during hospitalization present higher cardiovascular-risk profile despite treatment. What is New: • In anorexia nervosa children needing hospitalization for physical reasons, prevalence of acute anorexia nervosa cardiopathy at admission is high, around 60%. • By advanced echocardiography, children with anorexia nervosa cardiopathy at admission have a worse cardiac filling, impaired cardiac geometry and systolic deformation that only partially recover at mid-term follow-up. [ABSTRACT FROM AUTHOR]

Comet assay is one of the most popular tests for the detection of DNA damage at single cell level. In this study, an algorithm for comet assay analysis has been proposed, aiming to minimize user interaction and providing reproducible measurements. The algorithm comprises two-steps: (a) comet identification via Gaussian pre-filtering and morphological operators; (b) comet segmentation via fuzzy clustering. The algorithm has been evaluated using comet images from human leukocytes treated with a commonly used DNA damaging agent. A comparison of the proposed approach with a commercial system has been performed. Results show that fuzzy segmentation can increase overall sensitivity, giving benefits in bio-monitoring studies where weak genotoxic effects are expected. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to evaluate the efficacy of oxygen-enriched oil-based gel dressing on wound healing and postoperative outcome in children who underwent distal hypospadias repair. Methods: We included all patients with distal hypospadias, who underwent Snodgrass urethroplasty and preputioplasty over an 18-months period. The patients were randomized in two groups according to the type of medication: oxygen-enriched oil-based gel (G1) and hyaluronic acid cream (G2). After discharge, parents changed the dressing twice a day for 2–3 weeks postoperatively. The patients were evaluated at 7, 14, 21, 30, 60 and 180 postoperative days and thereafter annually. Results: One-hundred and fourteen patients (median age 18 months) were included in the study and randomized in two groups, each of 57 patients. The wound healing was significantly faster in G1 compared with G2 (p = 0.001). G1 reported significantly higher SWAS and modified HOPE scores compared with G2 (p = 0.001) at all steps of follow-up. No adverse skin reactions occurred. Foreskin dehiscence and re-operations rates were significantly lower in G1 compared with G2 (p = 0.001). Postoperative foreskin retractability was better in G1, with a significantly higher incidence of secondary phimosis in G2 (p = 0.001). The median treatment costs were significantly lower in G1 compared with G2 (p = 0.001). Conclusion: Postoperative dressing using oxygen-enriched oil-based gel was highly effective, promoting a faster wound healing in patients who underwent distal hypospadias repair. It reported a lower incidence of foreskin dehiscence and better foreskin retractability compared with the control group. It was cost-effective and clinically safe without allergy or intolerance to the product. [ABSTRACT FROM AUTHOR]

Due to the multiplicity of biogeochemical processes taking place in anaerobic digestion (AD) systems and limitations of the available analytical techniques, assessing the bioavailability of trace elements (TEs) is challenging. Determination of TE speciation can be facilitated by developing a mathematical model able to consider the physicochemical processes affecting TEs dynamics. A modeling framework based on anaerobic digestion model no 1 (ADM1) has been proposed to predict the biogeochemical fate TEs in AD environments. In particular, the model considers the TE adsorption–desorption reactions with biomass, inerts and mineral precipitates, as well as TE precipitation/dissolution, complexation reactions and biodegradation processes. The developed model was integrated numerically, and numerical simulations have been run to investigate the model behavior. The simulation scenarios predicted the effect of (i) organic matter concentration, (ii) initial TEs concentrations, (iii) initial Ca–Mg concentrations, (iv) initial EDTA concentration, and (v) change in TE binding site density, on cumulative methane production and TE speciation. Finally, experimental data from a real case continuous AD system have been compared to the model predictions. The results prove that this modelling framework can be applied to various AD operations and may also serve as a basis to develop a model-predictive TE dosing strategy. [ABSTRACT FROM AUTHOR]

Accumulating evidence suggests that modifications of gut function and microbiota composition might play a pivotal role in the pathophysiology of several cardiovascular diseases, including heart failure (HF). In this study we systematically analysed gut microbiota composition, intestinal barrier integrity, intestinal and serum cytokines and serum endotoxin levels in C57BL/6 mice undergoing pressure overload by transverse aortic constriction (TAC) for 1 and 4 weeks. Compared to sham-operated animals, TAC induced prompt and strong weakening of intestinal barrier integrity, long-lasting decrease of colon anti-inflammatory cytokine levels, significant increases of serum levels of bacterial lipopolysaccharide and proinflammatory cytokines. TAC also exerted effects on microbiota composition, inducing significant differences in bacterial genera inside Actinobacteria, Firmicutes, Proteobacteria and TM7 phyla as shown by 16S rDNA sequencing of fecal samples from TAC or sham mice. These results suggest that gut modifications represent an important element to be considered in the development and progression of cardiac dysfunction in response to TAC and support this animal model as a valuable tool to establish the role and mechanisms of gut-heart crosstalk in HF. Evidence arising in this field might identify new treatment options targeting gut integrity and microbiota components to face adverse cardiac events. [ABSTRACT FROM AUTHOR]

Microalgal biofilms are increasingly attracting attention as a cultivation platform for different biotechnological purposes. The initial adhesion of algae to a surface, one of the key factors for the formation of a biofilm, was analyzed by coupling image analysis techniques and mathematical modeling. Two isolated microalgae, Chlorella vulgaris ACUF_809 and Chlorella sp. ACUF_802, were identified by molecular techniques. Their health condition and biomass growth were measured using pulse amplitude modulated (PAM) fluorometry; the carrier colonization was studied by imaging analysis (Weka Segmentation) and measuring the green tones of the biofilm through CIELAB colorimetry. Structural features and biofilm vertical distribution were determined by multichannel confocal laser scanning microscopy (CLSM), and some parameters were aligned to the Gompertz model. Chlorella vulgaris ACUF_809 showed good adaptation to form biofilm on cotton fabric measured as high biomass growth reflected in the high F0 (0.42) and biofilm colonization through the CIELAB colorimetry (a*− 9.3), coverage area 32.3%, and average biofilm thickness (106.37 ± 47 μm). This work demonstrated the feasibility of C. vulgaris ACUF_809 and Chlorella sp. ACUF_802 biofilm formation on cotton fabric which potentially provides an alternative for cultivating and producing microalgae biomass. [ABSTRACT FROM AUTHOR]

Purpose: We reported our preliminary experience using ICG fluorescence in pediatric minimally invasive surgery (MIS) with the aim to standardize indications, dose, timing, and modality of administration of ICG according to different organs.Methods: ICG technology was adopted in 46 MIS procedures performed in our unit over the last 18 months: 30 left varicocele repairs; 5 cholecystectomies in obese adolescents; 3 tumor excisions; 3 nephrectomies; 2 partial nephrectomies; 3 lymphoma excisions. ICG solution was injected intravenously in all cases except for varicocelectomy in which it was injected into the testis. The ICG injection was performed intra-operatively in all cases except for cholecystectomy in which it was injected 18 h prior to the procedure.Results: All procedures were completed laparoscopically without conversions or intra-operative complications. No adverse or allergic reactions to ICG were reported.Conclusion: Our preliminary experience showed that ICG fluorescence is a safe, useful, and versatile technique to adopt in pediatric MIS to achieve a better identification of anatomy and an easier surgical dissection or resection in challenging cases. Currently, the main indications are varicocelectomy, difficult cholecystectomy, tumor excision, nephrectomy, and partial nephrectomy. The main limitation is the needing of a special equipment to use ICG technology. [ABSTRACT FROM AUTHOR]

Cytostatic drugs are a troublesome class of emerging pollutants in water owing to their potential effects on DNA. Here we studied the removal of 5-fluorouracil from water using the electro-Fenton process. Galvanostatic electrolyses were performed with an undivided laboratory-scale cell equipped with a boron-doped diamond anode and a carbon felt cathode. Results show that the fastest degradation and almost complete mineralization was obtained at a Fe2+ catalyst concentration of 0.2 mM. The absolute rate constant for oxidation of 5-fluorouracil by hydroxyl radicals was 1.52 × 109 M−1 s−1. Oxalic and acetic acids were initially formed as main short-chain aliphatic by-products, then were completely degraded. After 6 h the final solution mainly contained inorganic ions (NH4+, NO3− and F−) and less than 10% of residual organic carbon. Hence, electro-Fenton constitutes an interesting alternative to degrade biorefractory drugs. [ABSTRACT FROM AUTHOR]

Sulfate-reducing bacteria in marine sediments mainly utilize sulfate as a terminal electron acceptor with different organic compounds as electron donors. This study investigated microbial sulfate-reducing activity of coastal sediment from Marine Lake Grevelingen (MLG), the Netherlands using different electron donors and electron acceptors. All four electron donors (ethanol, lactate, acetate and methane) showed sulfate-reducing activity with sulfate as electron acceptor, suggesting the presence of an active sulfate-reducing bacterial population in the sediment, even at dissolved sulfide concentrations exceeding 12 mM. Ethanol showed the highest sulfate reduction rate of 55 µmol g day compared to lactate (32 µmol g day), acetate (26 µmol g day) and methane (4.7 µmol g day). Sulfide production using thiosulfate and elemental sulfur as electron acceptors and methane as the electron donor was observed, however, mainly by disproportionation rather than by anaerobic oxidation of methane coupled to sulfate reduction. This study showed that the MLG sediment is capable of performing sulfate reduction by using diverse electron donors, including the gaseous and cheap electron donor methane. [ABSTRACT FROM AUTHOR]

The microbial community inhabiting the shallow sulfate-methane transition zone in coastal sediments from marine Lake Grevelingen (The Netherlands) was characterized, and the ability of the microorganisms to carry out anaerobic oxidation of methane coupled to sulfate reduction was assessed in activity tests. In vitro activity tests of the sediment with methane and sulfate demonstrated sulfide production coupled to the simultaneous consumption of sulfate and methane at approximately equimolar ratios over a period of 150 days. The maximum sulfate reduction rate was 5 μmol sulfate per gram dry weight per day during the incubation period. Diverse archaeal and bacterial clades were retrieved from the sediment with the majority of them clustered with Euryarchaeota, Thaumarcheota, Bacteroidetes, and Proteobacteria. The 16S rRNA gene sequence analysis showed that the sediment from marine Lake Grevelingen contained anaerobic methanotrophic Archaea (ANME) and methanogens as archaeal clades with a role in the methane cycling. ANME at the studied site mainly belong to the ANME-3 clade. This study provides one of the few reports for the presence of ANME-3 in a shallow coastal sediment. Sulfate-reducing bacteria from Desulfobulbus clades were found among the sulfate reducers, however, with very low relative abundance. Desulfobulbus has previously been commonly found associated with ANME, whereas in our study, ANME-3 and Desulfobulbus were not observed simultaneously in clusters, suggesting the possibility of independent AOM by ANME-3. [ABSTRACT FROM AUTHOR]

This paper reviews the formation, structure, and stability of bioaggregates with an emphasis on the composition and distribution of extracellular polymeric substances (EPS) and their role in bioaggregation. Bioaggregation is ubiquitous in natural environment and is of great importance in biological wastewater treatment processes. It greatly influences the flocculability, settleability, and dewaterability for flocs and sludge retention and shear resistance for biofilms. The physico-chemical and microbial structures of bioaggregates are dependent on operational conditions as well as microbial diversity and spatial distribution. The formation of bioaggregates is mediated by the physico-chemical interactions as well as the microbial interactions such as EPS production and quorum sensing. EPS are composed of a mixture of macromolecules including proteins, polysaccharides, humic-like substances, and nucleic acids, which entrap the microbial cells in a three-dimensional matrix. The composition and physico-chemical characteristics of EPS have significant influence on the maintenance of the bioaggregate structure and the process performance of the wastewater treatment. However, the mechanisms of bioaggregation are still unclear and the conclusions on the role of EPS were mostly drawn from the established correlations and hypotheses. This paper expects to provide up-to-date knowledge on bioaggregation and insights for further studies and applications. [ABSTRACT FROM AUTHOR]

Introduction: Nutraceuticals (NUT) are forms of compounds with biological activity commonly used to improve health in dosage largely exceeding those obtainable in food. Aim: We compared, in a double blind randomized cross-over trial, the effects of two NUT combinations on the control of glico-lipidic metabolism in patients with hypercholesterolemia not on statins. Methods: At study start patients were given dietary counseling and received placebo for 2 weeks. After this run-in period, patients were randomized: (1) Combination A [Policosanol, Red yeast rice (Monakolin K 3 mg), Berberine 500 mg, Astaxantine, Folic Acid and Coenzyme Q10] for 4 weeks followed by 4 weeks of Combination B [Red yeast rice (Monakolin K 3.3 mg), Berberine 531.25 mg and leaf extract of Morus alba]; (2) Combination B for 4 weeks followed by 4 weeks of Combination A. Results: Combination B reduced LDL cholesterol below 130 mg/dl in 56.5 % of the patients, and Cambination A only in 21.7 % of them (p ≤ 0.027). Both treatments reduced plasma levels of triglycerides, total and LDL cholesterol and increased HDL cholesterol (all p < 0.03). Total and LDL cholesterol reduction was more pronounced in patients taking Combination B (p < 0.005). Combination B reduced also glycated hemoglobin, fasting glucose and insulin plasma levels as well as HOMA index (p < 0.005). Conclusions: An increased content of Berberin and Monacolin K and the addition of Morus alba extract improves the effect on plasma cholesterol and on glucose metabolism of the NUT Combination. These effects may allow the speculation of a more marked improvement in cardiovascular prognosis. [ABSTRACT FROM AUTHOR]

Tween 80 is a surfactant widely employed to enhance remediation of contaminated soils. Actually, there are few convenient and selective methods to quantify Tween 80 at low concentrations. Here, we report a new and simple quantification method to monitor Tween 80 analysis. Our method is based on the enhancement of the fluorescence of 6-( p-toluidino)naphthalene-2-sulfonic acid (TNS) by formation of micelles with Tween 80. Results show a linear calibration curve with a correlation coefficient R of 0.99, a detection limit of 0.13 mM and a quantification limit of 0.19 mM. This method showed better performances compared to actual methods such as UV absorbance and total organic carbon measurements. In addition, we demonstrated that the measurements using this new technique are impacted only at 3.5 % maximum by the presence of oxidation by-products formed during oxidation of Tween 80 by the electro-Fenton process or by hydrophobic organic contaminants present in solution. Fluorescence measurements of soil washing solution with real contaminated soil show almost no impact on Tween 80-TNS micelle analysis. The analytical method proposed for Tween 80 analysis could replace the currently used conventional method because it is quite simple, highly sensitive and more selective. [ABSTRACT FROM AUTHOR]

The role of miR-92a on vascular remodelling after injury is currently unknown. Thus, the aim of the present study was to evaluate the role of miR-92a on rat endothelial and vascular smooth muscle cells proliferation and migration in vitro as well as after balloon injury or arterial stenting in vivo. MiR-92a was highly expressed in RAO-ECs and vascular endothelium, but not in RAO-SMCs or medial smooth muscle as assessed by real-time RT-PCR. Importantly, BrdU incorporation and wound healing assay provide evidence that functional inhibition of miR-92a resulted in an increased RAO-ECs proliferation and migration, but had no effect on RAO-SMCs proliferation or migration in vitro. Immunoblotting analysis revealed an increased phosphorylation of ERK1/2, JNK/SAPK as well as eNOS and phospho-eNOS increased expression level in RAO-ECs as a consequence of miR-92a inhibition. Using gain and loss of function experiments, we showed that miR-92a modulates regulation of KLF4 and MKK4 expression level in endothelial cells. Finally, in vivo administration of antagomiR-92a significantly enhanced re-endothelialization in injured carotid arteries and reduced neointimal formation after balloon injury or arterial stenting. These data provide the first evidence that inhibition of miR-92a may represent a novel strategy to improve endothelial regeneration and reduce restenosis after vascular injury. [ABSTRACT FROM AUTHOR]

Purpose: We assessed the impact of type 2 diabetes, in the presence of other major cardiovascular risk factors, on coronary microvascular function and myocardial perfusion in patients without obstructive coronary artery disease (CAD). Methods: In this prospective study, 23 patients with type 2 diabetes and 26 nondiabetic patients matched for age, sex and other cardiovascular risk factors underwent a cold pressure test (CPT) and dipyridamole transthoracic echocardiography to determine their coronary flow (CF) ratio. Within 2 weeks, all diabetic patients also underwent dipyridamole-rest myocardial perfusion single-photon emission (MPS) CT. None of the patients with or without diabetes had significant CAD on invasive coronary angiography. Results: The CPT-CF ratio was significantly lower in diabetic patients than in nondiabetic patients (1.46 ± 0.26 vs. 1.71 ± 0.32, p = 0.006) and was correlated significantly with fasting glycaemia ( r = −0.35, p = 0.01), but not with glycated haemoglobin. The dipyridamole-CF ratio was also lower in diabetic patients than in nondiabetic patients (2.38 ± 0.74 vs. 2.75 ± 0.49, p = 0.04). On MPS imaging, 5 diabetic patients (22%) had stress-induced ischaemia and the remaining 18 (78%) had normal myocardial perfusion. The dipyridamole-CF ratio was not different in patients with and without reversible defects (2.3 ± 1.1 vs. 2.4 ± 0.6, p = 0.97). Conclusion: Coronary microvascular function is impaired in type 2 diabetic patients without significant CAD, compared to nondiabetic patients with similar other cardiovascular risk factors. In the majority of diabetic patients, microvascular dysfunction is associated with normal myocardial perfusion. [ABSTRACT FROM AUTHOR]

Simultaneous removal of selenite and tellurite from synthetic wastewater was achieved through microbial reduction in a lab-scale upflow anaerobic sludge blanket reactor operated with 12 h hydraulic retention time at 30 °C and pH 7 for 120 days. Lactate was supplied as electron donor at an organic loading rate of 528 or 880 mg COD L−1 day−1. The reactor was initially fed with a synthetic influent containing 0.05 mM selenite and tellurite each (phase I, day 1–60) and subsequently with 0.1 mM selenite and tellurite each (phase II, day 61–120). At the end of phase I, selenite and tellurite removal efficiencies were 93 and 96%, respectively. The removal percentage dropped to 87 and 81% for selenite and tellurite, respectively, at the beginning of phase II because of the increased influent concentrations. The removal efficiencies of both selenite and tellurite were gradually restored within 20 days and stabilized at ≥ 97% towards the end of the experiment. Powder X-ray diffraction and Raman spectroscopy confirmed the formation of biogenic Se(0), Te(0), and Se(0)–Te(0) nanostructures. Scanning transmission electron microscopy coupled with energy-dispersive X-ray spectroscopy showed aggregates comprising of Se(0), Te(0), and Se–Te nanostructures embedded in a layer of extracellular polymeric substances (EPS). Infrared spectroscopy confirmed the presence of chemical signatures of the EPS which capped the nanoparticle aggregates that had been formed and immobilized in the granular sludge. This study suggests a model for technologies for remediation of effluents containing Se and Te oxyanions coupled with biorecovery of bimetal(loid) nanostructures.Simultaneous removal of selenite and tellurite from synthetic wastewater was achieved through microbial reduction in a lab-scale upflow anaerobic sludge blanket reactor operated with 12 h hydraulic retention time at 30 °C and pH 7 for 120 days. Lactate was supplied as electron donor at an organic loading rate of 528 or 880 mg COD L−1 day−1. The reactor was initially fed with a synthetic influent containing 0.05 mM selenite and tellurite each (phase I, day 1–60) and subsequently with 0.1 mM selenite and tellurite each (phase II, day 61–120). At the end of phase I, selenite and tellurite removal efficiencies were 93 and 96%, respectively. The removal percentage dropped to 87 and 81% for selenite and tellurite, respectively, at the beginning of phase II because of the increased influent concentrations. The removal efficiencies of both selenite and tellurite were gradually restored within 20 days and stabilized at ≥ 97% towards the end of the experiment. Powder X-ray diffraction and Raman spectroscopy confirmed the formation of biogenic Se(0), Te(0), and Se(0)–Te(0) nanostructures. Scanning transmission electron microscopy coupled with energy-dispersive X-ray spectroscopy showed aggregates comprising of Se(0), Te(0), and Se–Te nanostructures embedded in a layer of extracellular polymeric substances (EPS). Infrared spectroscopy confirmed the presence of chemical signatures of the EPS which capped the nanoparticle aggregates that had been formed and immobilized in the granular sludge. This study suggests a model for technologies for remediation of effluents containing Se and Te oxyanions coupled with biorecovery of bimetal(loid) nanostructures.Simultaneous removal of selenite and tellurite from synthetic wastewater was achieved through microbial reduction in a lab-scale upflow anaerobic sludge blanket reactor operated with 12 h hydraulic retention time at 30 °C and pH 7 for 120 days. Lactate was supplied as electron donor at an organic loading rate of 528 or 880 mg COD L−1 day−1. The reactor was initially fed with a synthetic influent containing 0.05 mM selenite and tellurite each (phase I, day 1–60) and subsequently with 0.1 mM selenite and tellurite each (phase II, day 61–120). At the end of phase I, selenite and tellurite removal efficiencies were 93 and 96%, respectively. The removal percentage dropped to 87 and 81% for selenite and tellurite, respectively, at the beginning of phase II because of the increased influent concentrations. The removal efficiencies of both selenite and tellurite were gradually restored within 20 days and stabilized at ≥ 97% towards the end of the experiment. Powder X-ray diffraction and Raman spectroscopy confirmed the formation of biogenic Se(0), Te(0), and Se(0)–Te(0) nanostructures. Scanning transmission electron microscopy coupled with energy-dispersive X-ray spectroscopy showed aggregates comprising of Se(0), Te(0), and Se–Te nanostructures embedded in a layer of extracellular polymeric substances (EPS). Infrared spectroscopy confirmed the presence of chemical signatures of the EPS which capped the nanoparticle aggregates that had been formed and immobilized in the granular sludge. This study suggests a model for technologies for remediation of effluents containing Se and Te oxyanions coupled with biorecovery of bimetal(loid) nanostructures.Simultaneous removal of selenite and tellurite from synthetic wastewater was achieved through microbial reduction in a lab-scale upflow anaerobic sludge blanket reactor operated with 12 h hydraulic retention time at 30 °C and pH 7 for 120 days. Lactate was supplied as electron donor at an organic loading rate of 528 or 880 mg COD L−1 day−1. The reactor was initially fed with a synthetic influent containing 0.05 mM selenite and tellurite each (phase I, day 1–60) and subsequently with 0.1 mM selenite and tellurite each (phase II, day 61–120). At the end of phase I, selenite and tellurite removal efficiencies were 93 and 96%, respectively. The removal percentage dropped to 87 and 81% for selenite and tellurite, respectively, at the beginning of phase II because of the increased influent concentrations. The removal efficiencies of both selenite and tellurite were gradually restored within 20 days and stabilized at ≥ 97% towards the end of the experiment. Powder X-ray diffraction and Raman spectroscopy confirmed the formation of biogenic Se(0), Te(0), and Se(0)–Te(0) nanostructures. Scanning transmission electron microscopy coupled with energy-dispersive X-ray spectroscopy showed aggregates comprising of Se(0), Te(0), and Se–Te nanostructures embedded in a layer of extracellular polymeric substances (EPS). Infrared spectroscopy confirmed the presence of chemical signatures of the EPS which capped the nanoparticle aggregates that had been formed and immobilized in the granular sludge. This study suggests a model for technologies for remediation of effluents containing Se and Te oxyanions coupled with biorecovery of bimetal(loid) nanostructures.Simultaneous removal of selenite and tellurite from synthetic wastewater was achieved through microbial reduction in a lab-scale upflow anaerobic sludge blanket reactor operated with 12 h hydraulic retention time at 30 °C and pH 7 for 120 days. Lactate was supplied as electron donor at an organic loading rate of 528 or 880 mg COD L−1 day−1. The reactor was initially fed with a synthetic influent containing 0.05 mM selenite and tellurite each (phase I, day 1–60) and subsequently with 0.1 mM selenite and tellurite each (phase II, day 61–120). At the end of phase I, selenite and tellurite removal efficiencies were 93 and 96%, respectively. The removal percentage dropped to 87 and 81% for selenite and tellurite, respectively, at the beginning of phase II because of the increased influent concentrations. The removal efficiencies of both selenite and tellurite were gradually restored within 20 days and stabilized at ≥ 97% towards the end of the experiment. Powder X-ray diffraction and Raman spectroscopy confirmed the formation of biogenic Se(0), Te(0), and Se(0)–Te(0) nanostructures. Scanning transmission electron microscopy coupled with energy-dispersive X-ray spectroscopy showed aggregates comprising of Se(0), Te(0), and Se–Te nanostructures embedded in a layer of extracellular polymeric substances (EPS). Infrared spectroscopy confirmed the presence of chemical signatures of the EPS which capped the nanoparticle aggregates that had been formed and immobilized in the granular sludge. This study suggests a model for technologies for remediation of effluents containing Se and Te oxyanions coupled with biorecovery of bimetal(loid) nanostructures. [ABSTRACT FROM AUTHOR]