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Abstract Background A cardiologist-only approach to procedural sedation with midazolam in the setting of elective cardioversion (DCC) for AF has already been proven as safe as sedation with propofol and anaesthesiologist assistance. No data exist regarding the safety of such a strategy during emergency procedures. The aim of this study is to compare the feasibility of sedation with midazolam, administered by a cardiologist, to an anaesthesiologist-assisted protocol with propofol in emergency DCC. Methods Single centre, prospective, open blinded, randomized study including all consecutive patients admitted to the Emergency Department requiring urgent or emergency DCC. Patients were randomized in a 1:1 fashion to either propofol or midazolam treatment arm. Patients in the midazolam group were managed by the cardiologist only, while patients treated with propofol group underwent DCC with anaesthesiologist assistance. Results Sixty-nine patients were enrolled and split into two groups. Eighteen patients (26.1%) experienced peri-procedural adverse events (bradycardia, severe hypotension and severe hypoxia), which were similar between the two groups and all successfully managed by the cardiologist. No deaths, stroke or need for invasive ventilation were registered. Patients treated with propofol experienced a greater decrease in systolic and diastolic blood pressure when compared with those treated with midazolam. As the procedure was shorter when midazolam was used, the median cost of urgent/emergency DCC with midazolam was estimated to be 129.0 € (1st-3rd quartiles 114.6–151.6) and 195.6 € (1st-3rd quartiles 147.3–726.7) with propofol (p

Abstract Objective Non invasive prenatal testing (NIPT) using cell-free fetal DNA (cffDNA) has been widely accepted in recent years to detect common fetal autosomal chromosome aneuploidies and sex chromosome aneuploidies (SCAs). In this study, the clinical performance of our fetal DNA testing was investigated by analyzing the sex chromosome aneuploidy aberrations among 9985 pregnancies. The study was a retrospective analysis of collected NIPT data from the Ion S5 next-generation sequencing (NGS) platform obtained from Altamedica Medical Centre of Rome. Results NIPT analysis of 9985 pregnancies revealed 31 cases with abnormal SCA results (0.31%). Among the 31 positive NIPT cases, 22 women agreed to undergo fetal karyotyping, whereas 9 refused further analyses. Of the 22 women verified by karyotyping analysis, 77.3% (17/22) were confirmed to be true positive SCAs, whereas 22.7% (5/22) were false positive. Among the true positive cases, 53.0% (9/17) were positive for monosomy X, 17.6% (3/17) were positive for 47, XXX aneuploidy, 23.5% (4/17) were positive for 47, XXY aneuploidy, and 5.9% (1/17) were positive for 47, XYY aneuploidy. In conclusion, the present results confirm that NIPT is a potential method for SCA screening, although this technology needs to be further investigated to improve the test performance.

High-resolution near-infrared ground-based spectroscopic observations of comet 67P/Churyumov–Gerasimenko near its maximum activity in 2021 were conducted from the W. M. Keck Observatory, using the facility spectrograph NIRSPEC. 67P is the best-studied comet to date because of the unprecedented detail and insights provided by the Rosetta mission during 2014–2016. Because 67P is the only comet where the detailed abundances of many coma volatiles were measured in situ, determining its composition from the ground provides a unique opportunity to interpret Rosetta results within the context of the large database of ground-based compositional measurements of comets. However, previous apparitions, including in 2015, have been unfavorable for in-depth ground-based studies of parent volatiles in 67P. The 2021 apparition of 67P was thus the first-ever opportunity for such observations. We report gas spatial distributions, rotational temperatures, production rates, and relative abundances (or stringent upper limits) among seven volatile species: C _2 H _2 , C _2 H _6 , HCN, NH _3 , CH _3 OH, H _2 CO, and H _2 O. The measured abundances of trace species relative to water reveal near average or below average values compared to previous comets studied at infrared wavelengths. Both gas rotational temperatures and the spatial distributions of H _2 O, C _2 H _6 , and HCN measured with Keck-NIRSPEC in 2021 are consistent with the outgassing patterns revealed by Rosetta in 2015 at very similar heliocentric distance (post-perihelion). These results can be integrated with both Rosetta mission findings and ground-based cometary studies of the overall comet population, for which we encourage a wide-scale collaboration across measurement techniques.

We report production rates of H _2 O and nine trace molecules (C _2 H _6 , CH _4 , H _2 CO, CH _3 OH, HCN, NH _3 , C _2 H _2 , OCS, and CO) in long-period comet C/2020 S3 (Erasmus) using the high-resolution, cross-dispersed infrared spectrograph (iSHELL) at the NASA Infrared Telescope Facility, on two pre-perihelion dates at heliocentric distances R _h = 0.49 and 0.52 au. Our molecular abundances with respect to simultaneously or contemporaneously measured H _2 O indicate that S3 is depleted in CH _3 OH compared to its mean abundance relative to H _2 O among the overall comet population (Oort Cloud comets and Jupiter-family comets combined), whereas the eight other measured species have near-average abundances relative to H _2 O. In addition, compared to comets observed at R _h < 0.80 au at near-infrared wavelengths, S3 showed enhancement in the abundances of volatile species H _2 CO, NH _3 , and C _2 H _2 , indicating possible additional (distributed) sources in the coma for these volatile species. The spatial profiles of volatile species in S3 in different instrumental settings are dramatically different, which might suggest temporal variability in comet outgassing behavior between the nonsimultaneous measurements. The spatial distributions of simultaneously measured volatile species C _2 H _6 and CH _4 are nearly symmetric and closely track each other, while those of CO and HCN co-measured with H _2 O (using different instrument settings) are similar to each other and are asymmetric in the antisunward direction.

NASA's Lucy mission is designed to better understand the unique population of Trojan asteroids. Trojans were probably captured in Jupiter's L4 and L5 points early in the solar system's evolution and little altered since then. A critical investigation of Lucy is to use its highest-resolution camera, the Lucy Long Range Reconnaissance Imager (L’LORRI), to image Trojans’ surfaces to understand their geology and impact crater populations. Through crater statistics, the population of smaller bodies that produced those impacts, relative age differences across the bodies, and other comparative investigations between bodies can be studied. Mapping the crater population to the minimum diameters needed to achieve Lucy's objectives might require image subsampling and deconvolution (“processing”) to improve the spatial resolution, a process whereby multiple, slightly offset images are merged to create a single, better-sampled image and deconvolved with L’LORRI's point-spread function. Lucy's first Earth Gravity Assist (EGA1) provided an opportunity to test this process's accuracy using L’LORRI images of the Moon, whose crater population is well characterized and therefore provides ground-truth testing. Specifically, the lunar crater imaging by L’LORRI during EGA1 allowed us to compare crater statistics derived from raw and processed L’LORRI images with ground-truth statistics derived from higher-resolution lunar imaging from other missions. The results indicate the processing can improve impact crater statistics such that features can be identified and measured to ≈70% the diameter that they can otherwise be reliably mapped on native L’LORRI images. This test's results will be used in the observation designs for the Lucy flyby targets.

Ammonia (NH _3 ), likely the most abundant nitrogen-bearing molecule in cometary ices followed by hydrogen cyanide, is believed to be stored in the nucleus predominantly as a parent ice. However, spatial profiles of NH _3 observed in comet C/2014 Q2 (Lovejoy) in the near-infrared region are consistent with a distributed source contribution (Dello Russo et al. 2022). We developed the direct simulation Monte Carlo model of ammonia in cometary coma and applied it to comet C/2014 Q2 (Lovejoy). Results suggest that NH _3 molecules in the coma of C/2014 Q2 (Lovejoy) can plausibly originate from a combination of parent molecules of NH _3 in the coma and a NH _3 nucleus source. We demonstrate that the parents of NH _3 having photodissociation lifetimes of several hundreds of seconds or longer (at 1 au from the Sun) can explain the observed spatial profile of NH _3 in comet C/2014 Q2 (Lovejoy). Even though ammonia salts are possible candidates for parents of NH _3 , some simple ammonium salts such as NH _4 CN or NH _4 Cl may dissociate thermally within very short lifetimes after sublimation from the nucleus, so the contribution from those ammonium salts may be indistinguishable from the nucleus source. The lack of experimental data on photoprocesses for potential NH _3 parent molecules prevent us from identifying the origin of NH _3 in comets. Experimental and theoretical studies of photodissociation/ionization reactions of potential NH _3 parent molecules by the solar UV radiation field are encouraged for the future identification of NH _3 parents in comets.

We present a comprehensive analysis of the chemical composition of the Jupiter-family comet and potential spacecraft target 46P/Wirtanen, in the near-IR wavelength range. We used iSHELL at the NASA Infrared Telescope Facility to observe the comet on 11 pre-, near-, and postperihelion dates in 2018 December and 2019 January and February during its historic apparition. We report rotational temperatures, production rates, and mixing ratios with respect to H _2 O and C _2 H _6 or 3 σ upper limits of the primary volatiles H _2 O, HCN, CH _4 , C _2 H _6 , CH _3 OH, H _2 CO, NH _3 , CO, C _2 H _2 , and HC _3 N. We also discuss the spatial outgassing of the primary volatiles, to understand their sources and the spatial associations between them. The spatial profiles of H _2 O in 46P/Wirtanen suggest the presence of extended H _2 O outgassing sources in the coma, similar to the EPOXI target comet 103P/Hartley 2. 46P/Wirtanen is among the few known hyperactive comets, and we note that its composition and outgassing behavior are similar to those of other hyperactive comets in many ways. We note that the analyzed parent volatiles showed different variations (relative mixing ratios) during the apparition. We compared the chemical composition of 46P/Wirtanen with the mean abundances in Jupiter-family comets and the comet population as measured with ground-based near-IR facilities to date. The molecular abundances in 46P/Wirtanen suggest that although they were changing, the variations were small compared to the range in the comet population, with CH _3 OH showing notably more variation as compared to the other molecules.

The use of statistical estimation theory to boost the metrological performance of the measurement apparatus is becoming increasingly popular in a wide range of applications. Recently, such an approach has been adopted in Hong Ou Mandel interferometry, setting a new record in time delay and polarization measurement. Here, we extend these pioneering experiments in the telecom range to unlock the full potential of the information-based approach combined with a versatile spectral range, aiming for its adoption in fiber-coupled devices of up to hundreds of kilometers long as bobines or optical networks. Our measurement saturates the Cramér-Rao bound and in a long lasting experiment returns an Allan deviation of the polarization angle of 0.002 degs in 1 h of integration time.

Abstract Background Cerebrotendinous xanthomatosis (CTX) and Lathosterolosis represent two treatable inherited disorders of cholesterol metabolism that are characterized by the accumulation of cholestanol and lathosterol, respectively. The age of the patients suspected of having these disorders is highly variable due to the very different phenotypes. The early diagnosis of these disorders is important because specific therapeutic treatment could prevent the disease progression. The biochemical diagnosis of these defects is generally performed analyzing the sterol profile. Since age-related levels of these sterols are lacking, this study aims to determine a preliminary comparison of plasma levels of cholestanol and lathosterol among Italian unaffected newborns, children and healthy adults. Methods The sterols were extracted from 130 plasma samples (24 newborns, 33 children and 73 adults) by a liquid-liquid separation method and quantified by gas chromatography coupled with a flame ionization detector. Results Cholesterol, cholestanol and lathosterol levels together with the cholestanol/cholesterol and lathosterol/cholesterol ratios are statistically different among the three groups. Cholesterol levels progressively increased from newborns to children and to adults, whereas cholestanol/cholesterol and cholestanol/lathosterol ratios progressively decreased from newborns to children and to adults. Lathosterol levels were higher in adults than in both newborns and children. In the total population a positive correlation was observed between cholesterol levels and both cholestanol (correlation coefficient = 0.290, p = 0.001) and lathosterol levels (correlation coefficient = 0.353, p

The aim of personalized medicine is to detach from a “one-size fits all approach” and improve patient health by individualization to achieve the best outcomes in disease prevention, diagnosis and treatment. Technological advances in sequencing, improved knowledge of omics, integration with bioinformatics and new in vitro testing formats, have enabled personalized medicine to become a reality. Individual variation in response to environmental factors can affect susceptibility to disease and response to treatments. Space travel exposes humans to environmental stressors that lead to physiological adaptations, from altered cell behavior to abnormal tissue responses, including immune system impairment. In the context of human space flight research, human health studies have shown a significant inter-individual variability in response to space analogue conditions. A substantial degree of variability has been noticed in response to medications (from both an efficacy and toxicity perspective) as well as in susceptibility to damage from radiation exposure and in physiological changes such as loss of bone mineral density and muscle mass in response to deconditioning. At present, personalized medicine for astronauts is limited. With the advent of longer duration missions beyond low Earth orbit, it is imperative that space agencies adopt a personalized strategy for each astronaut, starting from pre-emptive personalized pre-clinical approaches through to individualized countermeasures to minimize harmful physiological changes and find targeted treatment for disease. Advances in space medicine can also be translated to terrestrial applications, and vice versa. This review places the astronaut at the center of personalized medicine, will appraise existing evidence and future preclinical tools as well as clinical, ethical and legal considerations for future space travel.

Background. Data on leadless pacemaker (LPM) implantation in an emergency setting are currently lacking. Objective. We aimed to investigate the feasibility of LPM implantation for emergency bradyarrhythmia, in patients referred for urgent PM implantation, in a large, multicenter, real-world cohort of LPM recipients. Methods. Two cohorts of LPM patients, stratified according to the LPM implantation scenario (patients admitted from the emergency department (ED+) vs. elective patients (ED−)) were retrieved from the iLEAPER registry. The primary outcome of the study was a comparison of the peri-procedural complications between the groups. The rates of peri-procedural characteristics (overall procedural and fluoroscopic duration) were deemed secondary outcomes. Results. A total of 1154 patients were enrolled in this project, with patients implanted due to an urgent bradyarrhythmia (ED+) representing 6.2% of the entire cohort. Slow atrial fibrillation and complete + advanced atrioventricular blocks were more frequent in the ED+ cohort (76.3% for ED+ vs. 49.7% for ED−, p = 0.025; 37.5% vs. 27.3%, p = 0.027, respectively). The overall procedural times were longer in the ED+ cohort (60 (45–80) mins vs. 50 (40–65) mins, p < 0.001), showing higher rates of temporary pacing (94.4% for ED+ vs. 28.9% for ED−, p < 0.001). Emergency LPM implantation was not correlated with an increase in the rate of major complications compared to the control group (6.9% ED+ vs. 4.2% ED−, p = 0.244). Conclusion. LPM implantation is a feasible procedure for the treatment of severe bradyarrhythmia in an urgent setting. Urgent LPM implantation was not correlated with an increase in the rate of major complications compared to the control group, but it was associated with longer procedural times.

Background Endomyocardial biopsy (EMB) is part of 2010 Task Force Criteria (TFC) for arrhythmogenic right ventricular cardiomyopathy (ARVC). However, its usage has been curtailed because of its low presumed diagnostic yield, and it is now a poorly used tool. This study aims to analyze the contribution of EMB to the final diagnosis of ARVC. Methods and Results We included 104 consecutive patients evaluated for a suspicion of ARVC, who were referred for EMB. Patients with suspected left dominant pattern were excluded from the primary analysis. Subjects were initially stratified according to TFC without considering EMB. After EMB, patients were reclassified accordingly, and the reclassification rate was calculated. EMB yielded a diagnostic finding in 92 patients (85.5%). After including EMB evaluation, 20 (43%) more patients “at risk” received a definite diagnosis of ARVC. Overall, 59 patients received a definite diagnosis of ARVC, 34% only after EMB. EMB appeared to be the better‐performing exam with respect to the final diagnosis (β, 2.2; area uder the curve, 0.73; P

Abstract Arrhythmogenic cardiomyopathy (ACM) is hallmarked by ventricular fibro‐adipogenic alterations, contributing to cardiac dysfunctions and arrhythmias. Although genetically determined (e.g., PKP2 mutations), ACM phenotypes are highly variable. More data on phenotype modulators, clinical prognosticators, and etiological therapies are awaited. We hypothesized that oxidized low‐density lipoprotein (oxLDL)‐dependent activation of PPARγ, a recognized effector of ACM adipogenesis, contributes to disease pathogenesis. ACM patients showing high plasma concentration of oxLDL display severe clinical phenotypes in terms of fat infiltration, ventricular dysfunction, and major arrhythmic event risk. In ACM patient‐derived cardiac cells, we demonstrated that oxLDLs are major cofactors of adipogenesis. Mechanistically, the increased lipid accumulation is mediated by oxLDL cell internalization through CD36, ultimately resulting in PPARγ upregulation. By boosting oxLDL in a Pkp2 heterozygous knock‐out mice through high‐fat diet feeding, we confirmed in vivo the oxidized lipid dependency of cardiac adipogenesis and right ventricle systolic impairment, which are counteracted by atorvastatin treatment. The modulatory role of oxidized lipids on ACM adipogenesis, demonstrated at cellular, mouse, and patient levels, represents a novel risk stratification tool and a target for ACM pharmacological strategies.

Background: When an implantable-cardioverter defibrillator (ICD) lead becomes non-functional, a recommendation currently exists for either lead abandonment or removal. Lead abandonment and subcutaneous ICD (S-ICD) implantation may represent an additional option for patients who do not require pacing. The aim of this study was to investigate the outcomes of a strategy of lead abandonment and S-ICD implantation in the setting of lead malfunction.Methods: We analyzed all consecutive patients who underwent S-ICD implantation after abandonment of malfunctioning leads and compared their outcomes with those of patients who underwent extraction and subsequent reimplantation of a single-chamber transvenous ICD (T-ICD).Results: Forty-three patients underwent S-ICD implantation after abandonment of malfunctioning leads, while 62 patients underwent extraction and subsequent reimplantation of a new T-ICD. The two groups were comparable. In the extraction group, no major complications occurred during extraction, while the procedure failed and an S-ICD was implanted in 4 patients. During a median follow-up of 21 months, 3 major complications or deaths occurred in the S-ICD group and 11 in the T-ICD group (HR 1.07; 95% CI 0.29–3.94; P = 0.912). Minor complications were 4 in the S-ICD group and 5 in the T-ICD group (HR 2.13; 95% CI 0.49–9.24; P = 0.238).Conclusions: In the event of ICD lead malfunction, extraction avoids the potential long-term risks of abandoned leads. Nonetheless the strategy of lead abandonment and S-ICD implantation was feasible and safe, with no significant increase in adverse outcomes, and may represent an option in selected clinical settings. Further studies are needed to fully understand the potential risks of lead abandonment.Clinical Trial Registration: URL: ClinicalTrials.gov Identifier: NCT02275637

We report on a comparison between two optical detection techniques, one based on a Quartz-Enhanced Photoacoustic Spectroscopy (QEPAS) detection module, where a quartz tuning fork is acoustically coupled with a pair of millimeter-sized resonator tubes; and the other one based on a Photothermal Spectroscopy (PTS) module where a Fabry-Perot interferometer acts as transducer to probe refractive index variations. When resonant optical absorption of modulated light occurs in a gas sample, QEPAS directly detects acoustic waves while PTS probes refractive index variations caused by local heating. Compact QEPAS and PTS detection modules were realized and integrated in a gas sensor system for detection of carbon monoxide (CO), targeting the fundamental band at 4.6 μm by using a distributed-feedback quantum cascade laser. Performance was compared and ultimate detection limits up to ∼ 6 part-per-billion (ppb) and ∼15 ppb were reached for QEPAS and the PTS module, respectively, using 100 s integration time and 40 mW of laser power.

Background We evaluated long‐term outcome of isolation of pulmonary veins, left atrial posterior wall, and superior vena cava, including time to recurrence and prevalent triggering foci at repeat ablation in patients with paroxysmal atrial fibrillation with or without cardiovascular comorbidities. Methods and Results A total of 1633 consecutive patients with paroxysmal atrial fibrillation that were arrhythmia‐free for 2 years following the index ablation were classified into: group 1 (without comorbidities); n=692 and group 2 (with comorbidities); n=941. We excluded patients with documented ablation of areas other than pulmonary veins, the left atrial posterior wall, and the superior vena cava at the index procedure. At 10 years after an average of 1.2 procedures, 215 (31%) and 480 (51%) patients had recurrence with median time to recurrence being 7.4 (interquartile interval [IQI] 4.3–8.5) and 5.6 (IQI 3.8–8.3) years in group 1 and 2, respectively. A total of 201 (93.5%) and 456 (95%) patients from group 1 and 2 underwent redo ablation; 147/201 and 414/456 received left atrial appendage and coronary sinus isolation and 54/201 and 42/456 had left atrial lines and flutter ablation. At 2 years after the redo, 134 (91.1%) and 391 (94.4%) patients from group 1 and 2 receiving left atrial appendage/coronary sinus isolation remained arrhythmia‐free whereas sinus rhythm was maintained in 4 (7.4%) and 3 (7.1%) patients in respective groups undergoing empirical lines and flutter ablation (P

Background: The management of cardiogenic shock (CS) after ACS has evolved over time, and the development of a multidisciplinary team-based approach has been shown to improve outcomes, although mortality remains high. Methods: All consecutive patients with ACS-CS admitted at our CICU from March 2012 to July 2021 were included in this single-center retrospective study. In 2019, we established a "shock team" consisting of a cardiac intensivist, an interventional cardiologist, an anesthetist, and a cardiac surgeon. The primary outcome was in-hospital mortality. Results: We included 167 patients [males 67%; age 71 (61–80) years] with ischemic CS. The proportion of SCAI shock stages from A to E were 3.6%, 6.6%, 69.4%, 9.6%, and 10.8%, respectively, with a mean baseline serum lactate of 5.2 (3.1–8.8) mmol/L. Sixty-six percent of patients had severe LV dysfunction, and 76.1% needed ≥ 1 inotropic drug. Mechanical cardiac support (MCS) was pursued in 91.1% [65% IABP, 23% Impella CP, 4% VA-ECMO]. From March 2012 to July 2021, we observed a significative temporal trend in mortality reduction from 57% to 29% (OR = 0.90, p = 0.0015). Over time, CS management has changed, with a significant increase in Impella catheter use (p = 0.0005) and a greater use of dobutamine and levosimendan (p = 0.015 and p = 0.0001) as inotropic support. In-hospital mortality varied across SCAI shock stages, and the SCAI E profile was associated with a poor prognosis regardless of patient age (OR 28.50, p = 0.039). Conclusions: The temporal trend mortality reduction in CS patients is multifactorial, and it could be explained by the multidisciplinary care developed over the years. [ABSTRACT FROM AUTHOR]

The application of cardiac magnetic resonance (CMR) imaging in clinical practice has grown due to technological advancements and expanded clinical indications, highlighting its superior capabilities when compared to echocardiography for the assessment of myocardial tissue. Similarly, the utilization of implantable cardiac electronic devices (CIEDs) has significantly increased in cardiac arrhythmia management, and the requirements of CMR examinations in patients with CIEDs has become more common. However, this type of exam often presents challenges due to safety concerns and image artifacts. Until a few years ago, the presence of CIED was considered an absolute contraindication to CMR. To address these challenges, various technical improvements in CIED technology, like the reduction of the ferromagnetic components, and in CMR examinations, such as the introduction of new sequences, have been developed. Moreover, a rigorous protocol involving multidisciplinary collaboration is recommended for safe CMR examinations in patients with CIEDs, emphasizing risk assessment, careful monitoring during CMR, and post-scan device evaluation. Alternative methods to CMR, such as computed tomography coronary angiography with tissue characterization techniques like dual-energy and photon-counting, offer alternative potential solutions, although their diagnostic accuracy and availability do limit their use. Despite technological advancements, close collaboration and specialized staff training remain crucial for obtaining safe diagnostic CMR images in patients with CIEDs, thus justifying the presence of specialized centers that are equipped to handle these type of exams. [ABSTRACT FROM AUTHOR]

Over the recent decades, organizations have had to face a number of major external shocks and crises. Acquiring a better understanding of how human resources are managed under such critical conditions constitutes the main purpose of this study. We conducted a study triangulating different sources (employees, HR managers, and secondary data) and types of data (quantitative and qualitative) to explore how employees in Portuguese organizations perceived the HR practices' implementation during the years of the financial crisis (2011–2014) and how HR managers explained it. Longitudinal evidence from 53 organizations attests to perceived decreasing trends, particularly in training and development and performance management. HR managers legitimize these trends, embracing conventions and revealing the impact of coercive and normative pressures. Our findings highlight the need for renewed attention to be paid to the contextual pressures on HR managers' decision‐making and actions that could severely endanger their role as strategic partners and their embrace of sustainable HRM. [ABSTRACT FROM AUTHOR]

Through a quick comparative look at the best-known narratives of the Spanish colonial enterprise, the article reconstructs the mutual influences and shared main categories of observation on American reality. In the European hermeneutics of the encounter with native civilizations, in fact, a stereotype of the inferiority of the Other, compared to an arbitrary evolutionary standard, recurs: the vision of the chroniclers of conquest expeditions reflects the ability of the invading and narrating subject to relate to diversity through neutralizing strategies. For instance, under the condition of being able to project himself into it. Special attention is also directed to Juan Ginés de Sepúlveda's controversial reflection on the legitimacy of the conquering wars. His application of the Aristotelian theory of natural slavery to this historical circumstance represents a cultural need – still widespread – for the assimilation of heterogeneity, functional to the justification of domination.

Abstract Quantitation of paint powders of ancient wall paintings is often hindered by the calcite contamination during samples withdrawal. To overcome this problem, a new approach was explored based on the mechanical pulverization of the paint powder followed by the evaluation of its true concentration, namely binders, pigments, and decaying compounds, from the comparison of the calcite FT-IR peak area at 2510 cm−1 with that of the corresponding underlying calcite used as calibrator. After extraction of the pulverized paint powder with polar and nonpolar solvents, liquid chromatography, gas chromatography with flame ionization detection, and gas chromatography–mass spectrometry were used to estimate the free amino acids, and fatty acids profiles. Compared to our previous investigation, the results obtained showed a better yield of the extracted organic materials as mg/kg of powder and also a qualitative improvement of the lipids profile.

La presentación de trabajos científicos a través de un informe requiere de un armado que podemos llamar “anatomía de un informe” y una dinámica en su interior a la que consideramos “la fisiología del informe” para que tenga validez y credibilidad, pero ¿cómo se evalúan los trabajos científicos presentados en nuestros congresos? ¿Cuáles son los criterios para determinar que un trabajo sea aceptado o no? El Comité de Investigaciones de la AAOT elaboró las grillas de evaluación. El objetivo de publicar las grillas es poder contar con una herramienta objetiva de valoración cualitativa y cuantitativa de todos los trabajos presentados en sus diferentes géneros, que podrá ser utilizada por los evaluadores de trabajos como elemento de feedback y como elemento de evaluación objetiva, y por los escribientes como guía para el armado del informe de su trabajo de investigación. ABSTRACT For validity and credibility purposes, the presentation of scientific publications in a report form requires a certain layout that we could call the "anatomy of the report", as well as the dynamics of it, considered the "physiology of the report". But how are conference scientific publications evaluated? What are the criteria used to determine whether a report is accepted or not? The Research Committee at the Argentine Association of Orthopedics and Traumatology (AAOT) developed evaluation grids with the aim of publishing them to have an objective tool for the qualitative and quantitative evaluation of all types of publications submitted. These grids could be used by evaluators to present their feedback, as well as an objective evaluation tool. Authors could use them as a guide to prepare the report of their research work.

Valve leaflets and chordae structurally normal characterize functional mitral regurgitation (FMR), which in heart failure (HF) setting results from an imbalance between closing and tethering forces secondary to alterations in the left ventricle (LV) and left atrium geometry. In this context, FMR impacts the quality of life and increases mortality. Despite multiple medical and surgical attempts to treat FMR, to date, there is no univocal treatment for many patients. The pathophysiology of FMR is highly complex and involves several underlying mechanisms. Left ventricle dyssynchrony may contribute to FMR onset and worsening and represents an important target for FMR management. In this article, we discuss the mechanisms of FMR and review the potential therapeutic role of CRT, providing a comprehensive review of the available data coming from clinical studies and trials.