P724 The mysteries of sinus of Valsalva

Sinus of Valsalva aneurysms are a rare pathology that can be clinically silent during years and/or become suddenly symptomatic. We described 3 cases with different clinical presentation, complications and surgical treatment.

A 26-year-old male, competitive cyclist was admitted with a 1.5 month history of fatigue, palpitations, and nocturnal cough and sweating. At physical examination he was apyretic, blood pressure 157/49mmHg and radial pulse 96 bpm; jugular vein engorgement and continuous heart murmur, were noticed. Blood samples only revealed a mild raised BNP. EKG showed sinus tachycardia and right intraventricular conduction delay and the transthoracic echocardiography (TTE) revealed high velocity systolic-diastolic shunt (image) between a non-dilated right coronary sinus (RCS) and the right atrium (RA); moderate left ventricle dilation, severe right atrium and mild right ventricle enlargement with mild pulmonary hypertension and normal biventricular systolic function. He was referred to angioCT that showed a large communication between a non-dilated RCS and RA with signs of right ventricular overload. He was submitted to surgery, where ruptured aneurysm sac was found. Fistula closure, aneurysm sac suture and tricuspid annuloplasty were performed.

A 45-year-old male asymptomatic, with no relevant medical background went to a Cardiology consultation after detection of a holossistolic murmur in the physical exam. EKG showed sinus rhythm arrhythmia with a nonspecific intraventricular conduction delay and the TTE revealed a communication between a dilated noncoronary sinus (NCS) and RA; the biventricular systolic function was normal. He was referred to angioCT which confirmed the diagnosis. He was submitted to surgery where an exeresis and closure of the fistula was performed.

A 38-year-old male with no relevant medical background was admitted to emergence room for an intermittent anterior thoracic pain radiating to the neck (2 days of evolution). The EKG showed sinus tachycardia, incomplete right bundle branch block and the high-sensitivity troponin assays were negative. The TTE revealed severe sinus of Valsalva aneurysm, particularly of the NCS with mild aortic regurgitation. The patient performed transesophageal echocardiography and angioCT which excluded an acute aortic syndrome. He was oriented to surgery where a contained rupture of the RCS and a non-visualization of the ostium right coronary artery were detected, suggesting an intimal dissection. The patient was submitted to Bentall procedure and a bypass with internal mammary artery to right coronary artery.

In spite of the unclear etiology, all the cases had a good clinical and echocardiographic evolution at follow-up. The difficulty in making a timely diagnosis is related to the variability of clinical presentation and the need of high clinical suspicion. Echocardiography and angioTC have demonstrated its value, in providing a prompt diagnosis and appropriate management guidance.

Abstract P724 Figure. Ruptured aneurysm sac and fistula

RADIATION EXPOSURE FROM NATURAL RADIONUCLIDES IN BUILDING MATERIALS

Building materials from Iberian Peninsula (Portugal and Spain) were collected and analysed for 226Ra, 232Th and 40K using HPGe gamma-ray spectrometers. The results show that the highest mean value of 226Ra and 232Th activities are 2168 and 390 Bq kg-1, respectively, measured in zircon. For 40K, this value is 1290 Bq kg-1, measured in granite. The mean concentrations of the three radionuclides in the different building materials, excluding the zircon and the industrial by-products (ashes, gypsum and phosphogypsum), are 62, 31 and 519 Bq kg-1 for 226Ra, 232Th and 40K, respectively. The radiological health hazard parameters: radium equivalent activity (Raeq), activity concentration index (I) absorbed and effective dose rates, associated with these radionuclides, were evaluated. These values are within the EU recommended limits in building materials, except for same samples of aggregates, granites, ceramics, phosphogypsum and zircon. This study will contribute for the worldwide data pooling on the radioactivity of the building materials.

Validation of Anthropometric Measures Self-Reported in a Randomized Controlled Trial of a Web-Based Platform for Weight Loss

INTRODUCTION

A great number of weight loss interventions have been delivered through digital solutions. Analysis of the effectiveness in terms of weight loss is fundamental to understand the real potential of digital technologies as tools for delivery of weight loss interventions. For this, we need accurate and reliable anthropometric data. For reasons of convenience, self-reported weight and height often replace actual measurements in these interventions. This might lead to misclassification of BMI status during selection of participants and to bias in the assessment of the outcomes. Therefore, it is fundamental to have validation studies of self-reported web-based data.

OBJECTIVES

We aimed to validate online self-reported height, weight and BMI in a POEmaS trial subsample.

METHODS

We included 12.5% of the POEmaS' population (n=159). Anthropometric data reported on the web-platform were compared to measured data by paired T-tests. Agreement was assessed by Bland-Altman plots. Multinomial regression was used to investigate factors associated with self-reported weight validity.

RESULTS

There was no significant difference between reported and measured weight (0.4 kg, SD 1.7; p=0.13) and BMI (0.03 kg/m2, SD 0.87; p=0.06). Reported height was on average 0.4 cm (SD 1.2) higher than the measured ones (p<0.001). For all anthropometric data, >=95% of the cases were within the limits of agreement. Higher measured BMI was the only factor associated with low accuracy of weight report. Each unit increase in BMI increased the odds that the reported weight was lower than the one measured (OR 1.13; 95%CI 1.01-1.26).

DISCUSSION

Self-reported weight and BMI change showed good agreement with measured ones. Since these are the primary outcomes of the POEmaS trial, the findings of the validation study suggest that the outcomes' accuracy is high and that it does not vary across gender, age, study group. These findings are relevant to digital health researchers and assessors and suggest that digital health interventions for weight loss might rely on self-reported assessment of outcomes. This might be particularly useful when other modes of assessment, such as anthropometry and e-scales, are not feasible or not available. However, we acknowledge that these results might not be applicable to low educated populations.

A new therapeutic approach in very refractory diffuse large B-cell lymphoma

PURPOSE

Patients with diagnosis of diffuse large B-cell lymphoma, who relapse after stem cell transplant (SCT) or are no candidates to SCT, have a poor prognosis and no current treatment is available. Thus, we conduct a rotatory chemotherapy schedule that employed low doses of chemotherapy agents to assess efficacy and toxicity in this setting of patients; the end point was the improved outcome.

METHODS

Retrospectively we revised an analysis of 461 patients who were treated with a low-doses regimen of cytotoxic agents, who were treated in a single institution, all patients has been treated with at least two salvage regimens, including SCT, > 18 years, performance status < 3, and that were informed about the possibility of severe toxicities,, were considered candidates to the study. They received a weekly rotatory scheme including low doses of cytotoxic agents during 2 years.

RESULTS

Overall response rate was achieved in 314 patients (68%, 95% Confidence interval (CI) 59-76%) and complete response was achieved in 151 cases (32%, 95% CI 25-38%); actuarial curves at 10 years show that progression-free survival was 58% (95% CI 51-66%) and OS was 50% (95% CI 43-57%). Dose reduction was not necessary; toxicity was minimal and well controlled. No death related to acute or late toxicities has been observed.

CONCLUSION

Low doses of cytotoxic agents for continuous, prolonged periods, with minimal drug-free intervals, represent a novel, active, and easily tolerated approach to management of patients with DLBCL in a terminal phase and improved outcome.

Strong Absorption of Hadrons with Hidden and Open Strangeness in Nuclear Matter

We present the first observation of K^{-} and ϕ absorption within nuclear matter by means of π^{-}-induced reactions on C and W targets at an incident beam momentum of 1.7  GeV/c studied with HADES at SIS18/GSI. The double ratio (K^{-}/K^{+})_{W}/(K^{-}/K^{+})_{C} is found to be 0.319±0.009(stat)_{-0.012}^{+0.014}(syst) indicating a larger absorption of K^{-} in heavier targets as compared to lighter ones. The measured ϕ/K^{-} ratios in π^{-}+C and π^{-}+W reactions within the HADES acceptance are found to be equal to 0.55±0.04(stat)_{-0.07}^{+0.06}(syst) and to 0.63±0.06(stat)_{-0.11}^{+0.11}(syst), respectively. The similar ratios measured in the two different reactions demonstrate for the first time experimentally that the dynamics of the ϕ meson in nuclear medium is strongly coupled to the K^{-} dynamics. The large difference in the ϕ production off C and W nuclei is discussed in terms of a strong ϕN in-medium coupling. These results are relevant for the description of heavy-ion collisions and the structure of neutron stars.

Time-Like Baryon Transitions studies with HADES

The HADES collaboration uses the e+e− production as a probe of the resonance matter produced in collisions at incident energies of 1-3.5 GeV/nucleon at GSI. Elementary reactions provide useful references for these studies and give information on resonance Dalitz decays (R→Ne+e−). Such processes are sensitive to the structure of time-like electromagnetic baryon transitions in a kinematic range where (off-shell) vector mesons play a crucial role. Results obtained in proton-proton reactions and in a commissioning pion-beam experiment are reported and prospects for future pion beam experiments and for first hyperon Dalitz decay measurements are described. The connection with the investigations of medium effects to be continued with HADES in the next years at SIS18 and SIS100 is also discussed.

Modeling adult emergence and fecundity of factitious hosts under different food sources supports massive egg production management

Ephestia kuehniella (Lepidoptera, Pyralidae) and Sitotroga cerealella (Lepidoptera, Gelechiidae) are important factitious hosts used for production of biological control agents. Their differences in terms of biology and behavior require adjustments in their mass production, particularly when using corn or barley as food in grain or in bran. We modeled adult emergence, oviposition period and egg production along time after emergence, as a function of the food source. Significant differences between hosts or food type were found for these variables and for adult weight but not for sex ratio. Our results confirm the possibility of mass production of these hosts using corn or barley as food source. Integrating adult emergence patterns and age specific fecundity patterns into a single model, it is clear that rearing E. kuehniella on barley would result in the highest egg output in much shorter time than E. kuehniella on corn or S. cerealella on barley.

Correction to: The Cancer, Educate to Prevent Model-the Potential of School Environment for Primary Prevention of Cancer

The affiliation address of Dr. Helena Santos should be Faculty of Economics, University of Porto, Portugal and Dr. Luís Moreira's should be Research Unit in Education and Community Intervention - RECI & Health School of Vila Nova de Gaia - Piaget Institute.

Source identification of uranium-containing materials at mine legacy sites in Portugal

Whilst prior nuclear forensic studies have focused on identifying signatures to distinguish between different uranium deposit types, this paper focuses on providing a scientific basis for source identification of materials from different uranium mine sites within a single region, which can then be potentially used within nuclear forensics. A number of different tools, including gamma spectrometry, alpha spectrometry, mineralogy and major and minor elemental analysis, have been utilised to determine the provenance of uranium mineral samples collected at eight mine sites, located within three different uranium provinces, in Portugal. A radiation survey was initially conducted by foot and/or unmanned aerial vehicle at each site to assist sample collection. The results from each mine site were then compared to determine if individual mine sites could be distinguished based on characteristic elemental and isotopic signatures. Gamma and alpha spectrometry were used to differentiate between samples from different sites and also give an indication of past milling and mining activities. Ore samples from the different mine sites were found to be very similar in terms of gangue and uranium mineralogy. However, rarer minerals or specific impurity elements, such as calcium and copper, did permit some separation of the sites examined. In addition, classification rates using linear discriminant analysis were comparable to those in the literature.

14 Composition of Semen Extenders and Varying Seminal Plasma Concentrations Affects Formation of Neutrophil Extracellular Traps in the Bovine System

Neutrophils are recruited into the female reproductive tract following insemination to eliminate excess spermatozoa and bacteria introduced by the breeding process. In natural breeding, bovine semen is deposited in the vagina and sperm migrate into the uterus, leaving the bulk of seminal plasma (SP) behind. Current artificial insemination protocols introduce variable amounts of SP and semen extender into the uterus. Beside phagozytosis and secretion of immune modulators, polymorphonuclear neutrophils (PMN) are able to form neutrophil extracellular traps (NETs) extruding their DNA into the extracellular environment and ensnare pathogens including sperm cells. Recently, a time-dependent increase in bovine NETs formation has been reported. In the absence of SP and extender only a low degree of NETs formation by the sperm cells alone was detected (Fichtner et al. 2017 Reprod. Domest. Anim. 52(S1), 16). The aim of the present study was to investigate the effect of different semen extenders with various supplements or varying SP concentrations on NETs formation. Bovine PMN were isolated via Ficoll gradient centrifugation from peripheral blood. Semen extenders, purchased from 2 companies, were supplemented either with no animal protein or fresh egg yolk or “egg yolk-like substances” (gamma-irradiated sterile egg yolk or phospholipids as liposomes). The SP collected from ejaculates of eight 5-year-old bulls was added to the incubation medium in concentrations of 1, 3, 5, 10, 15, and 20%. For NETs induction, PMN and semen extenders or SP concentrations were co-cultured for 60 min; PMN and incubation medium alone served as negative controls. After incubation, the samples were treated with micrococcal nuclease and stained with PicoGreen. Quantification was performed by spectrofluorometric analyses using an automated plate monochrome reader (Varioscan Flash; Thermo Scientific, Waltham, MA, USA). Relative fluorescence intensities (FI in arbitrary units, AU) were calculated by subtracting the values of the negative controls from the ones obtained from the different samples. For statistical analyses, a one-way ANOVA followed by Tukey’s HSD test was used. Experiments were repeated at least 9 times. No significant differences in the relative FI were detected between the 2 animal protein-free extenders. A significantly higher FI was observed in one of the extenders supplemented with egg yolk compared with the other. The same held true for one extender completed with an egg yolk-like substance. Relative FI significantly increased from 1 to 5% SP, stayed constant up to 10%, followed by a slight decrease up to a concentration of 20%. These data indicate that formation of NETs in vitro depends on the composition of the extender itself and the protein source used by different companies. Furthermore, formation of NETs is also dependent on the dose of SP. From these results, it could be speculated that semen extenders plus additives and SP may affect fertility. The financial support of the Förderverein Bioökonomieforschung e.V. (FBF) is gratefully acknowledged.

First Measurement of Transverse-Spin-Dependent Azimuthal Asymmetries in the Drell-Yan Process

The first measurement of transverse-spin-dependent azimuthal asymmetries in the pion-induced Drell-Yan (DY) process is reported. We use the CERN SPS 190  GeV/c π^{-} beam and a transversely polarized ammonia target. Three azimuthal asymmetries giving access to different transverse-momentum-dependent (TMD) parton distribution functions (PDFs) are extracted using dimuon events with invariant mass between 4.3  GeV/c^{2} and 8.5  GeV/c^{2}. Within the experimental uncertainties, the observed sign of the Sivers asymmetry is found to be consistent with the fundamental prediction of quantum chromodynamics (QCD) that the Sivers TMD PDFs extracted from DY have a sign opposite to the one extracted from semi-inclusive deep-inelastic scattering (SIDIS) data. We present two other asymmetries originating from the pion Boer-Mulders TMD PDFs convoluted with either the nucleon transversity or pretzelosity TMD PDFs. A recent COMPASS SIDIS measurement was obtained at a hard scale comparable to that of these DY results. This opens the way for possible tests of fundamental QCD universality predictions.