Tracing executive functions in insight

Usually the central executive is considered as a single capacity in the insight studies which leads to inconsistent results on the link between the central executive of working memory and insight. We suppose a more detailed view on the process of insight solution in which various executive functions could be important at different solution stages: updating is necessary to build a problem's representation, inhibition-to overcome the impasse, shifting-to restructure the problem's representation. These assumptions were not confirmed in an experiment via dual-task paradigm and cognitive load. We did not find the relation between executive functions and solution stages, but we demonstrated that the more complexity of dual-task, the more cognitive load in problem solving. Moreover, the highest load of executive functions is observed at the end of insight solution. We speculate that the loading occurs either due to decrease of the free space in working memory storage systems, or due to a resource-intensive event (for example, representational change).

High Risk of Heart Tumors after COVID-19

An emergence of evidence suggests that severe COVID-19 is associated with an increased risk of developing breast and gastrointestinal cancers. The aim of this research was to assess the risk of heart tumors development in patients who have had COVID-19.

METHODS

A comparative analysis of 173 heart tumors was conducted between 2016 and 2023. Immunohistochemical examination with antibodies against spike SARS-CoV-2 was performed on 21 heart tumors: 10 myxomas operated before 2020 (the control group), four cardiac myxomas, one proliferating myxoma, three papillary fibroelastomas, two myxofibrosarcomas, one chondrosarcoma resected in 2022-2023. Immunohistochemical analysis with antibodies against CD34 and CD68 was also conducted on the same 11 Post-COVID period heart tumors. Immunofluorescent examination with a cocktail of antibodies against spike SARS-CoV-2/CD34 and spike SARS-CoV-2/CD68 was performed in 2 cases out of 11 (proliferating myxoma and classic myxoma).

RESULTS

A 1.5-fold increase in the number of heart tumors by 2023 was observed, with a statistically significant increase in the number of myxomas. There was no correlation with vaccination, and no significant differences were found between patients from 2016-2019 and 2021-2023 in terms of gender, age, and cardiac rhythm dis-orders. Morphological examination revealed the expression of spike SARS-CoV-2 in tumor cells, endothelial cells, and macrophages in 10 out of 11 heart tumors.

CONCLUSION

The detection of SARS-CoV-2 persistence in endothelium and macrophages as well as in tumor cells of benign and malignant cardiac neoplasms, the increase in the number of these tumors, especially cardiac myxomas, after the pandemic by 2023 may indicate a trend toward an increased risk of cardiac neoplasms in COVID-19 patients, which re-quires further research on this issue and a search for new evidence.

New Scenarios in Heart Transplantation and Persistency of SARS-CoV-2 (Case Report)

Heart transplantation is a treatment of choice for patients with severe heart failure. Infection transmission from a donor to a recipient remains a prominent problem in organ transplantation. However, the risk of SARS-CoV-2 transmission in nonlung organ transplantation is still unclear. In this article we presented a case of a 28-year-old pregnant woman who developed heart failure soon after recovery from a SARS-CoV-2 infection in the third trimester of gestation. In the postpartum period, the heart disease worsened and the patient required cardiac transplantation. We examined the recipient's heart and made a diagnosis of left ventricular noncompaction cardiomyopathy. Immunohistochemical analysis showed SARS-CoV-2 antigen expression in the donor's heart before transplantation, and after the transplantation, an endomyocardial biopsy was taken. Moreover, an ultrastructural assessment of the endomyocardial specimen revealed endothelial and pericyte injury and a single particle on the surface of the endothelium consistent with SARS-CoV-2 viral particles. Recent findings in the literature associated these damages with SARS-CoV-2 infection. The present study describes the rare case of SARS-CoV-2 transmission from donor to postpartum recipient through a heart transplant and demonstrates the importance of endomyocardial biopsy before and after heart transplantation.

Morphological Changes in the Myocardium of Patients with Post-Acute Coronavirus Syndrome: A Study of Endomyocardial Biopsies

The clinical manifestation study of post-acute sequelae of SARS-CoV-2 infection (PASC) has shown a lack of knowledge regarding its morphology and pathogenesis. The aim of this research was to investigate morphological manifestations of PASC in the myocardium.

MATERIALS AND METHODS

The study included 38 patients requiring endomyocardial biopsy (EMB) during the post-acute phase of coronavirus infection and a control group including patients requiring EMB prior to the SARS-CoV-2 pandemic. The patients' clinical and laboratory data were analyzed. Histological examination and immunohistochemistry (IHC) of the myocardial tissue was conducted with antibodies to CD3, CD68, HLA-DR, MHC1, C1q, VP1 enteroviruses, spike protein SARS-CoV-2, Ang1, von Willebrand factor (VWF), and VEGF. The morphometric analysis included counting the mean number of inflammatory infiltrate cells per mm² and evaluating the expression of SARS-CoV-2 spike protein, HLA-DR, MHC1, C1q, Ang1, VWF, and VEGF using a scoring system. If the expression of SARS-CoV-2 spike protein was >3 points, an additional IHC test with antibodies to ACE2, CD16 as well as RT-PCR testing of the myocardial tissue were performed. For two patients, immunofluorescence tests of the myocardial tissue were performed using antibody cocktails to SARS-CoV-2 spike protein/CD16, SARS-CoV-2 spike protein/CD68, CD80/CD163. The statistical data analysis was carried out using the Python programming language and libraries such as NumPy, SciPy, Pandas, and Matplotlib.

RESULTS

The study demonstrated a significant increase in the number of CD68+ macrophages in the myocardium of PASC patients compared to patients who did not have a history of COVID-19 (p = 0.014 and p = 0.007 for patients with and without myocarditis, respectively), predominantly due to M2 macrophages. An increase in the number of CD68+ macrophages was more frequently observed in patients with shorter intervals between the most recent positive SARS-CoV-2 PCR test and the time of performing the EMB (r = -0.33 and r = -0.61 for patients with and without myocarditis, respectively). The expression scores of Ang1, VEGF, VWF, and C1q in PASC patients did not significantly differ from those in EMB samples taken before 2019.

CONCLUSION

The myocardium of PASC patients demonstrated a significant increase in the number of CD68+ macrophages and a decrease in the expression of markers associated with angiopathy. No evidence of coronavirus-associated myocarditis was observed in any PASC patient.

Features of aircraft structures corrosion damage during storage under COVID-19 restrictions

The article considers the features of aircraft maintenance in accordance with the requirements of the corrosion protection and prevention program. Differences in aircraft maintenance procedures under COVID-19 restrictions are presented. Statistical data on the occurrence of corrosion damage under typical operation and during long-term storage are analyzed.

The Thermal Behavior of Lyocell Fibers Containing Bis(trimethylsilyl)acetylene

This study focuses on the preparation of carbon fiber precursors from solutions of cellulose in N-methylmorpholine-N-oxide with the addition of bis(trimethylsilyl)acetylene, studying their structural features and evaluating thermal behavior. The introduction of a silicon-containing additive into cellulose leads to an increase in the carbon yield during carbonization of composite precursors. The type of the observed peaks on the differential scanning calorimetry (DSC) curves cardinally changes from endo peaks intrinsic for cellulose fibers to the combination of endo and exo peaks for composite fibers. For the first time, coefficient of thermal expansion (CTE) values were obtained for Lyocell fibers and composite fibers with bis(trimethylsilyl)acetylene (BTMSA). The study of the dependence of linear dimensions of the heat treatment fibers on temperature made it possible to determine the relation between thermal expansion coefficients of carbonized fibers and thermogravimetric curves, as well as to reveal the relationship between fiber shrinkage and BTMSA bis(trimethylsilyl)acetylene content. Carbon fibers from composite precursors are obtained at a processing temperature of 1200 °C. A study of the structure of carbon fibers by X-ray diffraction, Raman spectroscopy, and transmission electron microscopy made it possible to determine the amorphous structure of the fibers obtained.

A Role of Coagulant in Structure Formation of Fibers and Films Spun from Cellulose Solutions

Replacing the aqueous coagulation bath with an alcoholic one during spinning cellulose fibers (films) from solutions in N-methylmorpholine-N-oxide leads to a radical restructuring of the hydrogen bonds net of cellulose and, as a result, to a change in the structure and properties of the resulting material. By the method of optical interferometry, it was possible to identify the intrinsic features of the interaction of the solvent and isomeric alcohols and to construct phase diagrams of binary systems describing the crystalline equilibrium. Knowledge of the phase states of the system at different temperatures renders it possible to exclude the process of solvent crystallization and conduct the spinning in pseudo-homogeneous conditions. The structure and morphology of samples were studied using X-ray diffraction and scanning electron microscopy methods for a specific coagulant. When the solution under certain conditions is coagulated at contact with alcohol, the solvent may be in a glassy state, whereas, when at coagulation in water, an amorphous-crystalline structure is formed. The structural features of cellulose films obtained by coagulation of solutions with water and alcohols help to select potential engineering or functional materials (textile, packaging, membranes, etc.), in which their qualities will manifest to the best extent.

MON-LB096 Methodical Aspects of Using New Low-cost Device for Bipolar Radiofrequency Ablation: Thyrablator

The rising incidence and optimization of management of nodular goiter and thyroid cancer are actual problems for many countries. In last decade radiofrequency ablation (RFA) is becoming more useful treatment option helping to avoid an overtreatment and surgical complications. This technique was developed in 2002 in South Korea and many European countries (Italy, Denmark, Spain, Germany, Austria) are offering RFA in special thyroid clinics. The first study of the effectiveness and feasibility of thyroid nodule RFA in the USA was conducted at Mayo Clinic in 2013, however number of patients and experience until now are very limited. Currently both monopolar and bipolar RFA techniques are used. To ablate small thyroid nodules (less than 2 cm in diameter), in 2017, in framework of american-belarusian clinical trial we started to use a new, originally developed, and patented, low-cost device for bipolar RFA - «Thyrablator». In comparison to a conventional monopolar electrode for RFA, Thyrablator, was designed as a sterile, disposable needle for the fine needle biopsy (20-gauge). It can be used with any type electrosurgical unit, operating in bipolar mode, attached to the generator with a removable connector and no need for a grounding pad. Thyrablator can also be used for drainage of cysts and for injection of liquids to enhance the ablative effect or for anesthetic instillation. Methodically ultrasound-guided percutaneous bipolar RFA was performed with local anesthesia, "moving-shot" technique, with the power of 3 to 5 Watt for duration of 30 to 60 seconds. It requires less time and power for successful ablation of nodes than stated in reports for monopolar electrode. An average reduction of nodule volume was approximately up to 60% after 3 months of follow-up. Conclusion. The first clinical trial showed a promising methodical approach of the new low-cost bipolar RFA device - Thyrablator. More studies are needed for active implementation bipolar RFA in clinical practice in the USA and training programs should begin preparing experienced interventional thyroidologists to treat patients, achieving good results and low complications rate. Unless otherwise noted, all abstracts presented at ENDO are embargoed until the date and time of presentation. For oral presentations, the abstracts are embargoed until the session begins. Abstracts presented at a news conference are embargoed until the date and time of the news conference. The Endocrine Society reserves the right to lift the embargo on specific abstracts that are selected for promotion prior to or during ENDO.