Lithium Content and Its Nutritional Beneficence, Dietary Intake, and Impact on Human Health in Edibles from the Romanian Market

Lithium (Li) is present in human nutrition based on food intake, and several studies recommend it for treating mood disorders, even if the biological proprieties and biochemical mechanisms represent the basis for its use as an essential element. The Li content was evaluated using the inductively coupled plasma mass spectrometry technique (ICP-MS) in 1071 food and beverage samples from the Romanian market. The results show that Li had a decreasing mean concentration in the food samples as follows: vegetables leafy > bulbous > fructose > leguminous > egg whites > root vegetables > milk products > egg yolks > meats. Approximately a quarter of all data from each dataset category was extreme values (range between the third quartile and maximum value), with only 10% below the detection limit. Mean Li concentration indicated higher values in red wine, white wines, beers, and fruit juice and lower in ciders and bottled waters. A particular interest was addressed to plants for teas and coffee seeds, which showed narrow amounts of Li. For both food and beverages, two similar matrices, including egg whites and yolks and white and red wines, were found to have significant differences, which explains the high variability of Li uptake in various matrices. For 99.65% of the analyzed samples, the estimated daily intake of Li was below the provisional subchronic and chronic reference dose (2 µg/kgbw/day) for adverse effects in several organs and systems. Even so, a risk occurs in consuming bulbous vegetables (Li > 13.47 mg/kg) and fructose solano vegetables (Li > 11.33 mg/kg). The present study's findings indicate that ingesting most of the analyzed beverages and food samples could be considered safe, even if future studies regarding Li content, nutritional aspects, and human cohort diseases must be conducted.

Elemental Profile in Chicken Egg Components and Associated Human Health Risk Assessment

Egg is a food product of high nutritional quality, extensively consumed worldwide. The objectives of this study were the determination of the elemental profile in eggs (egg white, yolk, and eggshell), the estimation of the non-carcinogenic health risk associated with the presence of heavy metals in investigated egg samples, and the development of statistical models to identify the best predictors for the differentiation of egg components. The assessments were carried out in a total set of 210 samples, comprising home-produced and commercial eggs, using inductively coupled plasma mass spectrometry. The results suggested measurable differences amongst hen eggs coming from different husbandry systems. The statistical models employed in this study identified several elemental markers that can be used for discriminating between market and local producer samples. The non-carcinogenic risk related to the consumption of the analyzed egg samples was generally in the safe range for the consumers, below the maximum permitted levels set by Romanian and European legislation. Food contamination is a public health problem worldwide, and the risk associated with exposure to trace metals from food products has aroused widespread concern in human health, so assessing the heavy metal content in food products is mandatory to evaluate the health risk.

Comparative Amino Acid Profile and Antioxidant Activity in Sixteen Plant Extracts from Transylvania, Romania

In addition to the naturopathic medicines based on the antiseptic, anti-inflammatory, anticancer, or antioxidant properties of plant extracts that have been capitalized upon through the pharmaceutical industry, the increasing interest of the food industry in this area requires potent new materials capable of supporting this market. This study aimed to evaluate the in vitro amino acid contents and antioxidant activities of ethanolic extracts from sixteen plants. Our results show high accumulated amino acid contents, mainly of proline, glutamic, and aspartic acid. The most consistent values of essential amino acids were isolated from T. officinale, U. dioica, C. majus, A. annua, and M. spicata. The results of the 2,2-diphenyl-1-pycrylhydrazyl (DPPH) radical scavenging assay indicate that R. officinalis was the most potent antioxidant, followed by four other extracts (in decreasing order): T. serpyllum, C. monogyna, S. officinalis, and M. koenigii. The network and principal component analyses found four natural groupings between samples based on DPPH free radical scavenging activity content. Each plant extracts' antioxidant action was discussed based on similar results found in the literature, and a lower capacity was observed for most species. An overall ranking of the analyzed plant species can be accomplished due to the range of experimental methods. The literature review revealed that these natural antioxidants represent the best side-effect-free alternatives to synthetic additives, especially in the food processing industry.

Evaluating the Chemical Hazards in Wine Production Associated with Climate Change

The climate warming trend challenges the chemical risk associated with wine production worldwide. The present study investigated the possible difference between chemical wine profile during the drought year 2012 compared to the post-drought year 2013. Toxic metals (Cd and Pb), microelements (Mn, Ni, Zn, Al, Ba, and Cu), macroelements (Na, Mg, K, Ca, and P), isotopic ratios (87Sr/86Sr and 206Pb/207Pb), stable isotopes (δ18O, δ13C, (D/H)I, and (D/H)II), and climatic data were analyzed. The multivariate technique, correlation analysis, factor analysis, partial least squares–discriminant analysis, and hierarchical cluster analysis were used for data interpretation. The maximum temperature had a maximum difference when comparing data year apart. Indeed, extreme droughts were noted in only the spring and early summer of 2012 and in 2013, which increased the mean value of ground frost days. The microelements, macroelements, and Pb presented extreme effects in 2012, emphasizing more variability in terms of the type of wine. Extremely high Cd values were found in the wine samples analyzed, at up to 10.1 µg/L. The relationship between precipitation and δ18O from wine was complex, indicating grape formation under the systematic influence of the current year precipitation, and differences between years were noted. δ13C had disentangled values, with no differentiation between years, and when coupled with the deuterium–hydrogen ratio, it could sustain the hypothesis of possible adulteration. In the current analysis, the 87Sr/86Sr showed higher values than in other Romanian studies. The temperature had a strong positive correlation with Pb, while the ground frost day frequency correlated with both Pb and Cd toxic elements in the wine. Other significant relationships were disclosed between the chemical properties of wine and climate data. The multivariate statistical analysis indicated that heat stress had significant importance in the chemical profile of the wine, and the ground frost exceeded the influence of water stress, especially in Transylvania.

Isotopic and elemental characterization of Romanian pork meat in corroboration with advanced chemometric methods: A first exploratory study

In this study 93 pork meat samples (tenderloin) were analyzed via isotope ratios mass spectrometry (δ2H, δ18O, δ13C) and inductively coupled plasma - Mass spectrometry (55 elements). The meat samples are coming from Romania and abroad. Those from Romania are originating from conventional farms and yard rearing system. The analytical results in conjunction with linear discriminant analysis (LDA) and artificial neural networks (ANNs) were used to assess: The geographical origin, and animal diet. The most powerful markers which could differentiate pork meat samples concerning the geographical origin were δ18O, terbium, and tin. The results of chemometric models showed that, along with 13C signature, rubidium concentration, and a few rare earth-elements (lanthanum, and cerium) were efficient to discriminate animal diet in a percent of 97.8% (initial classification) and 94.6% (cross-validation), respectively. Some of predictors for feeding regime differentiation by using LDA were identified also to be the best markers to distinguish corn-based diet by using ANNs (δ13C, Rb, La).

Accumulation and ecotoxicological risk assessment of heavy metals in surface sediments of the Olt River, Romania

Heavy metal pollution of river freshwater environments currently raises significant concerns due to the toxic effects and the fact that heavy metal behavior is not fully understood. This study assessed the contamination level of eight heavy metals and trace elements (Cr, Ni, Cu, Zn, As, Pb, Cd, and Hg) in the surface sediments of 19 sites in 2018 during four periods (March, May, June, and October) in Olt River sediments. Multivariate statistical techniques were used, namely, one-way ANOVA, person product-moment correlation analysis, principal component analysis, hierarchical cluster analysis, and sediment quality indicators such as the contamination factor and pollution load index. The results demonstrated higher contents of Ni, Cu, Zn, As, Pb, Cd, and Hg, with values that were over 2.46, 4.40, 1.15, 8.28, 1.10, 1.53, and 3.71 times more, respectively, compared with the national quality standards for sediments. We observed a positive significant statistical correlation (p < 0.001) in March between elevation and Pb, Ni, Cu, Cr, and Zn and a negative correlation between Pb and elevation (p = 0.08). Intermetal associations were observed only in March, indicating a relationship with river discharge from spring. The PCA sustained mainly anthropogenic sources of heavy metals, which were also identified through correlation and cluster analyses. We noted significant differences between the Cr and Pb population means and variances (p < 0.001) for the data measured in March, May, June, and October. The contamination factor indicated that the pollution level of heavy metals was high and significant for As at 15 of the 19 sites. The pollution load index showed that over 89% of the sites were polluted by metals to various degrees during the four periods investigated. Our results improve the knowledge of anthropogenic versus natural origins of heavy metals in river surface sediments, which is extremely important in assessing environmental and human health risks and beneficial for decision-maker outcomes for national freshwater management plans.

ICP-MS Assessment of Essential and Toxic Trace Elements in Foodstuffs with Different Geographic Origins Available in Romanian Supermarkets

The present study was conducted to quantify the daily intake and target hazard quotient of four essential elements, namely, chromium, cobalt, nickel, and copper, and four toxic trace elements, mercury, cadmium, lead, and arsenic. Thirty food items were assigned to five food categories (seeds, leaves, powders, beans, and fruits) and analyzed using inductively coupled plasma-mass spectrometry. Factor analysis after principal component extraction revealed common metal patterns in all foodstuffs, and using hierarchical cluster analysis, an association map was created to illustrate their similarity. The results indicate that the internationally recommended dietary allowance was exceeded for Cu and Cr in 27 and 29 foodstuffs, respectively. According to the tolerable upper level for Ni and Cu, everyday consumption of these elements through repeated consumption of seeds (fennel, opium poppy, and cannabis) and fruits (almond) can have adverse health effects. Moreover, a robust correlation between Cu and As (p < 0.001) was established when all samples were analyzed. Principal component analysis (PCA) demonstrated an association between Pb, As, Co, and Ni in one group and Cr, Cu, Hg, and Cd in a second group, comprising 56.85% of the total variance. For all elements investigated, the cancer risk index was within safe limits, highlighting that lifetime consumption does not increase the risk of carcinogens.

Multielemental characterization of honey using inductively coupled plasma mass spectrometry fused with chemometrics

Honey is considered a desirable ingredient in a range of different foodstuffs because of its nutrient and therapeutic effect. The honey characteristics mainly depend on the type of vegetation visited by the bees and the climatic conditions in which the plants are growing. Therefore, the purity, floral and geographical origin and authenticity are important factors influencing the overall perception of honey and honey-based products in terms of quality and price. An important parameter in this picture is the elemental composition of honey because it can be linked with the floral type of honey, floral plant density and the botanical origin of nectar and pollens. In this work, the concentration range variation of 18 elements (Al, As, Ba, Ca, Cd, Co, Cr, Cu, Mg, Mn, Na, Ni, K, Pb, Sr, Ti, V and Zn) was investigated in four varieties of honey (linden, acacia, rape, and sunflower) originating from Romania, because the elemental profile of honey may give important information to differentiate its geographical and varietal origin for authenticity purpose. All the determinations were carried out by inductively coupled plasma quadrupole mass spectrometry (ICP-Q-MS). The most abundant minerals decreased in the following order: K > Ca > Mg > Na, having the mean values of 248.70, 59.97, 20.54 and 11.92 mg kg^-1 , respectively. The mineral content marks the differences in honey samples from different botanical origin and can be used as a tool for authentication purposes and also extends its applicability to assess the traceability of honey. Analysis of variance showed the preliminary relationships between the elements and samples. Further, the discrimination between different studied honey samples was achieved by principal component analysis (PCA). The multivariate analysis of the data allowed us to separate the honey samples into distinct groups according to their macroelement and microelement composition, emphasizing the origin of variation of element concentrations by honey type. Therefore, this approach might be potentially useful for the control of honey quality, origin or authenticity, and even to use the honey as environmental tracer.

Preliminary Study on Characterization of Edible Oils Using Inductively Coupled Plasma Mass Spectrometry (ICP-MS) and Isotope Ratio Mass Spectrometry (IRMS)

In recent years, increasing attention has been paid to oils consumed by humans. The human body uses oils in the diet for three purposes: energy source, structural component and powerful biological regulators. Elemental profiling of macro-, essential elements constitutes an important tool for quality control in terms of nutritional values of these products. Regarding this, Inductively Coupled Plasma-Mass Spectrometry (ICP-MS) determinations were performed to assess the quantitative complement of essential mineral and toxic metals content of different edible oil types, from Romania market, summing 33 samples, after microwave digestion. Additionally, the carbon stable isotope ratios (13C) were determined by Isotope Ratio Mass Spectrometry (IRMS) in order to differentiate the specific fingerprint of investigated oils.

Differentiation of tomatoes based on isotopic, elemental and organic markers

In this study, 41 tomato samples were investigated by means of stable isotope ratios (δ¹³C, δ¹⁸O and δ²H), elemental content, phenolic compounds and pesticides in order to classify them, according to growing conditions and geographical origin. Using investigated parameters, stepwise linear discriminant analysis was applied and the differences that occurred between tomato samples grown in greenhouses compared to those grown on field, and also between Romanian and abroad purchased samples were pointed out. It was shown that Ti, Ga, Te, δ²H and δ¹³C content were able to differentiate Romanian tomato samples from foreign samples, whereas Al, Sc, Se, Dy, Pb, δ¹⁸O, 4,4'-DDT could be used as markers for growing regime (open field vs. greenhouse). For the discrimination of different tomato varieties (six cherry samples and fourteen common sorts) grown in greenhouse, phenolic compounds of 20 samples were determined. In this regard, dihydroquercetin, caffeic acid, chlorogenic acid, rutin, rosmarinic acid, quercetin and naringin were the major phenolic compounds detected in our samples. The phenolic profile showed significant differences between cherry tomato and common tomato. The contents of the chlorogenic acid and rutin were significantly higher in the cherry samples (90.27-243.00 µg/g DW and 160.60-433.99 µg/g DW respectively) as compared to common tomatoes (21.30-88.72 µg/g DW and 24.84-110.99 µg/g DW respectively). The identification of dihydroquercetin is of particular interest, as it had not been reported previously in tomato fruit.

The Romanian Consumer Among Education, Information, Health Risk, Food Quality and Ethics

The food quality and the safety must be a constant concern both for consumers and for authorities. The education for quality and the active involvement, coherent and sustained by the state, through the implementation of a quality strategy at national level should be the main `forces` that can contribute to the implementation and certification of quality management systems in the agri-food sector. The meat and milk products are important components in the human diet; therefore, their contamination with heavy metals plays a significant role in the public health. The concentrations of several human essential trace elements (Mn, Cu, Zn and Ba) and toxic elements (As, Cd, Pb) were analysed in 95 animal-based foods, including meat, milk products and honey, collected from Romanian market. The inductively coupled plasma mass spectrometry technique (ICP-MS) was used for the determinations. In order to evaluate the potential health risk of the consumers due to metals intake via food ingestion, three indices were calculated, namely: the potential average daily dose (ADDpot, mg/kg/day), the hazard quotient (HQ) and the hazard index (HI). In terms of food safety, the toxic element concentrations in the majority of the investigated samples were below the maximum permitted levels set by Romanian and European legislation.

Isotopic and elemental profiling alongside with chemometric methods for vegetable differentiation

In this study, three chemometric models for vegetables growing system (field versus greenhouse), geographical origin and species attribution using stable isotope (δ¹³C, δ¹⁸O, δ²H) and elemental fingerprints of 101 samples (54 squashes and 47 radishes) commercialized on Romanian market were developed. These models were constructed and validated through linear discriminant analysis. Initial validations of 94.4% and 83% were obtained for squash and radish growing systems, respectively, such that one squash and four radish samples declared to be grown in the field were attributed to the greenhouse group. For this purpose, the most powerful differentiation markers appeared to be Sn and δ¹³C for radishes, and Sn, Cu for squashes. Regarding the vegetable origin, four samples, initially considered to originate from Romania (95% for initial classification) were attributed to the foreign group in the cross-validation procedure (93.1%). Romanian radishes and squashes were characterized by a higher content of Na and Cu, respectively, compared with foreign samples, while the mean values for Zn, Sr, Zr and Co concentrations were found to be higher for the vegetables from abroad.

A Fugacity Based Model for the Assessment of Pollutant Dynamic Evolution of VOCS and BTEX in the Olt River Basin (Romania)

An important tributary of the Danube River, the Olt River, was characterized in its middle and lower catchment in terms of volatile organic compounds (1,2 -dichloroethane and perchlorethylene) and volatile aromatic hydrocarbons (benzene, toluene and xylene isomers) to better assess their transfer in the environmental compartments (air, water, sediment and biota). A fugacity based calculation model was applied to establish the bio-concentration factors (BCFs) that relates the compounds concentration from sediment-, water- or air- to the biota based on experimental data. Thus, conclusive suggestions can be achieved for a rapid preliminary risk assessment as support tool for the preventive measures in the contaminated areas resulting from accidental chemical discharges or continuous pollution. For thus, water and sediment samples were collected and analyzed by gas chromatography for the selected compounds, the results being applied as input data for the model. The modeling revealed the tendency of the investigated compounds to transfer from water section to air. Simulated values obtained for section sediment as validation tool, are comparable and compatible with the values obtained by analytical measurements, and thus a rapid estimation of the pollution level in the environmental compartment of interest can be achieved based on a limited number of analytical measurements. Thus, by applying the fugacity model to estimate a pollution footprint, conclusive indications for a rapid environmental risk assessment can be achieved.

MINIMAL INVASIVE AORTIC VALVE REPLACEMENT – CLINICAL STUDY

The revolution of minimally invasive techniques from the last two decades  lead to minimally invasive aortic valve replacement. Minimal “J” shaped sternotomy extended in to the 4 intercostal space provides good access to the aortic root and the possibility  to connect the patient to the extracorporeal circulation machine without the use of new instruments. We present a 69-year-old patient that presents in to our clinic with degenerative aortic valve disease with severe stenosis and mild regurgitation. Minimally invasive aortic valve replacement was performed with success in our clinic, being a safe and efficient procedure. This technique could become the standard procedure for isolated aortic valve replacement, with substantial benefits regarding respiratory function.

REDO-BENTALL OPERATION – ITERATIVE AORTIC ROOT RECOSTRUCTION – THERAPEUTIC DECISION-MAKING COMPLEXITY AND PROCEDURAL COMPLEXITY

We present the case of a 59-year-old woman who undergoes surgery 12 years after the Bentall-de Bono operation (replacement of the aortic valve and ascending aorta with valvular duct and direct reimplantation of the coronaryan ostia in the duct). For the acute aortic dissection of type I De Bakey (Stanford type A), diagnosed with subacute infectious endocarditis at the level of the aortic valvular duct with abscess in the aortic root.

Bioactive and biocompatible copper containing glass-ceramics with remarkable antibacterial properties and high cell viability designed for future in vivo trials

The efficiency of 60SiO₂·(32 − x) CaO·8P₂O₅·xCuO (mol%) glass-ceramics were proved, and was determined the most appropriate composition for further in vivo trials.

A comparative mass spectrometric study of fatty acids and metals in some seed extracts

A major cause of cardiovascular diseases and cancer is diet content, so the optimization of micronutrients in food is very important. Omega-3 fatty acids supplementation for patients had beneficial effects on subjective global assessment score and metabolic profiles. Fatty acids content and the metal ions in different seeds (e.g. linseed, poppy, grape, hemp, nuts, pumpkin, sesame, watermelon, chia) recommended as food supplements, purchased on the Romanian market, were compared. Gas chromatography coupled to mass spectrometry (GC-MS) was used as an excellent technique for fatty acids identification and quantitation, and inductively coupled plasma mass spectrometer (ICP-MS) for analytical measurements of metals.

THROMBOSIS OF MECHANICAL AORTIC VALVE

Obstruction of mechanical aortic valve is a rare but serious complication associated with a high mortality rate that frequently follows thrombosis – due to regional clotting or, less often, due to endocarditis. Thrombosis of mechanical heart valve depends on certain factors such as lifestyle, coagulation status, valve position, presence of atrial fibrillation and ventricular dysfunction. 70-year-old patient is admitted to the On-Call Department for moderate-severe dyspnea with progressive onset over the last month with a history of a prior aortic valve replacement. An echocardiogram reveals a dysfunctional metallic aortic prosthesis. He undergoes a surgical intervention for mechanical valve replacement with iterative median sternotomy and a meticulous dissection of the pleuro-pericardial adhesions. Post operative evolution in the ICU is followed by SIRS.The patient goes into a GCS 4 coma and the neurological examination presumes a recent stroke.