Myocardial fluid homeostasis relies on a complex interplay between microvascular filtration, interstitial hydration, cardiomyocyte water uptake and lymphatic removal. Dysregulation of one or more of these mechanisms may result in myocardial oedema. Interstitial and intracellular fluid accumulation disrupts myocardial architecture, intercellular communication, and metabolic pathways, decreasing contractility and increasing myocardial stiffness. The widespread use of cardiac magnetic resonance enabled the identification of myocardial oedema as a clinically relevant imaging finding with prognostic implications in several types of heart failure. Furthermore, growing experimental evidence has contributed to a better understanding of the physical and molecular interactions in the microvascular barrier, myocardial interstitium and lymphatics and how they might be disrupted in heart failure. In this review, we summarize current knowledge on the factors controlling myocardial water balance in the healthy and failing heart and pinpoint the new potential therapeutic avenues.

OBJECTIVES: The increasing complexity of surgical patients and working time constraints represent challenges for training. In this study, the European Association for Cardio-Thoracic Surgery Residents’ Committee aimed to evaluate satisfaction with current training programmes across Europe. METHODS: We conducted an online survey between October 2018 and April 2019, completed by a total of 219 participants from 24 countries. RESULTS: The average respondent was in the fourth or fifth year of training, mostly on a cardiac surgery pathway. Most trainees follow a 5–6-year programme, with a compulsory final certification exam, but no regular skills evaluation. Only a minority are expected to take the examination by the European Board of Cardiothoracic Surgery. Participants work on average 61.0 ± 13.1 h per week, including 27.1 ± 20.2 on-call. In total, only 19.7% confirmed the implementation of the European Working Time Directive, with 42.0% being unaware that European regulations existed. Having designated time for research was reported by 13.0%, despite 47.0% having a postgraduate degree. On average, respondents rated their satisfaction 7.9 out of 10, although 56.2% of participants were not satisfied with their training opportunities. We found an association between trainee satisfaction and regular skills evaluation, first operator experience and protected research time. CONCLUSIONS: On average, residents are satisfied with their training, despite significant disparities in the quality and structure of cardiothoracic surgery training across Europe. Areas for potential improvement include increasing structured feedback, research time integration and better working hours compliance. The development of European guidelines on training standards may support this.

The Program for Biodiversity Research (PPBio) is an innovative program designed to integrate all biodiversity research stakeholders. Operating since 2004, it has installed long-term ecological research sites throughout Brazil and its logic has been applied in some other southern-hemisphere countries. The program supports all aspects of research necessary to understand biodiversity and the processes that affect it. There are presently 161 sampling sites (see some of them at Supplementary Appendix), most of which use a standardized methodology that allows comparisons across biomes and through time. To date, there are about 1200 publications associated with PPBio that cover topics ranging from natural history to genetics and species distributions. Most of the field data and metadata are available through PPBio web sites or DataONE. Metadata is available for researchers that intend to explore the different faces of Brazilian biodiversity spatio-temporal variation, as well as for managers intending to improve conservation strategies. The Program also fostered, directly and indirectly, local technical capacity building, and supported the training of hundreds of undergraduate and graduate students. The main challenge is maintaining the long-term funding necessary to understand biodiversity patterns and processes under pressure from global environmental changes.

O presente trabalho compara a composição e estrutura de assembléias vegetais de fragmentos florestais, com diferentes características em relação ao tipo de propriedades rurais do entorno, tamanho e histórico de uso, com uma área localizada dentro de uma unidade de conservação (área controle), na bacia do rio Guapiaçu. Em cada fragmento foram delimitadas duas parcelas de 50 x 100m, na mesma orientação sudoeste, no interior das quais foram medidos os DAP (Diâmetro Acima do Peito) e altura de todos indivíduos com DAP ≥ 5 cm e identificados até o menor nível taxonômico possível. A densidade, área basal total, riqueza e diversidade foram calculados. As assembléias foram comparadas quanto aos seus valores diâmétricos e proporção de indivíduos em classes de diâmetro. Os parâmetros fitossociológicos foram calculados e as vinte espécies de maior cobertura foram selecionadas com vistas à comparação da composição específica e de suas caracteríticas sucessionais. Todas as assembleías estudadas apresentam alta riqueza e diversidade de espécies, sendo igualmente constatadas, em relação à área controle, diferenças significativas em pelo menos uma das caracteríticas analisadas. Todas apresentam uma menor proporção de indivíduos nas classes diâmetricas maiores e de espécies secundárias tardias que na área controle. No entanto, para algumas delas correspondem valores totais de diâmetro igual ou maiores que os da área controle por conta da maior proporção de indivíduos em classes diâmetricas intermediárias que parece contribuir mais para o aumento desses valores. De forma geral, há maior abundância de espécies pioneiras e secundárias iniciais nos fragmentos florestais, porém a proporção destas categorias sucessionais varia entre eles evidenciando diferenças dos estágios sucessionais em que se encontram. Estas diferenças poderiam estar relacionadas a certa variabilidade dos distúrbios identificados no entorno. Os resultados obtidos aqui sugerem que fragmentos de mata rodeados por pequenas propriedades encontram-se em estágios sucessionais mais inicias e sujeitos a distúrbios mais severos.