The objective of this study was to determine systolic, diastolic, and mean arterial blood pressure (SBP, DBP, and MAP), heart rate (HR), double-product (DP: SBP x HR), and activity levels and their 24h pattern in liver glycogen storage disease (LGSD) patients. A case series of 12 (11 pediatric and one adult) diurnally active LGSD (seven type I, three type III, and two type IX) subjects were simultaneously assessed by 24h ambulatory blood pressure monitoring and wrist actigraphy. Nine subjects were judged to be hypertensive based on the criterion of an elevated 24h mean SBP and/or DBP being elevated beyond reference standards or the SBP and/or DBP load (percentage of time BP exceeds normal values) being greater than 25%. Two of the three other subjects, not viewed as hypertensive based on their 24h average SBP or DBP, exhibited daytime or nighttime SBP and/or DBP load hypertension. Each study variables displayed statistically significant (p < 0.001) group circadian rhythmicity. The SBP, DBP, and MAP displayed comparable 24h patterns of appreciable amplitude (total peak-trough variation equal to 17.7, 23.6, and 19.6%, respectively, of the 24h mean) with highest values (orthophase) occurring approximately 11 h after the commencement of daytime activity. The sleep-time trough (bathyphase) occurred approximately 4.5 h before morning awakening. The statistically significant (p < 0.006) circadian rhythms of HR (amplitude equal to 33.2% of the 24h mean) and DP (amplitude equal to 49.4% of the 24h mean) peaked earlier, approximately 7.4 h into the daytime activity span. The sleep-time trough occurred approximately 3 h before morning awakening. The 24h pattern in the cardiovascular variables was correlated with the 24h pattern of activity, with r ranging from 0.50 for DBP to 0.39 for HR.
Limited attention has been directed toward the effects of maritime traffic on heavy metals and metalloids in seawater. Water samples were collected from the estuary of Vigo Ría in the summer of 2018. The chemical distribution of ten dissolved trace metals and metalloids (Cr, Mn, Fe, Cu, Zn, As, Se, Cd, Hg, and Pb) in water was determined from north to south (where the biggest city in the region is) and from east to west (where the maritime traffic is higher). Metal concentration in waters showed that most metals were below recommended water quality criteria by the United States Environmental Protection Agency (EPA). One of the samples had a Cu concentration higher at the entrance of the Vigo estuary, where maritime traffic is very important. Cu and Zn concentrations were highly correlated between them, showing a similar pollution origin, probably due to anti-fouling paints. Mn and Fe are elements influenced by river sources.