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BACKGROUND Acute myocardial infarction during pregnancy is rare, but is associated with a high mortality rate, particularly during labor and delivery. This article concerns a 23-year-old woman with a history of insulin-treated gestational diabetes and hypothyroidism treated with levothyroxine presenting at 32 weeks of pregnancy with acute chest pain and coronary artery occlusion requiring angioplasty followed by cesarean delivery. The aim of this report is to outline the diagnostic difficulties of acute coronary syndromes during pregnancy and to present their treatment. CASE REPORT A 23-year-old female patient at 32 weeks' gestation treated for insulin-dependent diabetes mellitus and hypothyroidism was admitted to the hospital due to acute chest pain. The ECG showed ST-segment elevation in leads I, aVL, and V4-V6 and elevated troponin T. Based on this, the patient was diagnosed with myocardial infarction and given low-molecular heparin, followed by primary coronary angioplasty with revascularization. After the procedure, she received dual antiplatelet therapy (DAPT) with acetylsalicylic acid and clopidogrel. The pregnancy was terminated at 38 weeks by cesarean section, delivering a healthy baby. CONCLUSIONS This report shows the importance of rapid and accurate diagnosis and management of acute myocardial infarction during pregnancy, and delivery by cesarean section, to ensure survival of the mother and the child.

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Abnormal uterine bleeding (AUB) is a condition defined as all uterine bleeding that differs from physiological menstruation. The etiology of AUB has been classified by the International Federation of Gynecology and Obstetrics (FIGO). It includes structural categories, such as endometrial polyps, adenomyosis, leiomyomas, hyperplasia, and malignant neoplasms, and non-structural categories, i.e., hemorrhages due to congenital and acquired coagulopathies, ovarian dysfunction, disorders of the local endometrial hemostasis mechanism with normal organ structure, iatrogenic causes, and due to other poorly defined causes. This is a retrospective study based on the medical data of a group of 543 women aged 21−88 years (52.81 ± 11.79) (p < 0.01) hospitalized at the Gynecology and Obstetrics Department in Biala Podlaska, Poland. These patients underwent an hysteroscopy procedure due to excessive uterine bleeding of varied, FIGO-divided etiology. The results show the dependence of postoperative hemoglobin and platelet count on the etiology of bleeding and the age of the women. The majority of patients had normal hemoglobin and platelet counts after the procedure, while moderate anemia was the most common disorder. It occurred most frequently in patients undergoing hysteroscopy due to heavy menstrual bleeding.

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Body size is one of the most important traits of organisms that affects their behavioral life histories, physiologies, and energy requirements. For sediment-dwelling organisms, such as free-living nematodes, body size is a direct adaptation for living in sediments with a particular particle size, but other environmental factors, e.g., water depth and food availability, directly or indirectly shape nematode morphology. Nevertheless, our knowledge of meiofaunal organisms sizes still lags far behind that of other aquatic fauna, particularly for high-latitude fauna. Therefore, to gain insight into the nematode community size structure, we investigated eight stations located in the seasonal sea-ice zone north of Svalbard (Yermak Plateau, Nansen Basin, and Northern Svalbard shelf) during Arctic spring. Sample locations covered a wide depth gradient, different sea-ice concentrations and subsequent bloom stages. Our study provides previously unavailable data on nematode morphometry for this Arctic region during ecologically important spring to summer transition times. We analyzed nematode biomass, body shape and morphometric attributes, along with respective feeding types and life stage information. Our results show that differences in nematode densities, biomass and allometric attributes most likely reflect differences in the flux of organic material to the seafloor and in the biogeochemical properties of the sediments. Nematode assemblages appeared to respond to spatial gradients in ice cover duration and therefore pelagic productivity from the northern Svalbard shelf to the Yermak Plateau as evidenced by decreasing density, biomass and body size. Considering the entire community, as well as different life stages, average individual body weight decreased northward. Biomass dominance in the lower weight classes and the significantly lower abundance of long and thick morphotype nematodes observed on the Yermak Plateau than in the two other regions were striking. This was in contrast with the assemblage observed on the shelf, where prevailing environmental conditions influenced the presence of other morphotypes - markedly longer and wider organisms. Ongoing changes in sea-ice cover and primary production in the Arctic may significantly affect nematode functioning, as they are expected to have pronounced impacts on nematode morphological characteristics. In this regard, the size-based approach becomes a useful tool for detecting changes in the community and has important implications for predicting the direction of change with regard to benthic productivity.

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Copepods of the genus Calanus are the key components of zooplankton. Understanding their response to a changing climate is crucial to predict the functioning of future warmer high-latitude ecosystems. Although specific Calanus species are morphologically very similar, they have different life strategies and roles in ecosystems. In this study, C. finmarchicus and C. glacialis were thoroughly studied with regard to their plasticity in morphology and ecology both in their preferred original water mass (Atlantic vs. Arctic side of the Polar Front) and in suboptimal conditions (due to, e.g., temperature, turbidity, and competition in Hornsund fjord). Our observations show that "at the same place and time," both species can reach different sizes, take on different pigmentation, be in different states of population development, utilize different reproductive versus lipid accumulation strategies, and thrive on different foods. Size was proven to be a very mutable morphological trait, especially with regard to reduced length of C. glacialis. Both species exhibited pronounced red pigmentation when inhabiting their preferred water mass. In other domains, C. finmarchicus individuals tended to be paler than C. glacialis individuals. Gonad maturation and population development indicated mixed reproductive strategies, although a surprisingly similar population age structure of the two co-occurring species in the fjord was observed. Lipid accumulation was high and not species-specific, and its variability was due to diet differences of the populations. According to the stable isotope composition, both species had a more herbivorous diatom-based diet in their original water masses. While the diet of C. glacialis was rather consistent among the domains studied, C. finmarchicus exhibited much higher variability in its feeding history (based on lipid composition). Our results show that the plasticity of both Calanus species is indeed impressive and may be regulated differently, depending on whether they live in their "comfort zone" or beyond it.

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A multi-scale approach was used to evaluate which spatial gradient of environmental variability is the most important in structuring zooplankton diversity in the West Spitsbergen Current (WSC). The WSC is the main conveyor of warm and biologically rich Atlantic water to the Arctic Ocean through the Fram Strait. The data set included 85 stratified vertical zooplankton samples (obtained from depths up to 1000 metres) covering two latitudinal sections (76°30'N and 79°N) located across the multi-path WSC system. The results indicate that the most important environmental variables shaping the zooplankton structural and functional diversity and standing stock variability are those associated with depth, whereas variables acting in the horizontal dimension are of lesser importance. Multivariate analysis of the zooplankton assemblages, together with different univariate descriptors of zooplankton diversity, clearly illustrated the segregation of zooplankton taxa in the vertical plane. The epipelagic zone (upper 200 m) hosted plentiful, Oithona similis-dominated assemblages with a high proportion of filter-feeding zooplankton. Although total zooplankton abundance declined in the mesopelagic zone (200-1000 m), zooplankton assemblages in that zone were more diverse and more evenly distributed, with high contributions from both herbivorous and carnivorous taxa. The vertical distribution of integrated biomass (mg DW m-2) indicated that the total zooplankton biomass in the epipelagic and mesopelagic zones was comparable. Environmental gradients acting in the horizontal plane, such as the ones associated with different ice cover and timing of the spring bloom, were reflected in the latitudinal variability in protist community structure and probably caused differences in succession in the zooplankton community. High abundances of Calanus finmarchicus in the WSC core branch suggest the existence of mechanisms advantageous for higher productivity or/and responsible for physical concentration of zooplankton. Our results indicate that regional hydrography plays a primary role in shaping zooplankton variability in the WSC on the way to the Arctic Ocean, with additional effects caused by biological factors related to seasonality in pelagic ecosystem development, resulting in regional differences in food availability or biological production between the continental slope and the deep ocean regions.

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The complete diet composition structure of the most numerous planktivorous sea bird, little auk (Alle alle), in the European Arctic, is still not fully recognized. Although regular constituents of little auk chick diets, the copepods, Calanus glacialis and C. finmarchicus have been previously relatively well described, more taxa were frequent ingredients of the bird's meals. Therefore, the role of the little auks supplementary diet components (SDCs) at two colonies in the Svalbard Archipelago, Hornsund and Magdalenefjorden, in 2007-2009, is a main subject of this comparative study. Because the SDCs often consisted of scarce but large zooplankters, this investigation was focused on biomass as a proxy of the SDCs' energy input. Although the total biomass of the food delivered to chicks in both colonies was similar, in Magdalenefjorden, the proportion of SDCs was twice that found in Hornsund. The main SDCs in Hornsund were Decapoda larvae (with predominating Pagurus pubescens) and Thysanoessa inermis, whereas the main SDCs in Magdalenefjorden were C. hyperboreus and Apherusa glacialis. Previous investigations, which indicated lipid richness of SDCs, together with our ecological results from the colonies, suggest that this category might play a compensatory role in little auk chick diets. The ability to forage on diverse taxa may help the birds to adapt to ongoing Arctic ecosystem changes.