[Therapeutic management of a kissing nevus of the eyelid]. / Therapeutisches Management eines "kissing nevus" des Augenlids.

Congenital divided melanocytic nevi of the upper and lower eyelid are rare pigmented changes of the eyelids. These processes are also known as "kissing nevi," "panda nevi," and "split ocular nevi," and were first described by Fuchs in 1919. About 120 cases have been described in the literature so far. Congenital melanocytic nevi are either present at birth (small nevi are already found in about 1% of neonates) or manifest predominantly during the first decade of life. These rare melanocytic changes of the eyelids should be controlled regularly, as malignant transformation can occur. The actual incidence of malignant transformation is highly variable in the literature, ranging from 2 to 40% depending on the duration of follow-up, with an average of 14% for the whole lifetime. Moreover, nevi of the eyelids may be considered cosmetically disturbing and cause functional problems. Therapeutic removal (dermabrasion, cryotherapy, laser therapy, and surgical excision with ophthalmoplastic reconstruction) is rarely medically indicated due to the low risk of malignant transformation. Removal can be performed in cases of secondary amblyopia in ptosis, compression of the lacrimal point, epiphora, or cosmetic desire. Treatment becomes necessary not only in case of suspicious manifestation or impairment of eyelid function, but it also helps to avoid possible bullying at school among children and is recommended at age 4 to 6 (before school age).

Surgical excision of eyelid tumors and subsequent ophthalmoplastic reconstruction.

In recent years new modern therapeutic concepts have been developed in the treatment of malignant eyelid tumors; however, surgical restoration remains an important component of the therapeutic options addressed, which include microsurgical tumor excision into healthy tissue and subsequent coverage of the defects. An ophthalmic surgeon experienced in oculoplastic surgery is responsible for the recognition and evaluation of the existing alterations and planning a procedure together with the patient that meets the patient's expectations. The planning of surgery must always be individualized and fit the initial findings. Depending on the defect size and localization, different coverage strategies are available to the surgeon. To ensure successful reconstruction, every surgeon should master a wide range of reconstructive techniques.

[Surgical excision of eyelid tumors and subsequent ophthalmoplastic reconstruction]. / Chirurgische Exzision von Lidtumoren und anschließende ophthalmoplastische Rekonstruktionen.

In recent years new modern therapeutic concepts have been developed in the treatment of malignant eyelid tumors; however, surgical restoration remains an important component of the therapeutic options addressed, which include microsurgical tumor excision into healthy tissue and subsequent coverage of the defects. An ophthalmic surgeon experienced in oculoplastic surgery is responsible for the recognition and evaluation of the existing alterations and planning a procedure together with the patient that meets the patient's expectations. The planning of surgery must always be individualized and fit the initial findings. Depending on the defect size and localization, different coverage strategies are available to the surgeon. To ensure successful reconstruction, every surgeon should master a wide range of reconstructive techniques.

Ghrelin ameliorates colonic inflammation. Role of nitric oxide and sensory nerves.

Ghrelin is a novel growth hormone (GH)-releasing and orexigenic peptide with anti-inflammatory activities. However, the role of ghrelin in the colonic inflammation is still controversial. The aim of the present study was: 1) to examine the expression of ghrelin and TNF-alpha mRNA in the inflamed colonic mucosa of patients with ulcerative colitis (UC), 2) to analyze the effect of treatment with exogenous ghrelin on the healing of trinitrobenze sulphonic acid (TNBS)-induced colitis in rats, and 3) to assess the effects of ghrelin treatment on mRNA expression for iNOS and protein expression for COX-2 and PPARalpha in intact colonic mucosa and in that with TNBS-induced colitis. Fifteen patients with UC and fifteen healthy controls were enrolled in this study. Expression of ghrelin and TNF-alpha was assessed by semi-quantitative RT-PCR in the colonic mucosal biopsies from UC patients and healthy controls. In addition, the effect of exogenous ghrelin on healing of TNBS colitis was tested in rats without or with capsaicin-induced functional ablation of sensory nerves. Patients with UC showed a significant upregulation of mRNA for ghrelin and TNF-alpha in colonic mucosa as compared to that observed in healthy controls. The expression of ghrelin correlated with the grade of inflammation and expression of TNF-alpha. In rats the exogenous ghrelin administered daily at a dose of 20 microg/kg i.p. significantly accelerated the healing of TNBS colitis and this effect was accompanied by an increase in mRNA expression for iNOS and protein expression for COX-2 in the colonic mucosa. The protein expression for PPARgamma, which was down-regulated in rat colonic mucosa after exposure to TNBS as compared to that in intact colonic mucosa, was not significantly influenced by ghrelin treatment. We conclude that 1) patients with UC show an increased mucosal expression of mRNA for ghrelin in the colonic mucosa which could trigger protective response in inflamed colon; and 2) exogenous ghrelin accelerates healing of colonic lesions in animal model of ulcerative colitis via increased release of NO and PGE(2) due to an increase in iNOS and COX-2 expression and stimulation of sensory neuropeptides such as CGRP released from sensory afferent endings.

Inhalation dose due to presence of 131I in air above septic tank system of an endocrinology hospital.

We present here measurements of the 131I concentration for both: gaseous and aerosol fraction of 131I in the air above the septic tank containing wastes from medical application of this isotope. Aerosols were collected using air filters, whereas gaseous forms of iodine were trapped in KI impregnated charcoal double layer cartridge. Besides an active method (pumping of the air through system of filters) an attempt for using a passive method (charcoal traps) for monitoring of radio-iodine is described. For better characterisation of a site the external kerma was determined by means of G-M and TLD techniques as well as the activity kept in the septic tank was measured by gamma spectrometry. Results show that the activity of the aerosol fraction can be neglected compared to that of the gaseous fraction. He measured activity of air is low, on the level of 1 Bq m(-3), even during simulated failure of the ventilation system. Estimated inhalation dose for the serviceman of septic tanks is low ( approximately 10%) compared with external dose obtained by such person due to gamma radiation from the tank (on the level approximately 500 nSv h(-1)). Therefore, the concept of passive monitoring of the iodine in air was abandoned. Also estimated is the efficiency of 131I reduction by a charcoal filter of the ventilation system and 131I input to the environment by the ventilation chimney.

Transuranic isotopes and 90Sr in attic dust in the vicinity of two nuclear establishments in northern Germany.

Attic dust was chosen as the test medium in order to search for traces of man-made bone seeking alpha and beta emitters. The samples were taken from 5 houses in the community of Elbmarsch situated at the river Elbe, adjacent to the Krümmel nuclear power plant and the nuclear research center of Geesthacht. Five houses in other regions of northern Germany were taken as a control. 238Pu, (239,240)Pu, 241Am, and 244Cm were measured by alpha spectrometry after chemical separation. Additionally, 241Pu was measured by liquid scintillation spectrometry, and the fission product 90Sr was measured in a separate investigation. All nuclides except 244Cm showed activities above the detection limit in the Elbmarsch samples and an elevated mean concentration compared to the control. It can be concluded from the activity ratio 241Am/(239,240)Pu that the Elbmarsch contamination cannot be accounted for by the background levels of transuranic nuclides resulting from weapons fallout. The derived release of alpha emitters is assumed to have contributed to the induction of a leukemia cluster in children, which was observed in Elbmarsch between 1990 and 1996.

Plutonium and other alpha emitters in mushrooms from Poland, Spain and Ukraine.

The paper presents results on Pu, U and Th isotope activity concentration measurements in some mushroom samples collected in Poland, Spain and Ukraine. The sampling sites differ a lot with regard to observed levels of Pu, its origin and isotope ratios as well as the environmental properties. Some of the Polish samples were collected in the northeastern part of the country with up to 30 Bq/m2 of Chernobyl Pu deposition. Other Polish and the Spanish samples are from areas with almost exclusively global fallout Pu present. Ukrainian samples were collected in a highly contaminated area with a deposition of about 3.7 kBq/m2 of Chernobyl (239-240)Pu. The maximum (239+240)Pu activity concentration was found equal to (54+/-4) Bq/kg (dw--dry weight) for a Ukrainian Cantharellus cibarius sample. Ukrainian samples have an extremely high radiocesium level, with maximum of (51+/-4) MBq/kg (dw). The maximum (239+240)Pu activity concentration for Polish samples was (81+/-5) mBq/kg (dw) for Xerocomus badius. From the isotopic ratio in this sample it can be concluded that Chernobyl fallout is the origin of Pu. More than twice as large was the Spanish maximum for Hebeloma cylindrosporum but with only global fallout Pu. Some aspects of the transfer of nuclides to fruit bodies is discussed and in some cases the transfer factors or aggregation coefficients were calculated. Especially high transfer factors were found for Hebeloma cylindrosporum from Spain.

Radionuclides in raised bogs: a case study of Bór za Lasem.

Bór za Lasem is a raised bog in the Orawsko-Nowotarska Valley (southern Poland). About half of the Bór za Lasem area has been exploited while the rest is undisturbed. Peat samples from both parts of the bog were analysed. Measurements of 137Cs, 134Cs, 239,240Pu, 238Pu, 40K, 228Ra, and 226Ra activity concentrations in all samples were performed. Comparison of the results of radiocaesium and plutonium activity concentrations reveals the highest activity concentrations of radionuclides in the undisturbed part of the peat-bog area. The radiocaesium content decreased with depth, whereas the plutonium concentration had a maximum value at a depth of 15-20 cm. The lowest activity concentrations were found in the exploited part of the bog. Potassium and radium isotopes were detected only in shallow openings within the heavily exploited part of the bog, which might suggest partial mixing of the peat with the mineral sub-soil. The growth rate of the top layer of the undisturbed part of the bog obtained from plutonium distribution was estimated as approximately 0.5 cm per year.

Plutonium and other alpha-emitters in bones of wild, herbivorous animals from north-eastern Poland.

The results of the investigation of (239+240)Pu, 241Am and thorium isotope activity concentrations in bones of wild herbivorous animals (deer, roe-deer, boars, elks) from north-eastern Poland are presented. The area on which the animals were living had relatively high Chernobyl plutonium fallout. Possible traces of plutonium were seen only in four samples, but only for one it was it 3sigma above background, at 6.2 +/- 2.4 mBq/kg (ash). The 241Am activity concentration was below the detection limits in all samples. The maximum 228Th concentration in the samples was 7.81 +/- 0.44 Bq/kg (ash), calculated under the assumption of 100% thorium recovery. This isotope seems to originate in bones not from direct incorporation but from the decay of 228Ra. Large variations in activity concentration wose observed, as well as some differences between boars and the chewing animals.