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1.
Front Mol Biosci ; 9: 878017, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35712353

RESUMO

This work studies the stability of wild-type frataxin and some of its variants found in cancer tissues upon Co2+ binding. Although the physiologically involved metal ion in the frataxin enzymatic activity is Fe2+, as it is customarily done, Co2+ is most often used in experiments because Fe2+ is extremely unstable owing to the fast oxidation reaction Fe2+ → Fe3+. Protein stability is monitored following the conformational changes induced by Co2+ binding as measured by circular dichroism, fluorescence spectroscopy, and melting temperature measurements. The stability ranking among the wild-type frataxin and its variants obtained in this way is confirmed by a detailed comparative analysis of the XAS spectra of the metal-protein complex at the Co K-edge. In particular, a fit to the EXAFS region of the spectrum allows positively identifying the frataxin acidic ridge as the most likely location of the metal-binding sites. Furthermore, we can explain the surprising feature emerging from a detailed analysis of the XANES region of the spectrum, showing that the longer 81-210 frataxin fragment has a smaller propensity for Co2+ binding than the shorter 90-210 one. This fact is explained by the peculiar role of the N-terminal disordered tail in modulating the protein ability to interact with the metal.

2.
Ultramicroscopy ; 225: 113268, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33892378

RESUMO

Here we demonstrate the use of nanofabricated grating holograms to diffract and shape electrons in a scanning electron microscope. The diffraction grating is placed in an aperture in the column. The entire diffraction pattern can be passed through the objective lens and projected onto the specimen, or an intermediate aperture can be used to select particular diffracted beams. We discuss several techniques for characterizing the diffraction pattern. The grating designs can incorporate features that can influence the phase and intensity of the diffracted SEM probe. We demonstrate this by producing electron vortex beams.

3.
Physiol Res ; 68(Suppl 4): S491-S499, 2019 12 30.
Artigo em Inglês | MEDLINE | ID: mdl-32118481

RESUMO

Nanofiber scaffolds provide numerous advantages over common carriers engineered for microorganisms. The most important advantage is an increased speed of primary surface colonization (up to four times faster), which shortens the time required for the areal biofilm formation and optimum performance of attached microorganisms (higher efficiency of biological activity of up to twice as fast). Image analysis predicts early formation of biofilm even in beginning stages; analysis of biofilm reveals the different structures of bacterial colonies on both scaffolds (higher porosity, size, and number of bacterial colonies on nanofiber's surface). The image analysis correlates well with determinations of dry matter (linear correlation of 0.96) and proteins (linear correlation of 0.89).


Assuntos
Biofilmes , Meios de Cultura , Nanofibras , Poliuretanos , Porosidade , Rhodococcus
4.
Yearb Med Inform ; (1): 13-29, 2016 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-27830227

RESUMO

OBJECTIVE: To summarize recent research on unintended consequences associated with implementation and use of health information technology (health IT). Included in the review are original empirical investigations published in English between 2014 and 2015 that reported unintended effects introduced by adoption of digital interventions. Our analysis focuses on the trends of this steam of research, areas in which unintended consequences have continued to be reported, and common themes that emerge from the findings of these studies. METHOD: Most of the papers reviewed were retrieved by searching three literature databases: MEDLINE, Embase, and CINAHL. Two rounds of searches were performed: the first round used more restrictive search terms specific to unintended consequences; the second round lifted the restrictions to include more generic health IT evaluation studies. Each paper was independently screened by at least two authors; differences were resolved through consensus development. RESULTS: The literature search identified 1,538 papers that were potentially relevant; 34 were deemed meeting our inclusion criteria after screening. Studies described in these 34 papers took place in a wide variety of care areas from emergency departments to ophthalmology clinics. Some papers reflected several previously unreported unintended consequences, such as staff attrition and patients' withholding of information due to privacy and security concerns. A majority of these studies (71%) were quantitative investigations based on analysis of objectively recorded data. Several of them employed longitudinal or time series designs to distinguish between unintended consequences that had only transient impact, versus those that had persisting impact. Most of these unintended consequences resulted in adverse outcomes, even though instances of beneficial impact were also noted. While care areas covered were heterogeneous, over half of the studies were conducted at academic medical centers or teaching hospitals. CONCLUSION: Recent studies published in the past two years represent significant advancement of unintended consequences research by seeking to include more types of health IT applications and to quantify the impact using objectively recorded data and longitudinal or time series designs. However, more mixed-methods studies are needed to develop deeper insights into the observed unintended adverse outcomes, including their root causes and remedies. We also encourage future research to go beyond the paradigm of simply describing unintended consequences, and to develop and test solutions that can prevent or minimize their impact.


Assuntos
Registros Eletrônicos de Saúde , Informática Médica , American Recovery and Reinvestment Act , Atitude Frente aos Computadores , Eficiência Organizacional , Humanos , Segurança do Paciente , Estados Unidos , Fluxo de Trabalho
5.
Phys Med ; 31(8): 1112-1117, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26439858

RESUMO

PURPOSE: Point detectors are frequently used to measure patient's maximum skin dose (MSD) in fluoroscopically-guided interventional procedures (IP). However, their performance and ability to detect the actual MSD are rarely evaluated. The present study investigates the sampling uncertainty associated with the use of grids of point detectors to measure MSD in IP. METHOD: Chemoembolisation of the liver (CE), percutaneous coronary intervention (PCI) and neuroembolisation (NE) procedures were studied. Spatial dose distributions were measured with XR-RV3 Gafchromic(®) films for 176 procedures. These distributions were used to simulate measurements performed using grids of detectors such as thermoluminescence detectors, with detector spacing from 1.4 up to 10 cm. RESULTS: The sampling uncertainty was the highest in PCI and NE procedures. With 40 detectors covering the film area (36 cm × 44 cm), the maximum dose would be on average 86% and 63% of the MSD measured with Gafchromic(®) films in CE and PCI procedures, respectively. In NE procedures, with 27 detectors covering the film area (14 cm × 35 cm), the maximum dose measured would be on average 82% of the MSD obtained with the Gafchromic(®) films. CONCLUSION: Thermoluminescence detectors show good energy and dose response in clinical beam qualities. However the poor spatial resolution of such point-like dosimeters may far outweigh their good dosimetric properties. The uncertainty from the sampling procedure should be estimated when point detectors are used in IP because it may lead to strong underestimation of the MSD.


Assuntos
Quimioembolização Terapêutica/métodos , Intervenção Coronária Percutânea/métodos , Doses de Radiação , Pele/efeitos da radiação , Fluoroscopia , Dosimetria Termoluminescente , Incerteza
6.
Med Phys ; 42(7): 4211-26, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-26133620

RESUMO

PURPOSE: To investigate the optimal use of XR-RV3 GafChromic(®) films to assess patient skin dose in interventional radiology while addressing the means to reduce uncertainties in dose assessment. METHODS: XR-Type R GafChromic films have been shown to represent the most efficient and suitable solution to determine patient skin dose in interventional procedures. As film dosimetry can be associated with high uncertainty, this paper presents the EURADOS WG 12 initiative to carry out a comprehensive study of film characteristics with a multisite approach. The considered sources of uncertainties include scanner, film, and fitting-related errors. The work focused on studying film behavior with clinical high-dose-rate pulsed beams (previously unavailable in the literature) together with reference standard laboratory beams. RESULTS: First, the performance analysis of six different scanner models has shown that scan uniformity perpendicular to the lamp motion axis and that long term stability are the main sources of scanner-related uncertainties. These could induce errors of up to 7% on the film readings unless regularly checked and corrected. Typically, scan uniformity correction matrices and reading normalization to the scanner-specific and daily background reading should be done. In addition, the analysis on multiple film batches has shown that XR-RV3 films have generally good uniformity within one batch (<1.5%), require 24 h to stabilize after the irradiation and their response is roughly independent of dose rate (<5%). However, XR-RV3 films showed large variations (up to 15%) with radiation quality both in standard laboratory and in clinical conditions. As such, and prior to conducting patient skin dose measurements, it is mandatory to choose the appropriate calibration beam quality depending on the characteristics of the x-ray systems that will be used clinically. In addition, yellow side film irradiations should be preferentially used since they showed a lower dependence on beam parameters compared to white side film irradiations. Finally, among the six different fit equations tested in this work, typically used third order polynomials and more rational and simplistic equations, of the form dose inversely proportional to pixel value, were both found to provide satisfactory results. Fitting-related uncertainty was clearly identified as a major contributor to the overall film dosimetry uncertainty with up to 40% error on the dose estimate. CONCLUSIONS: The overall uncertainty associated with the use of XR-RV3 films to determine skin dose in the interventional environment can realistically be estimated to be around 20% (k = 1). This uncertainty can be reduced to within 5% if carefully monitoring scanner, film, and fitting-related errors or it can easily increase to over 40% if minimal care is not taken. This work demonstrates the importance of appropriate calibration, reading, fitting, and other film-related and scan-related processes, which will help improve the accuracy of skin dose measurements in interventional procedures.


Assuntos
Dosimetria Fotográfica/instrumentação , Dosimetria Fotográfica/métodos , Algoritmos , Calibragem , Doses de Radiação , Pele/efeitos da radiação , Incerteza , Raios X
7.
Radiat Prot Dosimetry ; 165(1-4): 70-80, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25836685

RESUMO

The article reports results from the largest international dose survey in paediatric computed tomography (CT) in 32 countries and proposes international diagnostic reference levels (DRLs) in terms of computed tomography dose index (CTDI vol) and dose length product (DLP). It also assesses whether mean or median values of individual facilities should be used. A total of 6115 individual patient data were recorded among four age groups: <1 y, >1-5 y, >5-10 y and >10-15 y. CTDIw, CTDI vol and DLP from the CT console were recorded in dedicated forms together with patient data and technical parameters. Statistical analysis was performed, and international DRLs were established at rounded 75th percentile values of distribution of median values from all CT facilities. The study presents evidence in favour of using median rather than mean of patient dose indices as the representative of typical local dose in a facility, and for establishing DRLs as third quartile of median values. International DRLs were established for paediatric CT examinations for routine head, chest and abdomen in the four age groups. DRLs for CTDI vol are similar to the reference values from other published reports, with some differences for chest and abdomen CT. Higher variations were observed between DLP values, based on a survey of whole multi-phase exams. It may be noted that other studies in literature were based on single phase only. DRLs reported in this article can be used in countries without sufficient medical physics support to identify non-optimised practice. Recommendations to improve the accuracy and importance of future surveys are provided.


Assuntos
Exposição à Radiação/estatística & dados numéricos , Exposição à Radiação/normas , Monitoramento de Radiação/estatística & dados numéricos , Monitoramento de Radiação/normas , Tomografia Computadorizada por Raios X/estatística & dados numéricos , Tomografia Computadorizada por Raios X/normas , Adolescente , Criança , Pré-Escolar , Feminino , Pesquisas sobre Atenção à Saúde , Humanos , Lactente , Recém-Nascido , Internacionalidade , Masculino , Pediatria/normas , Doses de Radiação , Valores de Referência
8.
Radiat Prot Dosimetry ; 164(1-2): 138-42, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25316909

RESUMO

To help operators acknowledge patient dose during interventional procedures, EURADOS WG-12 focused on measuring patient skin dose using XR-RV3 gafchromic films, thermoluminescent detector (TLD) pellets or 2D TL foils and on investigating possible correlation to the on-line dose indicators such as fluoroscopy time, Kerma-area product (KAP) and cumulative air Kerma at reference point (CK). The study aims at defining non-centre-specific European alert thresholds for skin dose in three interventional procedures: chemoembolization of the liver (CE), neuroembolization (NE) and percutaneous coronary interventions (PCI). Skin dose values of >3 Gy (ICRP threshold for skin injuries) were indeed measured in these procedures confirming the need for dose indicators that correlate with maximum skin dose (MSD). However, although MSD showed fairly good correlation with KAP and CK, several limitations were identified challenging the set-up of non-centre-specific European alert thresholds. This paper presents preliminary results of this wide European measurement campaign and focuses on the main challenges in the definition of European alert thresholds.


Assuntos
Procedimentos Cirúrgicos Cardiovasculares/métodos , Radiografia Intervencionista/métodos , Radiometria/instrumentação , Pele/diagnóstico por imagem , Raios X , Absorção de Radiação , Humanos , Concentração Máxima Permitida , Radiometria/métodos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Fenômenos Fisiológicos da Pele/efeitos da radiação
9.
Lik Sprava ; (9-10): 152-8, 2014.
Artigo em Ucraniano | MEDLINE | ID: mdl-26492792

RESUMO

Prevalence level of HIV markers among blood and blood coMponent donors in European region of WHO increased from 8.3 to 10.3 positive cases per: 100,000 donations diring 2001-2006. In Ukraine from 2.1 to 112.3 positive cases per 100,000 donations in 2012. In 2010 and .2012 prevalence level of blood borne infections among Ukrainian donors was the following: HIV infection--112.3 positive cases per 100,000 donations; HCV--1498.1 cases and 1207.7 cases; HBsAg (hepatitis B surface antigen)--690.4 and 546.6 and antibodies to Tr. Pallidum--747 seropositive cases per 100,000 and 672.5 respectively. Specific weight of truly positive donations for HIV varied on test systems of different manufactures from 28.3% to 58.3% in 2010, from 12.2% to 61.8% in 2011 and from 20.7% to 63% in 2012. Significant fluctuation of results of confirmatory tests and high prevalence of HIV and HCV markers among Ukrainian donors displays a tendency to HIV prevalence which requires to define screening strategy of donated blood taking into consideration epidemiological studies and available state resources.


Assuntos
Doadores de Sangue , Transfusão de Sangue , Patógenos Transmitidos pelo Sangue/isolamento & purificação , Doenças Transmissíveis/sangue , Doenças Transmissíveis/transmissão , Anticorpos Antibacterianos/sangue , Doadores de Sangue/estatística & dados numéricos , Doenças Transmissíveis/epidemiologia , Anticorpos Anti-HIV/sangue , Infecções por HIV/sangue , Infecções por HIV/epidemiologia , Infecções por HIV/transmissão , Hepatite B/sangue , Hepatite B/epidemiologia , Hepatite B/transmissão , Antígenos de Superfície da Hepatite B/sangue , Hepatite C/sangue , Hepatite C/epidemiologia , Hepatite C/transmissão , Anticorpos Anti-Hepatite C/sangue , Humanos , Programas de Rastreamento , Estudos Soroepidemiológicos , Sífilis/sangue , Sífilis/epidemiologia , Sífilis/transmissão , Reação Transfusional , Ucrânia/epidemiologia
10.
Klin Onkol ; 25(1): 42-6, 2012.
Artigo em Tcheco | MEDLINE | ID: mdl-22348219

RESUMO

BACKGROUNDS: Granulopoesis colony-stimulating factor filgrastim is used to mobilize peripheral stem cells but there are concerns regarding an elevated risk of haematological malignancies. We analyzed the incidence of malignancies and the system of haematopoietic stem cells donor surveillance. PATIENTS AND METHODS: prospective observation of sibling donors of the Haemato-Oncology Department University Hospital in Plzen (Pilsen) and of unrelated donors of the Czech National Marrow Donors Registry (CNMDR) in 2001-2010. RESULTS: No malignancy was observed in a group of 344 unrelated CNMDR donors, providing 753 person-years; one case of chronic lymphocytic leukaemia manifested 6 years after bone marrow donation, with leukaemia clone retrospectively detected by DNA analysis in blood samples taken prior to the marrow donation. Acute myeloid leukaemia, non-Hodgkin lymphoma, renal and colorectal carcinoma were observed in a group of 84 peripheral stem cells sibling donors, providing 337 person-years observation. The respective incidence of the two haematologic malignancies was 593 cases and the expected incidence rate was 143 per 100,000. The sibling (related) donors age was significantly higher: 48 (16-75) vs. 31 (20-42) years, (p<0.0001). Significantly more lost-to-follow-up donors were among the related donors (32% vs. 3%, p<0.0001), even though active surveillance system was implemented. CONCLUSION: The development of malignancies in hematopoietic stem cells donors can naturally be expected. Related (sibling) donors are at higher risk because of their generally older age, and higher susceptibility to haematological malignancies developed within the family. The contribution of filgrastim exposure needs to be further investigated. The follow-up cooperation with related (sibling) donors is limited.


Assuntos
Fator Estimulador de Colônias de Granulócitos/efeitos adversos , Neoplasias Hematológicas/etiologia , Mobilização de Células-Tronco Hematopoéticas/efeitos adversos , Células-Tronco Hematopoéticas , Doadores Vivos , Adolescente , Adulto , Idoso , Feminino , Filgrastim , Humanos , Masculino , Pessoa de Meia-Idade , Proteínas Recombinantes/efeitos adversos , Irmãos , Adulto Jovem
11.
Klin Onkol ; 25(6): 413-20, 2012.
Artigo em Tcheco | MEDLINE | ID: mdl-23301642

RESUMO

Waldenström macroglobulinemia is a rare lymphoproliferative disease that is currently classified into lymphomas with incidence of 3 cases per million. This disease comprises about 1-2% of hematological malignancies and is characterized by infiltration of malignant B cells into the bone marrow and presence of monoclonal immunoglobulin IgM in serum. WM is still an incurable disease with median survival of 5 years. Molecular basis of this disease remains unclear even though deletion of 6q, trisomy of chromosomes 4 and 8, deletion of 13q and increased expression of IL-6 seem to be typical for this disease. The most important changes of microRNA are increased expression of miR-155 and decreased expression of miR-9*. This work aims to describe current knowledge about the molecular basis of this disease.


Assuntos
Macroglobulinemia de Waldenstrom/genética , Macroglobulinemia de Waldenstrom/metabolismo , Aberrações Cromossômicas , Humanos , MicroRNAs/genética , MicroRNAs/metabolismo , Transdução de Sinais
12.
Radiat Prot Dosimetry ; 147(1-2): 277-80, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21816726

RESUMO

The purpose of this work was an evaluation of organ doses and effective doses from three verification techniques in Image-Guided Radiotherapy: from kilovoltage (kV) cone beam computed tomography (CBCT) scans, from two orthogonal kV images and from two orthogonal megavoltage (MV) images for two different treatment sites: pelvis and head and neck (H&N). For comparison reasons, organ doses and effective doses from prostate and H&N radiotherapy were also evaluated. Measurements of organ doses were performed in a male anthropomorphic Rando phantom by means of thermoluminescent dosemeters. In this investigation, measured organ doses from one CBCT scan, from two MV images and from two kV images of pelvis represent typically 1-6, 1-10 and 0.05-1 %, respectively, of organ doses resulting from one fraction of prostate radiotherapy. The maximum effective doses from CBCT scans, kV images and MV images of pelvis are 5.6, 0.8 and 11.9 mSv, respectively.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Neoplasias da Próstata/diagnóstico por imagem , Neoplasias da Próstata/radioterapia , Dosagem Radioterapêutica , Radioterapia Guiada por Imagem , Cabeça/diagnóstico por imagem , Humanos , Masculino , Pescoço/diagnóstico por imagem , Pelve/diagnóstico por imagem , Imagens de Fantasmas , Dosimetria Termoluminescente
13.
Radiat Prot Dosimetry ; 147(1-2): 106-10, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21757443

RESUMO

In this study, skin dosimetry of patients undergoing interventional cardiology procedures is presented. Three hospitals were included. Two methods were used for skin dosimetry--radiochromic dosimetry films and reconstruction of skin dose distribution based on examination protocol. Maximum skin doses (MSD) obtained from both methods were compared for 175 patients. For patients for whom the film MSD was >1 Gy, the reconstruction MSD differed from the film MSD in the range of ± 50 % for 83 % of patients. For remaining patients, the difference was higher and it was caused by longer fluoroscopy time. For 59 patients for whom the cumulative dose was known, the cumulative dose was compared with the film MSD. Skin dosimetry with radiochromic films is more accurate than the reconstruction method, but films do not include X-ray fields from lateral projections whilest reconstructions do.


Assuntos
Dosimetria Fotográfica/instrumentação , Dosimetria Fotográfica/métodos , Doses de Radiação , Radiografia Intervencionista , Pele/diagnóstico por imagem , Pele/efeitos da radiação , República Tcheca , Humanos , Estudos Retrospectivos
14.
Rozhl Chir ; 90(11): 642-6, 2011 Nov.
Artigo em Tcheco | MEDLINE | ID: mdl-22442876

RESUMO

INTRODUCTION: Penetrating thoracic or abdominal or combined injuries are associated with high risk of life-threatening intraabdominal or intrathoracic organ injury. Most patients require acute surgery. When miniinvasive technique is available, thoracoscopic or laparoscopic intervention is indicated in hemodynamically stable patients to evaluate severity of the injury, as well as to treat the condition. AIM OF THE STUDY: Retrospective analysis of incidence, diagnostics and treatment of penetrating thoracic and abdominal injuries and combined thoracoabdominal injuries in a Trauma centre. PATIENTS, METHODS AND RESULTS: A total of 195 patients with penetrating thoracic, abdominal or combined injuries, who were hospitalized in the FNKV (Krilovské Vinohrady Faculty Hospital) Trauma centre in Prague from 1999 to 2010, were included in the study. The study group included 177 (91%) males. Out of the total, 102 patients (53%) suffered from penetrating abdominal injuries, 71 (36%) from thoracic injuries and 22 (11%) from combined, thoracoabdominal injuries. The majority of injuries were stab injuries (173, i.e. 89% of the patients). 22 subjects, the penetrating injury was caused by shot injuries. In stable patients, MDCT has been lately used to establish the diagnosis. In 171 subjects, acute thoracotomy or thoracotomy was indicated. Patients with combined injuries of the both cavities were indicated either for thoracotomy and laparotomy or thoracophrenolaparotomy. Videothoracoscopy or laparoskopy was conducted in 21 (11%) of the subjects. During the surgical revision, two subjects exited due to ireversible hemorrhagic shock, further 2 subjects died because of septic complications following shot abdominal injuries. CONCLUSION: Incidence of penetrating thoracic, abdominal or combined thoracoabdominal injuries is fairly rare in our country. Subjects with unstable hemodynamic conditions are indicated for acute thoracotomy or laparotomy. Miniinvasive procedures have diagnostic and therapeutic benefit in stable patients. Diagnostic thoracoscopy and laparocopy provides evidence of some injuries (diaphragm, alimentary tract). Therapeutically, miniinvasive methods may be used to manage the source of bleeding and for targeted drainage. Nonsurgical procedure is the method of choice in a selected group of hemodynamically stable patients with stab injuries, with monitoring of the patient's condition, including the use of x-ray imaging.


Assuntos
Traumatismos Abdominais/cirurgia , Traumatismos Torácicos/cirurgia , Ferimentos Penetrantes/cirurgia , Traumatismos Abdominais/diagnóstico , Feminino , Humanos , Masculino , Traumatismos Torácicos/diagnóstico , Ferimentos Penetrantes/diagnóstico
15.
Rozhl Chir ; 89(2): 124-9, 2010 Feb.
Artigo em Tcheco | MEDLINE | ID: mdl-20429334

RESUMO

INTRODUCTION: Introduction of warfarin use in prevention and treatment of thromboembolic diseases resulted in lower rates of thromboembolic complications, however, on the other hand, it has been associated with increased incidence of hemorrhagic complications,which often require surgical management. AIM, MATERIAL, METHODS: The aim of the study was a retrospective analysis of hemorrhagic complications in 184 patients, hospitalized in the FNKV (Královské Vinohrady Faculty Hospital) Surgical Clinic during 2000-2008, following warfarin overdose. The following diagnostic or treatment methods were used: endoscopy of the upper or lower GIT in GIT hemorrhages and spiral CT when peritoneal bleeding was suspected. RESULTS: GIT bleeding, such as hematemesis, melena, enterorrhagy, was the commonest complication observed in 147 patients, ie. 79.9%. Upper GIT was identified as the source of bleeding in 76 subjects, i.e. 51.7%, lower GIT was the identified source in 26 subjects, ie. 17.7%, and the source remained unidentified in 45 patients, ie. in 30.6%. 10 patients suffered from soft tissue bleeding, m. rectus abdominis hematoma was detected in 7 subjects, hemoperitoneum and/or retrohemoperitoneum was identified in 8 subjects. Intestinal wall or its intestinal peritoneum was affected in 3 subjects and 3 patients suffered from liver or splenic intraparenchymal hematoma. Out of the total of 184 patients, 165 subjects were treated conservatively (89.7%), 19 subjects underwent surgery (10.3%), including 14 laparotomies for acute abdomen symptoms and 5 incisions with removal of hematomas. Overall lethality rate was 7/184, ie. 3.8%, 5 subjects undergoing conservative treatment and 2 subjects undergoing surgery exited. CONCLUSION: Uncontrolled warfarin administration may cause serious, even life- threatening complications. Therefore, patients undergoing warfarin therapy should be adequately informed about potential complications and regular INR monitoring is required.


Assuntos
Anticoagulantes/efeitos adversos , Hemorragia/induzido quimicamente , Varfarina/efeitos adversos , Idoso , Overdose de Drogas , Feminino , Hemorragia/terapia , Humanos , Masculino , Tromboembolia/prevenção & controle
16.
Mucosal Immunol ; 3(3): 260-9, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20237463

RESUMO

Adaptive CD4 T-cell responses are important in the pathogenesis of chronic Helicobacter pylori gastritis. However, the gastric antigen-presenting cells that induce these responses have not yet been identified. Here we show that dendritic cells (DCs) are present in the gastric mucosa of healthy subjects and are more prevalent and more activated in the gastric mucosa of H. pylori-infected subjects. H. pylori induced gastric DCs isolated from noninfected subjects to express increased levels of CD11c, CD86 and CD83, and to secrete proinflammatory cytokines, particularly interleukin (IL)-6 and IL-8. Importantly, gastric DCs pulsed with live H. pylori, but not control DCs, mediated T-cell secretion of interferon-gamma. The ability of H. pylori to induce gastric DC maturation and stimulate gastric DC activation of Th1 cells implicates gastric DCs as initiators of the immune response to H. pylori.


Assuntos
Células Dendríticas/imunologia , Mucosa Gástrica/imunologia , Infecções por Helicobacter/imunologia , Helicobacter pylori/imunologia , Ativação Linfocitária/imunologia , Células Th1/imunologia , Antígenos CD/imunologia , Antígenos CD/metabolismo , Citocinas/imunologia , Citocinas/metabolismo , Células Dendríticas/metabolismo , Feminino , Mucosa Gástrica/metabolismo , Infecções por Helicobacter/metabolismo , Helicobacter pylori/metabolismo , Humanos , Masculino , Células Th1/metabolismo
17.
Phys Rev Lett ; 102(1): 011301, 2009 Jan 09.
Artigo em Inglês | MEDLINE | ID: mdl-19257177

RESUMO

We report results from the Cryogenic Dark Matter Search at the Soudan Underground Laboratory (CDMS II) featuring the full complement of 30 detectors. A blind analysis of data taken between October 2006 and July 2007 sets an upper limit on the weakly interacting massive particle (WIMP) nucleon spin-independent cross section of 6.6x10;{-44} cm;{2} (4.6x10;{-44} cm;{2} when combined with previous CDMS II data) at the 90% confidence level for a WIMP mass of 60 GeV/c;{2}. This achieves the best sensitivity for dark matter WIMPs with masses above 44 GeV/c;{2}, and significantly restricts the parameter space for some favored supersymmetric models.

18.
J Microsc ; 233(1): 76-83, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19196414

RESUMO

The time response of a scintillator-light guide-photomultiplier combination was measured with a time-constant of 3 ns. Single detected electrons were recognizable at the output of the photomultiplier. The distribution of the number of photoelectrons produced by one detected electron and the pulse-height distribution of the photomultiplier output pulses were analysed. Statistical noise computed from these distributions was compared with the noise produced by the dark current of the photomultiplier.

19.
Kidney Blood Press Res ; 31(1): 29-37, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18182777

RESUMO

Studies of the properties of immune complexes (IC) in the circulation, urine, and mesangium of IgA nephropathy (IgAN) patients have provided data relevant to the pathogenesis of this disease. IC contain predominantly polymeric IgA1 molecules which are deficient in galactose (Gal) residues on O-linked glycan chains in the hinge region (HR) of their heavy (H) chains. As a result of this aberrancy, a novel antigenic determinant(s) involving N-acetylgalactosamine (GalNAc) and perhaps sialic acid (SA) of O-linked glycans is generated and recognized by naturally occurring GalNAc-specific antibodies. Thus, IC in IgAN consist of Gal-deficient IgA1 molecules as an antigen, and GalNAc-specific IgG and/or IgA1 as an antibody. IgG antibodies to Gal-deficient IgA1 are probably induced by cross-reactive microbial antigens; they are present at variable levels not only in humans with or without IgAN but also in many phylogenetically diverse vertebrate species. Incubation of human mesangial cells with IC from sera of IgAN patients indicated that stimulation of cellular proliferative activity was restricted to the large (>800 kDa) complexes. These findings suggest that experimental approaches that prevent the formation of large Gal-deficient IgA1-IgG IC may be applied ultimately in an immunologically mediated therapy.


Assuntos
Glomerulonefrite por IGA/imunologia , Glomerulonefrite por IGA/metabolismo , Imunoglobulina A/metabolismo , Animais , Glomerulonefrite por IGA/patologia , Glicosilação , Humanos , Imunoglobulina A/fisiologia
20.
Prague Med Rep ; 108(2): 155-66, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-18225642

RESUMO

The method Dynamic Phenotype of Body Mass or of the body height was used for the interpretation of growth in children and adolescents from birth to the age of 18 years. Modelling of the body mass growth curve in boys by means of Dynamic Phenotype of Body Mass is expressed in the form of three individual curves which are compatible with the three I, C, P, components of Karlberg's body height growth curve. However the Dynamic Phenotype of Body Mass is based on the direct use of the measured biological values as input parameters of the simulated growth curve e.g. body mass in the origin of the growth curve (GO, kg), the genetic limit of body mass (GLi, kg) inherited from parents and the inherited physiological potency to produce the appropriate body mass increase (dG max, kg/d) in conditions of adequate nutrition and in convenient environment. The components I, C, P, of children and adolescents growth curve do exhibit principal difference in comparison with the growth curves of the other mammals. This difference is characterized by the long lasting (C) component with extremely slow body mass increase indicating the very low growth velocity of body mass growth. This long lasting (C) component of childhood postpones the puberty component (P) from the infancy component (I). This phenomenon makes the principal difference between the body mass growth in man and that of other mammals where immediately after the short episode of postnatal growth follows puberty, sexual and corporeal maturity. Some primates carry out the body mass growth similar to man. The method of Dynamic Phenotypes may be helpful for investigation of the brain's function ontogeny in relation to neural and humoral regulatory mechanisms of body mass growth during childhood and transition into puberty.


Assuntos
Crescimento , Adolescente , Animais , Estatura , Índice de Massa Corporal , Peso Corporal , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Sus scrofa
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