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1.
Eur Rev Med Pharmacol Sci ; 28(11): 3745-3751, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38884509

ABSTRACT

OBJECTIVE: Breast cancer is the most commonly diagnosed malignant tumor worldwide, and Serbia ranks first in Europe in standardized breast cancer mortality rate. The aim of this research is to estimate health-related quality of life (HRQoL) and work productivity among patients in different stages of breast cancer in Serbia. SUBJECTS AND METHODS: A total of 175 breast cancer patients attending the breast cancer outpatient clinic at the Oncology Institute of Vojvodina between March 2022 and February 2023 were included in the study. Patients were divided into three mutually exclusive groups: (1) First year after primary breast cancer (Group P), (2) Second and following years after primary breast cancer or recurrence (Group S) and (3) Metastatic disease (Group M). The EQ-5D-3L self-classifier was used to estimate the HRQoL, using the EQ-5D-3L index value and visual analog scale (VAS) score. RESULTS: Мean EQ-5D-3L index value was 0.777 for Group P, and 0.768 for Group S. Patients with metastatic disease reported the lowest EQ-5D index value of 0.646 (p < 0.05). Pain/discomfort, as well as anxiety/depression, were the main drivers of the reduction in HRQoL. Patients in Group M also reported the lowest VAS score of 65.4. Furthermore, the highest percentage of women who sought leave or cited breast cancer as the reason for their early retirement were patients with metastatic disease. CONCLUSIONS: HRQoL was most impaired in Group M, and patients with metastatic disease were more likely to take sick leave or retire early due to breast cancer. Delaying or preventing metastatic recurrence could significantly benefit patients' productivity and HRQoL.


Subject(s)
Breast Neoplasms , Quality of Life , Humans , Breast Neoplasms/pathology , Female , Serbia , Middle Aged , Adult , Aged , Neoplasm Staging , Depression/psychology , Depression/epidemiology , Anxiety/psychology , Surveys and Questionnaires
3.
Neth Heart J ; 29(4): 230-236, 2021 Apr.
Article in English | MEDLINE | ID: mdl-33704668

ABSTRACT

BACKGROUND: As coronavirus disease 2019 (COVID-19) has reached pandemic status, authors from the most severely affected countries have reported reduced rates of hospital admissions for patients with acute coronary syndrome (ACS). AIM: The aim of the present study was to investigate the influence of the COVID-19 outbreak on hospital admissions and outcomes in ACS patients in a single high-volume centre in southeastern Europe. METHODS: This retrospective observational study aimed to investigate the number of hospital admissions for ACS, clinical findings at admission, length of hospitalisation, major complications and in-hospital mortality during the COVID-19 outbreak and to compare the data with the same parameters during an equivalent time frame in 2019. For the ST-elevated myocardial infarction (STEMI) subgroup of patients, changes in ischaemic times were analysed as well. RESULTS: There was a significant reduction of 44.3% in the number of patients admitted for ACS during the COVID-19 outbreak when compared with the same period in 2019 (151 vs 271; 95% confidence interval 38.4-50.2, p < 0.01) with a higher mortality rate (13.2% vs 7.2%, p = 0.03). In 2020, patients with non-ST-elevated myocardial infarction presented more often with acute heart failure (3.3% vs 0.7%, p = 0.04). During the COVID-19 outbreak, we observed increases in the total ischaemic time (303 ± 163.4 vs 200.8 ± 156.8 min, p < 0.05) and door-to-balloon time (69.2 ± 58.4 vs 50.5 ± 31.3 min, p < 0.01) in STEMI patients. CONCLUSIONS: These findings should increase the awareness of morbidity and mortality related to missed or delayed treatment of ACS among the public and the healthcare services.

4.
Folia Morphol (Warsz) ; 80(4): 745-755, 2021.
Article in English | MEDLINE | ID: mdl-33330971

ABSTRACT

Satellite glial cells are specialised cells that form a functional perineuronal sheath around sensory ganglion neurons. There are a large number of studies that reveal the morphological and functional characteristics of these cells. Satellite glial cells have been studied both in intact ganglions and in tissue cultures, using light and transmission electron microscopy, immunohistochemical and other methods. Satellite glial cells have polygonal form; they are mononuclear and have developed synthetic organelles, numerous receptors, adhesion molecules and ion channels, which enable them to interact with adjacent neurons, as well as transmit signals in the ganglions of the peripheral nervous system. Based on the literature data, satellite glial cells thanks to their characteristics can receive signals from other cells and react to changes in their surroundings. Previous studies have investigated the potential role of satellite glial cells in the formation of the blood-nervous tissue barrier of the peripheral nervous system, as well as in the neuropathic pain genesis. Some recent discoveries support the fact that satellite glial cells can participate in controlling of local viral infections and protecting pseudounipolar neurons from mentioned infections.


Subject(s)
Ganglia, Sensory , Neuroglia , Neurons
6.
Int Endod J ; 51(10): 1149-1158, 2018 Oct.
Article in English | MEDLINE | ID: mdl-29617040

ABSTRACT

AIM: To investigate melatonin (MEL) levels in human dental pulp tissue (hDP) in type 2 diabetic (T2D) participants and the underlying molecular mechanisms of its effects in human dental pulp cells (hDPCs) under hyperglycaemia. METHODOLOGY: The study included 16 healthy and 16 T2D participants who underwent vital pulp extirpation for hDP and four healthy participants undergoing third molar extraction for hDPCs analyses. MTT and NRU were used as tests for cytotoxicity. The pulp tissue levels of MEL, inducible NO synthase (iNOS) and superoxide dismutase (SOD) activity, as well as iNOS, histone acetyltransferase p300 (p300) and SOD activity levels in hDPCs incubated with MEL (0.1 and 1.0 mmol L-1 ) under normoglycaemia and hyperglycaemia were measured by enzyme-linked immunosorbent assay. Comparisons between the two groups were made by unpaired t-tests or Mann-Whitney test whilst the chi-square test was used for dichotomous variables. To compare more groups, the Kruskal-Wallis test with Dunn's multiple comparison was used, whilst Spearman correlation was used to assess association between two variables. RESULTS: Melatonin was decreased (124.30 ± 21.6 vs. 240.0 ± 19.1 pg mL-1 , P < 0.01), whilst iNOS levels increased (0.92 ± 0.08 vs. 0.32 ± 0.09 ng mL-1 , P < 0.01) in hDP from T2D compared to nondiabetic participants. In hDPCs, MEL (0.1 and 1.0 mmol L-1 ) had no cytotoxicity. Incubation with 1.0 mmol L-1 of MEL (24 h) decreased hyperglycaemia-induced increases of iNOS (0.34 ± 0.01 ng mL-1 vs. 0.40 ± 0.01 ng mL-1 , P < 0.01) and p300 (11.59 ± 0.58 ng mL-1 vs. 16.12 ± 0.39 ng mL-1 , P < 0.01), and also, increased SOD activity (87.11 ± 3.10% vs. 68.56 ± 3.77%, P < 0.01) to the levels comparable to the normoglycaemic; iNOS and p300 protein expression levels showed strong positive correlation under hyperglycaemia (Spearman r = 0.8242, P < 0.001). CONCLUSION: Type 2 diabetic participants had decreased MEL in hDP. At pharmacological concentrations, MEL is not cytotoxic for hDPCs and normalizes iNOS and SOD activity levels in hyperglyceamic hDPCs suggesting its antioxidant and protective effects in human dental pulp tissue under hyperglycaemia.


Subject(s)
Dental Pulp/metabolism , Diabetes Mellitus, Type 2/metabolism , Hyperglycemia/metabolism , Melatonin/metabolism , Nitric Oxide Synthase Type II/metabolism , Aged , Case-Control Studies , Enzyme-Linked Immunosorbent Assay , Female , Histone Acetyltransferases/metabolism , Humans , Male , Middle Aged , Statistics, Nonparametric
7.
Eur J Dent Educ ; 22(3): e392-e399, 2018 Aug.
Article in English | MEDLINE | ID: mdl-29316064

ABSTRACT

AIM: To evaluate differences between last-year dental students in Paris (F) and Malmö (SE) Dental Schools, in regard to their judgement and decision-making within periodontology. MATERIALS AND METHODS: Ninety-six last-year dental students from Paris and 45 from Malmö participated in a questionnaire study based on four patient cases: (i) Patient case with generalised alveolar bone loss but no signs of inflammation (Well-maintained), (ii) Patient case with generalised alveolar bone loss and signs of inflammation (Periodontitis), (iii) Patient case with no alveolar bone loss and no signs of inflammation (Healthy) and (iv) Patient case with no alveolar bone loss but with signs of inflammation (Gingivitis). Through multiple-choice questions, the students judged each case as healthy or diseased proposed a diagnosis and treatment measures and estimated the treatment time for each patient. Furthermore, they assessed the prognosis of each patient in case of no treatment. RESULTS: Based on a response rate of 83%, the majority in both groups judged all the patients as diseased. More Paris students diagnosed the healthy and the gingivitis case as having periodontitis (P < .05). Furthermore, a larger number of students from Paris recommended several treatment measures and estimated longer treatment times for all the cases (P < .05) and estimated a higher risk for disease progression for the healthy and the gingivitis case (P < .05). CONCLUSIONS: Significant variation between students from Paris and Malmö Dental Schools in regard to judgement and decision-making was observed; this may in turn imply that there is still need of improving consistency amongst undergraduate educations in periodontology in Europe.


Subject(s)
Clinical Competence , Periodontal Diseases/diagnosis , Periodontics/education , Students, Dental , Diagnosis, Differential , Education, Dental , France , Gingivitis/diagnosis , Humans , Periodontal Diseases/therapy , Periodontitis/diagnosis , Surveys and Questionnaires , Sweden
8.
Pregnancy Hypertens ; 10: 34-41, 2017 Oct.
Article in English | MEDLINE | ID: mdl-29153687

ABSTRACT

BACKGROUND: An association between gestational hypertension (GH) and changes of maternal cardiac function was previously reported. AIM: The study assessed the effect of non-dipping pattern of blood pressure (BP) in GH on haemodynamic function and intrauterine growth restriction (IUGR). METHODS: This study included 126 women (91 with GH and 35 normotensive controls). Based on the BP values measured by ambulatory blood pressure monitoring (ABPM), all hypertensive women were classified in dipper (46 women) or in non-dipper group (45 women). All participants underwent echocardiography and ABPM during the third trimester. RESULTS: Participants with GH and non-dipping pattern had significantly lower velocity of longitudinal systolic function (s') (p<0.0005), and cardiac output index (COi) compared to dippers (p<0.0005) and controls (p=0.002). Diastolic velocities at the mitral valve annulus were also lower in non-dippers e's (non-dippers vs dippers p=0.023; non-dippers vs controls p<0.0005) and e'l (non-dippers vs dippers p=0.048; non-dippers vs controls p<0.0005). There were significant differences in the index of the left ventricle filling pressure E/e' and myocardial mass index between women with GH and controls, but with no significant difference among dippers and non-dippers. Total vascular resistance was increased in non-dipping group compared to normotensives and dippers (p<0.0005). Multivariate regression analysis revealed that the peak night-time diastolic BP, left ventricular mass index and CO index were identified as independent predictors of IUGR. CONCLUSION: Changes in maternal hemodynamics, as well as IUGR, are strongly related to the non-dipping pattern of BP.


Subject(s)
Blood Pressure/physiology , Fetal Growth Retardation/physiopathology , Hypertension, Pregnancy-Induced/physiopathology , Adult , Blood Pressure Determination , Cardiac Output , Case-Control Studies , Echocardiography , Female , Hemodynamics , Humans , Pregnancy , Pregnancy Outcome , Prospective Studies
9.
Phys Chem Chem Phys ; 19(30): 19691-19698, 2017 Aug 02.
Article in English | MEDLINE | ID: mdl-28524199

ABSTRACT

Collisions of 375 keV Xe25+ ions with trapped mass/charge selected poly-anions of the cytochrome C protein (∼12.5 kDa) were studied by coupling a linear quadrupole ion trap with low-energy ion beam facility. Tandem mass spectra were recorded for the protein precursor charge states ranging from -9 to -17. The present work reports the first study of slow highly charged ion collisions with poly-anions. A high signal to noise ratio allowed the study of the intensity of single and multiple electron removal by a projectile, as well as associated neutral losses, as a function of the target charge state. Relative single and double electron detachment cross sections were found to increase with increasing charge state of the precursor anion. The experimental findings are supported by the calculations of the total electron capture cross sections, based on the classical over-the-barrier model, restricted to a simple uniformly charged linear protein structure and a near-end electron capture.


Subject(s)
Cytochromes c/chemistry , Polymers/chemistry , Cytochromes c/metabolism , Electrons , Polyelectrolytes , Tandem Mass Spectrometry
10.
Analyst ; 141(6): 1988-96, 2016 Mar 21.
Article in English | MEDLINE | ID: mdl-26858997

ABSTRACT

The investigation of the interaction of silver nanoparticles and live bacteria cells is of particular importance for understanding and controlling their bactericidal properties. In this study, the process of internalization of silver nanoparticles in Escherichia coli cells was followed by means of synchrotron excitation deep ultraviolet (DUV) fluorescence imaging. Antimicrobial nanostructures that can absorb and emit light in the UV region were prepared by functionalization of silver nanoparticles with tryptophan amino acid and used as environmentally sensitive fluorescent probes. The nanostructures were characterized by morphological (TEM) and spectroscopic methods (UV-vis, FTIR, XPS, and photoluminescence). The TEM images and the analyses of the UV-vis spectra suggested that the addition of tryptophan led to the formation of hybrid nanostructures with pronounced eccentricity and larger sizes with respect to that of the initial silver nanoparticles. The DUV imaging showed that it was possible to distinguish the fluorescent signal pertaining to silver-tryptophan nanostructures from the autofluorescence of the bacteria. The spatial resolution of the fluorescence images was 154 nm which was sufficient to perform analyses of the accumulation of the nanostructures within a single bacterium. The DUV imaging results imply that the tryptophan-functionalized silver nanoparticles interact with cell membranes via insertion of the amino acid into the phospholipid bilayer and enter the cells.


Subject(s)
Escherichia coli/cytology , Escherichia coli/metabolism , Fluorescent Dyes/chemistry , Metal Nanoparticles , Silver/chemistry , Silver/metabolism , Single-Cell Analysis/methods , Tryptophan/chemistry , Optical Imaging , Single-Cell Analysis/instrumentation , Synchrotrons
11.
Clin Pharmacol Ther ; 99(2): 157-60, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26418054

ABSTRACT

The Clinical Genome Resource (ClinGen) is a National Institutes of Health (NIH)-funded collaborative program that brings together a variety of projects designed to provide high-quality, curated information on clinically relevant genes and variants. ClinGen's EHR (Electronic Health Record) Workgroup aims to ensure that ClinGen is accessible to providers and patients through EHR and related systems. This article describes the current scope of these efforts and progress to date. The ClinGen public portal can be accessed at www.clinicalgenome.org.


Subject(s)
Electronic Health Records/trends , Pharmacogenetics/trends , Databases, Genetic , Genetic Variation , Humans , Precision Medicine
12.
J Chem Phys ; 143(24): 244311, 2015 Dec 28.
Article in English | MEDLINE | ID: mdl-26723675

ABSTRACT

We have studied the Vacuum Ultraviolet (VUV) photodissociation of gas-phase protonated leucine-enkephalin peptide ion in the 5.7 to 14 eV photon energy range by coupling a linear quadrupole ion trap with a synchrotron radiation source. We report VUV activation tandem mass spectra at 6.7, 8.4, and 12.8 eV photon energies and photodissociation yields for a number of selected fragments. The obtained results provide insight into both near VUV radiation damage and electronic properties of a model peptide. We could distinguish several absorption bands and assign them to particular electronic transitions, according to previous theoretical studies. The photodissociation yields appear to be very different for the various observed fragmentation channels, depending on both the types of fragments and their position along the peptide backbone. The present results are discussed in light of recent gas-phase spectroscopic data on peptides.


Subject(s)
Enkephalins/chemistry , Leucine/chemistry , Peptides/chemistry , Protons , Photolysis/radiation effects , Spectrophotometry, Ultraviolet , Ultraviolet Rays
13.
Plant Dis ; 98(8): 1157, 2014 Aug.
Article in English | MEDLINE | ID: mdl-30708813

ABSTRACT

Celery (Apium graveolens var. dulce) is a very important vegetable crop intensively cultivated in eastern and southern Serbia. During a field survey in August and September 2012, we observed symptoms similar to those of Cercospora early blight in eastern Serbia, with some of the affected fields showing up to 80% disease severity. The lesions on leaves were amphigenous, subcircular to angular and more or less confluent. Lesions enlarged and merged with age, followed by the development of necrotic area causing a continuous deterioration of the plant. Conidiophores arising from the stromata formed dense fascicles, sometimes appearing solitary, brown at the base, paler toward the apex, simple, straight to slightly curved, and rarely geniculate (dimensions 40 to 90 × 5 to 8 µm). Conidia were solitary, hyaline, at first cylindro-obclavate then acicular to acicular-obclavate, straight to slightly curved, subacute to obtuse at the apex, while truncated and thickened at the base (dimensions 45 to 160 × 4 to 5 µm), 5 to 13 septate. Based on the morphological features, we identified the pathogen as Cercospora apii Fresen. (2). In order to obtain monosporic isolates of the fungus, single conidia were cultivated on potato dextrose agar (PDA). To confirm the pathogenicity of the isolates, 5 mm-diameter mycelial plugs from the PDA plates were placed upside down on the adaxial leaf surface of 2-week-old celery seedlings of cv. Yuta. Control plants were inoculated with a sterile PDA plug. Three leaves per plant were disinfected with 70% ethanol, epidermis was scratched with a sterile needle to promote the infection, and inoculated. A total of 12 plants were inoculated with the mycelial plugs and 12 were used as control plants. Inoculated and control plants were kept in a moist chamber for 48 h and then transferred to a greenhouse at 25 ± 2°C. After 2 weeks, the first necrotic spots appeared on inoculated leaves, similar to the symptoms manifested in the field, while control plants remained symptomless. The pathogen was re-isolated and its identity was verified based on morphological and molecular features. To confirm the pathogen's identity, three isolates (CAC4-1, CAC24, and CAC30) were subjected to molecular identification based on the internal transcribed spacer region (ITS) using the ITS1/ITS4 universal primers (5), a partial calmodulin gene (CAL) using CAL-228F/CAL2Rd primers (1,4), and partial histone H3 gene (H3) using CYLH3F/CYLH3R primers (3). Sequences of the amplified regions were deposited in GenBank under accessions KJ210596 to KJ210604. The BLAST analyses of the ITS sequences revealed 100% identity with several Cercospora species (e.g., C. apii [JX143532], C. beticola [JX143556], and C. zebrina [KC172066]), while sequences of CAL and H3 showed 100% identity solely with sequences of C. apii (JX142794 and JX142548). Based on combined morphological and molecular data, the pathogen infecting celery was identified as C. apii, which to our knowledge represents the first report of the presence of the causal agent of Cercospora early blight disease in Serbia. References: (1) I. Carbone and L.M. Kohn. Mycologia 91:553, 1999. (2) P. W. Crous and U. Braun. CBS Biodivers. Ser. 1:1, 2003. (3) P. W. Crous et al. Stud. Mycol. 50:415, 2004. (4) J. Z. Groenewald. Stud. Mycol. 75:115, 2013. (5) T. J. White et al. PCR Protocols: A Guide to Methods and Applications. Academic Press, Inc., San Diego, CA, 1990.

14.
Plant Dis ; 98(8): 1153, 2014 Aug.
Article in English | MEDLINE | ID: mdl-30708812

ABSTRACT

Carrot (Daucus carota L. subsp. sativus [Hoffm.] Arcang.) is an important vegetable in Serbia, where it is grown on nearly 8,000 ha. In August 2012, ~1,500 ha of carrot fields were inspected in southern Backa in North Serbia. In nearly 40% of the fields, severe foliar and stem symptoms characteristic of cercospora leaf spot of carrot, caused by Cercospora carotae (Pass.) Solheim (3), were observed. Lesions on stems were oblong, elliptical, and more or less sunken, while those on the leaves were amphigenous, subcircular, light brown in the center, and surrounded by a dark brown margin. Conidiophores emerging from the lesions formed very loose tufts but sometimes were solitary. Conidiophores were simple and straight to subflexuous with a bulbous base (17 to 37 × 3 to 5 µm). Conidia were 58 to 102 × 2 to 4 µm, solitary, cylindrical to narrowly-obclavate, and hyaline to subhyaline with 2 to 6 septa. To obtain monosporial isolates, the conidia from one lesion were placed on water agar plates at 25°C in the dark for 24 h, after which single germinated conidia were selected and each placed on a petri dish containing potato dextrose agar (PDA). To confirm pathogenicity of three of the isolates, Koch's postulates were tested on carrot seedlings (3-true-leaf stage of growth) of a Nantes cultivar, SP-80, with 12 plants tested/isolate and 12 non-inoculated plants used as a control treatment. The leaves were atomized until runoff with the appropriate C. carotae spore suspension (104 conidia/ml sterilized water), while control plants were atomized with sterile water. All plants were then incubated in a dew chamber for 72 h, then transferred to a greenhouse at 25 ± 2°C. After 2 weeks, characteristic symptoms resembling those observed in the field developed on all inoculated plants; control plants were asymptomatic. The pathogen was re-isolated from all inoculated plants, and identity of the re-isolated fungi confirmed morphologically as described above, and molecularly as described below. The pathogenicity test was repeated with no significant differences in shape and size of lesions, or dimensions of conidiophores and conidia among isolates. To verify the pathogen identity molecularly, the 28S rDNA was amplified and sequenced using the V9G/LR5 primer set (2,4) as well as internal primers OR-A (5'-ATACCCGCTGAACTTAAGC-3') and 2R-C (5'-AAGTACTTTGGAAAGAG-3'); the ITS region of rDNA using the ITS1/ITS4 universal primers (5); and histone H3 gene (H3) using the CylH3F/CylH3R primers (1). The sequences for the three isolates were deposited in GenBank as Accession Numbers KF468808 to KF468810, KF941306 to KF941308, and KF941303 to KF941305 for the 28S rDNA, ITS and H3 regions, respectively. BLAST results for the ITS sequences indicated 94% similarity to the ITS sequence of an isolate of Pseudocercosporella capsellae (GU214662) and 92% similarity to the ITS sequence of an isolate of C. capsici (HQ700354). The H3 sequences shared 91% similarity with that of several Cercospora spp., e.g., C. apii (JX142548), C. beticola (AY752258), and C. capsici (JX142584), all of which shared the same amino acid sequence of the encoded H3 protein. Also, the 28S rDNA sequences had 99% similarity (identity of 318/319, with 0 gaps) with the single sequence of C. carotae available in GenBank (AY152628), which originated from Norway. This is, to our knowledge, the first report of C. carotae on carrot crops in Serbia as well as southeastern Europe. References: (1) P. W. Crous et al. Stud. Mycol. 50:415, 2004. (2) G. S. de Hoog and A. H. G. Gerrits van den Ende. Mycoses 41:183, 1998. (3) W. G. Solheim. Morphological studies of the genus Cercospora. University of Illinois, 1929. (4) R. Vilgalys and M. Hester. J. Bacteriol. 172:238, 1990. (5) T. J. White et al. PCR Protocols: A Guide to Methods and Applications. Academic Press, Inc., San Diego, CA, 1990.

15.
J Chem Phys ; 137(6): 064312, 2012 Aug 14.
Article in English | MEDLINE | ID: mdl-22897278

ABSTRACT

We report results of measurements and calculations of absolute cross sections for electron scattering from furan molecules (C(4)H(4)O). The experimental absolute differential cross sections (DCSs) for elastic electron scattering were obtained for the incident energies from 50 eV to 300 eV and for scattering angles from 20° to 110°, by using a crossed electron-target beam setup and the relative flow technique for calibration to the absolute scale. The calculations of the electron interaction cross sections are based on a corrected form of the independent-atom method, known as the screening corrected additivity rule (SCAR) procedure and using an improved quasifree absorption model. The latter calculations also account for rotational excitations in the approximation of a free electric dipole and were used to obtain elastic DCSs as well as total and integral elastic cross sections which are tabulated in the energy range from 10 to 10 000 eV. All SCAR calculated cross sections agree very well with both the present and previously published experimental results. Additionally, calculations based on the first Born approximation were performed to calculate both elastic and vibrationally inelastic DCSs for all the modes of furane, in the energy range from 50 eV to 300 eV. The ratios of the summed vibrational to elastic DCSs are presented and discussed. Finally, the present results for furan are compared with previously published elastic DCSs for the tetrahydrofuran molecule and discussed.


Subject(s)
Furans/chemistry , Scattering, Radiation , Absorption , Vibration
16.
Afr J Psychiatry (Johannesbg) ; 14(3): 236-8, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21863209

ABSTRACT

OBJECTIVE: To report a case of a patient treated with clozapine who developed pericarditis with pericardial effusion that resolved when the drug was discontinued. METHOD: Case report of a 21-year-old man with psychotic disorder that had been stable on clozapine therapy for five months (after failure of atypical antipsyhotic agents) presented to the emergency department complaining of chest pain and progressive shortness of breath that had lasted for a few days. Echocardiography showed a pericardial effusion suggestive of a cardiac tamponade, and the fluid was removed by pericardiocentesis. All other possible causes of the pericardial effusion were ruled out and clozapine was suspected as the most likely explanation. Clozapine was discontinued and the patient's symptoms improved markedly. DISCUSSION: According to the Naranjo probability scale, clozapine is a probable cause of pericarditis. Although clozapine is a known cause of myocarditis and cardiomyopathy, there are only several reports in the literature describing clozapine-induced pericarditis and pericardial effusion. In our patient, the pericardial effusion cleared within several days following clozapine discontinuation. CONCLUSION: There have been only a few cases of clozapine-induced pericarditis reported in the literature, however this adverse effect of clozapine can occur, as this case report clearly demonstrates. Cardiac adverse effects of clozapine are potentially life threatening, hence early recognition is essential to prevent serious outcomes.


Subject(s)
Antipsychotic Agents/adverse effects , Clozapine/adverse effects , Pericardial Effusion/chemically induced , Pericarditis/chemically induced , Adult , Echocardiography , Humans , Male , Pericardial Effusion/diagnostic imaging , Pericarditis/diagnostic imaging
17.
Phys Chem Chem Phys ; 13(24): 11495-502, 2011 Jun 28.
Article in English | MEDLINE | ID: mdl-21594243

ABSTRACT

Electron energy loss spectrum, elastic reflectivity and selected vibrational excitation functions were measured by High Resolution Electron Energy Loss Spectroscopy (HREELS) for deuterated nanocrystalline dc GD CVD diamond films. The electron elastic reflectivity is strongly enhanced at about 13 eV, as a consequence of the second absolute band gap of diamond preserved up to the surface for D-nano-crystallites. The pure bending modes δ(CD(x)) at 88 meV and 107 meV are dominantly excited through the impact mechanism and their vibration excitation functions mimic the electron elastic reflectivity curve. Pure diamond phonon mode ν(CC) can be probed through the resolved fundamental loss located at 152 meV and through the multiple loss located at 300 meV. In addition to the well-known 8 eV resonance, two supplementary resonances located at 4.5 eV and 11.5 eV were identified and clearly resolved for the first time. A comprehensive set of data is now available on low-energy electron scattering at hydride terminated polycrystalline diamond films grown either by HF (microcrystalline) or dc GD (nanocrystalline) chemical vapour deposition. The careful comparison of the vibrational excitation functions for hydrogen/deuterium termination stretching modes ν(sp(3)-CH(x)) and ν(sp(3)-CD(x)), for hydrogen termination bending modes δ(CH(x)) mixed with diamond lattice modes ν(CC), for deuterium termination bending modes δ(CD(x)), and for multiple loss 2ν(CC) demonstrates the close interplay between three characteristics: (i) the density-of-states of the substrate, (ii) the vibrational excitation mechanisms (dipolar and/or impact scattering including resonant scattering) and (iii) the surface versus lattice character of the excited vibrational modes. This work shows clearly that excitation function measurement provides a powerful and sensitive tool to clarify loss attributions, involved excitation mechanisms, and surface versus lattice characters of the excited vibrational modes.


Subject(s)
Models, Molecular , Nanodiamonds/chemistry , Deuterium/chemistry , Elasticity , Spectroscopy, Electron Energy-Loss , Thermodynamics , Vibration
18.
Phys Chem Chem Phys ; 12(25): 6717-31, 2010 Jul 07.
Article in English | MEDLINE | ID: mdl-20428528

ABSTRACT

The electronic state spectroscopy of pyrimidine C(4)H(4)N(2) has been investigated using both high resolution VUV photoabsorption in the energy range 3.7 to 10.8 eV (335 to 115 nm) and lower resolution electron energy loss in the range 2 to 15 eV. The low energy absorption band, assigned to the (pi*) <-- 7b(2)(n(N)) (1(1)B(1)<-- 1(1)A(1)) transition, at 3.85(4) eV and the vibrational progressions superimposed upon it have been observed for the first time, due to the availability of a high-resolution photon beam (0.075 nm), corresponding to 3 meV at the midpoint of the energy range studied. Vibronic coupling has been shown to play an important role dictating the nature of the observed excited states, especially for the lowest (1)B(1) state. The 2(1)B(1) state is proposed to have its origin at 7.026 eV according to the vibrational excitation reported in this energy region (7.8-8.4 eV). New experimental evidence of 4(1)A(1) state with a maximum cross section at 8.800 eV is supported by previous ab initio quantum chemical calculations. Rydberg series have been assigned converging to the three lowest ionisation energy limits, 9.32 eV ((2)B(2)), 10.41 eV ((2)B(1)) and 11.1 eV ((2)A(1) + (2)A(2)) with new members reported for the first time and classified according to the magnitude of the quantum defects (delta). Additionally, the absolute differential cross section for inelastic electron scattering has been measured for the most intense band from 6.9 to 7.8 eV assigned to (1)pipi* (3(1)A(1) + 2(1)B(2)).

19.
J Chem Phys ; 132(10): 104308, 2010 Mar 14.
Article in English | MEDLINE | ID: mdl-20232961

ABSTRACT

Electron impact ionization of the gas phase 3-furanol, tetrahydro (3-hydroxytetrahydrofuran, 3HTHF) and 2-furanmethanol, tetrahydro (alpha-tetrahydrofurfuryl alcohol, THFA) molecules has been studied both experimentally and theoretically. The electron induced positive ion formation has been investigated experimentally using a crossed electron/neutral beams technique in combination with a quadrupole mass spectrometry. The mass spectra of both molecules have been determined at the incident electron energy of 70 eV. The ionization efficiency curves for each parent cation and a number of fragment cations have been measured near the threshold, and the corresponding appearance energies have been derived using an iterative fitting procedure based on the Wannier threshold law, taking into account the incident electron energy resolution. The appearance energies of the parent cations were experimentally determined to be (9.620+/-0.058) eV for (C(4)H(8)O(2)(+)/3HTHF) and (9.43+/-0.12) eV for (C(5)H(10)O(2)(+)/THFA), which are in a good agreement with G3MP2 calculated results: 9.480 and 9.419 eV, respectively. The most abundant cations in the mass spectra were determined to be 57 amu for 3HTHF and 71 amu for THFA, with the corresponding experimentally determined appearance energies of (10.22+/-0.10) eV and (9.574+/-0.062) eV, respectively. With the help of the energies calculated at B3LYP and G3MP2 levels of theory, the possible fragmentation patterns were discussed.

20.
Am J Primatol ; 70(9): 906-10, 2008 Sep.
Article in English | MEDLINE | ID: mdl-18561252

ABSTRACT

We describe a cost- and time-efficient method for designing new microsatellite markers in any species with substantial genomic DNA sequence data available. Using this technique, we report 14 new polymorphic dinucleotide microsatellite loci isolated from the common marmoset. The relative yield of new polymorphisms was higher with less labor than described in previous marmoset studies. Of 20 loci initially evaluated, 14 were polymorphic and amplified reliably (70% success rate). The number of alleles ranged from 3 to 9 with heterozygosity varying from 0.48 to 0.83.


Subject(s)
Callithrix/genetics , Microsatellite Repeats , Polymorphism, Genetic , Animals , Base Sequence , DNA/genetics , Genome , Humans , Polymerase Chain Reaction/economics , Polymerase Chain Reaction/methods , Time Factors
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