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1.
Medicine (Baltimore) ; 103(3): e36974, 2024 Jan 19.
Artigo em Inglês | MEDLINE | ID: mdl-38241538

RESUMO

INTRODUCTION: Fever of unknown origin (FUO) remains one of the most challenging clinical conditions. It demands an exhaustive diagnostic approach, considering its varied etiologies spanning infectious, autoimmune, inflammatory, and malignant causes. PATIENT CONCERNS: This report shows the journey of diagnosing a 28-year-old male who presented with persistent fever and lower-extremity weakness over 9 months. Despite seeking care at multiple hospitals, a definitive diagnosis remained elusive. DIAGNOSIS: The patient underwent a series of evaluations in various specialties, including gastroenterology, infectious diseases, rheumatology, hematology, and cardiology. Multiple tests and treatments were administered, including antiviral therapy for hepatitis B and antibiotics for suspected infections. INTERVENTIONS: After an initial misdiagnosis and unsuccessful treatments, a positron emission tomography-computed tomography scan and lymph node biopsy ultimately led to the diagnosis of peripheral T-cell lymphoma-T follicular helper type (PTCL-TFH) lymphoma. The patient was referred to the hematology clinic and initiated on CHOEP (cyclophosphamide, vincristine, etoposide, and prednisone) chemotherapy. OUTCOMES: The patient showed a positive response to CHOEP therapy, as indicated by a posttreatment positron emission tomography-computed tomography scan. He reported a significant improvement in his quality of life. Additional rounds of the same regimen were planned to further manage the lymphoma. CONCLUSION: This case emphasizes the importance of a comprehensive and persistent diagnostic approach in managing FUO. Initially, the focus on infectious causes led to extensive treatments, but the disease's progression and complications shifted attention to other specialties. The eventual diagnosis of PTCL-TFH lymphoma highlights the significance of advanced imaging techniques and multidisciplinary collaboration in uncovering elusive diagnoses. Thorough surveillance, timely reassessments, and repeated testing can uncover definitive changes critical for diagnosis. PTCL-TFH lymphoma, although rare, should be considered in the differential diagnosis of FUO, especially when initial evaluations are inconclusive.


Assuntos
Febre de Causa Desconhecida , Linfoma de Células T Periférico , Masculino , Humanos , Adulto , Linfoma de Células T Periférico/complicações , Linfoma de Células T Periférico/diagnóstico , Linfoma de Células T Periférico/patologia , Febre de Causa Desconhecida/diagnóstico , Febre de Causa Desconhecida/etiologia , Qualidade de Vida , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada , Linfócitos T Auxiliares-Indutores
2.
World J Clin Cases ; 10(25): 9087-9095, 2022 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-36157651

RESUMO

BACKGROUND: Paraneoplastic syndromes remain poorly understood and manifest as multifaceted clinical symptoms, making their diagnosis difficult. Cholestasis can be observed in various malignancies. In rare cases, it can be a paraneoplastic manifestation, most often associated with renal cell carcinoma and other urogenital tumors, as well as with bronchial carcinoma. The classical form of Stauffer syndrome presents with a reversible anicteric increase of cholestatic liver function tests, thrombocytosis, coagulation impairment, and hepatosplenomegaly, without any proven hepatobiliary obstruction or metastases. CASE SUMMARY: We report a patient who presented with elevated liver enzymes, cholestatic jaundice, weight loss and pruritus, in whom renal cell carcinoma was incidentally found during hospitalization. Clinical, laboratory, and imaging tests excluded primary hepatic cause or metastatic disease. Jaundice and laboratory abnormalities reversed completely a few months after nephrectomy. This case is an example of the many sides of renal cell carcinoma, and it focuses the clinicians' attention on the differential diagnosis of cholestasis, including Stauffer syndrome and its variant. Thus, the correct diagnosis can be straightforward and the associated malignancy can be treated promptly. All cases should be followed up with a multidisciplinary team. Interleukin (IL)-6 is proposed to contribute to the pathophysiology of the condition. The probable mechanism is proinflammatory activity by the IL-6 cytokine, causing elevation of C-reactive protein and haptoglobin and inhibition of hepatobiliary transporter gene expression, impairing biliary outflow. CONCLUSION: Despite being rare, Stauffer syndrome is a potentially reversible paraneoplastic condition, when the primary cause is treatable. This syndrome should be considered by clinicians because of the remediable liver disturbance, after successful treatment of the underlying malignancy.

3.
J Environ Radioact ; 227: 106466, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33248409

RESUMO

The impact of foliar fertilization with zinc (ZnSO4) and manganese (MnSO4 on 137Cs uptake by spring wheat and potato was studied. The experiments were conducted during 3 years (2014-2016) in a137Cs-contaminated area, Zhytomyr region of Ukraine. The fertilization was carried out on podzolic loamy sand soil, poor in most of the microelements. Both crops were fertilized at four successive stages of growth. Foliar application of fertilizers caused higher yield of wheat grain/straw and potato tubers yield in 2014-2015 years but had no effect in 2016. Thus, the overall effect of fertilization between 2014 and 2016 was less pronounced and generally insignificant. Application of Zn, Mn and EDTA reduced 137Cs uptake by wheat grain and potato tubers, when fertilized at earlier stages of growth and development in years 2014 and 2015 by factor 1.5-2.0, while in 2016 the effect was generally statistically insignificant. It is suggested, that reduction of 137Cs uptake by spring wheat and potato, at least partly, was caused by an effect of radionuclide dilution due to the higher biomass of the plants. A foliar spray of EDTA at earlier stages of plant growth and development may be considered as a potential countermeasure aiming reducing 137Cs uptake from soil to plants, even if such effect appeared to be conditional.


Assuntos
Radioisótopos de Césio , Ácido Edético , Monitoramento de Radiação , Poluentes Radioativos do Solo/análise , Solanum tuberosum/fisiologia , Triticum/fisiologia , Fertilizantes , Manganês , Solo , Ucrânia , Zinco
4.
Artigo em Inglês | MEDLINE | ID: mdl-33338015

RESUMO

Machine learning for nondestructive evaluation (NDE) has the potential to bring significant improvements in defect characterization accuracy due to its effectiveness in pattern recognition problems. However, the application of modern machine learning methods to NDE has been obstructed by the scarcity of real defect data to train on. This article demonstrates how an efficient, hybrid finite element (FE) and ray-based simulation can be used to train a convolutional neural network (CNN) to characterize real defects. To demonstrate this methodology, an inline pipe inspection application is considered. This uses four plane wave images from two arrays and is applied to the characterization of cracks of length 1-5 mm and inclined at angles of up to 20° from the vertical. A standard image-based sizing technique, the 6-dB drop method, is used as a comparison point. For the 6-dB drop method, the average absolute error in length and angle prediction is ±1.1 mm and ±8.6°, respectively, while the CNN is almost four times more accurate at ±0.29 mm and ±2.9°. To demonstrate the adaptability of the deep learning approach, an error in sound speed estimation is included in the training and test set. With a maximum error of 10% in shear and longitudinal sound speed, the 6-dB drop method has an average error of ±1.5 mmm and ±12°, while the CNN has ±0.45 mm and ±3.0°. This demonstrates far superior crack characterization accuracy by using deep learning rather than traditional image-based sizing.

5.
Artigo em Inglês | MEDLINE | ID: mdl-31985420

RESUMO

Plane wave imaging (PWI) is an ultrasonic array imaging technique used in nondestructive testing, which has been shown to yield high resolution with few transmissions. Only a few published examples are available of PWI of components with nonplanar surfaces in immersion. In these cases, inspections were performed by adapting the transmission delays in order to produce a plane wave inside the component. This adaptation requires prior knowledge of the component geometry and position relative to the array. This article proposes a new implementation, termed PWI adapted in postprocessing (PWAPP), which has no such requirement. In PWAPP, the array emits a plane wave as in conventional PWI. The captured data are input into two postprocessing stages. The first reconstructs the surface of the component; the latter images inside of it by adapting the delays to the distortion of the plane waves upon refraction at the reconstructed surface. Simulation and experimental data are produced from an immersed sample with a concave front surface and artificial defects. These are processed with conventional and surface corrected PWI. Both algorithms involving surface adaptation produced nearly equivalent results from the simulated data, and both outperform the nonadapted one. Experimentally, all defects are imaged with a signal-to-noise ratio (SNR) of at least 31.8 and 33.5 dB for, respectively, PWAPP and PWI adapted in transmission but only 20.5 dB for conventional PWI. In the cases considered, reducing the number of transmissions below the number of array elements shows that PWAPP maintains its high SNR performance down to the number of firings equivalent to a quarter of the array elements. Finally, experimental data from a more complex surface specimen are processed with PWAPP resulting in detection of all scatterers and producing SNR comparable to that of the total focusing method.

6.
J Pediatr Urol ; 15(2): 114-123, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30713084

RESUMO

INTRODUCTION: The term variations of sex development subsumes a large number of congenital conditions including chromosomal mosaics and variations of chromosomal, gonadal, and phenotypic sex. A situation of this nature may cause severe distress to both, parents and affected persons. One of the reasons for this is the binary form of gender classification in the society. In the past, because of a fear of possible stigmatization and an inability to cope with complex situations, it has been medical policy and practice for newborns to undergo early, mostly 'feminizing' elective surgery with the aim of achieving an outer genital appearance that is unambiguously male or female. Protests by advocacy groups for the most part as well as the results of outcome studies have shown that the development of affected persons may be very different to what has been expected and often does not result in the intended clear female or male gender identity as had been intended. It, therefore, seemed a matter of urgency to implement this new awareness as well as the ethical and personal human rights perspectives in the recommendations for the medical and psychosocial management of diverse sex development (DSD) in the future. STUDY DESIGN: In 2012, an interdisciplinary group of German academics engaged in the field of DSD decided to work on a consensus paper for this topic. It involved the participation of all faculties and non-scientific groups dealing with DSD, in particular advocacy and service-user groups. In a structured consensus, process recommendations were developed based on scientific literature as well as personal experiences of clinicians and affected individuals. RESULTS: Finally, 37 recommendations were agreed on. The strength of consensus is reflected in the degree of agreement as expressed in percentages. CONCLUSION: The introduction of the consensus paper reflects on the emerging paradigm shift and the necessity for a more open view of gender within society. The paper is intended to aid the performance of appropriate diagnostics in DSD-affected newborns and especially to help parents and affected persons cope with the biological and social consequences of DSD. With regard to medical or surgical therapy, it gives information about the most recent treatment trends.


Assuntos
Transtornos do Desenvolvimento Sexual/diagnóstico , Transtornos do Desenvolvimento Sexual/terapia , Feminino , Alemanha , Humanos , Recém-Nascido , Comunicação Interdisciplinar , Masculino , Guias de Prática Clínica como Assunto
7.
J Environ Radioact ; 190-191: 97-104, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29775843

RESUMO

In forest ecosystems soil organisms are important for immobilization, translocation and recycling of radionuclides. Still, there is a lack of studies on the role of insects such as ants in the turnover of radionuclides and how radioactivity affects an ant community. In this study seven anthills were sampled in an area that was heavily contaminated after the fallout from the Chernobyl accident. Samples of ant and anthill materials were taken from different depths of the anthills as well as from the surrounding soil and the activity concentrations of 137Cs were determined. In addition, a radiation dose assessment was performed for ants and anthills using the ERICA tool. The deposition of 137Cs in 1986 in the study area was calculated back to be on average 110,500 Bq m-2. The averaged data for all the seven locations investigated indicate that the level of 137Cs activity concentrations in the anthill's material increased with depth of the anthill being highest at the depth 50-65 cm. The concentration in the upper layers (0-2 cm) and of the ants showed significant correlations with the deposition upon multivariate analysis. The concentration ratio (CR) defined as the ratio between the mass activity for 137Cs density in ants (Bq kg-1 d.w.) and mass activity density in soil (Bq kg-1 d.w.) was determined to be in the range of 0.04-0.14. Also, the transfer factor (TF) defined as the ratio between the mass activity for 137Cs density in ant (Bq kg-1 d.w.) and to the unit area activity density (in Bq m-2 d.w.) was determined for 137Cs to be 0.0015 m2 kg-1 d.w. The assessed radiation doses were found to be a 4.9 µGy h-1 which is below international reference levels for non-human biota.


Assuntos
Formigas/química , Radioisótopos de Césio/análise , Monitoramento de Radiação , Poluentes Radioativos do Solo/análise , Animais , Acidente Nuclear de Chernobyl , Ecossistema , Florestas , Doses de Radiação , Cinza Radioativa , Solo/química , Suécia
8.
Allergy ; 73(2): 490-497, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28859263

RESUMO

BACKGROUND: Recent efficacy studies of asthma biologics have included highly enriched patient populations. Using a similar approach, we examined factors that predict response to omalizumab to facilitate selection of patients most likely to derive the greatest clinical benefit from therapy. METHODS: Data from two phase III clinical trials of omalizumab in patients with allergic asthma were examined. Differences in rates of asthma exacerbations between omalizumab and placebo groups during the 16-week inhaled corticosteroid (ICS) dose-stable phase were evaluated with respect to baseline blood eosinophil counts (eosinophils <300/µL [low] vs ≥300/µL [high]) and baseline markers of asthma severity (emergency asthma treatment in prior year, asthma hospitalization in prior year, forced expiratory volume in 1 second [FEV1 ; FEV1 <65% vs ≥65% predicted], inhaled beclomethasone dipropionate dose [<600 vs ≥600 µg/day], and long-acting beta-agonist [LABA] use [yes/no]). RESULTS: Adults/adolescents (N = 1071) were randomized to receive either omalizumab (n = 542) or placebo (n = 529). In the 16-week ICS dose-stable phase, rates of exacerbations requiring ≥3 days of systemic corticosteroid treatment were 0.066 and 0.147 with omalizumab and placebo, respectively, representing a relative rate reduction in omalizumab-treated patients of 55% (95% CI, 32%-70%; P = .002). For patients with eosinophils ≥300/µL or with more severe asthma, this rate reduction was significantly more pronounced. CONCLUSION: In patients with allergic asthma, baseline blood eosinophil levels and/or clinical markers of asthma severity predict response to omalizumab.


Assuntos
Antiasmáticos/uso terapêutico , Asma/tratamento farmacológico , Omalizumab/uso terapêutico , Adolescente , Adulto , Produtos Biológicos/uso terapêutico , Método Duplo-Cego , Feminino , Humanos , Masculino , Seleção de Pacientes , Índice de Gravidade de Doença , Resultado do Tratamento , Adulto Jovem
9.
J Environ Radioact ; 177: 250-255, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28719852

RESUMO

A method for fast determination of the activity in soil samples by measuring a fresh soil core sample from both ends with an HPGe-detector is proposed. The method was tested by simulations, as well as by measurements on spiked soil samples. Both simulations and measurements showed that the geometrical mean of the count rates when the sample is measured twice, with the bottom and the top end, respectively, facing the detector closely resembles the count rate from a measurement on a homogenized sample. Therefore, an efficiency calibration for homogenized samples could be used even if the activity is highly inhomogeneous in the soil core, as is the case with fresh fallout. It was also shown that by studying the ratio between the two measurements, a rough estimation of the extent of penetration of the radionuclide in the soil can be found. This will enhance the possibility to make rapid estimations of the soil inventory by field gamma spectrometry.


Assuntos
Monitoramento de Radiação/métodos , Cinza Radioativa/análise , Poluentes Radioativos do Solo/análise , Calibragem , Espectrometria gama
10.
Vet Comp Oncol ; 15(3): 840-851, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26991552

RESUMO

Currently no standard of care exists for advanced, inoperable or metastatic anal sac adenocarcinoma (ASAC). The objective of this retrospective study was to assess the role of hypofractionated radiation therapy (RT) in 77 dogs with measurable ASAC. A total of 38% of dogs experienced a partial response to RT. For dogs presenting with clinical signs related to the tumour, improvement or resolution of signs was noted in 63%. For dogs presenting with hypercalcemia of malignancy, resolution was noted in 31% with RT alone and an additional 46% with radiation, prednisone, and/or bisphosphonates. Median overall survival was 329 days (range: 252-448 days). Median progression free survival was 289 days (range: 224-469). There was no difference in survival based on radiation protocol, use of chemotherapy, previous surgery or advanced stage. Radiation toxicities were mild and infrequent. Hypofractionated RT is well tolerated and is applicable in the treatment of advanced primary, locoregional or metastatic ASAC.


Assuntos
Adenocarcinoma/veterinária , Neoplasias das Glândulas Anais/radioterapia , Sacos Anais , Doenças do Cão/radioterapia , Adenocarcinoma/mortalidade , Adenocarcinoma/radioterapia , Neoplasias das Glândulas Anais/mortalidade , Animais , Doenças do Cão/mortalidade , Cães , Feminino , Masculino , Hipofracionamento da Dose de Radiação , Estudos Retrospectivos
11.
Oncogene ; 35(44): 5759-5769, 2016 11 03.
Artigo em Inglês | MEDLINE | ID: mdl-27109096

RESUMO

The ability of breast cancer cells to resist anoikis, apoptosis caused by detachment of the non-malignant epithelial cells from the extracellular matrix (ECM), is thought to be critical for breast tumor growth, invasion and metastasis. ErbB2, an oncoprotein that is often overproduced in breast tumors, can block breast cancer cell anoikis via mechanisms that are understood only in part. In an effort to understand them better we found that detachment of the non-malignant human breast epithelial cells from the ECM upregulates a protein Perp in these cells. Perp is a component of the desmosomes, multiprotein complexes involved in cell-to-cell adhesion. Perp can cause apoptosis via unknown mechanisms. We demonstrated that Perp upregulation by cell detachment is driven by detachment-induced loss of epidermal growth factor receptor (EGFR). We also found that Perp knockdown by RNA interference (RNAi) rescues detached cells from death which indicates that Perp contributes to their anoikis. We observed that ErbB2, when overexpressed in detached breast epithelial cells, causes Perp downregulation. Furthermore, ErbB2-directed RNAi or treatment with lapatinib, an ErbB2/EGFR small-molecule inhibitor used for breast cancer therapy, upregulated Perp in ErbB2-positive human breast and ovarian carcinoma cells. We established that ErbB2 downregulates Perp by activating an ErbB2 effector protein kinase Mek that blocks detachment-induced EGFR loss in a manner that requires the presence of a signaling protein Sprouty-2. Finally, we observed that restoration of the wild-type Perp levels in ErbB2-overproducing breast epithelial cells increases their anoikis susceptibility and blocks their clonogenicity in the absence of adhesion to the ECM. In summary, we have identified a novel mechanism of ErbB2-mediated mechanism of anoikis resistance of ErbB2-overproducing breast epithelial cells. This mechanism allows such cells to grow without adhesion to the ECM and is driven by ErbB2-induced activation of Mek, subsequent EGFR upregulation and further EGFR-dependent Perp loss.


Assuntos
Neoplasias da Mama/genética , Neoplasias da Mama/metabolismo , Transformação Celular Neoplásica/genética , Transformação Celular Neoplásica/metabolismo , Transição Epitelial-Mesenquimal/genética , Regulação Neoplásica da Expressão Gênica , Proteínas de Membrana/genética , Receptor ErbB-2/metabolismo , Anoikis/genética , Neoplasias da Mama/patologia , Linhagem Celular Tumoral , Regulação para Baixo , Receptores ErbB/genética , Receptores ErbB/metabolismo , Feminino , Genes Supressores de Tumor , Humanos , Sistema de Sinalização das MAP Quinases , Proteínas de Membrana/metabolismo
12.
J Environ Radioact ; 151 Pt 1: 224-232, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26519923

RESUMO

Contamination levels on potato foliage and tubers were investigated by repeated sampling after multiple foliar contaminations of wet-deposited (134)Cs at five different growth stages in a micro-plot field experiment in three successive years. Application of the radionuclide early in the growing season (deposition date 19-27 June, growth stage II = plant establishment) resulted in low (134)Cs activity concentration in potato tubers across sampling occasions (mean 60, 25 and 115 Bq kg(-1) dry weight (D.W.) for years 1, 2 and 3, respectively). Following radionuclide deposition in the middle of the growing season (15-24 July, growth stage III = tuber initiation), (134)Cs activity concentration in tubers across sampling occasions was found to be highest (mean 150, 850 and 660 Bq kg(-1) D.W. for years 1, 2 and 3, respectively). When the radionuclide was sprayed on at later stages (5-7 August, growth stage IV = tuber bulking), (134)Cs activity concentrations in tubers across sampling dates decreased (mean 75, 310 and 395 Bq kg(-1) D.W. for years 1, 2 and 3, respectively). Deposition in the second half of August (15-28 August, late growth stage IV and beginning of growth stage V = tuber maturation) resulted in yet lower (134)Cs activity concentration in tubers. Potato tubers may concentrate as much as up to 2 times more (134)Cs than foliage depending on deposition date of radionuclide.


Assuntos
Poluentes Radioativos do Ar/metabolismo , Radioisótopos de Césio/metabolismo , Monitoramento de Radiação , Solanum tuberosum/metabolismo , Folhas de Planta/metabolismo , Tubérculos/metabolismo , Chuva , Estações do Ano , Solanum tuberosum/crescimento & desenvolvimento , Suécia
13.
Oncogene ; 34(38): 4939-51, 2015 Sep 17.
Artigo em Inglês | MEDLINE | ID: mdl-25531320

RESUMO

Detachment of non-malignant epithelial cells from the extracellular matrix causes their apoptosis, a phenomenon called anoikis. By contrast, carcinoma cells are anoikis-resistant, and this resistance is thought to be critical for tumor progression. Many oncogenes trigger not only anti- but also pr-apoptotic signals. The proapoptotic events represent an aspect of a phenomenon called oncogenic stress, which acts as a safeguard mechanism blocking tumor initiation. In cells that become malignant, oncogene-induced antiapoptotic signals outbalance the proapoptotic ones. It is now thought that treatments blocking the antiapoptotic events but preserving the proapoptotic signals can be particularly effective in killing tumor cells. Whether or not oncogenes induce any proanoikis signals that can be used for enhancing the efficiency of approaches aimed at triggering anoikis of cancer cells has never been explored. ß-Catenin is a major oncoprotein that is often activated in colorectal cancer and promotes tumor progression via mechanisms that are understood only in part. We found here that ß-catenin triggers both anti- and proanoikis signals in colon cancer cells. We observed that the antianoikis signals prevail and the cells become anoikis-resistant. We further established that one proanoikis signal in these cells is triggered by ß-catenin-induced downregulation of an apoptosis inhibitor tumor necrosis factor receptor 1 (TNFR1) and subsequent reduction of the activity of a transcription factor NF-κB (nuclear factor-κB), a mediator of TNFR1 signaling. We also found that the effect of ß-catenin on TNFR1 requires the presence of transcription factor TCF1, a ß-catenin effector. We demonstrated that ablation of ß-catenin in colon cancer cells triggers their anoikis and that this anoikis is enhanced even further if low TNFR1 or NF-κB activity is artificially preserved in the ß-catenin-deprived cells. Thus, inhibition of TNFR1 or NF-κB activity can be expected to enhance the efficiency of approaches aimed at blocking ß-catenin-driven anoikis resistance of colon carcinoma cells.


Assuntos
Anoikis , Neoplasias do Colo/patologia , Receptores Tipo I de Fatores de Necrose Tumoral/antagonistas & inibidores , beta Catenina/metabolismo , Linhagem Celular Tumoral , Neoplasias do Colo/metabolismo , Regulação para Baixo , Fator 1-alfa Nuclear de Hepatócito/metabolismo , Humanos , Receptores Tipo I de Fatores de Necrose Tumoral/metabolismo
15.
J Environ Radioact ; 130: 22-32, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24412815

RESUMO

Fertilization of soils contaminated by radionuclides with potassium (K) and its effect on (137)Cs transfer from soil to crops is well studied in field conditions; however experiments over many years are few. The effects of potassium fertilization on cesium-137 ((137)Cs) transfer to hay, pasture grass, and barley growing on organic rich soils and mineral sand and loam soils in a number of field experimental sites situated in different environments in Sweden are summarized and discussed. The basic experimental treatments were control (no K fertilizers were applied), 50, 100, and 200 kg K ha(-1). In the experiment, which lasted over 3-6 years, (137)Cs transfer factors in control treatments ranged between 0.0004 m(2) kg(-1) (barley grain on sand soil) and 0.07 m(2) kg(-1) (pasture grass on organic rich soil). Potassium application on soils with low clay content i.e. mineral sand and organic rich soils was effective at the 50-100 kg ha(-1) level. Application of 200 kg K ha(-1) resulted in a five-fold reduction in (137)Cs transfer for hay and up to four-fold for barley grain. The effects of potassium application were generally greater on sand than organic rich soil and were observed already in the first cut. After K application, the reduction in (137)Cs transfer to crops was correlated with (137)Cs:K ratios in plant material. Additional application of zeolite caused a 1.4 reduction of (137)Cs transfer to hay on sand and 1.8-fold reduction on organic rich soil; whereas, application of potash-magnesia and CaO had no effect.


Assuntos
Césio/metabolismo , Acidente Nuclear de Chernobyl , Poaceae/metabolismo , Potássio/metabolismo , Cinza Radioativa , Poluentes Radioativos do Solo/metabolismo , Compostos de Cálcio/metabolismo , Fertilizantes , Hordeum/metabolismo , Óxidos/metabolismo , Estações do Ano , Solo/química , Suécia , Zeolitas/metabolismo
16.
Clin Exp Obstet Gynecol ; 41(5): 507-11, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25864248

RESUMO

PURPOSE: The saltatory pattern, characterized by wide and rapid oscillations of the fetal heart rate (FHR), remains a controversial entity. The authors sought to evaluate whether it could be associated with an adverse fetal outcome. MATERIAL AND METHODS: The authors report a case series of four saltatory patterns occurring in the last 30 minutes before birth in association with cord artery metabolic acidosis, obtained from three large databases of internally acquired FHR tracings. The distinctive characteristics of this pattern were evaluated with the aid of a computer system. RESULTS: All cases were recorded in uneventful pregnancies, with normal birthweight singletons, born vaginally at term. The saltatory pattern lasted between 23 and 44 minutes, exhibited a mean oscillatory amplitude of 45.9 to 80.0 beats per minute (bpm) and a frequency between four and eight cycles per minute. CONCLUSIONS: A saltatory pattern exceeding 20 minutes can be associated with the occurrence of fetal metabolic acidosis.


Assuntos
Acidose/etiologia , Cardiotocografia/métodos , Hipóxia Fetal/complicações , Frequência Cardíaca Fetal/fisiologia , Doenças do Recém-Nascido/etiologia , Diagnóstico Pré-Natal/métodos , Acidose/diagnóstico , Acidose/fisiopatologia , Gasometria , Feminino , Hipóxia Fetal/diagnóstico , Hipóxia Fetal/fisiopatologia , Humanos , Recém-Nascido , Doenças do Recém-Nascido/diagnóstico , Doenças do Recém-Nascido/fisiopatologia , Masculino , Gravidez , Resultado da Gravidez , Processamento de Sinais Assistido por Computador
17.
J Environ Radioact ; 126: 14-9, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23933082

RESUMO

Methods for cleaning up radioactive contaminated soils are urgently needed. In this study we investigated whether the use of arbuscular mycorrhizal (AM) fungi can improve (137)Cs uptake by crops. Barley, cucumber, perennial ryegrass, and sunflower were inoculated with AM fungi and grown in low-level radionuclide contaminated soils in a field experiment 70 km southwest of Chernobyl, Ukraine, during two successive years (2009-2010). Roots of barley, cucumber and sunflower plants were slightly or moderately infected with AM fungus and root infection frequency was negatively or non-correlated with (137)Cs uptake by plants. Roots of ryegrass were moderately infected with AM fungus and infection frequency was moderately correlated with (137)Cs uptake by ryegrass. The application of AM fungi to soil in situ did not enhance radionuclide plant uptake or biomass. The responsiveness of host plants and AM fungus combination to (137)Cs uptake varied depending on the soil, although mycorrhization of soil in the field was conditional and did not facilitate the uptake of radiocesium. The total amount of (137)Cs uptake by plants growing on inoculated soil was equal to amounts in plant cultivated on non-inoculated soil. Thus, the use of AM fungi in situ for bioremediation of soil contaminated with a low concentration of (137)Cs could not be recommended.


Assuntos
Radioisótopos de Césio/análise , Radioisótopos de Césio/metabolismo , Cucumis sativus/microbiologia , Micorrizas/fisiologia , Raízes de Plantas/metabolismo , Raízes de Plantas/microbiologia , Biodegradação Ambiental , Cucumis sativus/química , Cucumis sativus/metabolismo , Helianthus/metabolismo , Helianthus/microbiologia , Lolium/metabolismo , Lolium/microbiologia , Raízes de Plantas/química , Ucrânia
18.
ACG Case Rep J ; 1(1): 25-8, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26157813

RESUMO

Whipple's disease is a rare cause of chronic diarrhea and abdominal pain that may be confused with inflammatory bowel disease. We report a Whipple's case misdiagnosed as Crohn's disease in which treatment with anti-tumor necrosis factor (anti-TNF) therapy led to nearly fatal progression. Lymph node tissue obtained during laparotomy for suspected bowel necrosis stained dramatically with periodic acid-Schiff (PAS), and electron microscopy showed a bacterium consistent with Trophyrema whipplei. The patient made a remarkable recovery complicated only by cholestatic hepatitis, which was likely a treatment-associated inflammatory response. This case serves as a reminder that all granulomatous infections should be considered prior to initiation of anti-TNF therapies.

19.
Chemosphere ; 90(2): 713-20, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23102726

RESUMO

In this study, we estimated the relative importance of vegetation and fungi for radiocesium uptake and biological retention in adjacent bog, pine swamp, and forest. The measurements for (137)Cs activity concentration in sporocarps (i.e. fruitbodies of fungi) and vegetation along a bog to forest transect were combined with complementary published data to calculate estimates. Aboveground vegetation comprised 17.7% of the total fallout-derived radiocesium in the system in bog, 16.5% in pine swamp, and 40.6% in forest. In fungal sporocarps grown along a gradient, (137)Cs activity comprised <0.001% of the total radiocesium for peat bog, <0.02% for pine swamp, and 0.11% for forest. Total (137)Cs activity in sporocarps increased along the gradient due to increased production of sporocarps in the presence of trees from 0.006 (bog), 0.097 (pine swamp) and 0.67 (forest) g dwt m(-2). Based on calculation of the total vegetation biomass and through relationships between fungal biomass in sporocarps and as mycelia in soil, the total (137)Cs activity located in fungi was estimated as 0.1% in bog, 2% in pine swamp, and 11% in forest. An analysis of the time-dependency of (137)Cs in the sporocarps in forest between 1990 and 2011 suggested an ecological half-life for (137)Cs between 8 and 13 years. Although fungi comprised a relatively small fraction of the total radiocesium in the systems, its activity decreased slowly with time, and ecological residence time for (137)Cs in sporocarps of fungi was long, suggesting they will continue to contribute to the accumulation and cycling of this radionuclide in forest.


Assuntos
Radioisótopos de Césio/análise , Fungos/química , Poluentes Radioativos do Solo/análise , Esporos Fúngicos/química , Árvores , Áreas Alagadas , Pinus , Monitoramento de Radiação , Cinza Radioativa/análise
20.
J Environ Radioact ; 115: 151-6, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22939950

RESUMO

The potential use of mycorrhiza as a bioremediation agent for soils contaminated by radiocesium was evaluated in a greenhouse experiment. The uptake of (137)Cs by cucumber, perennial ryegrass, and sunflower after inoculation with a commercial arbuscular mycorrhizal (AM) product in soils contaminated with (137)Cs was investigated, with non-mycorrhizal quinoa included as a "reference" plant. The effect of cucumber and ryegrass inoculation with AM fungi on (137)Cs uptake was inconsistent. The effect of AM fungi was most pronounced in sunflower: both plant biomass and (137)Cs uptake increased on loamy sand and loamy soils. The total (137)Cs activity accumulated within AM host sunflower on loamy sand and loamy soils was 2.4 and 3.2-fold higher than in non-inoculated plants. Although the enhanced uptake of (137)Cs by quinoa plants on loamy soil inoculated by the AM fungi was observed, the infection of the fungi to the plants was not confirmed.


Assuntos
Radioisótopos de Césio/metabolismo , Cucumis sativus/microbiologia , Helianthus/microbiologia , Lolium/microbiologia , Micorrizas/metabolismo , Poluentes Radioativos do Solo/metabolismo , Biodegradação Ambiental , Biomassa , Chenopodium quinoa/microbiologia , Chenopodium quinoa/fisiologia , Cucumis sativus/fisiologia , Helianthus/fisiologia , Lolium/fisiologia , Raízes de Plantas/microbiologia , Raízes de Plantas/fisiologia , Solo/química
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