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Biomedical subjects

J Slivka

Publications and source records attributed to J Slivka.

At least 19 recordsLinked to original sources

Indoor radon in rural dwellings of the South-Pannonian region.

The results of indoor radon survey in the South-Pannonian Province Vojvodina (Serbia and Montenegro) are presented. The sampling strategy was oriented towards suburban and urban regions in the Province. For the dwellings typical for such regions the geometric mean annual radon activity concentration of 76.1 Bq m(-3) is measured (1000 measurements). This result leads to the annual dose estimate of 4.3 mSv y(-1), which is above the recommended action limit of ICRP. For urban dwellings in Novi Sad (the Province capital), the annual mean value of 54 Bq m(-3) (220 measurements) is obtained. By comparison of these two results it is concluded that radon surveys based on measurements in urban environment may seriously underestimate the radon-related health risk. The elevated radon levels could not be explained by elevated uranium levels of surface soil.

Air Pollutants, Radioactive↗

Radioactivity of the Bega sediment-case study of a contaminated canal.

The Bega canal is one among many heavily polluted canals in Vojvodina (the northern province of Serbia and Montenegro). In the framework of the revitalization of this canal, the radionuclide content of the sediment was investigated in order to support the safe deposition after excavation. It was found that, in comparison with the Danube sediment and Vojvodina soil, the Bega sediment is contaminated with (238)U and (137)Cs. The origin of this contamination is discussed. No traces of contamination by nuclear power plants in the region were found, while the presence of technologically enhanced, natural occurring radioactive materials (TENORM) was proved.

Background Radiation↗

Radioactivity of the soil in Vojvodina (northern province of Serbia and Montenegro).

The widespread public belief that during the bombardment of Vojvodina (Yugoslavia) this region was contaminated by depleted uranium has recently raised public concern with respect to the potential contamination of agricultural products due to soil radioactivity. Based on the gamma-spectrometric analysis of 50 soil samples taken from the region of Vojvodina we concluded that there is no increase of radioactivity that could endanger the food production. Taking into account the transfer factors of 137Cs to plants, the measured activity concentrations of this isotope should not endanger the health safety of the produced food. No traces of depleted uranium have been found. The natural radioactivity levels are compared with the results form other countries.

Cesium Radioisotopes↗

115In as a probe for the characterization of therapy bremsstrahlung beams and the detection of photoneutrons.

Variation of the photoactivation rate across radiation fields of three different bremsstrahlung beams of two medical accelerators has been measured, making use of the photonuclear reactions in natural indium probes: 115In(y,y')115mIn and 115In(y,n)114mIn. The third nuclear reaction, 115In(n,y)116mIn, was used to detect the presence of neutrons in the photon beam and to estimate the spatial distribution of thermal and fast neutrons in the patient plane as a function of collimator opening.

Calibration↗

Cephalocele detection in utero: sonographic and clinical features.

Sonographic and clinical features of 26 fetal cephaloceles were reviewed retrospectively. The most frequent reason for referral was elevated maternal serum alpha-fetoprotein levels. The smallest lesion identified was 0.4 x 0.5 cm (frontal, at 20 weeks); the largest was 9.0 x 10.0 cm (frontal, at 27 weeks). Twenty-four of 26 cephaloceles were detected on prenatal ultrasound examination; in 13 of these, more than 50% of the intracranial contents were exteriorized. Fifteen of 24 cephaloceles detected prenatally had a sulcal pattern (identified between 16 and 36 weeks' gestation); five were solid without a sulcal pattern (identified between 13 and 21 weeks' gestation), three were cystic, and one underwent a change in appearance from solid at 21 weeks to cystic at 26 weeks. Other cranial features were evaluated and included visible skull defect, seen in 23/24 (96%), ventriculomegaly, in 6/26 (23%); microcephaly, in 12/24 (50%); beaked tectal plate, in 6/16 (38%); and flattened basiocciput, in 9/24 (38%). Of the 26 cases, 14 had normal amniotic fluid volume, five had oligohydramnios and seven had polyhydramnios. Fetuses with oligohydramnios had the highest incidence of concurrent fetal abnormalities; four of five fetuses (80%) with oligohydramnios had additional structural abnormalities. In the overall population, a very high incidence of other abnormalities was found; 17/26 (65%) cases showed additional abnormalities, some of which were not detected by ultrasound. Five fetuses had Meckel-Gruber syndrome and three had amniotic band syndrome. Only one of the 18 karyotypes obtained was abnormal (trisomy 18). Survival was very poor; only two of the eight who survived until birth are currently living.

Abnormalities, Multiple↗

Tyropanoate cholecystography early in the course of acute pancreatitis.

Oral cholecystography (OCG) has traditionally been delayed until several weeks after hospitalization for pancreatitis because of the putative frequent poor visualization during the acute episode. Recently, OCG with iopanoic acid was reported successful in most patients with acute pancreatitis soon after resumption of a solid diet. We evaluated OCG with sodium tyropanoate, a pharmacokinetically different contrast material, in 30 hospitalized patients with pancreatitis before resumption of solid food. It accurately evaluated the gallbladder in 24 cases (80%). Abnormal liver function tests, including mild hyperbilirubinemia, did not interfere with the examination. Consequently, 1) tyropanoate OCG adequately opacifies the gallbladder in most patients with acute pancreatitis who are fasting or taking liquids only; 2) allows gallbladder evaluation earlier than with iopanoic acid OCG; 3) is less affected by hepatic dysfunction; and 4) provides an alternative to ultrasonography.

Acute Disease↗

Complement and coagulation: causative considerations in contrast catastrophies.

Earlier studies suggest that adverse reactions to injected radiographic contrast media are idiosyncratic. In an attempt to gain a better understanding of pathophysiologic events underlying these reactions, rabbit models injected with lethal dose ranges of a cholangiographic contrast material were studied. These animals showed activation of both the complement and coagulation systems. Externally applied heat potentiated complement consumption and increased mortality. Depleting complement components C3-C9 by cobra venom factor did not prevent activation of coagulation or diminish mortality. However, depleting fibrinogen diminished complement activation and markedly diminished mortality. Heparin, administered at several hourly intervals after contrast challenge, also diminished mortality. These studies suggest that the adverse effects of contrast media in this model system are mediated chiefly by the coagulation system, and that complement, if it participates deleteriously, must involve components up to, but not including, C3. A logical role for the inhibitor of C1 esterase in adverse contrast reactions is considered.

Ancrod↗

An improved radiographic view of the glenohumeral joint.

In addition to the standard views of the shoulder (external rotation, internal rotation, and axillary), a 40-degree posterior oblique and a 60-degree anterior oblique projection were used to evaluate 105 consecutive shoulder examinations. Of the 32 abnormal shoulders evaluated, the diagnosis was established 97% of the time with a single 40-degree posterior oblique view, as opposed to a 78% rate with the three standard views. The 40-degree posterior oblique view of the shoulder is especially useful in evaluating the glenohumeral joint.

Humans↗

Detection of porencephaly by cerebral dynamic scanning.

Routine cerebral dynamic scanning in two patients revealed unilateral focal areas of decreased radionuclide activity between the anterior and middle cerebral arteries; the subsequent brain scans were normal. Both patients were shown to have porencephaly by isotope cisternography and computed tomography (CT) scans. When a focal avascular area is noted on cerebral dynamic scanning in the presence of normal static images, the possibility of a porencephalic cyst should be considered.

Adult↗

Decreased 99mTc sulfur colloid activity in healed rib fractures.

This report describes 2 patients in whom focal areas of decreased 99mTc sulfur colloid marrow activity were associated with callus formation and healing rib fractures in one case and rib fractures with bony bridging in the second. Since bone marrow scans are occasionally used to select appropriate sites for marrow biopsy in patients with suspected metastatic disease, radiographic correlation of "cold" lesions on marrow scans is recommended prior to biopsy to exclude fracture with callus formation as a benign cause of the abnormality.

Adult↗

Extaarticular manifestations of septic arthritis of the glenohumeral joint.

Five patients with septic arthritis involving the glenohumeral joint are described. Although initial plain films were normal in all six involved joints, abnormalities were frequent on subsequent examinations, including demineralization (five joints), joint space narrowing (three joints), superior subluxation of the humeral head (three joints), osseous erosion (two joints), and inferior subluxation of the humeral head (one joint). Arthrography was helpful in documenting intraarticular placement of the needle for aspiration, synovial abnormalities, and extraarticular extension of disease. Particularly noteworthy was the occurrence of rotator cuff tears in four of six shoulders, suggesting a possible relationship between joint infection and disruption of the rotator cuff.

Aged↗

On the law of the iterated logarithm.

The law of the iterated logarithm provides a family of bounds all of the same order such that with probability one only finitely many partial sums of a sequence of independent and identically distributed random variables exceed some members of the family, while for others infinitely many do so. In the former case, the total number of such excesses has therefore a proper probability distribution, and it is shown here that whenever the law applies this distribution possesses no moments of positive order. This result further elucidates the celebrated precision of this law of probability concerning fluctuations of sums of random variables.

Journal Article↗