Survey is given of the EPR studies on irradiated bone mineral referred to transplantology, physiology, pathology, dosimetry and to the detection of irradiated food. Stability, dose-dependency and nature of radiation-induced EPR signal in bone mineral (hydroxyapatite) are discussed. Paramagnetic centers produced by radiation as "labels" as applied to biomedical experiments and dosimetry are evaluated. Results on the detection of irradiated fruits, vegetables, and other dry food products are presented.

Bone Transplantation↗

PubMedDate not supplied

Chlamydia pneumoniae infection and ischemic heart disease in hemodialysis patients.

INTRODUCTION: Ischemic heart disease and other atherosclerotic complications are the prominent causes of death among hemodialyzed end-stage renal disease (ESRD) patients and renal transplant recipients. Numerous articles in recent years have raised the possibility of an infective factor, especially Chlamydia pneumoniae, in the development of atherosclerosis and its complications. The aim of this study was to assess the incidence of chronic C pneumoniae infection and its association with ischemic heart disease and atherosclerosis in a population of patients with ESRD awaiting renal transplantation. MATERIAL AND METHODS: The studied group consisted of 164 subjects: 99 ESRD patients (heart disease [HD] group) who were hospitalized for vascular access creation (27), pretransplantation nephrectomy (47), or kidney transplantation (25), and a control group of 65 subjects consisting of 50 healthy blood donors and 15 multiorgan donors. C pneumoniae was detected in vascular wall fragments, kidney biopsy specimens and peripheral blood monocytes using real time polymerase chain reaction (PCR). Serum immunoglobulin IgG and IgA anti-C pneumoniae antibodies were detected using Enzyme-linked immunosorbent assay (ELISA) and a lipid profile (cholesterol, high-density lipoprotein [HDL], low-density lipoprotein [LDL], and triglycerides [TG]) was obtained. Data on cardiovascular disease events, smoking history, diabetes, hypertension, cause, and length of renal failure were collected and analyzed. The existence of atherosclerotic lesions was detected using ultrasound (US) Doppler examination of aortic bifurcation. Chronic C pneumoniae infection was diagnosed on the basis of detection of both IgA and IgG antibodies and/or the detection of C pneumoniae DNA in vascular wall fragments or peripheral blood monocytes. After a follow-up of 32 months, data on cardiovascular events and patient history were collected again. RESULTS: Chronic C pneumoniae infection affected 46.5% (46/99) of HD patients and 9% (6/65) of controls (P < .05). Among HD patients, 26.3% (26/99) had ischemic heart disease (IHD) versus 6% in the control group. Among C pneumoniae-infected HD patients, IHD was more frequent (39.1%) than in noninfected HD patients (15%; P < .05). Within the 32-month observation period of the HD group, cardiac pain was observed in 11 (24%; 11/46) infected patients versus 3 (5.7%; 3/53) patients without C pneumoniae infection (P < .05). Exacerbation of previously diagnosed IHD was observed in 8 (44%; 8/18) cases in the C pneumoniae-infected group versus 0 (0%; 0/8) in the uninfected patients (P < .05). CONCLUSIONS: Chronic C pneumoniae infection affects hemodialysis patients more frequently than healthy subjects. Hemodialysis patients with C pneumoniae infection are at the greater risk of exacerbation of existing IHD.

Adult↗

PubMedDate not supplied

Chlamydia pneumoniae infection: an additional factor for chronic allograft rejection.

INTRODUCTION: Chronic rejection (CHR) of organ allografts, one of the most significant problems in modern transplantation, is not fully understood. This study sought to evaluate the influence of selected parameters on late kidney transplant function. PATIENTS AND METHOD: The studied group consisted of eighty-six patients who received allogeneic transplants between 1988 and 1999 for leukocyte Chlamydia pneumoniae-DNA, immunoglobulin (Ig)A/IgG anti-C pneumoniae, blood lipids, ischemic damage in the donor and during organ preservation, HLA mismatch, and acute rejection episodes. RESULTS: Eighty-six patients were segregated as 26 patients (30%) with histologically proven chronic graft rejection (CHR[+]) and 59 patients (70%) without (CHR[-]). The presence of C pneumoniae-DNA in peripheral blood leukocytes was significantly more frequent in CHR(+) than CHR(-) group (46% vs 20%). Patients with leukocytes positive for C pneumoniae-DNA more frequently (50%) had CHR than patients negative for C pneumoniae-DNA (22%). CHR(+) patients showed significantly lower HDL levels (47 mg/dL vs 58 mg/dL) and higher triglyceride levels (193 mg/dL vs 148 mg/dL). To study the cumulative effect of differences between the CHR(+) and CHR(-) groups, we applied a multiple binary logistic regression analysis. An econometric model enabled us to calculate the probability of CHR for a given patient taking into account covariates chosen by means of stepwise selection: the presence of C pneumoniae-DNA in blood leukocytes, the use of continuous pulsatile perfusion in hypothermia, myocardial infarction occurrence, and triglyceride concentrations. CONCLUSION: The presence of C pneumoniae-DNA in peripheral blood leukocytes increased the risk of CHR, which may be predicted by a multifactor analysis of chosen parameters.

Adult↗

PubMedDate not supplied

Microphthalmia: a new recessive mutation in the Norway rat.

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Animals↗

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Application of electron spin resonance in research on mineralized tissues.

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Animals↗

PubMedDate not supplied

Evaluation of sperm motility by optical diffractometry of spermatograms.

Evaluation of sperm motility based on analysis of spermatograms by optical diffractometry was performed. Spermatograms are defined as images of sperm tracks obtained on microphotographs by dark field illumination with long exposure time. Single track analysis proved that the details concerning single tracks are "seen" and recognized by the technique of optical diffractometry. Normal "linear", as well as abnormal "irregular", including "circular", tracks were numerically described. Multitrack analysis: The general pattern of all tracks contained in particular spermatograms derived from two groups of semen classified by hospital laboratory as "high" (control) and "low" ("mediocre") motility of spermatozoa, respectively, were analysed by optical diffractometry. The hospital laboratory was asked to provide for diffractometric analysis samples of the "mediocre" semens of quality similar enough to the "control" ones what concerns the percentage of motile spermatozoa (40 percent) and spermatozoan concentration. Diffraction patterns of 102 spermatograms of control sperm and of 103 spermatograms of sperm qualified as "mediocre" by subjective microscopic evaluation of sperm motility, were analysed and compared. Using discriminant analysis based on parameters describing radial distribution of light intensity in diffraction patterns of control and "mediocre" spermatograms, it was possible to classify correctly 71 cases as high motility sperms out of 102 spermatograms evaluated beforehand by hospital laboratory criteria as control ones. In the group of 103 spermatograms classified as "mediocre" sperms by hospital laboratory criteria 69 cases were correctly recognized as "mediocre" by diffractometric analysis. The overlapping of the analysed two groups of sperm by 30 percent might be explained by the fact that in the control spermatograms many trajectories are formed by inefficient, slow moving spermatozoa.(ABSTRACT TRUNCATED AT 250 WORDS)

Humans↗

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Dating of palaeoanthropological nuragic skeletal tissues using electron paramagnetic resonance (EPR) spectrometry.

Dating of skeletons of Nuragic population living in Sardinia island centuries BP, based on the quantitative evaluation of the concentration of stable paramagnetic species produced by ionising radiation in tooth enamel was performed by using EPR spectrometry. Applying the additive dose method (60Co gamma rays) and comparative calculations based on analogous measurements done with Roman skeleton of the known age as discovered close to Nuragic tomb (Tombs of Giants, La Testa S. Teresa di Gallura, Sardinia) the age of Nuragic skeleton was evaluated as equal to about 3,200 years (1,200 years BC). The total error of EPR measurements and dose extrapolation was estimated for 10-12%. Crystallinity of bone mineral in Nuragic skeleton evaluated by the EPR technique, adapted earlier by some of the authors of the present paper for biomedical studies on mineralised tissues, is only little changed after the centuries of its deposition in the tomb when compared with contemporary bone tissue. Comparison of chemical composition of Nuragic skeleton contaminated through slow percolation by rain of floods with that of contemporary bone sample shows the increase of the concentration of Fe, PO4, SiO2, Al and Mg, Fe, SiO2, AP are not present in contemporary bones. As expected, the contamination was minimal in tooth enamel.

Bone Density↗

PubMedDate not supplied

[Spontaneous ventriculostomy developing in non-communicating hydrocephalus of unestablished etiology].

The authors report a case of exceptionally rarely occurring spontaneous ventriculostomy in the region of epiphyseal recess in a patient with increasing non-communicating hydrocephalus. This case is the fourth one diagnosed intravitally in a group of 22 cases published as yet. Positive ventriculography was the method establishing the diagnosis of this condition during life. Restoration of communication in intracranial cerebrospinal pathways with bypassing of the blockade by development of spontaneous ventriculostomy is regarded as a trial of self-treatment of the organism. The observations demonstrated that this bypassing in a group of 22 cases published as yet. Positive ventriculography was the method establishing the diagnosis of this condition during glife. Restoration of comis, in such cases, creation of ventriculo-atrial communication for reduction of intracranial pressure.

Adult↗

PubMedDate not supplied

Imaging of bone in the diagnostics of renal osteodystrophy in children with chronic renal failure.

BACKGROUND: In the last two decades considerable advances have been made in the development of imaging tests of the skeletal system. This progress in diagnostic techniques, along with the growing availability of the tests, renders it necessary to review and evaluate their suitability for daily clinical practice. The aim of this article is to compare the results of radiological testing of bone with densitometrical, histomorphometric, and biochemical tests in children with chronic renal failure. MATERIAL AND METHODS: The research involved 31 children with renal failure, of whom 10 were being treated conservatively, 17 by continuous ambulatory peritoneal dialysis (CADO), and 4 by hemodialysis (HD). In all these children, radiological examinations of bone were performed in the arms, knees, and hips, along with tests for the serum concentration of parathormone (iPTH), calcium (Ca), and phosphates (P), and for the activity of alkaline phosphatase (AP). Bone density tests by the DXA method and bone biopsies were also performed. On the basis of radiological evaluation, the patients were divided into two groups: Group I, consisting of 14 children with a normal bone structure image, and Group II, consisting of 17 children with bone atrophy. RESULTS: No statistically significant differences were discovered in the mean values of the tested biochemical parameters between the two groups. The mineral density of total body was normal in 9 of the 14 patients in Group I (64%), and in 7 of 17 (41%) from Group II. The mineral density of total lumbar spine gave similar results. Lower bone density results were obtained in Group II than in Group I, though only in the case of the lumbar spine were the differences statistically significant. In Group I, 5 cases were discovered of chronic osteodystrophy without osteomalacia and hyperparathyroidism (NB), 2 cases of adynamic bone disease (ABD), 4 cases of hyperparathyroidism (HP), 2 cases of moderate hyperparathyroidism (MHP), and one mixed form (Mix); in Group II, there were 6 NBs, 2 ABDs, 1 case of osteomalacia (OM), 5 HPs, and 3 mixed. Radiological examinations revealed one male in Group I with features of prior Perthes's disease, one with fibrous cortical defect, and four cases of valgity of the coxa valga. In Group II, there were 3 children with radiological changes typical for osteomalacia, and in 1 case typical radiological signs of hyperparathyroidism. CONCLUSIONS: Given the lack of consistency in the results of the tests here presented, an entire panel of available tests should be performed for the comprehensive evaluation of the status of the skeleton.

Adolescent↗