Bronchoalveolar lavage in systemic sclerosis with lung involvement: role and correlations with functional, radiological and scintigraphic parameters

To evaluate the role and the prognostic value of bronchoalveolar lavage (BAL) in scleroderma patients withinterstitial lung disease. We reviewed the records of 79 patients with systemic sclerosis (SSc) who had dyspnea and pulmonary involvement and underwent BAL study. Sixty-two patients were prospectively followed up for 12–36 months and re-evaluated by pulmonary function tests (PFTs). Seventy-nine SSc patients were enrolled (71 F and 8 M), 55 with limited and 24 with a diVuse form; mean age55 +/- 13 years; mean disease duration 55.2 +/- 59 months. All patients were ANA positive, of these 30 were anti-topoisomerase-1 positive (anti-Topo1) and 22 were anti-centromere positive (ACA). Thirty-one patients had alveolitis (39.2%) that was neutrophilic in 12 patients, eosinophilic in 3 and mixed (neutrophilic and eosinophilic) in 16 patients. Compared to patients without alveolitis, those with alveolitis had a significant reduction of carbon monoxide diffusing capacity (DLCO), forced vital capacity (FVC) and more elevated lung high-resolution computed tomography (HRCT) scores. Furthermore, alveolar clearance was signiWcantly accelerated. No differences were found between patients with and without alveolitis regarding disease subsets (diffuse vs limited-SSc); a significant predominance of anti-Topo1 antibodies was foundin the alveolitis group and of ACA antibodies in the non-alveolitiscohort. During the follow-up, (range: 12–36 months) 62patients, 26 with and 36 without alveolitis were re-evaluated with PFTs. In the alveolitis group, 12 patients (46.1%)showed stable lung function parameters and 14 had worsened (53.8%). In this group, 20 patients (77%) received cyclophosphamide (CYC): 11 (55%) worsened (5 of them died of cardio-pulmonary complications) and 9 (45%) remained stable. Six patients could not be treated; of these 3 remained stableand 3 worsened. Among 36 patients with normal BAL, 11 (30.5%) showed stable lung function parameters, 13 improved (36.1%) and 12 worsened (33.3%); in this last group, 2 patients died of extra-pulmonary complications. Six patients, with progression of lung fibrosis, were treated with CYC: 3 of them improved and 3 remained stable. Our study revealed a trend toward a more severe course in the SSc patients with BAL alveolitis; probably the non-significant result is related to the low number of the examined subjects and to the selection criteria. However, BAL remains the only tool to exclude lung infections and, in our experience, a useful instrument to evaluate interstitial lung disease in SSc patients

Nitrogen pools in tropical plantations of N2-fixing and non-N2-fixing legume trees under different tree stand densities.

We investigated the nitrogen pools in monocultures of legume species widely used in reforestation in Brazil that have contrasting growth and nitrogen acquisition strategies. The plantations were established with the slow-growing and N2-fixing tree Anadenanthera peregrina var. peregrina, and the fast-growing and non-fixing tree Schizolobium parahyba var. amazonicum. The measurements of N pools in the tree biomass and the soil followed standard methods and were carried out on 54 experimental plots. The N2 fixation pools were evaluated by abundance natural of 15N and the N accretion methods. The soil N content was of similar magnitude between species and stand densities. The species showed similar amounts of N in the biomass, but divergent patterns of N accumulation, as well as the 15N signature on the leaves. S. parahyba accumulated most N in the stem, while A. peregrina accumulated N in the roots and leaves. However, the N accumulation in biomass of A. peregrina stand was less constrained by environment than in S. parahyba stands. The percentage of N derived from N2 fixation in A. peregrina stands decreased with the increase of stand density. The biological N2 fixation estimates depended on the method and the response of tree species to environment

Diagnostica per immagini dei carcinoidi bronchiali e gastro-entero- pancreatici

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INFLUENCE OF THERMAL PRETREATMENT ON ADSORPTION PROPERTIES OF POROUS POLYMER AIR SAMPLERS

none4INFLUENCE OF THERMAL PRETREATMENT ON ADSORPTION PROPERTIES OF POROUS POLYMER AIR SAMPLERSnoneCOPPI S; BETTI A; G. BLO; BIGHI CCoppi, S; Betti, A; Blo, Gabriella; Bighi, C

EFFECTS OF THERMAL TREATMENTS AND OF CARRIER GAS MOISTURE ON THE POROUS POLYMER ADSORPTION PROPERTIES

EFFECTS OF THERMAL TREATMENTS AND OF CARRIER GAS MOISTURE ON THE POROUS POLYMER ADSORPTION PROPERTIE