Stanje specijalnog rezervata prirode “Ludaško jezero” sa bakteriološkog aspekta

U ovom radu su prikazani rezultati bakteriološkog ispitivanja vode i sedimenta severnog i južnog dela jezera Ludaš. Jezero Ludaš je deo parka prirode Palić-Ludaš, a zbog velikog značaja u očuvanju ornitološkog diverziteta ovog područja od 1977. godine je zaštićeno i Ramsarskom konvencijom. Uzorci su sakupljani od novembra 2013. do marta 2015. godine i ukupno je analizirano 10 uzoraka vode i sedimenta. Kvalitet vode je ocenjen na osnovu ukupnog broja heterotrofnih bakterija (mezofila i psihrofila), fakultativnih oligotrofa, ukupnog broja koliformnih i fekalnih koliformnih bakterija, broja E.coli i fekalnih enterokoka. Ocenjivanje je izvršeno prema ekološkom i sanitarnom kriterijumu koristeći kriterijume Uredbe o kvalitetu površinskih voda i sedimenta Republike Srbije. Rezultati ukazuju na veliko variranje mikrobnog diverziteta tokom ispitivanog perioda. Na osnovu ukupnog broja bakterija, voda se može svrstati u II - IV klasu voda na severnoj strani, dok je na južnom delu voda u kategoriji III - V klase kvaliteta. Međutim, na osnovu indikatora fekalnog zagađenja, voda jezera na južnoj strani je značajno boljeg kvaliteta i u većini merenja odgovara kvalitetu I i II klase vodotoka. Razlike u sastavu saprofitne i potencijalno patogene grupe mikroorganizama zastupljene u različitim delovima jezera se mogu objasniti geografskim karakteristikama i vodi koja se kanalom Palić-Ludaš uliva u severni deo jezera, što utiče na broj bakterija indikatora fekalnog zagađenja. Veliko organsko opterećenje u južnom delu jezera se ogleda u značajno većem broju saprofitnih heterotrofa, a manjem autohtonih oligotrofa čime se smanjuje sposobnost autopurifikacije vode i ukazuje na ekološku ugroženost i ubrzan process eutrofikacije jezera Ludaš

Potential and Constraints of Macrophyte Manipulation for Shallow Lake Management

Palic and Ludas lakes are shallow Pannonian lakes, which have undergone rapid eutrophication. High concentrations of nutrients, along with significantly high values of fecal indicators in water samples, indicate that the Palic-Ludas canal, which connects them, contributes to the pollution of the recipient Lake Ludas, a central part of a special nature reserve. In order to improve water quality in the canal and decrease nutrient load of Lake Ludas, it is suggested to use environmentally friendly solutions, so-called bio-barriers (bio-bridges and biobanks), which will contribute to self-purification efficiency. The given model assumes 10 zones with bio-bridges and 0.4 ha covered by biobanks, using plants common in the area, e.g. Typha spp., Phragmites spp., Juncus spp., Scirpus spp. and Carex spp. The main disadvantage of this technology is occupation of large area; thus, the solution seems to be undersized. It removes 4% TN/year and 8% TP/year of the total amount necessary to achieve good ecological status. Nevertheless, the role of bio-bridges in permanent nutrient removal, through preventing the deposition of organic matter at the bottom sediment and later return of nutrients in water, together with indirect influence through enhancement of biodiversity should not be underestimated

Penicillamine prevents damaging redox in vitro interactions of bilirubin and copper

Toxic effects of unconjugated bilirubin (BR) in neonatal hyperbilirubinemia have been related to redox and/or coordinate interactions with Cu2+. However, the development and mechanisms of such interactions at physiological pH have not been resolved. This study shows that BR reduces Cu2+ to Cu1+ in 1:1 stoichiometry. Apparently, BR undergoes degradation, i.e. BR and Cu2+ do not form stable complexes. The binding of Cu2+ to inorganic phosphates, liposomal phosphate groups, or to chelating drug penicillamine, impedes redox interactions with BR. Cu1+ undergoes spontaneous oxidation by O2 resulting in hydrogen peroxide accumulation and hydroxyl radical production. In relation to this, copper and BR induced synergistic oxidative/damaging effects on erythrocytes membrane, which were alleviated by penicillamine. The production of reactive oxygen species by BR and copper represents a plausible cause of BR toxic effects and cell damage in hyperbilirubinemia. Further examination of therapeutic potentials of copper chelators in the treatment of severe neonatal hyperbilirubinemia is needed

Racial differences in systemic sclerosis disease presentation: a European Scleroderma Trials and Research group study

Objectives. Racial factors play a significant role in SSc. We evaluated differences in SSc presentations between white patients (WP), Asian patients (AP) and black patients (BP) and analysed the effects of geographical locations.Methods. SSc characteristics of patients from the EUSTAR cohort were cross-sectionally compared across racial groups using survival and multiple logistic regression analyses.Results. The study included 9162 WP, 341 AP and 181 BP. AP developed the first non-RP feature faster than WP but slower than BP. AP were less frequently anti-centromere (ACA; odds ratio (OR) = 0.4, P < 0.001) and more frequently anti-topoisomerase-I autoantibodies (ATA) positive (OR = 1.2, P = 0.068), while BP were less likely to be ACA and ATA positive than were WP [OR(ACA) = 0.3, P < 0.001; OR(ATA) = 0.5, P = 0.020]. AP had less often (OR = 0.7, P = 0.06) and BP more often (OR = 2.7, P < 0.001) diffuse skin involvement than had WP.AP and BP were more likely to have pulmonary hypertension [OR(AP) = 2.6, P < 0.001; OR(BP) = 2.7, P = 0.03 vs WP] and a reduced forced vital capacity [OR(AP) = 2.5, P < 0.001; OR(BP) = 2.4, P < 0.004] than were WP. AP more often had an impaired diffusing capacity of the lung than had BP and WP [OR(AP vs BP) = 1.9, P = 0.038; OR(AP vs WP) = 2.4, P < 0.001]. After RP onset, AP and BP had a higher hazard to die than had WP [hazard ratio (HR) (AP) = 1.6, P = 0.011; HR(BP) = 2.1, P < 0.001].Conclusion. Compared with WP, and mostly independent of geographical location, AP have a faster and earlier disease onset with high prevalences of ATA, pulmonary hypertension and forced vital capacity impairment and higher mortality. BP had the fastest disease onset, a high prevalence of diffuse skin involvement and nominally the highest mortality

Policy Approaches to Reduce Discrimination Against Minorities in Europe

In many European countries, despite decades of learning about the risks of discrimination and the conflicts associated with it, discrimination against minorities persists. Many have criticized European governments for not doing enough to challenge the negative stereotypes and prejudices against minority groups, especially in education and employment. In this thesis, Muslim minority groups in Bulgaria, France, and the Netherlands will be used as case studies to explore the varying dynamics underlying this discrimination and strategies that can be implemented to overcome discrimination. This thesis will recommend a series of policy approaches in areas such as civic integration, education reform, anti-discrimination law, and monitoring and evaluation to help reduce minority discrimination European countries

Impact of Antibiotic Consumption on Antimicrobial Resistance to Invasive Hospital Pathogens

The aim of our investigation is to correlate the wholesale data on antibiotic consumption expressed in daily doses per 1000 inhabitants per day (DID) with the resistance rate of invasive pathogen bacteria from 2017 to 2021. The data on antimicrobial resistance were collected from an analysis of the primary isolates of hospitalized patients. According to the CAESAR manual, the selected pathogens isolated from blood culture and cerebrospinal fluids were tested. The consumption of antibiotics for systematic use showed a statistically significant increasing trend (β = 0.982, p = 0.003) from 21.3 DID in 2017 to 34.5 DID in 2021. The ratio of the utilization of broad-spectrum to narrow-spectrum antibiotics increased by 16% (β = 0.530, p = 0.358). The most consumed antibiotic in 2021 was azithromycin (15% of total consumption), followed by levofloxacin (13%) and cefixime (12%). A statistically positive significant correlation was discovered between the percentage of resistant isolates of K. pneumoniae and consumption of meropenem (r = 0.950; p = 0.013), ertapenem (r = 0.929; p = 0.022), ceftriaxone (r = 0.924; p = 0.025) and levofloxacin (r = 0.983; p = 0.003). Additionally, the percentage of resistant isolates of E. coli and consumption of ertapenem showed significant correlation (r = 0.955; p = 0.011). Significant correlation with consumption of the antibiotics widely used at the community level, such as levofloxacin, and resistance isolated in hospitals indicates that hospital stewardship is unlikely to be effective without a reduction in antibiotic misuse at the community level

Extracellular Vesicles and Acute Kidney Injury: Potential Therapeutic Avenue for Renal Repair and Regeneration

Acute kidney injury (AKI) is a sudden decline of renal function and represents a global clinical problem due to an elevated morbidity and mortality. Despite many efforts, currently there are no treatments to halt this devastating condition. Extracellular vesicles (EVs) are nanoparticles secreted by various cell types in both physiological and pathological conditions. EVs can arise from distinct parts of the kidney and can mediate intercellular communication between various cell types along the nephron. Besides their potential as diagnostic tools, EVs have been proposed as powerful new tools for regenerative medicine and have been broadly studied as therapeutic mediators in different models of experimental AKI. In this review, we present an overview of the basic features and biological relevance of EVs, with an emphasis on their functional role in cell-to-cell communication in the kidney. We explore versatile roles of EVs in crucial pathophysiological mechanisms contributing to AKI and give a detailed description of the renoprotective effects of EVs from different origins in AKI. Finally, we explain known mechanisms of action of EVs in AKI and provide an outlook on the potential clinical translation of EVs in the setting of AKI

Extracellular Vesicles and Acute Kidney Injury: Potential Therapeutic Avenue for Renal Repair and Regeneration

Acute kidney injury (AKI) is a sudden decline of renal function and represents a global clinical problem due to an elevated morbidity and mortality. Despite many efforts, currently there are no treatments to halt this devastating condition. Extracellular vesicles (EVs) are nanoparticles secreted by various cell types in both physiological and pathological conditions. EVs can arise from distinct parts of the kidney and can mediate intercellular communication between various cell types along the nephron. Besides their potential as diagnostic tools, EVs have been proposed as powerful new tools for regenerative medicine and have been broadly studied as therapeutic mediators in different models of experimental AKI. In this review, we present an overview of the basic features and biological relevance of EVs, with an emphasis on their functional role in cell-to-cell communication in the kidney. We explore versatile roles of EVs in crucial pathophysiological mechanisms contributing to AKI and give a detailed description of the renoprotective effects of EVs from different origins in AKI. Finally, we explain known mechanisms of action of EVs in AKI and provide an outlook on the potential clinical translation of EVs in the setting of AKI

Prenatal monitoring of pregnancies complicated by diabetes mellitus

Preconception and prenatal monitoring evaluate the condition of the mother's underlying disease and possible complications during pregnancy. Before conception, patients with diabetes should be informed that suboptimal glycoregulation is associated with reduced fertility and pregnancy losses. The task of the perinatologist in pregnancies affected by diabetes mellitus is to prevent complications of the underlying disease, such as hypoglycemic crises. Another important component of prenatal care in diabetic pregnancies is the recognition and prevention of pregnancy complications such as preeclampsia, polyhydramnios, congenital malformations, fetal macrosomia, and infections

Nutrition in pregnancy with diabetes mellitus

The nutritional needs of diabetic pregnancies are different from normal pregnancies. Differences in nutritional recommendations can also be seen between pregnant women who are using and who are not using insulin therapy. In this literature review, recommendations for different meal proportions of carbohydrates, proteins, and fats in the diets of pregnant women with diabetes mellitus are listed. Different meal plans were also addressed in this group of patients. The role of exercise in the management of diabetes in pregnancy is undeniable and different approaches found in the literature are presented