Impaired Insulin sensitivity and Insulin secretion in Haemodialysis patients with and without Secondary Hyperparathyroidism

The aim of our study was to investigate insulin sensitivity and beta cell function in hemodialysis (HD) patients without diabetes. We hypothesized that parathyroid gland function was a determinant of insulin sensitivity and/or beta cell function. The study was a randomized, cross-sectional one and patients were divided into two groups (total 27 patients), Gp.1 being those with relative hypoparathyroidism (iPTH<200 pg/ml) ­ 9 (33.3%), Gp.2 those with hyperparathyroidism (iPTH200 pg/ml) ­ 18 (66.6%) with Gp.3 (consisting of 43 healthy subjects acting as controls). Insulin resistance and insulin secretion were calculated from fasting serum insulin and glucose concentrations by the Homeostatic Model Assessment score (HOMA IR and HOMA BETA). The value of HOMA IR (3.28±1.3 for Gp.1, 4.80±2.4 for Gp.2, 1.70±0.8 for Gp.3) as well as the glucose level (5.0±1.0mmol/l in Gp.1, 5.2±0.8mmol/ l in Gp.2, 4.6±0.4mmol/l in Gp.3) was significantly higher in HD patients than in control subjects. Excessive insulin secretion was present in HD patients (as assessed by HOMA BETA) significantly higher only in Gp.1 (p=0.02).peer-reviewe

Promena izoprenoidne, steranske i terpanske frakcije tokom ex situ bioremedijacije mazuta na industrijskom nivou

This paper presents the results of an ex situ bioremediation of soil contaminated by mazut (heavy residual fuel oil) in the field scale (600 m(3)). The treatment-bed (thickness 0.4 m) consisted of mechanically mixed mazut-contaminated soil, softwood sawdust as an additional carbon source and crude river sand, as a bulking and porosity increasing material. The inoculation/reinoculation was conducted periodically using a biomass of a consortium of zymogenous microorganisms isolated from a bioremediation substrate. The biostimulation was performed through addition of nutritious substances (N, P and K). The aeration was improved by systematic mixing of the bioremediation system. After 50 days, the number of hydrocarbon degraders had increased a 100 fold. Based on the changes in the group composition, the average biodegradation rate during bioremediation was 24 mg kg(-1) day(-1) for the aliphatic fraction, 6 mg kg(-1) day(-1) for the aromatic fraction and 3 mg kg(-1) day(-1) for the nitrogen-sulphur-oxygen compounds (NSO)-asphaltene fraction. In the saturated hydrocarbon fraction, gas chromatography-mass spectrometry (GC-MS) in the single ion-monitoring mode (SIM) was applied to analyse isoprenoids pristane and phytane and polycyclic molecules of sterane and triterpane type. Biodegradation occurred during the bioremediation process, as well as a reduction of the relative quantities of isoprenoids, steranes, tri- and tetracyclic terpanes and pentacyclic terpanes of the hopane type.Prikazani su rezultati ex situ bioremedijacije zemljišta kontaminiranog mazutom na industrijskom nivou (600 m3). Bioremedijacioni materijal (debljine 0,4 m) se sastojao od mehanički pomešanih mazutom zagađenog zemljišta, čamove piljevine kao dodatnog izvora ugljenika i neprečišćenog rečnog peska, dodatog u cilju mešanja i povećanja poroznosti. Inokulacija/reinokulacija (bioaugmentacija) je periodično rađena sa biomasom konzorcijuma zimogenih mikrooorganizama izolovanih iz supstrata za bioremedijaciju. Biostimulacija je realizovana dodatkom hranljivih supstanci (N, P i K). Aeracija je poboljšavana sistematskim mešanjem bioremedijacionog sistema. Nakon 50 dana broj mikroorganizama koji degradiraju ugljovodonike povećan je 100 puta. Na osnovu promena u grupnom sastavu prosečna stopa biodegradacije tokom bioremedijacije je bila za alifatičnu frakciju 24 mg kg-1 po danu, za aromatičnu 6 mg kg-1 po danu i 3 mg kg-1 po danu za NSO-asfaltensku frakciju. U zasićenoj ugljovodoničnoj frakciji metodom GC-MS (SIM metod) analizirani su izoprenoidi pristan i fitan i policiklični molekuli steranskog i triterpanskog tipa. Tokom bioremedijacionog procesa došlo je do biodegradacije i smanjenja relativnih količina izoprenoida, sterana, tri- i tetracikličnih terpana i pentacikličnih terpana hopanskog tipa

A Comparison of Retrospective Radon Gas Measurement Techniques Carried Out in the Serbian Spa of Niska Banja

Indoor radon retrospective concentrations were obtained and compared using two radon measurement methods. Both methods rely on the measurement of the long-lived radon progeny (210)Pb, collected either on the surfaces (surface trap technique), most frequently glass, or in a volume trap, usually sponge from furniture (volume trap technique). These techniques have been used to retrospectively estimate radon gas concentrations that have existed in dwellings in the past. The work presented here compares the results provided by the surface trap technique devised at the University College of Dublin, Ireland, and the volume trap technique devised at the Scientific Research Center, Mol, Belgium. The field campaign was carried out by the research team of the ECE Laboratory of the Vinca Institute of Nuclear Sciences at the spa of Niska Banja, identified as a region of Serbia with a high indoor radon and ground water radium and radon content

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Indoor Radon Mapping: a Survey of Residential Houses of Kosovo and Metohija

A first step in mapping indoor radon concentration in Kosovo and Metohija was taken by carrying out 153 measurements in residential houses. About 21% of the territory of these areas was covered by mapping. Dosimeters with CR-39 detectors were used to measure indoor Rn-222 concentration, all deployed on the ground floor of typical houses. The arithmetic mean (AM) over AMs within 10 km x 10 km grid cells is 202 Bqm(-3) and geometric mean (GM) is 148 Bqm(-3). The data for mapping are arranged according to recommendations made by the Joint Research Centre (JRC) of the European Commission (EC) in 2006. This paper presents the status of the survey of natural radioactivity in Kosovo and Metohija.1st East European Radon Symposium (FERAS), Sep 02-05, 2012, Cluj Napoca, Romani