Different histological classifications for Henoch-Schönlein purpura nephritis : which one should be used?

Background: Nephritis is the most important chronic complication of IgA Vasculitis (IgAV)/Henoch-Sch\uf6nlein purpura (IGAV/HSP) and thus the main prognostic factor of this most common childhood vasculitis. Since the prognosis and treatment selection depends on the mode of interpretation of biopsy material, in this manuscript we have presented several issues related to the uneven application of different histological classifications in IgAV/Henoch-Sch\uf6nlein purpura nephritis (HSPN). The nephritis of IgAV/IGAV/HSP will be abbreviated as HSPN for this paper. Main body: In clinical practice we use different histological classifications for HSPN. It is not known which of these classifications best correlates with severity of renal disease and renal outcome in IgAV/IGAV/HSP. One of the major problem with existing histological classifications is that there is no consensus on the implementation of biopsy in the treatment of HSPN. There is a histologic classification system conventionally used in HSPN, of the International Study of Kidney Disease in Children (ISKDC). On the other hand there is the new classification system suggested for IgA nephropathy, the Oxford classification. The latter has been validated only in IgA nephropathy. There are also two further histologic classifications of Haas and Koskela that have been developed. Current treatment strategies in HSPN are not standardised nor predominantly based on histological classification. Conclusion: One of the possible solutions to problems related to the application of different histological classification in HSPN is the implementation of multicenter multinational prospective studies with joint collaboration between pediatric rheumatologists, nephrologists and nephropathologists to correlate the clinical features and outcome with the classification systems as well among the classifications. This classification should be the basis for the construction of guidelines for the treatment of patients with HSPN

Application of extracts from the poisonous plant, Nerium Oleander L., as a wood preservative

The antifungal properties of poisonous plant extracts from oleanders (Nerium oleander L.) were determined when used as a wood preservative. The extract was prepared from oleanders leaves andflowers in 96% ethyl alcohol. The wood blocks of Turkish oriental beech (Fagus orientalis L.) and Scots pine (Pinus sylvestris L.) were impregnated with the extracts. The abilities of the extract to suppressattack by Postia placenta (Fr.) (brown rot) and Trametes versicolor (L: Fr.) Quel. (a white-rot) was investigated. Treated blocks were exposed to P. placenta and T. versicolor attacks for 12 weeks by following the soil-block method. While untreated wood specimens have weight loss ranging between 27.37 and 30.66% for P. placenta and 8.64 and 24.06% for T. versicolor, the wood treated with theextracts is of weight loss between 5.54 and 10.98% for P. placenta, and between 5.02 and 28.25% for T. versicolor. The lowest weight loss was found to be for beech wood (5.02%) impregnated with the extractof oleander at a concentration level of 0.25% against T. versicolor. While the highest weight loss was also on the beech wood (28.25%) treated with the same extract at the level of 0.50% concentrationagainst T. versicolor. In conclusion, the extracts could be used as effective wood preservative

Light harvesting with Ge quantum dots embedded in SiO2 and Si3N4

Cataloged from PDF version of article.Germanium quantum dots (QDs) embedded in SiO2 or in Si3N4 have been studied for light harvesting purposes. SiGeO or SiGeN thin films, produced by plasma enhanced chemical vapor deposition, have been annealed up to 850 degrees C to induce Ge QD precipitation in Si based matrices. By varying the Ge content, the QD diameter can be tuned in the 3-9 nm range in the SiO2 matrix, or in the 1-2 nm range in the Si3N4 matrix, as measured by transmission electron microscopy. Thus, Si3N4 matrix hosts Ge QDs at higher density and more closely spaced than SiO2 matrix. Raman spectroscopy revealed a higher threshold for amorphous-to-crystalline transition for Ge QDs embedded in Si3N4 matrix in comparison with those in the SiO2 host. Light absorption by Ge QDs is shown to be more effective in Si3N4 matrix, due to the optical bandgap (0.9-1.6 eV) being lower than in SiO2 matrix (1.2-2.2 eV). Significant photoresponse with a large measured internal quantum efficiency has been observed for Ge QDs in Si3N4 matrix when they are used as a sensitive layer in a photodetector device. These data will be presented and discussed, opening new routes for application of Ge QDs in light harvesting devices. (C) 2014 AIP Publishing LLC

Determination of normal splenic volume in relation to age, gender and body habitus: a stereological study on computed tomography

Background: The aim of this study is to assess and document the dimensions of the normal spleen measured on computed tomography (CT) images with the normal splenic volume measured by Cavalieri principle on CT images and thereby serve as a baseline for comparison in cases of splenomegaly using abdominal CT. To investigate the relationship between these changes and body mass index, gender, abdominal diameters.Materials and methods: We retrospectively reviewed abdominal CT examinations of 212 adults between the ages of 20 and 88 years. There were seven groups of patients. The spleen volume (SV) measurements using abdominal CT images of each patient on the Image Information Systems were performed with Cavalieri principle.Results: The mean SV and splenic length (SL), width (SW), and thickness (ST) for the total study population of 212 patients was 198 ± 88 cm3, 9.96 ± 2.1 cm, 8.87 ±± 1.6 cm and 4.58 ± 0.8 cm, respectively. There was a strong correlation between SV and ST (r = 0.752, p < 0.001), SL (r = 0.735, p < 0.001), SW (r = 0.681,p < 0.001) mean values of total study population. Comparison between mean splenic dimension parameters for males and females showed a statistically significant difference (p = 0.032 for SV, p = 0.04 for ST) but no statistically significant difference with SL and SW. Also there was a positive correlation between SV and body height, sagittal abdominal diameter and transvers abdominal diameter in mean of total groups and female groups, there was no correlation in males.Conclusions: The normal reference ranges for SV and size given in this study canserve as a standard to judge whether splenomegaly is present in patients

Introduction and evaluation of the wood preservative potentials of the poisonous Sternbergia candidum extracts

The ability of Sternbergia candida (SB Candidum Mathew.) extract to suppress attack by Postia placenta (Fries) M. Larsen et Lombard (Mad 698), (a brown-rot) and Trametes versicolor (L.ex Fr.) Quel.(a white-rot) was investigated. The extract was dissolved from Sterinbergia Candidum’s bulb and leaves in 96% ethyl alcohol. Poisonous extract impregnated into wood blocks of Turkish oriental beech (Fagus orientalis L.) and Scots pine (Pinus sylvestris L.). Extract dosages were 0.25, 0.75, 1.50 and 3.00%. Treated blocks were exposed to P. placenta and T. versicolor attack for 12 weeks by the soil block method. Only extract dosages of 0.25 and 0.75% were found efficacious in suppressing attack. A tukey studentized test found both dosages significant at 5% level. In conclusion, the poisonous extracts could be used as effective wood preservative when concentration was adjusted

MEFV mutations in systemic JIA

Background: Systemic form of juvenile idiopathic arthritis (JIA) is regarded as an autoinflammatory disease. Certain genetic polymorphisms in genes coding inflammatory proteins have been associated with the disease. On the other hand mutations of the MEFV gene cause a monogenic autoinflammatory disease, Familial Mediterranean Fever (FMF). In a previous study in adult rheumatoid arthritis 3 out of the 25 British patients who developed secondary amyloidosis had a mutation/polymorphism in the MEFV gene. Aim: To analyse whether mutaions in the MEFV gene had an association with systemic JIA. Patients and methods: MEFV mutations were screened in a total of 32 systemic JIA patients. All had been classified as systemic JIA according to the Durban JIA criteria. None had disease characteristics that met the Tel Hashomer criteria for the diagnosis of FMF. Results: 2 carrier for M694V and two patients who were homozygote for MEFV mutations. Both of these patients were among the most severe patients in the group. One had an excellent response to etanercept whereas the other was resistant to anti-TNF and other conventional treatments and had only a partial response to thalidomide. Although the number of severe mutations were increased in this small group of patients with systemic JIA the difference with the Turkish population did not reach statistical significance, but the disease causing mutation (M694V) was significantly high in the patients with systemic JIA(p = 0.02). Conclusion: However, the severe disease course in the aforementioned patients suggest that MEFV mutations may be a modifying genetic factor in systemic JIA.PubMe

14.2 Causes of early death in juvenile onset systemic lupus erythematosus (JSLE)

PubMe

AS AN EXAMPLE OF ECOLOGICAL DEVASTATION EGIRDIR LAKE (TURKEY)

Abstract OZEN, M. R., I. I. TURNA and K. CINAR, 2008. As an example of ecological devastation Egirdir lake (Turkey). Bulg. J. Agric. Sci., Egirdir Lake is placed Anatolian Peninsula in 500 km 2 , its mean depth takes 16 meters. They are made use of watering and due to oligotrphical characteristic and drinkable water besides fishing (Fish and Crayfish). Since 1950, 9 different species of fishes of Cyprinidae were lived this lake. There were cause irreversible alterations by way of implantation of pike-perch (Sander lucioperca) in here for to aim more economical production. In the first year while the while the level of prosperity of the people rising, and the following years there were obtained catching low recolte neither carp nor pike-perch catching. Local government and fisherman were negative effected in this situation, and they were implantation in the lake in early 1990. In this implantation who nobody knows Carassius auratus gibelio Bloch, 1783 was implanted in this lake. This species which is rapidly increased more rapidly growth and more become dominant species than pike-perch. Velvet fish (Tinca tinca) were implanted in Egirdir Lake in 1996. But they couldn't become any their population. They were found 10 different species by Balik et al. (2002) in Lake Egirdir. The last implantation in Egirdir Lake was silver fish (Atherina boyeri) while there were caught 80 tons carps, 300 ton pike-perch in 1985; 5.5 ton carp and 4 ton pike-perch were caught in 2004. Depend on decreasing of the pike-perch's body criterion, economical production of this fishes was also decreased. In this situation of the lake ecosystem is worried about Local government and fisherman. In this study, some hydrobiological characteristics of the lake were defined and the negative changes of the fish population were also examined

The efficacy of anakinra in an adolescent with colchicine-resistant familial Mediterranean fever

Colchicine is the treatment of choice in familial Mediterranean fever (FMF) for the prevention of both attacks and secondary amyloidosis. The overall nonresponder rate is about 5–10%. Anakinra is known to have good effectiveness in a severe autoinflammatory syndrome [chronic infantile neurological cutaneous and articular (CINCA) syndrome] and other recurrent hereditary periodic fevers. Pyrin—the protein involved in FMF—has a role in activating the proinflammatory cytokine interleukin (IL)-1β. We report the effectiveness of the addition of an IL-1-receptor inhibitor (anakinra) to colchicine in controlling the febrile attacks and acute phase response in an adolescent with FMF resistant to colchicine