Double-blind, placebo-controlled evaluation of grass pollen specific immunotherapy with oral drops administered sublingually or supralingually

SummaryForty-one patients suffering from grass pollen allergy underwent specific immunotherapy with standardized allergen extract consisting of six grass pollens (H-Al per os) administered either sublingually or supralingually for one year. In order to investigate clinical and immunological changes induced by the administration of allergens via the oral mucosa, the double-blind, placebo-controlled, randomized design of the trial with 30 other patients enrolled in placebo groups was applied.Specific immunotherapy with oral drops administered sublingually or supralingually was performed in the same way, keeping the drops under or on the tongue, respectively, for 1–2min before swallowing them; at the end of the trial the cumulative dose of the allergen was almost 20 times higher than that of the subcutaneous therapy with corresponding allergen preparation. Data about symptoms scores and drugs intake during grass pollen season, as well as skin reactivity, levels of specific IgG and IgE antibodies, before the study and after the study's completion, were obtained.It was found that both routes of administration are effective according to subjective clinical parameters and drug consumption, with a highly significant reduction of symptoms and drug intake favoring sublingual administration where a reduction of more than 60% was achieved. Only sublingual active group showed a significant increase in Dactylis glomerata-specific IgG serum levels. Adverse effects were limited to a small number of generally mild local and/or systemic reactions.The results suggest that the administration of allergens via the oral mucosa is safe and clinically effective, favoring the sublingual rather than supralingual route

Numerical investigation of three types of space and time fractional Bloch-Torrey equations in 2D

Recently, the fractional Bloch-Torrey model has been used to study anomalous diffusion in the human brain. In this paper, we consider three types of space and time fractional Bloch-Torrey equations in two dimensions: Model-1 with the Riesz fractional derivative; Model-2 with the one-dimensional fractional Laplacian operator; and Model-3 with the two-dimensional fractional Laplacian operator. Firstly, we propose a spatially second-order accurate implicit numerical method for Model-1 whereby we discretize the Riesz fractional derivative using a fractional centered difference. We consider a finite domain where the time and space derivatives are replaced by the Caputo and the sequential Riesz fractional derivatives, respectively. Secondly, we utilize the matrix transfer technique for solving Model-2 and Model-3. Finally, some numerical results are given to show the behaviours of these three models especially on varying domain sizes with zero Dirichlet boundary conditions

Administracja, zarządzanie i handel zagraniczny w warunkach integracji. Materiały konferencyjne - Zarządzanie bezpieczeństwem

Ze wstępu: "Bezpieczeństwo jest w coraz wyższej cenie. Zajmują się nim naukowcy oraz praktycy z różnych dziedzin. W najszerszym wymiarze pojęcie „bezpieczeństwo” sprowadzić można do słów: stan niezagrożenia, spokoju, pewności. Takie ogólne ujęcie problematyki bezpieczeństwa sprawia, że różne podmioty podchodzą wybiórczo do tych bardzo ważnych zarówno dla pojedynczych ludzi, jak i społeczeństwa zagadnień. Inaczej postrzegają i interpretują bezpieczeństwo politycy, prawnicy, ekonomiści, wojskowi, policjanci, lekarze, pedagodzy, a inaczej zwyczajni ludzie. W ich ujęciu bezpieczeństwo to: 1) stan świadomości człowieka, w którym czuje się on wolny od jakichkolwiek zagrożeń, pociągający za sobą poczucie spokoju i komfortu; 2) niczym niezakłócone współistnienie człowieka z innymi ludźmi i środowiskiem przyrodniczym; 3) stan bez lęku i niepokoju o siebie i innych, pewność jutra; 4) brak zagrożenia utraty zdrowia, mienia i życia, komfort psychiczny umożliwiający realizację życiowych marzeń i celów; 5) sytuacja, w której człowiekowi nic nie zagraża, a w nagłych i nieprzewidzianych sytuacjach może liczyć na pomoc i wsparcie innych."(...

Necrotizing pneumonia due to clonally diverse Staphylococcus aureus strains producing Panton-Valentine leukocidin: the Czech experience

SUMMARY A prospective study (2007)(2008)(2009)(2010)(2011)(2012)(2013) was undertaken to investigate clinical features and prognostic factors of necrotizing pneumonia caused by Staphylococcus aureus producing Panton-Valentine leukocidin (PVL) in the Czech Republic. Twelve cases of necrotizing pneumonia were detected in 12 patients (median age 25 years) without severe underlying disease. Eight cases occurred in December and January and the accumulation of cases in the winter months preceding the influenza season was statistically significant (P < 0·001). The course of pneumonia was very rapid, leading to early sepsis and/or septic shock in all but one patient. Seven patients died and mortality was fourfold higher in those patients presenting with primary pneumonia than with pneumonia complicating other staphylococcal/pyogenic infection elsewhere in the body. The S. aureus isolates displayed considerable genetic variability and were assigned to five lineages CC8 (n = 3), CC15 (n = 2), CC30 (n = 2), CC80 (n = 1), and CC121 (n = 3) and one was a singleton of ST154 (n = 1), all were reported to be associated with community-acquired infection. Four strains were methicillin resistant. The high case-fatality rate can only be reduced by improving the speed of diagnosis and a rapid test to detect S. aureus in the airways is needed