Autofluorescence and White Light Bronchoscopy in the Diagnosis of Endobronchial Malignant Lesions

Background: Autofluorescence bronchoscopy (AFB) allows a more sensitive approach to the diagnosis of premalignant and malignant endobronchial lesions than white light bronchoscopy (WLB) can do

Impact of Air Pollution and Outdoor Temperature on the Rate of Chronic Obstructive Pulmonary Disease Exacerbations

Background: Environmental pollution can be one of the main risk factors for acute exacerbations of chronic obstructive pulmonary disease (COPD). Aim: To study the relationship between air pollution, outdoor temperature and exacerbations of COPD. Materials and methods: COPD patients (n=1432) were followed up for one year. The levels of particulate matter up to 10 μm (PM10), nitrogen dioxide (NO2), sulfur dioxide (SO2) and outside temperatures were collected from the Environmental Agency database. Results: A total of 309 acute COPD exacerbations (AECOPD) were recorded in the analysis. The daily mean concentrations of PM10 were found to correlate significantly with the daily mean concentrations of NO2 and SO2 (ρ 0.34 and ρ 0.49, respectively; p=0.0001). The negative correlations between the daily mean temperature and the daily mean levels of PM10, NO2 and SO2 were also significant (ρ -0.44, ρ -0.11, and ρ -0.37, respectively; p=0.0001). The daily number of AECOPD correlated with the mean levels of PM10 in the previous six days (ρ 0.14; p=0.02) and the lower outdoor temperature (ρ -0.2; p=0.001). The negative correlation between the daily number of AECOPD and the mean daily temperature was stronger in days with levels of PM10 above 50 μg/m3 (ρ -0.3 p=0.02 vs. ρ -0.18 p= 0.01). Conclusion: Lower daily mean temperatures were associated with the levels of air pollutants. The level of PM10 correlated with the levels of the other air pollutants. The daily number of AECOPD was found to correlate weakly, but signifi cantly with the mean level of PM10 in the previous six days

Diagnosis and Treatment of Three Cases of Bronchial Carcinoma In Situ

As part of a retrospective study on bronchoscopies performed at the Clinic of Pneumonology and Phthisiatry of the University Hospital – Pleven by autofluorescence bronchoscopy we found 3 cases diagnosed with carcinoma in situ. They were treated in different ways – endobronchial electrocoagulation, extraction by forceps biopsy and open surgery, but the result was the same – clinical healing. The paper presents the three clinical cases and the analysis of the treatment

Peri-Gondwanan Ordovician crustal fragments in the high-grade basement of the Eastern Rhodope Massif, Bulgaria: evidence from U-Pb LA-ICP-MS zircon geochronology and geochemistry

Field, geochemical, and geochronologic data of high-grade basement metamafic and evolved rocks are used to identify the nature and timing of pre-Alpine crustal growth of the Rhodope Massif. These rocks occur intrusive into clastic-carbonate metasedimentary succession. Petrography and mineral chemistry show compositions consistent with Alpine amphibolite-facies metamorphism that obliterated the original igneous textures of the protoliths. Bulk-rock geochemistry identifies low-Ti tholeiitic to calc-alkaline gabbroic-basaltic and plagiogranite precursors, with MORB-IAT supra-subduction zone signature and trace elements comparable to modern back-arc basalts. The U-Pb zircon dating revealed a mean age of 455 Ma for the magmatic crystallization of the protoliths that contain inherited Cambrian (528–534 Ma) zircons. Carboniferous, Jurassic, and Eocene metamorphic events overprinted the Ordovician protoliths. The radiometric results of the metamorphic rocks demonstrate that Ordovician oceanic crust was involved in the build-up of the Rhodope high-grade basement. Dating of Eocene-Oligocene volcanic rocks overlying or cross-cutting the metamorphic rocks supplied Neoproterozoic, Ordovician and Permo-Carboniferous xenocrystic zircons that were sampled en route to the surface from the basement. The volcanic rocks thus confirm sub-regionally present Neoproterozoic and Paleozoic igneous and metamorphic basement. We interpret the origin of the Middle-Late Ordovician oceanic magmatism in a back-arc rift-spreading center propagating along peri-Gondwanan Cadomian basement terrane related to the Rheic Ocean widening. The results highlight the presence of elements of Cadomian northern Gondwana margin in the high-grade basement and record of Rheic Ocean evolution. The eastern Rhodope Massif high-grade basement compared to adjacent terranes with Neoproterozoic and Cambro-Ordovician evolution shares analogous tectono-magmatic record providing a linkage among basement terranes incorporated in the Alpine belt of the north Aegean region