Quality of the blood sampled from surgical drainage after total hip arthroplasty

Several methods have been found to be successful in reducing the need for allogeneic transfusion among the patients undergoing total hip replacement. The purpose of this prospective study was to analyse the quality and evaluate the effect of postoperative autotransfusion on the need for allogeneic transfusion following total hip replacement. The prospective study was performed in two groups of patients undergoing total hip replacement. Before the operative procedure all patients in both groups predonated two doses of autologous blood. In GROUP 1. the system for postoperative collection and transfusion of shed blood was used. In GROUP 2. the patients underwent total hip replacement without blood salvage system. Standard suction collection sets were used postoperatively. In this group shed blood was not transfused to the patients. The samples of preoperative donated autologus blood, allogeneic blood and postoperative collected autologous blood were analysed for number of red cells, hemoglobin, hematocrit, platelets, white blood cells, values of potassium, sodium, free hemoglobin and acid base status. The postoperatively blood salvage significantly reduced the use of allogeneic transfusion among patients managed with total hip replacement (allogeneic transfusion received 12% patients in Group 1 and 80% patients in Group 2; p<0.001). The values of red blood cells are significantly lower in postoperative collected autotransfusion blood compared with preoperative collected autologous blood and allogeneic blood (p<0.001). The values of potassium and acid base status were in normal range in postoperatively collected autotransfusion blood. These values in preoperatively collected autologous blood and allogeneic blood were out of normal range; (p<0.001). In addition to reducing the risk of complications that are associated with allogeneic transfusion, postoperative blood salvage may offer benefits including reducing the need for allogeneic blood. Our study confirmed that postoperative collection and transfusion of drainaged blood is simple and safe method that significantly reduce the need for allogeneic transfusion in patients underwent total hip replacement. The blood collected and transfused postoperatively has lower values of red blood cells and normal values of potassium and acid base balance. The transfusion of this blood caused no complications in our patients.     

Developmental patterns of caspase-3, bax and bcl-2 proteins expression in the human spinal ganglia

The distribution of the bcl-2, bax and caspase-3 proteins was investigated in the cells of developing human spinal ganglia. Paraffin sections of 10 human conceptuses between 5th and 9th gestational weeks were analysed morphologically, immunohistochemically and by TUNEL-method. Cells positive to caspase-3 had brown stained nuclei or nuclear fragmentations. At earliest stages, 6% of ganglion population were caspase-3 positive cells. Later on, a significant increase in number of caspase-3 positive cells appeared, particularly in the ventral part of ganglia (12%), and subsequently decreased to 6%. TUNEL-positive cells had the same distribution pattern as caspase-3 positive cells. Bax-positive cells followed the developmental pattern similar to caspase-3 cells, changing in range between 20% and 32%. There were 8% of bcl-2 positive cells at earliest stages. They increased significantly in dorsal part of the ganglion during the 7th week (28%), and than dropped to 15% by the end of the 8th week. These findings suggest a ventro-dorsal course of development in human spinal ganglia. Number of bcl-2, bax and caspase-3 positive cells changed in a temporally and spatially restricted manner, coincidently with ganglion differentiation. While apoptosis might control cell number, bcl-2 could act in suppression of apoptosis and enhancement of cell differentiation.     

The prevalence of American liver fluke Fascioloides magna (Bassi 1875) in red deer from Croatian hunting grounds

From October 2002 till April 2003, 194 feces samples and 28 liver samples of red deer shot in the Republic of Croatia territory were examined to determine the prevalence of Fascioloides magna in this game population. The majority of study samples were obtained from animals originating from the east part of Croatia, and only a minor proportion from animals originating from the central and west parts and littoral of Croatia. F. magna eggs were detected in 67/194 (34.53%) feces samples and F. magna adults in 8/28 (28.57%) liver samples. The majority of invaded red deer originated from the east part of Croatia, Baranya region, where F. magna eggs were found in 64/120 (53.33%) and F. magna adults in 8/15 (53.33%) animals. F. magna eggs were detected in only 3/74 (4.05%) animals originating from the other parts of Croatia.     

Gelatinous invertebrate zooplankton of the South Adriatic: species composition and vertical distribution

The species composition and vertical distribution of gelatinousinvertebrate zooplankton were investigated from April 1993 toJune 1994 in the 0–1000 m water column at a deep-sea stationin the northern part of the South Adriatic Pit. Fifty-sevenspecies were identified: 11 hydromedusae, 13 calycophores, 3ctenophores, 3 heteropods, 10 pteropods, 8 polychaetes and 9chaetognaths. The pteropod Desmopterus papilio and the heteropodProtatlanta mediterranea were recorded for the first time inthe Adriatic Sea. Data from this study differed from those ofprevious investigations in the South Adriatic as regards thenumerically dominant polychaete and pteropod species. All investigatedgroups generally were more abundant in the upper 100 m and decreasedwith depth. Different vertical distributions of life stageswere observed for those species that occupy a wide depth range:Persa incolorata, Solmissus albescens, Limacina inflata, Cymbuliaperoni, Pelagobia longicirrata, Sagitta lyra and Sagitta decipiens.     

Characteristics of the development of Eimeria species from gerbils in secondary hosts

Peculiarities of endogenous and exogenous developmental stages of the life cycle of Eimeria salasuzica Musajev et Vejsov, 1960, a parasite of Persian jird, and E. akeriana Ismailov et Gaibova, 1983, a parasite of Meriones blackleri, in two first recognized secondary hosts (Meriones vinogradovi and M. lybicus) were studied. The paper gives comparative data on the duration of infection, endogenous stages of development and variability of oocysts of the studied species of Eimeria obtained from the main and secondary hosts.     

Survival of Pathogenic Mycobacteria in Macrophages Is Mediated through Autophosphorylation of Protein Kinase G

Pathogenic mycobacteria survive within macrophages through the inhibition of phagosome-lysosome fusion. A crucial factor for avoiding lysosomal degradation is the mycobacterial serine/threonine protein kinase G (PknG). PknG is released into the macrophage cytosol upon mycobacterial infection, suggesting that PknG might exert its activity by interfering with host signaling cascades, but the mode of action of PknG remains unknown. Here, we show that PknG undergoes autophosphorylation on threonine residues located at the N terminus. In contrast to all other mycobacterial kinases investigated thus far, autophosphorylation of PknG was not involved in the regulation of its kinase activity. However, autophosphorylation was crucial for the capacity of PknG to promote mycobacterial survival within macrophages. These results will contribute to a better understanding of the virulence mechanisms of pathogenic mycobacteria and may help to design improved inhibitors of PknG to be developed as antimycobacterial compounds.The genome of Mycobacterium tuberculosis comprises 11 serine/threonine protein kinases which are considered key players in signaling cascades by transferring phosphate groups from γ-ATP to the side chain hydroxyl group of serine and threonine residues in their substrates (1, 25). One of these kinases, protein kinase G (PknG), is secreted into the cytosol of infected macrophages and prevents the intracellular destruction of mycobacteria by blocking phagosome-lysosome fusion (30). Its essential role in mycobacterial virulence makes PknG an attractive drug target; the precise mode of action of PknG remains unclear, however (24, 30).Kinases in general can be classified into so-called RD and non-RD kinases based on the presence of a conserved arginine (R) and aspartate (D) sequence in the catalytic loop of the kinase domain. The RD arginine interacts with the phosphorylated activation loop and controls its fold, finally resulting in the activation of kinase activity (13, 18). Interestingly, PknG is unique among mycobacterial kinases in that the critical arginine residue in the kinase domain is lacking. The fact that PknG is classified as a non-RD kinase therefore suggests the absence of autophosphorylation in the activation loop (24).Although PknG is known to undergo autophosphorylation (14, 30), neither the localization of the autophosphorylation sites of PknG nor the importance of autophosphorylation for PknG activity is known. Here, we identify the autophosphorylation sites of PknG and provide evidence that autophosphorylation is essential for the capacity of PknG to modulate the survival of intracellularly residing mycobacteria.     

Serum S100B: A Potential Biomarker for Suicidality in Adolescents?

Background

Studies have shown that patients suffering from depression or schizophrenia often have immunological alterations that can be detected in the blood. Others reported a possible link between inflammation, a microgliosis and the blood-brain barrier (BBB) in suicidal patients. Serum S100B is a marker of BBB function commonly used to study cerebrovascular wall function.

Methods

We measured levels of S100B in serum of 40 adolescents with acute psychosis, 24 adolescents with mood disorders and 20 healthy controls. Patients were diagnosed according to DSM-IV TR criteria. We evaluated suicidal ideation using the suicidality subscale of the Brief Psychiatric Rating Scale for Children (BPRS-C).

Results

Serum S100B levels were significantly higher (p<0.05) and correlated to severity of suicidal ideation in patients with psychosis or mood disorders, independent of psychiatric diagnosis. Patients with a BPRS-C suicidality subscores of 1–4 (low suicidality) had mean serum S100B values +/− SEM of 0.152+/−0.020 ng/mL (n = 34) compared to those with BPRS-C suicidality subscores of 5–7 (high suicidality) with a mean of 0.354+/−0.044 ng/mL (n = 30). This difference was statistically significant (p<0.05).

Conclusion

Our data support the use of S100B as an adjunctive biomarker to assess suicidal risk in patients with mood disorders or schizophrenia.     

Partial cecal necrosis treated by laparoscopic partial cecal resection

Acute colonic ischemia is the common cause of colitis in elderly population. However, isolated ischemic necrosis of cecum is rare entity, often associated with variety of conditions. Here we present a case of a 73-year old woman with a past history of hypertension presented with clinical symptoms of right lower quadrant abdominal pain and tenderness localized to the right lower quadrant, guarding and rebound tenderness. With diagnosis of acute appendicitis, the patient underwent laparoscopy where the cecal partial necrosis was discovered. Necrotic area of cecum was excised using two endoscopic cutters and laparoscopic appendectomy was performed. Pathologist report showed thrombosis of vessels and necrosis of entire cecal wall. The patient completely recovered without any surgical complications. This is the first case of partial cecum necrosis laparoscopicaly managed and with a partial cecal resection only.     

On the road: Croatian truck drivers, commercial sex and HIV/AIDS

The primary aims of this study were to examine Croatian truck drivers' sexual contact with sex workers, estimate the frequency of condom use, and assess knowledge of HIV/AIDS within this population. The research was conducted from June 14 to September 16, 2005 at customs offices and accompanying parking lots in four Croatian cities. The sample consists of 69 truck drivers. Information about sexual behavior and condom use were gathered by using a semi-structured interview. Knowledge of HIV/AIDS, measured with a self-administered questionnaire, was found to be low. Six respondents (8.7%) had correctly answered all 13 questions. By contrast, 73% of drivers considered themselves well informed about HIV/AIDS, indicating that most drivers overestimate their knowledge. The majority of respondents (n=62) assumed that most of their colleagues engage in sexual contact with sex workers while on the road, although only one third of respondents reported that they personally have paid for sex. All of the respondents who reported engaging in sexual contact with sex workers stated that they always use condoms. Fear of being infected with a sexually transmitted infection was reported as the main reason for condom use.     

Motor structures in female volleyball players aged 14-17 according to technique quality and performance

The aim of the study was to identify motor structures in elite female volleyball players aged 14-17, and to assess the effect of these motor structures on their technical and situation efficiency. For this purpose, a battery of 12 motor tests as predictor variables, and a set of six technical elements and evaluation of performance quality as criterion variables were applied in a sample of 147 female volleyballers aged 14-15 and a sample of 50 female volleyballers aged 16-17. Analysis of variance between subgroups within the groups of volleyballers aged 14-15 and those aged 16-17 showed the results on all motor tests to improve with the increase in situation performance, which was especially pronounced in the tests assessing explosive strength and agility. The same held true for the results on all tests assessing volleyball techniques, spike and block in particular. In both samples, factor analysis of motor tests isolated two factors underlain by the generation and regulation of strength, and the mechanism of speed regulation. Canonical correlation analysis between the motor regulatory mechanisms and technical elements revealed determination of the mechanisms of strength and technical efficiency in both samples. Regression correlation analysis showed the mechanisms of strength regulation and speed to be good predictors of game performance in female volleyballers aged 14-15 and 16-17, whereby the mechanism of strength regulation had greater effect on the game performance than the mechanism of speed regulation. Regression correlation analysis also revealed the set of 6 techniques evaluated to be a good predictor of situation efficiency in both groups of female volleyballers aged 14-15 and 16-17. The block and spike techniques were found to be the best predictors of game performance quality in the former, and the techniques of spike and block in the latter. Based on the results obtained, a possible model of selection for supreme score achievement in female volleyball is described.