Sbornik vedeckych praci Lekarske fakulty Karlovy university v Hradci Kralove最新文献

From the genotoxic viewpoint, there exists a sufficient evidence for asbestos carcinogenicity to human population and animals. Asbestos is a solid cancer promoter (cocarcinogen) of non-mutagenic character having epigenetic effects (15, 16). No data have been published on its mutagenic activity in "in vivo" conditions in man. The only results are those of our pilot study carried out in the period of 1981-1983, which cast doubts on the official view of non-mutagenic character of asbestos--at least under occupational conditions of its processing (34, 36, 37). The study presented here represents ten years' efforts made in the biological (cytogenetic) monitoring of persons occupationally exposed to asbestos in a factory for its processing (occupational risk). Simultaneously, a preliminary answer is given to the question whether the Osinek factory (situated in a housing area) is or is not dangerous for inhabitants of the town of Kostelec nad Orlicí, namely for their genetic apparatus (environmental risk). Using the method of chromosome aberrations analysis in peripheral blood lymphocytes, a total of 431 subjects (245 males and 186 females) were examined in the period of 1981 to 1988. Of these, 111 persons were from control workplaces (from Osinek or--starting from 1984--from other plants in Kostelec nad Orlicí; in addition to that 14 pensioners without any occupational exposure were examined). The average age of workers exposed to asbestos risk was 42.7 years, in the controls it was 43.9 years, in pensioners exposed to asbestos earlier 63.5 years and in those never exposed to asbestos 66.5 years. The average number of years spent at Osinek factory amounted to 21.5 years. About one third of employees were found to suffer from allergies (first of all those of air passages) and one sixth from chronic ailments of the upper air passages (Staphylococcus aureus, Haemophilus influenzae and Streptococcus beta-haemolyticus were diagnosed most frequently). A third part of workers from high-risk workshops are smokers, only a fourth of the controls. About 40% of workers regularly consume alcoholic drinks. The average morbidity rate at Osinek in 1981 to 1988 was 6.3% (in workers as high as 9%), which is about 2% higher as compared with mean values obtained in the district of Rychnov nad Knĕznou and East-Bohemian region. Within the nine-year period (1981-1989), 21 occupational diseases were diagnosed, while in the previous 24 years there were 24 cases of an occupational disease. Earlier they were mainly asbestoses (87%), in the last period mainly cancer diseases coinciding with asbestosis (81%).(ABSTRACT TRUNCATED AT 400 WORDS)

The activities of Cu, Zn-containing superoxide dismutase were studied in radioresistant tissues (liver, brain, erythrocytes) of whole-body irradiated rabbits with 6.0 Gy and 24.0 Gy with local shielding. No significant changes were observed after irradiation with 6.0 Gy. Both the changes in Cu, Zn-SOD activity and the protein concentrations were more pronounced after exposure to 24.0 Gy with local shielding of the head and abdominal region. The dose on the shielded regions was about 6.0 Gy. Local shielding of rabbits irradiated with a lethal dose 24.0 Gy influenced positively the survival of animals. However, the decrease in SOD activity on 60th day after irradiation seems to be unfavourable for further survival of rabbits, if we accept that SOD content in tissue is maintained at a rather constant level.

The activities of total, Cu,Zn- and Mn-containing superoxide dismutase were studied in the bone marrow of whole-body irradiated rabbits with 6.0 Gy or 24.0 Gy with local shielding. Irradiation with 6.0 Gy depressed the activities of total and Cu,Zn-SOD on the 8th and 15th days, whereas the activity of Mn-SOD did not change. The exposure to 24.0 Gy with local shielding of head and abdominal region decreased Cu,Zn-SOD activity on the 4th and 60th days after irradiation, Mn-SOD activity was lower nearly at all time intervals investigated. The exposure to 24.0 Gy with shielding of whole body without head region increased markedly Cu,Zn-SOD activity, whereas Mn-SOD activity was diminished on the 8th and 15th days after irradiation in comparison with control group. Mn-SOD activity (U per 10(6) of bone marrow cells) was increased at early time intervals, the changes were not so striking after irradiation of rabbits with 24.0 Gy with shielding of whole body without head region.

An analysis of clinical material through 10-year-period (1980-1989) is presented. There were 708 gastric operations performed for gastroduodenal ulcer disease. Most frequently distal gastric resections (585) were used, 233 in B. I. and 352 in B II. modification. Selective proximal vagotomy (SPV) was less frequently used (only 116 cases). Authors think there is no reason for a general use of SPV for each form of duodenal ulcer because of very serious competition with the H2 blockers. A different individual proved choice of the method as well as an appropriate subtle operating technique is considered to be essential.

The functions of professional phagocytes depending on oxygen are briefly discussed. After appropriate stimulation, membrane-bound enzyme systems are activated--phospholipase C, protein-kinase C and NADPH-oxidase complex--and superoxide anion is produced. This process is called respiratory burst and is essential for killing of microorganisms but it may cause tissue damage and inflammation. The influence of superoxide anion on metabolism is reviewed. More attention is paid to modulating effects of superoxide anion in connection with the development inflammatory process.

Contents of DNA in the liver and brain parts (cerebellum, pons, hemispheres) of the rat following acute intoxication with soman (i. m., 32 micrograms/kg) were studied. Statistically significant increase of DNA concentrations in the liver and decrease in the hemispheres 1 and 3 hours after the intoxication was demonstrated; in other brain parts studied, no changes were detected. The blood acetylcholinesterase activity was diminished 1 hour after the injection of soman and it was statistically significant 3 days following poisoning. In rats pretreated with atropinee (i. m., 200 mg/kg) and intoxicated with higher dose of soman (i. m., 50 micrograms/kg), specific activity of incorporation of radiolabelled thymidine into DNA was significantly decreased in the liver only. The results suggested that soman except cholinergic effects also influenced metabolism of nucleic acids.

Toxicities expressed as LD50 values of 2-dialkylaminoalkyl-(dialkylamid) o-fluorophophates for rats and mice (i. m. administration) were determined. Rats were more sensitive to these compounds than mice: LD50 values varied from 17 to 261 micrograms/kg for rats and from 30.5 to 1222 micrograms/kg for mice, respectively. Different routes of administration in one derivative of this group substituted by methyl groups only were compared. The highest toxicity (lowest LD50 value) in intravenous administration (11 micrograms/kg) and the lowest one in percutaneous (1366 micrograms/kg) were found.

We collected and evaluated the results of contrast sensitivity (CS) examination by means of Vistech chart with an arranged testing distance 208 and 420 cm covering spatial frequencies 1.15-27.25 cycles/degree (c/deg). Our test was comprised of normal population and patients with chronic renal insufficiency including the group of waiting patients, dialysed patients and dialysed patients after neuroretinopathy and also patients after kidney transplantation and those with Alport's syndrome. We gave our attention to the results of visual acuity (VA) and contrast sensitivity (CS) examination in patients after surgery for detached retina, aphakic patients and patients with artephakia. We examined and evaluated CS in patients with intraocular hypertension. All patients reached the VA values 6/9-6/6. 1. The results of examination of 100 healthy persons of different age displayed significant differences in age groups covering all spatial frequencies between the groups 21-50, 51-60 and 61-80 years whereas in sets of higher age we registered differences in the region of medial spatial frequencies only. These data served us to create control groups in the individual partial groups. 2. Patients with chronic renal insufficiency have CS significantly lowered. These examinations suggest that there is a certain relation between renal and retinal functions and that the dialyzation treatment is not able as yet to compensate fully all changes evoked by renal insufficiency. A clear tendency to normalize CS after renal transplantation is suggestive of a certain reversibility of these changes. This is valid for transplant patients with a clear lens. If opacity of the posterior cortex of the lens occurs after a long-time cortisone treatment, a substantial fall in the CS curve is registered in all spatial frequencies in spite of the VA being 6/9-6/6. Patients with neuroretinopathy have CS always significantly disturbed. These changes are reversible although this reversibility is not complete. The new way of dialyzation treatment secures a relatively rapid normalisation of pathological changes in the fundus and repair of subjective functions. At the same time we came to the conclusion that the prognostic outlooks of these patients have become distinctly better as far as their subjective visual functions are concerned. 3. Patients after surgery for detached retina displayed in all cases in the operated eye highly reduced CS in median and low spatial frequencies simultaneously with a statistically significantly lower threshold visual acuity and reduced slope of the acuity function in the diseased eye.(ABSTRACT TRUNCATED AT 400 WORDS)

A total of 36 children age-ranged from 2 up to 34 mos (17 boys and 19 girls) with previous surgery for the vesico-renal reflux has been evaluated. This disorder had most commonly been classified to be of higher degree (IV. and V. 45%) and often showed no response on repeated conservative treatment with even stronger antibiotics. The boys (27 ureters) and girls (31 ureters) underwent the 32 antireflux operations after Anderson-Glenn and those 26 after Politano-Leadbetter, respectively. In 6 ureters, their resection and modelling after Hendren was necessary to be done. On post-operative check-out, the 6 post-antireflux Anderson-Glenn's plastic ureters revealed on miction cystography the persistent vesico-renal reflux re-operated subsequently in accord with Politano-Leadbetter. From them, in 2 ureters the post-operative stricture has occurred in the site of ureter-to-bladder healing that was transitorily secured with percutaneous nephrostomy.

Scleroplastic surgery is known to encounter the pathogenetical agent when the progressive myopia develops. In the first part, the implemented surgical approaches as well as up-to-date surgical techniques are presented. The experimental part is reserved for the selection of material which is necessary to perform scleroplasties. Both the allogenic and xenogenic grafts have been studied for histocompatibility on 20 rabbits. Following materials were used: 2 types of collagenic sponge, native and deproteinated human sclera, modified dura mater as well as both the native and devitalized sclera from rabbits. The best results were obtained with allogenic sclera, deproteinated xenogenic sclera and collagenic sponge. The application of other materials is discussed.