Suppression of serum lipid transfer proteins involved in high-density lipoprotein cholesterol metabolism by intensive insulin therapy in the first year of type 1 diabetes mellitus: Prospective InLipoDiab1 study

Background and aimsCholesteryl ester transfer protein (CETP) and phospholipid transfer protein (PLTP) are crucial proteins in reverse cholesterol transport. There are insufficient data on regulating these proteins by insulin therapy in type 1 diabetes mellitus (T1DM). We aimed to assess prospectively the impact of insulin therapy initiation on transfer proteins serum levels in adults with newly diagnosed T1DM.Methods and results57 adults with newly diagnosed T1DM were enrolled in the InLipoDiab1 Study. All participants were treated with subcutaneous insulin in the model of intensive insulin therapy since the diagnosis of diabetes. Serum PLTP and CETP concentrations were measured at diagnosis, after three weeks, six months, and after one year of insulin treatment, using the immunoenzymatic method ELISA.A significant decrease in PLTP and CETP concentrations were demonstrated during twelve months of insulin therapy in newly diagnosed T1DM. The dynamics of changes in the level of these proteins varied depending on the occurrence of remission after a year of the disease. In the group without remission, a significant decrease in PLTP and CETP levels appeared after six months of follow-up. The remission group was characterized by a decrease in proteins concentration only after one year of treatment. In the non-remission group, significant negative correlations were found between the daily dose of insulin and levels of PLTP and CETP.ConclusionExogenous insulin is an inhibitor of lipid transfer proteins involved in high-density lipoprotein cholesterol metabolism in the first year of treatment.     

Apport d’un laboratoire dans la prise en charge des patients atteints de la maladie à virus Ebola et dans la formation des personnels soignants : expérience du Centre de traitement d’Ebola de Forécariah (Guinée) en 2015

Ebola virus disease (EVD) is associated with a high lethality rate even when the afflicted are provided with good support in an Ebola treatment center (ETC). Basic laboratory tests can help to better understand the pathophysiology of the disease, to guide treatment and to establish simple protocols and procedures tailored to the practice of medicine in the context of such precarious environment for caregivers. Based on a few clinical cases of patients treated in the ETC of Forecariah, Guinea, run by the French Red Cross, this article describes the difficult conditions associated with the provision of medical practice in this challenging environment, aiming to minimize the casualties in the EVD patient and to train the health staff.     

Case Report of Small Cell Carcinoma of the Ovary,Hypercalcemic Type (Ovarian Rhabdoid Tumor) with SMARCB1 Mutation: A Literature Review of a Rare and Aggressive Condition

Small cell carcinoma of the ovary, hypercalcemic type (SCCOHT) is a rare and aggressive condition that is associated with the SMARCA4 mutation and has a dismal prognosis. It is generally diagnosed in young women. Here, we report a case of a young woman with SCCOHT harboring a rare molecular finding with a highly aggressive biological behavior. The patient had a somatic SMARCB1 mutation instead of an expected SMARCA4 alteration. Even though the patient was treated with high-dose chemotherapy followed by stem cell transplantation, she evolved with disease progression and died 11 months after her first symptoms appeared. We present a literature review of this rare disease and discuss the findings in the present patient in comparison to expected molecular alterations and options for SCCOHT treatment.     

Alkaloids,amides and antispasmodic activity of Zanthoxylum hyemale

Two quinoline alkaloids, (-)-R-geilbalansine (1) and hyemaline (2), as well as aromatic amide, N-[2-(3,4-dimethoxyphenyl)-2-methoxyethyl)-2-methoxyethyl]benzamide (O-methylbalsamide) (3), were isolated as new natural products from the stem barks of Zanthoxylum hyemale, together with seven known compounds. Their structures were determined on the basis of spectroscopic data (IR, (1)H- and (13)C-NMR, MS). In addition, the antispasmodic activity of the crude extract of Z. hyemale and three other more abundant isolated compounds (4, 5 and 10) were studied in two different antispasmodic test models on isolated rat ileum and only the crude ethanolic extract presented antispasmodic activity.     

Essential oil from Zanthoxylum hyemale

The essential oils from aerial parts of young (sample A) and mature leaves (sample B), fruit (sample C), and flowers (sample D) of Zanthoxylum hyemale were obtained by hydrodistillation and analyzed by GC, GC/MS, and chiral phase gas chromatography (CPGC). Thirty-four compounds were identified from the essential oils, representing approximately 90.71, 91.19, 87.33, and 89.08 % of the oils, respectively. The major constituent of the young leaf essential oil was the sesquiterpene trans-nerolidol (51 %), while the main constituent of mature leaf (31 %) and flower oils (22 %) was an as yet unknown humulane-type sesquiterpenoid, which was characterized by spectral techniques (EI-MS and 1D-, 2D-NMR) as 3,7,10,10-tetramethylcycloundeca-3,7-dien-1-ol ( 1) and given the trivial name "hyemalol". In the fruit essential oil, the most abundant components were the monoterpenes beta-pinene (25 %) and alpha-pinene (10 %). The antimicrobial activity of the essential oils and some isolated compounds is also reported.     

Lipid peroxides, tumor necrosis factor alpha (TNF-alpha) and interferon gamma (IFN-gamma) in peritoneal fluid from infertile women with minimal and mild endometriosis

OBJECTIVES: To assess the concentrations of tumor necrosis factor alpha (TNF-alpha), interferon gamma (IFN-gamma) and lipid peroxides (the marker of free radicals activity) in peritoneal fluid (PF) of infertile women with minimal and mild endometriosis. MATERIALS AND METHODS: 19 women were studied, including 9 infertile women with minimal or mild endometriosis and 10 patients with tubal occlusion (the reference group). Lipid peroxides (malonyldialdehyde and 4-hydroxynonenal), TNF-alpha and IFN-gamma concentrations were measured in the PF using commercially available kits. RESULTS: Concentration of IFN-gamma was detectable in PF of 7 (77.8%) women with endometriosis and in PF from 3 (30%) patients with tubal occlusion. Neither TNF-alpha or lipid peroxides PF concentration differed significantly (p < 0.05) between the groups. In the group with endometriosis we have found a positive correlation (R = 0.77, p = 0.04) between the concentrations of TNF-alpha and IFN-gamma. CONCLUSIONS: Our results suggest that oxidative stress in the PF doesn't appear to play a role in endometriosis-associated infertility.     

Use of a bioindicator system in the study of the mutagenetical effects in the neighborhoods of deposits of radioactive waste

The purpose of the research described in this paper was to analyze the biological mutational effects caused by low doses of ionizing radiation on biological samples placed nearby and around deposits of radioactive waste, as a way of monitoring the environment close to them. In order to do this, the plant Tradescantia pallida was chosen, and through micronuclei tests the sensitivity of the dose/response to bio-monitoring could be observed. The plants were exposed for a period of 24h in previously chosen sites around Brazil, within the proximity of nuclear waste deposits. In each location, three points were chosen for bio-monitoring. The results obtained at these locations showed a small increment in the frequency of micronuclei per cell of the biosensor. From these data, a scale of mutagenesis effects due to low-dose radiation was built up. T. pallida is a good alternative for environmental bio-monitoring in tropical climates, as it is an excellent alternative tool in the studies of the effects of ionizing radiation on the environment.     

Interlocking intramedullary nail with reaming of bone marrow cavity in treatment of tibia and femur pseudarthrosis]

The aim of this paper was to assess the results of treatment of pesudoarthrosis of the tibia and femur with reamed interlocked intramedullary nailing. A group of 17 patients with pseudoarthrosis of long bones were treated. Pseudoarthrosis were located in 10 cases in the tibia and in 7 cases in the femur. In the analysed group there were 14 male and 3 female patients (average age: 48 years). All patients were treated by locked intramedullary nailing. Complete bone union was observed in 15 cases, 1 case is still under observation (radiological signs of bone union are already evident) and in 1 case treatment failed to resolve the pseudoarthrosis. Intramedullary interlocking nailing in the treatment of long bone pseudoarthrosis give very good stability and creates very good conditions for blood vessel penetration between the bone fragments. The reaming procedure yields biologically active material that accelerates the bone union process.     

The impact of muscle training by Kotz phasal currents on increased strength and mass of the medial head of the quadriceps muscle of the thigh in patients with degenerative disease of the femoropatellar joint

Background. This article presents the results of research on the impact of muscle training using Kotz phasal currents on rehabilitation outcome in patients with degenerative disease of the femoropatellar joint.
Material and methods. Our research involved 40 patients undergoing isometric exercises of the quadriceps muscle of the thigh. In 20 of these patients (the experimental group) we also applied Kotz phasal currents. In the course of rehabilitation we measured any changes occurring in the circumference of the thigh 10 cm from the base of the patella, as well as muscle strength on the Lovett scale.
Results. A significantly greater reduction in pain was achieved in the experimental group. After the first two weeks, the differences between the two groups in the circumference of the thigh and in muscle strength were only slight, but after the next two weeks visible changes emerged in both parameters. In the control group there was slight improvement in circumference of the thigh, but muscle strength remained unchanged.
Conclusions. The results we obtained indicate that training with Kotz currents and isometric exercises are an effective means of treatment in rebuilding muscle mass and strength.