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Sensitivity to antibiotics of the most common pathogens isolated from the upper airways in north-west part of Poland shown significant regional variation. The rise in resistance to penicillin for Streptococcus pneumoniae (to 22%) and to macrolides for Streptococcus pyogenes, Streptococcus pneumoniae and Staphylococcus aureus was observed. No differences in sensitivity have been found between pathogens isolated from hospital and ambulatory patients.

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The aim of the study was to examine the physiological relevance of factors produced by a modified procedure for factor analysis of dynamic renal studies. Factor analysis has been applied locally to subsets of dynamic renal data which were well defined in both space and time domains. Optimised factor images resulting from different subsets were used as fuzzy regions of interest (ROIs) for the extraction of time-activity curves corresponding to renal parenchyma, renal pelvis, vascular and spatially homogeneous background. The original procedure employed the factor images of renal parenchyma and pelvis resulting from an analysis of the interval between the peaks of parenchymal and pelvic curves. In an attempt to improve the separation of renal parenchyma and pelvis, new fuzzy ROIs were used. They correspond to the factor image of renal uptake obtained from the analysis of the early phase of the study, and to the factor image of the renal pelvis obtained from the outflow phase. The curves generated with the new fuzzy ROIs were compared with those of the original procedure and tested for the presence of known artefacts inconsistent with the expected physiological behaviour. Unlike with the original procedure, no such artefacts were found. The most striking difference was that the pelvic factor curves did not start from zero time of the study but exhibited a physiologically correct initial horizontal zero segment the length of which correlated closely with the minimum parenchymal transit time (r=0.79, n=46, P<0.001). The new method permits easy and reliable application of factor analysis to dynamic renal studies. Problems which remain to be solved are user-independent identification of the optimum factors and suboptimal performance of the method under extreme conditions. Our results provide additional evidence that factor analysis can extract physiologically relevant information quantitatively from dynamic scintigraphic data.

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It was the aim of this study to evaluate different markers of inflammation such as 99mTc-labelled human immunoglobulin G and 99mTc-nanocolloid with respect to their ability to detect inflammatory or degenerative affections of small joints of hand and fingers. While conventional bone scanning reveals good agreement with clinical findings it is not well suited for screening of inflammatory processes due to its poor specificity. In small joints conventional three-phase bone scan with information of perfusion, bloodpool and accumulation is not suitable due to the small ROI, low count rate with high statistics. Therefore we used inflammatory markers to overcome this problem. Immunoglobulin G was true positive in case of inflammatory lesions in 69%, and false positive in case of degenerative lesions in 24%, while nanocolloid was true positive in 72% and false positive in 14%, respectively. Significant differences were found between markers of inflammation and the bone scanning agent while both inflammatory markers, immunoglobulin G and nanocolloid demonstrated significant correlation. While bone scanning tracers detect all kinds of joint affections, immunoglobulin G and nanocolloid accumulate preferentially in inflammatory joints and therefore might be useful to differentiate between inflammatory and degenerative lesions.

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Bronchial aspirates collected from a group of 100 patients with respiratory infections undergoing broncho-fiberscopic examination have been tested bacteriologically. Twenty five patients was suffered from bronchopneumonia, 35 patients have had acute bronchitis, and 40 patients chronic bronchitis. Aerobic bacterial flora has been detected in 15% of patients, anaerobic flora in 13%, an mixed bacterial flora in 20%, totally in 48% of cases. Aerobic bacteria predominated in pneumonia. Bacteroides melaningogenicus prevailed in anaerobic flora. The tests of bacterial sensitivity to antibiotics have shown high sensitivity to cefotaxime, cefamandole, metronidazole, and rifampicin.

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A fatal case of severe meningoencephalitis caused by Listeria monocytogenes in a compromised alcoholic has been described. Unconsciousness, full meningeal symptoms with slight lateralisation of signs, seizures, respiratory failure within three days before death have been observed.

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Cytogenetic studies of the mithun (Bos frontalis), the siri (Bos indicus) and their hybrids, as well as histological examinations of testes and epididymis of siri and hybrids were undertaken to throw further light on male hybrid infertility and interspecies incompatibility, in order to facilitate the possible development of a stable interspecies crossbreed which would be similar to the highly profitable jatsum, the female mithun cross siri hybrid. In both species there are distinct centromeric heteromorphisms which should provide a rich source of genetic markers for tracing chromosomes in controlled hybrid programmes. The nucleolar organisers in the F1 hybrids were derived from both parents, in contrast to other interspecies hybrids where the nucleolar organisers of one species tend to be suppressed by the other. This indicates a relatively close relationship between mithun and siri and supports the prospect of success for developing a stable crossbreed. Transferrins which may also be a useful source of genetic markers were identified and differences between siris and mithuns noted, especially in the D-bands. No A-bands were found in the siris and no E-bands in the mithuns. Whether this is a breed or species characteristic will have to be confirmed by examination of more animals. The findings on blood groups and haemoglobins, including differences between the two species, were similar to results obtained previously. In meiosis the sex vesicles were intact which indicates that infertility and incompatibility factors should be located in autosomes. In cytogenetic and histological examinations the testes of the siris were comparable to those of European cattle, while in all hybrids spermatogenetic activity was deficient although there were great differences between and within generations. While the exact mechanism of this diversity is not known at this stage, it should make it possible to select for increased male hybrid fertility which would be a prerequisite for developing a stable interspecies crossbreed. This selection would be facilitated by correlating infertility and incompatibility with genetic profiles and markers. A mithun cross siri crossbreed would also serve as a model for other interspecies breeding.

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The mithun (Bos frontalis) and its hybrids with Bos indicus were studied to provide further cytogenetic information which might throw light on the mechanisms of the male hybrid infertility and facilitate the establishment of a stable crossbreed. It was shown that compared with conventional cattle the mithun has a homozygous, species specific 2/27 centric fusion which reduced the diploid chromosome number from 60 to 58. This provided further proof that Robertson translocation-type rearrangements have been the major source of interspecies karyotype differences in the evolution of the Bovidae. In the mithun there was also significant polymorphism between centromeres of non-homologous chromosomes and there was heteromorphism between several homologous chromosomes which could possibly serve as useful genetic markers for breeding programmes. In F1 hybrids spermatogenesis progressed to a relatively advanced stage, without going so far as to produce spermatozoa. In back crosses to B indicus spermatogenesis progressed further so that spermatozoa could be seen, though not as numerous as in normal bulls. In most hybrids there were haemoglobin bands which corresponded either to Hb A or Hb B of cattle but were much wider. It was shown that these were a combination of Hb Mi derived from the mithun and Hb A or Hb B derived from B indicus. In a few hybrids there were only Hb Mi. In these cases Hb Mi had been present in both parents and proved that the dam was not a pure siri. The possible mechanism of hybrid male infertility is discussed including faults in the epistatic gene effect between chromosomes and changes in the degree of association of centromeric regions in interspecies hybrids. It is suggested that additional cytogenetic examination of blood lymphocytes and especially of testicles would help the understanding of the fertility barriers of hybrid males and would make a breeding programme for a stable crossbreed possible.

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In Bhutan in remote parts of the Himalayas the mithun (Bos frontalis) has been used probably for centuries in an ingenious system for crossbreeding with domestic cattle which results in highly profitable hybrid females. The hybrid males are infertile and so far no stable crossbreed has been developed. Genetic analyses reported in this paper support the view that the gaur is the wild ancestor of the mithun. Both have only 58 chromosomes in contrast to 60 in cattle and also different, hitherto undescribed haemoglobins and blood groups which would justify the revision of the present classification of the subfamily Bovinae. If, with the aid of modern genetic methods, a stable crossbreed could be developed, dairy and beef production in Bhutan and many climatically similar areas could benefit greatly. Because of its remarkable size the mithun may, in the hands of enterprising breeders, also make a useful genetic contribution to beef production elsewhere.

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30 patients who consecutively underwent cardiac surgery with extracorporeal circulation were investigated with regard to preoperative, intraoperative and postoperative activities of creatine kinase (CK) and CKMB isoenzyme (CK-MB), as well as myoglobin concentrations in the blood. 12 lead electrocardiograms were taken before and after the operation. At subsequent control angiography, of 18 patients with coronary heart disease 10 showed patent bypass grafts, whilst the remaining 8 patients had at least one occluded graft. 12 patients served as a control group, half of them undergoing mitral valve replacement and the other half aortic valve replacement. There was no significant difference in enzyme activity patterns between the groups. Specific determinations together with ECG monitoring can be of diagnostic help in perioperative control of these patients.

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