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Abstract INTRODUCTION Solid-organ transplant recipients are at risk of hepatitis E virus (HEV) infection. We analyzed the seroprevalence/risk factors of HEV in Croatian liver transplant recipients. METHODS Two hundred forty-two serum samples were tested for HEV immunoglobuline IgG/IgM and HEV RNA. Sociodemographic data and risk factors were collected using a questionnaire. RESULTS HEV IgG seroprevalence rate was 24.4%. Positive/equivocal HEV IgM were found in two patients. HEV RNA was not detected. Logistic regression showed that older age, female gender, rural area/farm, water well, and septic tank were associated with HEV seropositivity. CONCLUSIONS This study revealed a high exposure rate to HEV in Croatian liver recipients.
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Humanos , Masculino , Femenino , Adulto , Anciano , Anciano de 80 o más Años , Trasplante de Hígado/efectos adversos , Virus de la Hepatitis E/inmunología , Hepatitis E/epidemiología , Factores Socioeconómicos , Inmunoglobulina G/sangre , Inmunoglobulina M/sangre , ARN Viral/sangre , Anticuerpos Antihepatitis/genética , Estudios Seroepidemiológicos , Estudios Transversales , Factores de Riesgo , Hepatitis E/inmunología , Croacia/epidemiología , Persona de Mediana EdadRESUMEN
- The aim of the study was to reevaluate the safety and feasibility of discharge 24 h after elective uncomplicated laparoscopic cholecystectomy. Since the introduction of laparoscopic cholecystectomy in our hospital, the minimum postoperative stay was considered to be two days based on surgeons' experience. The study included 337 operations performed by 21 surgeons during 2016 in the Sestre milosrdnice University Hospital Centre. Conversion to open technique and cases of acute cholecystitis were excluded, while 15 patients had insufficient postoperative data. The mean length of stay was 2.38 (range 1 to 6) postoperative days, median two postoperative days. Serious complications involving suspected drain bile leakage and postoperative hemorrhage occurred in two (0.59%) patients, both in the first 24 h following surgery. One patient required emergency laparotomy on the first postoperative day. Readmission rate was 1.2%. The postoperative minor complication rate was 42 of 337 (12.46%); these included wound infections, urinary tract infections, symptoms included in postcholecystectomy syndrome, etc. The onset of these complications was mostly after postoperative day 3. The data obtained suggest that discharge on the first postoperative day after elective uncomplicated laparoscopic cholecystectomy should be considered safe and can be practiced in our hospital.
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Colecistectomía Laparoscópica , Tiempo de Internación , Alta del Paciente , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Colecistectomía Laparoscópica/efectos adversos , Procedimientos Quirúrgicos Electivos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Readmisión del Paciente/estadística & datos numéricos , Complicaciones Posoperatorias , Estudios Retrospectivos , Adulto JovenRESUMEN
Abstract X chromosome STR typing has emerged recently as a powerful tool, complementary to autosomal STR typing, in solving complex forensic and missing person cases. Investigator® Argus X-12 is a commercial product that allows co-amplification of 12 X chromosomal markers belonging to four linkage groups (LGs). In this study, we analyzed by capillary electrophoresis blood samples from 100 females and 102 males from a population of northern Croatia. Statistical analysis included calculation of allele and haplotype frequencies, as well as forensic parameters. The most informative marker for the northern Croatia population was DXS10135 with PIC=0.9211 and a total of 27 alleles. The least polymorphic marker was DXS8378 with 6 alleles. The proportion of observed haplotypes from the number of possible haplotypes varied from 2.74-8.57% across all LGs, with LG1 being the most informative. Of the 11 tested world populations compared to the population of northern Croatia, significant differences in genetic distance (FST) were found for Greenlandic and all non-European populations. We found that all tested markers are in HWE and can thus be used for match probability calculation. Because of high combined power of discrimination in both men and women, Investigator® Argus X-12 is applicable for the northern Croatia population in routine forensic casework.
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Many authors have discussed use of birds (and other organisms) as sensitive biomonitors for climate change. In this paper we investigate the long-term trends in first arrival dates of the long-distance migratory House Martin, Delichon urbica (Linneus, 1758), in north-western Croatia during the 28-year period. The aim of this paper is to identify possible relationship between arrival times and local spring air temperatures. Between 1981 and 2008 the House Martin arrived progressively earlier (5.9 days), probably in response to climate change. First arrival dates correlated significantly with increasing March-April mean temperatures. Correlation between mean spring air temperature and yearly temperatures were also statistically significant. Our results suggest that the arrival timing of the House Martin is influenced by spring air temperatures
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Many authors have discussed use of birds (and other organisms) as sensitive biomonitors for climate change. In this paper we investigate the long-term trends in first arrival dates of the long-distance migratory House Martin, Delichon urbica (Linneus, 1758), in north-western Croatia during the 28-year period. The aim of this paper is to identify possible relationship between arrival times and local spring air temperatures. Between 1981 and 2008 the House Martin arrived progressively earlier (5.9 days), probably in response to climate change. First arrival dates correlated significantly with increasing March-April mean temperatures. Correlation between mean spring air temperature and yearly temperatures were also statistically significant. Our results suggest that the arrival timing of the House Martin is influenced by spring air temperatures
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Many authors have discussed use of birds (and other organisms) as sensitive biomonitors for climate change. In this paper we investigate the long-term trends in first arrival dates of the long-distance migratory House Martin, Delichon urbica (Linneus, 1758), in north-western Croatia during the 28-year period. The aim of this paper is to identify possible relationship between arrival times and local spring air temperatures. Between 1981 and 2008 the House Martin arrived progressively earlier (5.9 days), probably in response to climate change. First arrival dates correlated significantly with increasing March-April mean temperatures. Correlation between mean spring air temperature and yearly temperatures were also statistically significant. Our results suggest that the arrival timing of the House Martin is influenced by spring air temperatures
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Type 1 diabetes mellitus (TIDM) is an autoimmune disease characterized by the destruction of pancreatic p cells. Tumor necrosis factor (TNF) is a pleotropic cytokine with potent immunomodulatory and inflammatory activity. Association studies of TNF polymorphisms and type 1 diabetes (TIDM) frequently demonstrated TNF involvement with TIDM. Although TNF may play an important role in the pathogenesis of TIDM, the genetic association of TNF región with the disease has not been conclusive because of the strong linkage disequilibrium with HLA genes. In this study, we examined two TNF promoter variants (rs 1800629 at position -308, and rs361525 at position -238) for TIDM association in 233 patients and 144 controls from the population of South Croatia. A higher frequency of TNF -308 A alíele and also, a more frequent specific -308A -238G haplotype in TIDM patients were observed with a limited significance. However, we did not find strong evidence of association of TNF promoter polymorphisms with TIDM. In order to elucidate the trae contribution of TNF to TIDM susceptibility in our population, more comprehensive studies with HLA adjustment in a larger sample are required.