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Augustin G, Mijatovic D, Zupancic B, Soldo D, Kordic M. Specific small bowel injuries due to prolapse through vaginal introitus after transvaginal instrumental gravid uterus perforation: a review. J OBSTET GYNAECOL 2019; 39:587-593. [PMID: 30822180 DOI: 10.1080/01443615.2018.1540561] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
A small bowel prolapse through the vaginal introitus after a transvaginal instrumental gravid uterus perforation is a surgical emergency. To define the mechanisms of an irreversible, small bowel ischaemia due to small bowel prolapse through a vaginal introitus, ClinicalTrials.gov, PubMed, PubMed Central, and Google Scholar were searched. Out of the 81 articles screened, 28 cases of a small bowel evisceration through vaginal introitus were included. A small bowel obstruction severity grading was defined with risk factors; potential mechanisms of different severity grades after a transvaginal instrumental gravid uterine perforation with a vaginal evisceration. The duration of symptoms or a delay in the diagnosis did not change the incidence of the two most severe grades-mesenteric stripping and a small bowel degloving. Both obstruction types develop immediately during an instrumental abortion. The severity of obstruction does not influence the maternal outcome.
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Affiliation(s)
- Goran Augustin
- a Department of Surgery , University Hospital Centre Zagreb , Zagreb , Croatia.,b School of Medicine , University of Zagreb , Zagreb , Croatia
| | - Davor Mijatovic
- a Department of Surgery , University Hospital Centre Zagreb , Zagreb , Croatia.,b School of Medicine , University of Zagreb , Zagreb , Croatia
| | - Bozidar Zupancic
- c Department of Pediatric Surgery , Children's Hospital Zagreb , Zagreb , Croatia
| | - Dragan Soldo
- d Department of Gynecology and Obstetrics , University Hospital Mostar , Mostar , Bosnia and Herzegovina
| | - Mario Kordic
- e Department of Urology , University Hospital Mostar , Mostar , Bosnia and Herzegovina
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Hanu AR, Barberiz J, Bonneville D, Byun SH, Chen L, Ciambella C, Dao E, Deshpande V, Garnett R, Hunter SD, Jhirad A, Johnston EM, Kordic M, Kurnell M, Lopera L, McFadden M, Melnichuk A, Nguyen J, Otto A, Scott R, Wagner DL, Wiendels M. NEUDOSE: A CubeSat Mission for Dosimetry of Charged Particles and Neutrons in Low-Earth Orbit. Radiat Res 2016; 187:42-49. [PMID: 28001909 DOI: 10.1667/rr14491.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
During space missions, astronauts are exposed to a stream of energetic and highly ionizing radiation particles that can suppress immune system function, increase cancer risks and even induce acute radiation syndrome if the exposure is large enough. As human exploration goals shift from missions in low-Earth orbit (LEO) to long-duration interplanetary missions, radiation protection remains one of the key technological issues that must be resolved. In this work, we introduce the NEUtron DOSimetry & Exploration (NEUDOSE) CubeSat mission, which will provide new measurements of dose and space radiation quality factors to improve the accuracy of cancer risk projections for current and future space missions. The primary objective of the NEUDOSE CubeSat is to map the in situ lineal energy spectra produced by charged particles and neutrons in LEO where most of the preparatory activities for future interplanetary missions are currently taking place. To perform these measurements, the NEUDOSE CubeSat is equipped with the Charged & Neutral Particle Tissue Equivalent Proportional Counter (CNP-TEPC), an advanced radiation monitoring instrument that uses active coincidence techniques to separate the interactions of charged particles and neutrons in real time. The NEUDOSE CubeSat, currently under development at McMaster University, provides a modern approach to test the CNP-TEPC instrument directly in the unique environment of outer space while simultaneously collecting new georeferenced lineal energy spectra of the radiation environment in LEO.
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Affiliation(s)
- A R Hanu
- a NASA Goddard Space Flight Center, Greenbelt, Maryland 20771
| | - J Barberiz
- Department of bElectrical and Computer Engineering, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - D Bonneville
- c Department of Engineering Physics, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - S H Byun
- d Department of Medical Physics and Applied Radiation Sciences, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - L Chen
- c Department of Engineering Physics, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - C Ciambella
- f Department of Physics and Astronomy, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - E Dao
- d Department of Medical Physics and Applied Radiation Sciences, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - V Deshpande
- e Department of Mechanical Engineering, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - R Garnett
- d Department of Medical Physics and Applied Radiation Sciences, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - S D Hunter
- a NASA Goddard Space Flight Center, Greenbelt, Maryland 20771
| | - A Jhirad
- Department of bElectrical and Computer Engineering, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - E M Johnston
- d Department of Medical Physics and Applied Radiation Sciences, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - M Kordic
- Department of bElectrical and Computer Engineering, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - M Kurnell
- c Department of Engineering Physics, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - L Lopera
- f Department of Physics and Astronomy, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - M McFadden
- d Department of Medical Physics and Applied Radiation Sciences, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - A Melnichuk
- Department of bElectrical and Computer Engineering, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - J Nguyen
- Department of bElectrical and Computer Engineering, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - A Otto
- e Department of Mechanical Engineering, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - R Scott
- e Department of Mechanical Engineering, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - D L Wagner
- c Department of Engineering Physics, McMaster University, Hamilton, Ontario L8S 4K1, Canada
| | - M Wiendels
- Department of bElectrical and Computer Engineering, McMaster University, Hamilton, Ontario L8S 4K1, Canada
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Kraljevic D, Vukojevic K, Karan D, Rajic B, Todorovic J, Miskovic J, Tomic V, Kordic M, Soljic V. Proliferation, apoptosis and expression of matrix metalloproteinase-9 in human fetal lung. Acta Histochem 2015; 117:444-50. [PMID: 25722035 DOI: 10.1016/j.acthis.2015.02.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2014] [Revised: 01/22/2015] [Accepted: 02/01/2015] [Indexed: 10/23/2022]
Abstract
Expression pattern of the Ki-67, caspase-3 and matrix metalloproteinases-9 (MMP-9) factors were immunohistochemically analyzed in 48 human fetal lungs from 12 to 40 weeks of gestation. The number of Ki-67 positive cells in the epithelium of canaliculare (88cells/mm(2)) and sacculare stage (93cells/mm(2)) were significantly higher than in the epithelium of pseudoglandular stage (12cells/mm(2)) (p=0.0008 vs. p=0.003). The number of Ki-67 positive cells in the mesenchyme of canaliculare stage (132cells/mm(2)) was significantly higher than in the mesenchyme of pseudoglandular stage (37cells/mm(2)) (p=0.001). The proliferation of mesenchymal cells was higher than the epithelial cells in all developmental stages, especially in the canaliculare stage (p=0.007). Similarly, the number of caspase-3 positive cells in the epithelium of canalicular stage (13cells/mm(2)) was significantly higher than in the epithelium of pseudoglandular stage (6cells/mm(2)) (p=0.002) with peaks in the conductive epithelium of canalicular stage. The number of caspase-3 positive cells in the mesenchyme of canaliculare stage (3cells/mm(2)) was significantly higher than in the mesenchyme of saccular stage (0cells/mm(2)) (p=0.05). There were no caspase-3 positive cells in the mesenchyme of pseudoglandular stage. However, unlike the Ki-67 expression, mesenchymal cells in comparison to epithelial cells express substantially less caspase-3 in all developmental stages. Up to the saccular stage, the expression of MMP-9 in mesenchymal cells showed a linear increase with most pronounced expression in that stage. The number of MMP-9 positive cells in the mesenchyme of canaliculare (20cells/mm(2)) and sacculare (39cells/mm(2)) stage were significantly higher than in the mesenchyme of pseudoglandular stage (12cells/mm(2)) (p=0.04 vs. p=0.004). The first epithelial cells that express MMP-9 were present only at the alveolar stage. Increased proliferation and apoptosis of the mesenchymal cells of canalicular stage is important for formation of definite structures within the stroma of the lung parenchyma. Although apoptosis in the epithelium is not pronounced as proliferation, it is important for thinning of the epithelium and consequent spread of respiratory tract. However in the saccular stage when mesenchyme disappears, MMP-9 expression is more important for primitive alveoli differentiation.
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Basic-Jukic N, Hrsak-Puljic I, Kes P, Bubic-Filipi L, Pasini J, Hudolin T, Kastelan Z, Reiner Z, Kordic M, Brunetta B, Juric I. Renal transplantation in patients with Balkan endemic nephropathy. Transplant Proc 2007; 39:1432-5. [PMID: 17580155 DOI: 10.1016/j.transproceed.2006.11.019] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2006] [Revised: 10/17/2006] [Accepted: 11/20/2006] [Indexed: 11/15/2022]
Abstract
BACKGROUND Balkan endemic nephropathy (BEN) is a chronic tubulointerstitial disease prevalent in Croatia, Romania, Bulgaria, Bosnia and Herzegovina, and Serbia. In addition to renal disease, an increased incidence of upper urothelial carcinomas (UUCs) has been observed in the foci of BEN. Carcinoma may occur alone or in combination with BEN. Immunosuppression is associated with an increased risk for development of different malignancies. There are no data in the literature about the outcome of patients with BEN after transplantation. METHODS We performed a retrospective evaluation of the database and review of the charts and pathology reports of 601 renal transplant recipients treated at our institution. RESULTS From January 1995 to December 2004, kidney transplantations were performed in nine patients with BEN. One-year graft survival was 100%. A man, who was transplanted in 1997 died 2 years after transplantation with a functioning graft due to disseminated cancer from the pelvis of his own kidney. A female patient developed UCC 2 years after transplantation. They were both treated with a bolus of methylprednisolone before transplantation, because of four HLA-mismatches. A male patient developed UCC in the native and transplanted kidneys. He underwent a native nephroureterectomy with partial nephroureterectomy of transplanted kidney. His graft function was preserved with decreased immunosuppression. Three years later a urinary bladder carcinoma was discovered on a regularly performed multislice computed tomography. One patient developed a skin malignancy. Other patients have had uneventful posttransplantation courses with excellent graft function. Thus, 33.3% of patients with BEN developed UUC, compared with a 0.67% prevalence of urinary tract tumors among transplanted patients with other causes of end-stage renal disease. CONCLUSION Patients with BEN are at increased risk for the development of UCC after transplantation. Regular screening for early detection of malignancy is mandatory. Longer follow-up and results from other transplant centers are needed to further investigate the relationship between BEN and UCC after renal transplantation.
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Affiliation(s)
- N Basic-Jukic
- Department of Dialysis, UHC Zagreb, Kispaticeva 12, Zagreb 10000, Croatia
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