Subject(s)
Dyspepsia/etiology , Immunoglobulin Light-chain Amyloidosis/complications , Immunoglobulin Light-chain Amyloidosis/diagnostic imaging , Stomach Diseases/complications , Stomach Diseases/diagnostic imaging , Aged , Endoscopy, Gastrointestinal , Female , Gastric Mucosa/diagnostic imaging , Gastric Mucosa/pathology , Humans , Immunoglobulin Light-chain Amyloidosis/pathology , Stomach Diseases/pathologyABSTRACT
BACKGROUND: Few data exist on the contemporary prognosis of patients presenting with fever of unknown origin (FUO). METHODS: The data of 436 adult immunocompetent patients presenting with FUO between 2000 and 2010 and followed for at least 6 months were analyzed, with a focus on FUO-related deaths. The following variables were assessed in survivors and non-survivors: age, underlying diagnosis, and, in a nested case-control design, fever periodicity, selected laboratory parameters (including peripheral blood counts, enzymes, and inflammatory markers) and organomegaly. RESULTS: Thirty FUO-related deaths occurred (6·9%). Malignancy accounted for 11% of fevers but for 60% of deaths. Especially non-Hodgkin lymphoma carried a disproportionally high death toll. In the non-malignant categories, fatality rates were below 6%. All patients discharged without diagnosis in spite of ample investigations (nâ=â164) survived. Besides malignancy, age, continuous (as opposed to episodic) fever, anaemia, leucopenia, LDH levels, and hepatomegaly were associated with mortality. CONCLUSIONS: Fatality rates of FUO have continuously declined over the past decades. Malignancy, including lymphoma, remains a cardinal cause of death. Patients with FUO discharged without diagnosis survive.
Subject(s)
Fever of Unknown Origin/mortality , Adult , Belgium/epidemiology , Case-Control Studies , Female , Humans , Male , Middle Aged , Prognosis , Risk Factors , Survival RateABSTRACT
Radium is one of the prominent potential contaminants linked with industries extracting or processing material containing naturally occurring radionuclides. In this study we investigate if 133Ba and 85Sr can be used as tracers for predicting 226Ra soil-to-plant transfer. Three soil types were artificially contaminated with these radionuclides and transfer to ryegrass and clover was studied. Barium is considered a better tracer for radium than strontium, given the significant linear correlation found between the Ra and Ba-TF. For strontium, no such correlation was found. The relationship between soil characteristics and transfer factors was investigated. Cation exchange capacity, exchangeable Ca+Mg content and soil pH did not seem to influence Ra, Ba or Sr uptake in any clear way. A significant relation (negative power function) was found between the bivalent (Ca+Mg) concentration in the soil solution and the Ra-TF. A similar dependency was found for the Sr and Ba-TF, although less significant.
