A randomized, double-blind, placebo-controlled study evaluating the efficacy of propolis and N-acetylcysteine in exacerbations of chronic obstructive pulmonary disease.

OBJECTIVE: Acute exacerbations of chronic obstructive pulmonary disease (AECOPDs) accelerate the progressive impairment of lung function and general health. Together with maintenance therapy for chronic obstructive pulmonary disease (COPD), N-acetylcysteine (NAC) and natural propolis have demonstrated pharmacological properties that address crucial pathophysiological processes underlying COPD and may prevent AECOPDs. This study aims at responding to dose-dependent efficacy and safety concerns regarding a propolis-NAC combination for the reduction of COPD exacerbation rates. PATIENTS AND METHODS: This was a single-center, randomized, double-blind, phase IV trial with three treatment arms: Placebo and two active substance groups, one (AS-600) received 600 mg of NAC + 80 mg of propolis while the other (AS-1,200) received 1,200 mg of NAC + 160 mg of propolis. Following an AECOPD, frequent-exacerbation phenotype patients (n=46) were assigned a once-daily three-month therapy with the study drug and one year follow-up. The primary endpoint was the COPD exacerbation incidence rate during the follow-up period as a measure of dose-dependent efficacy of NAC-propolis combination compared to placebo. RESULTS: There was a statistically significant difference in the AECOPD incidence rate: 52.6% in patients that received placebo, 15.4% that received AS-600 and only 7.1% that received AS-1,200 (Fisher's exact test, p = 0.013). Compared to placebo, AECOPD frequency was significantly lower only in AS-1,200 (p=0.009). Compared to placebo, the relative risk for exacerbation was 0.29 in AS-600 and 0.13 in AS-1,200. No adverse events related to the treatment were reported. CONCLUSIONS: Oral combination of natural propolis with NAC confirmed formulation efficiency with a favorable safety profile. Our results need to be confirmed by larger clinical trials.

Comparison of lung diffusing capacity in young elite athletes and their counterparts.

BACKGROUND: The influence of exercise on the pulmonary function is controverse, some studies have reported no sports influence, while the others have found positive correlation. AIM: To evaluate and compare the sports influence on pulmonary function: spirometry (VC, FVC, FEV1, FEV1/FVC), lung diffusing capacity (DLCO) and coefficient of the CO gas transfer (KCO) in two elite athletes groups and healthy sedentary controls. METHOD: Equally divided into aerobic and anaerobic group, 60 elite athletes were recruited, as well as 43 age-matched, healthy sedentary controls. All of the participants performed basic anthropometric measurements, spirometry, DLCO and KCO at rest. Kruskal-Wallis one way ANOVA test was used to determine differences between groups; Mann-Whitney U test was used for inter-groups differences and Pearson coefficient for pulmonary variables and anthropometric parameters correlation. Statistical analyses were performed using the SPSS computer statistic program, version 20. RESULTS: No differences were found in pulmonary characteristics (spirometric function values, DLCO and KCO) in athletes and non-athletes at rest, as well as between aerobics and anaerobics. There were no correlations between the anthropometric parameters and the investigated respiratory function tests. DLCO (%) correlated positively with height in athletes playing anaerobic type of sport (karate and taekwondo) (p=0.036; r=0.544), and negatively in sedentary control group (p=0.030; r=-0.560). Regarding KCO, no differences were found. CONCLUSION: Spirometry indices and DLCO are not influenced either by aerobic or anaerobic training type, so benefits of sports on pulmonary indices or DLCO was not confirmed.

Exposure of school children to polycyclic aromatic hydrocarbons, heavy metals and radionuclides in the urban soil of Kragujevac city, Central Serbia.

The concentrations of radionuclides, polycyclic aromatic hydrocarbons (PAHs) and heavy metals were measured in soil samples collected from school backyards and playgrounds in Kragujevac, one of the largest cities of Central Serbia. The activity concentrations of (226)Ra, (232)Th, (40)K and (137)Cs were determined using the HPGe semiconductor detector. The average values were 34.6, 44.7, 428.9 and 45.1 Bq kg(-1), respectively. The correlation between the activity concentrations of (226)Ra in the soil samples and the results of the previous measurement of (222)Rn concentrations in the indoor air was examined. The absorbed dose rates, the annual effective doses and excess lifetime cancer risk were also estimated. The activity concentrations of (226)Ra and (232)Th have shown normal distribution. The collected soil samples were analysed for PAHs by HPLC. All analysed soil samples contained PAHs, and their total amounts (for 15 measured compounds) were found to be between 0.038 and 3.136 mg kg(-1) of absolutely dry soil (a.d.s). In addition the concentrations of As, Cd, Co, Cr, Cu, Fe, Mn, Ni, Pb and Zn were measured in the fourteen soil samples collected from the playgrounds of kindergartens.

Radioactivity levels and heavy metals in the urban soil of Central Serbia.

Radioactivity concentrations and heavy metal content were measured in soil samples collected from the area of Kragujevac, one of the largest cities in Serbia. The specific activities of (226)Ra, (232)Th, (40)K and (137)Cs in 30 samples were measured by gamma spectrometry using an HPGe semiconductor detector. The average values ± standard deviations were 33.5 ± 8.2, 50.3 ± 10.6, 425.8 ± 75.7 and 40.2 ± 26.3 Bq kg(-1), respectively. The activity concentrations of (226)Ra, (232)Th and (137)Cs have shown normal distribution. The annual effective doses, radium equivalent activities, external hazard indexes and excess lifetime cancer risk were also estimated. A RAD7 device was used for measuring radon exhalation rates from several samples with highest content of (226)Ra. The concentrations of As, Co, Cr, Cu, Mn, Ni, Pb and Zn were measured, as well as their EDTA extractable concentrations. Wide ranges of values were obtained, especially for Cr, Mn, Ni, Pb and Zn. The absence of normal distribution indicates anthropogenic origin of Cr, Ni, Pb and Zn. Correlations between radionuclide activities, heavy metal contents and physicochemical properties of analysed soil were determined by Spearman correlation coefficient. Strong positive correlation between (226)Ra and (232)Th was found.

The correlation between parental education and their knowledge of asthma.

OBJECTIVE: To evaluate the impact of parental education on the success of Asthma Educational Intervention (AEI). METHODS: AEI took place after the children's hospitalisation. Parental asthma knowledge was assessed at three time points: before AEI, immediately after, and 12 months later. The Intervention (I) group of parents (N=231) received complete AEI. The Control (C) group of parents (N=71) received instructions for proper use of asthma medications and the handbook. RESULTS: Asthma knowledge in I group increased immediately after the AEI (p<0.01), and had not changed (p>0.05) 12 months later. There were four subgroups in group I divided based on education level: elementary school, high school, college, and university degrees. Taking into account the parental education level, there were no differences in the baseline and final knowledge of asthma between subgroups (p>0.05). The number of asthma exacerbations decreased after AEI (5.96:2.50, p<0.01), regardless of the parental degree. Knowledge of asthma in group C did not improve during the study (p=0.17). Final asthma knowledge was higher in group I compared to group C (p<0.01). CONCLUSION: The parental education level did not influence the level of asthma knowledge after the AEI. The motivation and the type of asthma education had the greatest input on the final results. PRACTICE IMPLICATIONS: All parents should be educated about asthma regardless of their general education.

Determination of a CR-39 detector response to neutrons from an Am-Be source.

A comparison of experimental and calculated responses of a CR-39 detector to neutron spectra from an Am-Be source is presented. Code named Neutron_CR-39.F90 has been used to calculate the neutron dose equivalent as well as the track density. Conversion coefficient (sensitivity), between track density in track/cm(2) and neutron dose equivalent in mSv, was calculated and good agreement with experimental data was found. Sensitivity increases linearly with removed layer in the range between 6 µm and 24 µm.

Monte Carlo calculations of lung dose in ORNL phantom for boron neutron capture therapy.

Monte Carlo simulations were performed to evaluate dose for possible treatment of cancers by boron neutron capture therapy (BNCT). The computational model of male Oak Ridge National Laboratory (ORNL) phantom was used to simulate tumours in the lung. Calculations have been performed by means of the MCNP5/X code. In this simulation, two opposite neutron beams were considered, in order to obtain uniform neutron flux distribution inside the lung. The obtained results indicate that the lung cancer could be treated by BNCT under the assumptions of calculations.

Neutron detection by a CR-39 detector and analysis of proton tracks etched in the same and opposite directions.

A program code to simulate neutron interactions with a CR-39 detector and calculate parameters describing the induced etched proton tracks in the CR-39 material was previously developed(( 1)). This code was used to understand the mechanisms involved during interactions with neutrons in the CR-39 material and the influence of the etching process, enabling an improvement in the efficiency of the CR-39 detector. Due to neutron interaction with atoms of the detector material, the created protons are emitted in different directions and their latent tracks are oriented randomly within the detector. The aim of this paper is to show differences between the number of visible tracks etched in the same and opposite directions from both sides of the detector. The efficiency of neutron detection was analysed as a function of the removed layer and neutron energy for both sides of detector.

Gender and age trends of histological types of lung cancer in a 20-year period: pathological perspective.

PURPOSE: To find out the trends of distribution in different histological types of lung cancer in both genders in a period of 20 years. METHODS: The most frequent histological types of lung cancer in tissue specimens obtained by bronchoscopy or percutaneous needle biopsy were analysed in terms of age and gender. The studied population included 6289 patients (16.6% females and 83.1% males). Statistical significance was established by x(2) test at the level p<0.05. RESULTS: Squamous cell carcinoma (SCC) prevailed in the total number of patients in all investigated years (58.0%), and separately in male (60.4%) and female (45.7%) patients. This histological type was predominant in all age groups in both genders (41.6% in males and 38.1% in females). CONCLUSION: SCC has the highest incidence in Serbia. Continuous campaign against smoking and helping its cessation, improving working and socioeconomic conditions is a strategy for decreasing all histological types of lung cancer patients.