A EuroPrevall review of factors affecting incidence of peanut allergy: priorities for research and policy.

Peanuts are extensively cultivated around the world, providing a foodstuff that is both cheap to produce and nutritious. However, allergy to peanuts is of growing global concern, particularly given the severity of peanut-allergic reactions, which can include anaphylaxis and death. Consequently, it is important to understand the factors related to the prevalence of peanut allergy in order to inform efforts to ameliorate or pre-empt the condition. In this article we review evidence for the relevance of factors hypothesized to have some association with allergy prevalence, including both genetic and environmental factors. Although our analysis does indicate some empirical support for the importance of a number of factors, the key finding is that there are significant data gaps in the literature that undermine our ability to provide firm conclusions. We highlight these gaps, indicating questions that need to be addressed by future research.

Changes of the total antioxidative status of blood cells in the progression of stomach and large bowel cancers in patients subjected to primary radical treatment.

The analysis included 53 patients (32 men and 21 women) aged 43 to 66 years, who were subjected to radical treatment (surgical or combined) because of stomach (22 patients) or large bowel (31 patients) cancer. All the patients were included in the same model of control examinations, which considered evaluation of the erythrocytes TAS and of the Ca19-9, CEA and AFP concentrations in serum. It was confirmed that in all the patients in whom the recurrence and/or the dissemination occurred of the cancer, the average erythrocytes TAS value increased 5.5 times by comparison with the period before progression and 7 times in comparison with the patients without recurrence and/or dissemination of the cancer. Moreover it was shown that statistically significantly higher TAS values were associated with the progression of the large bowel cancer in comparison with the stomach cancer and that the blood cells TAS positively correlated with the changes of the Ca19-9, CEA and AFP concentrations in patients with progression of the cancer after radical treatment.

The influence of antineoplastic chemotherapy on the glutathione enzymes activity in the blood.

The analysis included 78 patients (42 men and 36 women) aged 48 to 67 years treated with cytostatics because of a neoplastic disease. In all the patients examined was evaluated the influence of the chemotherapy carried out on the glutathione peroxidase (GPx) and glutathione reductase (GR) activities. It was confirmed that the effect of the action on the glutathione enzymes (GE) activity of the antineoplastic chemotherapy changes depending on the duration of the treatment with cytostatics. In the end this activity settles at a high level, statistically significantly higher than that registered before the beginning of the antineoplastic treatment. The increase of the GE activity is mainly favoured by the chemotherapy following the schemes FAC (5-fluorouracyl + doxorubicin + endoxan) and PAC (cisplatin + cyclofosfamide + pharmorubicin).

Exposure to cadmium, lead and mercury in the adult population from Eastern Poland, 1990--2002.

The aim was to estimate the adult exposure to cadmium, lead and mercury from daily household diets in Eastern Poland (Lublin city and province). A duplicate diet approach was used to top collect diet samples in 1990, 1993, 1998 and 2002. Cadmium and lead contents were measured by flame atomic absorption and the mercury content was measured by cold vapour atomic absorption spectrometry. The intake of the three elements was calculated using FOOD computer software. The exposure to cadmium taken with daily diets was from 16.4-34.5 microg/person/day (27-58% PTWI). The lead exposure was 66.5-106 microg/person/day (31-49% PTWI), which posed a smaller risk, and the exposure risk to mercury of 4.08-6.65 microg/person/day (10-16% PTWI) was even lower.

Comparative analysis of zinc status, food products' frequency intake and food habits of 11-year-old healthy children.

Children are particularly vulnerable to zinc (Zn) deficiency during periods of rapid growth and development such as infancy and adolescence. The aim was to find the relationship between food frequency, intake, food habits and zinc status in 11-year-old healthy children from southern Poland. The study group comprised children (n = 157) in the age range 11.0 +/- 0.4 years. The level of Zn in serum, erythrocytes and hair samples was measured using atomic absorption spectrophotometry. The parents of children examined completed a special food frequency questionnaire. The Zn concentration in hair (boys 182.98 +/- 65.63 microg x g(-1), n = 78; girls 203.82 +/- 39.80 microg x g(-1), n = 79; p = 0.0171), erythrocytes (8.60 +/- 2.76 mg x l(-1), n = 50) and blood serum (0.79 +/- 0.15 mg x l(-1)) correlated significantly (p < 0.05) with frequency intake of different products (hair: meat, rolls, fruit juices without additives, brawn, pate, barley, black pudding, fish canned, chips, margarine used for cooking, bacon; erythrocytes: fruits, matured cheese, dishes of meal, white cottage cheese, fruit juices without additives, cakes and cakes with cream, margarine used for bread spread; blood serum: bread, fruits, milk, kefir, yoghurt). The relationship of the Zn amount in food products, food frequency intake and the concentration in different healthy children tissues is influenced by many internal and external factors.

[Zinc homeostasis and glutamatergic system in the pathogenesis and treatment of depression]. / Homeostaza cynku i uklad glutamatergiczny w patogenezie i terapii depresji.

This article presents a review of the interactions between zinc and glutamate system in the pathophysiology and treatment of depression.

The influence of lead and cadmium environmental pollution on anthropometric health factors in children.

THE AIM: The aim of the study was to examine the relationship between environment pollution (lead and cadmium) and selected anthropological factors. MATERIAL AND METHODS: The study group comprised 267 children, aged 11 +/- 0.4. Blood sampling and anthropological measurements were carried out in Kraków (polluted area) and in the Krosno region (low polluted area) in 1995. The lead and cadmium concentrations in the whole blood were determined using atomic absorption spectrometry with a graphite furnace and automatic dosage. The anthropometric measurements were made at the same time as the blood collection. RESULTS: The blood lead content in boys and girls was: 5.89 +/- 2.54, 5.01 +/- 1.62 micrograms/dl respectively, and the cadmium blood content was: 0.65 +/- 0.30, 0.68 +/- 0.47 microgram/l. Body mass and height did not correlate with lead and cadmium concentrations in the children's blood. Smaller head circumferences, independently of gender, were associated with a higher cadmium level. The values of four skin-folds (on the arm: biceps, triceps, under scapular bone and above iliac crest), as well as the percentage of fat content in the organism (PFDWB) calculated by the Slaughter-Lohman equation was higher in girls than in boys. CONCLUSIONS: 1. The relationships between cadmium and lead blood levels in children on the one hand and the degree of environmental pollution with these metals, and the gender of the children on the other were observed. The boys accumulated more lead, whereas the girls absorbed more cadmium. 2. Anthropometric analysis did not show a significant influence exerted by the polluted environment on the basic auxological parameters. In the group of children examined, the only differences observed were related to gender, head circumferences and indicators of obesity.

The bacterial flora and the changes of the N-nitrosamine concentration in the operated stomach.

The studies included 170 patients (103 men and 67 women) aged 23 to 66 years, operated on because of an ulcerous disease. Depending on the method of surgical treatment patients were divided into 5 groups (those after gastric resection with Rydygier's method, after resection with the Billroth II method, after trunk vagotomy with pyloroplasty, after highly selective vagotomy, and after gastro-enterostomy). In all patients a qualitative estimation of the nitrate-reducing bacteria was carried out, as well as a chromatographic test of the selected N-nitrosamine concentration in the gastric juice. It was shown that the changes in the quantity of the nitrate-reducing bacteria and in the N-nitrosamine concentration depended on the type of surgical intervention conducted. The largest mean content of nitrate-reducing bacteria and the highest average N-nitrosamine concentration were confirmed in the gastric juice of patients after gastroenterostomy and after gastric resection with the Billroth II method, and the lowest values--in patients after highly selective vagotomy.

Endogenous diazepam concentrations in the serum of patients with liver neoplasms.

The study included 61 patients (35 men and 26 women) ages 47 to 74 in whom a primary liver cancer was diagnosed or neoplastic metastases to the liver were confirmed in the course of a cancer of the stomach or the large bowel. In each patient the endogenous serum diazepam concentration (ESDC) was estimated chromatographically and the results obtained were compared to selected clinical traits such as the magnitude and number of neoplastic changes and their location in the liver parenchyma, the histological form of the tumor and the primary location of the cancer in the case of neoplasms of the alimentary canal. The determination of the ESDC was also carried out in a control group made up of voluntary blood donors. Neither group examined received any medication belonging to the benzodiazepine group. From the results of the tests conducted it was confirmed that the average ESDC of patients with liver neoplasms was 65 times higher than that of the control group. Simultaneously, however, in patients with a primary liver cancer the average endogenous concentration was higher than in patients with neoplastic metastases to that organ and this was statistically significant. The location in the hepatic parenchyma of the neoplastic change as well as the primary location of the cancer remained without a statistically significant influence in the changes of ESDC. It was moreover shown that significantly high ESDC were associated in the liver mainly with increased neoplastic growth (above 3 cm in diameter) and with multiple spread (5 focuses and more).

The clinical value of the determinations in the serum of zinc concentration in women with breast cancer.

The clinical usefulness of the determinations of the zinc serum concentration at different stages of the breast cancer diagnostic process was evaluated in the present work. On the basis of the analysis of 182 women surgically treated because of this neoplasm, a statistically significant dependence was shown between the frequency of occurrence of hypozincemia and the progression of the cancer, its histological form, and the microscopic state of the axillary lymph nodes. The clinical usefulness was also shown by the determinations of the zincemia in the post-operative monitoring of patients with breast cancer. The critical value was also determined for the microelement concentration below which a statistically significantly high risk of occurrence of distant metastases appears.

Alterations in serum and brain trace element levels after antidepressant treatment. Part II. Copper.

We have studied the effect of chronic treatment with imipramine, citalopram, and electroconvulsive shock (ECS) on serum and brain copper levels in rats. Chronic treatment with citalopram and imipramine (but not ECS) significantly (approx 14%) decreased the serum copper level. Chronic treatment with both drugs did not alter the brain copper level. However, chronic ECS induced a significant increase (by 36%) in the copper level in the hippocampus and also in the cerebellum (by 16%). In contrast to the zinc, where both pharmacologic and ECS treatment increased its hippocampal concentration, these two antidepressant therapy (drugs versus ECS) differ in their effect on brain copper level. These findings suggest that the mechanism by which copper is involved in ECS differs from that of any involvement in the action of the drugs studied.

Alterations in serum and brain trace element levels after antidepressant treatment: part I. Zinc.

We have studied the effect of chronic treatment with imipramine, citalopram and electroconvulsive shock (ECS) on serum and brain zinc levels in rats. Chronic treatment with citalopram (but not with imipramine or ECS) significantly (approx 20%) increased the serum zinc level. Chronic treatment with both drugs slightly (by approx 10%) increase the zinc level in the hippocampus and slightly decreased it in the cortex, cerebellum and basal forebrain. Calculation of the ratio hippocampus/brain region within each group demonstrated a significantly (approx 20%) higher value after treatment with either imipramine or citalopram. Moreover, chronic ECS induced a significant increase (by 30%) in the zinc level in the hippocampus and also a slight increase (by 11-15%) in the other brain regions. Thus, these different antidepressant therapies induced an elevation of the hippocampal zinc concentration, which indicates a significant role of zinc in the mechanism of antidepressant therapy.

Is serum copper a "trait marker" of unipolar depression? A preliminary clinical study.

Depression is not a homogenous illness and is diagnosed in only one in three persons suffering from this disorder. Besides psychological-psychiatric diagnostic methods (e.g. Hamilton's, Beck's rating scales), some biochemical measures have been introduced as markers of depression. However, the sensitivity of even the best characterized dexamethasone suppression test is as low as 40-50%. A search for better markers is continuously in progress. In the present study, we investigated alterations in serum copper concentrations in depressive patients before, during and after antidepressant treatment and compared these values with the concentrations in healthy volunteers. The serum copper concentration in depression is significantly higher (by 21%) than in the control. However, effective antidepressant treatments (which reduced symptoms by ca. 50% measured by Hamilton Depression Rating Scale) did not affect (did not normalize) this increased copper concentration. The present data indicate that serum copper is a "trait marker" (remains constant regardless of successful treatment) of unipolar depression.

The significance of selected epidemiologico-clinical factors in the prevalence of the Helicobacter pylori infection in young males.

A serological diagnosis (ELISA test) was carried out of infections by Helicobacter pylori in 1200 young males (recruits in the Polish Army) and the influence of selected epidemiologico-clinical factors (civil status, place of residence, profession, economical conditions, tobacco smoking, consumption of alcohol, diseases of the parodontonium, nutritional habits) on the prevalence of the infection was studied. Specific antibodies were detected in 228 (19%) of the persons tested. Of the eight factors analyzed, only three parodontium diseases, tobacco smoking and place of residence (of decreasing importance in that order), had a statistically significant relationship to infection by Helicobacter pylori in young males.

Significance of the 14C-urea breath test in the determination of the location infected by Helicobacter pylori in the alimentary canal.

118 patients with chronic gastritis were the subject of the tests; they were divided into two groups on the basis of a bacteriological (culture) diagnosis of the infections by Helicobacter pylori: group I-patients with the infection present only in the stomach; group II-patients with the infection synchronically occurring in the mouth and the stomach. Both groups underwent the 14C-urea breath test to detect the Helicobacter pylori infection. In general, for the patients of group I the radioactivity of the samples of blown air showed a single maximum after ca 15-25 min. For patients of group II two maxima were obtained, the first after ca 5 min and the second after ca 15-25 min. Our investigations indicate that the 14C-urea breath test can not only be used to detect patients infected by Helicobacter pylori but also to establish the location (mouth, stomach) in the alimentary canal of the infection by that bacterium.

Role of the enterotest in the diagnosis of the Helicobacter pylori infections.

Among 128 patients with gastric and duodenal ulcer a diagnosis was made of Helicobacter pylori infections using the 14C-urea breath test (reference) as well as by a bacteriological test; from each patient the material for culture was obtained in two ways: Through gastroscopy-segments, and through an enterotest. It was shown that the diagnostic value of the enteroprobe in the detection of the Helicobacter pylori infection was relatively high in comparison with the results of the culture of the segments of the mucosa, especially for ulcers of the pyloric area and of the duodenum, whereas that value fell considerably for located in the cardia of the stomach. The entero-probe is thus recommended as a method of diagnosing Helicobacter pylori infections (using the bacterial material for culture and the antibiogram) but only for peptic ulcers of a selected location (pyloric area, duodenum).

Evaluation of zinc content in children's hair.

The zinc content in the hair of 654 children living in various rural and industrial areas in southern Poland was assayed by means of the atomic absorption spectrometry, following the dry digestion procedure. The hair of girls exhibited statistically significant higher level of Zn than the boys' hair, although in the site of extremal Zn contamination, the inverse relation was found.

Chromium content in the hair of children and students in southern Poland.

Chromium concentrations in hair were compared in groups of children and students from Southern Poland. There were no statistically significant differences (at p greater than 0.05) between girls and boys. The results are similar to those found by other authors in different countries.