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1.
J Hazard Mater ; 436: 129197, 2022 08 15.
Artigo em Inglês | MEDLINE | ID: mdl-35739727

RESUMO

Arsenic (As) is one of the most prolific natural contaminants in water resources, and hence, it has been recognized as an emerging global problem. Arsenic exposure through food exports and imports, such as As-contaminated rice and cereal-based baby food, is a potential risk worldwide. However, ensuring As-safe drinking water and food for the globe is still not stated explicitly as a right neither in the United Nations' Universal Declaration of Human Rights and the 2030 Sustainable Development Goals (SDGs) nor the global UNESCO priorities. Despite these omissions, addressing As contamination is crucial to ensure and achieve many of the declared human rights, SDGs, and global UNESCO priorities. An international platform for sharing knowledge, experience, and resources through an integrated global network of scientists, professionals, and early career researchers on multidisciplinary aspects of As research can act as an umbrella covering the activities of UN, UNESCO, and other UN organizations. This can deal with the mitigation of As contamination, thus contributing to global economic development and human health. This article provides a perspective on the global As problem for sustainable As mitigation on a global scale by 2030.


Assuntos
Arsênio , Saúde Global , Direitos Humanos , Humanos , Nações Unidas
2.
Sci Total Environ ; 780: 146274, 2021 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-34030289

RESUMO

This review presents a holistic overview of the occurrence, mobilization, and pathways of arsenic (As) from predominantly geogenic sources into different near-surface environmental compartments, together with the respective reported or potential impacts on human health in Latin America. The main sources and pathways of As pollution in this region include: (i) volcanism and geothermalism: (a) volcanic rocks, fluids (e.g., gases) and ash, including large-scale transport of the latter through different mechanisms, (b) geothermal fluids and their exploitation; (ii) natural lixiviation and accelerated mobilization from (mostly sulfidic) metal ore deposits by mining and related activities; (iii) coal deposits and their exploitation; (iv) hydrocarbon reservoirs and co-produced water during exploitation; (v) solute and sediment transport through rivers to the sea; (vi) atmospheric As (dust and aerosol); and (vii) As exposure through geophagy and involuntary ingestion. The two most important and well-recognized sources and mechanisms for As release into the Latin American population's environments are: (i) volcanism and geothermalism, and (ii) strongly accelerated As release from geogenic sources by mining and related activities. Several new analyses from As-endemic areas of Latin America emphasize that As-related mortality and morbidity continue to rise even after decadal efforts towards lowering As exposure. Several public health regulatory institutions have classified As and its compounds as carcinogenic chemicals, as As uptake can affect several organ systems, viz. dermal, gastrointestinal, peptic, neurological, respiratory, reproductive, following exposure. Accordingly, ingesting large amounts of As can damage the stomach, kidneys, liver, heart, and nervous system; and, in severe cases, may cause death. Moreover, breathing air with high As levels can cause lung damage, shortness of breath, chest pain, and cough. Further, As compounds, being corrosive, can also cause skin lesions or damage eyes, and long-term exposure to As can lead to cancer development in several organs.


Assuntos
Arsênio , Arsênio/análise , Carvão Mineral , Monitoramento Ambiental , Poluição Ambiental , Humanos , América Latina , Mineração
3.
J Hazard Mater ; 405: 124129, 2021 03 05.
Artigo em Inglês | MEDLINE | ID: mdl-33082019

RESUMO

One of the factors that determine agricultural crops' yield is the quality of water used during irrigation. In this study, we assessed the usability of spent geothermal water for agricultural irrigation after membrane treatment. Preliminary membrane tests were conducted on a laboratory-scale set up followed by mini-pilot scale tests in a geothermal heating center. In part I, three commercially available membranes (XLE BWRO, NF90, and Osmonics CK- NF) were tested using a cross-flow flat-sheet membrane testing unit (Sepa CF II, GE-Osmonics) under constant applied pressure of 20 bar. In part II, different spiral wound membranes (TR-NE90-NF, TR-BE-BW, and BW30) other than the ones used in laboratory tests were employed for the mini-pilot scale studies in a continuous mode. Water recovery and applied pressure were maintained constant at 60% and 12 bar, respectively. Performances of the membranes were assessed in terms of the permeate flux, boron and arsenic removals. In laboratory tests, the permeate fluxes were measured as 94.3, 87.9, and 64.3 L m-2 h-1 for XLE BWRO, CK-NF and NF90 membranes, respectively. The arsenic removals were found as 99.0%, 87.5% and 83.6% while the boron removals were 56.8%, 54.2%, and 26.1% for XLE BWRO, NF90 and CK-NF membranes, respectively. In field tests, permeate fluxes were 49.9, 26.8 and 24.0 L m-2 h-1 for TR-NE90-NF, BW30-RO and TR-BE-BW membranes, respectively. Boron removals were calculated as 49.9%, 44.1% and 40.7% for TR-BE-BW, TR-NE90-NF and BW30-RO membranes, respectively. Removal efficiencies of arsenic in mini-pilot scale membrane tests were all over 90%. Quality of the permeate water produced was suitable for irrigation in terms of the electrical conductivity (EC) and the total dissolved solids (TDS) for all tested membranes with respect to guidelines set by the Turkish Ministry of Environment and Urbanisation (TMEU). However, XLE BWRO, CK-NF and NF90 membranes failed to meet the required limits for irrigation in terms of boron and arsenic concentrations in the product water. The permeate streams of TR-BE-BW, TR-NE90-NF and BW30-RO membranes complied with the irrigation water standards in terms of EC, TDS and arsenic concentration while boron concentration remained above the allowable limit.

4.
Sci Total Environ ; 714: 136853, 2020 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-32018985

RESUMO

The challenge for many communities in Latin America is to find adequate solutions which are feasible given the local economic and technical conditions and which enable them to source water with arsenic concentrations below the WHO guideline value for drinking water (<10 µg/L) of arsenic (As) pollution, suitable for human consumption and the irrigation of crops. Three regions where geothermal fields are present were selected for study out of the several hundred locations in Latin America where the water environment is contaminated with As and where there is a critical water shortage problem. These are Cerro Prieto in Mexico, Momotombo in Nicaragua and Lake Poopó in Bolivia. The paper presents the results of research on the use of low-enthalpy geothermal energy sources and waste heat from geothermal power plants in membrane distillation (MD) processes, which is the only heat-powered membrane technology, in order to obtain potable water and/or water for crop irrigation. It was concluded that MD could be considered as a solution for obtaining water of good quality with a high retention of toxic solutes such as As as well as other different species found in groundwater. In addition, it is not only geothermal energy, but also the geothermal water itself that can be considered as a source of freshwater produced through the MD process, a process which is most suitable to be used in areas where cheap sources of heat are available.

5.
J Trace Elem Med Biol ; 44: 32-39, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28965594

RESUMO

The interaction between lead, copper, cadmium and zinc in their binary combinations was investigated in Indian mustard seedlings (Brassica juncea L. var. Malopolska). Fourteen-days-old seedlings were treated with Pb(NO3)2, CuSO4, CdCl2, ZnSO4 at 50µmol of metal ion concentration and at 25µmol of each metal ion in combinations. Metal combinations were generally more inhibiting in terms of biomass production. This inhibiting effect followed an order: Cu+Cd>Cu+Zn, Cd+Pb>Cu+Pb>Zn+Pb, Cu>Cd>Zn>Zn+Cd>Pb. We observed synergistic and antagonistic effects of metal uptake in binary metal treatments, suggesting metal crosstalk at the plant uptake site. Metal content in plant tissues varied among different combinations. The metal concentrations followed an order of Pb>Cu>Zn>Cd in roots, Zn>Cu>Pb>Cd in the stem and Zn>Cu>Cd>Pb in leaves. Presence of metals altered the distribution of micronutrients (Cu, Zn) in plants: Cu concentration was lowered in roots and leaves and increased in stems; Zn content was increased in plants, with stems having up to 4 or 5 times more Zn than in control plants.


Assuntos
Cádmio/metabolismo , Cobre/metabolismo , Chumbo/metabolismo , Mostardeira/metabolismo , Zinco/metabolismo , Biomassa , Clorofila/metabolismo , Glutationa/metabolismo , Raízes de Plantas/metabolismo , Brotos de Planta/metabolismo , Caules de Planta/metabolismo , Distribuição Tecidual
7.
Environ Sci Pollut Res Int ; 23(12): 11658-67, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26939686

RESUMO

The aim of the study was to compare the two reference methods for the determination of boron in water samples and further assess the impact of the method of preparation of samples for analysis on the results obtained. Samples were collected during different desalination processes, ultrafiltration and the double reverse osmosis system, connected in series. From each point, samples were prepared in four different ways: the first was filtered (through a membrane filter of 0.45 µm) and acidified (using 1 mL ultrapure nitric acid for each 100 mL of samples) (FA), the second was unfiltered and not acidified (UFNA), the third was filtered but not acidified (FNA), and finally, the fourth was unfiltered but acidified (UFA). All samples were analysed using two analytical methods: inductively coupled plasma mass spectrometry (ICP-MS) and inductively coupled plasma optical emission spectrometry (ICP-OES). The results obtained were compared and correlated, and the differences between them were studied. The results show that there are statistically significant differences between the concentrations obtained using the ICP-MS and ICP-OES techniques regardless of the methods of sampling preparation (sample filtration and preservation). Finally, both the ICP-MS and ICP-OES methods can be used for determination of the boron concentration in water. The differences in the boron concentrations obtained using these two methods can be caused by several high-level concentrations in selected whole-water digestates and some matrix effects. Higher concentrations of iron (from 1 to 20 mg/L) than chromium (0.02-1 mg/L) in the samples analysed can influence boron determination. When iron concentrations are high, we can observe the emission spectrum as a double joined and overlapping peak.


Assuntos
Boro/análise , Poluentes Químicos da Água/análise , Purificação da Água , Cromo/análise , Ferro/análise , Espectrometria de Massas/métodos , Ácido Nítrico/química , Espectrofotometria Atômica
8.
Environ Sci Pollut Res Int ; 21(19): 11409-17, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24903247

RESUMO

Waters located at greater depths usually exhibit high mineral content, which necessitates the use of closed systems, i.e. re-injecting them into the formation after recovering the heat. This significantly reduces investment efficiency owing to the need to drill absorption wells and to perform anti-corrosion and anti-clogging procedures. In this paper, possibilities for the efficient utilisation of cooled geothermal waters are considered, particularly with respect to open or mixed geothermal water installations. Where cooled water desalination technologies are used, this allows the water to be demineralised and used to meet local needs (as drinking water and for leisure purposes). The retentate left as a by-product of the process contains valuable ingredients that can be used for balneological and/or leisure purposes. Thus, the technology for desalinating spent geothermal waters with high mineral content allows improved water management on a local scale and makes it possible to minimise the environmental threat resulting from the need to dump these waters into waterways or surface water bodies and/or inject them into the formation. The paper is concerned with Polish geothermal system and provides information about the parameters of Polish geothermal waters.


Assuntos
Fontes Termais , Reciclagem , Energia Geotérmica , Salinidade , Água
9.
Int J Phytoremediation ; 16(7-12): 770-89, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24933884

RESUMO

Plant-assisted bioremediation (rhizoremediation) stands out as a potential tool to inactivate or completely remove xenobiotics from the polluted environment. Therefore, it is of key importance to find an adequate combination of plant species and microorganisms that together enhance the clean-up process. To understand the response of plants upon bioaugmentation, the antioxidative and detoxification system was analyzed in high and low erucic acid rapeseed varieties (HEAR and LEAR, respectively), after 8 weeks of their treatment with petroleum degraders and 6000 mg diesel oil/kg dry soil. The oxidative stress was enhanced in LEAR being exposed to sole diesel oil, in comparison with HEAR. However, when LEAR plants were additionally inoculated with bacteria, suppression of total catalase (CAT) and ascorbate peroxidase (APX) activity were observed. Interestingly, glutathione transferase (GST) activity was found in these plants at a much higher level than in HEAR, which correlated with a more efficient diesel removal performed by LEAR in the polluted soil and upon bioaugmentation. A distinct profile of polycyclic aromatic hydrocarbons (PAH) was detected in leaves of these plants. Neither LEAR nor HEAR experienced any changes in the photosynthetic capacity upon diesel pollution and presence of petroleum degraders, which supports the usefulness of rhizoremediation with rapeseed.


Assuntos
Bactérias/metabolismo , Brassica napus/fisiologia , Regulação da Expressão Gênica de Plantas , Hidrocarbonetos Policíclicos Aromáticos/metabolismo , Poluentes do Solo/metabolismo , Antioxidantes/metabolismo , Biodegradação Ambiental , Brassica napus/genética , Brassica napus/microbiologia , Clorofila/metabolismo , Poluição Ambiental , Gasolina , Peroxidação de Lipídeos , Estresse Oxidativo , Fotossíntese , Folhas de Planta/genética , Folhas de Planta/microbiologia , Folhas de Planta/fisiologia , Raízes de Plantas/genética , Raízes de Plantas/microbiologia , Raízes de Plantas/fisiologia , Transpiração Vegetal , Hidrocarbonetos Policíclicos Aromáticos/análise , Espécies Reativas de Oxigênio/metabolismo , Solo/química , Poluentes do Solo/análise , Estresse Fisiológico
10.
Acta Biochim Pol ; 61(1): 23-8, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24660170

RESUMO

The presence of the single metals (Cd, Pb, Cu, Zn) induces ROS (reactive oxygen species) production and causes oxidative stress in plants. While applied in two-element combinations, trace metals impact organisms in a more complex way. To assess the resultant effect we treated the pea grown hydroponically with the trace metals in variants: CuPb, CuCd, CuZn, PbCd, ZnPb, ZnCd in concentrations of 25 µM for each metal ion. Abiotic stress inhibited root elongation growth, decreased biomass production, induced changes in root colour and morphology. It changed rate of ROS production, malondialdehyde content, increased activity and altered gene expression of defence enzymes (superoxide dysmutase, catalase, ascorbate peroxidase, glutathione reductase, γ-glutamylcysteine synthetase).


Assuntos
Estresse Oxidativo/efeitos dos fármacos , Pisum sativum/crescimento & desenvolvimento , Raízes de Plantas/crescimento & desenvolvimento , Antioxidantes/metabolismo , Cádmio/farmacologia , Catalase/biossíntese , Cobre/farmacologia , Regulação da Expressão Gênica de Plantas/efeitos dos fármacos , Chumbo/farmacologia , Pisum sativum/efeitos dos fármacos , Raízes de Plantas/efeitos dos fármacos , Espécies Reativas de Oxigênio/metabolismo , Superóxido Dismutase/biossíntese , Superóxido Dismutase-1 , Zinco/farmacologia
11.
Wiad Parazytol ; 57(3): 179-87, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22165741

RESUMO

The epidemiological and clinical purview of parasite diseases is constantly evolving, mainly due to the changes in human behavior and our environment. The aim of this study was frequency analysis of certain parasite infections, risk factors and clinical symptoms in children and adolescents of north-eastern Poland. 120 children were tested due to the symptoms resembling parasite infection from December 2008 to May 2009. 90 patients (the tested group) aged from 5 months to 18 years were found to be infected with one or more than one of the following parasites: Ascaris lumbricoides, Giardia lamblia, Toxocara spp., Strongyloides stercoralis or Enterobius vermicularis. 30 children with no infections found were the control group. Parasites were found by means of microscope decantation stool tests, RIDA Quick Giardia stool test and ELISA blood test (Toxocara IgG). The patients' parents filled out the survey concerning the probability factors of infection and the ailments that were the cause of parasitical diagnosis. High percentage of either isolated or co-invasive parasite infections was ascertained in the tested group--75%. The prevalence of ascariasis was 55.83%, toxocariasis--16.67%, giardiasis--12.5%, strongyloidiasis--5.83% and of enterobiasis--3.33%. The statistical significance of higher dirty hands-mouth contact frequency and more frequent presence of domestic animals in the tested group than in the control group was ascertained. A highly important correlation between the infection and the occurrence of symptoms from at least 3 various systems was ascertained. The presence of habits involving dirty hands-mouth contact and having domestic animals are significant risk factors of parasite infections. The presence of symptoms from at least 3 systems should compel to parasite infection diagnosis with proper differential diagnosis.


Assuntos
Doenças Parasitárias/diagnóstico , Doenças Parasitárias/epidemiologia , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Incidência , Lactente , Recém-Nascido , Masculino , Doenças Parasitárias/classificação , Doenças Parasitárias/parasitologia , Polônia/epidemiologia , Fatores de Risco
12.
Wiad Parazytol ; 57(1): 43-51, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21634234

RESUMO

Ascariasis is the most common soil-transmitted helminth infection in the world. The objective of this study was to analyze the clinical symptoms and selected hematological indices of ascariasis in hospitalized children from the northeastern region of Poland. Patients in the Pediatric Ward hospitalized in the Regional Hospital in Dabrowa Bialostocka in the period of 2005-2007 were included in this retrospective study. The intestinal stage of ascariasis was diagnosed on the basis of positive coprological survey performed using the decantation technique. A total of 938 patients were included in the study, 1801 stool samples were evaluated, and A. lumbricoides-positive tests were obtained from 252 children. Ascaris-positive young children (< or = 3 yrs) accounted for 3.0% of all hospitalized children, Ascaris-positive preschool-aged children (4-7 yrs) accounted for 8.1% and school-aged children (8-18 yrs) for 15.8%. Seasonal patterns were observed in the prevalence of A. lumbricoides (maximum in August-December). There was no relationship between BMI z-score, hemoglobin levels and prevalence of infection with Ascaris lumbricoides. Significant predictors of intestinal stage ascariasis in a multivariate logistic regression model were: abdominal pain as a reason for hospital admission (OR-2.19; 95% CI 1.62-2.95; p < 0.001) and age from 4 to 7 years (OR-2.0; 95% CI 1.41-2.80; p < 0.001). The prevalence rate of ascariasis was not higher in the group of patients with atopic diseases (bronchial asthma, allergic rhinitis, atopic dermatitis) and co-existing ascariasis did not affect the eosinophil counts in the peripheral blood. Ascariasis is still a current pediatric clinical problem characterized by non-specific clinical manifestations, which should be taken into consideration in the differential diagnosis of children's diseases.


Assuntos
Ascaríase/sangue , Ascaríase/diagnóstico , Ascaris lumbricoides/isolamento & purificação , Adolescente , Animais , Ascaríase/epidemiologia , Criança , Criança Hospitalizada/estatística & dados numéricos , Pré-Escolar , Fezes/parasitologia , Feminino , Humanos , Incidência , Lactente , Contagem de Leucócitos , Masculino , Estado Nutricional , Contagem de Plaquetas , Polônia/epidemiologia , Estudos Retrospectivos
13.
Talanta ; 79(2): 493-8, 2009 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-19559910

RESUMO

An analytical approach based on hyphenated techniques was used for studying the speciation of cadmium and lead in Pisum sativum. Proper preservation conditions were employed to avoid the oxidation of -SH groups and corresponding decomposition of metal-binding complexes. SEC column was washed with 5 mM beta-mercaptoethanol and then samples were analysed using ICP-MS as a detector. Results showed that cadmium is the inhibitor of lead uptake. HPLC-ESI-MS(n) assays revealed fragmentation pathways of phytochelatins.


Assuntos
Cádmio/análise , Chumbo/análise , Fitoquelatinas/metabolismo , Pisum sativum/química , Espectrometria de Massas em Tandem/métodos , Cádmio/química , Quelantes/análise , Cromatografia Líquida de Alta Pressão , Chumbo/farmacocinética , Pisum sativum/metabolismo , Espectrometria de Massas por Ionização por Electrospray
14.
Pediatr Int ; 47(4): 424-9, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16091081

RESUMO

BACKGROUND: Enhanced platelet reactivity may play a significant role in the hypercoagulable state of nephrotic syndrome (NS). Thrombocytosis with platelet aggregation cause the release of some cytokines, among them interleukin-7 (IL-7). The aim of the study was to evaluate serum IL-7 levels in children with the symptoms of NS and to determine a correlation between its concentration and platelet count, other hemostatic factors, and NS intensity. METHODS: The study was performed in two groups. I--the examined group of 26 children with NS (12 boys, 14 girls) aged 6.8 +/- 2.1 years, subjected to two examinations: A--before treatment, B--during treatment with prednisone (60 mg/kg 24 h after albuminuria regression); and II--the control group (C) of 20 healthy children. Serum IL-7 level was assayed by enzyme-linked immunosorbent assay method using a R & D Quantikine set. RESULTS: In group I, IL-7 level in examination A (33.33 +/- 33.24 pg/mL) was higher than in the control subjects (P < 0.01). In examination B, IL-7 concentration was reduced to the level of 10.86 +/- 5.22 pg/mL and did not differ from the controls (P > 0.05). A positive correlation was observed between IL-7 and platelet count and serum fibrinogen level. A negative correlation was noted with antithrombin III concentration. No correlation was found with serum levels of albumin and cholesterol or urine protein. CONCLUSION: In children with NS, serum IL-7 level increases proportionally to the elevated platelet count and other hemostatic components, but shows no correlation with serum albumin or urine protein.


Assuntos
Interleucina-7/sangue , Síndrome Nefrótica/sangue , Criança , Feminino , Hemostasia , Humanos , Masculino , Agregação Plaquetária , Contagem de Plaquetas , Albumina Sérica/análise
15.
Pediatr Nephrol ; 20(5): 597-602, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15782310

RESUMO

Literature data point to the relationship between leptin concentration and certain markers of the metabolic syndrome, including cholesterol, triglycerides and apolipoproteins. A substantial lipid metabolism disturbance occurs in children with idiopathic nephrotic syndrome (NS). The aim of the study was to find out whether in NS children, serum and urine leptin levels change proportionally to lipid metabolism disturbances. The study was performed on two groups: (I) 30 children with NS (A) before, (B) during, prednisone therapy after proteinuria regression; (II) 25 healthy children. Serum and urine leptin levels were determined by the immunoenzymatic ELISA method. Serum leptin level in NS children before and after treatment was similar to that in the control group (p>0.05). Leptin urinary excretion in group A was approximately 60 times and in group B 24 times higher than in the controls (p<0.01). Before treatment, children with NS had increased concentrations of TC, TG, LDL, beta-lipoprotein, apolipoprotein B (apo B) (p<0.01) and reduced HDL and apolipoprotein A (apo A) (p<0.01). The conclusions were that: (1) in NS children leptin urinary excretion increases but its level is unchanged in serum; (2) serum leptin level is correlated with lipid parameters.


Assuntos
Leptina/sangue , Leptina/urina , Síndrome Nefrótica/sangue , Síndrome Nefrótica/urina , Apolipoproteínas A/sangue , Apolipoproteínas B/sangue , Criança , Pré-Escolar , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Feminino , Humanos , Lactente , Masculino
16.
Pol Merkur Lekarski ; 18(104): 168-72, 2005 Feb.
Artigo em Polonês | MEDLINE | ID: mdl-17877123

RESUMO

UNLABELLED: The aim of study was the analysis of cyclosporine A (CyA) treatment efficacy in children with steroid-dependent nephrotic syndrome (NS). MATERIAL AND METHODS: The examined group consisted of 21 children (F--8, M--16) at the mean age 12.1 +/- 4.6 years with the relapses NS in the course of minimal change nephrotic syndrome (MCSN) in 9 (43%) and focal segmental glomerulosclerosis (FSGS) in 12 (57%) cases. All children were administrated CyA (Sandimun Neoral f. Novartis Pharma AG), together with prednisone (Encorton f. Polfa Pabianice) (0.2 - 0.5 mg/kg b.w./24 h) and ACE inhibitor (Enap f. Krka). The concentration of cyclospornine A in serum was measured by monoclonal antibody fluorescence polarization immunoassay. Serum concentration of creatinine, uric acid, albumin, cholesterol and creatinine clearance (Schwartz method) and proteinuria was analysed: A - before treatment, B--in 3rd day, C--in 3rd month, D--in 6th month, E--in 12th month of CyA treatment and F--after 3-6 months after finishing treatment. Blood pressure was measured by ABPM in examination A, D, E, and F. RESULTS: During administration of CyA the urinary protein excretion decreased successively and in 12th month of treatment was 4.5 +/- 3.9 mg/kg bw/24 h. The serum creatinine concentration increased by 33.9%, and uric acid by 52.8% in comparison to the initial level. Mean systolic blood pressure (RRs) in ambulatory blood pressure monitoring (ABPM) during 24 hours was 120.5 +/- 9.2 mmHg before treatment and increased by about 6% after 12 months of treatment. Respectively diastolic blood pressure (RRr) was 66.7 +/- 4.3 mmHg and increased to 71.0 +/- 2.5 mmHg at the end of 12 h month. The nocturnal fall of RRs before treatment was 14.2 +/- 2.8%, and RRr 14.9 +/- 2.1%. During treatment nocturnal fall of both RRs and RRr decreased to 9.2 +/- 2.7% for RRs and 9.8 +/- 2.7% for RRr after 6 months of treatment. After 12 months of treatment and in remission the nocturnal fall of blood pressure was still below 10%. CONCLUSIONS: CyA is an effective drug in children with relapses of steroid-dependent in the course of MCSN and FSGS. Side effects after CyA treatment, under the control of its concentration in serum and parameters of renal function are occasional and transient. Cyclosporine A disturbs the 24 hours rhythm of arterial blood pressure.


Assuntos
Ciclosporina/uso terapêutico , Imunossupressores/uso terapêutico , Síndrome Nefrótica/tratamento farmacológico , Síndrome Nefrótica/urina , Prednisona/uso terapêutico , Adolescente , Criança , Ciclosporina/efeitos adversos , Relação Dose-Resposta a Droga , Feminino , Seguimentos , Humanos , Imunossupressores/efeitos adversos , Masculino , Prednisona/efeitos adversos , Proteinúria/induzido quimicamente , Proteinúria/tratamento farmacológico , Proteinúria/prevenção & controle , Indução de Remissão , Resultado do Tratamento
17.
Pediatr Nephrol ; 20(1): 36-41, 2005 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-15490251

RESUMO

The aim of the study was to investigate (1) whether there are any changes in release of platelet-derived growth factor AA (PDGF AA) in children with nephrotic syndrome without clinical thromboembolic symptoms 2; (2) whether serum PDGF AA correlates with the platelet count (PLT) and platelet indices; (3) whether prednisone therapy affects the serum PDGF AA and the PLT; (4) whether PDGF AA is a useful predictor of disease activity. The study involved two groups of children: 33 with nephrotic syndrome (I) who were evaluated twice (A during relapse and B after 2 weeks of prednisone treatment) and 34 healthy children (II). The serum concentration of PDGF was measured by ELISA. In group I/A the PLT (P<0.01) and platelet distribution width (P<0.05) were elevated, the mean platelet volume (MPV) (P<0.05) was decreased and the plateletcrit (P>0.05) was normal. In group I/B, the PLT was decreased and MPV increased. The concentration of PDGF AA was still increased and correlated negatively with the albumin concentration. Hence in children with nephrotic syndrome an increase in PLT, a decrease in MPV, and a higher concentration of PDGF were observed. Treatment of nephrotic syndrome with prednisone for 2 weeks is not sufficient to normalize platelet parameters. Further studies are necessary to confirm the role of PDGF AA in the hypercoagulation state in children with nephrotic syndrome.


Assuntos
Plaquetas/fisiologia , Síndrome Nefrótica/fisiopatologia , Fator de Crescimento Derivado de Plaquetas/fisiologia , Plaquetas/efeitos dos fármacos , Criança , Pré-Escolar , Feminino , Humanos , Imunossupressores/farmacologia , Masculino , Contagem de Plaquetas , Fator de Crescimento Derivado de Plaquetas/efeitos dos fármacos , Prednisona/farmacologia
18.
Pol Merkur Lekarski ; 16(91): 56-9, 2004 Jan.
Artigo em Polonês | MEDLINE | ID: mdl-15074024

RESUMO

UNLABELLED: We assessed the excretion of fructose-1,6-bisphosphatase (FBP) and N-acetyl-beta-D-glucosaminidase (NAG) in 52 children (aged 4.1 +/- 2.3): group I--26 children with acute pyelonephritis (APN), in whom the examination were carried out twice: A--before treatment, B--after 14-21 days of antibacterial treatment, group II--21 healthy children. Activity of FBP in urine was found in 80% children from group I and II, and activity of NAG was found in all children from both groups. In examination A mean excretion of FBP and NAG was higher than in healthy children (p < 0.05). After antibacterial treatment excretion of both enzymes decreased to values, which did not differ from control group (p > 0.05). High correlation between FBP and NAG (r = 0.9355; p = 0.00001) was shown only in 14 children, in whom the course of acute pyelonephritis was serious (CRP > 20 mg%, leucocytosis > 10 x 10(9), and renal swelling in ultrasonography). CONCLUSION: Increased excretion of FBP in urine is found mainly in children with severe course of acute pyelonephritis, in whom the correlation between NAG and FBP is observed.


Assuntos
Acetilglucosaminidase/urina , Frutose-Bifosfatase/urina , Pielonefrite/enzimologia , Doença Aguda , Antibacterianos/uso terapêutico , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pielonefrite/tratamento farmacológico , Pielonefrite/urina , Fatores de Tempo
19.
Pol Merkur Lekarski ; 17(101): 451-6, 2004 Nov.
Artigo em Polonês | MEDLINE | ID: mdl-15754630

RESUMO

UNLABELLED: The aim of the work was to prepare the percentile curves for blood pressure measured by 24-hour ambulatory blood pressure monitoring (ABPM) in children by height. MATERIAL AND METHODS: ABPM was performed in 852 healthy children aged 7-17 years (433 girls, 419 boys). Systolic (SBP) and diastolic (DBP) blood pressure was measured for 24 h, including the period of activity and rest, using BR-102 Schiller Poland LTD monitor and Quiet Tycos ABPM, USA. The mean number of readings over the 24-hour period was 58.4+/-4. RESULTS: The mean SBP in the group of girls with height 120-172 cm increased from 102.2+/-5.5 to 121.0+-7.8 mmHg, and in the group of boys with height 120-180 cm and over from 103.7+/-5.7 to 123.7+/-6.2 mmHg. A strong positive correlation between the height and SBP and weak with DBP was noted. The percentile charts for blood pressure in children aged 7-17 by height were prepared. CONCLUSIONS: The mean systolic blood pressure decreased at night more than diastolic blood pressure, independently of height. Systolic blood pressure was stronger correlated with the height than with the age.


Assuntos
Monitorização Ambulatorial da Pressão Arterial , Pressão Sanguínea/fisiologia , Estatura , Adolescente , Criança , Feminino , Humanos , Masculino , Valores de Referência
20.
Pol Merkur Lekarski ; 15(86): 172-5, 2003 Aug.
Artigo em Polonês | MEDLINE | ID: mdl-14648986

RESUMO

UNLABELLED: The concentration of transforming growth factor-beta 1 (TGF-beta 1) in serum was performed by immunoenzymatic method in serum of children with nephrotic syndrome in following groups: group I--9 children (5-15 years) with focal segmental glomerulosclerosis (FSG), before Cyclosporine A treatment (CyA) (examination A) and after 3-6 months of Cyclosporine A treatment during remission (examination B), group II--13 children (5-14 years) with minimal change nephrotic syndrome (MCNS) during relapse (examination A) and after 7-20 days of prednisone (Encorton) treatment in dose 60 mg/m2, without the proteinuria (examination B), group III--15 healthy children (5-15 years). The aim of the work was to demonstrate any differences in concentration of TGF-beta 1 in serum of examined children and to show the influence of prednisone and Cyclosporine A on the concentration of TGF-beta 1. The results showed that before treatment increased concentration of TGF-beta 1 was shown only in children with MCSN (p < 0.05) and it was reverse proportional to albuminemia. However in children without proteinuria (B), the concentration of cytokines decreased in children with MCSN and increased in children with FSG treated with Cyclosporine A. CONCLUSION: The concentration of TGF-beta 1 in serum increases in children with nephrotic syndrome during gross proteinuria and hypoalbuminemia and after Cyclosporine A treatment.


Assuntos
Anti-Inflamatórios/uso terapêutico , Síndrome Nefrótica/sangue , Síndrome Nefrótica/tratamento farmacológico , Prednisona/uso terapêutico , Fator de Crescimento Transformador beta/sangue , Adolescente , Criança , Pré-Escolar , Humanos , Fator de Crescimento Transformador beta1
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