[Femoroacetabular impingement syndrome: first experience with surgical treatment]. / Femoroacetabulární impingement syndrom--první zkusenosti s chirurgickou lécbou.

PURPOSE OF THE STUDY: Femoroacetabular impingement syndrome (FAI) represents a mechanical conflict between acetabulum and proximal part of the femur. This disorder may gradually result in the development of the hip osteoarthritis. FAI may be caused by an acetabular retroversion, rarely by coxa profunda or by asphericity of the femoral head and missing femoral head-neck offset respectively. However, a combination of both conditions is the most frequent. Before FAI treatment was adopted as a standard technique for hip preservation at our department, detailed cadaver studies of the vascular anatomy of the hip were performed and the relevant literature was reviewed. The aim of this study was to assess the efficiency of hip preserving surgery in relation to the technique used. We hypothesized that surgical intervention helped to alleviate pain and improve hip function. MATERIAL AND METHODS: In the period from October 11, 2005 to June 30, 2012, a total of 168 patients (190 hips) had surgery for FAI. After we met exclusion criteria, 83 hips were treated by surgical hip dislocation (SHD) and 17 undergoing anterior minimally invasive surgery (AMIS). The minimum follow-up was 12 months, with an average of 3 years and 4 months, and a range of 12 months to 7 years and 8 months. The subjective evaluation by the patients and the functional hip assessment were based on the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the non-Arthritic Hip Score (nAHS) questionnaires. To assess the efficiency of the techniques, the pre- and post-operative scores were compared in each group (SHD group, n=83; AMIS group, n=17). A comparison of pre- and post-operative data was also made for the groups joined together to evaluate the benefit of surgery as such in FAI treatment. The results were statistically analysed using the Wilcoxon test for paired samples; the level of significance was set at 0.05. RESULTS: There was a statistically significant increase in the scores obtained after surgery, as compared with the pre-operative data, in the SHD and AMIS groups and in all patients evaluated together. Hip survival without the necessity of conversion to total hip replacement was 96.4% (80/83 hips) in the SHD group and 94.1% (16/17 hips) in the AMIS group. no serious complications were recorded. DISCUSSIOn The rate of failure in the surgical treatment of FAI syndrome in our patients was in accordance with the literature data, as was the number of the patients requiring conversion to total hip replacement. Also the other results were comparable with those of relevant studies. CONCLUSIONS: Hip preservation surgery is an issue which has slowly been gaining consensus although opinions on it, including FAI surgical treatment, still vary. As FAI syndrome is a condition leading to degenerative changes in the hip, it is important to pay attention to a thorough diagnostic evaluation and a correct, though often long-term, therapy.

Depleted uranium particles in selected Kosovo samples.

Selected soil samples, collected in Kosovo locations where DU ammunition was expended during the 1999 Balkan conflict, have been investigated by secondary ion mass spectrometry (SIMS), X-ray fluorescence imaging using a micro-beam (micro-XRF) and scanning electron microscopy equipped with an energy dispersive X-ray fluorescence detector (SEM-EDXRF), with the objective to test the suitability of these techniques to identify the presence of small DU particles and measure their size distribution and the 235U/238U isotopic ratio (SIMS). Although the results do not permit any legitimate extrapolation to all the sites hit by the DU rounds used during the conflict, they indicated that there can be "spots ' where hundreds of thousands of particles may be present in a few milligrams of DU contaminated soil. The particle size distribution showed that most of the DU particles were <5 microm in diameter and more than 50% of the particles had a diameter <1.5 microm. Knowledge on DU particles is needed as a basis for the assessment of the potential environmental and health impacts of military use of DU, since it provides information on possible re-suspension and inhalation.

Nucleophilic substitution by a hydroxide ion at a vinylic carbon: ab initio and density functional theory studies on methoxyethene, 3-methoxypropenal, 2,3-dihydro-4H-pyran-4-one, and 4H-pyran-4-one.

Nucleophilic substitutions by a hydroxide ion at vinylic carbons of methoxyethene (system A), 3-methoxypropenal (system B), 2,3-dihydro-4H-pyran-4-one (system C), and 4H-pyran-4-one (system D) were calculated by Becke's three-parameter hybrid density functional-HF method with the Lee-Yang-Parr correlation functional (B3LYP//B3LYP) and the second-order Møller-Plesset theory (MP2//B3LYP) using the 6-31+G(d) and AUG-cc-pVTZ basis sets. In addition, bulk solvent effects (aqueous solution) were estimated by the polarized continuum (overlapping spheres) model (PCM-B3LYP//B3LYP) and the polarizable conductor PCM model (CosmoPCM-B3LYP//B3LYP). The mechanisms as well as the influence of resonance, cyclic strain, aromatic, and polar effects on the reactivity of the calculated systems were determined. In the gas phase the rate-determining step of nucleophilic vinylic substitutions by a hydroxide ion may be either addition of hydroxide ion at the vinylic carbon (systems A and B) or elimination of the leaving group (systems C and D). In aqueous solution, for all four systems investigated, addition of hydroxide ion at the vinylic carbon is rate determining.

Synthesis, antimicrobial testing and QSAR study of new 2-phenylethenylbenzothiazolium salts substituted by cyclic amines.

A series of new 2-phenylethenylbenzothiazolium salts substituted by cyclic amines has been prepared by the condensation of 2-methyl benzothiazolium bromide with substituted benzaldehydes. The nucleophilic substitution of 4-fluorobenzaldehyde with appropriate cyclic amines has been used to obtain the starting benzaldehydes. The compounds with saturated cycloamino substituents have shown enhanced activity against Euglena and some derivatives with piperazine substituent were active against Gram positive bacteria.

Synthesis and antimicrobial activity of new 2-phenylethynylbenzothiazoles and related salts.

New 2-phenylethynylbenzothiazoles were synthesized by coupling reaction between 2-iodobenzothiazole and substituted phenylacetylenes under palladium catalysis. The modified Wittig reaction was used to prepare the substituted phenylacetylenes from corresponding benzaldehydes. 2-Phenylethynylbenzothiazoles were next quarternized with trimethyloxonium tetrafluoroborate to 3-methylbenzothiazolium salts. Antimicrobial in vitro activities were determined for all new compounds.

Neural network approach to the prediction of the toxicity of benzothiazolium salts from molecular structure.

The prediction of the toxicity of benzothiazolium salts calculated by the neural network model is presented. The results are comparable with the previous calculations based on the Free--Wilson additivity model. The method of calculation of activity contributions of substituents is described.

Qsar study of the toxicity of benzothiazolium salts against Euglena gracilis: the Free-Wilson approach.

The Free-Wilson QSAR model in the Fujita-Ban modification was used to calculate the quantitative substituent activity contributions to the toxicity against Euglena gracilis in a series of 91 benzothiazolium salts. An important increase of activity was found for R1 = styryl or SCH2C6H5 group and for R2 = propargyl or allyl group. The substituents on benzene ring also enhance the activity. The possible relations between structure of active groups and their electronic or physicochemical properties are discussed. By using the calculated values it is possible to predict toxicity for 1300 compounds. New compounds with assumed high or low toxicity are predicted.

Benzothiazolium salts--relationships between their structure, toxicity and effect on the plastid system of Euglena gracilis.

The effects of 41 benzothiazolium salts on Euglena gracilis were characterized with regard to the influence on growth and on chlorophyll synthesis, and to their ability to induce permanent loss of chloroplasts. Some salts induced white mutants of E. gracilis (the first benzothiazole derivatives with this activity). The relationship between the biological effect and chemical structure was confirmed and expressed quantitatively by means of Free - Wilson and Fujita - Ban analysis.