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Sample records for balkan endemic nephropathy

  1. The continuing medical mystery of Balkan Endemic Nephropathy

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    Crosby, Lynn M.; Tatu, Calin A.; Orem, William H.; Pavlovic MD PhD, Nikola

    2015-01-01

    Balkan Endemic Nephropathy (BEN) is a disease of subtle onset and insidious progression that typically occurs between the 4th and 6th decade in long‐resident individuals in highly specific geographic locations of the Balkan region and affects 1 – 5% of the population. Though it does not follow typical Mendelian genetics, there is a familial pattern of occurrence. Although residents may live only a few kilometers apart, certain locations are highly affected while others close by, even as close as across the road, remain unscathed. Because of this geographic selectivity scientists have searched for an environmental cause. It is thought that exposure to the toxic plant Aristolochia clematitis is to blame. Genotoxic N‐heterocyclic or polycyclic aromatic containing coal water leachates entering cultivated soil and drinking water are also a possible cause due to the proximity and predictive power of endemic foci to coal deposits. Evidence for Ochratoxin A fungal poisoning also exists. High levels of phthalates have been measured in BEN‐endemic drinking water. BEN is a probably a multifactorial disease that may result from exposure through some of above‐mentioned environmental sources, with genetic factors contributing. This review will discuss recent research concerning the etiology, potential therapies for the treatment of nephropathy, and unexplored research directions for this chronic kidney disease.

  2. Mycotoxic nephropathy in Bulgarian pigs and chickens: complex aetiology and similarity to Balkan endemic nephropathy

    CSIR Research Space (South Africa)

    Stoev, SD

    2009-01-01

    Full Text Available , 1–17, iFirst Mycotoxic nephropathy in Bulgarian pigs and chickens: complex aetiology and similarity to Balkan Endemic Nephropathy S.D. Stoeva*, M.F. Duttonb, P.B. Njobehb, J.S. Mosonikb and P.A. Steenkampc aDepartment of General and Clinical... of fungi was done using the keys of Klich and Pitt (1988) and Klich (2002) for Aspergillus spp. and Pitt and Hocking (1997) for Penicillium and Nelson et al. (1983) for Fusarium spp. This was done by observing both macroscopic characteristics...

  3. Nitrogen species in drinking water indicate potential exposure pathway for Balkan Endemic Nephropathy

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    Niagolova, Nedialka; McElmurry, Shawn P.; Voice, Thomas C.; Long, David T.; Petropoulos, Evangelos A.; Havezov, Ivan; Chou, Karen; Ganev, Varban

    2005-01-01

    This study explored two hypotheses relating elevated concentrations of nitrogen species in drinking water and the disease Balkan Endemic Nephropathy (BEN). Drinking water samples were collected from a variety of water supplies in both endemic and non-endemic villages in the Vratza and Montana districts of Bulgaria. The majority of well water samples exceeded US drinking water standards for nitrate + nitrite. No statistically significant difference was observed for any of the nitrogen species between villages classified as endemic and non-endemic. Other constituents (sodium, potassium and chloride) known to be indicators of anthropogenic pollution were also found at elevated concentrations and all followed the order wells > springs > taps. This ordering coincides with the proximity of human influences to the water sources. Our results clearly establish an exposure pathway between anthropogenic activity and drinking water supplies, suggesting that the causative agent for BEN could result from surface contamination. - Water in villages affected and unaffected by Balkan Endemic Nephropathy had no significant differences in nitrogen compounds

  4. Fifty years of research in Balkan endemic nephropathy: where are we now?

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    Stefanovic, V.; Polenakovic, M. [Faculty of Medicine, Nish (Serbia)

    2009-07-01

    Despite broad investigations into the possible role of genetic factors, environmental agents and immune mechanisms, the etiology of Balkan endemic nephropathy (BEN) is only partially understood. An increased incidence of upper urothelial cancer in patients with BEN and in populations from endemic settlements has been demonstrated. Genetic studies have landed support for genetic predisposition to BEN. The similarity of the morphological and clinical pattern of BEN and Chinese herbs nephropathy has raised the possibility of a common etiologic agent, aristolochic acid (AA), described in 1969 by Ivic and confirmed by a recent study of AA-DNA adducts. Ochratoxin A (OTA) is studied extensively as the etiologic agent of BEN. Weathering of low-rank coals nearby the endemic villages produces water-soluble polycyclic aromatic hydrocarbons and aromatic amines, similar to metabolic products of acetaminophen, which has a causal relationship with analgesic nephropathy. AA is confirmed as the etiologic agent of BEN; however, it may not be the sole risk factor. More research is needed on the patterns of BEN over time and between different endemic places. Therefore, it is important to test etiological hypotheses in different endemic foci, preferably as a multicentric research. An international approach to solving the etiology of BEN is needed in the coming years. The geographic correlation and presence of AA-DNA adducts in both BEN and associated urothelial cancer support the hypothesis that these diseases share a common etiology.

  5. Relationship between weathered coal deposits and the etiology of Balkan endemic nephropathy

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    Feder, G.L.; Radovanovic, Z.; Finkelman, R.B.

    1991-01-01

    Field studies in epidemiology and environmental geochemistry in areas in Yugoslavia containing villages with a high incidence of Balkan endemic nephropathy (BEN), indicate a possible relationship between the presence of low-rank coal deposits and the etiology of BEN. Preliminary results from qualitative chemical analyses of drinking water from shallow farm wells indicate the presence of soluble polar aromatic and polynuclear aromatic hydrocarbons. These compounds may be derived from weathering of low-rank coals occurring in the vicinity of the endemic villages. All of the endemic villages are in alluvial valleys of tributaries to the Danube River. All except one of the clusters of endemic villages are located in the vicinity of known Pliocene age coals. Detailed sampling of the drinking waters and the nearby coals are being undertaken to identify a possible etiologic factor

  6. Evaluating Weight of Evidence in the Mystery of Balkan Endemic Nephropathy

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    Bui-Klimke, Travis; Wu, Felicia

    2014-01-01

    Balkan Endemic Nephropathy (BEN) is a chronic, progressive wasting disease of the kidneys, endemic in certain rural regions of the Balkan nations Croatia, Serbia, Bulgaria, and Romania. It is irreversible, and ultimately fatal. Though this disease was first described in the 1920s, its causes have been a mystery and a source of much academic and clinical contention. Possible etiologic agents that have been explored include exposure to metals and metalloids, viruses and bacteria, and the environmental toxins aristolochic acid (AA) and ochratoxin A (OTA). Aristolochic acid is a toxin produced by weeds of the genus Aristolochia, common in Balkan wheat fields. Aristolochia seeds may intermingle with harvested grains and thus inadvertently enter human diets. Ochratoxin A is a mycotoxin (fungal toxin) common in many foods, including cereal grains. In this study, we analyzed the weight of evidence for each of the suspected causes of BEN using the Bradford Hill Criteria (BHC): nine conditions that determine weight of evidence for a causal relationship between an agent and a disease. Each agent postulated to cause BEN was evaluated using the nine criteria, and for each criterion was given a rating based on the strength of the association between exposure to the substance and BEN. From the overall available scientific evidence for each of these suspected risk factors, aristolochic acid is the agent with the greatest weight of evidence in causing BEN. We describe other methods for testing causality from epidemiological studies, which support this conclusion of AA causing BEN. PMID:24954501

  7. Renal function studies by radioisotope methods in patients with Balkan endemic nephropathy

    International Nuclear Information System (INIS)

    Tanchev, J.; Tancheva, D.

    1977-01-01

    The renal function in 80 patients with Balkan Endemic Nephropathy (BEN) was studied by radioisotope clearance and isotope nephrogram. The examinations revealed that radioisotope clearance provide significant information about renal function with various stages of nitrogen decompensation. EDTA clearance can detect the changes in glomerul filtration of patients with BEN at an early compensated stage. Comparison of the results obtained from the investigation of the glomerul filtration by creatinine and EDTA clearance found the radioisotope clearance more accurate. The effective renal plasma flow in patients with BEN at the early stage of the disease was established not to be disturbed. This provides grounds to admit that in BEN glomeruli are very likely damaged earlier as compared with the tubules. Isotope nephrogram is not changed at the early BEN stages. The changes are most frequently bilateral in the advanced stages of the disease. (author)

  8. Association of a bitter taste receptor mutation with Balkan Endemic Nephropathy (BEN

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    Wooding Stephen P

    2012-10-01

    Full Text Available Abstract Background Balkan Endemic Nephropathy (BEN is late-onset kidney disease thought to arise from chronic exposure to aristolochic acid, a phytotoxin that contaminates wheat supplies in rural areas of Eastern Europe. It has recently been demonstrated that humans are capable of perceiving aristolochic acid at concentrations below 40 nM as the result of high-affinity interactions with the TAS2R43 bitter taste receptor. Further, TAS2R43 harbors high-frequency loss-of-function mutations resulting in 50-fold variability in perception. This suggests that genetic variation in TAS2R43 might affect susceptibility to BEN, with individuals carrying functional forms of the receptor being protected by an ability to detect tainted foods. Methods To determine whether genetic variation in TAS2R43 predicts BEN susceptibility, we examined genotype-phenotype associations in a case–control study. A cohort of 88 affected and 99 control subjects from western Bulgaria were genotyped with respect to two key missense variants and a polymorphic whole-gene deletion of TAS2R43 (W35S, H212R, and wt/Δ, which are known to affect taste sensitivity to aristolochic acid. Tests for association between haplotypes and BEN status were then performed. Results Three major TAS2R43 haplotypes observed in previous studies (TAS2R43-W35/H212, -S35/R212 and –Δ were present at high frequencies (0.17, 0.36, and 0.47 respectively in our sample, and a significant association between genotype and BEN status was present (P = 0.020; odds ratio 1.18. However, contrary to expectation, BEN was positively associated with TAS2R43-W35/H212, a highly responsive allele previously shown to confer elevated bitter sensitivity to aristolochic acid, which should drive aversion but might also affect absorption, altering toxin activation. Conclusions Our findings are at strong odds with the prediction that carriers of functional alleles of TAS2R43 are protected from BEN by an ability to detect and

  9. The role of lecithin cholesterol acyltransferase and organic substances from coal in the etiology of Balkan endemic nephropathy: A new hypothesis

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    Pavlovic, N.M.; Orem, W.H.; Tatu, C.A.; Lerch, H.E.; Bunnell, J.E.; Feder, G.L.; Kostic, E.N.; Ordodi, V.L. [University of Nis, Nis (Serbia)

    2008-03-15

    Balkan endemic nephropathy (BEN) occurs in Serbia, Bulgaria, Romania, Bosnia and Herzegovina, and Croatia. BEN has been characterized as a chronic, slowly progressive renal disease of unknown etiology. In this study, we examined the influence of soluble organic compounds in drinking water leached from Pliocene lignite from BEN-endemic areas on plasma lecithin-cholesterol acyltransferase (LCAT) activity. We found that changes for all samples were the most prominent for the dilution category containing 90% plasma and 10% of diluting media. Water samples from BEN villages from Serbia and Romania showed higher LCAT inhibiting activity (P = 0.02) and (p = 0.003), respectively, compared to deionised water and non-endemic water. A secondary LCAT deficiency could result from this inhibitory effect of the organic compounds found in endemic water supplies and provide an ethiopathogenic basis for the development of BEN in the susceptible population.

  10. Endemic Nephropathy Around the World

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    Fiona J. Gifford

    2017-03-01

    Full Text Available There have been several global epidemics of chronic kidney disease of unknown etiology (CKDu. Some, such as Itai-Itai disease in Japan and Balkan endemic nephropathy, have been explained, whereas the etiology of others remains unclear. In countries such as Sri Lanka, El Salvador, Nicaragua, and India, CKDu is a major public health problem and causes significant morbidity and mortality. Despite their geographical separation, however, there are striking similarities between these endemic nephropathies. Young male agricultural workers who perform strenuous labor in extreme conditions are the worst affected. Patients remain asymptomatic until end-stage renal failure. Biomarkers of tubular injury are raised, and kidney biopsy shows chronic interstitial nephritis with associated tubular atrophy. In many of these places access to dialysis and transplantation is limited, leaving few treatment options. In this review we briefly describe the major historic endemic nephropathies. We then summarize the epidemiology, clinical features, histology and clinical course of CKDu in Mesoamerica, Sri Lanka, India, Egypt, and Tunisia. We draw comparisons between the proposed etiologies and supporting research. Recognition of the similarities may reinforce the international drive to establish causality and to effect prevention.

  11. Common Polymorphisms in GSTA1, GSTM1 and GSTT1 Are Associated with Susceptibility to Urinary Bladder Cancer in Individuals from Balkan Endemic Nephropathy Areas of Serbia.

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    Matic, Marija; Dragicevic, Biljana; Pekmezovic, Tatjana; Suvakov, Sonja; Savic-Radojevic, Ana; Pljesa-Ercegovac, Marija; Dragicevic, Dejan; Smiljic, Jelena; Simic, Tatjana

    2016-09-01

    Balkan endemic nephropathy (BEN) is a chronic familial form of interstitial nephritis that might eventually lead to end stage renal disease. This nephropathy affects individuals living along of the Danube River and its tributaries in Serbia, Bosnia, Croatia, Bulgaria and Romania. The increased incidence of urinary tract tumors in the BEN areas is well described, but its specific genetic predisposition is still unclear. Certain nephrocarcinogenic compounds, including those associated with BEN, are metabolized by glutathione S-transferase (GST) superfamily of phase II detoxication enzymes. Importantly, the GST-mediated detoxification may result in formation of more toxic compounds. We examined the association of common GST polymorphisms and bladder cancer (BC) risk in individuals from BEN areas in Serbia. A hospital-based case-control study included 201 BC cases (67 from BEN region) and 122 controls. Each polymorphism was identified by a PCR-based method. Individuals from BEN region with low-expression GSTA1 genotype (AB+BB) exhibited a 2.6-fold higher BC risk compared to those with GSTA1 (AA) genotype who were from non-BEN region (OR = 2.60, p = 0.015). In contrast, carriers of GSTM1-active genotype from BEN region had a 2.9-fold increased BC risk compared to those with GSTM1-active genotype from non-BEN region (OR = 2.90, p = 0.010). Likewise, carriers with GSTT1-active genotype from BEN region exhibited 2.1-fold higher BC risk compared to those from non-BEN region with GSTT1-active genotype (OR = 2.10, p = 0.027). Thus, common polymorphisms in GSTA1, GSTM1 and GSTT1 are associated with susceptibility to BC in individuals from BEN areas of Serbia.

  12. Offspring of parents with Balkan Endemic Nephropathy have higher C-reactive protein levels suggestive of inflammatory processes: a longitudinal study

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    Tsolova Svetla

    2009-04-01

    Full Text Available Abstract Background Despite the characteristic extensive tubulointerstitial fibrosis, Balkan Endemic Nephropathy (BEN is usually considered a non-inflammatory disease. Methods We examined a marker of inflammation, C-reactive protein (CRP, in the offspring of patients with BEN, a population at risk for BEN, prior to development of established disease to determine if an inflammatory process could be identified in the early stages of the disease. In 2003/04, 102 adult offspring whose parents had BEN and a control group of 99 adult offspring of non-BEN patients were enrolled in this prospective study. This cohort was re-examined yearly for four consecutive years. Levels of serum CRP were measured in years 3 and 4 and compared between groups. The data were analyzed with mixed models. Results Compared to controls, offspring of BEN parents had statistically higher CRP levels in two consecutive years, suggestive of early inflammatory reactivity. Whenever the mother was affected by BEN (both parents, or mother only, serum CRP was significantly increased, but not if only the father had BEN. CRP was inversely related to kidney cortex width but not to markers or renal function. Conclusion Early stages of BEN may involve inflammatory processes. The observation of a maternal involvement supports the concept of fetal programming, which has been implicated in the pathogenesis of other chronic kidney diseases.

  13. Is increased susceptibility to Balkan endemic nephropathy in carriers of common GSTA1 (*A/*B) polymorphism linked with the catalytic role of GSTA1 in ochratoxin a biotransformation? Serbian case control study and in silico analysis.

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    Reljic, Zorica; Zlatovic, Mario; Savic-Radojevic, Ana; Pekmezovic, Tatjana; Djukanovic, Ljubica; Matic, Marija; Pljesa-Ercegovac, Marija; Mimic-Oka, Jasmina; Opsenica, Dejan; Simic, Tatjana

    2014-08-08

    Although recent data suggest aristolochic acid as a putative cause of Balkan endemic nephropathy (BEN), evidence also exists in favor of ochratoxin A (OTA) exposure as risk factor for the disease. The potential role of xenobiotic metabolizing enzymes, such as the glutathione transferases (GSTs), in OTA biotransformation is based on OTA glutathione adducts (OTHQ-SG and OTB-SG) in blood and urine of BEN patients. We aimed to analyze the association between common GSTA1, GSTM1, GSTT1, and GSTP1 polymorphisms and BEN susceptibility, and thereafter performed an in silico simulation of particular GST enzymes potentially involved in OTA transformations. GSTA1, GSTM1, GSTT1 and GSTP1 genotypes were determined in 207 BEN patients and 138 non-BEN healthy individuals from endemic regions by polymerase chain reaction (PCR). Molecular modeling in silico was performed for GSTA1 protein. Among the GST polymorphisms tested, only GSTA1 was significantly associated with a higher risk of BEN. Namely, carriers of the GSTA1*B gene variant, associated with lower transcriptional activation, were at a 1.6-fold higher BEN risk than those carrying the homozygous GSTA1*A/*A genotype (OR = 1.6; p = 0.037). In in silico modeling, we found four structures, two OTB-SG and two OTHQ-SG, bound in a GSTA1 monomer. We found that GSTA1 polymorphism was associated with increased risk of BEN, and suggested, according to the in silico simulation, that GSTA1-1 might be involved in catalyzing the formation of OTHQ-SG and OTB-SG conjugates.

  14. Is Increased Susceptibility to Balkan Endemic Nephropathy in Carriers of Common GSTA1 (*A/*B Polymorphism Linked with the Catalytic Role of GSTA1 in Ochratoxin A Biotransformation? Serbian Case Control Study and In Silico Analysis

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    Zorica Reljic

    2014-08-01

    Full Text Available Although recent data suggest aristolochic acid as a putative cause of Balkan endemic nephropathy (BEN, evidence also exists in favor of ochratoxin A (OTA exposure as risk factor for the disease. The potential role of xenobiotic metabolizing enzymes, such as the glutathione transferases (GSTs, in OTA biotransformation is based on OTA glutathione adducts (OTHQ-SG and OTB-SG in blood and urine of BEN patients. We aimed to analyze the association between common GSTA1, GSTM1, GSTT1, and GSTP1 polymorphisms and BEN susceptibility, and thereafter performed an in silico simulation of particular GST enzymes potentially involved in OTA transformations. GSTA1, GSTM1, GSTT1 and GSTP1 genotypes were determined in 207 BEN patients and 138 non-BEN healthy individuals from endemic regions by polymerase chain reaction (PCR. Molecular modeling in silico was performed for GSTA1 protein. Among the GST polymorphisms tested, only GSTA1 was significantly associated with a higher risk of BEN. Namely, carriers of the GSTA1*B gene variant, associated with lower transcriptional activation, were at a 1.6-fold higher BEN risk than those carrying the homozygous GSTA1*A/*A genotype (OR = 1.6; p = 0.037. In in silico modeling, we found four structures, two OTB-SG and two OTHQ-SG, bound in a GSTA1 monomer. We found that GSTA1 polymorphism was associated with increased risk of BEN, and suggested, according to the in silico simulation, that GSTA1-1 might be involved in catalyzing the formation of OTHQ-SG and OTB-SG conjugates.

  15. Endemic earthworms (Oligochaeta: Lumbricidae) of the Balkan Peninsula: a review.

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    Trakić, Tanja; Valchovski, Hristo; Stojanović, Mirjana

    2016-11-10

    A list of the endemic earthworms of the Balkan Peninsula is presented. Comprehensive information on the ecology, distribution on the Balkan Peninsula and zoogeographical type of all endemics is given. The list comprises 90 species and subspecies, belonging to 11 genera of the family Lumbricidae. The largest number of the Balkan endemic earthworms belongs to a narrow range group (63.3%). Broad range endemic species take part with 36.7%. Our study shows that the degree of endemism on the Balkan Peninsula is extremely high (about 40%) suggesting an important process of autochthonous speciation on the Balkan Peninsula. This appearance is attributable to relative isolation of the mountains compared to the lowlands within the context of paleoenvironmental changes.

  16. BIOMONITORING OF NICKEL IN POPULATION OF ENDEMIC NEPHROPATHY SETTLEMENTS. A PRELIMINARY STUDY

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    Radunka Mitrović

    2003-07-01

    Full Text Available Endemic nephropathy (EN is a disease of unknown etiology, and its occurrence is determined only at the Balkan peninsula. This study started form the assumption that nickel, being a highly toxic and cancerogenous substance, could be a risk factor or precipitating factor in generation of EN and urothelial tumors as well. The aim of the study was to prove the extent to which nickel, as a cancerogenous substance, is present in the urine and kidneys of inhabitants in EN settlements. As a material, 93 samples of urine and 32 samples of autopsy material were used. The urine samples were taken by the random sampling method from inhabitants of endemic and hypo endemic settlements in the valley of South Morava river, as well as from urban population of the municipality of Nis, as the control settlement. The samples of the kidney tissue represented autopsy material taken from cadavers who used to live, almost the whole life, in some of the endemic of hypo endemic settlements (target group, or in the urban zone of municipality of Nis (control group. The nickel presence was determined using method of atomic absorption spectrophotometry. The nickel concentration in the urine is higher in the endemic/hypo endemic settlements population than that in the control settlement group. The difference is not though, statistically significant. The nickel content in the kidney tissue of inhabitants from endemic or hypo endemic settlements is higher then in relevant kidney samples of inhabitants from control settlements, but the difference is not statistically significant either. Further investigations of the nickel content in biological materials are needed, along with the epidemiological study of incidence and prevalence of EN and malignant changes of the urotrackt in the endemic settlement population.

  17. ?Suspects? in Etiology of Endemic Nephropathy: Aristolochic Acid versus Mycotoxins

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    Pepeljnjak, Stjepan; Klari?, Maja ?egvi?

    2010-01-01

    Despite many hypotheses that have been challenged, the etiology of endemic nephropathy (EN) is still unknown. At present, the implications of aristolochic acid (AA) and mycotoxins (ochratoxin A—OTA and citrinin—CIT) are under debate. AA-theory is based on renal pathohistological similarities between Chinese herbs nephropathy (CHN) and EN, findings of AA-DNA adducts in EN and in patients with urinary tract tumors (UTT), as well as the domination of A:T→T:A transversions in the p53 mutational s...

  18. Geoecological characteristics of plant endemism in the Balkan part of Serbia

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    Gavrilović Bojan

    2017-10-01

    Full Text Available Due to complex and heterogeneous geographical characteristics, Serbia is represented by a diverse flora with many endemic taxa of vascular plants. Investigation of plant endemics stored in the national herbaria and perusal of extensive literature sources indicate that 46 taxa occur exclusively within the political borders of the Republic of Serbia, while 104 taxa can also be found in adjacent countries of the Balkan Peninsula. These national and subendemics are presented in the form of a list together with their ecological and geographical characteristics. Centres of endemism are located in the southern and eastern regions of Serbia and on the territory of Kosovo and Metohija. The majority of taxa are associated with mountainous regions of Kosovo, Metohija, and Central Serbia, at medium elevations between 500 and 1500 m. Most of the national endemics occur on limestones and dolomites and on soils such as cambisols, lithosols, and rankers. They are mainly under the influence of a modified mountain and moderately continental climate.

  19. Terpene chemodiversity of relict conifers Picea omorika, Pinus heldreichii, and Pinus peuce, endemic to Balkan.

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    Nikolić, Biljana; Ristić, Mihailo; Tešević, Vele; Marin, Petar D; Bojović, Srdjan

    2011-12-01

    Terpenes are often used as ecological and chemotaxonomic markers of plant species, as well as for estimation of geographic variability. Essential oils of relic and Balkan endemic/subendemic conifers, Picea omorika, Pinus heldreichii, and P. peuce, in central part of Balkan Peninsula (Serbia and Montenegro), on the level of terpene classes and common terpene compounds were investigated. In finding terpene combinations, which could show the best diversity between species and their natural populations, several statistical methods were applied. Apart from the content of different terpene classes (P. omorika has the most abundant O-containing monoterpenes and sesquiterpenes; P. heldreichii and P. peuce have the largest abundance of sesquiterpene and monoterpene hydrocarbons, resp.), the species are clearly separated according to terpene profile with 22 common compounds. But, divergences in their populations were established only in combination of several compounds (specific for each species), and they were found to be the results of geomorphologic, climatic, and genetic factors. We found similarities between investigated species and some taxa from literature with respect to terpene composition, possibly due to hybridization and phylogenetic relations. Obtained results are also important regarding to chemotaxonomy, biogeography, phylogeny, and evolution of these taxa. Copyright © 2011 Verlag Helvetica Chimica Acta AG, Zürich.

  20. Sideritis scardica Griseb., an endemic species of Balkan peninsula: traditional uses, cultivation, chemical composition, biological activity.

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    Todorova, Milka; Trendafilova, Antoaneta

    2014-03-14

    Sideritis scardica Griseb. is an endemic species in the Balkan Peninsula. It is used in traditional medicine as a loosening agent in bronchitis and bronchial asthma; against the common cold and lung emphysema; in the treatment of inflammation, gastrointestinal disorders and coughs; and as an active constituent of dietary supplements for the prevention of anemia. This review aims to provide a comprehensive overview of the traditional use, phytochemistry, biological activity, cultivation, and extraction of Sideritis scardica and to highlight the gaps in our knowledge which deserves further research. The present review is based on information collected from scientific journals, books, and electronic search. These sources include Scopus, Pubmed, Web of Science, and Google scholar as well as local books on ethnopharmacology and botany of this plant. The reported data on phytochemical studies, biological activity, cultivation, extraction, and traditional uses have been reviewed. Variability in essential oil composition of wild growing and cultivated taxa depending on ecological conditions was discussed. Flavonoids, phenylethanoids, diterpenoids, aliphatic compounds, etc. identified so far have been summarized. A comparative study on the effectiveness of different methods, solvents, and parameters of extraction has also been discussed. A broad range of activities of plant extracts and fractions as antimicrobial, anti-inflammatory, cytotoxic, antioxidant, gastroprotective, antiglioma, and triple monoamine reuptake inhibition as well as cultivation of the species as an approach for conservation of the natural habitats and provision of herb with high and permanent quality has also been presented. Sideritis scardica has become very popular and widely advertised herb in Europe. Although some of ethnobotanical uses have been proved through in vitro experiments, further studies of the individual compounds or chemical class of compounds responsible for the pharmacological effects

  1. «Suspects» in Etiology of Endemic Nephropathy: Aristolochic Acid versus Mycotoxins

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    Stjepan Pepeljnjak

    2010-06-01

    Full Text Available Despite many hypotheses that have been challenged, the etiology of endemic nephropathy (EN is still unknown. At present, the implications of aristolochic acid (AA and mycotoxins (ochratoxin A—OTA and citrinin—CIT are under debate. AA-theory is based on renal pathohistological similarities between Chinese herbs nephropathy (CHN and EN, findings of AA-DNA adducts in EN and in patients with urinary tract tumors (UTT, as well as the domination of A:T→T:A transversions in the p53 mutational spectrum of UTT patients, which corresponds with findings of such mutations in AA-treated rats. However, exposure pathways of EN residents to AA are unclear. Experimental studies attempting to deduce whether nephrotoxins OTA and CIT appear at higher frequencies or levels (or both in the food and blood or urine of EN residents support the mycotoxin theory. Also, some molecular studies revealed the presence of OTA-DNA adducts in the renal tissue of EN and UTT patients. In this review, data supporting or arguing against AA and mycotoxin theory are presented and discussed.

  2. «Suspects» in etiology of endemic nephropathy: aristolochic acid versus mycotoxins.

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    Pepeljnjak, Stjepan; Klarić, Maja Šegvić

    2010-06-01

    Despite many hypotheses that have been challenged, the etiology of endemic nephropathy (EN) is still unknown. At present, the implications of aristolochic acid (AA) and mycotoxins (ochratoxin A-OTA and citrinin-CIT) are under debate. AA-theory is based on renal pathohistological similarities between Chinese herbs nephropathy (CHN) and EN, findings of AA-DNA adducts in EN and in patients with urinary tract tumors (UTT), as well as the domination of A:T®T:A transversions in the p53 mutational spectrum of UTT patients, which corresponds with findings of such mutations in AA-treated rats. However, exposure pathways of EN residents to AA are unclear. Experimental studies attempting to deduce whether nephrotoxins OTA and CIT appear at higher frequencies or levels (or both) in the food and blood or urine of EN residents support the mycotoxin theory. Also, some molecular studies revealed the presence of OTA-DNA adducts in the renal tissue of EN and UTT patients. In this review, data supporting or arguing against AA and mycotoxin theory are presented and discussed.

  3. Silica Nephropathy

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    N Ghahramani

    2010-06-01

    Full Text Available Occupational exposure to heavy metals, organic solvents and silica is associated with a variety of renal manifestations. Improved understanding of occupational renal disease provides insight into environmental renal disease, improving knowledge of disease pathogenesis. Silica (SiO2 is an abundant mineral found in sand, rock, and soil. Workers exposed to silica include sandblasters, miners, quarry workers, masons, ceramic workers and glass manufacturers. New cases of silicosis per year have been estimated in the US to be 3600–7300. Exposure to silica has been associated with tubulointerstitial disease, immune-mediated multisystem disease, chronic kidney disease and end-stage renal disease. A rare syndrome of painful, nodular skin lesions has been described in dialysis patients with excessive levels of silicon. Balkan endemic nephropathy is postulated to be due to chronic intoxication with drinking water polluted by silicates released during soil erosion. The mechanism of silica nephrotoxicity is thought to be through direct nephrotoxicity, as well as silica-induced autoimmune diseases such as scleroderma and systemic lupus erythematosus. The renal histopathology varies from focal to crescentic and necrotizing glomerulonephritis with aneurysm formation suggestive of polyarteritis nodosa. The treatment for silica nephrotoxicity is non-specific and depends on the mechanism and stage of the disease. It is quite clear that further research is needed, particularly to elucidate the pathogenesis of silica nephropathy. Considering the importance of diagnosing exposure-related renal disease at early stages, it is imperative to obtain a thorough occupational history in all patients with renal disease, with particular emphasis on exposure to silica, heavy metals, and solvents.

  4. Variation in Presentation and Presence of DNA Adducts and p53 Mutations in Patients with Endemic Nephropathy - an Environmental Form of the Aristolochic Acid Nephropathy

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    Sandra Karanović

    2013-02-01

    Full Text Available Background: Endemic nephropathy (EN and associated urothelial cell cancers (UUC are an environmental form of aristolochic acid nephropathy where the most probable rout of ingestion of aristolochic acid (AA was made by bread contaminated with AA, leading to chronic dietary intoxication. Clinical courses of three members of the same family, similarly exposed to toxin, who exhibited different clinical courses of the disease are presented. Methods: Questionnaires on AA exposure were taken. Tissue samples were obtained during therapeutic nephrouretectomies. Histopathology, immunohistochemical detection of p53, p53 mutation screening in tumor DNA and analysis on the presence of aristolactam (AL-DNA adducts were performed. Results: Case 1 had UUC with typical EN histopathological signs, whereas Case 2 had bilateral UUCs with typical EN histopathological signs. In contrast, the patient in Case 3 initially showed renal insufficiency, complicated afterwards by right UUC, and later on by left UUC with histopathological end-stage chronic changes but without typical EN changes. AA-DNA adducts and specific p53 mutational spectra (A:T→ T:A transversion were found in tissues of cases 1 and 2. Conclusion: Diverse clinical courses seem to be related not to differences in exposure but to differences in metabolic activation or detoxification of AA and/or DNA repair resulting from different genetic polymorphisms.

  5. The Balkan endemic Picris hispidissima (Compositae): morphology, nuclear DNA content and relationship to the polymorphic P. hieracioides

    Czech Academy of Sciences Publication Activity Database

    Slovák, M.; Urfus, Tomáš; Vít, Petr; Marhold, K.

    2009-01-01

    Roč. 278, 3-4 (2009), s. 187-201 ISSN 0378-2697 Institutional research plan: CEZ:AV0Z60050516 Keywords : Balkan Peninsula * genome size * multivariate morphometrics Subject RIV: EF - Botanics Impact factor: 1.410, year: 2009

  6. Integrative taxonomy by molecular species delimitation: multi-locus data corroborate a new species of Balkan Drusinae micro-endemics.

    Science.gov (United States)

    Vitecek, Simon; Kučinić, Mladen; Previšić, Ana; Živić, Ivana; Stojanović, Katarina; Keresztes, Lujza; Bálint, Miklós; Hoppeler, Felicitas; Waringer, Johann; Graf, Wolfram; Pauls, Steffen U

    2017-06-06

    Taxonomy offers precise species identification and delimitation and thus provides basic information for biological research, e.g. through assessment of species richness. The importance of molecular taxonomy, i.e., the identification and delimitation of taxa based on molecular markers, has increased in the past decade. Recently developed exploratory tools now allow estimating species-level diversity in multi-locus molecular datasets. Here we use molecular species delimitation tools that either quantify differences in intra- and interspecific variability of loci, or divergence times within and between species, or perform coalescent species tree inference to estimate species-level entities in molecular genetic datasets. We benchmark results from these methods against 14 morphologically readily differentiable species of a well-defined subgroup of the diverse Drusinae subfamily (Trichoptera, Limnephilidae). Using a 3798 bp (6 loci) molecular data set we aim to corroborate a geographically isolated new species by integrating comparative morphological studies and molecular taxonomy. Our results indicate that only multi-locus species delimitation provides taxonomically relevant information. The data further corroborate the new species Drusus zivici sp. nov. We provide differential diagnostic characters and describe the male, female and larva of this new species and discuss diversity patterns of Drusinae in the Balkans. We further discuss potential and significance of molecular species delimitation. Finally we argue that enhancing collaborative integrative taxonomy will accelerate assessment of global diversity and completion of reference libraries for applied fields, e.g., conservation and biomonitoring.

  7. Endemic influences of political regimes, healthcare systems, and preferences on the frequencies and incidences of nephropathies in eastern Saxony, Germany
.

    Science.gov (United States)

    Sedaghat, Sam; Heshmati, Eleène Sahmila; Frese, Thomas; Rasche, Wilma Gertrud; Barinka, Filip; Fahr, Florian; Beige, Joachim; Schiekofer, Stephan; Rasche, Franz Maximilian

    2017-12-01

    The possible confounding influence of investigator-related preferences, available histological techniques, and healthcare systems on the frequencies and incidences of primary and secondary nephropathies was evaluated in this long-term observation. The observation time from 1983 to 2010 was divided in regard to the political regimes: a) prior to and after German reunification: German Democratic Republic (GDR, period 1 from 1983 to 1990)/Federal Republic of Germany (FRG, period 2 from 1990 to 2010); and the two heads of the division of nephrology, b) conductor 1 (1983 - 2006) and conductor 2 (2006 - 2010). 467 kidney biopsies at the University Hospital of Leipzig were included in our analysis. In period 1, due to the unavailability of immunofluorescence methods, mesangioproliferative glomerulonephritis (MesP) was the most dominating nephropathy. In period 2, IgA nephropathy (IgAN) was the most common nephropathy (17%). IgAN was followed by crescentic glomerulonephritis (13%), hypertensive nephropathy (10%), minimal-change disease, and membranous glomerulonephritis (each 9%). From period 1 to period 2, MesP/IgAN (62% to 16%), membranoproliferative glomerulonephritis and postinfectious glomerulonephritis decreased significantly (p < 0.05). IgAN decreased significantly (p < 0.05) from conductor 1 to conductor 2 (21% to 6%), while diabetic nephropathy significantly increased. Focal-segmental glomerulosclerosis (FSGS) had the highest incidence rate with 1.0, followed by IgAN with 0.8 (per 100,000 per year). In a nearly ethnically identical cohort, we have demonstrated that confounding factors, e.g., healthcare systems and preferences of conductors, have a strong influence - more than 10-fold variance - on frequency and incidence on the spectrum of nephropathies.
.

  8. En historia om Balkan

    DEFF Research Database (Denmark)

    Fledelius, Karsten

    2006-01-01

    En anmeldelse af bosnisk-svensk forskers værk om Balkans historie frem til krigsudbruddet i Jugoslavien 1991......En anmeldelse af bosnisk-svensk forskers værk om Balkans historie frem til krigsudbruddet i Jugoslavien 1991...

  9. [Nil nocere! Phytotherapy causing nephropathy].

    Science.gov (United States)

    Kakuk, G

    2000-11-19

    The summary draws attention to the nephropathy caused by "Chinese tea", with all its attendant risks that lead to organ damage. Available data from the literature describe more than 100 women who, at various times, underwent long-term slimming courses by taking two types of Chinese tea containing tablets, namely, Stefania tetranda and Magnolia officinalis. The nephropathy is characterized by severe anemia, tubular proteinuria, histologically chronic ischaemic, interstitial nephritis, accelerated decline in kidney function, and epithelial cell dysplasia of the urinary tract, with consequent inclination towards malignant transformation. The clinical and histological picture resembles that of the Balkan nephropathy. Apart from all these a proportion of the patients may develop aorta insufficiency. The author emphasises the hazards in one of the branches of alternative medicine, fitotherapy, and their prevention.

  10. Membranous nephropathy

    Science.gov (United States)

    ... check for hepatitis B, hepatitis C, and syphilis Complement levels Cryoglobulin test Treatment The goal of treatment ... not as helpful for people with membranous nephropathy. Medicines used treat membranous nephropathy include: Angiotensin-converting enzyme ( ...

  11. BALKANS: Building bridges

    International Nuclear Information System (INIS)

    Anon.

    1991-01-01

    At a time when upheaval and political unrest in some Balkan countries gives cause for concern, it is good to know that physics, once again, is building bridges between nations. The new international mobility in the region was marked by a major activity of the Balkan Physical Union - the first Balkan School of Physics, held on the banks of the Bosphorus during the first two weeks of September

  12. Radiogenic nephropathy; Radiogene Nephropathie

    Energy Technology Data Exchange (ETDEWEB)

    Gotthardt, M. [Univ. Medisch Centrum St Radboud, Nijmegen (Netherlands). Nucleaire Geneeskunde

    2010-07-01

    Patient-individual dosimetric analyses are a useful tool in external beam radiotherapy (EBR) to protect patients from side effects such as radiogenic nephropathy. At this point in time, individual dosimetry is not used as a standard in patient treated with radiolabelled antibody fragments or polypeptides. The reasons are a number of problems, which make patient dosimetry more challenging than in EBR. While in EBR, the dose is distributed evenly in the organ and the organ volume can exactly be determined, in internal radiotherapy the tracer is not evenly distributed within the organ leading to a non-uniform dose distribution. In addition, the dose rate of the most commonly used radionuclides is lower than in EBR and the range of their radiation differ, so that the radiobiological effects are differing considerably in comparison to EBR. Conclusion: More complex models have to be used for clinical kidney dosimetry in internal radiotherapy. In this paper, we give a concise overview of the reasons for accumulation of radiotracers in the kidney, the most recent developments in kidney dosimetry, and approaches to reduce the kidney uptake of radiotracers in order to avoid radiogenic nephropathy. (orig.)

  13. Reflux nephropathy

    Science.gov (United States)

    ... Personal or family history of vesicoureteral reflux Repeat urinary tract infections Symptoms Some people have no symptoms of reflux nephropathy. ... kidney tests are done for other reasons. If symptoms do occur, they might be similar to those of: Chronic kidney ... and Tests Reflux nephropathy is often found ...

  14. Balkan - geografi eller politik?

    DEFF Research Database (Denmark)

    Østergaard, Uffe

    2015-01-01

    Ordet Balkan, der blev opfundet af en tysk geograf i 1808, er ikke en neutral geografisk betegnelse, men for mange synonym med småstater i opløsning, skriver historiker Uffe Østergård, nu da Balkan igen er i fokus med de store flygtningestrømme gennem området.......Ordet Balkan, der blev opfundet af en tysk geograf i 1808, er ikke en neutral geografisk betegnelse, men for mange synonym med småstater i opløsning, skriver historiker Uffe Østergård, nu da Balkan igen er i fokus med de store flygtningestrømme gennem området....

  15. Internal globalization of Western Balkan

    Directory of Open Access Journals (Sweden)

    Vukotić Veselin

    2006-01-01

    Full Text Available What are potential and real effects of the globalization process on the economic connection between Western Balkan countries? What is the crucial change in relations between Western Balkan countries and its economies inexorably brought by globalization? What are the elements of political economy of Western Balkan globalization? What are reflections of the conflict between political and economic areas of Western Balkan? These are some of the issues discuses in this paper.

  16. Diabetic nephropathy

    Directory of Open Access Journals (Sweden)

    Zelmanovitz Themis

    2009-09-01

    Full Text Available Abstract Diabetic nephropathy is the leading cause of chronic renal disease and a major cause of cardiovascular mortality. Diabetic nephropathy has been categorized into stages: microalbuminuria and macroalbuminuria. The cut-off values of micro- and macroalbuminuria are arbitrary and their values have been questioned. Subjects in the upper-normal range of albuminuria seem to be at high risk of progression to micro- or macroalbuminuria and they also had a higher blood pressure than normoalbuminuric subjects in the lower normoalbuminuria range. Diabetic nephropathy screening is made by measuring albumin in spot urine. If abnormal, it should be confirmed in two out three samples collected in a three to six-months interval. Additionally, it is recommended that glomerular filtration rate be routinely estimated for appropriate screening of nephropathy, because some patients present a decreased glomerular filtration rate when urine albumin values are in the normal range. The two main risk factors for diabetic nephropathy are hyperglycemia and arterial hypertension, but the genetic susceptibility in both type 1 and type 2 diabetes is of great importance. Other risk factors are smoking, dyslipidemia, proteinuria, glomerular hyperfiltration and dietary factors. Nephropathy is pathologically characterized in individuals with type 1 diabetes by thickening of glomerular and tubular basal membranes, with progressive mesangial expansion (diffuse or nodular leading to progressive reduction of glomerular filtration surface. Concurrent interstitial morphological alterations and hyalinization of afferent and efferent glomerular arterioles also occur. Podocytes abnormalities also appear to be involved in the glomerulosclerosis process. In patients with type 2 diabetes, renal lesions are heterogeneous and more complex than in individuals with type 1 diabetes. Treatment of diabetic nephropathy is based on a multiple risk factor approach, and the goal is retarding the

  17. The endemic flora of Greece

    DEFF Research Database (Denmark)

    Tan, Kit

    2007-01-01

    The Balkan Peninsula has a rich endemic flora estimated as between 2600 and 2700 taxa; c. 750 are restricted to Greece. Conservationists consider the endemic flora of a country needs protection for all time; there is a tendency to paint an alarming picture. However, unless one knows something...... or quite a lot about the plants, no intelligent steps can be taken towards protecting them. 520 of the c. 750 endemics are listed on the Red Data "endangered list" by the Council of Europe in 1986 but few know the nature or extent of the threat. Work is currently in preparation on an Endemic Flora...

  18. Effects of human activities on karst groundwater geochemistry in a rural area in the Balkans

    International Nuclear Information System (INIS)

    Long, David T.; Voice, Thomas C.; Niagolova, Nedialka D.; McElmurry, Shawn P.

    2012-01-01

    The geochemistry of three drinking water sources (wells, springs, and tap) in the Vratza region of northern Bulgaria was investigated to gain an understanding of how human activities influence natural geochemical processes in a carbonate aquifer system. Numerous villages have been identified within this highly agricultural area as endemic for the environmental disease Balkan endemic nephropathy, with some suggesting a link to the geochemistry of the region. We observe that water quality varies significantly as a function of source. Hydrochemical facies analysis reveals trends not typical for limestone systems, with cation trajectories falling along the Ca 2+ –Mg 2+ axis and the anion trajectories lying along the HCO 3 - –SO 4 2- axis. R-mode factor analysis reveals: (i) an increasing dominance of a Cl − –Na + –SO 4 2- –NO 3 - association from tap to spring to well waters, (ii) a strong association between Mg 2+ and U, and (iii) a lack of associations between Ca 2+ and Mg 2+ and between Ca 2+ and HCO 3 - that is atypical for limestone systems. These observations are interpreted to indicate that human activities have influenced all sources across the Vratza region and that Mg and U concentrations result from the dissolution of limestone, which is enhanced due to the input of anthropogenic chemicals. Geochemical modeling indicates that Ca 2+ concentrations are in equilibrium with calcite, but that Mg 2+ concentrations remain conservative, resulting in the decoupling of a Ca 2+ and Mg 2+ , association. Uranium concentrations also appear to be conservative, aided by a poised redox state due to high concentrations of NO 3 - and the formation of CO 3 2- and PO 4 3- ion pairs. The similar source and conservative nature of both Mg 2+ and U can account for their association. Finally, cluster analysis indicates that the pattern of water geochemistry in the endemic area differs from the surrounding non-endemic area, may be explained by differences in the underlying

  19. Balkan electro energetic interconnections

    International Nuclear Information System (INIS)

    Cherepnalkovski, Trajche; Grashevska-Shekjerinska, Jelena; Badarovska, Elizabeta; Cherepnalkovski, Nikola

    1998-01-01

    The Balkan Energy Interconnections Task Force was realized in the framework of the Black Sea Regional Energy Center (BSREC); to set up comprehensive inventory of the potential Interconnection projects in the region and with the neighboring systems. In the paper impacts to the region of the strategy for developing the Trans European Networks (TEN) and potential interests for inter regional cooperation are analyzed. The list of accepted projects and applied methodology for definition the priorities are presented. (Author)

  20. Balkon zum Balkan

    OpenAIRE

    Jakimovska, Jana

    2014-01-01

    Participation in a 5 day artist residence program, a sort of symposium for artists, held in Baden-Baden, Germany. Artists from the Balkan were invited by the Staatliche Kunsthalle Baden-Baden to create site specific works of art that were exhibited at the end of the stay. My work was a 3 by 4 meter bread mosaic, exhibited in the Marktplatz, a public square in Baden-Baden.

  1. Balkan Print Forum – Dynamic Balkan Print Media Community

    Directory of Open Access Journals (Sweden)

    Rossitza Velkova

    2011-11-01

    Full Text Available Founded in October 2006, the Balkan Print Forum is gradually becoming an important regional institution. Its main targets are to share experiences and know-how,to initiate and intensify contacts and to support joint projects in the Balkan region.Since drupa 2008 there are 11 member countries of the Balkan Print Forum:Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Former Yugoslav Republic of Macedonia, Greece, Hungary, Romania, Serbia, Slovenia and Turkey. Partners of BPF are some companies and universities from Russia and Ukraine.

  2. Balkans as the cultural subcontinent of Europe

    Directory of Open Access Journals (Sweden)

    Grčić Mirko

    2005-01-01

    Full Text Available New world order and rearrangement of Europe transform the position of Balkan region -instead as the "crossroad" between East and West, it is more often included into the area of Western influence. In European relations developed "core" is gradually spreading toward "periphery" removing the traditional Balkan culture. The europeisation of Balkans and spreading of Western European civilization's circle gives the arguments that the term Balkans should be replaced with the term Southeastern Europe. The europeisation or balkanization is not geopolitical but civilization choice in front of all Balkan nations.

  3. Molecular evidence for an involvement of organic anion transporters (OATs) in aristolochic acid nephropathy

    International Nuclear Information System (INIS)

    Bakhiya, Nadiya; Arlt, Volker M.; Bahn, Andrew; Burckhardt, Gerhard; Phillips, David H.; Glatt, Hansruedi

    2009-01-01

    Aristolochic acid (AA), present in Aristolochia species, is the major causative agent in the development of severe renal failure and urothelial cancers in patients with AA nephropathy. It may also be a cause of Balkan endemic nephropathy. Epithelial cells of the proximal tubule are the primary cellular target of AA. To study whether organic anion transporters (OATs) expressed in proximal tubule cells are involved in uptake of AA, we used human epithelial kidney (HEK293) cells stably expressing human (h) OAT1, OAT3 or OAT4. AA potently inhibited the uptake of characteristic substrates, p-aminohippurate for hOAT1 and estrone sulfate for hOAT3 and hOAT4. Aristolochic acid I (AAI), the more cytotoxic and genotoxic AA congener, exhibited high affinity for hOAT1 (K i = 0.6 μM) as well as hOAT3 (K i = 0.5 μM), and lower affinity for hOAT4 (K i = 20.6 μM). Subsequently, AAI-DNA adduct formation (investigated by 32 P-postlabelling) was used as a measure of AAI uptake. Significantly higher levels of adducts occurred in hOAT-expressing cells than in control cells: this effect was abolished in the presence of the OAT inhibitor probenecid. In Xenopus laevis oocytes hOAT-mediated efflux of p-aminohippurate was trans-stimulated by extracellular AA, providing further molecular evidence for AA translocation by hOATs. Our study indicates that OATs can mediate the uptake of AA into proximal tubule cells and thereby participate in kidney cell damage by this toxin.

  4. Mobile Balkans: Temporality, types, trends

    Directory of Open Access Journals (Sweden)

    Krasteva Anna

    2015-01-01

    Full Text Available The objective of the article is to scrutunize the Balkan migration phenomenon, highlightening the alloy between continuity and discontinuity in the explanation of migrations; the former expressed in the trends, the latter - in breakthroughs, ruptures, changes. Four periods are articulated and characterized through the major trends. The typology of Balkan migrations identifies ten types, classified in three larger categories. The article distinguishes and compares the national migration models and draws a panoramic picture of the major trends during the last quarter of a century.

  5. ON THE ORIGIN OF THE BALKAN PENINSULA SALMONIDS

    Directory of Open Access Journals (Sweden)

    Simo Georgiev

    2003-12-01

    Full Text Available This paper puts forward the knowledge of the immigration itineraries of the ancestors of five extant salmonid species on Balkan Peninsula which are the following: Acantholingua ohridana (Steindachner, 1892, Hucho hucho (Linnaeus, 1758, Salmo trutta Linnaeus, 1758, Salmothymus obtusirostris Heckel, 1851 and Thymallus thymallus (Linnaeus, 1758. The thesis for the migration itineraries is based on the anatomical, molecular and zoogeographical facts recently published. These latest facts complement or reject the previous thesis that considered the origin of separate species, which in this paper are analyzed together. A new position on the origin of some S. trutta populations inhabiting the Mediterranean Sea watershed is proposed. The new thesis is that they did not inhabit it from the west, through the Atlantic Ocean and Gibraltar, but from the North, through the branches of the former Sarmatian Sea, using the continental way. A. ohridana and S. obtusirostris, the only endemic Balkanean salmonids, have developed here from the mutual ancestor with the extant Siberian Brachymystax lenok (Pallas, 1773. This ancestor came first, together with the S. trutta lineage known as »marmorata«. Using the same migration way, the T. thymallus population of Soča River, the North.West boundary of Balkan Peninsula remained restricted at that corner of Adriatic Sea watershed. In the Black Sea watershed (the Danube River flow extension on Balkan Peninsula the distribution of T. thymallus coincides with the distribution of H. hucho. The thesis which has been proposed for this, largest contemporary Balkan Peninsula salmonid fish was that it came here last, after the connections between the Mediterranean Sea basin and once existent Sarmatian Sea disappeared. This occurred after the end of the last glaciations. This has been concluded on the basis of the exclusion of the areas of the »marmorata« lineage of S. trutta (Mediterranean Sea watershed and H. hucho (Black Sea

  6. (Reconstructing Balkan Identities through Popular Music

    Directory of Open Access Journals (Sweden)

    Marin Cvitanović

    2009-12-01

    Full Text Available The paper deals with the reproduction of stereotypes about the Balkans in the popular music of ex-Yugoslavia. During the last two decades, over a hundred songs in the Serbian and Croatian languages have been released, specifically mentioning the term Balkan and using it as a metaphor – to evoke and explain the atmosphere of war, poverty, conflict and passion, beauty, love and pride. Based on the analysis of these texts and the frequency of appearance of the themes and motifs, four distinct discourses can be identified: 1. the Balkans as an area of wars and conflicts, 2. the Balkans as an area of joy, passion and fatalism, 3. the primitive and aggressive “male” Balkans vs. the beautiful, proud and resistant “female” Balkans, and 4. the Balkans as Europe’s “Other”. The results show that, despite the inherent fluidity and the unclearness of the very definition of the Balkans and its spatial coverage (and therefore the possibility of distancing oneself from it, mostly negative stereotypes about the Balkans are being reproduced. They are not questioned in that process, but accepted and affirmed as a part of one’s own identity.

  7. Cancer incidence in Dutch Balkan veterans

    NARCIS (Netherlands)

    Bogers, R.P.; Leeuwen, F.E. van; Grievink, L.; Schouten, L.J.; Kiemeney, L.A.L.M.; Schram-Bijkerk, D.

    2013-01-01

    Suspicion has been raised about an increased cancer risk among Balkan veterans because of alleged exposure to depleted uranium. The authors conducted a historical cohort study to examine cancer incidence among Dutch Balkan veterans. Male military personnel (n=18,175, median follow-up 11 years) of

  8. Genetics of diabetic nephropathy

    DEFF Research Database (Denmark)

    Parving, H H; Tarnow, L; Rossing, P

    1996-01-01

    of diabetic nephropathy is multifactorial, with contributions from metabolic abnormalities, hemodynamic alterations, and various growth factors and genetic factors. Epidemiologic and family studies have demonstrated that only a subset of the patients develop this complication that family clustering...... of nephropathy is present, and that ethnicity plays an important role in the risk of developing this kidney disease. Short stature and low birth weight are both associated with increased risk of developing diabetic nephropathy, supporting the hypothesis that genetic predisposition or factors operating in utero...... nephropathy have yielded conflicting results. Recently, studies of genetic markers involved in the regulation of blood pressure and levels of cardiovascular risk factors have been conducted. Several studies have demonstrated that the deletion polymorphism in the angiotensin-I-converting enzyme acts as a risk...

  9. Europe in the Balkan mirror

    Directory of Open Access Journals (Sweden)

    Milutinović Zoran

    2015-01-01

    Full Text Available The article discusses the three dominant, Europe-wide, constructions of Europe in the nineteenth and twentieth centuries, and claims that all three found their proponents in the Balkans in the same period, while no specifically Balkan construction of Europe can be identified. The discourses which constructed Europe were transnational, and every search for national discourses must recognize that they are always fractured and contradictory, composed of various elements originating in Europe-wide discourses on Europe. Throughout this period the dominant discourse of Europe was shaped by the discourse of modernity and modernization, not only in Europe but in other parts of the globe as well. Several commentators have already noted that the current challenge of the interwar construction of Europe - peace, prosperity, democracy and human rights - mirrors the crisis of Yugoslavia, and many examples point to the unsustainability of this construction at the beginning of the twenty-first century. Gadamer’s hermeneutics offers a valuable lesson in humility and defines the oft-repeated phrase of “belonging together” as listening to the other in the belief that the other may be right, which should be taken as a starting point for any future construction of Europe.

  10. Hydrological regimes in Balkan Area

    International Nuclear Information System (INIS)

    Stanescu, Viorel Alexandru

    2004-01-01

    Physical considerations of the deemed area are first considered in the paper. Then the regime types around the Balkan rivers are described in terms of the following characteristic features: -Types of the regimes defined by the timing of the high and low flow phases; -Regionalisation of the 'micro-types' -Stability of the river flow regimes. The available mean monthly discharge data of the representative rivers allows characterising the river regime of the Balkan area covered by WOISYDES and BALWOIS projects. The classification of the hydrological regimes (types of regimes) was done by assessing the discriminant periods (descriptors of the regime phases) defined by the first, the second and the third highest and lowest monthly values of flows. As sufficient data has been provided by countries involved in the Woisydes/Balwois Project a hydrological regionalisation is performed all around the considered space. The existence of different zones, which are quasi- homogeneous in terms of physiographical properties, the latter especially being expressed by their mean altitudes and the climatic features, allowed to carry out a hydrological regionalisation of the river flow regime types. The regionalisation of the river flow regimes is presented as hydrological maps both referring to each Balkan country and for the entire region as an overall map. The stability of a certain flow regime is an important descriptor of the ecological state of the river during the year. It may be quantitatively expressed by the stability coefficient determined by Corbus and Stanescu as the product between the frequency of the occurrence of any discriminant value in m subsequent month (m = 1,12) and a distribution coefficient along the period that depend on the length of the considered discriminant period. The advantage of this method stands in the fact that for several combinations of subsequent months, the maximisation of the stability coefficient leads to the assessment of the characteristic

  11. Improving Security Cooperation in the Western Balkans

    National Research Council Canada - National Science Library

    Simonson, Timothy L

    2007-01-01

    ... than it is to allow them to fail. After more than two centuries of ethnic violence and a decade and a half of genocide and civil war, the western Balkans remain at risk of becoming failed states...

  12. Power system deregulation and the Balkan countries

    International Nuclear Information System (INIS)

    Glamochanin, Vlastimir; Stojkovska, Biljana; Cherepnalkoski, Trajche

    2001-01-01

    The aim of the paper is to show the current state and planned activities of the Power System deregulation and privatization in the following Balkan countries: Macedonia, Romania, Bulgaria, Yugoslavia, Greece, Croatia, Slovenia and Turkey

  13. OBSTRUCTIVE NEPHROPATHY: ITS PHYSIOPATHOLOGY

    Directory of Open Access Journals (Sweden)

    Musso C

    2011-01-01

    Full Text Available Obstructive nephropathy is the functional and /or parenchymal renal damage secondary to the urinary tract occlusion at any part of it. The inducing urinary obstruction diseases can vary depending on the patient´s age and gender. There are many renal dysfunction inducing mechanisms involved in this entity: increase in the intra-luminal pressure, ureteral dilatation with ineffective ureteral peristalsis, glomerular ultrafiltration net pressure reduction, intra-renal glomerular blood flux reduction due to vasoconstriction, and local disease of chemotactic substances. Obstructive nephropathy can also lead to hypertension (vasoconstriction-hypervolemia, hyperkalemia, metabolic acidosis (aldosterone resistance, diabetes insipidus (vasopressine resistance. In conclusion, since obstructive nephropathy is a potentially reversible cause of renal dysfunction, it should always be taken into account among the differential diagnosis of renal failure inducing mechanisms.

  14. Preventing diabetic nephropathy

    DEFF Research Database (Denmark)

    Hansen, H P; Lund, S S; Rossing, P

    2001-01-01

    was to audit the effect of angiotensin converting enzyme (ACE) inhibition on the progression of microalbuminuria and development of diabetic nephropathy. We consecutively identified 227 type 1 diabetic patients with persistent microalbuminuria (urinary AER between 30 and 300mg/24h, ELISA). According...... to the level (> or = 100 or 6% or international guidelines, all patients at high-risk were....... Glycaemic control and blood pressure remained unchanged during the study. The implementation of modified international guidelines regarding the use of ACE inhibition in the treatment of microalbuminuric type 1 diabetic patients reduced progression to diabetic nephropathy comparable to what has previously...

  15. Proliferative retinopathy predicts nephropathy

    DEFF Research Database (Denmark)

    Karlberg, Charlotte; Falk, Christine; Green, Anders

    2012-01-01

    at baseline. In a multivariate logistic regression adjusted for baseline age, sex, duration of diabetes, smoking, HbA(1,) systolic and diastolic blood pressure, odds ratio of nephropathy (micro- and macroalbuminuria combined) was 2.98 (95% confidence interval 1.18-7.51, p = 0.02) for patients...

  16. Karyosystematics and molecular taxonomy of the anomalous blue butterflies (Lepidoptera, Lycaenidae) from the Balkan Peninsula

    Science.gov (United States)

    Vishnevskaya, Maria S.; Saifitdinova, Alsu F.; Lukhtanov, Vladimir A.

    2016-01-01

    Abstract The Balkan Peninsula represents one of the hottest biodiversity spots in Europe. However, the invertebrate fauna of this region is still insufficiently investigated, even in respect of such well-studied organisms as Lepidoptera. Here we use a combination of chromosomal, molecular and morphological markers to rearrange the group of so-called anomalous blue butterflies (also known as ‘brown complex’ of the subgenus Agrodiaetus Hübner, [1822] and as the Polyommatus (Agrodiaetus) admetus (Esper, 1783) species group) and to reveal its cryptic taxonomic structure. We demonstrate that Polyommatus aroaniensis (Brown, 1976) is not as widespread in the Balkans as was previously thought. In fact, it has a dot-like distribution range restricted to the Peloponnese Peninsula in South Greece. Polyommatus orphicus Kolev, 2005 is not as closely related to the Turkish species Polyommatus dantchenkoi (Lukhtanov & Wiemers, 2003) as was supposed earlier. Instead, it is a Balkan endemic represented by two subspecies: Polyommatus orphicus orphicus (Bulgaria) and Polyommatus orphicus eleniae Coutsis & De Prins, 2005 (Northern Greece). Polyommatus ripartii (Freyer, 1830) is represented in the Balkans by an endemic subspecies Polyommatus ripartii pelopi. The traditionally recognized Polyommatus admetus (Esper, 1783) is shown to be a heterogeneous complex and is divided into Polyommatus admetus sensu stricto (the Balkans and west Turkey) and Polyommatus yeranyani (Dantchenko & Lukhtanov, 2005) (east Turkey, Armenia, Azerbaijan and Iran). Polyommatus nephohiptamenos (Brown & Coutsis, 1978) is confirmed to be a species with a dot-like distribution range in Northern Greece. Finally, from Central Greece (Timfristos and Parnassos mountains) we describe Polyommatus timfristos Lukhtanov, Vishnevskaya & Shapoval, sp. n. which differs by its haploid chromosome number (n=38) from the closely related and morphologically similar Polyommatus aroaniensis (n=47-48) and Polyommatus orphicus (n

  17. Proceedings of papers. 3. Balkan Metallurgical Conference

    International Nuclear Information System (INIS)

    Mickovski, Jovan

    2003-01-01

    This Conference aims to be a central event in the metallurgy research of Balkan, fulfilling the goals to present the most outstanding relevant developments in modern metallurgy; to inspire high standards of excellence in pure and applied metallurgy research; to attract outstanding scientists to present central lectures on modem metallurgical research, and on the challenges imposed by the needs of society; to inspire the young generation of metallurgists in Balkan and other countries. Following these lines, the 3. Balkan Conference on Metallurgy will provide a unique opportunity for academic and industrial metallurgists from the Balkan countries and wider, to exchange ideas, expertise, and experience on topics related to the theme of the Conference - Balkan Metallurgy in Search for New Ways of Development. The aim of the organizers was to bring together distinguished experts, not only to present their work, but also to discuss the major scientific and technological challenges facing metallurgy in this millennium.The 6 sections of the conference were entitled: Section A: Extractive metallurgy; Section B: Physical metallurgy and materials science - ferrous metals and non ferrous metals; Section C: Management, maintenance control and optimization of metallurgical processes; Section D: New technologies and techniques; Section E: Refractory and powder; Section F: Corrosion and protection of metals. Papers relevant to INIS are indexed separately

  18. Contrast induced nephropathy

    DEFF Research Database (Denmark)

    Stacul, Fulvio; van der Molen, Aart J; Reimer, Peter

    2011-01-01

    PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 1999 guidelines on contrast medium-induced nephropathy (CIN). AREAS COVERED: Topics reviewed include the definition of CIN, the choice of contrast medium, the prophylactic...... measures used to reduce the incidence of CIN, and the management of patients receiving metformin. Key Points • Definition, risk factors and prevention of contrast medium induced nephropathy are reviewed. • CIN risk is lower with intravenous than intra-arterial iodinated contrast medium. • eGFR of 45 ml....../min/1.73 m (2) is CIN risk threshold for intravenous contrast medium. • Hydration with either saline or sodium bicarbonate reduces CIN incidence. • Patients with eGFR = 60 ml/min/1.73 m (2) receiving contrast medium can continue metformin normally....

  19. Intercultural and Interreligious Communication in the Balkan

    Directory of Open Access Journals (Sweden)

    Arta Musaraj

    2013-01-01

    Full Text Available The desire to belong in a individual culture means to possess a clear vision for the world, a road map that guides its followers towards the proper understanding of the planet’s past present and future. An established mythology of apparent national identities in the Balkans is somewhat unnaturally reinforced to justify conflicts between religious and ethnic groups, caused as a result of the national identities intertwined among themselves, an element essentially more influential than existence of national identities. For centuries Christians and Muslims in the Balkans have been living in peace, however a few Balkan Societies continue to use violence, national extremism, xenophobia as well as a contemporary practice to solve their problems. A legitimate question can be raised in relation to how common is religious influence used to cause violent and armed conflicts as compared to violence originating from ethnic cleansing, control over territory, political ideology and regional hegemony?

  20. Towards Common Balkan Lexical Evidential Markers

    Directory of Open Access Journals (Sweden)

    Maxim M. Makartsev

    2012-08-01

    1 As for the grammatical evidential markers in the Balkan languages, there is a tradition of their analysis dating back to the second half of the 19th century for Albanian and Bulgarian. Comparative analysis of evidential forms in the Balkan languages conducted by Victor Friedman [Friedman 1982, 1986, 1999], Grace Fielder [Fielder 1994, 1996, 1997, 1998, 1999], and several other linguists, has answered some questions about what is common among Balkan languages and what is unique for each of them in the domain of grammaticalised evidentiality. There is a great deal of literature on grammatical evidentiality in general and it is scarcely possible to cite it all within a single article, but a recent study [Aikhenvald 2004] contains the main bibliography on the issue.

  1. Islam, Etnicity and the State: the Balkans

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    Ružica Čičak-Chand

    1999-10-01

    Full Text Available The paper examines Muslim identity in the context of interaction between religions and ethnic and national identities within the complex ethnic and religious network of the Balkans, and with a focus on Muslim minority communities in the individual states in the region. Although it proceeds from a historical background, emphasis is placed on contemporary conditions, especially after the fall of communism and the crisis in former Yugoslavia. The paper is based on the book Muslim Identity and the Balkan State, prepared by Hugh Poulton and Suha Taji Farouki and published in London in 1977. Apart from a valuable and interesting introduction in regard to defining the concept of “Muslim” and “Muslim community” in the Balkans, and also an indication of some of the specificities of Islam in this region, the book includes eleven separate studies, the majority of which deal with Muslim minority communities and their status in Balkan countries (Albania, Bulgaria, Greece, Kosovo, Macedonia and Sandţak. The papers also deal with Turkey, as the country whose communities reside in some of the mentioned countries, as well as with the relations between Turkey and the Balkan countries. Besides analysing the historical causes leading to the formation of the Muslim communities, each author attempted to identify the main socio-economic, political and ethno-religious factors “responsible” for their position in the individual political communities in the Balkans. In this paper, the key aspects of the mentioned themes are reviewed, including particular comments on Albania, Bulgaria, Greece, Kosovo and Macedonia.

  2. ROMANIAN BALKANISM OR ABOUT CULTURAL RIFTS

    Directory of Open Access Journals (Sweden)

    Petre Gheorghe BÂRLEA

    2013-05-01

    Full Text Available The term “Balkanism” has two meanings, referring to both something objective and strictly geographic, as well as something subjective – a meaning that describes a certain mentality, a certain manner of thinking and behavior embraced in the Balkans. This article sets out to analyse the elements that are considered to define the cultural identity of the communities from the area of the Balkans. Their historical events, their linguistic differences and peculiarities, their art (music, cinematography, etc., their culinary p references and other elements are approached and described from the perspective of the “cultural crevice” theory.

  3. Specialization or Balkanization: Organizations of Adult Educators.

    Science.gov (United States)

    Selman, Gordon R.

    1988-01-01

    Examines the balkanization of adult education and the creation of barriers to communication within the field, suggests a typology of organizations, reviews the functions of a representative selection of organizations, and comments on the strengths and problems in the present arrangement. (JOW)

  4. The genus Gymnospermium (Berberidaceae) in the Balkans

    DEFF Research Database (Denmark)

    Tan, Kit; Shuka, Lulezim; Siljak-Yakovlev, Sonja

    2011-01-01

    A revision of the genus Gymnospermium (Berberidaceae) in the Balkan Peninsula is carried out. Three species are recognised. Gymnospermium maloi is described as a new species from Mt. Picari in Gjirokastra district, southern Albania. It is compared with the closely related G. scipetarum which has...

  5. Cryoseston in Stara Planina (Balkan) Mountains, Bulgaria

    Czech Academy of Sciences Publication Activity Database

    Lukavský, Jaromír; Cepák, Vladislav

    2010-01-01

    Roč. 69, č. 2 (2010), s. 163-171 ISSN 0365-0588 R&D Projects: GA MŠk 1M0571 Institutional research plan: CEZ:AV0Z60050516 Keywords : Cryoseston * Stara Planina (Balkan) Subject RIV: EF - Botanics Impact factor: 0.386, year: 2010

  6. Medicine in Balkans during the Roman Period.

    Science.gov (United States)

    Baykan, Daniş

    2017-08-04

    The aim of this study is to investigate the archaeological finds to enlighten the medical methods of treatments and operations applied in Balkans during Roman Period. Some independent local and regional find groups, taken from existing publications will be grouped together and a holistic point-of-view will be taken against medicine in Balkan Geography during Roman Period. Due to basic differences it contained, the data before Roman Period are excluded. Most of Greece and Aegean Islands are also excluded since the topic selected is "Medicine of Roman Period." Greece and Aegean Islands should be evaluated in another study in connection with West Anatolia which is closer than the Balkan Geography in terms of social relations. The spread of medical tools in Balkans during Roman Period is concentrated around military garrisons, and in settlements built around military pathways, and in settlements containing an amphitheater associated with gladiators. This spread is verified by the studies on Bulgaria in general. The data is also compatible with the assertion suggesting that the amount of application of pharmaceutical treatment increases when one moves away from the military centres.

  7. Contrast induced nephropathy

    DEFF Research Database (Denmark)

    Stacul, Fulvio; van der Molen, Aart J; Reimer, Peter

    2011-01-01

    PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 1999 guidelines on contrast medium-induced nephropathy (CIN). AREAS COVERED: Topics reviewed include the definition of CIN, the choice of contrast medium, the prophylactic me....../min/1.73 m (2) is CIN risk threshold for intravenous contrast medium. • Hydration with either saline or sodium bicarbonate reduces CIN incidence. • Patients with eGFR = 60 ml/min/1.73 m (2) receiving contrast medium can continue metformin normally....

  8. Contrast induced nephropathy

    DEFF Research Database (Denmark)

    Stacul, Fulvio; van der Molen, Aart J; Reimer, Peter

    2011-01-01

    PURPOSE: The Contrast Media Safety Committee (CMSC) of the European Society of Urogenital Radiology (ESUR) has updated its 1999 guidelines on contrast medium-induced nephropathy (CIN). AREAS COVERED: Topics reviewed include the definition of CIN, the choice of contrast medium, the prophylactic me....../min/1.73 m (2) is CIN risk threshold for intravenous contrast medium. • Hydration with either saline or sodium bicarbonate reduces CIN incidence. • Patients with eGFR ≥ 60 ml/min/1.73 m (2) receiving contrast medium can continue metformin normally....

  9. National minorities and interethnic relations on the Balkans

    OpenAIRE

    Raduški Nada M.

    2001-01-01

    Since the earliest times the Balkans is the very complex region where meets, collides and crosses many various civilizations, cultures and religions. Ethnic and confessional pictures of the Balkans is the result of different demographic development (natural increase, migration, changed declaration of nationality) as well as the action of political, historical geographical and other factors. Political changes in the Balkan countries in the last decade of this century, resulted in the formation...

  10. Description of a new species of Wormaldia from Sardinia and a new Drusus species from the Western Balkans (Trichoptera, Philopotamidae, Limnephilidae

    Directory of Open Access Journals (Sweden)

    Simon Vitecek

    2015-04-01

    Full Text Available New species are described in the genera Wormaldia (Trichoptera, Philopotamidae and Drusus (Trichoptera, Limnephilidae, Drusinae. Additionally, the larva of the new species Drusus crenophylax sp. n. is described, and a key provided to larval Drusus species of the bosnicus-group, in which the new species belongs. Observations on the threats to regional freshwater biodiversity and caddisfly endemism are discussed. The new species Wormaldia sarda sp. n. is an endemic of the Tyrrhenian island of Sardinia and differs most conspicuously from its congeners in the shape of segment X, which is trilobate in lateral view. The new species Drusus crenophylax sp. n. is a micro-endemic of the Western Balkans, and increases the endemism rate of Balkan Drusinae to 79% of 39 species. Compared to other Western Balkan Drusus, males of the new species are morphologically most similar to D. discophorus Radovanovic and D. vernonensis Malicky, but differ in the shape of superior and intermediate appendages. The females of D. crenophylax sp. n. are most similar to those of D. vernonensis, but differ distinctly in the outline of segment X. Larvae of D. crenophylax sp. n. exhibit toothless mandibles, indicating a scraping grazing-feeding ecology.

  11. GENETICS ASPECTS OF DIABETIC NEPHROPATHY

    Directory of Open Access Journals (Sweden)

    Oana-Elena Sauca

    2010-09-01

    Full Text Available Diabetic nephropathy is a clinical syndrome characterized by persistent albuminuria, a relentless decline in GFR, raised arterial blood pressure, and increased relative mortality for cardiovascular diseases. The pathogenesis of diabetic nephropathy is multifactorial, with contributions from metabolic abnormalities, hemodynamic alteration, and various growth and genetic factors. The identification of the main genes would allow the detection of those individuals at high risk for diabetic nephropathy and better understanding of its pathophysiologyas well.The present review discusses the main information available in literature regarding some genetic variants (involved in the renin-angiotensin system, glucose and lipid metabolism and some cytoskeleton proteins that reaffirms the importance of genetic factors in diabetic nephropathy.

  12. Causes of organized crime in the Balkans

    Directory of Open Access Journals (Sweden)

    Kolё Krasniqi

    2016-07-01

    Full Text Available Legal systems are put in jeopardy and social stability wherever there are organized criminal activities. In the Balkans, organized crime is the main obstacle to the European integration of the region. The permanent influence of organized crime in the state structures, the cooperation between different criminal organizations and especially their collaboration with some extremist group’s impacts political stability in an extremely negative way. The states in the Balkans have recognized the dangers for their peoples constituted by organized crime and have already taken a number of required legal, institutional and political measures in order to be able to successfully combat organized crime. However, organized crime still constitutes the main risk in the new democratic states in the Balkans in spite of these measures. For that reason, combating organized crime may not be treated just as the task or responsibility of one single state but it needs to be understood as an obligation and responsibility of all the states in the entire region as well as of the European Union. Therefore, cooperation and coordination of joint activities for combating organized crime have to be based on modern international standards. Besides, a continual perspective is required according to the interest of the people of the region to live together in peace and mutual harmony and to establish a society where human rights are not threatened by criminal violence but protected just like in the European Union.

  13. Western Balkans consumers' attitudes toward food labeling

    Directory of Open Access Journals (Sweden)

    Ognjanov Galjina

    2012-01-01

    Full Text Available The main purpose of this study is to shed light on consumers' attitudes toward food labelling in the Western Balkans. Pioneering in this respect, we present the results obtained from a cross-national consumer survey on a random representative sample of 3085 respondents, i.e. at least 500 respondents per country included. The survey covered six Western Balkans countries (WBC, namely Bosnia and Herzegovina, Croatia, Macedonia, Montenegro, Serbia and Slovenia. Differences in consumers' attitudes toward food labels as well as in self-perceived level of information about food with health claims were tested according to a number of socio-demographic criteria, including gender, age, education, type of settlement and the country of the Western Balkans where the respondent lives. The variables were also included as independents in a binary logistic model to achieve better understanding of the factors that may influence consumers' confidence in the usefulness of health claims on product labels. The results showed that self-perceived level of information about functional food as well as consumers' attitudes toward food labelling are influencing factors of consumers' confidence in usefulness of health claims on product labels when making food choices. Based on the mentioned, we provide conclusions and implications for marketing managers, decision makers in public health and for further research.

  14. Preservation of Scientific and Cultural Heritage in Balkan Countries

    Science.gov (United States)

    Tonta, Yasar

    2009-01-01

    Purpose: The peoples living in the Balkan Peninsula over centuries have created a very rich cultural heritage and the constant political upheavals in the region have affected the development and preservation of their cultures. This paper aims to review the internet infrastructure and networked readiness levels of the Balkan countries, which are…

  15. Contrast-induced nephropathy

    Energy Technology Data Exchange (ETDEWEB)

    Persson, P.B. [Inst. of Physiology, Humboldt Univ., Medizinische Fakultaet (Charite), Berlin (Germany)

    2005-11-15

    How contrast medium-induced nephropathy (CIN) comes about is not fully understood, although CIN constitutes a leading cause of renal failure. Here, a short review of clinical trials and a more thorough outline of mechanisms thought to cause CIN are outlined. Osmolality is only one of several physicochemical properties of contrast media (CM). Iso-osmolar CM are dimers, not monomers. Thus, they have physicochemical features different from other CM, e. g., in terms of viscosity (which is over fivefold greater than plasma viscosity). This may be of considerable pathophysiologic and clinical importance. There are studies providing evidence for a greater perturbation in renal functions by iso-osmolar CM in comparison to nonionic low-osmolar CM. Conversely, some previous clinical trials indicate an advantage of the iso-osmolar CM. This review highlights altered rheological properties, perturbation of renal hemodynamics, regional hypoxia, auto- and paracrine factors (adenosine, endothelin, reactive oxygen species) and direct cytotoxic effects, which are all thought to participate in causing CIN. It is concluded that the use of CM in general, and high viscous iso-osmolar CM in particular, can be deleterious to the kidney due to augmented resistance in the renal tubules. (orig.)

  16. Protestantism in the Balkans and Serbia

    Directory of Open Access Journals (Sweden)

    Todorović Dragan

    2011-01-01

    Full Text Available After the end of the unity of the Western church at the beginning of the 16th century, the reformation movement of returning to Evangelical ideals of Christian collectiveness arrived inevitably to the area of the Balkans. The spectrum of churches belonging to the reformation heritage with different doctrines, relying upon the agency of the first medieval heretic movements (Waldenses, Bogomils, Hussites, Hutterites, Unitarians, endeavored with varying success to grow in the reformation oriented aristocracy and wider peasantry in the South Slavic countries. The Evangelisation of Slavic population in the Balkans intensified in the middle of the 19th century. Christians and Jews became the focus of missionary activities in the Ottoman Empire, since talking to Muslims was punishable by death. The support of the American consular officers and the sympathy of Turkish authorities toward technologically advanced Western forces on the wave of the first industrial revolution was helpful. The changed social atmosphere for further process of protestantisation among the population loyal to traditional churches and religious communities first led to the end of World Wars and then to the fall of the Berlin Wall and the start of civil wars on the territory of former Yugoslavia at the beginning of the 1990's. Through a meticulous analysis of the collected theological, ethnographic, historical, sociological, and other material, the author here presents the most represented Protestant religious communities in the Balkans, in the ex-republics of the former Socialist Federative Republic of Yugoslavia and contemporary Serbia (Calvinists, Lutherans, Baptists, Methodists, Nazarenes, Adventists, Jehovah's Witnesses, and Pentecostals.

  17. Third International Conference of the BSF THE BALKANS IN THE NEW MILLENNIUM: FROM BALKANI-ZATION TO EUTOPIA

    OpenAIRE

    Pajaziti, Ali

    2014-01-01

    ThirdInternational Conference of the BSFTHE BALKANS IN THE NEW MILLENNIUM: FROM BALKANIZATION TO EUTOPIAJune, 20-22, 2014,Tetovo & SkopjeThe Faculty of Public Administration and Political Science(SEE University - Tetovo)&Institute for Sociological, Political and JuridicalResearch in Skopje(Ss. Cyril and Methodius University in Skopje).

  18. A third Balkan war: France and the allied attempts at creating a new Balkan alliance 1914-1915

    Directory of Open Access Journals (Sweden)

    Pavlović Vojislav

    2007-01-01

    Full Text Available The initial phase of the First World War in the Balkans 1914-1915 was a natural continuation of the conflicts opened during the Balkan Wars, but national fervor now encompassed all of the Balkans, from Rijeka and Ljubljana to Athens, Sofia and Bucharest, because the role of the Dual Monarchy had changed from that of an arbiter to that of a participant in the conflict. With the demise of the Ottoman Empire, the further survival of the Habsburg Monarchy was challenged by the Serbian government's Yugoslav project, creating conditions for implementing the nationality principle in all of the Balkans. It seemed that, in support of the alliances that were being created in the Balkans and in Europe as a whole, the time had come for the final fulfillment of the national aspirations of the Balkan peoples. The outcome of this third Balkan war no longer depended solely on the balance of power inside the Balkans, but also on the overall course of the war. After the initial victories in 1914, Serbia suffered a defeat in 1915 and her armies were forced to retreat southward to Albania and Greece, but her Yugoslav project was the foundation of her future policies and the basis for materializing the concept of a common South-Slavic state.

  19. Towards Common Balkan Lexical Evidential Markers

    Directory of Open Access Journals (Sweden)

    Maxim M. Makartsev

    2012-08-01

    Full Text Available A simple listing of lexical evidential markers in Bulgarian, Macedonian and Albanian uncovers unusual problems, because a significant part of the markers are common, both due to genetic relations between the languages (e.g. Bulg. and Maced. spored and to areal factors (e.g. Turk. word güya / gûya was loaned into Bulg. dialectal gyoa, Maced. ǵoa and Alb. gjoja; this marker also exists in Serb.. But these common markers with the same etymology do not necessarily have similar meanings, which is both a theoretical problem for the description of the language data and a practical issue for translation between the languages. As Bulgarian, Macedonian and Albanian have grammatical evidential systems as well, there is a question how the lexical evidential markers interact with evidential forms. Here the distinction between analytic and holistic reading can be quite helpful, as it clarifies the role of each of the components in constructions. In the article it is analysed on the basis of translations between the Balkan languages. The definition of evidentiality I employ in this article is the one stated by A. Aikhenvald: “evidentiality is a linguistic category whose primary meaning is [the] source of information. […] [T]his covers the way in which the information was acquired, without necessarily relating to the degree of [the] speaker’s certainty concerning the statement or whether it is true or not” [Aikhenvald 2004: 3]. It is well known that there is a certain variety of domains for expressing evidentiality; first and foremost there is a distinction between lexical and grammatical markers.1 In the following article I will concentrate on the common lexical evidential markers in Albanian, Bulgarian, and Macedonian, with a short introduction to grammatical evidentiality in these languages. _______________________ 1 As for the grammatical evidential markers in the Balkan languages, there is a tradition of their analysis dating back to the second

  20. Towards Common Balkan Lexical Evidential Markers

    Directory of Open Access Journals (Sweden)

    Maxim M. Makartsev

    2012-08-01

    Full Text Available A simple listing of lexical evidential markers in Bulgarian, Macedonian and Albanian uncovers unusual problems, because a significant part of the markers are common, both due to genetic relations between the languages (e.g. Bulg. and Maced. spored and to areal factors (e.g. Turk. word güya / gûya was loaned into Bulg. dialectal gyoa, Maced. ǵoa and Alb. gjoja; this marker also exists in Serb.. But these common markers with the same etymology do not necessarily have similar meanings, which is both a theoretical problem for the description of the language data and a practical issue for translation between the languages. As Bulgarian, Macedonian and Albanian have grammatical evidential systems as well, there is a question how the lexical evidential markers interact with evidential forms. Here the distinction between analytic and holistic reading can be quite helpful, as it clarifies the role of each of the components in constructions. In the article it is analysed on the basis of translations between the Balkan languages. The definition of evidentiality I employ in this article is the one stated by A. Aikhenvald: “evidentiality is a linguistic category whose primary meaning is [the] source of information. […] [T]his covers the way in which the information was acquired, without necessarily relating to the degree of [the] speaker’s certainty concerning the statement or whether it is true or not” [Aikhenvald 2004: 3]. It is well known that there is a certain variety of domains for expressing evidentiality; first and foremost there is a distinction between lexical and grammatical markers.1 In the following article I will concentrate on the common lexical evidential markers in Albanian, Bulgarian, and Macedonian, with a short introduction to grammatical evidentiality in these languages._______________________1 As for the grammatical evidential markers in the Balkan languages, there is a tradition of their analysis dating back to the second

  1. The management of Fabry nephropathy

    Directory of Open Access Journals (Sweden)

    Renzo Mignani

    2016-09-01

    Full Text Available A case of an adult female with Fabry disease is described with discussion based on the following key questions: 1. What is the natural history of Fabry nephropathy? 2. What are the indications to perform kidney biopsy in Fabry disease? 3. How to perform the workout of the patient in recognition of systemic organ damage? 4. Is the missed recognition of Fabry disease frequent in dialysis patients? 5. When and which patients are eligible to start enzyme replacement therapy? 6. Is enzyme replacement therapy effective in Fabry nephropathy? 7. What is the outcome of the patient who underwent a kidney transplantation? 8. Is the supportive therapy important in Fabry disease nephropathy? 9. What are the future therapeutic perspectives?

  2. Forensic psychiatry in some Balkan countries.

    Science.gov (United States)

    Tătaru, Nicoleta; Marinov, Petar; Douzenis, Athanassios; Novotni, Antoni; Kecman, Bojana

    2010-09-01

    In Balkan countries, as in all Europe, forensic psychiatry as a subspecialty between psychiatry and legal medicine, an interface between mental health and the law, is focused on assessment and treatment of people with mental disorder who show antisocial or violent behavior. Thus, the authors thought that to show the actual situation of forensic psychiatry in their countries would be more interesting than only to review some articles published in these last 2 years in this part of the world. The article also includes some review about forensic psychiatry in prison in Bulgaria, Serbia and Russia and about a recent book published in Bulgaria. After a brief history of forensic psychiatry in some Balkan countries, the authors describe the services, the high and medium secure units found in forensic hospitals or in general psychiatry hospitals, which are still limited, where mentally disordered offenders are treated. Because of our society's values, individual freedom and civil liberties, questions about the right to treatment (or the right to refuse treatment), involuntary hospitalization, and other legal and ethical issues have no easy answers. Ethical questions remain in dispute, like patient's needs vs. social needs and human rights, legality vs. morality.The quality standards must be improved, especially those concerning elementary care needs and quality of life of forensic psychiatry patients (accommodation, food, sheltered housing, sheltered work places and community involvement). Ways will be found to protect human rights and avoid any abuse of psychiatry.

  3. Lichens as biomonitors of uranium in the Balkan area

    International Nuclear Information System (INIS)

    Loppi, S.; Riccobono, F.; Zhang, Z.H.; Savic, S.; Ivanov, D.; Pirintsos, S.A.

    2003-01-01

    Widespread contamination by depleted uranium was not detected in the Balkan area. - The contribution of the conflict of 1999 to the environmental levels of uranium in the Balkan area was evaluated by means of lichens used as biomonitors. The average U concentration found in lichens in the present study was in line with the values reported for lichens from other countries and well below the levels found in lichens collected in areas with natural or anthropogenic sources of U. Measurement of isotopic ratios 235 U/ 238 U allowed to exclude the presence of depleted uranium. According to these results, we could not detect widespread environmental contamination by depleted uranium in the Balkan area

  4. IgA nephropathy enigma

    Czech Academy of Sciences Publication Activity Database

    Městecký, Jiří; Novák, J.; Moldoveanu, Z.; Raška, M.

    2016-01-01

    Roč. 172, NOV 2016 SI (2016), s. 72-77 ISSN 1521-6616 R&D Projects: GA MZd(CZ) NV15-33686A Institutional support: RVO:61388971 Keywords : IgA nephropathy * IgA subclasses * Autoimmunity Subject RIV: EE - Microbiology, Virology Impact factor: 3.990, year: 2016

  5. Contract network in a balkanized grid

    International Nuclear Information System (INIS)

    Parkinson, T.W.

    1992-01-01

    Competition in electricity generation depends critically on access to transmission service at nondiscriminatory prices. Current access and pricing policies in the U.S. do not offer prospective private generators any guarantee of such access. Most proposals for reform, while improvements over current policies, attempt to provide for open access without addressing the underlying problems associated with loop flow and constraints in transmission networks. This paper identifies key design objectives for transmission access and pricing policies and cites critical weakness in one example reform proposal. As alternative proposal, based on contract networks, does address the underlying pricing problems. This paper shows that policies based on contract networks would meet the required objectives and could be feasibly implemented even in the Balkanized grid of U.S. investor-owned utilities. 10 refs

  6. Electric energy sustainability in the Eastern Balkans

    International Nuclear Information System (INIS)

    Koroneos, Christopher J.; Nanaki, Evanthia A.

    2007-01-01

    After years of military conflict and economic turmoil, the countries of South East Europe now face major challenges in achieving the market reforms necessary to rebuild their economies. A major driver of economy is the energy sector, although high-energy intensities are a burden for the companies and households. An efficient energy sector not only is vital for an economic recovery but also plays an important role to energy transit. The main goal of this work is a comprehensive assessment of electrical sustainability in some countries of South East Europe (Romania, Bulgaria, Turkey and Greece) mainly by means of exergy analysis as well as descriptive statistics. Exergy analysis can be used as an energy sustainability indicator and help decision-makers. The concept of exergy, applied to electricity generation efficiency could be a useful tool in the field of energy efficiency. Further implementation of thorough exergy analysis to the countries of Eastern Balkans, would be helpful in improving their electricity generation efficiency

  7. The genus Gymnospermium (Berberidaceae) in the Balkans

    DEFF Research Database (Denmark)

    Tan, Kit; Shuka, Lulezim; Siljak-Yakovlev, Sonja

    2011-01-01

    A revision of the genus Gymnospermium (Berberidaceae) in the Balkan Peninsula is carried out. Three species are recognised. Gymnospermium maloi is described as a new species from Mt. Picari in Gjirokastra district, southern Albania. It is compared with the closely related G. scipetarum which has...... has been reported for other members of the genus. The nuclear DNA content (2C-value) of all three species was determined. The genome size of G. maloi is 29.44 (± 0.47) pg, for G. scipetarum (chromosome number still unknown) 29.55 (± 1.35) pg, and for G. peloponnesiacum (2n = 2x = 16) 31.93 (± 2.38) pg....... These values are the first genome size measurements for the genus. All three species are mapped and fully illustrated. A key to the European species is also presented....

  8. Board Games Reconsidered: Mancala in the Balkans

    Directory of Open Access Journals (Sweden)

    Vesna Bikić

    2016-02-01

    Full Text Available Two mancala (one of the oldest games in the world boards, which were found in the Lower Town of the Belgrade Fortress in 2006, present so far unique archaeological proof that this game was played in the region of the Balkan peninsula. Considering the fact that the knowledge regarding mancala is still quite modest, in this paper, we have also examined the different aspects of this game: the question of its origin, which is linked to the beginning of the Neolithic Age on the territories of Africa and the Near East; the link with the methods of geomantic divination; the anthropological knowledge regarding playing mancala in traditional communities; the distribution and the directions of its diffusion, as well as the archaeological finds in the area Mediterranean.

  9. The history of the study of Balkan Languages Union

    Directory of Open Access Journals (Sweden)

    Н В Новоспасская

    2009-03-01

    Full Text Available This article represents the historical analysis of the apportionment and typological description some modern literary languages of Balkan Peninsula: the Bulgarian, Romanian, Serbian, and Albanian languages in works of Russian and European linguists.

  10. Balkanization versus europeanization - expressing ideological concepts (in Czech and Bulgarian)

    OpenAIRE

    Kačmarčíková Bakajsová, Petra

    2011-01-01

    Author's name: Petra Kačmarčíková Bakajsová School: Charles University, Prague Tha Faculty of Art Institut of Slavic and Eastern European Studies Nám. Jana Palacha 2, Praha 1, 116 38 Program: Bulgarian Studies Title: Balkanization versus Europeanization. Expressing Ideological Concepts (in Czech and Bulgarian) Consultant: Prof. PhDr. Hana Gladkova, CSc. Number of pages: 106 + attachments Number of attachments: 1 (from page 107 to page 184) Year: 2010 Key words: Europeanization, Balkanization,...

  11. Cross-Border Cooperation of the Balkan Countries

    OpenAIRE

    Dimitrov, Mitko; Totev, Stoyan

    2009-01-01

    The article examines the role, prospects and policies of the cross-border cooperation in the Balkan countries border regions. The main goal is to define the reasons, due to which the cross-border cooperation between the enterprises can be considered as an "optimal" policy for the Balkan countries. The opportunities for development of mutually beneficial cross-border relations are presented based on information obtained by different studies. The potential and the barriers for the development o...

  12. Comparative analysis of diabetic nephropathy and non-diabetic nephropathy disease

    Directory of Open Access Journals (Sweden)

    Qiuxiang Chen

    2017-12-01

    Conclusion: Treatment effect of diabetic nephropathy patients is relatively poor compared to that of non-diabetic patients. In clinics, management and prevention of diabetic patients should be strengthened to avoid complication of nephropathy which brings serious injury to patients.

  13. The Chronicle Of The First World War And Its Impact On The Balkans

    OpenAIRE

    Progonati, Erjada

    2015-01-01

    The process of the two Balkan Wars remained incomplete until the First World War started. The aim of this study is to give some informations about The First World War and the role that Balkan region played to this war when the national consciousness of Balkan peoples began to crystallize. After the two Balkan Wars, all the Balkan states continued their efforts to gather their co-nationals into their national states. It’s concluded that the Balkan Wars leaded to the internationalization of th...

  14. Diabetic nephropathy – complications and treatment

    Science.gov (United States)

    Lim, Andy KH

    2014-01-01

    Diabetic nephropathy is a significant cause of chronic kidney disease and end-stage renal failure globally. Much research has been conducted in both basic science and clinical therapeutics, which has enhanced understanding of the pathophysiology of diabetic nephropathy and expanded the potential therapies available. This review will examine the current concepts of diabetic nephropathy management in the context of some of the basic science and pathophysiology aspects relevant to the approaches taken in novel, investigative treatment strategies. PMID:25342915

  15. Lithium clearance in chronic nephropathy

    DEFF Research Database (Denmark)

    Kamper, A L; Holstein-Rathlou, N H; Leyssac, P P

    1989-01-01

    1. Lithium clearance measurements were made in 72 patients with chronic nephropathy of different aetiology and moderate to severely reduced renal function. 2. Lithium clearance was strictly correlated with glomerular filtration rate, and there was no suggestion of distal tubular reabsorption...... of lithium or influence of osmotic diuresis. 3. Fractional reabsorption of lithium was reduced in most patients with glomerular filtration rates below 25 ml/min. 4. Calculated fractional distal reabsorption of sodium was reduced in most patients with glomerular filtration rates below 50 ml/min. 5. Lithium...... that lithium clearance may be a measure of the delivery of sodium and water from the renal proximal tubule. With this assumption it was found that adjustment of the sodium excretion in chronic nephropathy initially takes place in the distal parts of the nephron (loop of Henle, distal tubule and collecting duct...

  16. Lithium clearance in chronic nephropathy

    DEFF Research Database (Denmark)

    Kamper, A L; Holstein-Rathlou, N H; Leyssac, P P

    1989-01-01

    1. Lithium clearance measurements were made in 72 patients with chronic nephropathy of different aetiology and moderate to severely reduced renal function. 2. Lithium clearance was strictly correlated with glomerular filtration rate, and there was no suggestion of distal tubular reabsorption...... clearance data were independent of whether renal disease was of primarily glomerular or tubular origin and, further, were not influenced by long-term conventional antihypertensive treatment. 6. It is concluded that, even with a reduced kidney function, the data are compatible with the suggestion...... that lithium clearance may be a measure of the delivery of sodium and water from the renal proximal tubule. With this assumption it was found that adjustment of the sodium excretion in chronic nephropathy initially takes place in the distal parts of the nephron (loop of Henle, distal tubule and collecting duct...

  17. Fish Oil in Diabetic Nephropathy

    DEFF Research Database (Denmark)

    Rossing, Peter; Hansen, Birgitte V.; Nielsen, Flemming S.

    1996-01-01

    OBJECTIVE: Recent studies in nondiabetic kidney diseases suggest that dietary supplementation with n-3 polyunsaturated fatty acids (fish oil) may have beneficial effects on albuminuria, kidney function, arterial blood pressure, and dyslipidemia. Therefore, we evaluated the long-term effect of fish...... oil in diabetic nephropathy. RESEARCH DESIGN AND METHODS: A 1-year double-blind randomized controlled study comparing fish oil (4.6 g n-3 fatty acids/day) with placebo (olive oil) was performed in an outpatient clinic in a tertiary referral center. Thirty-six normotensive IDDM patients with diabetic...... nephropathy were included; 18 were treated with fish oil. Seven patients dropped out (four received fish oil), and results for the remaining 29 are presented. Albuminuria (enzyme immunoassay), glomerular filtration rate (51Cr-labeled EDTA plasma clearance), 24-h ambulatory blood pressure, and lipid profile...

  18. Fish oil in diabetic nephropathy

    DEFF Research Database (Denmark)

    Rossing, P; Hansen, B V; Nielsen, F S

    1996-01-01

    oil in diabetic nephropathy. RESEARCH DESIGN AND METHODS: A 1-year double-blind randomized controlled study comparing fish oil (4.6 g n-3 fatty acids/day) with placebo (olive oil) was performed in an outpatient clinic in a tertiary referral center. Thirty-six normotensive IDDM patients with diabetic......OBJECTIVE: Recent studies in nondiabetic kidney diseases suggest that dietary supplementation with n-3 polyunsaturated fatty acids (fish oil) may have beneficial effects on albuminuria, kidney function, arterial blood pressure, and dyslipidemia. Therefore, we evaluated the long-term effect of fish...... nephropathy were included; 18 were treated with fish oil. Seven patients dropped out (four received fish oil), and results for the remaining 29 are presented. Albuminuria (enzyme immunoassay), glomerular filtration rate (51Cr-labeled EDTA plasma clearance), 24-h ambulatory blood pressure, and lipid profile...

  19. Tubulointerstitial Biomarkers for Diabetic Nephropathy

    Directory of Open Access Journals (Sweden)

    Bancha Satirapoj

    2018-01-01

    Full Text Available Patients with diabetic nephropathy have a higher risk of mortality, mostly from cardiovascular complications. Standard biomarkers including serum creatinine, estimated glomerular filtration rate, and albuminuria are imprecise, do not directly measure renal tissue injury, and are relatively insensitive to small changes in renal function. Thus, availability of novel biomarkers that are sensitive, specific, and precise as well as able to detect kidney injury and predict clinically significant outcomes would be widely useful in diabetic nephropathy. Novel biomarkers of the processes that induce tubulointerstitial changes may ultimately prove to better predict renal progression and prognosis in type 2 diabetes. Recently, certain biomarkers, which were initially identified in acute kidney injury, also have been reported to confer value in evaluating patients with chronic kidney disease. Biomarkers such as cystatin C, kidney injury molecule-1 (KIM-1, neutrophil gelatinase-associated lipocalin (NGAL, angiotensinogen, periostin, and monocyte chemoattractant protein-1 (MCP-1 reflect tubular injury. In this article, we focused on the potential applications of these biomarkers in diabetic nephropathy.

  20. Greece and the idea of the Balkan Union according to the materials of magazine Les Balkans

    Directory of Open Access Journals (Sweden)

    Ann Lubotskaya

    2009-12-01

    Full Text Available El primer tercio del siglo XX fue un punto de inversión en la historia del desarrollo del Estado griego. El reemplazo de la Idea Griega (en general, una idea de conquista, por la idea de paz se reflejó de forma resplandeciente en la política exterior del nuevo gobierno, encabezado por el líder del Partido Liberal, Elefterios Vénselos. En la agenda de su política se encontraba la cuestión del mantenimiento de la posición griega en los Balcanes y el Mediterráneo. La vitalidad política del tema escogido es la importancia del problema de la paz en la región balcánica incluso a día de hoy. Este objeto de estudio tiene además un gran interés científico, puesto que ni en la historiografía rusa ni internacional se ha analizado desde el punto de vista periodístico. El estudio del semanario Les Balkans permitió reproducir en detalle la atmósfera de la vida política y social griega a comienzos de la tercera década del siglo XX y la propia existencia de esta publicación.____________________ABSTRACT:The end of the 20th – begining of the 30th of the XXth centuary was a turning-point in the history of development of the Greek state. Replacement of the Great Idea (in general the idea of the conquest by the idea of peace brightly reflected in the foreign policy of new-formed government, headed by the leader of the Liberal party, Elefterios Venizelos. On the agenda of its policy there was set a question of the maintenance of Greek position in the Balkan and Mediterranean regions. The political vitality of the theme chosen is in the importance of the question of peace in the Balkan region even in time beings. This theme moreover has a scientific vitality – neither in foreign nor in the russian historography it hasn’t been investigated from the journal’s point of view. Study of Les Balkans allowed to reproduce in detail the atmosphere of the greek social and political life at the begining of the 1930th and the history of journal

  1. Neurosteroids, immunosteroids, and the Balkanization of endocrinology.

    Science.gov (United States)

    Schmidt, Kim L; Pradhan, Devaleena S; Shah, Amit H; Charlier, Thierry D; Chin, Eunice H; Soma, Kiran K

    2008-07-01

    Traditionally, the production and regulation of steroid hormones has been viewed as a multi-organ process involving the hypothalamic-pituitary-gonadal (HPG) axis for sex steroids and the hypothalamic-pituitary-adrenal (HPA) axis for glucocorticoids. However, active steroids can also be synthesized locally in target tissues, either from circulating inactive precursors or de novo from cholesterol. Here, we review recent work demonstrating local steroid synthesis, with an emphasis on steroids synthesized in the brain (neurosteroids) and steroids synthesized in the immune system (immunosteroids). Furthermore, recent evidence suggests that other components of the HPG axis (luteinizing hormone and gonadotropin-releasing hormone) and HPA axis (adrenocorticotropic hormone and corticotropin-releasing hormone) are expressed locally in target tissues, potentially providing a mechanism for local regulation of neurosteroid and immunosteroid synthesis. The balance between systemic and local steroid signals depends critically on life history stage, species adaptations, and the costs of systemic signals. During particular life history stages, there can be a shift from systemic to local steroid signals. We propose that the shift to local synthesis and regulation of steroids within target tissues represents a "Balkanization" of the endocrine system, whereby individual tissues and organs may become capable of autonomously synthesizing and modulating local steroid signals, perhaps independently of the HPG and HPA axes.

  2. Mobile radiography units in Balkan Wars.

    Science.gov (United States)

    Diamantis, Aristidis; Magiorkinis, E

    2016-02-01

    It is known that the first radiological units were widely used during war conflicts, whereas the first application of military radiology took place during the Greco-Turkish War in 1897. However, until recently automobile radiology units were assumed to be used for the first time during World War I. Historical archives and reports were researched, and extensive research in available literature was also conducted. The automobile radiology units were purchased from France and were probably constructed under the guidance of Marie Curie (1867-1934). The figure of Dr. Dimitrios Vasilidis (?-1937), a pioneer in Radiology in Greece and the first president of the Hellenic Radiological Society, is highlighted. This short historical note describes the first use of a mobile radiology unit during the Balkan Wars (1912-1913), predating its previously presumed first use in World War I. It also briefly highlights the contributions of some notable figures in 20th Century Greek scientific development. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  3. Timing Variations in Two Balkan Percussion Performances

    Directory of Open Access Journals (Sweden)

    Daniel Goldberg

    2016-01-01

    Full Text Available Many songs and dance pieces from the Balkan Peninsula employ aksak meter, in which two categorically different durations, long and short, coexist in the sequence of beats that performers emphasize and listeners move to. This paper analyzes the durations of aksak beats and measures in two recorded percussion performances that use a particular aksak beat sequence, long-short-short. The results suggest that the timing of beats varies in conjunction with factors including melodic grouping and interaction among members of a performing ensemble and audience. Timing variation linked to melodic groups occurs on a solo recording of a Macedonian Romani folk song. The performer, Muzafer Bizlim, taps an ostinato while singing, and the timing of his taps seems to mark some local and large-scale group boundaries. Melodic organization also seems relevant to the timing of beats and measures on a recording of Bulgarian percussionist Mitko Popov playing the tŭpan, a double-headed bass drum, in a small folk music ensemble. In Popov’s performance, however, timing differences might be related to characteristics of the ensemble dynamic, such as the coordination of multiple musical participants. These interpretations generate possibilities for future study of timing variations in relation to rhythm and meter.

  4. Middle East: New Balkans of the World?

    Directory of Open Access Journals (Sweden)

    Dr.Sc. Georgescu Stefan

    2012-12-01

    Full Text Available Middle East is a region whose geopolitical dynamics has many analogies with the role of the Balkans in the first half of the 19th century and up to the 3rd decade of the 20th century, namely a "Powder keg of Europe", defined in the same period as the "Eastern Issue".Moreover, Middle East is a region located at the junction of three continents: Europe, Asia and the Mediterranean Africa, and along with ancient Egypt is the cradle of Western civilization, providing for it political, economic, religious, scientific, military, intellectual and institutional models.Four millennia of civilization before Christian era did not pass without leaving a trace.Trade, currency, law, diplomacy, technology applied to works in time of war or peace, the profit based economy and the bureaucratized economy, popular and absolutist government, nationalist and universal spirit, tolerance and fanaticism – all these are not inventions of the modern world, but have their origins and methods of implementation, often even sophisticated methods, in this region.

  5. Impact of the Non-Slavic Balkan Languages on Speech and Folk Poetry of Gora

    Directory of Open Access Journals (Sweden)

    Sadik Idrizi

    2011-08-01

    Full Text Available Based on its many structural features, the Gorani dialect belongs to Balkan linguistic association. Some features have joined this dialect as a result of linguistic and ethnic mixtures present in the southeastern part of Balkan pen­insula. Romanic, Turkish and Greek languages have influenced a lot the creation of the Balkan linguistic associa­tion. Balkan languages show a lot of parallel features in phonetics, morphology, syntax and vocabulary.

  6. Anglophiles in Balkan Christian states (1862-1920

    Directory of Open Access Journals (Sweden)

    Markovich Slobodan G.

    2009-01-01

    Full Text Available The life stories of five Balkan Anglophiles emerging in the nineteenth century - two Serbs, Vladimir Jovanović (Yovanovich and Čedomilj Mijatović (Chedomille Mijatovich; two Greeks, Ioannes (John Gennadios and Eleutherios Venizelos; and one Bulgarian, Ivan Evstratiev Geshov - reflect, each in its own way, major episodes in relations between Britain and three Balkan Christian states (Serbia, the Hellenic Kingdom and Bulgaria between the 1860s and 1920. Their education, cultural patterns, relations and models inspired by Britain are looked at, showing that they acted as intermediaries between British culture and their own and played a part in the best and worst moments in the history of mutual relations, such as the Serbian-Ottoman crisis of 1862, the Anglo-Hellenic crisis following the Dilessi murders, Bulgarian atrocities and the Eastern Crisis, unification of Bulgaria and the Serbo-Bulgarian War of 1885, the Balkan Wars 1912-13, the National Schism in Greece. Their biographies are therefore essential for understanding Anglo-Balkan relations in the period under study. The roles of two British Balkanophiles (a Bulgarophile, James David Bourchier, and a Hellenophile, Ronald Burrows are looked at as well. In conclusion, a comparison of the Balkan Anglophiles is offered, and their Britain-inspired cultural and institutional legacy to their countries is shown in the form of a table.

  7. Androsace septentrionalis (Primulaceae), a new species for the Balkan flora

    DEFF Research Database (Denmark)

    Stevanovic, V.; Vukojicic, S.; Tan, Kit

    2005-01-01

    Androsace septentrionalis L. (Primulaceae) is recorded as a new species for the Balkan flora on the basis of herbarium material collected several times from Mt. Prokletije, situated near the borders of Serbia (Metochia and Kosovo province), Montenegro and Albania. The locality marks the southernm......Androsace septentrionalis L. (Primulaceae) is recorded as a new species for the Balkan flora on the basis of herbarium material collected several times from Mt. Prokletije, situated near the borders of Serbia (Metochia and Kosovo province), Montenegro and Albania. The locality marks...... the southernmost limit of the species' range in Europe. The existence of A. septentrionalis in the Balkans may be the result of migration of the tundra-steppe flora from central and East Europe towards the mountains of the peninsula during the Ice Age....

  8. SECURING FRAGILE DEMOCRACIES IN THE BALKANS: THE EUROPEAN DIMENSION

    Directory of Open Access Journals (Sweden)

    Geoffrey Pridham

    2008-06-01

    Full Text Available The European Union faces unprecedented difficulties in its integration of the Western Balkans in terms of the requirements for change by countries in that region wishing to join. In order to meet this challenge, the EU’s political conditionality has moved significantly beyond its demands made on the post-Communist entrants of 2004 and 2007. But its effort to bridge the gap between the ability or political will of Balkan countries to adapt to European modernisation and uncertainties about EU commitment created by “enlargement fatigue” among Member States is vulnerable to weak consensus on both sides. Accordingly, the dynamic behind further enlargement is not comparable with the historic drive that impelled the enlargement of 2004. At the same time, there are strong geopolitical arguments on grounds of stabilising the Balkans for going ahead with integrating the Western half of this region.

  9. The future path of lignite production in the Balkan countries

    International Nuclear Information System (INIS)

    Boussios, E.; Koikouzas, N.K.

    1997-01-01

    The future development of the European Union and Balkan lignite industry is examined in this paper. Lignite in some countries represents for the last decade by far the most important fuel for electricity generation. The economically recoverable lignite reserves of the Balkans (21.36 x 10 9 t) and Greece (4.0 x 10 9 t) are sufficient to meet their energy demand for the next decades (50-100 years). The Balkan countries intended to increase their lignite production, in the near future, as result of the increase of their primary energy demand and their efforts to meet their energy requirements by using domestic resources. Greece also plans to increase lignite production. On the contrary, the remaining of the European Union countries intend to decrease their lignite production. Nevertheless, the countries of Balkan region which are presently in a transition period to the market economy, have to deal with a decrease of people employed in the lignite mining industry. However, Balkan region seems to be the most promising area for the future development of the lignite industry in the enlarged EU, after making the following alterations in the lignite sector: Rehabilitation of the lignite open-pit mines, closure of the most underground mines, privatization of the most prosperous mines, modification of the existing technology, introduction of the 'clean' coal technology, etc. New opportunities for the development and modernization of the lignite industry in Balkan countries arise, after their possible entrance into the European Union, considering also that lignite is one of their most important indigenous energy source. For the necessary modernization of the lignite industry, development of collaborations for the capital and know-how transferring is required. (Author)

  10. Balkan – Pestens første udbrud?

    DEFF Research Database (Denmark)

    Fledelius, Karsten

    2013-01-01

    Artiklen behandler den religiøst farvede nationalismes udvikling i Jugoslavien efter præsident Titos død i 1980 og dens virkninger på Balkan-landene, samt EU's muligheder for at danne modvægt mod aggressiv nationalistisk-religiøs chauvinisme......Artiklen behandler den religiøst farvede nationalismes udvikling i Jugoslavien efter præsident Titos død i 1980 og dens virkninger på Balkan-landene, samt EU's muligheder for at danne modvægt mod aggressiv nationalistisk-religiøs chauvinisme...

  11. History of the Balkan Stomatological Society (BaSS

    Directory of Open Access Journals (Sweden)

    Todorović Ljubomir

    2014-11-01

    Full Text Available Some of the main activities of the Balkan Stomatological Society (BaSS over a rich 19-year history are presented. These activities have been aimed at improving oral health care provided by the dentists throughout the Balkans, and to establish ties of friendship and collaboration between researchers and clinicians in this region, creating a foundation for mutual understanding and peace. To accomplish these goals, the BaSS annually organizes congresses and publishes a scientific journal, beside many other activities, such as public oral health promotion, bringing into accordance study programmes and curricula, supporting student exchange programmes, etc.

  12. 'Western Balkans': Political context and the media usage

    Directory of Open Access Journals (Sweden)

    Svilar Predrag

    2010-01-01

    Full Text Available By accessing the content analysis of media archives, available both on the Internet presentations of the most significant and most influential media, press agencies, web search engines, and official public institutions, international government and non-government organizations, we will make an attempt to point to political conditioning, appearances and uses, as well as political etymology of the term Western Balkans. The attention will also be called to the fact that the term has its origin in Anglo-Saxon political and historiographical tradition, through the examples of its use, as well as to the similarities of political relations which bring to its applicability. By analyzing the content of media inscriptions, reports, documents, official announcements, authorial reviews and analyses, it came to a conclusion that Western Balkans occurs as a regional reference in particular historical and political circumstances and that geographical frames it is being used within, could be located outside the time frames and there are specified the particularities of its use. We will demonstrate that through the analysis of the political context and media usage, Western Balkans could be interpreted on more than one level. Western Balkans can at the same time represent both a terminological construction and a regional reference which expresses the indecisiveness of the West on social and cultural properties of the Balkans and the founding of Balkan cultures as immanently European, but at the same time the means of measurement, which is not only the determination of regionalism, but the determination of historical and political moment likewise. Besides, Western Balkans could also be interpreted as a mean of practical methodology and classification of naming the societies on the Balkans, which are the only outside the European Union frames, but also stand for the synchronization of the Balkanistic discourse with current political and historical circumstances and

  13. Native Dreissena freshwater mussels in the Balkans: in and out of ancient lakes

    Science.gov (United States)

    Wilke, T.; Schultheiß, R.; Albrecht, C.; Bornmann, N.; Trajanovski, S.; Kevrekidis, T.

    2010-10-01

    The Balkans is a biogeographically highly diverse region and a worldwide hotspot of endemic freshwater diversity. A substantial part of this diversity is attributed to well recognized and potential ancient lakes in its southwestern part. However, despite considerable research efforts, faunal relationships among those lakes are not well understood. Therefore, genetic information from native representatives of the mussel genus Dreissena is here used to test the biogeographical zonation of the southwestern Balkans, to relate demographic changes to environmental changes, to assess the degree of eco-insularity, to reconstruct their evolutionary history, and to explore the potential of native taxa for becoming invasive. Phylogeographical and population genetic analyses indicate that most studied populations belong to two native species: D. presbensis (including the distinct genetic subgroup from Lake Ohrid, "D. stankovici") and D. blanci. In addition, the first confirmed record of invasive D. polymorpha in the southwestern Balkan is presented. The distribution of native Dreissena spp. generally coincides with the biogeographical zonations previously suggested based on fish data. However, there is disagreement on the assignment of the ancient lakes in the area to respective biogeographical regions. The data for Lake Ohrid are not conclusive. A closer biogeographical connection to lakes of the Vardar region and possibly the northern Ionian region is, however, suggested for Lake Prespa. The reconstruction of the evolutionary history of Dreissena spp. suggests that populations underwent demographic and spatial expansions in the recent past. Expansions started around 320 000-300 000 years ago in "D. stankovici", 160 000-140 000 years ago in D. blanci, and 110 000-70 000 years ago in D. presbensis. These time frames are discussed within the context of available paleogeological data for lakes Ohrid and Prespa. It is suggested that regional environmental changes may have had

  14. Native Dreissena freshwater mussels in the Balkans: in and out of ancient lakes

    Directory of Open Access Journals (Sweden)

    S. Trajanovski

    2010-10-01

    Full Text Available The Balkans is a biogeographically highly diverse region and a worldwide hotspot of endemic freshwater diversity. A substantial part of this diversity is attributed to well recognized and potential ancient lakes in its southwestern part. However, despite considerable research efforts, faunal relationships among those lakes are not well understood. Therefore, genetic information from native representatives of the mussel genus Dreissena is here used to test the biogeographical zonation of the southwestern Balkans, to relate demographic changes to environmental changes, to assess the degree of eco-insularity, to reconstruct their evolutionary history, and to explore the potential of native taxa for becoming invasive. Phylogeographical and population genetic analyses indicate that most studied populations belong to two native species: D. presbensis (including the distinct genetic subgroup from Lake Ohrid, "D. stankovici" and D. blanci. In addition, the first confirmed record of invasive D. polymorpha in the southwestern Balkan is presented. The distribution of native Dreissena spp. generally coincides with the biogeographical zonations previously suggested based on fish data. However, there is disagreement on the assignment of the ancient lakes in the area to respective biogeographical regions. The data for Lake Ohrid are not conclusive. A closer biogeographical connection to lakes of the Vardar region and possibly the northern Ionian region is, however, suggested for Lake Prespa. The reconstruction of the evolutionary history of Dreissena spp. suggests that populations underwent demographic and spatial expansions in the recent past. Expansions started around 320 000–300 000 years ago in "D. stankovici", 160 000–140 000 years ago in D. blanci, and 110 000–70 000 years ago in D. presbensis. These time frames are discussed within the context of available paleogeological data for lakes Ohrid and Prespa. It is suggested that regional environmental

  15. Sonographic findings in Gouty Nephropathy

    International Nuclear Information System (INIS)

    Kim, Mi Young; Jeon, Woo Ki; Kim, Ho Kyun; Kim, Yong Soo; Han, Chang Yul; Kim, Young Tong; Han, Sung Tag; Lee, Yoon Woo

    1994-01-01

    Ultrasound(US) findings of hyperechoic renal medulla in gouty nephropathy were compared with clinical features such as serum uric acid level to evaluate its usefulness in determination of the treatment and prognosis. A retrospective review of US of 36 cases of qouty arthritis was classified into four groups according to the medullary echogenicity (O :normal, grade I: renal medulla as isoechoic as renal cortex, grade II; heterogeneous increased echogenicity of renal medulla than that of renal cortex, grade III: the echogenicity of all renal medulla higher than that of renal cortex with renal contour deformity) which were compared with the serum urate level and associated conditions. Nephrocalcinosis and nephrolithiasis were analyzed through the KUB and the RGB. The degree of hyperechoic renal medulla was related to the level of serum uric acid, and in group IV, six cases of obstructive uropathy (nephrocalcinosis and nephrolithiasis) showed deformed renal contour. Associated conditions such as hypertension, alcoholism, diabetes mellitus and drug abuse were distributed in relation to the degree of hyperechoic renal medullas. US findings of hyperechoic renal mebulla was related with uric acid level in gouty nephropathy and thus could be valuable for treatment decision and prediction of prognosis

  16. Comprehensive approach to diabetic nephropathy

    Directory of Open Access Journals (Sweden)

    Bancha Satirapoj

    2014-09-01

    Full Text Available Diabetic nephropathy (DN is a leading cause of mortality and morbidity in patients with diabetes. This complication reflects a complex pathophysiology, whereby various genetic and environmental factors determine susceptibility and progression to end-stage renal disease. DN should be considered in patients with type 1 diabetes for at least 10 years who have microalbuminuria and diabetic retinopathy, as well as in patients with type 1 or type 2 diabetes with macroalbuminuria in whom other causes for proteinuria are absent. DN may also present as a falling estimated glomerular filtration rate with albuminuria as a minor presenting feature, especially in patients taking renin–angiotensin–aldosterone system inhibitors (RAASi. The pathological characteristic features of disease are three major lesions: diffuse mesangial expansion, diffuse thickened glomerular basement membrane, and hyalinosis of arterioles. Functionally, however, the pathophysiology is reflected in dysfunction of the mesangium, the glomerular capillary wall, the tubulointerstitium, and the vasculature. For all diabetic patients, a comprehensive approach to management including glycemic and hypertensive control with RAASi combined with lipid control, dietary salt restriction, lowering of protein intake, increased physical activity, weight reduction, and smoking cessation can reduce the rate of progression of nephropathy and minimize the risk for cardiovascular events. This review focuses on the latest published data dealing with the mechanisms, diagnosis, and current treatment of DN.

  17. „Pseudo-yat“ in Dalmato-Romance and Balkan Latin (On Balkan Latin VIII

    Directory of Open Access Journals (Sweden)

    Ligorio Orsat L.

    2015-01-01

    Full Text Available Article discusses the origins and the development of the so-called pseudo-yat in Dalmatian Romance and Balkan Latin. (E.g. SCr. mrčela-murtila-murtela from Lat. *MYRTICELLA or tovijerna-tovirna-toverna from TABERNA. Pseudo-yat is derived from -ECC-, in short syllables, and in long syllables from -ERR-, -ERC-. This suggestion is tried on 58 Dalmatian loans in Serbo-Croatian. The fact that pseudo-yat is found only in a part of these is of particular significance for the stratification of Dalmatian loans in Serbo-Croatian since loans with pseudo-yat are ostensibly older than the ones without it. [Projekat Ministarstva nauke Republike Srbije, br. 178007

  18. The Chronicle Of The First World War And Its Impact On The Balkans

    Directory of Open Access Journals (Sweden)

    Erjada Progonati

    2014-06-01

    Full Text Available The process of the two Balkan Wars (1912-1913 remained incomplete until the First World War started. The aim of this study is to give some informations about The First World War and the role that Balkan region played to this war when the national consciousness of Balkan peoples began to crystallize. After the two Balkan Wars, all the Balkan states continued their efforts to gather their co-nationals into their national states. It’s concluded that the Balkan Wars leaded to the internationalization of this crisis spreading it to an ample area while many other crises at the same region were resolved without a general war in Europe. It appears that the First World War that began in 1914 in the Balkan region was a continuation of the wars that started in 1912-1913 period in the same are.

  19. Diabetes, Inflammation, Proinflammatory Cytokines, and Diabetic Nephropathy

    Directory of Open Access Journals (Sweden)

    Juan F. Navarro

    2006-01-01

    Full Text Available Diabetes and its complications have become a public health problem. Diabetic nephropathy is the main cause of renal failure. In spite of our higher knowledge on this complication, the intimate mechanisms leading to the development and progression of renal injury are not yet fully known. Activated innate immunity and inflammation are relevant factors in the pathogenesis of diabetes. Moreover, inflammation, and more specifically proinflammatory cytokines and other molecules with a relevant role within the inflammatory process, may be critical factors in the development of microvascular diabetic complications, including nephropathy. This new pathogenic perspective may lead to important new therapeutic considerations and new therapeutic goals for the treatment of diabetic nephropathy.

  20. Balkanized Secondary Schools and the Malaise of Modernity.

    Science.gov (United States)

    Hargreaves, Andy; Macmillan, Robert

    Findings of a study that examined teaching culture patterns in two Ontario secondary schools are presented in this paper, with attention given to the outcomes of "balkanization." In this form of the teachers' organizational culture, teachers work in smaller subgroups within the school community. The two schools were drawn from a study of…

  1. Terfezia terfezioides - a new hypogeous fungus for Balkan Peninsula

    OpenAIRE

    Maria Ławrynowicz; Mirosłav Markowić; Miroljub Milenković; Boris Ivanćević

    2014-01-01

    Terfezia terfezioides (Matt.) Trappe was found for the first time in FR Yugoslavia in 1991. Description of the specimens, its mycorrhizal association with Robinta pseudoacacia and distribution in Europe are discussed in the paper. This is the first locality of T. terfezioides on Balkan Peninsula.

  2. Terfezia terfezioides - a new hypogeous fungus for Balkan Peninsula

    Directory of Open Access Journals (Sweden)

    Maria Ławrynowicz

    2014-08-01

    Full Text Available Terfezia terfezioides (Matt. Trappe was found for the first time in FR Yugoslavia in 1991. Description of the specimens, its mycorrhizal association with Robinta pseudoacacia and distribution in Europe are discussed in the paper. This is the first locality of T. terfezioides on Balkan Peninsula.

  3. Tough love : the European Union's relations with the Western Balkans

    NARCIS (Netherlands)

    Blockmans, Steven

    2007-01-01

    As part of the international presence in the Western Balkans, the European Union has adopted sanctions, brokered political agreements, launched its first-ever police and military missions and directed economic, legal and administrative reforms to eradicate the root causes of instability. Yet,

  4. Balkan – Pestens første udbrud?

    DEFF Research Database (Denmark)

    Fledelius, Karsten

    2013-01-01

    Artiklen behandler den religiøst farvede nationalismes udvikling i Jugoslavien efter præsident Titos død i 1980 og dens virkninger på Balkan-landene, samt EU's muligheder for at danne modvægt mod aggressiv nationalistisk-religiøs chauvinisme...

  5. The Balkans: Between Economic Crisis And European Integration

    Directory of Open Access Journals (Sweden)

    Andrei RĂDULESCU

    2012-06-01

    Full Text Available The Balkans region (also known as the „Powder keg of Europe” has always been an European question, a Western question, as underlined by Arnold Toynbee, in 1922. At present, European Union is confronted with the fifth enlargement, also known as the “post-conflict” enlargement – the integration of Balkan states. Bulgaria joined European Union in 2007. Croatia signed the Accession Treaty in 2011 and is expected to become an EU member in 2013. The other countries encounter in different stages of European integration. However, this process presents several challenges and dilemmas, either for European Union, or for the Balkan enclave. The main challenge in the case of this enlargement is to reconcile the nation-state building and the European integration. From the economic point of view, the Balkans region is underdeveloped. Several factors determined this stance of the region: the poor endowment in terms of natural resources, the political situation over the centuries (the military conflicts – impeding the economic development, the cultural factors. At present, the region is confronted with the consequences of the worst economic and financial crisis o global economy since the end of World War II.

  6. Low altitudinal distribution of Salamandra salamandra from the Balkan Peninsula

    Czech Academy of Sciences Publication Activity Database

    Jablonski, D.; Balej, P.; Jůna, F.; Homolka, Miloslav

    2013-01-01

    Roč. 6, č. 6 (2013), s. 563-566 ISSN 2071-5773 Institutional support: RVO:68081766 Keywords : fire salamander * Balkan Peninsula Subject RIV: EG - Zoology http://www.herpetologynotes.seh-herpetology.org/Volume6_PDFs/Jablonski_HerpetologyNotes_volume6_pages563-566.pdf

  7. Record Balkan floods of 2014 linked to planetary wave resonance.

    Science.gov (United States)

    Stadtherr, Lisa; Coumou, Dim; Petoukhov, Vladimir; Petri, Stefan; Rahmstorf, Stefan

    2016-04-01

    In May 2014, the Balkans were hit by a Vb-type cyclone that brought disastrous flooding and severe damage to Bosnia and Herzegovina, Serbia, and Croatia. Vb cyclones migrate from the Mediterranean, where they absorb warm and moist air, to the north, often causing flooding in central/eastern Europe. Extreme rainfall events are increasing on a global scale, and both thermodynamic and dynamical mechanisms play a role. Where thermodynamic aspects are generally well understood, there is large uncertainty associated with current and future changes in dynamics. We study the climatic and meteorological factors that influenced the catastrophic flooding in the Balkans, where we focus on large-scale circulation. We show that the Vb cyclone was unusually stationary, bringing extreme rainfall for several consecutive days, and that this situation was likely linked to a quasi-stationary circumglobal Rossby wave train. We provide evidence that this quasi-stationary wave was amplified by wave resonance. Statistical analysis of daily spring rainfall over the Balkan region reveals significant upward trends over 1950-2014, especially in the high quantiles relevant for flooding events. These changes cannot be explained by simple thermodynamic arguments, and we thus argue that dynamical processes likely played a role in increasing flood risks over the Balkans.

  8. Exporting Integrity: Anti-corruption Programs in the Balkans

    OpenAIRE

    Sampson, Steven

    2006-01-01

    Society for Applied Anthropology, Vancouver, 30 March 2006, Panel on Timing and Spacing Development, Exporting Integrity: Anti-corruption Programs in the Balkans Steven Sampson Dept of Social Anthropology Lund University, Sweden Contact: Anti-corruption is high on the list of development priorities, and a high level of corruption can actually prevent a government from receiving aid. This paper focuses on Transparency International, ...

  9. The course of incipient diabetic nephropathy

    DEFF Research Database (Denmark)

    Christensen, Cramer; Mogensen, C E

    1985-01-01

    (incipient diabetic nephropathy) were studied. For comparison 18 normals, 23 diabetics with normal albumin excretion and 10 patients with overt nephropathy were also examined. Diastolic blood pressure (DBP) was elevated to 88 +/- 9 mmHg (mean +/- S.D.) compared to patients with normal urinary albumin...... excretion: 80 +/- 7 (S.D.) (2p = 0.13%) but was below pressures in patients with overt diabetic nephropathy 109 +/- 15 (2p = 0.002%). Glomerular filtration rate (GFR) was elevated to 142 +/- 21 ml/min (mean +/- S.D.) compared to 132 +/- 9 in patients with normal urinary albumin excretion (2p = 4.3%). Renal......With the aim of defining the transitional phase from normal or near normal albumin excretion to overt diabetic nephropathy, 23 male diabetics of more than 7 years' duration, below 40 years of age and a baseline urinary albumin excretion above 15 micrograms/min but without clinical proteinuria...

  10. NEPHROPATHIES ASSOCIATED WITH COMPLEMENT SYSTEM PATHOLOGY

    Directory of Open Access Journals (Sweden)

    V. V. Dlin

    2016-01-01

    Full Text Available Summarized research material for nephropathy associated with the pathology of the complement system in children and adults. Presents clinical, immunological and morphological differences of the nephropathy associated with the pathology of the complement system with other renal diseases, especially glomerulonephritis, including membranoproliferative variants and nephrotic syndrome associated with disorders of complement. The pathogenesis of the development of nephropathy associated with the pathology of the complement system, where highlighted as forms, associated with genetic mutations or variants, due to the formation of autoantibodies to components of the complement. Shown the options and effectiveness of treatment immunosuppressive drugs and by eculizumab depending on pathogenetic and clinical features of nephropathy associated with the pathology of the complement system.

  11. THE CURRENT STATE OF CLOTHING TRADE IN THE BALKAN COUNTRIES

    Directory of Open Access Journals (Sweden)

    TRIPA Simona

    2017-05-01

    Full Text Available The study presented here is aimed at analysing the current state of clothing trade in the Balkan states. The dynamics of change over a 15‐year period following economic reforms are revealed. The clothing industries play a significant role and continue to contribute to the economic prosperity of countries with an inexpensive labour force. For most Balkan States clothing’s export plays an important role in promoting economic growth and development – for example, exports of garments Albania was in 2015, 16.81% of its exports, Republic of Macedonia 11.75% of its exports, in Turkey10.51% etc. The main factors which influence the level of competitiveness of clothing products from the Balkans are the gross value added per employee and wages. When the producers of the Balkan countries will create products with higher added value in garment industry the competitiveness of these countries will decrease. Also rising wages in this industry, as a result of trade union pressure or government policy, will lead to decreasing competitiveness of these products on the EU market and implicitly to the decrease of exports of garments from these countries. The main challenges that must face the Balkan States are related to restructuring of economic system, changing trade markets and patterns, declining of domestic demand of most merchandise, reduction of competitive ability, narrow export base, and lower economies of scale. The main opportunities that most of these countries can exploit are related to their geographical position, membership of the EU market, infrastructure in garment sector, and highly skilled workforce.

  12. The Balkans and Syria’s Civil War: Realities and Challenges

    Directory of Open Access Journals (Sweden)

    MA. Perparim Gutaj

    2014-06-01

    Full Text Available The prime objective of this research paper is to look at the realities and challenges confronting the Balkan states and societies in light of Syria’s civil war. By examining the mobilization process of Balkan militants who are joining Syria’s rebel cause, especially the Islamic radical groups linked to al-Qaeda, this paper proposes a model that explains why and how Balkan militants are joining the fight in Syria. Drawing upon reliable media reports, personal observations, academic accounts, and other consistent sources, this paper argues that Balkan militants are joining Syria’s rebel cause because foreign Islamic radical groups (that have been operating in the Balkans since the early 1990s have successfully indoctrinated them. This paper challenges the argument that Islam in the Balkans is a threat to the region, and the claim that Balkan Islam and Muslims in the region are becoming an increasing threat to the West. The central findings of this paper exemplify that the future of Balkan militants is bleak and that they will be confronted with a massive modern and democratic resistance that offers them nothing but reintegration into Balkan Islam, their natural “religious nest.” Notwithstanding the trends related to Syria’s civil war, Balkan Muslims belong to the West, culturally and mentally.

  13. Neogene paleogeography provides context for understanding the origin and spatial distribution of cryptic diversity in a widespread Balkan freshwater amphipod

    Directory of Open Access Journals (Sweden)

    Michał Grabowski

    2017-02-01

    Full Text Available Background The Balkans are a major worldwide biodiversity and endemism hotspot. Among the freshwater biota, amphipods are known for their high cryptic diversity. However, little is known about the temporal and paleogeographic aspects of their evolutionary history. We used paleogeography as a framework for understanding the onset of diversification in Gammarus roeselii: (1 we hypothesised that, given the high number of isolated waterbodies in the Balkans, the species is characterised by high level of cryptic diversity, even on a local scale; (2 the long geological history of the region might promote pre-Pleistocene divergence between lineages; (3 given that G. roeselii thrives both in lakes and rivers, its evolutionary history could be linked to the Balkan Neogene paleolake system; (4 we inspected whether the Pleistocene decline of hydrological networks could have any impact on the diversification of G. roeselii. Material and Methods DNA was extracted from 177 individuals collected from 26 sites all over Balkans. All individuals were amplified for ca. 650 bp long fragment of the mtDNA cytochrome oxidase subunit I (COI. After defining molecular operational taxonomic units (MOTU based on COI, 50 individuals were amplified for ca. 900 bp long fragment of the nuclear 28S rDNA. Molecular diversity, divergence, differentiation and historical demography based on COI sequences were estimated for each MOTU. The relative frequency, geographic distribution and molecular divergence between COI haplotypes were presented as a median-joining network. COI was used also to reconstruct time-calibrated phylogeny with Bayesian inference. Probabilities of ancestors’ occurrence in riverine or lacustrine habitats, as well their possible geographic locations, were estimated with the Bayesian method. A Neighbour Joining tree was constructed to illustrate the phylogenetic relationships between 28S rDNA haplotypes. Results We revealed that G. roeselii includes at least

  14. Hydrological preview on water resources and water quantity in the Central Balkan Region

    International Nuclear Information System (INIS)

    Stdiov, Vasko

    2004-01-01

    In the Hydrological Preview on Water Resources and Water Quantity in the Central Balkan Region, will be presented water resources on the one Balkan country where exist network of hydrological and meteorological stations with hydro meteorological database. Considering water resources, hydrological and meteorological data on separated catchments areas will be determined water quantity and specific water discharges on main rivers in that part of the Balkan Region.(Author)

  15. "Balkanism" as discourse(s) of power(lessness): towards the questionability of narrativism

    OpenAIRE

    Koprivitsa, Chaslav D.

    2016-01-01

    The intention of this paper is to review the historical presuppositions of the absence of the indigenous self-naming of the Balkans, and to illuminate the consequences of external practices, mainly western of "producing" of Balkan identity - through Balkanist discourse of power. But to achieve this it is not enough to point out that the external construction of the narrative of the Balkans is often motivated by the domination interests, which is why we try to understand, and partly to bring i...

  16. Idiopathic membranous nephropathy: outline and rationale of a treatment strategy.

    NARCIS (Netherlands)

    Buf-Vereijken, P.W.G. du; Branten, A.J.W.; Wetzels, J.F.M.

    2005-01-01

    Idiopathic membranous nephropathy is a common cause of nephrotic syndrome. The treatment of patients with idiopathic membranous nephropathy is heavily debated. Based on literature data and our own experience, we propose a rational treatment strategy. Patients with renal insufficiency (serum

  17. A typology of subjunctive complements in Balkan languages

    Directory of Open Access Journals (Sweden)

    Virginia Hill

    2009-01-01

    Full Text Available This paper proposes a comparative approach to the subjunctive complements to verbs and nouns in two language groups: Romance Balkan (i.e. Standard Romanian, Aromanian, Megleno-Romanian and Slavic Balkan (mostly Serbian, Croatian, and Macedonian. There are many analyses of V-subjunctive complement selection in these languages but, to our knowledge, none that zooms in on the group differences in the composition of the left periphery of subjunctive clauses. In these configurations, our analysis finds a micro-variation that has implications for the understanding of other cross-linguistic variations among these languages, in particular, in the subjunctive complementation to nouns. In other words, we argue that the typology of verb complementation is the key to the understanding of the typology of noun complementation in these languages.

  18. INTERNET ADDICTION IN BALKAN AND SOUTH-EASTERN EUROPEAN COUNTRIES

    Directory of Open Access Journals (Sweden)

    Ioannis PETASAKIS

    2012-12-01

    Full Text Available The use of Internet has increased dramatically in recent years. Although there is no standardized definition of Internet addiction, there is acknowledgement among researchers that this phenomenon does exist. In this study, we identify various similarities and differences among people in the Balkan and South-Eastern European countries about Internet addiction. There are many factors such as cultural differences, gender differences, psychosocial variables, computer attitudes and time.We present the experience from studies concerning Internet addiction in all over the world. A specific research with the use of Young's 20-scale was also conducted in five Balkan and South-Eastern European countries (Republic of Moldova, Romania, Republic of Bulgaria, Hellenic Republic, Republic of Cyprus.The findings are interesting. Although there is a need for Interest using, there are also cases where the addiction, dependence and abuse is apparent.

  19. LATEST CHALLENGES IN EFFICIENCY CONVERGENCE IN BALKAN AND BALTIC COUNTRIES

    Directory of Open Access Journals (Sweden)

    Mihăiță-Cosmin M. POPOVICI

    2013-12-01

    Full Text Available The efficiency of banks has been widely and extensively studied in the past few decades. Using a sample of Balkan and Baltic countries and by employing a Data Envelopment Analysis model, we want to highlight the main challenges for the highly concentrated banking system. Over the period 2007 - 2011, these countries have coped with the worst financial crisis from the Great Depression, which has severe effects on the banking systems. Our sample includes the least developed countries in the EU and for reference purpose, Luxembourg, with the highest GDP per capita. We expect to find similarities between Balkan countries and Baltic countries and we can draw lessons from Luxembourg`s results.

  20. Modelling diabetic nephropathy in mice.

    Science.gov (United States)

    Azushima, Kengo; Gurley, Susan B; Coffman, Thomas M

    2018-01-01

    Diabetic nephropathy (DN) is a leading cause of end-stage renal disease in the developed world. Accordingly, an urgent need exists for new, curative treatments as well as for biomarkers to stratify risk of DN among individuals with diabetes mellitus. A barrier to progress in these areas has been a lack of animal models that faithfully replicate the main features of human DN. Such models could be used to define the pathogenesis, identify drug targets and test new therapies. Owing to their tractability for genetic manipulation, mice are widely used to model human diseases, including DN. Questions have been raised, however, about the general utility of mouse models in human drug discovery. Standard mouse models of diabetes typically manifest only modest kidney abnormalities, whereas accelerated models, induced by superimposing genetic stressors, recapitulate key features of human DN. Incorporation of systems biology approaches and emerging data from genomics and metabolomics studies should enable further model refinement. Here, we discuss the current status of mouse models for DN, their limitations and opportunities for improvement. We emphasize that future efforts should focus on generating robust models that reproduce the major clinical and molecular phenotypes of human DN.

  1. Balkan war in picture and words: Kosovo avengers

    OpenAIRE

    Ženarju, Ivana

    2012-01-01

    This paper deals with the analysis of the illustrations in the magazine The Balkan War in Picture and Words published in Belgrade during 1913. The paper processed the pictures that had related to the territory of Kosovo and Metohia, most of them are the portraits of soldiers, so-called Kosovo Avengers. The portraits of priests were published as well, which pointed out their importance in the liberation activities. Also, it published the photos of military graves, Kosovo towns and areas. The m...

  2. From Boston to the Balkans: Olmsted’s Emerald Legacy

    Directory of Open Access Journals (Sweden)

    Christina Luke

    2013-01-01

    Full Text Available This article explores the legacy of landscape architect Fredrick Law Olmsted on modern cultural tourism policies. The author explains the involvement of Olmsted in the founding of Yosemite National Park, and describes the influence of this experience on his later work on the Emerald Necklace parks project in Boston. This became a model for natural and cultural corridors worldwide, including those in the Balkans and Turkey.

  3. Phylogeny of European Bullhead (Cottus sp. in Western Balkans

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    Jernej Bravničar

    2015-11-01

    Full Text Available European bullhead sensus lato is a species complex, in which lineage determination based on morphology has proven to be extremely difficult, probably due to low interspecific and high intraspeciefic morphological variation. Therefore, major evolutionary lineages across Europe have been determined based on molecular data, which also to some extent corresponds to known morphological variation. Cottus populations on the Balkan Peninsula have not yet been thoroughly studied. Thus we used molecular genetic approach (mtDNA-CR and nu-LSU to evaluate evolutionary distinctive units of Cottus in the Western Balkans and compare them to other European lineages. We found presence of five distinct lineages. Populations corresponding to Cottus gobio clade inhabit tributaries of Danube River in southern Serbia, rivers of Adriatic drainage and Drava River. Interestingly, we found three additional Cottus linages in Sava River and its tributaries, differing considerably from “main” C. gobio. First, we confirmed morphologically determined Cottus meate from Upper Sava, with species range from the source of Sava River, including tributaries, to the inflow of Kolpa River. Second, we found a new lineage inhabiting the Kolpa and Una river systems. Third, lineage was found inhabiting Bosna and Vrbas rivers. High density of evolutionary distinctive lineages in such a small area is according to our knowledge exceptional for European bullhead and lines up with the general notion of the Balkans as major refuge and present day biodiversity hotspot. Our results correspond with two wave colonization theory of Europe by Cottus genus probosed by Volckaert, first possibly being in Pliocene and second during the Pleistocene, with Balkan Peninsula as starting point for both of them.

  4. European Enlargement and the Integration of the Western Balkans

    Science.gov (United States)

    2003-06-01

    4, McFarland & Company, Inc., Publishers, 1995 and Pollo , S. and Puto, A., The History of Albania from its Origins to the Present Day, p. 1...160-193, Assidon-Wesley Publishing Company, 1979. 13 Pollo , p. 146 and Jelavich, B, pp 100-103. 14 In 1913 the Conference of Ambassadors in...5). 17 Zickel, pp 28-32. 18 Pollo , p. 227. 8 The frequent invasions of the Balkan Peninsula are largely responsible for the political

  5. 78 FR 37097 - Continuation of the National Emergency With Respect to the Western Balkans

    Science.gov (United States)

    2013-06-19

    ... engaged in, or assisting, sponsoring, or supporting (i) extremist violence in the Republic of Macedonia... of persons threatening the peace and international stabilization efforts in the Western Balkans...

  6. Ochratoxin A: Previous risk assessments and issues arising

    DEFF Research Database (Denmark)

    Walker, R.; Larsen, John Christian

    2005-01-01

    Ochratoxin A (OTA) causes nephropathy in all species tested with large sex and species differences in potency, pigs being most sensitive. It has been linked to Balkan endemic nephropathy (BEN) in humans. Embryotoxicity, teratogenicity, and immunotoxicity occur only at doses higher than those...

  7. Is the balkanization of the ukrainian-russian conflict probable?

    Directory of Open Access Journals (Sweden)

    Andrey Petrovich Koshkin

    2015-09-01

    Full Text Available Objective to determine the possibility and probability of Balkanization of the UkrainianRussian intersocietal relations. Methods the need to study the main factors affecting the state of the modern RussianUkrainian conflict in its ethnopolitical dimension with the predominat focus on intersocietal relations determined the use of the historicalgenetic comparativehistorical and typological methods of investigation integrated with the systemic approach. Results the main parallels are shown that occur when comparing the ethnopolitical situation in the Balkans and above all the SerbianCroatian relations with the current RussianUkrainian conflict mainly at the level of relations of Russians and Ukrainians as ethnic groups. The ethnosocial and ethnopolitical differences of the genesis and current state of both conflicts do not provide a sufficient basis for specific predictions about the inevitable Balkanization of the RussianUkrainian conflict. Scientific novelty the article proves the inconsistency of unambiguous similes of the RussianUkrainian conflict and interethnic SerbianCroatian conflict at intersocietal and associated levels it shows the significant differences of the conflict situations that do not lead to dogmatic conclusions about the development of the RussianUkrainian relations by the Yugoslavia scenario. Practical significance the main provisions and conclusions of the article can be used in scientific and pedagogical activity in the study of ethnos and ethnicity in the analysis of ethnopolitical processes in modern Ukraine and consideration of the status and prospects of the development of RussianUkrainian relations. nbsp

  8. SOME ASPECTS OF THE REGIONAL COOPERATION IN THE BALKANS

    Directory of Open Access Journals (Sweden)

    Mariya Gospodinova Grozeva

    2017-04-01

    Full Text Available Since the beginning of the 21st century, the political role of the state borders in the Balkans has changed. Gradually they began to transform from barriers into zones of bilateral and multilateral cooperation. The common European integration includes the creation and development of Euro-regions. Within the context of reorganization of the new European space, geopolitical importance of South-East Europe has significantly upgraded. This fact reflects on the interests of the international community in security and development of this region. Despite that the Balkans constitute an indispensable part of the European continent, their incorporation into the new European architecture has been particularly difficult and problematic. They emerge as the most volatile and least integrated European region. There are significant variations among the countries concerning their territory, number of population, as well as the rate of the economic changes. The main forms of regional cooperation should be concentrated on the domains of transport, energy and communication infrastructure, trade and economic cooperation, environment and security. From this point of view, the economic growth and increase of living standard are the most important problems for all Balkan countries.

  9. SORBS1 gene, a new candidate for diabetic nephropathy

    DEFF Research Database (Denmark)

    Germain, Marine; Pezzolesi, Marcus G; Sandholm, Niina

    2015-01-01

    AIMS/HYPOTHESIS: The genetic determinants of diabetic nephropathy remain poorly understood. We aimed to identify novel susceptibility genes for diabetic nephropathy. METHODS: We performed a genome-wide association study using 1000 Genomes-based imputation to compare type 1 diabetic nephropathy ca...

  10. Epigenetic modifications and diabetic nephropathy

    Directory of Open Access Journals (Sweden)

    Marpadga A. Reddy

    2012-09-01

    Full Text Available Diabetic nephropathy (DN is a major complication associated with both type 1 and type 2 diabetes, and a leading cause of end-stage renal disease. Conventional therapeutic strategies are not fully efficacious in the treatment of DN, suggesting an incomplete understanding of the gene regulation mechanisms involved in its pathogenesis. Furthermore, evidence from clinical trials has demonstrated a “metabolic memory” of prior exposure to hyperglycemia that continues to persist despite subsequent glycemic control. This remains a major challenge in the treatment of DN and other vascular complications. Epigenetic mechanisms such as DNA methylation, nucleosomal histone modifications, and noncoding RNAs control gene expression through regulation of chromatin structure and function and post-transcriptional mechanisms without altering the underlying DNA sequence. Emerging evidence indicates that multiple factors involved in the etiology of diabetes can alter epigenetic mechanisms and regulate the susceptibility to diabetes complications. Recent studies have demonstrated the involvement of histone lysine methylation in the regulation of key fibrotic and inflammatory genes related to diabetes complications including DN. Interestingly, histone lysine methylation persisted in vascular cells even after withdrawal from the diabetic milieu, demonstrating a potential role of epigenetic modifications in metabolic memory. Rapid advances in high-throughput technologies in the fields of genomics and epigenomics can lead to the identification of genome-wide alterations in key epigenetic modifications in vascular and renal cells in diabetes. Altogether, these findings can lead to the identification of potential predictive biomarkers and development of novel epigenetic therapies for diabetes and its associated complications.

  11. Vesicoureteral reflux and reflux nephropathy

    International Nuclear Information System (INIS)

    Thomsen, H.S.

    1985-01-01

    Vesicoureteral reflux (VUR) is mainly a primary phenomenon due to incompetence of the ureterovesical junction, mostly affecting a pediatric population. During micturition cystourethrography (MCU) reflux into the kidney - intrarenal reflux (IRR) - is occasionally seen. In areas with IRR the kidney surface may subsequently be depressed and the papillae retracted (reflux nephropathy (RN)). VUR may lead to hypertension and/or end-stage renal failure. Most commonly, VUR is discovered during evaluation for urinary tract infection, but it may also be present in patients with hypertension, toxemia of pregnancy, chronic renal failure and proteinuria, and it may be found in siblings of patients with VUR. For the time being VUR is demonstrated at radiographic MCU, whereas RN is diagnosed by demonstration of focal scars and of abnormal parenchymal thickness at urography. In children with VUR and no abnormalities of calyces or parenchymal defects standardized measurement of the parenchymal thickness at three sites may identify kidneys which are likely to develop focal scars. Quantitation of focal scarring should be performed in connection with a measure of the overall kidney size. The occurrence of IRR is dependent of the papillary morphology, intrapelvic pressure and urine flow. There may be an important relationship between renal ischemia and IRR in producing a 'vicious circle of deleterious effects' which, combined with parenchymal extravasation, may lead to RN. Treatment of VUR includes medical and surgical management. Since renal scarring may occur in infancy, prevention should focus on infants and young children. Infants and young children with severe VUR may have normal urograms. Therefore a MCU should also be performed, preferably with the recommended standardized technique. (orig.)

  12. Neglected and endemic zoonoses.

    Science.gov (United States)

    Maudlin, Ian; Eisler, Mark Charles; Welburn, Susan Christina

    2009-09-27

    Endemic zoonoses are found throughout the developing world, wherever people live in close proximity to their animals, affecting not only the health of poor people but often also their livelihoods through the health of their livestock. Unlike newly emerging zoonoses that attract the attention of the developed world, these endemic zoonoses are by comparison neglected. This is, in part, a consequence of under-reporting, resulting in underestimation of their global burden, which in turn artificially downgrades their importance in the eyes of administrators and funding agencies. The development of cheap and effective vaccines is no guarantee that these endemic diseases will be eliminated in the near future. However, simply increasing awareness about their causes and how they may be prevented-often with very simple technologies-could reduce the incidence of many endemic zoonoses. Sustainable control of zoonoses is reliant on surveillance, but, as with other public-sector animal health services, this is rarely implemented in the developing world, not least because of the lack of sufficiently cheap diagnostics. Public-private partnerships have already provided advocacy for human disease control and could be equally effective in addressing endemic zoonoses.

  13. Of the importance of a leaf: the ethnobotany of sarma in Turkey and the Balkans.

    Science.gov (United States)

    Dogan, Yunus; Nedelcheva, Anely; Łuczaj, Łukasz; Drăgulescu, Constantin; Stefkov, Gjoshe; Maglajlić, Aida; Ferrier, Jonathan; Papp, Nora; Hajdari, Avni; Mustafa, Behxhet; Dajić-Stevanović, Zora; Pieroni, Andrea

    2015-04-03

    Sarma - cooked leaves rolled around a filling made from rice and/or minced meat, possibly vegetables and seasoning plants - represents one of the most widespread feasting dishes of the Middle Eastern and South-Eastern European cuisines. Although cabbage and grape vine sarma is well-known worldwide, the use of alternative plant leaves remains largely unexplored. The aim of this research was to document all of the botanical taxa whose leaves are used for preparing sarma in the folk cuisines of Turkey and the Balkans. Field studies were conducted during broader ethnobotanical surveys, as well as during ad-hoc investigations between the years 2011 and 2014 that included diverse rural communities in Croatia, Bosnia and Herzegovina, Serbia, Kosovo, Albania, Macedonia, Bulgaria, Romania, and Turkey. Primary ethnobotanical and folkloric literatures in each country were also considered. Eighty-seven botanical taxa, mainly wild, belonging to 50 genera and 27 families, were found to represent the bio-cultural heritage of sarma in Turkey and the Balkans. The greatest plant biodiversity in sarma was found in Turkey and, to less extent, in Bulgaria and Romania. The most commonly used leaves for preparing sarma were those of cabbage (both fresh and lacto-fermented), grape vine, beet, dock, sorrel, horseradish, lime tree, bean, and spinach. In a few cases, the leaves of endemic species (Centaurea haradjianii, Rumex gracilescens, and R. olympicus in Turkey) were recorded. Other uncommon sarma preparations were based on lightly toxic taxa, such as potato leaves in NE Albania, leaves of Arum, Convolvulus, and Smilax species in Turkey, of Phytolacca americana in Macedonia, and of Tussilago farfara in diverse countries. Moreover, the use of leaves of the introduced species Reynoutria japonica in Romania, Colocasia esculenta in Turkey, and Phytolacca americana in Macedonia shows the dynamic nature of folk cuisines. The rich ethnobotanical diversity of sarma confirms the urgent need to

  14. Improved prognosis in type 1 diabetic patients with nephropathy

    DEFF Research Database (Denmark)

    Astrup, Anne Sofie; Tarnow, Lise; Rossing, Peter

    2005-01-01

    BACKGROUND: In early studies, a median survival time of 5 to 7 years from onset of diabetic nephropathy was observed. Furthermore, end-stage renal disease (ESRD) was the main cause of death. We prospectively assessed the impact of reno- and cardiovascular protective treatment on prognosis in type 1...... diabetic patients with diabetic nephropathy. METHODS: We prospectively followed 199 type 1 diabetic patients with diabetic nephropathy and 192 patients with normoalbuminuria for 10 years. Aggressive antihypertensive treatment was initiated in patients with diabetic nephropathy in mid 1980s, whereas statins......%) died; hereof, 25 deaths (42%) were ascribed to cardiovascular causes while 30 patients (50%) with nephropathy died with ESRD. The estimate of median survival time from onset of diabetic nephropathy was 21.7 years, SE 3.3 years. CONCLUSION: The survival of patients with diabetic nephropathy has improved...

  15. International Trends in Health Science Librarianship Part 19: The Balkan States (Bulgaria and Croatia).

    Science.gov (United States)

    Kirilova, Savina; Skoric, Lea

    2016-09-01

    This is the 19th in a series of articles exploring international trends in health science librarianship in the 21st century. The focus of the present issue is the Balkan Region (Bulgaria and Croatia). The next regular feature column will investigate two other Balkan states - Serbia and Slovenia. JM. © 2016 Health Libraries Group.

  16. Helianthemum marmoreum (Cistaceae), a new species from the Central Balkans

    DEFF Research Database (Denmark)

    Stevanovic, Vladimir; Matevski, Vlado; Tan, Kit

    2009-01-01

    Helianthemum marmoreum is described as a new species from the central part of the Balkan peninsula is described as a new species from the central part of the Balkan peninsula (R. Macedonia). It inhabits rocky marble and limestone slopes and pastures at moderate altitudes of 240-1400 m. The closes...

  17. Cisplatin-Induced Nephrotoxicity and HIV Associated Nephropathy: Mimickers of Myeloma-Like Cast Nephropathy

    Directory of Open Access Journals (Sweden)

    Muhammad Siddique Khurram

    2017-01-01

    Full Text Available Myeloma cast nephropathy is an obstructing disorder of renal tubules, caused by precipitation of Bence Jones proteins. Myeloma-like cast nephropathy (MLCN has been reported in the literature to occur in various primary renal and nonrenal diseases. We present a series of three rare cases of cast nephropathy, two of which are HIV patients, and the third patient is receiving cisplatin-based chemotherapy. However, in all three patients plasma cell dyscrasia has been ruled out. A 30-year-old male was admitted to the hospital with facial cellulitis. The second patient is a 31-year-old male who presented with Pneumocystis jiroveci pneumonia. The third patient was treated with cisplatin-based chemotherapy for carcinoma. First two cases revealed foci of diffuse tubular dilatation containing hyaline casts and interstitial inflammatory infiltrate, in addition to globally sclerotic glomeruli with ultrastructural foot process fusion and mesangium expansion. The third case showed acute tubular injury and cast formation of irregular casts composed of amorphous or granular material of low density admixed with scattered high electron-dense globules. Myeloma-like cast nephropathy and true myeloma cast nephropathy pose similar destructive effects on renal parenchyma. This new pattern of HIV-related nephropathy should be considered in HIV patients with MLCN, once monoclonal gammopathy is ruled out.

  18. Prevention of Diabetic Nephropathy | Saleh | Nigerian Medical ...

    African Journals Online (AJOL)

    Early detection and prompt treatment of diabetic nephropathy is of utmost importance in the prevention of renal failure. In addition to tight glycaemic control, other factors that constitute an insult to the kidneys (like urinary tract infection and analgesic abuse) should be attended to diligently. Hypertension is quite outstanding ...

  19. Microalbuminuria, Other Markers of Nephropathy and Biochemical ...

    African Journals Online (AJOL)

    Background: Microalbuminuria is an early indicator of Diabetic nephropathy and cerebrovascular disease. Objective: To evaluate ... Significant negative correlations exist between microalbuminuria, ... duration, ethnicity, HBA1c, TC, TG, HDL-C and LDL/HDL ratio are independent predictors of albuminuria. Keywords: ...

  20. Preventive Nephrology - Proposed Options in Childhood Nephropathy

    African Journals Online (AJOL)

    Three children with renal disorders managed at the University of Ilorin Teaching Hospital are reported as case studies to underscore the need for preventive nephrology . The first case illustrates the inevitability of rapidly progressive renal failure when remedial management desired in the early stages of the nephropathy is ...

  1. Correlation between Retinopathy, Nephropathy and Peripheral ...

    African Journals Online (AJOL)

    Diabetes Mellitus is a worldwide common metabolic disorder. Increasing prevalence of diabetes, lack of proper education about the nature and course of the disease and necessary control are the main factors for an early onset of micro vascular complications. Objective: To correlate between retinopathy, nephropathy and ...

  2. Diabetic nephropathy in Surinamese South Asian subjects

    NARCIS (Netherlands)

    Chandieshaw, Prataap Kalap; Chandie Shaw, Prataap Kalap

    2008-01-01

    This thesis focuses on the incidence and risk factors for nephropathy in diabetic and non-diabetic Surinamese South Asians. The Surinamese South Asians, originally descended from the North-East India. Due to the former colonial bounds with the Netherlands, a relatively

  3. Amelioration of radiation nephropathy by acetylsalicylic acid

    NARCIS (Netherlands)

    Verheij, M.; Stewart, F. A.; Oussoren, Y.; Weening, J. J.; Dewit, L.

    1995-01-01

    This investigation was carried out to assess the amelioration by two antithrombotic drugs of radiation nephropathy in mice. Mouse kidneys were given split-dose irradiation to total doses between 17 and 22 Gy. A first group of animals was given acetylsalicylic acid (ASA) in drinking water, a second

  4. is aortic stenosis associated with congenital nephropathy?

    Indian Academy of Sciences (India)

    this type is also encountered in many European countries. In the Middle-East, only two reports have shown mutations in. NPHS1 to be linked to CNS. Here, we describe the first Lebanese familial Finnish-type nephropathy and unravel a novel mutation in NPHS1, lead- ing to a truncated protein. In addition, we hypothesize ...

  5. Microalbuminuria, Other Markers of Nephropathy and Biochemical ...

    African Journals Online (AJOL)

    Background: Microalbuminuria is an early indicator of Diabetic nephropathy and cerebrovascular disease. Objective: To evaluate relationships between microalbuminuria and other predictors of morbidity and mortality in type 2 DM. Methods: Fifty type 2 diabetic subjects were recruited each for three groups separated by ...

  6. Lost in scales: Balkan folk music research and the ottoman legacy

    Directory of Open Access Journals (Sweden)

    Pennanen Risto Pekka

    2008-01-01

    Full Text Available Balkan folk music researchers have articulated various views on what they have considered Oriental or Turkish musical legacy. The discourses the article analyses are nationalism, Orientalism, Occidentalism and Balkanism. Scholars have handled the awkward Ottoman issue in several manners: They have represented 'Oriental' musical characteristics as domestic, claimed that Ottoman Turks merely imitated Arab and Persian culture, and viewed Indian classical raga scales as sources for Oriental scales in the Balkans. In addition, some scholars have viewed the 'Oriental' characteristics as stemming from ancient Greece. The treatment of the Segâh family of Ottoman makams in theories and analyses reveals several features of folk music research in the Balkans, the most important of which are the use of Western concepts and the exclusive dependence on printed sources. The strategies for handling the Orient within have meandered between Occidentalism and Orientalism, creating an ambiguity which is called Balkanism.

  7. Climate variability and change and related drought on Balkan Peninsula

    International Nuclear Information System (INIS)

    Alexandrov, Vesselin

    2004-01-01

    In this paper, results on climate variability including variations of air temperature and precipitation in Bulgaria during the 20th century are presented. There has been an increase of air temperature during the last two decades. The years 1994 and 2000 were the warmest years on record in the country. Annual precipitation in Bulgaria varied considerably from year to year during the 20th century. In some years, very low annual precipitation caused droughts of different intensities. The country has experienced severe drought episodes in the 1940s, 1980s and 1990s. There was a decreasing trend in precipitation during the period April-September from the end of 1970s. Precipitation was below the 1961-1990 average for 14 of the last 20 years of investigation. A winter precipitation deficit was observed during the last decade. Both spring and summer as well as autumn precipitation had a tendency to decrease at the end of the 20th century. The anomalies of annual air temperature and precipitation as well as related drought occurrence on the Balkan Peninsula were also analyzed. For this purpose, different weather sources (such as the CRU climate dataset, ATEAM weather dataset for Europe, etc.) were used. Several climate change scenarios for the Balkan Peninsula were developed and analyzed. These scenarios were based on GCM (global circulation model) weather outputs. Both GCM outputs with coarse spatial resolution (e.g. MAGICC/SCENGEN scenarios: 500 km x 500 km) as well as with high resolution (e.g. HadCM3 scenarios: 10'x 10' (less than 20 km x 20 km)) were used. The GCM climate change scenarios created by the Tyndall Centre (UK) for the Balkan countries were also considered and discussed. (Author)

  8. Some traces of interlinguistic contacts in the central Balkan mountains

    OpenAIRE

    Loma Aleksandar

    2003-01-01

    The etymology of three Balkan tree names, S.-Cr. munika ‘Pinus leucodermis' molika ‘Pinus peuce' and omorika ‘Picea omorika' is discussed. The latter is supposed to go back, together with Bulg. morika ‘spruce', to Slavic *mъxorъ ‘fringe' describing here the hanging branches of spruce. The Bosnian pine munika, munjika growing in high and rocky places exposed to the thunder, the relation to S.-Cr. munja < Common Slavic *mъlnja seems probable, and molika may be explained as a re-borrowing fro...

  9. Searching for late neolithic spinning bowls in the central Balkans

    Directory of Open Access Journals (Sweden)

    Svilar Marija M.

    2017-01-01

    Full Text Available Over the past twenty years, research on textile has received increasing attention in archaeology worldwide, providing new insights into one of the most important crafts in human history. In contrast, activities related to spinning and weaving in the Late Neolithic settlements in the Central Balkans have only be treated with cursory attention, which has resulted in nothing more than a set of general assumptions in archaeological literature. Though some progress has recently been made, investigations of textile in prehistoric contexts are still far from their full potential. The quest for spinning bowls in ceramic assemblages constitutes an important part of the given research, providing new evidence on the production of both textiles and pottery. Therefore, the focus of this paper is on the available evidence for those activities related to textile production in the Late Neolithic, primarily to spinning, with special emphasis on the earliest occurrence of spinning bowls in the Central Balkans i.e. the technology of wetting and tightening plant fibres in ceramic vessels.

  10. Product mix of recreational tourism in the Balkan scout center

    Directory of Open Access Journals (Sweden)

    Kocevski Miloš

    2013-01-01

    Full Text Available The subject of research is tourist offer of a camp which would satisfy the needs of tourists who want an active recreation, with changeable and attractive facilities in the Balkan Scout Center (BSC of Jovac. The goal is to define a model for recreational tourism product mix of the Balkan Scout Center, based on the analysis and evaluation of the elements of supply and identifying the demand for a certain program content. The research was conducted from April to August 2012, as a part of activities implemented in BSC events: Easter camp, Summer camp and Volunteer camp. The sample consisted of 100 visitors (respondents; the administered instrument was a specifically designed questionnaire and the methods on which the analysis of the modeling was based were: frequency of occurrence, comparative analysis (Benchmarking, SWOT and PEST. The research results confirm the existence of necessary resources for the implementation of the contents in the field of recreational tourism in the BSC, and the possibility of implementation of the product mix that includes day trips and a variety of outdoor recreational activities.

  11. Is quality of higher educational institutions in Western Balkan real?

    Directory of Open Access Journals (Sweden)

    Živaljević Aleksandra

    2015-01-01

    Full Text Available The paper presents a survey conducted in November of 2013 in 120 higher education institutions in the Western Balkans Countries, with purpose to determine which models are used for quality improvement in Western Balkans higher educational institutions, and whether critical conditions for continuous quality improvement have been met by applying those models. Data were obtained by using questionnaire which consisted of 24 questions related to 2 previously defined hypotheses. Gathered data were tested with Student's t test to determine if there is a significant difference between the groups of higher educational institutions which use different quality models, as well as between private and public higher educational institutions. Authors argue that the rules imposed by Governments do not provide sufficient incentive for meeting the critical conditions for the continuous quality improvement. Legal framework and mandatory accreditation conducted by government bodies lead higher educational institutions to fulfil the formal requirements, distancing them from the essence of quality management, i.e. from self-criticism and motivation to consistently deliver better results than the previous ones and giving them the illusion of achieving quality through compliance with formal criteria.

  12. Prospective thermal power generation in the Western Balkan countries

    Directory of Open Access Journals (Sweden)

    Tomasović Nikola

    2015-01-01

    Full Text Available The aim of this paper is to analyze the expansion of the thermal generation in the long-term for the Western Balkan region. This paper concentrates on the estimation of long-term energy data for the (Western Balkan countries. The process was implemented by the use of the PRIMES model in order to perform simulations for the future growth of electricity supply and demand in the region. Two scenarios were applied. The first (Baseline scenario was based on the current energy path of each country and on the absence of any specific energy policy like tax emissions or renewable subsidies. The second (Reference scenario was practically a series of “environmental” sub-scenarios, based on specific energy subsidy policy applied to the electricity generated by renewable sources. Results were given for the period between 2015 and 2050 in 5-year steps and conclusions were made for the whole region. As such, the results can feed up trials of energy planning referring to the future energy condition.

  13. Overview of poverty and social exclusion in the Western Balkans

    Directory of Open Access Journals (Sweden)

    Matković Gordana

    2006-01-01

    Full Text Available During the last 15 years the entire Western Balkan region has undergone dramatic changes. With the fall of the Berlin wall and the disintegration of the former Yugoslavia, new states were formed and transition started, although in some countries it was quite delayed. Simultaneously, during the nineties, much of the region experienced wars and destruction, waves of refugees, internal displacement of population, devastation of the economy, demolition of institutions and impoverishment of citizens. Absolute poverty, determined through the estimation of household consumption at which families, after paying for essential non-food expenditures just attain minimal nutritional needs, in almost all of the Western Balkans is still relatively high, and is not showing significant tendencies of decreasing. A large concentration of the population and households just above the poverty line additionally demonstrates the challenges faced by the entire region while undergoing the transition process. In some countries extreme poverty, meaning that not even basic food needs can be met, has been registered. On the other hand, relative poverty, defined as the share of those who are excluded from the minimum acceptable way of life in states in which they live, is not particularly high. Due to the relatively high standard of living in the past and high expectations of the population that living standards would increase in a relatively short period of time, the subjective perception of poverty in the entire region is very much present. Groups that stand out as especially vulnerable and excluded are the unemployed, dependents and the less educated. At the level of the household, in some countries households with many children and elderly households are particularly vulnerable. The poorest often live in the rural areas and in the underdeveloped regions. In addition, especially vulnerable groups, who cannot even be completely covered by standard surveys, but are poor and

  14. The Balkan region: NDM-1-producing Klebsiella pneumoniae ST11 clonal strain causing outbreaks in Greece.

    Science.gov (United States)

    Voulgari, Evangelia; Gartzonika, Constantina; Vrioni, Georgia; Politi, Lida; Priavali, Efthalia; Levidiotou-Stefanou, Stamatina; Tsakris, Athanassios

    2014-08-01

    Despite the fact that the NDM-1 carbapenemase has successfully disseminated worldwide, outbreaks remain uncommon in the European region. We describe the characteristics of the first outbreaks caused by NDM-1-producing Klebsiella pneumoniae clonal isolates in Greece. Between January 2010 and June 2013, 132 non-repetitive carbapenem-resistant Enterobacteriaceae isolates, which gave a positive modified Hodge test and were phenotypically suspected of metallo-β-lactamase production, were recovered from patients hospitalized at Ioannina University Hospital. Resistance genes were identified by PCR and sequencing. Plasmid profiling, conjugation experiments, enterobacterial repetitive intergenic consensus PCR, PFGE and multilocus sequence typing (MLST) were performed. Patient records were retrieved to access patterns of acquisition. Molecular testing verified the presence in 78 K. pneumoniae isolates, collected from 71 patients, of the blaNDM-1 gene. The blaCTX-M-15, blaOXA-1 and blaTEM-1 genes were also present in most isolates. The blaNDM-1 gene was located on a narrow host range IncFII-type plasmid, of ∼95 kb, flanked upstream by a non-truncated ISAba125 element and downstream by the bleMBL gene. Genotyping clustered all K. pneumoniae isolates into a single clonal type with one subtype and MLST assigned them to sequence type 11. Two outbreaks were noted, the first between November and December 2011 involving four patients and the second initiated in May 2012 and ongoing, involving the remaining patients. All but two cases were characterized as hospital acquired. No links to immigration or travel history to endemic areas were established. This survey highlights the successful undetected dissemination of yet another carbapenemase in Greece and strengthens the hypothesis of a latent NDM-1 cluster in the Balkan region. © The Author 2014. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For

  15. The Endemic Treponematoses

    Science.gov (United States)

    Giacani, Lorenzo

    2014-01-01

    SUMMARY The agents of human treponematoses include four closely related members of the genus Treponema: three subspecies of Treponema pallidum plus Treponema carateum. T. pallidum subsp. pallidum causes venereal syphilis, while T. pallidum subsp. pertenue, T. pallidum subsp. endemicum, and T. carateum are the agents of the endemic treponematoses yaws, bejel (or endemic syphilis), and pinta, respectively. All human treponematoses share remarkable similarities in pathogenesis and clinical manifestations, consistent with the high genetic and antigenic relatedness of their etiological agents. Distinctive features have been identified in terms of age of acquisition, most common mode of transmission, and capacity for invasion of the central nervous system and fetus, although the accuracy of these purported differences is debated among investigators and no biological basis for these differences has been identified to date. In 2012, the World Health Organization (WHO) officially set a goal for yaws eradication by 2020. This challenging but potentially feasible endeavor is favored by the adoption of oral azithromycin for mass treatment and the currently focused distribution of yaws and endemic treponematoses and has revived global interest in these fascinating diseases and their causative agents. PMID:24396138

  16. Diabetic Nephropathy : Evaluation with Doppler Ultrasonography

    Energy Technology Data Exchange (ETDEWEB)

    Sim, Jung Suk; Kim, Seung Hyup; Kang, Heung Sik; Park, Jae Hyung; Han, Man Chung [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1996-06-15

    To compare Doppler ultrasonography with laboratory tests in evaluation of diabetic nephropathy. Fifty-five patients (mean age = 60, M : F = 26 : 29) with diabetes mellitus underwent renal Doppler ultrasonography. Resistive indices were compared with degree of proteinuria, serum creatinine level, and creatinine clearance rate. Eighteen patients who showed no proteinuria or microscopic proteinuria had a mean resistive index (RI) of 0.72 (SD, 0.05), 16 patients with macroscopic proteinuria without nephrotic syndrome had a mean RI of 0.82 (SD, 0.13), and 21 patients with nephrotic syndrome had a mean RI of 0.90 (SD, 0.12). Renal RI correlated highly with serum creatinine level (r = 0.62) and creatinine clearance rate (r = -0.43). Renal Doppler ultrasonography provides a useful indication of renal function in diabetic nephropathy but cannot offer an advantage over conventional laboratory test

  17. Diabetic Nephropathy : Evaluation with Doppler Ultrasonography

    International Nuclear Information System (INIS)

    Sim, Jung Suk; Kim, Seung Hyup; Kang, Heung Sik; Park, Jae Hyung; Han, Man Chung

    1996-01-01

    To compare Doppler ultrasonography with laboratory tests in evaluation of diabetic nephropathy. Fifty-five patients (mean age = 60, M : F = 26 : 29) with diabetes mellitus underwent renal Doppler ultrasonography. Resistive indices were compared with degree of proteinuria, serum creatinine level, and creatinine clearance rate. Eighteen patients who showed no proteinuria or microscopic proteinuria had a mean resistive index (RI) of 0.72 (SD, 0.05), 16 patients with macroscopic proteinuria without nephrotic syndrome had a mean RI of 0.82 (SD, 0.13), and 21 patients with nephrotic syndrome had a mean RI of 0.90 (SD, 0.12). Renal RI correlated highly with serum creatinine level (r = 0.62) and creatinine clearance rate (r = -0.43). Renal Doppler ultrasonography provides a useful indication of renal function in diabetic nephropathy but cannot offer an advantage over conventional laboratory test

  18. Clinical and histological correlation of diabetic nephropathy

    Directory of Open Access Journals (Sweden)

    Tameem Afroz

    2017-01-01

    Full Text Available Renal failure in diabetes is a common cause of renal replacement therapy. The affected kidney goes through various changes in all compartments progressively. The classification of diabetic nephropathy is based on glomerular lesions and displays a heterogeneous morphology. Abnormalities in tubulointerstitial and vascular compartments are important in assessing the outcome of these patients. We applied the new pathologic classification of diabetic nephropathy by Tervaert et al to classify the renal damage in diabetes. This is a prospective study over two years. We analyzed 74 renal biopsies in diabetic patients, both type-1 and type-2. Indications for biopsy were rapid onset of proteinuria, absence of retinopathy, presence of hematuria, active urine sediment, and rapid unexplained deterioration of renal function. Biopsy was done to rule out nondiabetic renal disease or any other associated pathology with diabetic nephropathy. In our study, 53 patients were male and 21 patients were female. Age ranged from 27 to 82 years. The mean ± standard deviation age at the time of the biopsy was 54.09 ± 11.59 years. Mean duration of diabetes was 10.2 years. Proteinuria ranged from 1 to 26 g. Type-111 histopathological lesion was the most common lesion observed in our series. There was a correlation between the degree of tubulo-interstitial damage with renal function. There was no correlation between the fundal changes and degree of proteinuria with the histological class of diabetic nephropathy. Application of the classification by Tervaert et al to diabetic lesions reduces the inter-observer variability and also helps in prognosticating and management of patients.

  19. Lead nephropathy due to Sindoor in India.

    Science.gov (United States)

    Kute, Vivek B; shrimali, Jigar D; Balwani, Manish R; Godhani, Umesh R; Vanikar, Aruna V; Shah, Pankaj R; Gumber, Manoj R; Patel, Himanshu V; Trivedi, Hargovind L

    2013-07-01

    We report a case of lead nephropathy due to Sindoor treated successfully with steroid, hemodialysis and chelating agent. Diagnosis of lead nephropathy was confirmed by identification of potential sources of lead exposure (Sindoor, 5-10 gm per year for 11 years) indicated by high blood lead level, 95 µg/dL and presence of extrarenal features of lead poisoning (hypertension, anemia, lead line, hyperuricemia). A search for the underlying systemic causes of renal failure yielded no results. A kidney biopsy showed acute or chronic tubule-interstitial nephritis with mesangioproliferative glomerulonephritis with no immune deposit on immunofluorescence consistent with lead nephropathy. He was discharged in good health after psychiatric consultation and continued with oral D-Penicillamine with normal renal function tests and urine output. This case identifies Sindoor as a potential lead exposure among Indians and clinicians should be aware of this risk factor and enquire about it when searching a source of lead exposure in high-risk population.

  20. Contrast-induced nephropathy: risks, pathogenetic, prevention

    International Nuclear Information System (INIS)

    Paskalev, D.; Balev, B.

    2006-01-01

    Full text: The aim of the presentation is to review the contrast induced nephropathy ? nature, mechanisms of development, risk factors. Summary of the most important ways of prevention, diagnostics and treatment. The definition of CIN according the European Association of Urogenital Radiology is: 'A condition, in which renal function is impaired (elevation of serum creatinine with more than 25% or 44 μmol/l above the initial level) due to intravasal application of contrast media (CM) within 3 days following the application and when no other etiology factors are present'. We summarize the main risk factors of developing CIN - renal failure, diabetic nephropathy, dehydration, congestive heart failure, high blood pressure, age above 70 yrs, nephrotoxic medicines. The most effective ways of preventing CIN are the good hydratation of the patients and the usage of low-osmolar or iso-osmolar CM. Therapeutic treatment is with no proven preventive effect and currently is not routinely recommended. An early hem dialysis does not decrease the risk level of CIN development in patients with chronic renal failure (CRF). In such patients complete elimination of CM is achieved only after several hem dialyses. Hem filtration reliably decreases the risk of CIN in CRF patients, but is expensive and not widely available. We present a case from our hospital of a patient with diabetic nephropathy, who developed CIN following a coronary angiography

  1. Contributing to Balkan public health: a school for Skopje.

    Science.gov (United States)

    Levett, Jeffrey

    2002-04-01

    The absence of social well-being and growing vulnerability are alarming for a large portion of people living in the Balkan countries. The Stability Pact is currently targeting the issue of social cohesion, which holds out promise for as yet unrealized development. Both the World Health Organization and the Council of Europe have called attention to the population vulnerability and growing disparity in health status between that region and Europe. Reversal of present trends demands the support of the international community and the strengthening of all public health institutions, human resource training, and population health research. Given the severity of the problem space of population vulnerability, these actions are more than ever indispensable to the health sector of the region. The paper describes an encouraging dialogue for Balkan health conducted by the National School of Public Health in Athens, Greece over the past decade and emphasizes the work of the newly created Public Health in South Eastern Europe (PH-SEE) Network (www.snz.hr/ph-see), which provides new opportunities for engagement in regional public health through Public Health Schools and Institutes. There is a need for public health curricula development and a closer linkage of all Schools with the Association of Schools of Public Health in the European Region. A curriculum for peace and public health is already under development in institutions in Athens, Greece; Mostar, Bosnia and Herzegovina; and Zagreb, Croatia. Soon to be added to the group of regional institutions is the School of Public Health in Skopje. It is a policy response to considerable need in a country showing pre-conflict conditions in the heart of the South Eastern Europe. Within the general framework of public health development, a School of Public Health in Skopje can be of great national benefit. Suggestions are made for its function under an umbrella of interdisciplinarity and autonomy, and the need to steer a path clear of

  2. The Democratization Process in the Western Balkans in the Last 20 Years: Interethnic Relations and Security Implications

    Directory of Open Access Journals (Sweden)

    Katerina Veljanoska

    2014-06-01

    Full Text Available The process of democratization in Western Balkans is connected with the process of state-building before and after the reconstruction. After the break-up of Yugoslavia, the region became a brutal battleground as different nation-based groups fought to define the boundaries of a set of new states in the Balkans. One of the key challenges related to the democratization of the Western Balkan countries is resolving the issues with their neighbours. However, political pragmatism and bilateral relations between the countries of the Balkans, including their internal conflicts do not exclude informal alliances, but as a temporary form of exploitation of the current political and security situation or in order to achieve their own national interests. One of the key tools in the achievement of national interests, especially expressed in the Balkan countries is represented by the ethnic minorities. Ethnic minorities in the Balkans cannot be overlooked and most of them are seen as a destabilizing factor in the countries in which minorities live. Without overcoming prejudices and differences of the past, the Western Balkans could not continue their independent development. Democratization of the Western Balkans means that improving the peace and coexistence should not be viewed in the past, but in the current process of cooperation. The EU integration process of Western Balkan countries and the democratization process of the region will have to be implemented in the future if the political elites in Western Balkan countries wish to achieve security, stability and prosperity of their societies.

  3. Some traces of interlinguistic contacts in the central Balkan mountains

    Directory of Open Access Journals (Sweden)

    Loma Aleksandar

    2003-01-01

    Full Text Available The etymology of three Balkan tree names, S.-Cr. munika ‘Pinus leucodermis' molika ‘Pinus peuce' and omorika ‘Picea omorika' is discussed. The latter is supposed to go back, together with Bulg. morika ‘spruce', to Slavic *mъxorъ ‘fringe' describing here the hanging branches of spruce. The Bosnian pine munika, munjika growing in high and rocky places exposed to the thunder, the relation to S.-Cr. munja < Common Slavic *mъlnja seems probable, and molika may be explained as a re-borrowing from Alb. molikë traceable to the same Slavic prototype *mъlnika.

  4. Probabilistic seismic hazard maps for the North Balkan region

    Directory of Open Access Journals (Sweden)

    R. M. W. Musson

    1999-06-01

    Full Text Available A set of seismic hazard maps, expressed as horizontal peak ground acceleration, have been computed for a large area of Central and Eastern Europe covering the North Balkan area (Former Yugoslavia, Hungary, Romania. These are based on: a a compound earthquake catalogue for the region; b a seismic source model of 50 zones compiled on the basis of tectonic divisions and seismicity, and c a probabilistic methodology using stochastic (Monte Carlo modelling. It is found that the highest hazard in the region comes from intermediate focus earthquakes occurring in the Vrancea seismic zone; here the hazard exceeds 0.4 g at return periods of 475 years. Special account has been taken of the directional nature of attenuation from this source.

  5. 76 FR 37239 - Continuation of the National Emergency With Respect To the Western Balkans

    Science.gov (United States)

    2011-06-24

    ... engaged in, or assisting, sponsoring, or supporting (i) extremist violence in the Republic of Macedonia... persons threatening the peace and international stabilization efforts in the Western Balkans continue to...

  6. 77 FR 37993 - Continuation of the National Emergency With Respect to the Western Balkans

    Science.gov (United States)

    2012-06-25

    ..., or assisting, sponsoring, or supporting (i) extremist violence in the Republic of Macedonia and... threatening the peace and international stabilization efforts in the Western Balkans continue to pose an...

  7. 75 FR 32843 - Continuation of the National Emergency With Respect to the Western Balkans

    Science.gov (United States)

    2010-06-10

    ... engaged in, or assisting, sponsoring, or supporting (i) extremist violence in the Republic of Macedonia... persons threatening the peace and international stabilization efforts in the Western Balkans continue to...

  8. 3 CFR - Continuation of the National Emergency With Respect to the Western Balkans

    Science.gov (United States)

    2010-01-01

    ... persons engaged in, or assisting, sponsoring, or supporting (i) extremist violence in the Republic of... persons threatening the peace and international stabilization efforts in the Western Balkans continue to...

  9. ASSESSING RUSSIAN IMPACT ON THE WESTERN BALKAN COUNTRIES’ EU ACCESSION: CASES OF CROATIA AND SERBIA

    Directory of Open Access Journals (Sweden)

    Bojana Zoric

    2017-10-01

    Full Text Available The matter of EU enlargement to the Western Balkans has become overshadowed by pressing issues such as Brexit, the rise of the radical right and international terrorism. Notwithstanding the pressure to address these issues accordingly, increasing tensions and ethnic outbursts across the Western Balkan region are reason enough for the European Union to devote significant attention to accession talks. This article addresses the Western Balkan countries’ Europeanization process with consideration of Russia as an external actor. By assessing the candidate countries’ progress amid EU negotiations, the article suggests that the countries’ bilateral ties with Russia have an impact on the Europeanization process which is particularly visible in Chapter 31 Foreign, security, and defense policy of the acquis communautaire. The broader geopolitical framework that comprises the multifaceted relationship between the EU and Russia is crucial for understanding the dynamics of EU-Western Balkans-Russia triangle.

  10. The social, political and economic changes in the Western Balkans: Managing diversity

    Directory of Open Access Journals (Sweden)

    Sela Ylber

    2015-12-01

    Full Text Available This paper gives a retrospective of the events in the Balkans in the last 20 years. Hence, it indicates the problems, the progress and the challenges in terms of respecting and promoting diversity. The Western Balkans has always been a very interesting region with many challenges during different historical periods. If we take into consideration all the differences and diversities in this region, then this shouldn’t strike us as surprising. During history the Balkan region has always been a crossroads of many events, conflicts, changes and destructive occurrences. In order to understand the connection between ethnic and the religious diversity, as well as the future of the Western Balkan countries in terms of Euro-Atlantic integration, we need to provide some information about the political, economic and social changes in these countries during the past, especially in the last two decades.

  11. Preventing Balkan Conflict: The Role of Euroatlantic Institutions. Strategic Forum, Number 226, April 2007

    National Research Council Canada - National Science Library

    Simon, Jeffrey

    2007-01-01

    Despite 15 years of international peacekeeping and security assistance, the West Balkans are still beset with major security challenges that will severely test the North Atlantic Treaty Organization (NATO...

  12. Internet Governance 2.0.1.4: The internet balkanization fragmentation

    OpenAIRE

    Alves, Sérgio

    2014-01-01

    The text addresses some of the definitions and origins of the term "Internet Balkanization." Drawing upon U.S. constitutional law and interstate commerce regulations, it argues that the term also carries strong connotations on the realms of jurisdiction and commerce. The text adds examples of how this effect affects the businesses of creative companies that are exploring innovative markets in the United States, and suggests that the term "Internet Balkanization" should not be used in the cont...

  13. Report on EU conflict prevention and peacebuilding in the Horn of Africa and Western Balkans

    DEFF Research Database (Denmark)

    Annemarie, Peen Rodt; Tvilling, Johannes; Zartsdahl, Peter Horne

    Deliverable 5.1 is a report on EU conflict prevention and peacebuilding in the Horn of Africa and the Western Balkans. It appraises the EU’s Common Security and Defence Policy missions individually within and comparatively across both regions.......Deliverable 5.1 is a report on EU conflict prevention and peacebuilding in the Horn of Africa and the Western Balkans. It appraises the EU’s Common Security and Defence Policy missions individually within and comparatively across both regions....

  14. Regional Approach to Luxury Market Segmentation: The Case Of Western Balkans

    OpenAIRE

    Melika Husic-Mehmedovic; Emir Agic

    2015-01-01

    Nature of the luxury brand requires limited market in order to maintain exclusivity. Individual countries in the Western Balkans are not lucrative per se, therefore, regional segmentation is needed in the case of luxury brands. Countries of Western Balkan, i.e. Bosnia and Herzegovina, Croatia, Serbia and Slovenia are all post-socialist, post-war countries currently going through major transitions. Â Rather small markets are yet to be established in its final form politically, economically, so...

  15. What Strategy Should Bulgaria Pursue to Track and Disrupt Terror Networks in the Balkans?

    Science.gov (United States)

    2014-03-01

    GDP gross domestic product GIA Armed Islamic Group of Algeria GTD Global Terrorist Database IRA Irish Republican Army KLA Kosovo Liberation...number of terror activities compared with other Balkan countries. The hot 156. Global Terrorism Database, http://www.start.umd.edu/gtd/. 29...given that the Balkans have been typically used as a “ spring board” for jihadists to venture into other countries to stage operations (e.g

  16. Geo-Regional Security and Transformation After the Balkan's Wars and Kosova Independence

    Directory of Open Access Journals (Sweden)

    Dr.Sc. Gjon Boriqi

    2014-02-01

    Full Text Available During the '90-ies the wars in the former territories of what was called Yugoslavia marked the end of a century plenty of wars and local armed conflicts. More than 140 million people died because of wars in the XX century. The war of Kosova was the last one in that century. The beginning of the XXI century stressed the necessity for a new way of thinking nationally, regionally and globally. The Balkans were often considered as a gun powder territory. All the Balkans states, someone more and someone less, have problems with each other. History was and remained very passionate within the Balkan countries. The case of Kosova is possibly the most sensitive in all this framework. After the proclamation of independence on February 17 2008, the concerns were high within the region and a new question was questioned: would the map of the Balkan peninsula change again to form another "Kosovo"? This article would give some details about the geopolitical situation in the Balkans focusing on Kosova and would try to establish e new way of making politics and diplomacy though deterrence and not offence. We will try to overpass history but without neglecting it, but by learning from its mistakes in order to bring a better Peace-Building aspect for the Balkan region.

  17. Markers of Diabetic Nephropathy in Diabetic Patients in Gusau ...

    African Journals Online (AJOL)

    ABSTRACT: Diabetic nephropathy is the kidney disease that occurs as a result of diabetes. Cardiovascular and renal complications share common risk factors such as blood pressure, blood lipids, and glycemic control. The markers of diabetics nephropathy in diabetic patients, serum glucose, creatinine clearance, urinary ...

  18. Plasma proteins production and excretion in diabetic nephropathy in ...

    African Journals Online (AJOL)

    Dr Olaleye Samuel

    Plasma proteins,. Diabetic nephropathy,. Diabetes mellitus. ABSTRACT. Diabetic nephropathy is the leading cause of chronic renal disease and a major cause of cardiovascular mortality in both developed and developing countries. In type II diabetes patients with normoalbuminuria, fibrinogen production is increased, ...

  19. Improved prognosis of diabetic nephropathy in type 1 diabetes

    DEFF Research Database (Denmark)

    Andrésdóttir, Gudbjörg; Jensen, Majken L; Carstensen, Bendix

    2015-01-01

    The natural history of diabetic nephropathy offered an average survival of only 5-7 years. During the past decades, multiple changes in therapy and lifestyle have occurred. The prognosis of diabetic nephropathy after implementing stricter control of blood pressure (including increased use of long......-term renin-angiotensin system inhibition), lipids, and glycemia, along with less smoking and other lifestyle and treatment advancements, is inadequately analyzed. To clarify this, we studied 497 patients with type 1 diabetes and diabetic nephropathy at the Steno Diabetes Center and compared them...... and nephropathy onset occurred later in life, mortality was reduced by 30%. Risk factors for decline in glomerular filtration rate, death, and other renal end points were generally in agreement with prior studies. Thus, with current treatment of nephropathy in type 1 diabetes, the prognosis and loss of renal...

  20. Diabetic Nephropathy in Women With Preexisting Diabetes

    DEFF Research Database (Denmark)

    Ringholm, Lene; Damm, Julie Agner; Vestgaard, Marianne

    2016-01-01

    In women with preexisting diabetes and nephropathy or microalbuminuria, it is important to deliver careful preconception counselling to assess the risk for the mother and the foetus, for optimizing glycaemic status and to adjust medical treatment. If serum creatinine is normal in early pregnancy......, kidney function is often preserved during pregnancy, but complications such as severe preeclampsia and preterm delivery are still common. Perinatal mortality is now comparable with that in women with diabetes and normal kidney function. Besides strict glycaemic control before and during pregnancy, early...

  1. Contrast medium-induced nephropathy: the pathophysiology

    DEFF Research Database (Denmark)

    Persson, P B; Tepel, Martin

    2006-01-01

    A widespread, rather general, definition of contrast-induced nephropathy (CIN) is an impairment in renal function occurring within 3 days following the intravascular administration of contrast media (CM) and the absence of an alternative aetiology. In spite of the vast clinical importance of CIN...... the current knowledge of the mechanisms causing CIN, it is not possible to recommend a certain class of contrast media, except to avoid large doses of CM of the first generation. From a pathophysiological perspective, volume expansion is effective in avoiding CIN, since water permeability of the collecting...

  2. Molecular understanding of curcumin in diabetic nephropathy.

    Science.gov (United States)

    Soetikno, Vivian; Suzuki, Kenji; Veeraveedu, Punniyakoti T; Arumugam, Somasundaram; Lakshmanan, Arun P; Sone, Hirohito; Watanabe, Kenichi

    2013-08-01

    Diabetic nephropathy is characterized by a plethora of signaling abnormalities. Recent trials have suggested that intensive glucose-lowering treatment leads to hypoglycemic events, which can be dangerous. Curcumin is the active ingredient of turmeric, which has been widely used in many countries for centuries to treat numerous diseases. The preventive and therapeutic properties of curcumin are associated with its antioxidant and anti-inflammatory properties. Here, we highlight the renoprotective role of curcumin in diabetes mellitus (DM) with an emphasis on the molecular basis of this effect. We also briefly discuss the numerous approaches that have been undertaken to improve the pharmacokinetics of curcumin. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. Balkans as a cultural symbol in the Serbian music of the first half of the twentieth century

    Directory of Open Access Journals (Sweden)

    Milanović Biljana

    2008-01-01

    Full Text Available Focus on the internalization of Western images in the Balkans has special significance in researching Serbian art. The functioning of Balkanism as it overlapped and intersected with Orientalism is indicated in the text by an examination of the cases of Petar Konjović, Miloje Milojević and Josip Slavenski, the three significant composers working in Serbia during the first half of the twentieth century. Their modernistic projects present different metaphors of the Balkans. Nevertheless each of them is marked by desire to change the Balkan image into a 'positive' one and thus stands as a special voice for Serbian and regional placing in European competition for musical spaces.

  4. Balkan Wars in Social Studies and History Course Books Instructed at Primary and Secondary Education between 1997 and 2012 Years

    OpenAIRE

    KÖSE, Meliha

    2014-01-01

    1912-1913 Balkan Wars ended with important social, economical, cultural and political results for both Southeast Europe and Ottoman Empire. It is a significant turning point for the history of Turkey as well as World History. Balkan Wars had important effects on from dawn of Modern Turkey to starting of national struggle war and coming fore of national identity wars. That’s why It is a point to be emphasized how Balkan Wars are taught in both Turkish and Balkan history books. Primary educatio...

  5. THE CULTURE OF COEXISTENCE AND PERCEPTION OF THE OTHER IN THE WESTERN BALKANS

    Directory of Open Access Journals (Sweden)

    Sibel Akova

    2015-04-01

    Full Text Available Throughout the 550 year Ottoman rule over the Balkan lands, where even today internal dynamics threaten peace and justice, how and through what means the Ottoman Empire achieved consistency, security and peace is a question to which a number of political scientists, sociologists, communication scientists and history researchers have sought an answer. The most interesting point of the question is that the peoples of the Balkans, a living museum comprising a number of different ethnic groups and religious beliefs, have reached the point where the culture of coexistence has been internalised and dynamics have moved from the conflict of identities to cultural integration. The Balkans are a bridge to the East from Europe and indeed to the West from Turkey, incorporating a patchwork political and cultural geography, the geopolitical location and a richness of culture and civilization, being one of the areas attracting the attention of researchers from different disciplines and capturing the imagination of the peoples of the world throughout history. Balkan studies are almost as difficult as climbing the peaks in the areas and meaningful answers cannot be reached by defining the area on a single parameter such as language, culture or traditions, while the phenomenon of the other can also be observed within the culture of coexistence in this intricate and significant location. Different ethnic groups with different cultures, such as the Southern Slavs (Bosniaks, Montenegrans, Serbs, Croats and Slovenes as well as Turks, Albanians, Bulgarians, Balkan Jews, Balkan Romany and Wallachians (Romanians and Greeks. Although these peoples may have different religious beliefs, in the ethnically rich Balkan region, religion, language, political and cultural differences are vital in the formation of a mosaic, making the discourse of coexistence possible and creating common values and loyalties, breaking down differences. The Serbian and Montenegrin peoples

  6. Senescent Nephropathy: The New Renal Syndrome

    Directory of Open Access Journals (Sweden)

    Florencia Aiello

    2017-10-01

    Full Text Available Chronic kidney disease (CKD is a condition characterized by progressive and irreversible deterioration of renal function due to the reduction of nephron mass for a period of at least three months. The prevalence of CKD is roughly 10% in the general population but increases with age, affecting more than one-third of people older than 65. Frailty is a condition usually found in elderly people, characterized by weakness, motility, and balance issues, with a declined ability to resist stressors leading to increased risks of adverse health outcomes including falls, fracture, hospitalization, institutionalization, disability, dependence, dementia, poor quality of life, and death. There is interdependence between CKD and normal ageing whereby CKD makes ageing more accelerated and pronounced (senescence, whereas senescence accelerates chronic nephropathy’s progression. Frailty status catalyzes this spiral, with renal and systemic consequences, phenomenon which can be named senescent nephropathy. In conclusion, senescent nephropathy is a new renal syndrome that should be taken into account, and we must try to handle its appearance and progression not only by applying nephron prevention measurements but also by diagnosis and treating frailty in the CKD population.

  7. The Present Situation and the Future Perspectives of Foreign Direct Investment in Balkan Region

    Directory of Open Access Journals (Sweden)

    Arjan Qefalia

    2009-10-01

    Full Text Available The past decade has witnessed increased globalization of the world economy as result of technological changes, trade liberalization and privatization policies. Balkan countries as developing nations are in the realization process of the globalization changes of the world economy. Being in the process for entry into the EU, many changes are being done to integrate with the global economic trends. The research has shown that after the fall of communism in the 1990s the Balkan Region brought significant political and economic changes. The change in attitude led to a removal of direct blockage for FDI. As a result, continued deregulation and privatization has been widespread. However, history of FDI is relatively short for Balkan Region in comparison with other countries. The economy opened up capital inflows only at the beginning of 1990s, and is still showing low shares in the total of Central and Eastern European flow. Despite Balkans competitive advantage due to its geographical location and its resources, it is still far from other Central European countries in achieving the same level of FDI. This situation came as a result of: political instability, low intraregional trade, the small size of national markets, huge institutional corruption and weak judiciary system. Among the more successful Balkan recipients of FDI has been Bulgaria and Romania, while Greece has been a major source of FDI for the transition economies of the Balkan region. Greek investment is driven in part by the availability of low cost labor in the nearby transition economies. The focus of this article is to analyze and evaluate the current performance of FDI in Balkan Region and how the governments can improve this performance.

  8. Preventive Effect of Salicylate and Pyridoxamine on Diabetic Nephropathy.

    Science.gov (United States)

    Abouzed, Tarek Kamal; Munesue, Seiichi; Harashima, Ai; Masuo, Yusuke; Kato, Yukio; Khailo, Khaled; Yamamoto, Hiroshi; Yamamoto, Yasuhiko

    2016-01-01

    Objective . Diabetic nephropathy is a life-threatening complication in patients with long-standing diabetes. Hemodynamic, inflammatory, and metabolic factors are considered as developmental factors for diabetic nephropathy. In this study, we evaluated whether pharmacological interventions with salicylate, compared to pyridoxamine, could prevent diabetic nephropathy in mice. Methods . Male mice overexpressing inducible nitric oxide synthase in pancreatic β -cells were employed as a diabetic model. Salicylate (3 g/kg diet) or pyridoxamine (1 g/L drinking water; ~200 mg/kg/day) was given for 16 weeks to assess the development of diabetic nephropathy. Treatment with long-acting insulin (Levemir 2 units/kg twice a day) was used as a control. Results . Although higher blood glucose levels were not significantly affected by pyridoxamine, early to late stage indices of nephropathy were attenuated, including kidney enlargement, albuminuria, and increased serum creatinine, glomerulosclerosis, and inflammatory and profibrotic gene expressions. Salicylate showed beneficial effects on diabetic nephropathy similar to those of pyridoxamine, which include lowering blood glucose levels and inhibiting macrophage infiltration into the kidneys. Attenuation of macrophage infiltration into the kidneys and upregulation of antiglycating enzyme glyoxalase 1 gene expression were found only in the salicylate treatment group. Conclusions . Treatment with salicylate and pyridoxamine could prevent the development of diabetic nephropathy in mice and, therefore, would be a potentially useful therapeutic strategy against kidney problems in patients with diabetes.

  9. Clinical application of urodilatin in Type 2 diabetic nephropathy

    International Nuclear Information System (INIS)

    Zhu Yihua; Cao Xingjian; Chen Yuxiang; Zhang Kexia; Jin Yan

    2011-01-01

    Objective: To investigate the clinical application of urodilatin (URO) in tubular injury of DM2. Methods: 41 healthy controls, 33 type 2 diabetics without nephropathy, 37 patients with early stage of diabetic nephropathy and 26 patients with clinical diabetic nephropathy were enrolled in the study and categorized into four groups. Urodilatin was measured by radioimmunoassay (RIA). The changes of urodilatin levels among four groups were analyzed, and correlation analyses were performed between urodilatin and urinary micro-albumin/urine creatinine(mA/UCr). The efficiency index of URO were evaluated by receiver operation characteristic (ROC). Results: Compared with those in the controls,diabetics without nephropathy, early stage of diabetic nephropathy and clinical diabetic nephropathy, the urodilatin level decreased significantly in the course of diabetic nephropathy (P<0.001). The value of URO was significantly correlated with mA/UCr (r=-0.626, P<0.01). In early phase of DM2, The area under curve was 0.759. When the cut-off vaule of URO was ≤51.5 pg/ml, The sensitivity and specificity were 67.14% and 70.29%, respectively. Furthermore, Urodilatin had similar diagnosis efficiency with mA/UCr. Conclusion: The decrease of urodilatin level had clinical value in pristine tubular injury of DM2 and can serve as an evaluation parameter. (authors)

  10. Preventive Effect of Salicylate and Pyridoxamine on Diabetic Nephropathy

    Directory of Open Access Journals (Sweden)

    Tarek Kamal Abouzed

    2016-01-01

    Full Text Available Objective. Diabetic nephropathy is a life-threatening complication in patients with long-standing diabetes. Hemodynamic, inflammatory, and metabolic factors are considered as developmental factors for diabetic nephropathy. In this study, we evaluated whether pharmacological interventions with salicylate, compared to pyridoxamine, could prevent diabetic nephropathy in mice. Methods. Male mice overexpressing inducible nitric oxide synthase in pancreatic β-cells were employed as a diabetic model. Salicylate (3 g/kg diet or pyridoxamine (1 g/L drinking water; ~200 mg/kg/day was given for 16 weeks to assess the development of diabetic nephropathy. Treatment with long-acting insulin (Levemir 2 units/kg twice a day was used as a control. Results. Although higher blood glucose levels were not significantly affected by pyridoxamine, early to late stage indices of nephropathy were attenuated, including kidney enlargement, albuminuria, and increased serum creatinine, glomerulosclerosis, and inflammatory and profibrotic gene expressions. Salicylate showed beneficial effects on diabetic nephropathy similar to those of pyridoxamine, which include lowering blood glucose levels and inhibiting macrophage infiltration into the kidneys. Attenuation of macrophage infiltration into the kidneys and upregulation of antiglycating enzyme glyoxalase 1 gene expression were found only in the salicylate treatment group. Conclusions. Treatment with salicylate and pyridoxamine could prevent the development of diabetic nephropathy in mice and, therefore, would be a potentially useful therapeutic strategy against kidney problems in patients with diabetes.

  11. The Role of Autophagy in the Pathogenesis of Diabetic Nephropathy

    Directory of Open Access Journals (Sweden)

    Kosuke Yamahara

    2013-01-01

    Full Text Available Diabetic nephropathy is a leading cause of end-stage renal disease worldwide. The multipronged drug approach targeting blood pressure and serum levels of glucose, insulin, and lipids fails to fully prevent the onset and progression of diabetic nephropathy. Therefore, a new therapeutic target to combat diabetic nephropathy is required. Autophagy is a catabolic process that degrades damaged proteins and organelles in mammalian cells and plays a critical role in maintaining cellular homeostasis. The accumulation of proteins and organelles damaged by hyperglycemia and other diabetes-related metabolic changes is highly associated with the development of diabetic nephropathy. Recent studies have suggested that autophagy activity is altered in both podocytes and proximal tubular cells under diabetic conditions. Autophagy activity is regulated by both nutrient state and intracellular stresses. Under diabetic conditions, an altered nutritional state due to nutrient excess may interfere with the autophagic response stimulated by intracellular stresses, leading to exacerbation of organelle dysfunction and diabetic nephropathy. In this review, we discuss new findings showing the relationships between autophagy and diabetic nephropathy and suggest the therapeutic potential of autophagy in diabetic nephropathy.

  12. Reversal of Diabetic Nephropathy by a Ketogenic Diet

    Science.gov (United States)

    Poplawski, Michal M.; Mastaitis, Jason W.; Isoda, Fumiko; Grosjean, Fabrizio; Zheng, Feng; Mobbs, Charles V.

    2011-01-01

    Intensive insulin therapy and protein restriction delay the development of nephropathy in a variety of conditions, but few interventions are known to reverse nephropathy. Having recently observed that the ketone 3-beta-hydroxybutyric acid (3-OHB) reduces molecular responses to glucose, we hypothesized that a ketogenic diet, which produces prolonged elevation of 3-OHB, may reverse pathological processes caused by diabetes. To address this hypothesis, we assessed if prolonged maintenance on a ketogenic diet would reverse nephropathy produced by diabetes. In mouse models for both Type 1 (Akita) and Type 2 (db/db) diabetes, diabetic nephropathy (as indicated by albuminuria) was allowed to develop, then half the mice were switched to a ketogenic diet. After 8 weeks on the diet, mice were sacrificed to assess gene expression and histology. Diabetic nephropathy, as indicated by albumin/creatinine ratios as well as expression of stress-induced genes, was completely reversed by 2 months maintenance on a ketogenic diet. However, histological evidence of nephropathy was only partly reversed. These studies demonstrate that diabetic nephropathy can be reversed by a relatively simple dietary intervention. Whether reduced glucose metabolism mediates the protective effects of the ketogenic diet remains to be determined. PMID:21533091

  13. Reversal of diabetic nephropathy by a ketogenic diet.

    Science.gov (United States)

    Poplawski, Michal M; Mastaitis, Jason W; Isoda, Fumiko; Grosjean, Fabrizio; Zheng, Feng; Mobbs, Charles V

    2011-04-20

    Intensive insulin therapy and protein restriction delay the development of nephropathy in a variety of conditions, but few interventions are known to reverse nephropathy. Having recently observed that the ketone 3-beta-hydroxybutyric acid (3-OHB) reduces molecular responses to glucose, we hypothesized that a ketogenic diet, which produces prolonged elevation of 3-OHB, may reverse pathological processes caused by diabetes. To address this hypothesis, we assessed if prolonged maintenance on a ketogenic diet would reverse nephropathy produced by diabetes. In mouse models for both Type 1 (Akita) and Type 2 (db/db) diabetes, diabetic nephropathy (as indicated by albuminuria) was allowed to develop, then half the mice were switched to a ketogenic diet. After 8 weeks on the diet, mice were sacrificed to assess gene expression and histology. Diabetic nephropathy, as indicated by albumin/creatinine ratios as well as expression of stress-induced genes, was completely reversed by 2 months maintenance on a ketogenic diet. However, histological evidence of nephropathy was only partly reversed. These studies demonstrate that diabetic nephropathy can be reversed by a relatively simple dietary intervention. Whether reduced glucose metabolism mediates the protective effects of the ketogenic diet remains to be determined.

  14. Reversal of diabetic nephropathy by a ketogenic diet.

    Directory of Open Access Journals (Sweden)

    Michal M Poplawski

    Full Text Available Intensive insulin therapy and protein restriction delay the development of nephropathy in a variety of conditions, but few interventions are known to reverse nephropathy. Having recently observed that the ketone 3-beta-hydroxybutyric acid (3-OHB reduces molecular responses to glucose, we hypothesized that a ketogenic diet, which produces prolonged elevation of 3-OHB, may reverse pathological processes caused by diabetes. To address this hypothesis, we assessed if prolonged maintenance on a ketogenic diet would reverse nephropathy produced by diabetes. In mouse models for both Type 1 (Akita and Type 2 (db/db diabetes, diabetic nephropathy (as indicated by albuminuria was allowed to develop, then half the mice were switched to a ketogenic diet. After 8 weeks on the diet, mice were sacrificed to assess gene expression and histology. Diabetic nephropathy, as indicated by albumin/creatinine ratios as well as expression of stress-induced genes, was completely reversed by 2 months maintenance on a ketogenic diet. However, histological evidence of nephropathy was only partly reversed. These studies demonstrate that diabetic nephropathy can be reversed by a relatively simple dietary intervention. Whether reduced glucose metabolism mediates the protective effects of the ketogenic diet remains to be determined.

  15. Fractalkine in type 2 Egyptian diabetics with and without nephropathy

    Directory of Open Access Journals (Sweden)

    Ebtissam Zakaria

    2013-01-01

    Results and Conclusion Our study showed that the serum fractalkine concentration was significantly elevated in type 2 diabetic patients with nephropathy (1153.14±261.1 compared with type 2 diabetic patients without nephropathy (705.78±150.59 and the control group (251.5±64 (both P=0.000. There was a significant correlation between serum fractalkine level and 24-h UAE, HBA1C, and serum creatinine. Thus, this positive correlation between serum fractalkine level and UAE could be an early predictor of microvascular complications in diabetic patients. We can conclude that serum fractalkine plays a pathogenic role in the development of diabetic nephropathy.

  16. Women in migration: Some notes from the west Balkan route

    Directory of Open Access Journals (Sweden)

    Ivnik Tina

    2017-01-01

    Full Text Available Gender is often overlooked, but important factor in research on migration. Women enter into migration experience as active individuals, but also encounter different difficulties than men do. Although it cannot be claimed that these differences are experienced by all women in the same way, we can conclude that they are the consequences of the gendered reality we live in. The article is discussing the gender specific experiences that female migrants encounter on their travel. It focuses on different forms of violence they are facing and on experiences of pregnant women. Furthermore, it deals with the legislation concerning refugees and tries to show how this legislation indirectly creates threats to women migrants while at the same time it is depriving them of power and victimizes them. It is based on understanding the legislature as man-centred, which means that it is mainly shaped by experiences of men while often not examining the specific experiences and needs of women. The data for the interpretations is non-structured and semi-structured interviews collected during field work in three refugee centers in Serbia. The interviews were mostly focused on experiences of women while traveling on the West Balkan route. They were further analyzed with anthropological and related literature.

  17. Trafficking and Syrian Refugee Smuggling: Evidence from the Balkan Route

    Directory of Open Access Journals (Sweden)

    Danilo Mandic

    2017-06-01

    Full Text Available As of March 2016, 4.8 million Syrian refugees were scattered in two dozen countries by the civil war. Refugee smuggling has been a major catalyst of human trafficking in the Middle East and Europe migrant crises. Data on the extent to which smuggling devolved into trafficking in this refugee wave is, however, scarce. This article investigates how Syrian refugees interact with smugglers, shedding light on how human smuggling and human trafficking interrelated on the Balkan Route. I rely on original evidence from in-depth interviews (n = 123 and surveys (n = 100 with Syrian refugees in Jordan, Turkey, Greece, Serbia, and Germany; as well as ethnographic observations in thirty-five refugee camps or other sites in these countries. I argue that most smugglers functioned as guides, informants, and allies in understudied ways—thus refugee perceptions diverge dramatically from government policy assumptions. I conclude with a recommendation for a targeted advice policy that would acknowledge the reality of migrant-smuggler relations, and more effectively curb trafficking instead of endangering refugees.

  18. Understanding the motives for food choice in Western Balkan Countries.

    Science.gov (United States)

    Milošević, Jasna; Žeželj, Iris; Gorton, Matthew; Barjolle, Dominique

    2012-02-01

    Substantial empirical evidence exists regarding the importance of different factors underlying food choice in Western Europe. However, research results on eating habits and food choice in the Western Balkan Countries (WBCs) remain scarce. A Food Choice Questionnaire (FCQ), an instrument that measures the reported importance of nine factors underlying food choice, was administered to a representative sample of 3085 adult respondents in six WBCs. The most important factors reported are sensory appeal, purchase convenience, and health and natural content; the least important are ethical concern and familiarity. The ranking of food choice motives across WBCs was strikingly similar. Factor analysis revealed eight factors compared to nine in the original FCQ model: health and natural content scales loaded onto one factor as did familiarity and ethical concern; the convenience scale items generated two factors, one related to purchase convenience and the other to preparation convenience. Groups of consumers with similar motivational profiles were identified using cluster analysis. Each cluster has distinct food purchasing behavior and socio-economic characteristics, for which appropriate public health communication messages can be drawn. Copyright © 2011 Elsevier Ltd. All rights reserved.

  19. Geoculture world system, access to Balkan and Albania

    Directory of Open Access Journals (Sweden)

    Ilirjan Çukaj

    2015-03-01

    Full Text Available If culture as a term covers a broad range of relations and social behavior, mutually implicated in influential and economic cycles of the global system, then it becomes wordy geoculture. Geoculture system is used as a term by Wallerstein (2004 who had treated it as a concept largely unused and under a theory of geoculture which plays an important role in the present world system. The theses that is presented in this article is that the global trajectory in the Balkan region is increasing from culture and that, it is imperative to establish a strategic culture direction and management, which, in turn, should be formed not only as a principal need, but also as an obligation of social state institutions to find the viable solutions of the global market policy, economy and culture. And in response to the challenging question the culture of integration becomes imperative now facing nationalism. Albania will have to manage perceptions, fears and realities arising from the above mentioned phenomenon, to establish a balance between the “inside” and “outside” views. In this sense main challenge of Albania is the management of cultural globalization to get the most of opportunities despite the risk of losing ground globally

  20. Apprehensive-epistemic Da-Constructions in Balkan Slavic

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    Liljana Mitkovska

    2017-12-01

    Full Text Available The research in this paper is focused on the apprehensive function of the particles da ne in Macedonian and da ne bi in Bulgarian as part of South Slavic subjunctive da-constructions. These clusters of particles are considered to be markers of a wider apprehensive-epistemic category. They are assumed to have undergone grammaticalization due to their morphosyntactic and prosodic unity. Even though there may be some contextual differences, these particles in both Balkan Slavic languages share a common semantic component: an undesirable “fear-causing” possibility of some potential situation. In terms of distribution, they may occur in both dependent and main clauses expressing related, gradient apprehensive-epistemic meanings. The goal of the paper is to categorize the apprehensive-epistemic types, determine their specific structural and functional properties, and establish the conceptual links between them. The paper takes a functional approach to the analysis of the apprehensive-epistemic semantic category, thus the categorization of its subtypes is determined on the basis of their functions in context. The analysis of the collected examples instantiating these functions testifies to an existing gradience within this category in both dependent and independent use. The conclusions of the paper have typological relevance in view of the fact that they may contribute to a better understanding of this crosslinguistic category from both semantic and grammatical perspective.

  1. Western Balkan States and the European Union Enlargement

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    Gelina Maliqi (Ramolli

    2011-07-01

    Full Text Available For half a century, European Union-(EU has pursued ever-deeper integration while taking in new members. It’s marked as an important step in relationship deepening between EU and Western Balkans-(WBs where Albania is part of. In 2003, EU declared that the future of WBs is within EU. Initially it adopted a generous strategy that linked the timetable for accession to the pace of reform in WBs. The declaration contained a conditional promise; EU would consider WBs for membership only if they reached EU standards. The EU was motivated by usual economic considerations connected to enlargement and a desire to increase regional stability. The enlargement process regarding Albania will bring several reforms on different fields. Our country will benefit from a share of multibeneficiary funds for competitiveness, SMEs, energy efficiency and banking sector regulation. This presentation handles out these main issues: EU policy and the enlargement process regarding Albania inspecting the way and progress done up to now by our country, the main features of our national EUcoordination system, concluding in a SWOT Analysis of EU-coordination system in Albania. Eventually, I believe that Albania being part of WBs is at one time an opportunity and a challenge for the future of EU.

  2. Patterns of national identity development among the Balkan orthodox Christians during the nineteenth century

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    Markovich Slobodan G.

    2013-01-01

    Full Text Available The paper analyses the development of national identities among Balkan Orthodox Christians from the 1780s to 1914. It points to pre-modern political subsystems in which many Balkan Orthodox peasants lived in the Ottoman Empire at the beginning of the nineteenth century. The Serbian and Greek uprisings/revolutions are analyzed in the context of the intellectual climate of the Enlightenment. Various modes of penetration of the ideas of the Age of Revolution are analyzed as well as the ways in which new concepts influenced proto-national identities of Serbs and Romans/Greeks. The author accepts Hobsbawm’s concept of proto-national identities and identifies their ethno-religious identity as the main element of Balkan Christian Orthodox proto-nations. The role of the Orthodox Church in the formation of ethno-religious proto-national identity and in its development into national identity during the nineteenth century is analyzed in the cases of Serbs, Romans/ Greeks, Vlachs/Romanians and Bulgarians. Three of the four Balkan national movements fully developed their respective national identities through their own ethnic states, and the fourth (Bulgarian developed partially through its ethnic state. All four analyzed identities reached the stage of mass nationalism by the time of the Balkan Wars. By the beginning of the twentieth century, only Macedonian Slavs kept their proto-national ethno-religious identity to a substantial degree. Various analyzed patterns indicate that nascent national identities coexisted with fluid and shifting protonational identities within the same religious background. Occasional supremacy of social over ethnic identities has also been identified. Ethnification of the Orthodox Church, in the period 1831-1872, is viewed as very important for the development of national movements of Balkan Orthodox Christians. A new three-stage model of national identity development among Balkan Orthodox Christians has been proposed. It is

  3. A Comparison of Stereotypes of German and Turkish Students towards Balkans

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    Gürcan Ültanır

    2016-01-01

    Full Text Available Effective emotional thoughts like attitudes, stereotyped judgments and preconceptions are dependent on both collective and individual experiences. Experiences like reading an article or watching a movie that is based on a context determined by the curriculum might cause individual or collective discrimination towards different ethnic or cultural groups among students in a country. This study aims to explore the difference between two nations which are the Turkish nation that has many cultural and political bonds with Balkans in the history and the German nation, which is a nation that has little or no bonds with the Balkans. The main aim of the study is to figure out if the stereotypes towards Balkans can change according to the country in which an individual has grown up. MANOVA was used to figure out the difference between two capitals with regard to stereotypes towards Balkans. Findings of the study indicated that negative stereotype scores of students significantly changed according to the country in which students grew up, whereas no significant difference was found for positive stereotype scores. Moreover, it was found that Turkish students have more negative stereotypes towards Balkans than German students

  4. BALKAN TARİHİ KARŞISINDA YAHYA KEMAL BEYATLI'NIN ŞİİRİ

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    Ramazan TOPDEMİR

    2015-12-01

    Full Text Available Poets, writers, artists, music lovers, artists, nation, nation, state, and future carry the state makes. Works of national and moral values of society form. Poets of the founders of the national identity, and spiritual architects. Beyatlı Yahya Kemal, the most important is a cornerstone of our identity. Turks in the Balkans to develop and spread of civilization and culture is based on deep slate. Turks in the Balkans, the struggles, victories, defeats, is treated to a wide range of social relations literature. Beyatlı poets of the birth of Yahya Kemal Balkan cities Skopje and the lyrical poems dealt with the moral and material direction. The poet spent his childhood and youth years in Skopje and the Balkans, sorrows, joys, aspirations takes a sensitive manner. Yahya Kemal, established Turkish architecture, with different perspectives on the history of the Balkan cities in Turkey by telling us yesterday, far from the shaft, and spiritual values, recalling the necessity to determine whether we're having our values gives the message. Yahya Kemal Balkan cities, especially focusing on the poetry of the social, cultural, and lyrical themes literature, Balkans brought the rich archive. Yahya Kemal and the Balkans drawing the attention of new generations, our history, our civilization in poetry in a different way to learn by.

  5. Diabetic Nephropathy: Perspective on Novel Molecular Mechanisms.

    Science.gov (United States)

    Gnudi, Luigi; Coward, Richard J M; Long, David A

    2016-11-01

    Diabetes mellitus (DM) is the major cause of end-stage renal disease (ESRD) globally, and novel treatments are urgently needed. Current therapeutic approaches for diabetic nephropathy (DN) are focussing on blood pressure control with inhibitors of the renin-angiotensin-aldosterone system, on glycaemic and lipid control, and life-style changes. In this review, we highlight new molecular insights aiding our understanding of the initiation and progression of DN, including glomerular insulin resistance, dysregulation of cellular substrate utilisation, podocyte-endothelial communication, and inhibition of tubular sodium coupled glucose reabsorption. We believe that these mechanisms offer new therapeutic targets that can be exploited to develop important renoprotective treatments for DN over the next decade. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  6. Acute bile nephropathy secondary to anabolic steroids.

    Science.gov (United States)

    Alkhunaizi, Ahmed M; ElTigani, Mohamed A; Rabah, Rola S; Nasr, Samih H

    2016-02-01

    Renal dysfunction in cholestatic liver disease is multifactorial. Acute kidney injury may develop secondary to renal vasoconstriction in the setting of peripheral vasodilation and relative hypovolemia, tubular obstruction by bile casts, and direct tubular toxicity from bile. Anabolic steroids are frequently used by athletes to boost endurance and increase muscle mass. These agents are a recently recognized cause of hepatotoxicity and jaundice and may lead to acute kidney injury. To increase awareness about this growing problem and to characterize the pathology of acute kidney injury in this setting, we report on a young male who developed acute kidney injury in the setting of severe cholestatic jaundice related to ingestion of anabolic steroids used for bodybuilding. Kidney biopsy showed bile casts within distal tubular lumina, filamentous bile inclusions within tubular cells, and signs of acute tubular injury. This report supports the recently re-emerged concept of bile nephropathy cholemic nephrosis.

  7. Prognosis and treatment of diabetic nephropathy

    DEFF Research Database (Denmark)

    Rossing, Peter; Persson, Frederik; Frimodt-Møller, Marie

    2018-01-01

    . Multifactorial intervention targeting glucose, lipids and blood pressure including blockade of renin angiotensin system and lifestyle, has improved renal and cardiovascular prognosis and reduced mortality with 50%. Recent data suggest beneficial pleiotropic effects on renal endpoint with new glucose lowering......Approximately 20 to 40% of patients with type 1 or type 2 diabetes develop diabetic kidney disease. It is a clinical syndrome characterized by persistent albuminuria (>300mg/24h, or 300mg/g creatinine), a relentless decline in glomerular filtration rate, raised arterial blood pressure and enhanced...... cardiovascular morbidity and mortality. The natural course of classical diabetic nephropathy is initially microalbuminuria or moderately increased urine albumin excretion (30-300mg/g creatinine). Untreated microalbuminuria may then rise gradually, reaching severely increased albuminuric (macroalbuminuria) over 5...

  8. Pregnancy and progression of diabetic nephropathy

    DEFF Research Database (Denmark)

    Rossing, K; Jacobsen, P; Hommel, E

    2002-01-01

    the whole observation period: 136(13)/83(7) vs 139 (14)/85(7) mmHg (NS). CONCLUSION/INTERPRETATION: Pregnancy has no adverse long-term impact on kidney function and survival in Type I diabetic patients with well-preserved kidney function (normal serum creatinine) suffering from diabetic nephropathy....... as control subjects (group B). All patients received aggressive antihypertensive treatment (blood pressure goal creatinine (mean 79(SD 23......) micromol/l). The slopes of 1/s-creatinine (1000.l.micromol(-1).year(-1)) during the whole observation period were -0.39(0.40) compared with -0.41(0.70) (group A vs B-NS). The slopes of 1/s-creatinine before and after pregnancy were similar. Decline in creatinine clearance (ml/min/yr) was 3.2 (3.4) compared...

  9. Autophagy as a Therapeutic Target in Diabetic Nephropathy

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    Yuki Tanaka

    2012-01-01

    Full Text Available Diabetic nephropathy is a serious complication of diabetes mellitus, and its prevalence has been increasing worldwide. Therefore, there is an urgent need to identify a new therapeutic target to prevent diabetic nephropathy. Autophagy is a major catabolic pathway involved in degrading and recycling macromolecules and damaged organelles to maintain intracellular homeostasis. The study of autophagy in mammalian systems is advancing rapidly and has revealed that it is involved in the pathogenesis of various metabolic or age-related diseases. The functional role of autophagy in the kidneys is also currently under intense investigation although, until recently, evidence showing the involvement of autophagy in the pathogenesis of diabetic nephropathy has been limited. We provide a systematic review of autophagy and discuss the therapeutic potential of autophagy in diabetic nephropathy to help future investigations in this field.

  10. Contrast-induced nephropathy in interventional cardiology

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    Sudarsky D

    2011-07-01

    Full Text Available Doron Sudarsky, Eugenia NikolskyCardiology Department, Rambam Health Care Campus and Technion-Israel Institute of Technology, Haifa, IsraelAbstract: Development of contrast-induced nephropathy (CIN, ie, a rise in serum creatinine by either ≥0.5 mg/dL or by ≥25% from baseline within the first 2–3 days after contrast administration, is strongly associated with both increased inhospital and late morbidity and mortality after invasive cardiac procedures. The prevention of CIN is critical if long-term outcomes are to be optimized after percutaneous coronary intervention. The prevalence of CIN in patients receiving contrast varies markedly (from <1% to 50%, depending on the presence of well characterized risk factors, the most important of which are baseline chronic renal insufficiency and diabetes mellitus. Other risk factors include advanced age, anemia, left ventricular dysfunction, dehydration, hypotension, renal transplant, low serum albumin, concomitant use of nephrotoxins, and the volume of contrast agent. The pathophysiology of CIN is likely to be multifactorial, including direct cytotoxicity, apoptosis, disturbances in intrarenal hemodynamics, and immune mechanisms. Few strategies have been shown to be effective to prevent CIN beyond hydration, the goal of which is to establish brisk diuresis prior to contrast administration, and to avoid hypotension. New strategies of controlled hydration and diuresis are promising. Studies are mixed on whether prophylactic oral N-acetylcysteine reduces the incidence of CIN, although its use is generally recommended, given its low cost and favorable side effect profile. Agents which have been shown to be ineffective or harmful, or for which data supporting routine use do not exist, include fenoldopam, theophylline, dopamine, calcium channel blockers, prostaglandin E1, atrial natriuretic peptide, statins, and angiotensin-converting enzyme inhibitors.Keywords: contrast-induced nephropathy, contrast media

  11. Treatment of IgA nephropathy.

    Science.gov (United States)

    Barratt, J; Feehally, J

    2006-06-01

    IgA nephropathy (IgAN) is an important cause of progressive kidney disease with 25-30% of patients developing end-stage renal disease within 20 years of diagnosis. There is still no treatment to modify mesangial IgA deposition and available treatments are those extrapolated from the management of other patterns of chronic glomerulonephritis. There remains no consensus on the use of immunosuppressive agents for treatment of progressive IgAN and this is compounded by the relative lack in IgAN of randomized controlled trials relevant to current clinical practice. Patients with recurrent macroscopic hematuria or isolated microscopic hematuria and proteinuria renal biopsy should be managed as for minimal change nephropathy. There is no evidence to support the use of corticosteroids for nephrotic IgAN outside this group of patients. Patients presenting with acute renal failure require evaluation to distinguish acute tubular necrosis, which requires supportive therapy only, from crescentic IgAN, for which treatment with cyclophosphamide and corticosteroids in a regimen similar to that for renal small vessel vasculitis is indicated in the absence of significant chronic histologic injury. Patients at greatest risk of progressive renal impairment are those with hypertension, proteinuria >1 g/24 h, and reduced glomerular filtration rate at diagnosis. All such patients should be treated to a blood pressure of 125/75 mm Hg with dual blockade of the renin-angiotensin system with angiotensin-converting enzyme inhibition and angiotensin receptor blockade. At present, there is insufficient evidence for the additional use of immunosuppressive agents, antiplatelet agents, or anticoagulants.

  12. Distribution of uranium and some selected trace metals in human scalp hair from Balkans

    International Nuclear Information System (INIS)

    Zunic, Z. S.; Tokonami, S.; Mishra, S.; Arae, H.; Kritsananuwat, R.; Sahoo, S. K.

    2012-01-01

    The possible consequences of the use of depleted uranium (DU) used in Balkan conflicts in 1995 and 1999 for the people and the environment of this reason need attention. The heavy metal content in human hair may serve as a good indicator of dietary, environmental and occupational exposures to the metal compounds. The present work summarises the distribution of uranium and some selected trace metals such as Mn, Ni, Cu, Zn, Sr, Cd and Cs in the scalp hair of inhabitants from Balkans exposed to DU directly and indirectly, i.e. Han Pijesak, Bratoselce and Gornja Stubla areas. Except U and Cs, all other metals were compared with the worldwide reported values of occupationally unexposed persons. Uranium concentrations show a wide variation ranging from 0.9±0.05 to 449±12 mg kg -1 . Although hair samples were collected from Balkan conflict zones, uranium isotopic measurement ( 235 U/ 238 U) shows a natural origin rather than DU. (authors)

  13. Collaborative investigations on thoron and radon in some rural communities of Balkans

    International Nuclear Information System (INIS)

    Zunic, Z. S.; Celikovic, I.; Tokonami, S.; Ishikawa, T.; Ujic, P.; Onischenko, A.; Zhukovsky, M.; Milic, G.; Jakupi, B.; Cuknic, O.; Veselinovic, N.; Fujimoto, K.; Sahoo, S. K.; Yarmoshenko, I.

    2010-01-01

    This paper deals with the results of the first-field use in the Balkans, i.e. Serbia and Republic of Srpska (Bosnia and Herzegovina), of a passive polycarbonate Mark II type and poli-allyl-diglycol carbonate (Cr-39) alpha track detectors sensitive to thoron as well as to radon. Both types of solid state nuclear track detectors were designed and supplied by National Inst. of Radiological Sciences (NIRS), Chiba (Japan). The commercial names for these detectors which all have been field tested in Balkan rural communities are known as: UFO and RADUET passive discriminative radon/thoron detectors. No database of thoron and thoron progeny concentrations in dwellings in Serbia or Balkans region exist, and as a result, the level of exposure of the Serbian population to thoron and its progeny is unknown so far. (authors)

  14. Paul Garde, Les Balkans, héritages et évolutions

    Directory of Open Access Journals (Sweden)

    Anaïs Krawczykowska

    2010-06-01

    Full Text Available Les Balkans, ce territoire montagneux (balkan signifiant « Montagne » en turc aussi appelé « Europe du sud », est plus que jamais au cœur de l'actualité. Or il semblerait que la géographie soit un paramètre bien insuffisant à sa définition. Menaçante pour les uns, prometteuse pour les autres, l'ex-Yougoslavie laisse apparaître de nombreux enjeux stratégiques, aussi bien politiques qu'économiques ou encore historiques. Ces dernières années ont remis les pays des Balkans sur le devant de la sc...

  15. Turkey Entering the European Union Through the Balkan Doors: in the Style of a Great Power?

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    Bedrudin Brljavac

    2011-06-01

    Full Text Available Confronting an increasing EU opposition from a number of influential member states to its membership the AKP government adopted a multilateral approach to its foreign policy making resulting in dynamic economic and diplomatic policies with the countries from Asia, Africa, Latin America, and the Balkans region. In this article we analyzed the effects and consequences of a paradigmatic shift in Turkish foreign policy in the Western Balkans in relation to the country's EU membership prospects. Through its pro-active economic and diplomatic initiatives in the region Turkey has been proving itself as indispensable country for the European Union membership. Thus, if the Turkish government concentrates more on solving its internal problems and continues its pro-active diplomacy in Western Balkans, among other regions, it could become not only a regional but also a global power.

  16. Distribution of uranium and some selected trace metals in human scalp hair from Balkans.

    Science.gov (United States)

    Zunic, Z S; Tokonami, S; Mishra, S; Arae, H; Kritsananuwat, R; Sahoo, S K

    2012-11-01

    The possible consequences of the use of depleted uranium (DU) used in Balkan conflicts in 1995 and 1999 for the people and the environment of this reason need attention. The heavy metal content in human hair may serve as a good indicator of dietary, environmental and occupational exposures to the metal compounds. The present work summarises the distribution of uranium and some selected trace metals such as Mn, Ni, Cu, Zn, Sr, Cd and Cs in the scalp hair of inhabitants from Balkans exposed to DU directly and indirectly, i.e. Han Pijesak, Bratoselce and Gornja Stubla areas. Except U and Cs, all other metals were compared with the worldwide reported values of occupationally unexposed persons. Uranium concentrations show a wide variation ranging from 0.9 ± 0.05 to 449 ± 12 µg kg(-1). Although hair samples were collected from Balkan conflict zones, uranium isotopic measurement ((235)U/(238)U) shows a natural origin rather than DU.

  17. Clinical diabetic nephropathy in a tropical African population ...

    African Journals Online (AJOL)

    Diabetic nephropathy is a significant problem in this environment. Keywords: Diabetes nephropathy, Clinical review, Nigeria. Résumé La néphropathie diabétique est un trouble le plus considérable aboutissant à l'insuffisance rénale chez des adultes aux pays de l'ouest/occidental et elle est parmi les trois premier causes ...

  18. Reversal of Diabetic Nephropathy by a Ketogenic Diet

    OpenAIRE

    Poplawski, Michal M.; Mastaitis, Jason W.; Isoda, Fumiko; Grosjean, Fabrizio; Zheng, Feng; Mobbs, Charles V.

    2011-01-01

    Intensive insulin therapy and protein restriction delay the development of nephropathy in a variety of conditions, but few interventions are known to reverse nephropathy. Having recently observed that the ketone 3-beta-hydroxybutyric acid (3-OHB) reduces molecular responses to glucose, we hypothesized that a ketogenic diet, which produces prolonged elevation of 3-OHB, may reverse pathological processes caused by diabetes. To address this hypothesis, we assessed if prolonged maintenance on a k...

  19. The Gyrodactylus (Monogenea, Gyrodactylidae) parasite fauna of freshwater sand gobies (Teleostei, Gobioidei) in their centre of endemism, with description of seven new species.

    Science.gov (United States)

    Vanhove, Maarten P M; Economou, Alcibiades N; Zogaris, Stamatis; Giakoumi, Sofia; Zanella, Davor; Volckaert, Filip A M; Huyse, Tine

    2014-02-01

    While Gobioidei comprises showcases of (adaptive) radiation, the scientific interest they yielded did not ensure full understanding of goby biodiversity. Even in a well-studied region like Europe, wide knowledge gaps remain. Sand gobies represent one of the few clades whose monogenean parasites have been thoroughly studied. However, in the Balkans, part of the sand gobies' centre of endemism, these parasites were unstudied. We focus on Greek and Croatian freshwater gobies. From five sand goby species, the first parasites are reported, describing seven new Gyrodactylus species. Economidichthys pygmaeus harbours Gyrodactylus benedeni sp. n. and Gyrodactylus dorlodoti sp. n. Its congener E. trichonis hosts G. meelkopae sp. n. Knipowitschia milleri was found to host G. charon sp. n., K. thessala is infected by G. bios sp. n., and K. croatica by G. douglasadamsi sp. n. and G. hellemansi sp. n. Gyrodactylus bubyri was found on its type host K. caucasica. A diverse parasite fauna is expected for a region known for its biodiversity and endemism. The contribution of parasites to species richness in such hotspots is overlooked. The observed species richness per host is rather low compared to the better-studied eastern Atlantic sand gobies. Host vicariance is considered to mediate parasite specificity in this fauna. Some new flatworm species display unique morphological features, such as the remarkable size of the marginal hook sickle proper compared to its foot in the Economidichthys parasites, or a characteristically kinked marginal hook sickle in G. douglasadamsi sp. n. These features reflect their hosts' endemism in the Balkans.

  20. [Neuroethics and bioethics--implications of Balkanization controversy].

    Science.gov (United States)

    Kagawa, Chiaki

    2009-01-01

    There have been considerable disputes the positioning of neuroethics as a new field since its emergence in 2002. It is the novelty of the neuroethical issues and the necessity for updated moral approaches to them that leading exponents of neuroethics have emphasized; advances in neurosciences have created an entirely new field of moral inquiries that the conventional bioethics had never noticed. Futher, as neuroethics embraces the subdivision of ethics in neuroscience, it should take precedence over bioethics, which depends on the fundamental moral concepts without questioning their bases. Many bioethicists have squarely opposed these insistences and thereby detected the claim of neuroethics exceptionalism: the asserted newness of issues comes mainly from the ignorance of exponents of this new field regarding accumulated bioethical inquiries, so that the overlapping concerns between bioethics and neuroethics are passed on to the future by them. Moreover, bioethicists point out that the recent tendency of Balkanization in the field of bioethics could endanger the integrity of moral investigations. Subfields of bioethics, such as geneethics, neuroethics, nanoethics and so on, originate consecutively, entail wastage of valuable time and money, and increase the risk of fragmentizing moral considerations in an inconsistent way. By reviewing this controversy between neuroethics and bioethics, I argue that the relevant scientific investigations and technologies, which have appeared to promote the proliferation of bioethical sub-disciplines to date, are beginning to converge into 1 complex that demands not the division into subspecialities but the novel integration of bioethical inquiries: it is time to attempt the unification of bioethical applied ethics for moral considerations regarding nano-bio-info-cogno convergent technologies.

  1. STUDY OF Salmo GENUS (PISCES, SALMONIDAE ON THE BALKAN PENINSULA

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    Simo Georgijev

    2011-03-01

    Full Text Available Author disputes the position of the authors K o t t e l a t (1997 and K o t t e l a t & F r e y h o f (2007 about the existence of several species belonging to the Salmo genus in some parts of Balkan Peninsula: Salmo aphelios Kottelat, 1997; Salmo balcanicus (Karaman, 1927; Salmo farioides (Karaman, 1938; Salmo labrax Pallas, 1814; Salmo letnica (Karaman, 1924; Salmo lumi Poljakov, Filipi & Basho, 1958; Salmo macedonicus (Karaman, 1924; Salmo montenigrinus (Karaman, 1933; Salmo pelagonicus Karaman, 1938; Salmo peristericus Karaman, 1938; Salmo taleri (Karaman, 1932. Majority of those species were described by dr. Stanko Karaman, the author who is, regarding the number of described species of European freshwater fishes, on the second place, just behind Carl Linnaeus. It is hardly believable that four trout species were formed in a small and oligotrophic microhabitat like Ohrid Lake, or three species in the Vardar River, knowing that the factor of geographic isolation doesn’t exist in either of the habitats. The author’s position is that all of these species are actually just types of one, highly plastic regarding the micro ecological conditions and phenotypic manifestations, species: Salmo trutta (Linnaeus, 1785. The author supports his opinion by his own results, as well the results of other scientists, obtained through studies of ecology and taxonomy of the brown trout in fluent and still water microhabitats. Also the author suggests that it is unacceptable to apply the terminology immanent to the anthropogenic factor in a sphere of another scientific area where such factor doesn't exist (agronomy-race and biology-natural selection.

  2. Prosecutorial councils and guarantees of prosecutors autonomy in Western Balkans states

    Directory of Open Access Journals (Sweden)

    Matić-Bošković Marina

    2017-01-01

    Full Text Available More than five years ago judicial and prosecutorial councils were established in the Western Balkans countries. Newly established institutions took over jurisdiction related to the election, promotion and dismissal of public prosecutors in line with the international standards of judicial independence. It is necessary to assess whether the prosecutorial councils fulfilled professional public expectations. In the paper author analysed European standards and good practices of prosecutorial councils' regulations, as well as comparative law models in Western Balkans countries and their compliance with standards.

  3. The status of Albanian in relation to the other Balkan languages

    OpenAIRE

    Bardh Rugova

    2015-01-01

    The status of Albanian in relation to the other Balkan languages Albanian has been in contact with other languages almost in all areas in which it is spoken, whereas the relationship with each of them differs from place to place. This study aims at describing the status of Albanian depending on its place of use and on the contacts it has with other Balkan languages.   Status języka albańskiego w porównaniu z innymi językami bałkańskimi Język albański pozostaje w stałym kontakcie ...

  4. Radicalisation of Young Adults in the Balkan States: Counter-Measures, Healthcare Provision, and Community Involvement

    Directory of Open Access Journals (Sweden)

    Cara Richardson

    2017-06-01

    Full Text Available Decreasing the rise of extremism remains a priority for governments worldwide. Motives behind joining an extremist organisation are complex and often unique to the individual, making prevention strategies difficult to design and implement. This article explores several facets of this complex problem, particularly in relation to young adults, including links between extremism, criminality and incarceration, mental health, socioeconomic status and the rise of radicalisation ‘hotspots’ in Muslim majority states in the Western Balkans, where lack of government leadership allows extremist organisations to flourish. Potential counter radicalisation measures are also discussed in various contexts, including healthcare systems, the community, internationally and within the Balkan region.

  5. THE MYSTERIOUS WORLD OF LORD BYRON’S “THE GIAOUR”: BALKANS

    OpenAIRE

    OKUMUŞ, Salih; KRASNIQI, Seniha

    2016-01-01

    Lord Byron was one of many English writers who chose the East as the subject of their writings. However, his uniqueness stands in truly experiencing the region. Lord Byron, in his Grand Tour through Portugal, Spain, Malta, Albania and Greece, found a non-drying source for his writings. Above all, Balkan was the place where his muse dwelled. Sources that Balkan offered fascinated him and made him become a bridge between The East and the West. This study aims to reveal Byron’s depiction of this...

  6. Penser les Balkans aujourd'hui : l’orientalisme, le balkanisme, et la question de la modernité

    Directory of Open Access Journals (Sweden)

    Vladimir Milisavljević

    2009-12-01

    Full Text Available This paper aims at investigating the positions of the Balkans in ourcontemporary world in its continuous change – for instance the rapidEuropeanization for the protection of a common inheritance of Balkancountries. Moreover, this historical heritage is sometimes presented as a simple burden that should be overcome: the name Balkan has negative connotations, being associated with violence or primitivism. The criticism of this type of derogatory discourse called « Balkanism » is built on the deconstruction of Orientalism as initiated in the 70’s by Edward Said. In this paper, we will analyze the various types of possible objections to this Balkan approach (the absence of a colonial past, the non-existence of a « Balkan » academic tradition, the Balkan preciseness as opposed to the Oriental vagueness, as well as their not purely « oriental », yet undetermined character. Furthermore I will present the arguments in favour of another way of interpreting the Balkans which consists in the understanding of thenarrower relation between European modernity and history.

  7. Petrographic and mineral characterization of Balkan coals and their solid waste products from coal preparation

    International Nuclear Information System (INIS)

    Yossifova, M.

    1995-01-01

    This paper is part of a complex petrographic, mineralogical and chemical investigation on Balkan bituminous coals and their solid waste products from coal preparation. The petrographic and phase-mineralogical composition in ten composite samples and four water extracts have been studied by optical microscopy, scanning electron microscopy and X-ray diffraction. 4 refs., 4 tabs

  8. Project for study of seismic-hydrogeological phenomena in Balkan area

    International Nuclear Information System (INIS)

    Matova, M.; Frangov, G.; Ivanov, P.

    2007-01-01

    The International Project of UNESCO - Bulgarian Academy of Sciences has the title 'Seismic - hydrogeological vulnerability of the geoenvironment and the population in the Balkan area'. The Project has a responsible task to make a study of the seismic-hydrogeological phenomena in seven Balkan countries. The study includes the collection of information for these phenomena, its analysis, documentation and comparison. The primary information will contribute also to solving several transboundary problems in the area. The obtained data will be applied for the creation of a database about the studied seismic-hydrogeological phenomena. It will be used for the primary mapping of established seismic-hydrogeological manifestations and supposed ones. On the basis of the obtained information we will go to the assessment of the seismic-hydrogeological vulnerability of the geological environment and the population in the investigated territories. The Project investigations could be used also for several recommendations related to the reduction of negative effects of the seismic-hydrogeological phenomena in seven Balkan countries. The Balkan experts will try to propose also more rational exploration of the rare positive effects of the seismic-hydrogeological manifestations. (authors)

  9. About the Terms "Yugoslavia" “Balkanization” and “Third Balkan War”

    OpenAIRE

    Marolov, Dejan; Stojanovski, Strasko

    2014-01-01

    This paper deals with the terms “Yugoslavia”, “Balkanization” and “Third Balkan War” in correlation with the Yugoslav wars and their character. The general aim of the paper is to make an attempt to analyze and explain these terms in historical and present patterns and see if they are applicable in the former Yugoslavia context.

  10. Comparing post-deployment mental health services utilization in soldiers deployed to Balkan, Iraq and Afghanistan

    DEFF Research Database (Denmark)

    Madsen, T; Sadowa Vedtofte, M; Nordentoft, M

    2017-01-01

    of psychotropics. RESULTS: Utilizing of psychiatric outpatient services and psychotropics was significantly higher in first-time deployed to Iraq and Afghanistan compared with deployed to Balkan. However, the rate of postdeployment admission to psychiatric hospital did not differ between missions. Postdeployment...

  11. Distribution and diversity of Arctic-Alpine species in the Balkans

    DEFF Research Database (Denmark)

    Stevanovic, Vladimir; Vukojicic, Snezana; Sinzar-Sekulic, Jasmina

    2009-01-01

    The distributions of 77 Arctic-Alpine species in the Balkans are mapped and the centers of their richness and diversity presented. Within the Dinaric Alps these are Mts Vranica, Durmitor, and Prokletije; in the Scardo-Pindhic mountains, Šarplanina-Rudoka-Korab form a continuous chain; in the Rhod......The distributions of 77 Arctic-Alpine species in the Balkans are mapped and the centers of their richness and diversity presented. Within the Dinaric Alps these are Mts Vranica, Durmitor, and Prokletije; in the Scardo-Pindhic mountains, Šarplanina-Rudoka-Korab form a continuous chain......; in the Rhodope-Rila mountain system there are Mts Vitoša, Rila, and Pirin; while in the Balkan mountain system there are the West and Central part of Stara planina. A comparison of floristic richness and distribution of Arctic-Alpine flora in relation to altitude, geographical location, and geological substrate...... is made. Correlations between floristic richness and geographical distance of the Balkan mountains from the two main centers of Arctic-Alpine flora in Central Europe are also provided....

  12. Agenda-Setting for VET Policy in the Western Balkans: Employability versus Social Inclusion

    Science.gov (United States)

    Bartlett, Will; Pagliarello, Marina Cino

    2016-01-01

    For the last decade, the Western Balkan countries have sought to modernise their vocational education and training (VET) systems, adapting them to the needs of their emerging market economies. Within the framework of the EU accession process, the policy agenda for VET policies has been strongly influenced by a range of international and domestic…

  13. Competitiveness, Trade with the EU and Labour Markets: Challenges for the Western Balkans

    Directory of Open Access Journals (Sweden)

    Botrić Valerija

    2016-12-01

    Full Text Available This paper focuses on the relationship between exporting and the labour markets of the Western Balkan economies within a macroeconomic and microeconomic framework. Within the macroeconomic framework we investigate the Western Balkan countries’ evolution of the bilateral intra-industry trade share with European Monetary Union members and compare this with the differences in bilateral unit labour cost dynamics. The microeconomic analysis rests on enterprise-level cross section data collected during the crisis period and investigates whether exporters help to create additional jobs in the region in comparison to entrepreneurs oriented towards national market. The results show that trade patterns between Western Balkan economies and EMU trading partners did not exhibit any significant changes in trend. On the other hand, it seems that during the recession period most Western Balkan economies adjusted their unit labour costs, probably in order to boost competitiveness. Microeconomic analysis revealed that, although there are some positive differences between exporters and non-exporters, exporters do not create additional employment.

  14. Influence of climatic changes on pollution levels in the Balkan Peninsula

    DEFF Research Database (Denmark)

    Zlatev, Z.; Georgiev, K.; Dimov, I.

    2013-01-01

    The aim of the paper is to study the influence of future climatic changes on some high pollution levels that can cause damages on plants, animals and human beings. The particular area of interest is the Balkan Peninsula. Four important quantities have been selected: (a) annual concentrations, (b...

  15. Modelling Factors of Students' Work in Western Balkan Countries

    Science.gov (United States)

    Savic, Mirko; Kresoja, Milena

    2018-01-01

    The positive side of employment during studies is the increase of net investments in human capital. The main objective of this paper is to discover factors influencing the work of students in Serbia, Bosnia and Herzegovina and Montenegro and to compare students' employment in these three Western Balkan countries. Quantitative analysis based on…

  16. A new GPS velocity field in the south-western Balkans: insights for continental dynamics

    Science.gov (United States)

    D'Agostino, N.; Avallone, A.; Duni, L.; Ganas, A.; Georgiev, I.; Jouanne, F.; Koci, R.; Kuka, N.; Metois, M.

    2017-12-01

    The Balkans peninsula is an area of active distributed deformation located at the southern boundary of the Eurasian plate. Relatively low strain rates and logistical reasons have so far limited the characterization and definition of the active tectonics and crustal kinematics. The increasing number of GNSS stations belonging to national networks deployed for scientific and cadastral purposes, now provides the opportunity to improve the knowledge of the crustal kinematics in this area and to define a cross-national velocity field that illuminates the active tectonic deformation. In this work we homogeneously processed the data from the south western Balkans and neighbouring regions using available rinex files from scientific and cadastral networks (ALBPOS, EUREF, HemusNET, ITALPOS, KOPOS, MAKPOS, METRICA, NETGEO, RING, TGREF). In order to analyze and interpret station velocities relative to the Eurasia plate and to reduce the common mode signal, we updated the Eurasian terrestrial reference frame described in Métois et al. 2015. Starting from this dataset we present a new GPS velocity field covering the south western part of the Balkan Peninsula. Using this new velocity field, we derive the strain rate tensor to analyze the regional style of the deformation. Our results (1) improve the picture of the general southward flow of the crust characterizing the south western Balkans behind the contractional belt at the boundary with Adriatic and (2) provide new key elements for the understanding of continental dynamics in this part of the Eurasian plate boundary.

  17. International Trends in Health Science Librarianship Part 20: The Balkan States (Serbia and Slovenia).

    Science.gov (United States)

    Ivkovic, Ana; Rožić, Anamarija; Turk, Nana

    2016-12-01

    This is the 20th in a series of articles exploring international trends in health science librarianship in the 21st century. The focus of the present issue is the Balkan region (Serbia and Slovenia). The next regular feature will look at Russia and the Ukraine. JM. © 2016 Health Libraries Group.

  18. Genetic structure and demographic history of brown trout ( Salmo trutta ) populations from the southern Balkans

    DEFF Research Database (Denmark)

    Apostolidis, A.P.; Madeira, M.J.; Hansen, Michael Møller

    2008-01-01

    1. The present study was designed to characterize the genetic structure of brown trout (Salmo trutta) populations from the southern Balkans and to assess the spread of non-native strains and their introgression into native trout gene pools. We analysed polymorphism at nine microsatellite loci in ...

  19. Mapping the potential for decentralized energy generation based on RES in Western Balkans

    Directory of Open Access Journals (Sweden)

    Schneider Daniel R.

    2007-01-01

    Full Text Available Although the countries of the Western Balkans are mostly electrified, there are still regions which do not have access to the electricity network or where the network capacity is insufficient. For the most part such areas are under special care of the state (i. e. underdeveloped, devastated by war, depopulated, on islands or in mountainous regions. Since the decentralized energy generation covers a broad range of technologies, including many renewable energy technologies that provide small-scale power at sites close to the users, such concept could be of interest for these locations. This paper identifies the areas in Western Balkans where such systems could be applied. Consideration is given to geographical locations as well as possible applications. Wind, hydro, solar photovoltaic, and biomass conversion systems were taken into consideration. Since the renewable energy sources data for Western Balkans region are rather scarce, the intention was to give a survey of the present situation and an estimate of future potential for decentralized energy generation based on renewable energy sources. The decentralized energy generation based on renewable energy sources in Western Balkans will find its niche easier for the users that will produce electricity for their own needs and for the users located in remote rural areas (off-grid applications.

  20. Consumption and perception of processed fruits in the Western Balkan region

    NARCIS (Netherlands)

    Sijtsema, S.J.; Zimmermann, K.L.; Cvetkovic, M.; Stojanovic, Z.; Spiroski, I.; Milosevic, J.; Mora, C.; Butigan, R.; Mugosa, B.; Esteve, M.; Pohar, J.

    2012-01-01

    The aim of the study was to gain a better understanding of the consumption and perception of processed fruits in Western Balkan countries in order to support consumer-oriented product development. In-depth interviews (n = 183) were used to explore the consumption of processed fruits, the motives to

  1. Public Regulatory Arrangements for Private Higher Education in the Western Balkans

    Science.gov (United States)

    Papadimitriou, Antigoni; Levy, Daniel C.; Stensaker, Bjørn; Kanazir, Sanja

    2017-01-01

    The article presents an analysis of the developments of higher education laws and regulations in the Western Balkans for the period 1990-2015, with the aim of mapping the regulatory arrangements for the private higher education sector and to explore the relationship between public and private higher education in the region. Based on a conceptual…

  2. THE BALKANS BETWEEN THE EU AND NATO: FOCUSING ON THE FORMER YUGOSLAVIA

    Directory of Open Access Journals (Sweden)

    Mamoru Sadakata

    2006-10-01

    Full Text Available The fragmentation of Yugoslavia has wrought extensive political and social changes in the Balkans and Europe more generally. After the collapse of communism and the breakup of Yugoslavia, many Balkan countries have transformed their political system and have begun to forge new foreign and security policy. Some of them have already joined the EU and NATO, and some are about to access these organizations. But the Western Balkan states seem to be farther in the future. In regard to the former Yugoslavia, the United States, European states and international organizations, such as the EU, NATO and UN, have attempted to engage and manage this breakup on an individual and collective basis. They have greatly influenced the process of the post-conflict nation building of this region. From this viewpoint, the paper discusses the political and social transformation of the Balkans after the breakup of the Yugoslav conflict, and the role of the EU and NATO in the process of the democratization and nation building in the former Yugoslavia. Moreover, attention is paid to the features of the involvement of the EU and NATO in the former Yugoslav conflict. In the process of Yugoslav fragmentation one can see the ‘Eastern Question’ revisited and the ‘Powder keg of Europe’ once again rising to its brim.

  3. Studies on the metabolism of ochratoxin A / Maria Aletta Stander

    OpenAIRE

    Stander, Maria Aletta

    1999-01-01

    The ochratoxins, metabolites of certain Aspergillus and Penicillium species are the first group of mycotoxins discovered subsequent to the epoch-making discovery of the aflatoxins. Ochratoxin A (OTA) is a very important mycotoxin owing to its frequent occurrence in nature, its established role in Danish porcine nephropathy and in poultry mycotoxicoses and its implicated role in Balkan endemic nephropathy and urinary system tumors among population groups in North Africa. Chapter...

  4. Histone Lysine Methylation in Diabetic Nephropathy

    Directory of Open Access Journals (Sweden)

    Guang-dong Sun

    2014-01-01

    Full Text Available Diabetic nephropathy (DN belongs to debilitating microvascular complications of diabetes and is the leading cause of end-stage renal diseases worldwide. Furthermore, outcomes from the DCCT/EDIC study showed that DN often persists and progresses despite intensive glucose control in many diabetes patients, possibly as a result of prior episode of hyperglycemia, which is called “metabolic memory.” The underlying mechanisms responsible for the development and progression of DN remain poorly understood. Activation of multiple signaling pathways and key transcription factors can lead to aberrant expression of DN-related pathologic genes in target renal cells. Increasing evidence suggests that epigenetic mechanisms in chromatin such as DNA methylation, histone acetylation, and methylation can influence the pathophysiology of DN and metabolic memory. Exciting researches from cell culture and experimental animals have shown that key histone methylation patterns and the related histone methyltransferases and histone demethylases can play important roles in the regulation of inflammatory and profibrotic genes in renal cells under diabetic conditions. Because histone methylation is dynamic and potentially reversible, it can provide a window of opportunity for the development of much-needed novel therapeutic potential for DN in the future. In this minireview, we discuss recent advances in the field of histone methylation and its roles in the pathogenesis and progression of DN.

  5. Characteristics of geopolitical position of Serbia and Serbian areas within the context of actual processes of balkanization

    Directory of Open Access Journals (Sweden)

    Despotović Ljubiša

    2010-01-01

    Full Text Available In this article author have aim to disclosure influences of the processes of balkanization on quality and characteristics of geopolitical position of Serbia and Serbian areas in the space of Balkans. Also, analysis of geopolitical doctrines and interests of great powers that traditionally have had impact on shaping of nationalities' relations on Balkans Peninsula and Middle Europe space, in historical dimension and in actual unfolding. Additional analysis is devoted to regional factors i.e. of neighboring countries and regional powers that influenced on quality of geopolitical and geostrategic position of Serbia and Serbian areas.

  6. Cardiac autonomic neuropathy predicts cardiovascular morbidity and mortality in type 1 diabetic patients with diabetic nephropathy

    DEFF Research Database (Denmark)

    Astrup, Anne Sofie; Tarnow, Lise; Rossing, Peter

    2006-01-01

    Cardiac autonomic neuropathy (CAN) has been associated with a poor prognosis in patients with diabetes. Because CAN is common in patients with diabetic nephropathy, we evaluated the predictive value of CAN in type 1 diabetic patients with and without diabetic nephropathy.......Cardiac autonomic neuropathy (CAN) has been associated with a poor prognosis in patients with diabetes. Because CAN is common in patients with diabetic nephropathy, we evaluated the predictive value of CAN in type 1 diabetic patients with and without diabetic nephropathy....

  7. New and old markers of progression of diabetic nephropathy.

    Science.gov (United States)

    Jerums, G; Premaratne, E; Panagiotopoulos, S; Clarke, S; Power, D A; MacIsaac, R J

    2008-11-13

    The onset of diabetic nephropathy is characterised by a rise in albumin excretion rate (AER) and/or a transient rise in glomerular filtration rate (GFR) (hyperfiltration). Without intervention AER increases exponentially and there is a linear decrease in GFR after onset of overt nephropathy. In overt nephropathy, AER is a predictor of decline in GFR and the early AER response to antihypertensive therapy correlates with long-term decline in GFR. AER can be measured by immunoassay or by other techniques including HPLC. However, HPLC assays result in higher levels of AER in normal subjects compared with immunoassayable AER. Recent data suggest that there are distinct albuminuric and non-albuminuric pathways to renal impairment in type 1 and type 2 diabetes. In type 2 diabetes, the non-albuminuric pathway may explain a decline in GFR to 60 ml/min/1.73 m(2) (CKD stages 1 and 2). Other potential markers of progression of diabetic nephropathy include transforming growth factor beta (TGFbeta) and connective tissue growth factor (CTGF). However, long-term studies are needed to define their roles as markers of progression. Diabetic nephropathy is likely to be more susceptible to intervention at an early stage and accurate estimation of GFR is already possible with cystatin C. However, improved formulas for estimating GFR based on using creatinine or other markers are still required, because this may still provide the most cost effective approach applicable to existing clinical practice.

  8. Paracetamol and analgesic nephropathy: Are you kidneying me?

    Directory of Open Access Journals (Sweden)

    Waddington F

    2014-12-01

    Full Text Available Freya Waddington, Mark Naunton, Jackson Thomas Faculty of Health, University of Canberra, Canberra, ACT, Australia Introduction: Analgesic nephropathy is a disease resulting from the frequent use of combinations of analgesic medications over many years, leading to significant impairment of renal function. The observation of a large number of cases of renal failure in patients abusing analgesic mixtures containing phenacetin led to the initial recognition of the nephrotoxicity from the use of analgesics. Phenacetin was subsequently exclusively blamed for this disease. However, the role of a single analgesic as a sole cause of analgesic nephropathy was challenged, and a number of researchers have since attempted to determine the extent of involvement of other analgesics including nonsteroidal anti-inflammatory drugs (NSAIDs, aspirin, and paracetamol. Case presentation: We present the case of an 83-year-old woman with a history of NSAID-induced nephropathy with poor pain control and reluctance to use paracetamol. We attempt to briefly review the evidence of paracetamol being implicated in the development of analgesic-induced nephropathy. Conclusion: There is a lack of concrete data regarding causative analgesics, including paracetamol. Patients should therefore not be withheld paracetamol, an effective and commonly recommended agent, for fear of worsening renal function. Keywords: kidney, paracetamol, nephropathy, phenacetin

  9. Renal involvement in the antiphospholipid syndrome (APS)-APS nephropathy.

    Science.gov (United States)

    Tektonidou, Maria G

    2009-06-01

    Although the kidney represents a major target organ in antiphospholipid syndrome (APS), renal involvement in APS was poorly recognized until recently. The most well-recognized renal manifestations of APS are the renal artery thrombosis/stenosis, renal infarction, hypertension, renal vein thrombosis, end-stage renal disease, increased allograft vascular thrombosis, some types of glomerular disease, and a small-vessel vaso-occlusive nephropathy, recently defined as APS nephropathy. APS nephropathy was first described in primary APS patients, characterized by acute thrombotic lesions in glomeruli and/or arterioles (thrombotic microangiopathy) and chronic vascular lesions such as fibrous intimal hyperplasia of arterioles and interlobular arteries, organized thrombi with or without recanalization, and fibrous arterial and arteriolar occlusions or focal cortical atrophy. APS nephropathy was also detected in further studies including patients with systemic lupus erythematosus (SLE)-related APS and SLE/non-APS patients with positive antiphospholipid antibodies, independently of lupus nephritis. The same histologic lesions, especially thrombotic mictroangiopathy, were also observed in patients with catastrophic APS. The most frequent clinical and laboratory characteristics of APS nephropathy in all the above groups of patients are hypertension (often severe), proteinuria (ranging from mild to nephrotic range), hematuria, and acute or chronic renal insufficiency.

  10. Knowledge economy readiness, innovativeness and competitiveness of the Western Balkan countries

    Directory of Open Access Journals (Sweden)

    Cvetanović Slobodan

    2015-01-01

    Full Text Available The Western Balkan countries have set themselves the goal to join the European Union as soon as possible. Accordingly, they must adjust the key components of their development policies to the Europe 2020 strategy, focusing on key priorities such as smart, sustainable and inclusive growth. This paper explores the relationship among knowledge economy readiness, innovativeness, and competitiveness of six Western Balkan countries (Albania, Bosnia and Herzegovina, Macedonia, Serbia, Croatia, and Montenegro and the group of six selected neighboring EU countries (Austria, Bulgaria, Greece, Hungary, Romania, and Slovenia. The paper relies on the data obtained from the Knowledge Economy Index of the World Bank Institute, INSEAD's Global Innovation Index and the Global Competitiveness Index of the World Economic Forum for 2013. Obtained data from all three sources indicated significantly lower readiness for the development of economy based on knowledge, innovation and competitiveness in the Western Balkans countries in comparison to the selected EU countries. The analysis of the interdependence of the aforementioned variables points to: a statistically significant correlation between the indicator knowledge economy index and the global innovation index for both groups of countries; b statistically significant linear correlation between innovativeness and innovation efficiency ratio for the Western Balkan countries. Conversely, no respective correlation has been registered for the group of selected EU countries; c no statistically significant correlation between the global innovation index and the global competitiveness index in the Western Balkan countries, while in respect of the group of selected EU countries, the existence of significant linear correlation between these variables has been revealed.

  11. Inner Otherness as a Source of Fear: Elements of Horror in Balkan Travelogues

    Directory of Open Access Journals (Sweden)

    Sanja Lazarević-Radak

    2016-03-01

    Full Text Available Travel fiction has created numerous Others, assigning them an ontologically unstable status, while the traditional travelogue spread a fear of the dark interior of Europe, presenting images of daily political strife, assassinations, wars and uprisings. Just like the Gothic novel, which entertained its readers with images of ruins and gloomy structures in Eastern Europe, the travelogue spread a fear of the Balkans through Europe, depicting the Balkans as a place that could pose a threat to the entire continent. While enjoying the mysterious terror of the Gothic novel, Europe also derived a kind of pleasure from the shocking images that were to be found in travelogues from the Balkans. The paper re-examines the elasticity of the boundaries of the travelogue genre, and identifies convenient transformations of certain parts of the travelogue into text aimed at inspiring terror, shocking and appalling its readers. The transformations show that it is impossible to draw a strict boundary between travel fiction and travelogues, and at the same time reveal the hidden discourse used by both genres. The parallel presence of awareness of the geographic identity of the Balkans as European, and of the aspiration to depict them as the strange inner Otherness of Europe, is accompanied by the production of terrifying images. Although these images cannot be viewed solely as a threat of "reverse colonization", the assumption that hybridity is the basis on which the terrifying nature of the Balkans is produced is re-examined. The travelogue chapters, sections and illustrations assume the features of horror, particularly body horror, revealing Europe’s fear of the possibility of the Orient infiltrating the "body of the Occident", or of the possibility of the latter being infected by elements of "alien" i.e. Oriental culture.

  12. Metabolic nephropathies in children: Causes, clinical and laboratory manifestations

    Directory of Open Access Journals (Sweden)

    E. A. Yuryeva

    2016-01-01

    Full Text Available In the regions polluted with industrial or agricultural toxicants, dysmetabolic nephropathy is detected in every 2 or 3 children and this rate increases with age. Exogenous intoxication is not the only cause of dysmetabolic nephropathy; of no less importance are endogenous toxicants, such as oxidative stress products, excess of usual metabolites or emergence of unusual products of abnormal metabolism. The toxicants are ascertained to be able to change the conformation of protein molecules to give rise to additional ligand loci ensuring the aggressive uptake of trace elements that fix changes in protein molecules, making them antigenically alien to the body. Low molecular weight proteins with their changed structure, which penetrate through the basement membrane, are unrecognized by the reabsorption systems of proximal tubules and excreted with urine, determining the appearance of the most steady and age-increasing sign of dysmetabolic nephropathy – microproteinuria or trace elementuria.

  13. Vessels from Late Medieval cemeteries in the Central Balkans

    Directory of Open Access Journals (Sweden)

    Bikić Vesna

    2011-01-01

    Full Text Available Although a rare occurrence in late medieval cemeteries, vessels have been found on almost all major sites of the period, such as Novo Brdo, Trgovište, Reljina Gradina and the churchyard of St Peter’s near Novi Pazar, the churchyard of St Nicholas’ at Kuršumlija, the churchyard of St Stephen’s at Milentija near Brus, Mali Zvečan, Mirijevo, Vinča. Vessels occur in different places, both on top of and in graves. Fragments of pottery and glass vessels are relatively abundant in layers of earth filling burial pits and chambers, and in those immediately overlaying burial pits or gravestones. The available data make it possible to recognize almost all functional types. The most frequently found pottery shapes are larger liquid containers - jugs and pitchers, and apparently there have also been many pots, both hearth cooking and glazed (figs. 1-3; 5-9. Recognizable among the glass vessels are bottles, usually those with long fluted necks and biconical, as well as infrequent icon lamps. The data about the vessels found buried with the deceased is much more detailed. Such finds are recorded at Mačvanska Mitrovica (fig. 10/3, Brestovik (fig. 13/3, Mirijevo (fig. 4/1, Vinča (figs. 4/2; 10/4, Stragari near Kragujevac, Milentija near Brus, round the church of St Peter near Novi Pazar, at the monastery of Končulić (fig. 13/2 and the monastery of Gradac. The relatively plentiful and diverse vessels discovered at the cemeteries of medieval Trgovište are especially illustrative (fig. 10/2, 7. The available descriptions of vessels and archaeological contexts provide a general impression about the types of vessels recorded in the cemeteries of a late medieval and early modern date in the central Balkans. Glass bottles as a rule were laid in graves, while earth-fill layers, apart from bottles, contained plentiful shards of drinking vessels. As for the bottles, two types were registered: biconical and those with long fluted necks (figs. 10; 12/1. Among

  14. İtalya'nın Milli Birlik Sonrasında Osmanlı Devleti ve Balkan Siyaseti / Italy's Politics in the Balkans and the Ottoman Empire after National Unity

    OpenAIRE

    Suat Zeyrek; Metin İlhan

    2016-01-01

    Italy's Politics in the Balkans and the Ottoman Empire after National Unity Abstract Italy frequently had obliged to change its policy against Ottoman Empire after setting up the national unity until the Balkan War. The setting up of Italy's political unity in a very late date like 1870 caused to be late in colonialism. But United Italy was emerging as a new global power. Even if this power was not sufficient, it accelerated the developments changing the balances. In a short time, Ita...

  15. Adaptive changes in renal mitochondrial redox status in diabetic nephropathy

    International Nuclear Information System (INIS)

    Putt, David A.; Zhong, Qing; Lash, Lawrence H.

    2012-01-01

    Nephropathy is a serious and common complication of diabetes. In the streptozotocin (STZ)-treated rat model of diabetes, nephropathy does not typically develop until 30 to 45 days post-injection, although hyperglycemia occurs within 24 h. We tested the hypothesis that chronic hyperglycemia results in a modest degree of oxidative stress that is accompanied by compensatory changes in certain antioxidants and mitochondrial redox status. We propose that as kidneys progress to a state of diabetic nephropathy, further adaptations occur in mitochondrial redox status. Basic parameters of renal function in vivo and several parameters of mitochondrial function and glutathione (GSH) and redox status in isolated renal cortical mitochondria from STZ-treated and age-matched control rats were examined at 30 days and 90 days post-injection. While there was no effect of diabetes on blood urea nitrogen, measurement of other, more sensitive parameters, such as urinary albumin and protein, and histopathology showed significant and progressive worsening in diabetic rats. Thus, renal function is compromised even prior to the onset of frank nephropathy. Changes in mitochondrial respiration and enzyme activities indicated existence of a hypermetabolic state. Higher mitochondrial GSH content and rates of GSH transport into mitochondria in kidneys from diabetic rats were only partially due to changes in expression of mitochondrial GSH carriers and were mostly due to higher substrate supply. Although there are few clear indicators of oxidative stress, there are several redox changes that occur early and change further as nephropathy progresses, highlighting the complexity of the disease. Highlights: ►Adaptive changes in renal mitochondrial and redox status in diabetic rats. ►Modest renal dysfunction even prior to onset of nephropathy. ►Elevated concentrations of mitochondrial GSH in diabetic kidneys. ►Change in GSH due partly to increased protein expression of transporter.

  16. Adaptive changes in renal mitochondrial redox status in diabetic nephropathy

    Energy Technology Data Exchange (ETDEWEB)

    Putt, David A.; Zhong, Qing; Lash, Lawrence H., E-mail: l.h.lash@wayne.edu

    2012-01-15

    Nephropathy is a serious and common complication of diabetes. In the streptozotocin (STZ)-treated rat model of diabetes, nephropathy does not typically develop until 30 to 45 days post-injection, although hyperglycemia occurs within 24 h. We tested the hypothesis that chronic hyperglycemia results in a modest degree of oxidative stress that is accompanied by compensatory changes in certain antioxidants and mitochondrial redox status. We propose that as kidneys progress to a state of diabetic nephropathy, further adaptations occur in mitochondrial redox status. Basic parameters of renal function in vivo and several parameters of mitochondrial function and glutathione (GSH) and redox status in isolated renal cortical mitochondria from STZ-treated and age-matched control rats were examined at 30 days and 90 days post-injection. While there was no effect of diabetes on blood urea nitrogen, measurement of other, more sensitive parameters, such as urinary albumin and protein, and histopathology showed significant and progressive worsening in diabetic rats. Thus, renal function is compromised even prior to the onset of frank nephropathy. Changes in mitochondrial respiration and enzyme activities indicated existence of a hypermetabolic state. Higher mitochondrial GSH content and rates of GSH transport into mitochondria in kidneys from diabetic rats were only partially due to changes in expression of mitochondrial GSH carriers and were mostly due to higher substrate supply. Although there are few clear indicators of oxidative stress, there are several redox changes that occur early and change further as nephropathy progresses, highlighting the complexity of the disease. Highlights: ►Adaptive changes in renal mitochondrial and redox status in diabetic rats. ►Modest renal dysfunction even prior to onset of nephropathy. ►Elevated concentrations of mitochondrial GSH in diabetic kidneys. ►Change in GSH due partly to increased protein expression of transporter.

  17. Diabetic nephropathy and arterial hypertension. The effect of antihypertensive treatment

    DEFF Research Database (Denmark)

    Parving, H H; Andersen, A R; Smidt, U M

    1983-01-01

    Our longitudinal study of urinary albumin excretion rate in long-term insulin-dependent diabetics without proteinuria (negative albustix) suggests that early detection of patients at high and low risk of developing persistent proteinuria, i.e., diabetic nephropathy, is possible by using a sensitive...... method for albumin determination. Our prospective studies in young insulin-dependent diabetics with diabetic nephropathy show that the rate of decline in glomerular filtration rate (GFR) varies considerably, with a mean of 0.75 ml/min/mo and a range from 0.1 to 1.50 ml/min/mo, and that an increase...

  18. IgA Nephropathy and Thrombotic Microangiopathy

    Directory of Open Access Journals (Sweden)

    Graciela De Rosa

    2017-06-01

    Full Text Available Introduction: Although the association between thrombotic microangiopathy (TMA and IgA nephropathy (IgAN is a known fact, its prevalence, pathogenesis and progression are not clear yet. Methods: A descriptive, retrospective study involving 12 patients with IgAN and TMA (IgAN-TMA was carried out; patients were diagnosed by a renal biopsy performed in our hospital in order to analyze clinicopathologic features. All the biopsy samples were processed for light microscopy and immunofluorescence. Results: The prevalence of patients with IgAN-TMA was 4.4% (12/274. The mean age was 33 and 58.3% of the subjects were men, showing, during diagnosis, mean systolic and diastolic blood pressure values of 171.3±53 mmHg and 97.5±19.8 mmHg, respectively. The average amount of protein in urine was 5.3 ± 3.7g/24 h and 8 patients had nephrotic- range proteinuria. Impairment of renal function was found in 11 patients, with a mean serum creatinine level of 7.2±4.7 mg/dL. No clinical or laboratory findings suggested thrombotic microangiopathy in any of the patients. The renal biopsy showed acute TMA with arteriolar fibrin thrombi in 75% of the subjects and ‘onion-skin-like’ chronic lesions with concentric intimal hyperplasia in 83.3% of them, which were associated with a high percentage of global glomerulosclerosis (72%, moderate tubular atrophy (38.6% and/or interstitial fibrosis (31.3%. In 91.7% of the cases, TMA was related to histological grade 5. Conclusions: The prevalence and significance of the relationship between IgAN and TMA pose the question of whether TMA is the cause or consequence of advanced stage IgAN. Several clinicopathologic studies have proved that TMA plays a major role in IgAN progression. The connection of TMA with creatinine serum and proteinuria levels seems to support this conclusion. While systemic TMA usually affects multiple organs, in these cases, the kidney was the only one compromised. Endothelial injury and the

  19. Mycophenolate Mofetil Ameliorates Diabetic Nephropathy in db/db Mice

    Directory of Open Access Journals (Sweden)

    Jung-Woo Seo

    2015-01-01

    Full Text Available Chronic low-grade inflammation is an important factor in the pathogenesis of diabetic complication. Mycophenolate mofetil (MMF has an anti-inflammatory effect, inhibiting lymphocyte proliferation. Previous studies showed attenuation of diabetic nephropathy with MMF, but the underlying mechanisms were unclear. This study aimed to identify the effect of MMF on diabetic nephropathy and investigate its action mechanisms in type 2 diabetic mice model. Eight-week-old db/db and control mice (db/m mice received vehicle or MMF at a dose of 30 mg/kg/day for 12 weeks. MMF-treated diabetic mice showed decreased albuminuria, attenuated mesangial expansion, and profibrotic mRNA expressions despite the high glucose level. The number of infiltrated CD4+ and CD8+ T cells in the kidney was significantly decreased in MMF-treated db/db mice and it resulted in attenuating elevated intrarenal TNF-α and IL-17. The renal chemokines expression and macrophages infiltration were also attenuated by MMF treatment. The decreased expression of glomerular nephrin and WT1 was recovered with MMF treatment. MMF prevented the progression of diabetic nephropathy in db/db mice independent of glycemic control. These results suggest that the effects of MMF in diabetic nephropathy are mediated by CD4+ T cell regulation and related cytokines.

  20. Role of free radicals in pathogenesis of diabetes nephropathy ...

    African Journals Online (AJOL)

    However, the pathogenesis of diabetes nephropathy remains illusive, notwithstanding, free radicals seem to be the most favorable linkage between all the associated factors suggested. Consequently, free radicals, oxidative stress and antioxidants have become commonly used terms in modern discussions of renal disease ...

  1. Diabetic nephropathy: Time to withhold development and progression - A review

    Directory of Open Access Journals (Sweden)

    Usama A.A. Sharaf El Din

    2017-07-01

    Full Text Available The recent discoveries in the fields of pathogenesis and management of diabetic nephropathy have revolutionized the knowledge about this disease. Little was added to the management of diabetic nephropathy after the introduction of renin angiotensin system blockers. The ineffective role of the renin- angiotensin system blockers in primary prevention of diabetic nephropathy in type 1 diabetes mellitus necessitated the search for other early therapeutic interventions that target alternative pathogenic mechanisms. Among the different classes of oral hypoglycemic agents, recent studies highlighted the distinguished mechanisms of sodium glucose transporter 2 blockers and dipeptidyl peptidase-4 inhibitors that settle their renoprotective actions beyond the hypoglycemic effects. The introduction of antioxidant and anti-inflammatory agents to this field had also added wealth of knowledge. However, many of these agents are still waiting well-designed clinical studies in order to prove their beneficial therapeutic role. The aim of this review of literature is to highlight the recent advances in understanding the pathogenesis, diagnosis, the established and the potential renoprotective therapeutic agents that would prevent the development or the progression of diabetic nephropathy.

  2. Impaired Podocyte Autophagy Exacerbates Proteinuria in Diabetic Nephropathy.

    Science.gov (United States)

    Tagawa, Atsuko; Yasuda, Mako; Kume, Shinji; Yamahara, Kosuke; Nakazawa, Jun; Chin-Kanasaki, Masami; Araki, Hisazumi; Araki, Shin-Ichi; Koya, Daisuke; Asanuma, Katsuhiko; Kim, Eun-Hee; Haneda, Masakazu; Kajiwara, Nobuyuki; Hayashi, Kazuyuki; Ohashi, Hiroshi; Ugi, Satoshi; Maegawa, Hiroshi; Uzu, Takashi

    2016-03-01

    Overcoming refractory massive proteinuria remains a clinical and research issue in diabetic nephropathy. This study was designed to investigate the pathogenesis of massive proteinuria in diabetic nephropathy, with a special focus on podocyte autophagy, a system of intracellular degradation that maintains cell and organelle homeostasis, using human tissue samples and animal models. Insufficient podocyte autophagy was observed histologically in patients and rats with diabetes and massive proteinuria accompanied by podocyte loss, but not in those with no or minimal proteinuria. Podocyte-specific autophagy-deficient mice developed podocyte loss and massive proteinuria in a high-fat diet (HFD)-induced diabetic model for inducing minimal proteinuria. Interestingly, huge damaged lysosomes were found in the podocytes of diabetic rats with massive proteinuria and HFD-fed, podocyte-specific autophagy-deficient mice. Furthermore, stimulation of cultured podocytes with sera from patients and rats with diabetes and massive proteinuria impaired autophagy, resulting in lysosome dysfunction and apoptosis. These results suggest that autophagy plays a pivotal role in maintaining lysosome homeostasis in podocytes under diabetic conditions, and that its impairment is involved in the pathogenesis of podocyte loss, leading to massive proteinuria in diabetic nephropathy. These results may contribute to the development of a new therapeutic strategy for advanced diabetic nephropathy. © 2016 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered.

  3. Control of Risk Factors For Nephropathy Among Nigerian Outpatients

    African Journals Online (AJOL)

    Zamzar

    control of risk factors for nephropathy in a Nigerian teaching hospital. Methods: Between April and July 2005, 160 type 2 diabetic outpatients were assessed for control of average fasting blood glucose and blood pressure over 3 visits, and current use of ACE inhibitors. All patients were over 30 years of age and had been ...

  4. Predominant Tubular Interleukin-18 Expression in Polyomavirus-Associated Nephropathy

    NARCIS (Netherlands)

    Stokman, Geurt; Kers, Jesper; Yapici, Ünsal; Hoelbeek, Joris J.; Claessen, Nike; de Boer, Onno J.; Netea, Mihai G.; Hilbrands, Luuk; Bemelman, Fréderike J.; ten Berge, Ineke J. M.; Florquin, Sandrine

    2016-01-01

    Polyomavirus-associated nephropathy (PVAN) occurs in a significant percentage of renal transplant recipients, with BK virus reactivation as the main causative agent. PVAN leads to tubular damage and may result in allograft loss. In this study, we analyzed the antiviral immune response in PVAN.

  5. Plasma proteins production and excretion in diabetic nephropathy in ...

    African Journals Online (AJOL)

    Diabetic nephropathy is the leading cause of chronic renal disease and a major cause of cardiovascular mortality in both developed and developing countries. In type II diabetes patients with normoalbuminuria, fibrinogen production is increased, whereas that of albumin is normal. It is not known whether hepatic albumin ...

  6. Long-term prevention of diabetic nephropathy: an audit

    DEFF Research Database (Denmark)

    Schjoedt, K.J.; Hansen, H.P.; Tarnow, L.

    2008-01-01

    AIMS/HYPOTHESIS: In type 1 diabetic patients with microalbuminuria not receiving antihypertensive treatment, an increase in urinary AER (UAER) of 6-14%/year and a risk of developing diabetic nephropathy (DN) of 3-30%/year have been reported. We audited the long-term effect of blocking the renin...

  7. Transforming growth factor-β in diabetic nephropathy

    Directory of Open Access Journals (Sweden)

    Karima Y. Ahmed

    2013-01-01

    Conclusion Serum TGF-β level increases in patients of both type 1 and type 2 diabetes and in those with diabetic nephropathy. TGF-β is considered one of the major mediators of diabetic renal fibrogenesis that Results in end-stage renal disease.

  8. Potential mechanisms behind contrast medium-induced nephropathy

    African Journals Online (AJOL)

    How contrast medium-induced nephropathy (CIN) comes about is poorly understood, although CIN is a common cause of acute renal failure. Hitherto, the various studies performed have led to different interpretations and partially contradictory conclusions. This article aimed to review the mechanisms underlying CIN and to ...

  9. Contrast medium-induced nephropathy: Aspects on incidence ...

    African Journals Online (AJOL)

    Contrast media-induced nephropathy (CIN) is a well-known complication of radiological examinations employing iodine contrast media (I-CM). The rapid development and frequent use of coronary interventions and multi-channel detector computed tomography with concomitant administration of relatively large doses of ...

  10. Contrast-induced nephropathy: The wheel has turned 360 degrees

    DEFF Research Database (Denmark)

    Thomsen, H.S.; Morcos, S.K.; Barrett, B.J.

    2008-01-01

    Contrast-induced nephropathy (CIN) has been a hot topic during the last 5 years due its association with increased morbidity and mortality. CIN is an important complication, particularly in patients with advanced chronic kidney disease (CKD) associated with diabetes mellitus. Methods to diminish ...

  11. Is renal medullary carcinoma the seventh nephropathy in sickle cell ...

    African Journals Online (AJOL)

    Introduction: Previous studies had enlisted renal medullary carcinoma (RMC) as the seventh nephropathy in sickle cell disease (SCD). Clinical experience has contradicted this claim and this study is targeted at refuting or supporting this assumption. Objective: To estimate the prevalence of RMC and describe other renal ...

  12. Assessment for markers of nephropathy in newly diagnosed type 2 ...

    African Journals Online (AJOL)

    Summary. Background: Type 2 diabetics account for a large proportion of patients presenting in end-stage kidney disease (ESKD). Although diabetic renal disease can be predicted, a lot of diabetics present to Nephrologists in. ESKD. Objective: To assess for markers of nephropathy in newly diagnosed type 2 diabetics, ...

  13. Alteration in serum osteocalcin levels in patients with diabetic nephropathy

    International Nuclear Information System (INIS)

    Salem, E.S.; Abdel-Messeih, Ph.L.; Mansour, H.H.

    2013-01-01

    The fact that bone mass density (BMD) is not useful for assessing fracture risk in diabetic patients (DM) seems problematic, because those populations are increasing in every country. Osteocalcin (OC) is synthesized by osteoblasts and is considered to be a marker of bone formation. The present study was carried out to evaluate the usefulness of OC as noninvasive biomarker of bone formation in diabetes mellitus type 2 (uncomplicated) and diabetic nephropathy. Immunoradiometric assay(IRMA) was used for the quantitative measurement of human intact OC both N-terminal and C-terminal fragments in the serum of the control and the studied groups. OC levels in the uncomplicated diabetic group were significantly lower while in the diabetic nephropathy group was significantly higher compared to control values . There was a weak negative correlation between OC and both fasting blood glucose and glycated Hb% in the diabetic group. In diabetic nephropathy patients, a weak positive correlation was observed between OC and protein creatinine ratio. The results concluded that changes in bone remodelling marker OC are present in both DM type 2 and diabetic nephropathy explaining osteopenia and osteoporosis observed in both cases.Therefore, an effective glycaemic control should be the hallmark of prevention and treatment of diabetes mellitus induced osteoporosis

  14. Assessment for markers of nephropathy in newly diagnosed type 2 ...

    African Journals Online (AJOL)

    Objective: To assess for markers of nephropathy in newly diagnosed type 2 diabetics, using blood pressure levels, endogenous creatinine clearance and urinary protein excretion as markers of renal disease. Study design: Ninety newly diagnosed type 2 diabetics were studied within 6 weeks of diagnosis. They were in ...

  15. Pulmonary thromboembolism as first presentation of childhood membranous nephropathy

    Directory of Open Access Journals (Sweden)

    Mohit Madken

    2017-01-01

    Full Text Available Nephrotic syndrome is associated with an increased risk of thromboembolism. Pulmonary thromboembolism has been described in nephrotic syndrome with or without deep vein thrombosis. In this case report, we describe an unusual first presentation of childhood membranous nephropathy with massive pulmonary thrombus with pulmonary infarction with right renal vein thrombosis.

  16. Nephropathy and Neuropathy in Diabetic Patients with Chronic ...

    African Journals Online (AJOL)

    Nephropathy and Neuropathy in Diabetic Patients with Chronic Hepatitis C Virus Infection. ... M Aziz, M El-Bendary, M El-Arman. Abstract. Introduction: Several reports described an association between type 2 diabetes mellitus (DM) and chronic hepatitis C virus (HCV) infection. Chronic HCV infection is prevalent in Egypt.

  17. Frequency and Risk Factors of Contrast-Induced Nephropathy after ...

    African Journals Online (AJOL)

    Contrast-induced nephropathy (CIN) is a significant yet underestimated problem in clinical practice. The increasing use of contrast media in diagnostic and interventional procedures over the last 30years has resulted in CIN becoming the third leading cause of hospital-acquired acute renal failure (ARF) in developed ...

  18. Low Incidence of Contrast Induced Nephropathy after Coronary ...

    African Journals Online (AJOL)

    Introduction: Contrast-induced nephropathy (CIN) is associated with increased risk of in-hospital morbidity and mortality. The purpose of this study was to find out whether continuous venovenous hemofiltration (CVVH) after coronary angiography in chronic kidney disease (CKD) patients is associated with a lower incidence ...

  19. Chronic constipation causing obstructive nephropathy in a delayed toddler.

    LENUS (Irish Health Repository)

    Barrett, Michael Joseph

    2012-01-01

    Chronic constipation causing obstructive nephropathy is very rare in children. However, it can cause urinary tract obstruction with acute impairment of renal function with a need for emergent disimpaction. The authors discuss a 2 years 4 months old child who presented to our emergency department with acute renal failure due to faecal impaction.

  20. 1st International Symposium and 10th Balkan Conference on Operational Research

    CERN Document Server

    Sifaleras, Angelo; Georgiadis, Christos; Papathanasiou, Jason; Stiakakis, Emmanuil

    2013-01-01

    Over the past two decades, the Balkan Conference on Operational Research (BALCOR) has facilitated the exchange of scientific and technical information on the subject of Operations Research and related fields such as Mathematical Programming, Game Theory, Multiple Criteria Decision Analysis, Information Systems, Data Mining, and more, in order to promote international scientific cooperation.  The contributed papers contained in this volume consist of 25 selected research papers based on results presented at the 10th Balkan Conference & 1st International Symposium on Operational Research in Thessalonike, Greece. Subjects include, but do not restrict to, the development of theory and mathematical models for Operations Research, theory and applications of Combinatorial Optimization, Supply Chain Optimization, and Military Operations Research.  These carefully selected papers present important recent developments and modern applications, and will serve as excellent reference for students, researchers, and pr...

  1. Mergers and Acquisitions in the Banking Sector: The Case of Western Balkan Countries / BKT Albania

    Directory of Open Access Journals (Sweden)

    Lulzim Rashiti

    2016-11-01

    Full Text Available This paper aims to explain the financial system which is the engine force for the development of a trade economy. This system ensures payment means in economy and has an impact on its real activity, through the implementation of financial intermediation, acquisitions and mergers in the banking industry that have occurred in recent years in the Western Balkan countries, and monetary policy transmission in these countries. In developing countries, among which are also: Serbia, Macedonia, Albania, Montenegro, etc., banking industry is o" en almost the most important area in the financial system. Therefore, this paper will focus on the way the acquisitions and mergers occurred in the banking system, by assuming that many of the conclusions are applicable to the entire financial system in the Western Balkans. This paper will elaborate on this aspect a case study that deals with the acquisition of Banka Kombetare Tregtare (National Commercial Bank in Albania by the Turkish company Calik Holding (Akif Bank.

  2. Does NATO Enlargement Spread Democracy? The Democratic Stabilization of Western Balkan Countries.

    Directory of Open Access Journals (Sweden)

    Zdeněk Kříž

    2012-04-01

    Full Text Available This article deals with NATO enlargement toward Western Balkan countries and tries to answer the question of whether NATO enlargement has contributed to the democratic stabilization of the Western Balkans. The authors conclude that NATO has truly contributed to the democratic stabilization of candidate countries. Nevertheless, we have no evidence supporting the thesis that the democratic stabilization of Albania, Croatia, or Macedonia is progressing solely due to the NATO enlargement policy; it is not clear that NATO is viewed as one of the Western institutions into which these countries want to join. On the one hand, this study shows that NATO enlargement may not have as significant an impact on democratization as has been hoped for by its proponents, who started this process in the mid-90s. On the other hand, the impact of NATO on the consolidation of democratic regimes in candidate countries is by no means zero or even marginal.

  3. An Empirical Analysis of the Determinants of Economic Growth in the Western Balkans

    Directory of Open Access Journals (Sweden)

    Fetai Besnik Taip

    2017-06-01

    Full Text Available The objective of this paper is to assess the main determinants and the policies that affect economic growth in the Western Balkan over the period 1994 to 2015. It employs techniques such as pooled OLS, fixed and random effects model, and Hausman-Taylor model with instrumental variables (IV. The study shows evidence of conditional convergence, indicating the need for an upward move in the steady state level. The results show that foreign direct investments, gross savings and domestic credit to the private sector have a positive effect on per capita growth. On the other hand, initial level of per capita growth, corruption, unemployment, and general government final consumption, have a negative relationship with per capita growth. The study also shows a puzzling result, that schooling is not a significant factor for growth in Western Balkans. The study also highlights the relevance of attracting more foreign direct investments and reduction in corruption.

  4. Informal Patient Payments and Bought and Brought Goods in the Western Balkans

    DEFF Research Database (Denmark)

    Buch Mejsner, Sofie; Eklund Karlsson, Leena

    2017-01-01

    Informal payments for healthcare are common in the Western Balkans, although these payments negatively affect public health and health care. To identify literature from the Western Balkans on what is known about informal payments and bought and brought goods, to examine their effects on healthcare......, of greater magnitude and more problematic than informal payments. Only scant research has examined the measures that are used to tackle informal payments and corruption. The evidence indicates that legalizing informal payments, introducing performance-based payment systems, strengthening reporting, changing...... mentalities and involving the media and the EU or religious organizations in anti-corruption campaigns are understood as some of the possible remedies that might help reduce informal payments. Despite comprehensive evidence regarding informal payments, data remain scattered and contradictory, implying...

  5. Import Tariffs of Trading Partners: Evidence from Three West Balkan Countries

    Directory of Open Access Journals (Sweden)

    Kurtović Safet

    2017-12-01

    Full Text Available This paper aims to examine the effect of reducing the import tariffs of trading partners on total and individual exports of products from three countries of the Western Balkans and individually observed for each country. In order to investigate the potential effect, this paper applied the gravity equation and the GMM model system dynamic data estimation. The research is based on aggregate and non‑aggregate approach. Within the aggregate approach for the three countries of the Western Balkans, the reduction of import simple average tariff rate (SAT and weighted average tariff (WAT rate have a positive effect on the growth of total and individual exports of products. Within the non‑aggregate approach for each country individually, the reduction in imports of SAT and WAT rates also have a positive effect on the growth of total and individual exports of products from Albania and Serbia, while this effect is weak for FYR Macedonia.

  6. The invasive raccoon dog (Nyctereutes procyonoides, gray – an update of its distribution on the Balkans

    Directory of Open Access Journals (Sweden)

    Popova Elitsa

    2017-06-01

    Full Text Available The raccoon dog, which lives especially near water and is rare in areas with low humidity, has been spreading throughout Europe since its introduction to Western Russia in the beginning of the 20th century. Official accounts of its distribution in Europe are often inaccurate due to scarce data. A literature search was conducted to identify records of the raccoon dog in the Balkans. More than 60 records were identified, including ones unlisted by the cited source from central and western Bulgaria, southern Serbia, Macedonia, Bosnia, Herzegovina, and Greece. The raccoon dog can be found on the Balkans either along the Danube (which is a major corridor for its invasion or along its tributaries, which might represent secondary invasion pathways.

  7. Language of globalized media as a hate generator on the Balkans

    Directory of Open Access Journals (Sweden)

    Kostadinović Maja R.

    2016-01-01

    Full Text Available The Language of hatred in its basic war inciting sense has almost disappeared from media. However, its mutants still may come out into public though intolerance or political settlements. There is no community insensitive to some kinds of hatred. Neither developed democratic nor, even less communities in new Balkan states. Members of minority groups are specially under impact - from ethnic via religious to those specially vulnerable community groups such as handicapped, with specific diseases and juveniles and alike. This paper is about that tolerance and hatred which still exists in media on Balkan. The writer points to the relationship of journalists to those minority groups and offers some of possible ways for improving the relationship between them.

  8. Bulgaria as an electric power exchange center in the Balkans and in South-East Europe

    International Nuclear Information System (INIS)

    Batov, S.; Shushulov, K.; Vasileva, V.

    2002-01-01

    The paper presents a study on the electricity market in the Balkans and South-East Europe emphasizing the key role of Bulgaria on this market. Information about installed capacities and energy consumption in Bulgaria is given. The author concludes that the national and international grids strengthening will be based on: improvement of the existing corridors and their operation; establishment of new ones; implementation of the current telecommunication, information and automation systems ect

  9. Corruption as an Obstacle for Doing Business in the Western Balkans: A Business Sector Perspective

    OpenAIRE

    Jelena Budak; Edo Rajh

    2011-01-01

    This paper investigates business people’s perceptions of corruption as an obstacle for doing business and their attitudes towards corruption. It is based on a survey conducted on the sample of over 1800 business owners and managers in the Western Balkans region. Using the original survey data collected in 2010 for seven countries – Albania, Bosnia and Herzegovina, Croatia, Kosovo, FYR Macedonia, Montenegro and Serbia – the paper explores business people’s views on the ways in which the busine...

  10. Material Deprivation, Social Class and Life Course in the Balkans, Eastern Europe and Central Asia

    OpenAIRE

    Alexi Gugushvili

    2011-01-01

    "This paper employs the factor analysis technique and data from the UNDP/UNICEF Social Inclusion Survey to construct a material deprivation index for fi ve transitional societies in the Balkans (FYR Macedonia and Serbia), Eastern Europe (Moldova and Ukraine) and Central Asia (Kazakhstan). The distribution of deprivation between these societies can be largely explained by their level of economic development, but within-county variance is not limited to monetary dimension. Controlli...

  11. Evolution and dynamics of the Cenozoic tectonics of the South Balkan extensional system

    OpenAIRE

    Burchfiel, Clark B.; Nakov, R.; Dumurdzanov, Nikola; Papanikolaou, D.; Tzankov, Tzanko; Serafimovski, Todor; King, Robert W.; Kotzev, Valentin; Todosov, Angel; Nurce, Bilbil

    2008-01-01

    The South Balkan extensional system consists of normal faults and associated sedimentary basins within southern Bulgaria, Macedonia, eastern Albania, northern Greece, and northwestern Turkey. Extensional tectonism began during the final convergence across the Vardar, Intra-Pontide, and Izmir-Ankara suture zones, where oceanic regions closed between continental Europe and continental fragments that make up the Pelagonian, Sakar, and western Anatolian tectonic units. Earliest extension of lates...

  12. Medicine Availability and Prescribing Policy for Non-Communicable Diseases in the Western Balkan Countries.

    Science.gov (United States)

    Pekez-Pavlisko, Tanja; Racic, Maja; Kusmuk, Srebrenka

    2017-01-01

    During the transition processes, the Western Balkan countries were affected by conflicts and transition-related changes. Life expectancy in these countries is lower, while the mortality from non-communicable diseases (NCDs) is higher in comparison with western and northern parts of Europe. The primary aim of this study was to analyze the treatment possibilities for the most common NCDs in the Western Balkan countries. The secondary aim was to understand and compare the policies regarding prescribing-related competencies of family physicians. In June and July 2017, a document analysis was performed of national positive medicines lists, strategic documents, and clinical guidelines for the treatment of the most frequent NCDs; arterial hypertension, diabetes, hyperlipidemia, asthma, and chronic obstructive pulmonary disease (COPD). All text phrases that referred to medicines prescribing were extracted and sorted into following domains: medicine availability, prescribing policy, and medication prescribing-related competencies. Possibilities for treatment of arterial hypertension, diabetes, hyperlipidemia, asthma, and COPD vary across the Western Balkan countries. This variance is reflected in the number of registered medicines, number of parallels, and number of different combinations, as well as restrictions placed on family physicians in prescribing insulin, inhaled corticosteroids, statins and angiotensin II receptor blockers (ARBs), without consultant's recommendation. Western Balkan countries are capable of providing essential medicines for the treatment of NCDs, with full or partial reimbursement. There are some exceptions, related to statins, newer generation of oral antidiabetic agents and some of the antihypertensive combinations. Prescribing-related competences of family physicians are limited. However, this practice is not compliant to the practices of family medicine, its principles and primary care structures, and may potentially result in increased health

  13. Labour Market Institutions in the Western Balkan Countries and their Economic Implications: Evidence for Kosova

    Directory of Open Access Journals (Sweden)

    MSc. Anera Alishani

    2013-12-01

    To address this issue, this paper provides a literature review of the notion of flexicurity and then investigates the relevance of flexicurity for the countries of the Western Balkans through its found components (flexible and reliable contractual arrangements, lifelong learning, active employment policies and social security system. Even though flexicurity can be a way out for low performed economies it is considered as highly costly.

  14. First record of Triaenodes bicolor (Curtis, 1834) (Insecta: Trichoptera) from the Ecoregion Hellenic Western Balkans

    OpenAIRE

    Ibrahimi, Halil; Kuçi, Ruzhdi; Bilalli, Astrit; Gashi, Ermira

    2017-01-01

    We collected adult caddisfly specimens with entomological nets and ultraviolet light traps monthly from May to November 2012 in Brezne Lake situated in Dragash Municipality. During this investigation we found the Leptocerid species Triaenodes bicolor for the first time in Kosovo; it is also the first record for Ecoregion 6, Hellenic Western Balkans. Additionally, this is the first record of the genus Triaenodes from Kosovo. In total seven males and three females of this species were found. Tr...

  15. Firm productivity in the Western Balkans: the impact of European Union membership and access to finance

    OpenAIRE

    Howard-Jones, Peter; Hölscher, Jens; Radicic, Dragana

    2018-01-01

    This study examines the productivity performance of Balkan firms within and outside the European Union (EU), including the influence of loans. A multiple treatment model is used to compare the effects on productivity of membership and loans both separately and collectively, which in the case of loans allows a separate analysis of their influence on firms in non-member states. The use of conditional quantile regressions measures the effect on productivity of membership and loans separately as ...

  16. Firm productivity in the Western Balkans: the impact of European Union membership and access to finance.

    OpenAIRE

    Howard-Jones, P.; Holscher, Jens; Radicic, D.

    2018-01-01

    This study examines the productivity performance of Balkan firms within and outside the European Union (EU), including the influence of loans. A multiple treatment model is used to compare the effects on productivity of membership and loans both separately and collectively, which in the case of loans allows a separate analysis of their influence on firms in non-member states. The use of conditional quantile regressions measures the effect on productivity of membership and loans separately as ...

  17. Firm productivity in the western Balkans: The impact of European Union membership and access to finance

    OpenAIRE

    Howard-Jones P.; Hцlscher J.; Radicic D.

    2017-01-01

    This study examines the productivity performance of Balkan firms within and outside the European Union (EU), including the influence of loans. A multiple treatment model is used to compare the effects on productivity of membership and loans both separately and collectively, which in the case of loans allows a separate analysis of their influence on firms in non-member states. The use of conditional quantile regressions measures the effect on productivity of...

  18. Economic development in the European super-periphery: Evidence from the Western Balkans

    OpenAIRE

    Bartlett Will

    2009-01-01

    This paper argues that the conflicts that afflicted the Western Balkan region in the 1990s pushed the countries into the European 'super-periphery', characterized by deindustrialization and high unemployment, ethnic and regional fragmentation, political turmoil, and instability. Integration into international trade has been disrupted, leading to chronic balance of payments deficits. Low inflows of international capital, due to high country risk, have hindered technological catch-up and weaken...

  19. From temporary protection to transit migration : responses to refugee crises along the Western Balkan route

    OpenAIRE

    SARDELIĆ, Julija

    2017-01-01

    In recent history, the countries along the Western Balkan route faced several refugee crises. In the 1990s refugee crises were the result of the conflicts after the disintegration of the former Socialist Federative Republic of Yugoslavia (SFRY). Between the summer of 2015 and early 2016, the European continent faced another refugee crisis due to the ongoing civil war in Syria. During the 2015/16 refugee crisis, different political leaders, especially in the post-Yugoslav space, claimed that t...

  20. The Balkan balneotherapy product – an approach from the destination marketing perspective

    Directory of Open Access Journals (Sweden)

    Aurelia-Felicia STĂNCIOIU

    2013-10-01

    Full Text Available Considering the common features in the resources field, but especially the way in which they have been managed at the level of each individual country, it can be stated that a destination such as the Balkan peninsula represents a culturally homogeneous space, which has been crystallized over centuries of common history and which has imprinted a “common” destiny to the member countries, regarding the economic and cultural development. Regarding natural resources, the main similarity resides in the existence of balneotherapy resources, with particular therapeutic properties, nowadays’ development being pressured by the deterioration of one’s conception about its own health (from the demand perspective, on the one hand, and extending the concept of health (from the supply perspective, on the other hand. In the context of a less-controlled development of certain methods/techniques/procedures by the stakeholders of wellness industry, it is necessary to maintain the authenticity of the balneotherapy product whose essence is the treatment. The purpose of the paper relies in establishing the common elements which could form the essence of the balneotherapy product (sui generis and, in the same time, the differentiation elements which form the developed product of each Balkan country, alongside with the establishment of joint actions, in order to set the coordinates of the regional balneotherapy marketing strategy for the Balkan peninsula.

  1. Heterogeneity of growth in the west Balkans and emerging Europe: A dynamic panel data model approach

    Directory of Open Access Journals (Sweden)

    Josifidis Kosta

    2012-01-01

    Full Text Available This paper explores the heterogeneity of growth in the Western Balkan and Emerging European economies. For that purpose, growth determinants are estimated in the period 1997-2009 by dynamic panel data models. The chosen period provides a comparison for the model results with those estimated for the period up to 2007 in order to analyze changes caused by the global instability. According to the main findings of the paper, macroeconomic stabilization and structural reforms still matter in determining economic growth, but foreign direct investments and economic integrations seem to have the most important role in stimulating growth in the observed countries. Moreover, significant positive effects of foreign direct investments and economic integrations produce differences in growth paths between Emerging European and Western Balkan economies. Sharp decrease of foreign inflows in 2008 determined contractions of growth rates firstly in Emerging European economies with subsequent spill-over on the Western Balkan economies during 2009. Consequently, in the period of global instability, differences between two groups of economies become even more obvious.

  2. The renewable energy and economic growth nexus in Black Sea and Balkan countries

    International Nuclear Information System (INIS)

    Koçak, Emrah; Şarkgüneşi, Aykut

    2017-01-01

    The aim of this study is to explore the relationship between renewable energy consumption and economic growth within the framework of traditional production function for the period of 1990–2012 in 9 Black Sea and Balkan countries. For this purpose, we use panel cointegration, co-integration estimate methods and heterogeneous panel causality estimation techniques. The study has concluded that there is a long term balance relationship between renewable energy consumption and economic growth and renewable energy consumption has a positive impact on economic growth. Heterogeneous panel causality analysis results support growth hypothesis in Bulgaria, Greece, Macedonia, Russia and Ukraine; feedback hypothesis in Albania, Georgia and Romania; neutrality hypothesis in Turkey and according to the panel data set including all nine countries the results support feedback hypothesis. With the findings, it was concluded that there is a significant impact of renewable energy consumption on economic growth in Balkan and Black Sea Countries. - Highlights: • Explores the impact of renewable energy on economic growth in Black Sea and Balkan countries. • Employs panel cointegration and heterogeneous causality analyses. • Finds significant effect of renewable energy consumption on economic growth. • Finds bidirectional causality between renewable energy consumption and economic growth for the whole panel.

  3. Learning by Doing: The EU’s Transformative Power and Conflicts in the Western Balkans

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    Bazerkoska Julija Brsakoska

    2017-09-01

    Full Text Available The paper analyzes the European Community/ European Union experience in the Western Balkans in the period from 1990 onwards in different context in order to assess different mechanisms which the European Union has gained with building the Common Foreign and Security Policy and within the Enlargement Policy in the process of conflict prevention and conflict resolution. Additionally, the paper makes an assessment of the EU’s involvement in the conflict prevention and conflict resolution in the Balkans after the Stabilization and Association Process was launched in 1999. The authors argue that in the case of the military conflicts in the former Yugoslavia, when the European Community was confronted with serious and hard security issues at the very beginning of creating its Common Foreign and Security Policy and in a period of time when the region was not part of the enlargement process, the Community and the Union afterwards proved to be extremely ineffective. In the second part, through three case studies, the paper demonstrate that with the combined use of CFSP mechanisms and SAP, positive examples of the EU acting as a provider of peaceful dispute settlement in the Western Balkans have been established.

  4. Energy in the western Balkans - the path to reform and reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2008-06-15

    The Western Balkans - composed of Albania, Bosnia and Herzegovina, Croatia, the Former Yugoslav Republic of Macedonia, Montenegro, Serbia and Kosovo - is a complex region facing significant energy challenges. The conflicts over the break-up of the former Yugoslavia damaged much of the energy infrastructure and compounded the challenge of providing reliable energy supply. Electricity systems in many parts of the region remain fragile and in need of investment. A priority across the region is to put into place the institutions, infrastructure and policies that can support the provision of reliable, affordable and sustainable energy. For the Western Balkans as a whole, a key element of the reform effort is the Energy Community Treaty - a regulatory and market framework to which the entire region has now subscribed. This Treaty aims to create an integrated regional market for electricity and gas compatible with the European Union's internal energy market. This Energy Policy Survey is the first comprehensive review of energy policies and strategies in the Western Balkan region, and also covers important cross-cutting topics such as co-operation and energy trade, oil and gas transportation, and the links between energy and poverty. It identifies and assesses the reforms that are still needed to deliver efficient, modernised energy systems that can assist economic development, address energy poverty and reduce the environmental impacts of energy use.

  5. Forecasting the spatial and seasonal dynamic of Aedes albopictus oviposition activity in Albania and Balkan countries

    Science.gov (United States)

    Bino, Silvia; Kadriaj, Perparim; Mersini, Kujtim; Shukullari, Ada; Simaku, Artan; Rogozi, Elton; Caputo, Beniamino; Ducheyne, Els; della Torre, Alessandra; Reiter, Paul; Gilbert, Marius

    2018-01-01

    The increasing spread of the Asian tiger mosquito, Aedes albopictus, in Europe and US raises public health concern due to the species competence to transmit several exotic human arboviruses, among which dengue, chikungunya and Zika, and urges the development of suitable modeling approach to forecast the spatial and temporal distribution of the mosquito. Here we developed a dynamical species distribution modeling approach forecasting Ae. albopictus eggs abundance at high spatial (0.01 degree WGS84) and temporal (weekly) resolution over 10 Balkan countries, using temperature times series of Modis data products and altitude as input predictors. The model was satisfactorily calibrated and validated over Albania based observed eggs abundance data weekly monitored during three years. For a given week of the year, eggs abundance was mainly predicted by the number of eggs and the mean temperature recorded in the preceding weeks. That is, results are in agreement with the biological cycle of the mosquito, reflecting the effect temperature on eggs spawning, maturation and hatching. The model, seeded by initial egg values derived from a second model, was then used to forecast the spatial and temporal distribution of eggs abundance over the selected Balkan countries, weekly in 2011, 2012 and 2013. The present study is a baseline to develop an easy-handling forecasting model able to provide information useful for promoting active surveillance and possibly prevention of Ae. albopictus colonization in presently non-infested areas in the Balkans as well as in other temperate regions. PMID:29432489

  6. The determinants of intra-regional trade in the Western Balkans

    Directory of Open Access Journals (Sweden)

    Jelena Trivić

    2015-06-01

    Full Text Available The purpose of this paper is to identify factors that have an influence on bilateral trade among the Western Balkan countries for the period from 1995 to 2012. Unlike a majority of works that have dealt with the subject of trade in the Balkans or the SEEs, not only geographical, economic or political factors are taken into account, but also factors constituting cultural, communicational and historical types of the so-called “distance” between countries. In order to assess their influence on trade values, an augmented version of the gravity model is employed. It was estimated threefold: as pooled data by OLS, as a random effects model and as a fixed effects model with an additional estimation of time-invariant variables following the method of Cheng and Wall (2005. The results of the research are surprising, as the strongest influence on trade values were exhibited by variables representing ease of a direct communication and similarity of religious structures. In addition, war and one-year-post-war effect showed a strong and statistically important influence. Thus, the main conclusion is that non-economic factors in the region of the Western Balkans play the most important role in determining trade values between countries.

  7. Reverse effect of Balkan radical Islamists' engagement in the armed conflict in Syria

    Directory of Open Access Journals (Sweden)

    Stevčić Stevan

    2013-01-01

    Full Text Available There is an apparent tendency to increase activism among Balkan Muslims (mostly Sunni denomination within Islam and their desire to participate in solving the problems of Muslims globally. As a result of this trend, the involvement of individuals from the ranks of radical Islamist groups in the armed conflict in Syria is not surprising. What characterizes these individuals is going through the complex process of radicalization at the individual level within which strong motivation is formed for taking part in such an extreme form of social conflict such as a civil war. Due to the strong indoctrination, they perceive the participation in this conflict as their duty to the whole community of believers, accepting even the possibility of their own death which they see as martyrdom. The connection of these individuals with the global Islamistic terrorist network may affect the Balkan countries' security. After the end of the Syria conflict or earlier, a number of these individuals will be directed to other crisis areas, while some of them will return to their home countries. Additionally indoctrinated with acquired combat experience and military expertise, these people can play a key role in planning, preparation or commission of terrorist acts in the Balkans and Europe as a whole. Taking adequate and timely measures is a necessary condition for an effective opposition to this kind of religious based terrorism.

  8. The Balkans as European Otherness. On Shaping Italian Public Opinion about the War in Croatia

    Directory of Open Access Journals (Sweden)

    Ivana Škevin

    2016-06-01

    Full Text Available In Croatia, the political changes involving most of Eastern Europe in the late 1980s and early 1990s included a war fought between 1991 and 1995. This paper aims, by examining the press releases and newspaper articles published in the Italian daily La Stampa in 1995, to show how this influential newspaper worked on shaping Italian public opinion about the war in Croatia, and to examine the extent to which well-rooted stereotypes about the Balkans played a role in the process. The application of the methods of Critical Discourse Analysis on the material has confirmed the occurrence of stereotypes expressed through several types of polarized representations, for example, the one between the good (Italy/Europe/West and the bad (Croatia/the Balkans – associated with “primitive” nationalism and chaos. It has also shown that Italy (as part of Europe, largely saw itself as the “appointed” Western civilized neighbour towards one of its Balkan neighbours, Croatia, and worked on trying, as Todorova would put it, “to normalise” it.

  9. Improving nutrition surveillance and public health research in Central and Eastern Europe/Balkan Countries using the Balkan Food Platform and dietary tools.

    Science.gov (United States)

    Gurinović, Mirjana; Milešević, Jelena; Novaković, Romana; Kadvan, Agnes; Djekić-Ivanković, Marija; Šatalić, Zvonimir; Korošec, Mojca; Spiroski, Igor; Ranić, Marija; Dupouy, Eleonora; Oshaug, Arne; Finglas, Paul; Glibetić, Maria

    2016-02-15

    The objective of this paper is to share experience and provide updated information on Capacity Development in the Central and Eastern Europe/Balkan Countries (CEE/BC) region relevant to public health nutrition, particularly in creation of food composition databases (FCDBs), applying dietary intake assessment and monitoring tools, and harmonizing methodology for nutrition surveillance. Balkan Food Platform was established by a Memorandum of Understanding among EuroFIR AISBL, Institute for Medical Research, Belgrade, Capacity Development Network in Nutrition in CEE - CAPNUTRA and institutions from nine countries in the region. Inventory on FCDB status identified lack of harmonized and standardized research tools. To strengthen harmonization in CEE/BC in line with European research trends, the Network members collaborated in development of a Regional FCDB, using web-based food composition data base management software following EuroFIR standards. Comprehensive nutrition assessment and planning tool - DIET ASSESS & PLAN could enable synchronization of nutrition surveillance across countries. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Microevolution of the noble crayfish (Astacus astacus) in the Southern Balkan Peninsula.

    Science.gov (United States)

    Laggis, Anastasia; Baxevanis, Athanasios D; Charalampidou, Alexandra; Maniatsi, Stefania; Triantafyllidis, Alexander; Abatzopoulos, Theodore J

    2017-05-30

    The noble crayfish (Astacus astacus) displays a complex historical and contemporary genetic status in Europe. The species divergence has been shaped by geological events (i.e. Pleistocene glaciations) and humanly induced impacts (i.e. translocations, pollution, etc.) on its populations due to species commercial value and its niche degradation. Until now, limited genetic information has been procured for the Balkan area and especially for the southernmost distribution of this species (i.e. Greece). It is well known that the rich habitat diversity of the Balkan Peninsula offers suitable conditions for genetically diversified populations. Thus, the present manuscript revisits the phylogenetic relationships of the noble crayfish in Europe and identifies the genetic make-up and the biogeographical patterns of the species in its southern range limit. Mitochondrial markers (i.e. COI and 16S) were used in order to elucidate the genetic structure and diversity of the noble crayfish in Europe. Two of the six European haplotypic lineages, were found exclusively in Greece. These two lineages exhibited greater haplotypic richness when compared with the rest four (of "Central European" origin) while they showed high genetic diversity. Divergence time analysis identified that the majority of this divergence was captured through Pleistocene, suggesting a southern glacial refugium (Greece, southern Balkans). Furthermore, six microsatellite markers were used in order to define the factors affecting the genetic structure and demographic history of the species in Greece. The population structure analysis revealed six to nine genetic clusters and eight putative genetic barriers. Evidence of bottleneck effects in the last ~5000 years (due to climatic and geological events and human activities) is also afforded. Findings from several other research fields (e.g. life sciences, geology or even archaeology) have been utilized to perceive the genetic make-up of the noble crayfish. The

  11. Relationship between serum IV-C, β2-m levels and diabetic nephropathy

    International Nuclear Information System (INIS)

    Liu Lu; Zhang Mukun

    2005-01-01

    Objective: To investigate the relationship between the serum type IV collagen (IV-C), β 2 -micro globulin (β 2 -m) levels and diabetic nephropathy. Methods: Serum IV-C, β 2 -m levels were measured with RIA in 30 controls and 86 patients with type 2 diabetics mellitus (35 with diabetic nephropathy and 51 without nephropathy). Results: the serum levels of IV-C and β 2 -m in diabetic patients with nephropathy were significantly higher than those in controls (P 0.05). Conclusion: Serum IV-C and β 2 -m levels increased gradually as the diabetic nephropathy got more severe. They could be a sensitive marker for early diagnosis of development of diabetic nephropathy. (authors)

  12. Medical and Social Aspects of Syphilis in the Balkans from the mid-19th Century to the Interwar

    Directory of Open Access Journals (Sweden)

    Tsiamis Costas

    2016-03-01

    Full Text Available The current study presents some aspects of syphilis in the Balkan Peninsula from the 19th century until the Interwar. Ever since the birth of modern Balkan States (Greece, Bulgaria, Turkey and Serbia, urbanization, poverty and the frequent wars have been considered the major factors conducive to the spread of syphilis. The measures against sex work and sexually transmitted diseases (STDs were taken in two aspects, one medical and the other legislative. In this period, numerous hospitals for venereal diseases were established in the Balkan countries. In line with the international diagnostic approach and therapeutic standards, laboratory examinations in these Balkan hospitals included spirochete examination, Wassermann reaction, precipitation reaction and cerebrospinal fluid examination. Despite the strict legislation and the adoption of relevant laws against illegal sex work, public health services were unable to curb the spread of syphilis. Medical and social factors such as poverty, citizen’s ignorance of STDs, misguided medical perceptions, lack of sanitary control of prostitution and epidemiological studies, are highlighted in this study. These factors were the major causes that helped syphilis spread in the Balkan countries during the 19th and early 20th century. The value of these aspects as a historic paradigm is diachronic. Failure to comply with the laws and the dysfunction of public services during periods of war or socioeconomic crises are both factors facilitating the spread of STDs.

  13. Medical and Social Aspects of Syphilis in the Balkans from the mid-19th Century to the Interwar.

    Science.gov (United States)

    Tsiamis, Costas; Vrioni, Georgia; Poulakou-Rebelakou, Effie; Gennimata, Vasiliki; Murdjeva, Mariana А; Tsakris, Athanasios

    2016-03-01

    The current study presents some aspects of syphilis in the Balkan Peninsula from the 19th century until the Interwar. Ever since the birth of modern Balkan States (Greece, Bulgaria, Turkey and Serbia), urbanization, poverty and the frequent wars have been considered the major factors conducive to the spread of syphilis. The measures against sex work and sexually transmitted diseases (STDs) were taken in two aspects, one medical and the other legislative. In this period, numerous hospitals for venereal diseases were established in the Balkan countries. In line with the international diagnostic approach and therapeutic standards, laboratory examinations in these Balkan hospitals included spirochete examination, Wassermann reaction, precipitation reaction and cerebrospinal fluid examination. Despite the strict legislation and the adoption of relevant laws against illegal sex work, public health services were unable to curb the spread of syphilis. Medical and social factors such as poverty, citizen's ignorance of STDs, misguided medical perceptions, lack of sanitary control of prostitution and epidemiological studies, are highlighted in this study. These factors were the major causes that helped syphilis spread in the Balkan countries during the 19th and early 20th century. The value of these aspects as a historic paradigm is diachronic. Failure to comply with the laws and the dysfunction of public services during periods of war or socioeconomic crises are both factors facilitating the spread of STDs.

  14. Clinical significance of determination of plasma endothelin (ET) and homocysteine (Hcy) levels in patients with diabetic nephropathy

    International Nuclear Information System (INIS)

    Zhang Aimin; Jin Ying; Zhou Xiu

    2005-01-01

    Objective: To determine the plasma levels of endothelin (ET) and homocysteine (Hcy) in patients with diabetic nephropathy. Methods: Plasma ET (with RIA) and Hcy( with electrochemiluminescence) contents were determined in 32 DM2 patients without nephropathy, 35 DM2 patients with nephropathy and 30 controls. Results: Endothelin and homocysteine levels were significantly higher in patients with diabetic nephropathy than those in patients without nephropathy and controls (P<0.05- 0.01). Conclusion: Endothelin and homocysteine were involved in the pathogenesis of diabetic nephropathy, and determination of which were of diagnostic and prognostic value in clinical practice. (authors)

  15. Chemical substances as risk factors of nephropathy in diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Zofia Marchewka

    2009-12-01

    Full Text Available Although diabetes mellitus, a metabolic disease, does not fall into the group of diseases induced by toxic substances or environmental pollution, there is much evidence that some chemicals have considerable importance in its development. Exposure to substances with potential renal toxicity is especially dangerous for diabetics because it accelerates and intensifies diabetic nephropathy. This paper discusses the relationship between the xenobiotics and the development of diabetes mellitus and diabetic nephropathy with particular emphasis on those substances that causes the greatest damage to the kidneys. These are cadmium, iron, lead, arsenic, polychlorinated organic compounds, nitrogen compounds, and contrast agents. In addition, the mechanisms of diabetes mellitus induction or kidney damage by these xenobiotics are described.

  16. Acute ciprofloxacin-induced crystal nephropathy with granulomatous interstitial nephritis

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    R Goli

    2017-01-01

    Full Text Available Crystal-induced acute kidney injury (AKI is caused by the intratubular precipitation of crystals, which results in obstruction and kidney injury. Ciprofloxacin, a commonly used antibiotic, causes AKI secondary to immune-mediated interstitial injury. Rare mechanisms of ciprofloxacin-induced renal injury include crystalluria, rhabdomyolysis, and granulomatous interstitial nephritis. Clinical and experimental studies have suggested that crystalluria and crystal nephropathy due to ciprofloxacin occur in alkaline urine. Preexisting kidney function impairment, high dose of the medication, and advanced age predispose to this complication. We report a case of ciprofloxacin-induced crystal nephropathy and granulomatous interstitial nephritis in a young patient with no other predisposing factors. The patient responded to conservative treatment without the need for glucocorticoids.

  17. Evaluation of reflux nephropathy, pyelonephritis and renal dysplasia

    International Nuclear Information System (INIS)

    Grattan-Smith, J.D.; Little, Stephen B.; Jones, Richard A.

    2008-01-01

    MR urography has the potential to significantly improve our understanding of the relationship between reflux nephropathy, pyelonephritis, vesicoureteric reflux and renal dysplasia. MR urography utilizes multiple parameters to assess both renal anatomy and function and provides a more complete characterization of acquired and congenital disease. Pyelonephritis and renal scarring can be distinguished by assessing the parenchymal contours and signal intensity. Characteristic imaging features of renal dysplasia include small size, subcortical cysts, disorganized architecture, decreased and patchy contrast enhancement as well as a dysmorphic pelvicalyceal system. Because of its ability to subdivide and categorize this heterogeneous group of disorders, it seems inevitable that MR urography will replace DMSA renal scintigraphy as the gold standard for assessment of pyelonephritis and renal scarring. MR urography will contribute to our understanding of renal dysplasia and its relationship to reflux nephropathy. (orig.)

  18. Evaluation of reflux nephropathy, pyelonephritis and renal dysplasia

    Energy Technology Data Exchange (ETDEWEB)

    Grattan-Smith, J.D. [Emory University School of Medicine, Children' s Healthcare of Atlanta, Department of Radiology, Atlanta, GA (United States); Children' s Healthcare of Atlanta, Department of Radiology, Atlanta, GA (United States); Little, Stephen B. [Children' s Healthcare of Atlanta, Department of Radiology, Atlanta, GA (United States); Jones, Richard A. [Emory University School of Medicine, Children' s Healthcare of Atlanta, Department of Radiology, Atlanta, GA (United States)

    2008-01-15

    MR urography has the potential to significantly improve our understanding of the relationship between reflux nephropathy, pyelonephritis, vesicoureteric reflux and renal dysplasia. MR urography utilizes multiple parameters to assess both renal anatomy and function and provides a more complete characterization of acquired and congenital disease. Pyelonephritis and renal scarring can be distinguished by assessing the parenchymal contours and signal intensity. Characteristic imaging features of renal dysplasia include small size, subcortical cysts, disorganized architecture, decreased and patchy contrast enhancement as well as a dysmorphic pelvicalyceal system. Because of its ability to subdivide and categorize this heterogeneous group of disorders, it seems inevitable that MR urography will replace DMSA renal scintigraphy as the gold standard for assessment of pyelonephritis and renal scarring. MR urography will contribute to our understanding of renal dysplasia and its relationship to reflux nephropathy. (orig.)

  19. Early pre-eclampsia unmasks underlying IgA nephropathy

    OpenAIRE

    Mona Singh; Akhenaton Pappoe; Burl R Don

    2010-01-01

    Mona Singh, Akhenaton Pappoe, Burl R DonDivision of Nephrology, University of California Davis Medical Center, Sacramento, CA, USAAbstract: Pre-eclampsia is the most ominous complication of pregnancy, and primary glomerular diseases can mimic pre-eclampsia in presentation. A patient presented at 21 weeks gestation with signs and symptoms of both pre-eclampsia and primary glomerular nephropathy. A critical clinical decision whether to continue or terminate the pregnancy was dependent on result...

  20. Endothelial nitric oxide synthase gene haplotypes and diabetic nephropathy among Asian Indians

    DEFF Research Database (Denmark)

    Ahluwalia, Tarun Veer Singh; Ahuja, Monica; Rai, Taranjit Singh

    2008-01-01

    of the constitutive endothelial nitric oxide synthase gene (eNOS) polymorphisms with type 2 diabetic nephropathy. We genotyped three polymorphisms of eNOS (Two SNPs: -786T > C, 894G > T and one 27-bp repeat polymorphism in Intron 4 (27VNTR)) in type 2 diabetic nephropathy patients (cases: n = 195) and type 2 diabetic...... without nephropathy (controls: n = 255), using validated PCR-RFLP assays. We measured serum NO levels in these subjects and examined its correlation with diabetic nephropathy and eNOS genotypes. The frequency of CC (-786T > C), TT (894G > T) and aa genotypes (27VNTR) were significantly higher in diabetic...

  1. C1q Nephropathy: The Unique Underrecognized Pathological Entity

    Directory of Open Access Journals (Sweden)

    Joe Devasahayam

    2015-01-01

    Full Text Available C1q nephropathy is a rare glomerular disease with characteristic mesangial C1q deposition noted on immunofluorescence microscopy. It is histologically defined and poorly understood. Light microscopic features are heterogeneous and comprise minimal change disease (MCD, focal segmental glomerulosclerosis (FSGS, and proliferative glomerulonephritis. Clinical presentation is also diverse, and ranges from asymptomatic hematuria or proteinuria to frank nephritic or nephrotic syndrome in both children and adults. Hypertension and renal insufficiency at the time of diagnosis are common findings. Optimal treatment is not clear and is usually guided by the underlying light microscopic lesion. Corticosteroids are the mainstay of treatment, with immunosuppressive agents reserved for steroid resistant cases. The presence of nephrotic syndrome and FSGS appear to predict adverse outcomes as opposed to favorable outcomes in those with MCD. Further research is needed to establish C1q nephropathy as a universally recognized distinct clinical entity. In this paper, we discuss the current understanding of pathogenesis, histopathology, clinical features, therapeutic options, and outcomes of C1q nephropathy.

  2. Oxidative Stress in Diabetic Nephropathy with Early Chronic Kidney Disease

    Directory of Open Access Journals (Sweden)

    Alejandra Guillermina Miranda-Díaz

    2016-01-01

    Full Text Available The increase in the prevalence of diabetes mellitus (DM and the secondary kidney damage produces diabetic nephropathy (DN. Early nephropathy is defined as the presence of microalbuminuria (30–300 mg/day, including normal glomerular filtration rate (GFR or a mildly decreased GFR (60–89 mL/min/1.73 m2, with or without overt nephropathy. The earliest change caused by DN is hyperfiltration with proteinuria. The acceptable excretion rate of albumin in urine is 300 mg/day. Chronic kidney disease (CKD is characterized by abnormalities in renal function that persist for >3 months with health implications. Alterations in the redox state in DN are caused by the persistent state of hyperglycemia and the increase in advanced glycation end products (AGEs with ability to affect the renin-angiotensin system and the transforming growth factor-beta (TGF-β, producing chronic inflammation and glomerular and tubular hypertrophy and favoring the appearance of oxidative stress. In DN imbalance between prooxidant/antioxidant processes exists with an increase in reactive oxygen species (ROS. The overproduction of ROS diminishes expression of the antioxidant enzymes (manganese superoxide dismutase, glutathione peroxidase, and catalase. The early detection of CKD secondary to DN and the timely identification of patients would permit decreasing its impact on health.

  3. Ichthyosiform mycosis fungoides with alopecia and atypical membranous nephropathy

    Directory of Open Access Journals (Sweden)

    Qiang Zhou

    2011-01-01

    Full Text Available We describe here a rare case of variant of mycosis fungoides (MF: ichthyosiform MF with alopecia and atypical membranous nephropathy. The diagnosis was made based on the following findings: generalized ichthyosis-like eruption, alopecia, enlarged superficial lymph nodes, proteinuria, and hematuria, the histological features of the skin biopsy from both ichthyotic and alopecic lesions with immunohistochemical staining, and the renal biopsy examination with immunofluorescence. The histological examination of ichthyotic and alopecic lesions displayed a predominant infiltration of atypical lymphocytes in the upper dermis with the characteristics of epidermotropism and folliculotropism. Immunohistochemical studies demonstrated that most infiltrated atypical lymphocytes were CD3, CD4, and CD45RO positive, whereas negative for CD5, CD7, CD20, CD30, and CD56. A renal biopsy examination revealed atypical membranous nephropathy with deposition of immunoglobulin G (IgG, IgM, IgA, C1q, and C3. In this case atypical membranous nephropathy was involved, which is very uncommon and has never been presented in the literature to date. Although ichthyosiform MF usually features a relatively favorable course, diffuse alopecia and the renal involvement in this case might indicate aggressive disease and poor prognosis.

  4. An Examination of Long-Term Environmental-Social Dynamics in the Balkans

    Science.gov (United States)

    Kulkarni, C.; Boger, R. A.

    2015-12-01

    This study examines the interactions of environmental and social dynamics in Central Balkans over the past millennium, a period that experienced three major climatic phases (Medieval Climate Anomaly, Little Ice Age, and the warm 20th century). Meanwhile, the same period witnessed a complex human history with the emergence-rise-decline of the Ottoman Empire and subsequent socio-political events (e.g. wars, famines, migrations). Environmental datasets for the analysis include biological proxies (pollen, spores, and charcoal), geochemical signals through X-ray fluorescence (XRF), and a detailed chronology based on AMS 14C dating of two western and central Serbian lakes while social datasets include historic population data, land use, settlement patterns, and critical historic events derived from a review of the literature and local archives. Among the environmental datasets, indigenous tree and herbaceous pollen from these Central Balkans records demonstrate fluctuations in woodland-grassland dynamics whereas potassium and titanium counts obtained through XRF act as a proxy for surface erosion and clastic input into the lakes. Microscopic charcoal, cereal pollen and subordinate anthropogenic pollen (e.g. cultivated fruits and vegetables) are used to distinguish strong human impact over the landscape. These key anthropogenic indicators create a more thorough social component of the analysis in association with the social datasets. After reconstructing the individual time series for each environmental and social dataset, the two Central Balkan records are correlated in order to identify the environmental and social homogeneity and heterogeneity patterns occurring at shorter and longer timescales during the period. Results provide insights on how a region responds to social and environmental stressors and our approach demonstrates ways to integrate natural and social science system research.

  5. Lessons learnt from a sectoral analysis of greenhouse gas mitigation potential in the Balkans

    International Nuclear Information System (INIS)

    Georgopoulou, E.; Mirasgedis, S.; Sarafidis, Y.; 3TS S.A., Agiou Isidorou 1, Athens GR-11471 (Greece))" data-affiliation=" (FACE3TS S.A., Agiou Isidorou 1, Athens GR-11471 (Greece))" >Gakis, N.; 3TS S.A., Agiou Isidorou 1, Athens GR-11471 (Greece))" data-affiliation=" (FACE3TS S.A., Agiou Isidorou 1, Athens GR-11471 (Greece))" >Hontou, V.; 3TS S.A., Agiou Isidorou 1, Athens GR-11471 (Greece))" data-affiliation=" (FACE3TS S.A., Agiou Isidorou 1, Athens GR-11471 (Greece))" >Lalas, D.P.; Steiner, D.; Tuerk, A.; Fruhmann, C.; Pucker, J.

    2015-01-01

    Balkan countries in the process of joining the European Union shall adopt greenhouse gas emissions reduction targets and implement appropriate mitigation policies and measures. This paper presents a simplified methodological framework based on marginal abatement cost curves for estimating the technical and economic mitigation potential at sectoral level (buildings and road transport) in selected Balkan countries. The results of the analysis provide to decision makers useful information regarding the availability of background data, the potential for setting ambitious mitigation targets, and detailed tools for assisting the selection of policies and measures to meet these targets. The analysis performed shows that a significant part of the greenhouse gas emissions abatement potential can be achieved through win–win measures. The incorporation of environmental externalities associated with these interventions, estimated through benefits transfer, further improves the economic performance of these measures, especially in the buildings sector. Moreover, the implementation of these measures is shown to result in positive macroeconomic effects through increases in GDP (gross domestic product) and creation of new jobs. Finally, the rebound effect may restrict the estimated greenhouse gas emission reductions in the buildings of the countries examined due to the low energy performance of the existing building stock. - Highlights: • Analysis of the technical and economic GHG mitigation potential in western Balkans. • Marginal abatement cost curves highlight several win–win interventions. • Incorporation of environmental benefits improves the performance of measures. • Mitigation measures result in significant positive macroeconomic effects. • The investment costs and the rebound effect may influence measures' effectiveness.

  6. THE EU APPROACH TO THE WESTERN BALKANS: A SECURITY OR POLITICAL ISSUE?

    Directory of Open Access Journals (Sweden)

    Ruth FERERRO-TURRIÓN

    2015-12-01

    Full Text Available This paper will focus on the policies developed by the European Union towards the Western Balkans, especially those related to human mobility and visa liberalization. The main target of the paper will be to show how the conditionality policies towards these countries have been developed related to security, geopolitical needs and interests, instead of the objective/technical criteria stated in the communitarian official documents. We will see how the last enlargements of the Union have affected considerably the different positions adopted by member states in their approach toward the Balkan countries, especially in relation to chapters 23 and 24 of the negotiation agreements, dealing with issues of Justice and Home Affairs. Since then, the pragmatic approach of the Union has been reinforced, so that the accession of candidates has been delayed in time. However, some things might change, if we take into consideration the current refugee and Ukraine crises, the new relationships that have been developed with Russia (especially by Serbia, and Greece’s approach towards Moscow on the verge of the economic crisis. If the European Union has, until now, followed a stick-and-carrot approach towards the Balkans in order to maintain a security belt on its southeast border, this approach might change within a new geopolitical context. In this paper we will analyse the visa liberalization process and its developments since Thessaloniki 2003, to show how the decisions taken by the Union have been more linked to political matters related to security than to technical reasons related to passport design.

  7. Informal Patient Payments and Bought and Brought Goods in the Western Balkans – A Scoping Review

    Directory of Open Access Journals (Sweden)

    Sofie Buch Mejsner

    2017-11-01

    Full Text Available Introduction Informal patient payments for healthcare are common in the Western Balkans, negatively affecting public health and healthcare. Aim To identify literature from the Western Balkans on what is known about informal patient payments and bought and brought goods, to examine their effects on healthcare and to determine what actions can be taken to tackle these payments. Methods After conducting a scoping review that involved searching websites and databases and filtering with eligibility criteria and quality assessment tools, 24 relevant studies were revealed. The data were synthesized using a narrative approach that identified key concepts, types of evidence, and research gaps. Results The number of studies of informal patient payments increased between 2002 and 2015, but evidence regarding the issues of concern is scattered across various countries. Research has reported incidents of informal patient payments on a wide scale and has described various patterns and characteristics of these payments. Although these payments have typically been small – particularly to providers in common areas of specialized medicine – evidence regarding bought and brought goods remains limited, indicating that such practices are likely even more common, of greater magnitude and perhaps more problematic than informal patient payments. Only scant research has examined the measures that are used to tackle informal patient payments. The evidence indicates that legalizing informal patient payments, introducing performance-based payment systems, strengthening reporting, changing mentalities and involving the media and the European Union (EU or religious organizations in anti-corruption campaigns are understood as some of the possible remedies that might help reduce informal patient payments. Conclusion Despite comprehensive evidence regarding informal patient payments, data remain scattered and contradictory, implying that informal patient payments are a

  8. The Impact of Tourism on Economic Growth in the Western Balkan Countries: An Empirical Analysis

    Directory of Open Access Journals (Sweden)

    Prof. Dr Nasir Selimi

    2017-06-01

    Full Text Available Purpose: The purpose of this research paper is to empirically analyse the effects of tourism on economic growth in Western Balkan countries (Albania, Bosnia and Herzegovina, Croatia, FYROM, Montenegro and Serbia. Design/Methodology/Approach: The empirical analysis consists of 17-year panel data of 6 countries over the period 1998 to 2014. Several models are analysed using the panel regression econometric techniques. The study investigates the random and fixed effects, as well as individual heterogeneity across those countries. Also, the Hausman Taylor IV estimator is used as the most appropriate model for this analysis. The real income per capita of the sample countries is modelled as dependent on the lagged income per capita, tourist arrivals, tourism receipts, FDI stock, exports and government expenditures. Findings: The estimation results in all types of models, and indicate that tourism has a positive and significant impact on economic growth in the Western Balkan countries. The Hausman Taylor IV model suggests that for every 1% increase of tourist arrivals, the output will increase approximately by 0.08%. Research limitations/implications: Although the Hausman Taylor IV model performs well, the results should be interpreted with caution. The analysis has its limitations; firstly, the total number of observations is relatively small for a panel regression analysis; secondly, the problem of endogenity is not completely avoided. However, the study implies that these countries should enhance efforts for joint tourism sector policies to engender economic sustainability. Originality/Value: To our best knowledge, this is the first attempt of estimating the effects of tourism on economic growth in the Western Balkan countries using the Hausman Taylor IV model.

  9. Informal Patient Payments and Bought and Brought Goods in the Western Balkans – A Scoping Review

    Science.gov (United States)

    Buch Mejsner, Sofie; Eklund Karlsson, Leena

    2017-01-01

    Introduction: Informal patient payments for healthcare are common in the Western Balkans, negatively affecting public health and healthcare. Aim: To identify literature from the Western Balkans on what is known about informal patient payments and bought and brought goods, to examine their effects on healthcare and to determine what actions can be taken to tackle these payments. Methods: After conducting a scoping review that involved searching websites and databases and filtering with eligibility criteria and quality assessment tools, 24 relevant studies were revealed. The data were synthesized using a narrative approach that identified key concepts, types of evidence, and research gaps. Results: The number of studies of informal patient payments increased between 2002 and 2015, but evidence regarding the issues of concern is scattered across various countries. Research has reported incidents of informal patient payments on a wide scale and has described various patterns and characteristics of these payments. Although these payments have typically been small – particularly to providers in common areas of specialized medicine – evidence regarding bought and brought goods remains limited, indicating that such practices are likely even more common, of greater magnitude and perhaps more problematic than informal patient payments. Only scant research has examined the measures that are used to tackle informal patient payments. The evidence indicates that legalizing informal patient payments, introducing performance-based payment systems, strengthening reporting, changing mentalities and involving the media and the European Union (EU) or religious organizations in anti-corruption campaigns are understood as some of the possible remedies that might help reduce informal patient payments. Conclusion: Despite comprehensive evidence regarding informal patient payments, data remain scattered and contradictory, implying that informal patient payments are a complex phenomenon

  10. Patterns of Abundance and Host Specificity of Bat Ectoparasites in the Central Balkans.

    Science.gov (United States)

    Burazerovic, J; Orlova, M; Obradovic, M; Cirovic, D; Tomanovic, S

    2018-01-10

    Bats are hosts to a number of ectoparasites-acarines (ticks, chiggers, other mites), bat flies, and fleas. Bat ectoparasites might have significant ecological and public health importance as they may be potential vectors of zoonotic agents. It is important to identify their distribution, diversity, and host-parasite associations. Bat ectoparasites in the central Balkans have been largely understudied. The present research was conducted in 45 localities at the territory of Bosnia and Herzegovina, former Yugoslav Republic of Macedonia, Montenegro, and Serbia. In total, 1,143 individuals of 18 species of bats have been examined for the presence and abundance of ectoparasite species during 3 yr of research. In total, 21 ectoparasite species have been identified: three species of ticks, seven species of mites (including one species of chigger), eight species of bat flies, and three species of fleas. In total, 80 host-parasite associations have been identified. The largest number of ectoparasites parasitized primarily only one host species. The highest total number of hosts was identified for ectoparasite species Ixodes vespertilionis Koch, Nycteribia schmidlii Schiner, and Spinturnix myoti Kolenati. The spinturnicid mite Spinturnix psi Kolenati was the most abundant ectoparasite species and together with Penicilidia dufouri Westwood the most widely distributed species of bat ectoparasite, being present at 21 localities in the central Balkans. The presented data include the first systematic records of patterns of prevalence, mean intensity, mean abundance, and host specificity for bat ectoparasites in the central Balkans. © The Author(s) 2017. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  11. A SHORT-TERM EVALUATIVE STUDY OF DIABETIC NEPHROPATHY PATIENT

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    A Vaishya

    2012-10-01

    Full Text Available Background: Rising diabetes incidence globally and consequently diabetic nephropathy is a major concern. Being chronic disease patients are continuously monitored. Clinical improvement of major sign/symptoms in short course of therapy may lead to satisfaction of the patient’s that will increase better compliance to the treatment. Objective: To evaluate signs/symptoms and GFR status of diabetic nephropathy patient in short course of treatment therapy and nutritional management Material & Methods: All 170 incident cases of diabetic nephropathy (DN based on glomerular filtration rate and creatinine level registered on pre-fixed dates during May 2007 to May 2010, but 127 followed inclusion criteria. Patients were recorded for demographic, biological & biochemical characteristics and presenting major sign/symptoms at registration time; further, evaluated for presenting sign/symptoms after six months of medicine and dietary intervention. Statistical Analysis: Statistical significance for association was tested by c2 (unrelated samples and McNemar (related samples and for the differences of number of signs/symptoms by Mann Whitney (unrelated samples and Wilcoxon Signed Rank tests (related samples. Results: No statistical association was seen between GFR status and presence of edema/swelling in any part of the body. After six months of treatment and dietary management, the edema/swelling presenting in 69.6% of the cases was found only in 33.3%. Pedal edema was found in 43.1%; while either eye lid or facial swelling was in 12.9% of the cases but after six months of drug treatment and dietary care these were present only in 18.6% and 3.9% cases respectively. GFR status of one third cases also improved after 6 months, while 57.8% were unchanged; very few (9.8% deteriorated. The GFR improvement was more in cases reporting with GFR 60 and above. Conclusion: Though, for the drug compliance and dietary intake patient’s statement was believed, after six

  12. Comparative phylogeography of endemic Azorean arthropods

    DEFF Research Database (Denmark)

    Parmakelis, Aristeidis; Rigal, François; Mourikis, Thanos

    2015-01-01

    Background: For a remote oceanic archipelago of up to 8 Myr age, the Azores have a comparatively low level of endemism. We present an analysis of phylogeographic patterns of endemic Azorean island arthropods aimed at testing patterns of diversification in relation to the ontogeny of the archipelago...

  13. Natural radionuclides content and radioactive series disequilibrium in drinking waters from Balkans region

    International Nuclear Information System (INIS)

    Radenkovic, M.B.; Joksic, J.D.; Jovan Kovacevic

    2015-01-01

    Natural radioactivity of drinking water with various geological origin in Balkans region has been studied. Collected water samples are analyzed for total alpha and total beta activities and specific alpha- and gamma-emitting radionuclides content using low-background proportional counting and alpha and gamma-spectrometry techniques. Obtained activity concentrations of 238 U, 234 U, 235 U, 226 Ra, 232 Th, and 40 K in water samples and radioactive disequilibrium between members of the natural radioactive series, based on the isotopic ratios, has been discussed. (author)

  14. Gamma radiation measurements and dose rate in the region of Central Balkan National Park

    International Nuclear Information System (INIS)

    Kobilarov, Roumen

    2008-01-01

    The natural gamma radiation and 137 Cs deposition in the soils in the region of Central Balkan National Park was measured, using high-resolution gamma ray spectroscopy. The resulting annual effective dose was estimated to be 0,73 mSv, that not exceed the level of 1 mSv adopted as the upper annual dose limit for the population in Bulgaria. The study area is frequented by many tourists of the whole Bulgaria during week-ends and summer and winter holidays

  15. Neolithic anthropocentrism: the principles of imagery and symbolic manifestation of corporeality in the Balkans

    Directory of Open Access Journals (Sweden)

    Goce Naumov

    2010-12-01

    Full Text Available The body in the Neolithic was used as adequate symbolic medium which on the one hand strengthened the crucial features of individuals, while on the other was capable to explicate the essential function of particular objects and constructions. As result to this also the concept of imagery hybridism was deployed which incorporate human body within more complex segments of visual culture and symbolic communication. Considering the variety of human representations it can be deduced that anthropocentrism was one of the main visual principles in the Neolithic Balkans which established corporality as major cognitive reference in explication of human agency and its role in understanding the fundamental symbolic processes.

  16. Building Capacity for Structural Reform in Higher Education of Western Balkan Countries

    OpenAIRE

    Barbareev, Kiril

    2011-01-01

    Core Experts’ Group under the scheme of STREW Project The inaugural meeting of the Core Experts’ Group in the Tempus-funded project, ‘Building Capacity for Structural Reform in Higher Education of Western Balkan Countries’ (STREW), was hosted by the HEA on 16 February 2011. The purpose of the meeting was to progress the first of the key activities comprising the first work package of the project, namely to draft a guidelines/questionnaire for self-evaluation reporting by stakeholders in hi...

  17. Labour Market Institutions in the Western Balkan Countries and their Economic Implications: Evidence for Kosova

    OpenAIRE

    MSc. Anera Alishani; BA. Ariana Shabani; Dr.Sc. Muje Gjonbalaj

    2013-01-01

    Flexicurity as one of the most important priorities of employment policies in the EU and its Member States is considered to be also important for the other states of Central and Eastern Europe, including the Western Balkans. According to European Commission (2007, p.7), flexicurity as a combination of flexibility and security in working arrangements can be suggested as an answer to dynamic changes happening in today’s national and international economies; it is an answer to the EU’s dilemma o...

  18. Comparison of the protein and fatty acid fraction of Balkan donkey and human milk

    OpenAIRE

    Jasmina Gubić; Ivan Milovanović; Mirela Iličić; Jelena Tomić; Aleksandra Torbica; Ljubiša Šarić; Nebojša Ilić

    2015-01-01

    The aim of this study was to compare the protein and fatty acid fractions of Balkan donkey and human milk in the early lactation stage (40 and 90 day). This study revealed that donkey milk contains αs1-casein (1.38-1.89 g/L) and higher concentration of β-casein (0.1-0.55 g/L) in comparison to human milk. The concentration of α-lactalbumin increased during the lactation phases from 40 to 90 days in both types of milk. Donkey milk contained β-lactoglobulin in low concentrations which decreased ...

  19. From globalization to Europeanization-and then? Transnational influences in lesbian activism of the Western Balkans.

    Science.gov (United States)

    Dioli, Irene

    2011-01-01

    The article looks at transnational dynamics in lesbian activism in the Western Balkans, with particular focus on Serbia and Bosnia and Herzegovina, over the last two decades. Based on 30 interviews with activists from local and international feminist, lesbian, gay, bisexual, and transgender (LGBT), and queer organizations, the article discusses the role played by transnational contacts in the development of lesbian activism in the region and the related issues arising within the conflicting relationship between the "East" and the "West," with special attention to trends related to international intervention and cooperation, globalization, and Europeanization.

  20. Lessons from EU conflict prevention efforts in the Western Balkans and the Horn of Africa

    DEFF Research Database (Denmark)

    Rodt, Annemarie Peen; Tvilling, Johannes

    2017-01-01

    ’s ambitions and the realities on the ground. Key lessons identified in comparative case studies of CSDP missions The EU supports its strategic approach towards both the Western Balkans and the Horn of Africa through a series of CSDP deployments focused on strengthening security structures through police...... in these or other regions. Key lessons identified through comparative case studies of EULEX Kosovo and EUCAP Nestor/Somalia relate to the importance of (i) clear mission mandates with concrete benchmarks and verifiable indicators of success, (ii) consistency and predictability of political support from Member...

  1. Twixt Pragmatism and Idealism: British Approaches to the Balkan Policy Revisited (the late 19th/early 20th Century

    Directory of Open Access Journals (Sweden)

    O I Aganson

    2011-09-01

    Full Text Available The purpose of the article is to define how home debates on international issues influence a state's foreign policy. This task was undertaken on the pattern of Britain's policy in the Balkans in the late 19th/early 20th century. The author examines the role played by the radicals (left-wing liberals in formulating Britain's approaches to the Eastern question. It is stated that the interaction between the Foreign Office and the radicals rendered British policy in the Balkans more flexible.

  2. Extract of Adenanthera pavonina L. seed reduces development of diabetic nephropathy in streptozotocin-induced diabetic rats

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    Ramdas Pandhare

    2012-09-01

    Conclusion: These results suggested that APSAE has reduced development of diabetic nephropathy in streptozotocin-induced diabetic rats and could have beneficial effect in reducing the progression of diabetic nephropathy.

  3. A proton nuclear magnetic resonance-based metabonomics study of metabolic profiling in immunoglobulin a nephropathy

    Energy Technology Data Exchange (ETDEWEB)

    Sui, Weiguo; Che, Wenti; Guimai, Zuo; Chen, Jiejing [181st Hospital Guangxi, Central Laboratory, Laboratory of Metabolic Diseases Research, Guangxi Province (China); Li, Liping [Guangxi Normal University, The Life Science College, Guangxi Province (China); Li, Wuxian [Key Laboratory of Laboratory Medical Diagnostics of Education Ministry, Chongqiong Medical University, Chongqing (China); Dai, Yong [Clinical Medical Research Center, the Second Clinical Medical College of Jinan University (Shenzhen People' s Hospital), Shenzhen, Guangdong Province (China)

    2012-07-01

    Objectives: Immunoglobulin A nephropathy is the most common cause of chronic renal failure among primary glomerulonephritis patients. The ability to diagnose immunoglobulin A nephropathy remains poor. However, renal biopsy is an inconvenient, invasive, and painful examination, and no reliable biomarkers have been developed for use in routine patient evaluations. The aims of the present study were to identify immunoglobulin A nephropathy patients, to identify useful biomarkers of immunoglobulin A nephropathy and to establish a human immunoglobulin A nephropathy metabolic profile. Methods: Serum samples were collected from immunoglobulin A nephropathy patients who were not using immunosuppressants. A pilot study was undertaken to determine disease-specific metabolite biomarker profiles in three groups: healthy controls (N = 23), low-risk patients in whom immunoglobulin A nephropathy was confirmed as grades I-II by renal biopsy (N = 23), and high-risk patients with nephropathies of grades IV-V (N = 12). Serum samples were analyzed using proton nuclear magnetic resonance spectroscopy and by applying multivariate pattern recognition analysis for disease classification. Results: Compared with the healthy controls, both the low-risk and high-risk patients had higher levels of phenylalanine, myo-inositol, lactate, L6 lipids ( CH-CH{sub 2}-CH = O), L5 lipids (-CH{sub 2}-C = O), and L3 lipids (-CH{sub 2}-CH{sub 2}-C = O) as well as lower levels of {beta}-glucose, {alpha}-glucose, valine, tyrosine, phosphocholine, lysine, isoleucine, glycerolphosphocholine, glycine, glutamine, glutamate, alanine, acetate, 3-hydroxybutyrate, and 1-methylhistidine. Conclusions: These metabolites investigated in this study may serve as potential biomarkers of immunoglobulin A nephropathy. Point scoring of pattern recognition analysis was able to distinguish immunoglobulin A nephropathy patients from healthy controls. However, there were no obvious differences between the low-risk and high

  4. A proton nuclear magnetic resonance-based metabonomics study of metabolic profiling in immunoglobulin a nephropathy

    International Nuclear Information System (INIS)

    Sui, Weiguo; Che, Wenti; Guimai, Zuo; Chen, Jiejing; Li, Liping; Li, Wuxian; Dai, Yong

    2012-01-01

    Objectives: Immunoglobulin A nephropathy is the most common cause of chronic renal failure among primary glomerulonephritis patients. The ability to diagnose immunoglobulin A nephropathy remains poor. However, renal biopsy is an inconvenient, invasive, and painful examination, and no reliable biomarkers have been developed for use in routine patient evaluations. The aims of the present study were to identify immunoglobulin A nephropathy patients, to identify useful biomarkers of immunoglobulin A nephropathy and to establish a human immunoglobulin A nephropathy metabolic profile. Methods: Serum samples were collected from immunoglobulin A nephropathy patients who were not using immunosuppressants. A pilot study was undertaken to determine disease-specific metabolite biomarker profiles in three groups: healthy controls (N = 23), low-risk patients in whom immunoglobulin A nephropathy was confirmed as grades I-II by renal biopsy (N = 23), and high-risk patients with nephropathies of grades IV-V (N = 12). Serum samples were analyzed using proton nuclear magnetic resonance spectroscopy and by applying multivariate pattern recognition analysis for disease classification. Results: Compared with the healthy controls, both the low-risk and high-risk patients had higher levels of phenylalanine, myo-inositol, lactate, L6 lipids ( CH-CH 2 -CH = O), L5 lipids (-CH 2 -C = O), and L3 lipids (-CH 2 -CH 2 -C = O) as well as lower levels of β-glucose, α-glucose, valine, tyrosine, phosphocholine, lysine, isoleucine, glycerolphosphocholine, glycine, glutamine, glutamate, alanine, acetate, 3-hydroxybutyrate, and 1-methylhistidine. Conclusions: These metabolites investigated in this study may serve as potential biomarkers of immunoglobulin A nephropathy. Point scoring of pattern recognition analysis was able to distinguish immunoglobulin A nephropathy patients from healthy controls. However, there were no obvious differences between the low-risk and high-risk groups in our research

  5. A proton nuclear magnetic resonance-based metabonomics study of metabolic profiling in immunoglobulin a nephropathy

    Directory of Open Access Journals (Sweden)

    Weiguo Sui

    2012-01-01

    Full Text Available OBJECTIVES: Immunoglobulin A nephropathy is the most common cause of chronic renal failure among primary glomerulonephritis patients. The ability to diagnose immunoglobulin A nephropathy remains poor. However, renal biopsy is an inconvenient, invasive, and painful examination, and no reliable biomarkers have been developed for use in routine patient evaluations. The aims of the present study were to identify immunoglobulin A nephropathy patients, to identify useful biomarkers of immunoglobulin A nephropathy and to establish a human immunoglobulin A nephropathy metabolic profile. METHODS: Serum samples were collected from immunoglobulin A nephropathy patients who were not using immunosuppressants. A pilot study was undertaken to determine disease-specific metabolite biomarker profiles in three groups: healthy controls (N = 23, low-risk patients in whom immunoglobulin A nephropathy was confirmed as grades I-II by renal biopsy (N = 23, and high-risk patients with nephropathies of grades IV-V (N = 12. Serum samples were analyzed using proton nuclear magnetic resonance spectroscopy and by applying multivariate pattern recognition analysis for disease classification. RESULTS: Compared with the healthy controls, both the low-risk and high-risk patients had higher levels of phenylalanine, myo-Inositol, lactate, L6 lipids ( = CH-CH2-CH = O, L5 lipids (-CH2-C = O, and L3 lipids (-CH2-CH2-C = O as well as lower levels of β -glucose, α-glucose, valine, tyrosine, phosphocholine, lysine, isoleucine, glycerolphosphocholine, glycine, glutamine, glutamate, alanine, acetate, 3-hydroxybutyrate, and 1-methylhistidine. CONCLUSIONS: These metabolites investigated in this study may serve as potential biomarkers of immunoglobulin A nephropathy. Point scoring of pattern recognition analysis was able to distinguish immunoglobulin A nephropathy patients from healthy controls. However, there were no obvious differences between the low-risk and high-risk groups in our

  6. A network meta-analysis on randomized trials focusing on the preventive effect of statins on contrast-induced nephropathy

    DEFF Research Database (Denmark)

    Peruzzi, Mariangela; De Luca, Leonardo; Thomsen, Henrik S

    2014-01-01

    Contrast-induced nephropathy is a common complication of iodinated contrast administration. Statins may reduce the risk of contrast-induced nephropathy, but data remain inconclusive. We summarized the evidence based on statins for the prevention of contrast-induced nephropathy with a network meta...

  7. Reduction in albuminuria predicts a beneficial effect on diminishing the progression of human diabetic nephropathy during antihypertensive treatment

    DEFF Research Database (Denmark)

    Rossing, P; Hommel, E; Smidt, U M

    1994-01-01

    Diabetic nephropathy is the main cause of increased mortality and morbidity in IDDM patients. The effect of antihypertensive treatment on the progression of the nephropathy is highly variable. The aim of this study was to evaluate putative predictors of the progression in diabetic nephropathy dur...

  8. Risk HLA-DQA1 and PLA(2)R1 alleles in idiopathic membranous nephropathy

    NARCIS (Netherlands)

    Stanescu, H.C.; Arcos-Burgos, M.; Medlar, A.; Bockenhauer, D.; Kottgen, A.; Dragomirescu, L.; Voinescu, C.; Patel, N.; Pearce, K.; Hubank, M.; Stephens, H.A.; Laundy, V.; Padmanabhan, S.; Zawadzka, A.; Hofstra, J.M.; Coenen, M.J.H.; Heijer, M. den; Kiemeney, L.A.L.M.; Bacq-Daian, D.; Stengel, B.; Powis, S.H.; Brenchley, P.; Feehally, J.; Rees, A.J.; Debiec, H.; Wetzels, J.F.M.; Ronco, P.; Mathieson, P.W.; Kleta, R.

    2011-01-01

    BACKGROUND: Idiopathic membranous nephropathy is a major cause of the nephrotic syndrome in adults, but its etiologic basis is not fully understood. We investigated the genetic basis of biopsy-proven cases of idiopathic membranous nephropathy in a white population. METHODS: We performed independent

  9. Glucagon secretion is increased in patients with Type 2 diabetic nephropathy.

    Science.gov (United States)

    Wang, Xiaoyu; Yang, Juhong; Chang, Baocheng; Shan, Chunyan; Xu, Yanguang; Zheng, Miaoyan; Wang, Ying; Ren, Huizhu; Chen, Liming

    2016-04-01

    Currently little is known about the relationship between renal function, albuminuria and glucagon; we analyzed the secretion of glucagon (GLA) and C-peptide in Type 2 diabetic patients with different degrees of nephropathy. 357 patients with Type 2 diabetes including 119 cases without nephropathy and 238 cases with nephropathy were divided into four groups according to the stages of diabetic nephropathy. Patients with diabetic nephropathy were further classified according to the level of estimated glomerular filtration rate (eGFR). OGTT and insulin, C-peptide, glucagon releasing tests were performed in all patients. Characteristics of glucagon and C-peptide secretion in different groups were compared. Glucagon/glucose ratio (GLA/GLU) and glucagon/insulin ratio (GLA/INS) were used to represent the inhibition of glucose or insulin on glucagon secretion, respectively. With the progress of diabetic nephropathy, glucagon level increased significantly; the glucagon peak after glucose load delayed from 60 min to 120 min, whereas C-peptide level decreased significantly. Related factors analysis suggested that glucagon was independently correlated with eGFR. Further analysis showed that glucagon level was higher in group with eGFRPatients with Type 2 diabetic nephropathy have worsened islet alpha and beta cell function. Therefore medications based on the regulation of glucagon secretion may improve glycemic control and also be beneficial for delaying the progress of diabetic nephropathy. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Kidney function after withdrawal of long-term antihypertensive treatment in diabetic nephropathy

    DEFF Research Database (Denmark)

    Hansen, H P; Nielsen, F S; Rossing, P

    1997-01-01

    decline in GFR after initiating antihypertensive treatment in hypertensive NIDDM patients with diabetic nephropathy is due to a irreversible effect, and should be accounted for when evaluating the beneficial effect of antihypertensive treatment on the progression of diabetic nephropathy in these patients....

  11. Canine hereditary nephropathies : Molecular genetic studies in Norwegian Elkhounds and English Cocker Spaniels

    NARCIS (Netherlands)

    Wiersma, A.C.

    2007-01-01

    Hereditary nephropathies have been described in a variety of dog breeds. The causative mutation has been identified in a minority of canine renal diseases, and these provide useful animal models to study in order to gain knowledge on human nephropathies. In this thesis, canine hereditary

  12. The Oxford classification of IgA nephropathy: rationale, clinicopathological correlations, and classification

    NARCIS (Netherlands)

    Cattran, Daniel C.; Coppo, Rosanna; Cook, H. Terence; Feehally, John; Roberts, Ian S. D.; Troyanov, Stéphan; Alpers, Charles E.; Amore, Alessandro; Barratt, Jonathan; Berthoux, Francois; Bonsib, Stephen; Bruijn, Jan A.; D'Agati, Vivette; D'Amico, Giuseppe; Emancipator, Steven; Emma, Francesco; Ferrario, Franco; Fervenza, Fernando C.; Florquin, Sandrine; Fogo, Agnes; Geddes, Colin C.; Groene, Hermann-Josef; Haas, Mark; Herzenberg, Andrew M.; Hill, Prue A.; Hogg, Ronald J.; Hsu, Stephen I.; Jennette, J. Charles; Joh, Kensuke; Julian, Bruce A.; Kawamura, Tetsuya; Lai, Fernand M.; Leung, Chi Bon; Li, Lei-Shi; Li, Philip K. T.; Liu, Zhi-Hong; Mackinnon, Bruce; Mezzano, Sergio; Schena, F. Paolo; Tomino, Yasuhiko; Walker, Patrick D.; Wang, Haiyan; Weening, Jan J.; Yoshikawa, Nori; Zhang, Hong

    2009-01-01

    IgA nephropathy is the most common glomerular disease worldwide, yet there is no international consensus for its pathological or clinical classification. Here a new classification for IgA nephropathy is presented by an international consensus working group. The goal of this new system was to

  13. Comparison of Satellite NO2 Observations with High Resolution Model Simulations over the Balkan Peninsula

    International Nuclear Information System (INIS)

    Zyrichidou, I.; Koukouli, M. E.; Balis, D. S.; Katragkou, E.; Poupkou, A.; Kioutsioukis, I.; Markakis, K.; Melas, D.; van der A., R.; Boersma, F. K.; Roozendael, M. van

    2010-01-01

    High resolution model estimations of tropospheric NO 2 column amounts from the Comprehensive Air Quality Model (CAMx) were simulated for the Balkan Peninsula and were compared with satellite data for a period of one year, in order to study the characteristics of the spatial and temporal variability of pollution in the area. The Balkan area is considered a crossroad of different pollution sources and therefore has been divided in urban, industrial and rural regions, aiming to investigate the consistency of satellite retrievals and model predictions at high spatial resolution. Satellite measurements of tropospheric NO 2 are available daily at 13:30 LT since 2004 from OMI/Aura with a resolution of 13x24 km. The anthropogenic emissions used in CAMx for the domain under study, was compiled employing bottom-up approaches (road transport sector, off-road machinery) as well as other national registries and international databases. High resolution GIS maps (road network, landuses, population) were also used in order to achieve high spatial resolution. In most of the cases the model reveals similar spatial patterns with the satellite data, while over certain areas discrepancies were found and investigated.

  14. Serbia, the Serbo-Albanian conflict and the First Balkan War

    Directory of Open Access Journals (Sweden)

    Bataković Dušan T.

    2014-01-01

    Full Text Available After the restoration of Serbia in 1830, the areas of medieval Serbia left out of her borders were dubbed Old Serbia - Kosovo, Metohija, Rascia (the former sanjak of Novi Pazar and the neighbouring areas. Old Serbia (from 1877 onwards the vilayet of Kosovo was dominated by local Albanian pashas, whereas the Christian Orthodox Serbs and their villages were attacked and pillaged by Muslim Albanian brigands. The religious antagonism between Muslims and Christians expanded into national conflict after the 1878 Albanian League had claimed the entire “Old Serbia for Greater Albania”. The position of Christian Orthodox Serbs, who accounted for a half of the population at the end of the nineteenth century, was dramatically aggravated due to Muslim Albanians' tribal anarchy, Austria-Hungary's pro-Albanian agitation and, after 1908, frequent Albanian rebellions. All efforts of Serbia to reach a peaceful agreement with Muslim Albanian leaders in Old Serbia before the First Balkan War had ended in failure. The First Balkan War was the most popular war in Serbia’s history as it was seen as avenging the 1389 Battle of Kosovo which had sealed the Ottoman penetration into the Serbian lands. In October 1912, Serbia liberated most of Old Serbia, while Montenegro took possesion of half of the Rascia area and the whole of Metohija. While the decimated and discriminated Serb population greeted the Serbian and Montenegrin troops as liberators, most Albanians, who had sided with the Ottomans, saw the establishment of Serbian rule as occupation.

  15. The Determinants of Capital Structure: Evidence from Listed Companies in Balkan Countries

    Directory of Open Access Journals (Sweden)

    Ajla Ngjeliu

    2018-03-01

    Full Text Available As most of the empirical literature regarding the determinants of capital structure relies on developed economies, this study contributes to the existing literature by looking at listed companies in the Balkan region. It investigates 760 companies over a 6-year period from 2007 to 2013 using a random effect model. The leverage is specified as a function of firm-specific characteristics, and the results are in line with previous empirical studies. Respectively, it is seen that a positive correlation is significant for size, while a negative one is found for profitability. Observing the decomposition of leverage, it can be assessed that the Balkan companies rely mostly on short-term debt. Furthermore, this study aims and finds significant differences between the determinants of capital structure of the companies established in EU and those in non-EU countries. The z-score indicated that when looking at the total debt ratio there is only one determinant which is statically significant.

  16. Anti-vaccinationists and their arguments in the Balkan countries that share the same language

    Directory of Open Access Journals (Sweden)

    Radovanović Zoran

    2017-01-01

    Full Text Available The objective has been an analysis of anti-vaccination situation in the language-related Balkan countries. Mass and organized opposition to vaccination in this part of the world is a relatively recent phenomenon. It has been an offshoot of the respective ideas from the West, associated with New Ageism, postmodernism, and similar worldviews, but particularly beefed up by MMR (measles, mumps, and rubella vaccine fear in the late 1990s. The four key local leaders from four countries have been selected to represent the whole diversity of the Balkan anti-vaccination scene. Each of them exerts his/her influence throughout the region. The result is that vaccination coverage has substantially decreased in many areas. Outbreaks of vaccine-preventable diseases that have to follow sooner or later would eventually, at least temporarily, bring a blow to the credibility of anti-vaccinationists. We already witnessed such a trend in Bosnia and Herzegovina where vaccines were not readily available during the Bosnian wars in 1990s. As a result, major epidemics of measles, mumps, and rubella recently took place all over the country. A dynamic balance between the influence of anti-vaccination movement and the incidence of diseases, characterized by an inverse relationship (the more damaging impact of vaccine opponents on public health, the more cases of diseases, and vice versa has been a pattern that health services have to deal with.

  17. Strategic Interests of Germany in the Balkans at the Turn of 20-21 Centuries

    Directory of Open Access Journals (Sweden)

    Andrey Latkov

    2014-01-01

    Full Text Available After the reunification of Germany and the transition of some countries of central and Eastern Europe under the control of the West, radical changes in the European political system have occurred. Germany turned into a powerful state and began to provide the strategy for independent foreign policy, in which the regional policy in the Balkans, Caucasus and Middle East took the significant place. Germany tried to expand its influence to the countries of Balkan Peninsula, in alliance with Austria-Hungary against Russia, as well as in the beginning of 21st century. However, in the end of 20th century, after several failures in the foreign policy, Germany turned to Russia. Despite its expansionist policy, Germany had to coordinate every step with international organizations or even transfer them issues of conflict resolution in the region. Constantly competing with its allies (mainly the U.S. and UK, Germany was trying to build its foreign policy strategy in the way of increasing its influence in the strategically important region.

  18. The Role of the EU as a Peacebuilder in the Western Balkans

    Directory of Open Access Journals (Sweden)

    Gentjan Skara

    2014-12-01

    Full Text Available After the Cold War, the Western Balkan countries have become an important laboratory for the EU, able to exert its EU crises management and transformative power. Through restoring stability in the region, overcoming ethno–territorial and inter–ethnic conflicts, improving regional cooperation, consolidating democracy, building democratic institutions and promoting market economy, EU’s goal was to make war unthinkable in this region. Referring to the definition of peacebuilding as ‘action to identify and support structures which tend to strengthen and solidify peace to avoid a relapse into conflicts’, this paper tries to explore whether, how and to what extent, EU has contributed as a peacebuilder in the Western Balkans, using crises management operations and mission and enlargement policy. It argues that both these instruments can be considered equally relevant as, on the one hand they create favourable conditions for lasting peace, security and stability in the region and on the other hand, through enlargement policy they push this region towards political and institutional reform, economic reforms and regional cooperation.

  19. Using Natural Sciences for Cultural Expansion: The National Socialist Agenda for the Balkans

    Directory of Open Access Journals (Sweden)

    Maria Zarifi

    2008-11-01

    Full Text Available This article highlights the political merit natural sciences were awarded under the totalitarian regime of Nazi Germany and their propagandistic role in Hitler's foreign policy agenda for the Balkans, a region which was expected to replace Germany's colonies lost in World War I. It accounts further for the policies and strategies National Socialists used to exert cultural influence on the countries of South-East Europe, namely through a number of institutions with which natural sciences were in one way or another involved in order to promote German culture abroad. The promotion of the German language and, to a certain degree, the Nazi ideology was a precondition for familiarising the Balkan countries with German scientific achievements, which would pave the way for an economic and political infiltration in that region. Therefore, natural sciences, as part of the German intellect, acquired political and economic connotations hidden behind the euphemistic term of cultural policy, designed for this region of geopolitical importance. The article is based almost exclusively on unpublished German records.

  20. Physical self-concept of adolescents in Western Balkan countries: a pilot study.

    Science.gov (United States)

    Janić, Snežana Radisavljević; Jurak, Gregor; Milanović, Ivana; Lazarević, Dušanka; Kovač, Marjeta; Novak, Dario

    2014-10-01

    The aim of this study was to explore physical self-concept of adolescents of the Western Balkans (Serbia, Slovenia, Croatia, and Bosnia and Herzegovina) according to sex and country. The participants were 2,606 students, ages 13 and 14 years (M = 13.5, SD = 0.9). The Physical Self-Description Questionnaire (PSDQ) was used to assess multidimensional physical self-concept. The results show the interaction of sex and country for three dimensions of physical self-concept (Appearance, Global Physical Self-Concept, and Self-Esteem). It was shown that female and male adolescents' perception of physical appearance, self-esteem, and global physical self-concept is more susceptible to influences of socio-cultural factors in the monitored countries. In all other dimensions of Physical self-concept, sex differences were consistently manifested in favour of male adolescents, except in Flexibility. Regardless of adolescents' sex, under the increasing influence of Western culture in the Western Balkan countries, adolescents more critically evaluate their body and motor abilities.

  1. Delimiting areas of endemism through kernel interpolation.

    Science.gov (United States)

    Oliveira, Ubirajara; Brescovit, Antonio D; Santos, Adalberto J

    2015-01-01

    We propose a new approach for identification of areas of endemism, the Geographical Interpolation of Endemism (GIE), based on kernel spatial interpolation. This method differs from others in being independent of grid cells. This new approach is based on estimating the overlap between the distribution of species through a kernel interpolation of centroids of species distribution and areas of influence defined from the distance between the centroid and the farthest point of occurrence of each species. We used this method to delimit areas of endemism of spiders from Brazil. To assess the effectiveness of GIE, we analyzed the same data using Parsimony Analysis of Endemism and NDM and compared the areas identified through each method. The analyses using GIE identified 101 areas of endemism of spiders in Brazil GIE demonstrated to be effective in identifying areas of endemism in multiple scales, with fuzzy edges and supported by more synendemic species than in the other methods. The areas of endemism identified with GIE were generally congruent with those identified for other taxonomic groups, suggesting that common processes can be responsible for the origin and maintenance of these biogeographic units.

  2. Delimiting areas of endemism through kernel interpolation.

    Directory of Open Access Journals (Sweden)

    Ubirajara Oliveira

    Full Text Available We propose a new approach for identification of areas of endemism, the Geographical Interpolation of Endemism (GIE, based on kernel spatial interpolation. This method differs from others in being independent of grid cells. This new approach is based on estimating the overlap between the distribution of species through a kernel interpolation of centroids of species distribution and areas of influence defined from the distance between the centroid and the farthest point of occurrence of each species. We used this method to delimit areas of endemism of spiders from Brazil. To assess the effectiveness of GIE, we analyzed the same data using Parsimony Analysis of Endemism and NDM and compared the areas identified through each method. The analyses using GIE identified 101 areas of endemism of spiders in Brazil GIE demonstrated to be effective in identifying areas of endemism in multiple scales, with fuzzy edges and supported by more synendemic species than in the other methods. The areas of endemism identified with GIE were generally congruent with those identified for other taxonomic groups, suggesting that common processes can be responsible for the origin and maintenance of these biogeographic units.

  3. Environmental Monitoring of Endemic Cholera

    Science.gov (United States)

    ElNemr, W.; Jutla, A. S.; Constantin de Magny, G.; Hasan, N. A.; Islam, M.; Sack, R.; Huq, A.; Hashem, F.; Colwell, R.

    2012-12-01

    Cholera remains a major public health threat. Since Vibrio cholerae, the causative agent of the disease, is autochthonous to riverine, estuarine, and coastal waters, it is unlikely the bacteria can be eradicated from its natural habitat. Prediction of disease, in conjunction with preventive vaccination can reduce the prevalence rate of a disease. Understanding the influence of environmental parameters on growth and proliferation of bacteria is an essential first step in developing prediction methods for outbreaks. Large scale geophysical variables, such as SST and coastal chlorophyll, are often associated with conditions favoring growth of V. cholerae. However, local environmental factors, meaning biological activity in ponds from where the bulk of populations in endemic regions derive water for daily usage, are either neglected or oversimplified. Using data collected from several sites in two geographically distinct locations in South Asia, we have identified critical local environmental factors associated with cholera outbreak. Of 18 environmental variables monitored for water sources in Mathbaria (a coastal site near the Bay of Bengal) and Bakergonj (an inland site) of Bangladesh, water depth and chlorophyll were found to be important factors associated with initiation of cholera outbreaks. Cholera in coastal regions appears to be related to intrusion. However, monsoonal flooding creates conditions for cholera epidemics in inland regions. This may be one of the first attempts to relate in-situ environmental observations with cholera. We anticipate that it will be useful for further development of prediction models in the resource constrained regions.

  4. The influence of climate change to European Lakes, with a special emphasis in the Balkan Region

    International Nuclear Information System (INIS)

    Kuusisto, Esko

    2004-01-01

    There are almost one and half million lakes in Europe, if small water bodies with an area down to 0.001 km 2 are included. The total area of lakes is over 200.000 km 2 , in addition the man-made reservoirs cover almost 100.000 km 2 . The largest lakes are located in the zone extending from southwestern Sweden through Finland to Russia, but there are many important lakes also in central and southern Europe. The Balkan countries have altogether about ten thousand lakes with a total area of over 4000 km 2 and total volume of almost loo km 3 . Over half of the total volume is in Lake Ohrid, which ranks the seventh in Europe both as to the volume and as to the maximum depth. However, there are around thirty lakes in Europe with their surface area larger than that of Lake Ohrid. In addition to the lakes, the Balkan countries also have thousands of reservoirs with a total water storage capacity of over 50 km 3 . The response of European lakes to climate change can be discussed by dividing the lakes into five categories: 1) deep temperate lakes, 2) shallow temperate lakes, 3) mountain lakes, 4) boreal lakes and 5) arctic lakes. The lakes in the Balkan region fall belong into the first three categories. Most of the deep temperate lakes are warm monomictic; convective overturn occurs in winter or early spring. The future climate change may suppress this overturn, giving these lakes the classification of oligomictic. This implies the enhancement of anoxic bottom conditions and an increased risk of eutrophication. The oxygen conditions can also be expected to deteriorate due to increased bacterial activity in deep waters and superficial bottom sediment. In shallow temperate lakes, higher water temperatures in the future will induce intensified primary production and bacterial decomposition. The probability of harmful extreme events, e.g. the mass production of algae, will increase. The impacts may extend to fishing and recreational use. In lakes with relatively long water

  5. The Influence of Ethnicity and Displacement on Quality of Antenatal Care: The Case of Roma, Ashkali, and Balkan Egyptian Communities in Kosovo.

    Science.gov (United States)

    Stojanovski, Kristefer; Holla, Alaka; Hoxha, Ilir; Howell, Elizabeth; Janevic, Teresa

    2017-12-01

    The conflict in Kosovo created mass displacement and a fractured health system. Roma, Ashkali, and Balkan Egyptian communities are particularly vulnerable to discrimination and exclusion from institutions. We aimed to examine Roma, Ashkali, and Balkan Egyptian disparities in quantity and quality of antenatal care received. We conducted a cross-sectional study in August 2012 with 603 women aged 15 or older who had given birth in the previous two years. We measured quantity of antenatal care using number of visits and quality of care using antenatal checklists. We used linear regression with interaction terms of displacement and type of health institution (for example, Serbian or Kosovar) to assess ethnic disparities in antenatal care. Women from Roma, Ashkali, and Balkan Egyptian communities received poorer quantity and quality of antenatal care compared to Kosovar Albanian and Serbian women. In adjusted models, Roma, Ashkali, and Balkan Egyptian women scored 3.5 points lower [95% CI (-5.2, -1.8)] on the checklists. Roma, Ashkali, and Balkan Egyptian women who were displaced received even poorer quality of care. Ethnic disparities exist in quality of antenatal care. Women from Roma, Ashkali, and Balkan Egyptian communities receive the poorest quality of services. As Kosovo strives to build a multiethnic health care system, a focus on equity is important to ensure the right to health for Roma, Ashkali, and Balkan Egyptian women.

  6. Nephropathy in type 1 diabetes is associated with increased circulating activated platelets and platelet hyperreactivity

    DEFF Research Database (Denmark)

    Tarnow, Inge; Michelson, Alan D.; Barnard, Marc R.

    2009-01-01

    Patients with diabetes mellitus (DM) have increased platelet activation compared to non-diabetic controls. Platelet hyperreactivity has been associated with adverse cardiovascular outcomes in Type 2 DM, and with diabetic nephropathy. We investigated the relationship between platelet activation......, is associated with circulating activated platelets and platelet hyperreactivity to ADP, despite the confounding variable of more nephropathy patients receiving aspirin. This platelet activation is likely to contribute to the known increased risk of cardiovascular events in patients with diabetic nephropathy...... and nephropathy in Type 1 DM. Patients with Type 1 DM and diabetic nephropathy (n = 35), age- and sex-matched Type 1 DM patients with persistent normoalbuminuria (n = 51), and healthy age- and sex-matched controls (n = 30) were studied. Platelet surface P-selectin, platelet surface activated GPIIb/IIIa, monocyte...

  7. Determinants of Intravascular Resistance in Indian Diabetic Nephropathy Patients: A Hospital-Based Study

    Directory of Open Access Journals (Sweden)

    Anubhav Thukral

    2011-01-01

    Full Text Available Aims and Objectives. Metabolic dysregulation has failed to explain clinical variability of patients with diabetic nephropathy and hence a renewed interest emerged in haemodynamic factors as determinant of progression and development of diabetic nephropathy. We therefore studied for various factors which can correlate with raised renal vascular resistance in diabetic nephropathy. Material and Methods. Renal vascular resistance was measured in patients with established and incipient diabetic nephropathy and compared with controls using noninvasive color Doppler examinations of intrarenal vasculature. Results. Renal vascular resistance correlated with age, duration of disease, GFR, serum creatinine, and stage of retinopathy. Renal vascular resistance was significantly reduced in patients on treatment with RAAS inhibitors and insulin, than those on OHA and antihypertensives other than RAAS inhibitors. Conclusion. The study implies that renal vascular resistance may help identify diabetics at high risk of developing nephropathy, and these set of patients could be candidates for RAAS inhibition and early insulin therapy even in patients without albuminuria.

  8. Effect of pregnancy on diabetic nephropathy and retinopathy

    International Nuclear Information System (INIS)

    Irfan, S.; Arain, M.; Shahid, A.; Shaukat, A.

    2004-01-01

    Objective: To determine whether pregnancy worsens renal function in women with diabetic nephropathy and the effect of pregnancy on diabetic retinopathy. Subject and Methods: Thirty-five patients (aged 20-36 years) identified with diabetic nephropathy and moderate to severe renal dysfunction (creatinine Cr) - > 1.4 mg/dl) at pregnancy onset by retrospective chart review. Alterations in glomerular filtration rate (GFR) were estimated. An equal number of non-pregnant premenopausal type I diabetic women with similar degrees of renal dysfunction served as controls for non-pregnant rate of decline of renal function and potential contributing factors. Student's t-test and repeated measures analysis of variance were analyzed. Results: Mean serum Cr rose from 1.8 mg/dl pre pregnancy to 2.5 mg/dl in the third trimester. Renal function was stable in 27%, showed transient worsening in pregnancy in 27%, and demonstrated a permanent decline in 45%. Proteinuria increased in pregnancy in 79%. Exacerbation of hypertension or pre-eclampsia occurred in 73% and 71% of these showed acceleration of disease during the pregnancy. All the patients had diabetic retinopathy, though proliferative retinopathy was diagnosed and treated in only 54.5.% pre pregnancy. The retinopathy progressed, requiring laser therapy, in 45.4%. Macular edema was noted in 6 of the patients. Other diabetic complications included peripheral and autonomic neuropathy in 8 patients. Conclusion: Pregnancy induced progression is seen in the decline of renal functions. Patients with diabetic nephropathy were found to have a > 40% chance of accelerated progression of their disease as a result of pregnancy. Forty-five percent of the patients had permanent decline in GFR in association with pregnancy. (author)

  9. Renal iron overload in rats with diabetic nephropathy.

    Science.gov (United States)

    Dominguez, Jesus H; Liu, Yunlong; Kelly, Katherine J

    2015-12-01

    Diabetic nephropathy (DN) remains incurable and is the main cause of end-stage renal disease. We approached the pathophysiology of DN with systems biology, and a comprehensive profile of renal transcripts was obtained with RNA-Seq in ZS (F1 hybrids of Zucker and spontaneously hypertensive heart failure) rats, a model of diabetic nephropathy. We included sham-operated lean control rats (LS), sham-operated diabetic (DS), and diabetic rats with induced renal ischemia (DI). Diabetic nephropathy in DI was accelerated by the single episode of renal ischemia. This progressive renal decline was associated with renal iron accumulation, although serum and urinary iron levels were far lower in DI than in LS. Furthermore, obese/diabetic ZS rats have severe dyslipidemia, a condition that has been linked to hepatic iron overload. Hence, we tested and found that the fatty acids oleic acid and palmitate stimulated iron accumulation in renal tubular cells in vitro. Renal mRNAs encoding several key proteins that promote iron accumulation were increased in DI. Moreover, renal mRNAs encoding the antioxidant proteins superoxide dismutase, catalase, and most of the glutathione synthetic system were suppressed, which would magnify the prooxidant effects of renal iron loads. Substantial renal iron loads occur in obese/diabetic rats. We propose that in diabetes, specific renal gene activation is partly responsible for iron accumulation. This state might be further aggravated by lipid-stimulated iron uptake. We suggest that progressive renal iron overload may further advance renal injury in obese/diabetic ZS rats. © 2015 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of the American Physiological Society and The Physiological Society.

  10. Population densities and habitat use of the golden jackal (Canis aureus) in farmlands across the Balkan Peninsula

    Czech Academy of Sciences Publication Activity Database

    Šálek, Martin; Červinka, J.; Banea, O. C.; Krofel, M.; Ćirović, D.; Selanec, I.; Penezić, A.; Grill, S.; Riegert, J.

    2014-01-01

    Roč. 60, č. 2 (2014), s. 193-200 ISSN 1612-4642 Institutional support: RVO:68081766 Keywords : Golden jackal * Acoustic monitoring * Population density * Habitat use * GIS * Farmland * Balkan Peninsula Subject RIV: EG - Zoology Impact factor: 1.634, year: 2014

  11. Contrasting evolutionary histories of the legless lizards slow worms (Anguis) shaped by the topography of the Balkan Peninsula

    Czech Academy of Sciences Publication Activity Database

    Jablonski, D.; Jandzik, D.; Mikulíček, P.; Džukić, G.; Ljubisavljević, K.; Tzankov, N.; Jelić, D.; Thanou, E.; Moravec, J.; Gvoždík, Václav

    2016-01-01

    Roč. 16, č. 1 (2016), č. článku 99. ISSN 1471-2148 Institutional support: RVO:68081766 Keywords : Anguidae * Squamata * phylogeography * biogeography * speciation * contact zones * microrefugia * Balkan mountains Subject RIV: EG - Zoology Impact factor: 3.221, year: 2016

  12. Deliverable 5.2 Study report on consumer motivations and behaviours for fruits and fruit products in the Balkans

    NARCIS (Netherlands)

    Sijtsema, S.J.; Snoek, H.M.

    2010-01-01

    It is unclear whether fruit consumption in Western Balkan countries (WBC) meets recommended levels from a health perspective. A better understanding consumers' perception of health and motives and barriers of fruit is necessary to get insight in the fruit consumption. The aim of WP 5 is therefore to

  13. Mitochondrial phylogeography of the European ground squirrel, Spermophilus citellus, yields evidence on refugia for steppic taxa in the southern Balkans

    Czech Academy of Sciences Publication Activity Database

    Kryštufek, B.; Bryja, Josef; Bužan, E. V.

    2009-01-01

    Roč. 103, č. 2 (2009), s. 129-135 ISSN 0018-067X R&D Projects: GA MŠk MEB090802; GA MŠk LC06073 Institutional research plan: CEZ:AV0Z60930519 Keywords : Balkan Peninsula * cytochrome b * divergence time * glacial cycles Subject RIV: EG - Zoology Impact factor: 4.122, year: 2009

  14. Shifts in species interactions due to the evolution of functional differences between endemics and non-endemics: an endemic syndrome hypothesis.

    Directory of Open Access Journals (Sweden)

    Courtney E Gorman

    Full Text Available Species ranges have been shifting since the Pleistocene, whereby fragmentation, isolation, and the subsequent reduction in gene flow have resulted in local adaptation of novel genotypes and the repeated evolution of endemic species. While there is a wide body of literature focused on understanding endemic species, very few studies empirically test whether or not the evolution of endemics results in unique function or ecological differences relative to their widespread congeners; in particular while controlling for environmental variation. Using a common garden composed of 15 Eucalyptus species within the subgenus Symphyomyrtus (9 endemic to Tasmania, 6 non-endemic, here we hypothesize and show that endemic species are functionally and ecologically different from non-endemics. Compared to non-endemics, endemic Eucalyptus species have a unique suite of functional plant traits that have extended effects on herbivores. We found that while endemics occupy many diverse habitats, they share similar functional traits potentially resulting in an endemic syndrome of traits. This study provides one of the first empirical datasets analyzing the functional differences between endemics and non-endemics in a common garden setting, and establishes a foundation for additional studies of endemic/non-endemic dynamics that will be essential for understanding global biodiversity in the midst of rapid species extinctions and range shifts as a consequence of global change.

  15. Anti-Proteinuric Effect of Sulodexide in Immunoglobulin A Nephropathy

    OpenAIRE

    Bang, Kitae; Chin, Ho Jun; Chae, Dong Wan; Joo, Kwon Wook; Kim, Yon Su; Kim, Suhnggwon; Ju, Kyung Don; Kim, Hwajung; Ahn, Curie; Oh, Kook-Hwan

    2011-01-01

    Purpose We conducted a multi-center randomized double-blind study to determine the effects of 6-month therapy with sulodexide on urinary protein excretion in patients with idiopathic Immunoglobulin A (IgA) nephropathy. Materials and Methods A total of seventy-seven patients participated in the study. They were randomly allocated to one of three groups: sulodexide 75 mg or 150 mg daily or the placebo for 6 months. The primary end point was the achievement, at 6 months, of at least 50% reductio...

  16. Angiotensin-converting enzyme inhibition in diabetic nephropathy

    DEFF Research Database (Denmark)

    Parving, H H; Rossing, P; Hommel, E

    1995-01-01

    The aim of our prospective study was to evaluate putative progression promoters, kidney function, and prognosis during long-term treatment with angiotensin-converting enzyme inhibition in insulin-dependent diabetes mellitus patients suffering from diabetic nephropathy. Eighteen consecutive......, albuminuria (geometric mean +/- antilog SE) 982 +/- 1.2 micrograms/min, and GFR 98 +/- 5 mL/min/1.73 m2. Angiotensin-converting enzyme inhibition induced a significant reduction during the whole treatment period of blood pressure (137/85 +/- 3/1 mm Hg; P

  17. [Reflux nephropathy in absence of obvious vesicoureteral reflux].

    Science.gov (United States)

    Vino, L; Pedrolli, A; Portuese, A; Dal Cerè, M; Pizzini, C; Sinaguglia, G; Fanos, V

    2000-01-01

    Although the majority of patients with vesicoureteric reflux presents DMSA scan alterations, parenchimal renal scars are found also in children without vesicoureteric reflux. Two clinical cases of reflux nephropathy without evidence of reflux are presented. Several explanations could be advocated to justify this picture, including haematogenous source of infection, inadequate timing and/or procedure of cystouretrography, intermittency of reflux, ascending bacteria, previous presence of reflux, and appearance of controlateral reflux during the natural history of a monolateral documented reflux. Tailored diagnostic and therapeutic strategy should discussed for each patient.

  18. The role of the complement system in diabetic nephropathy

    DEFF Research Database (Denmark)

    Flyvbjerg, Allan

    2017-01-01

    -threatening disease. An increasing body of evidence points toward a role of the complement system in the pathogenesis of diabetic nephropathy. For example, circulating levels of mannose-binding lectin (MBL), a pattern recognition molecule of the innate immune system, have emerged as a robust biomarker...... for the development and progression of this disease, and evidence suggests that MBL, H-ficolin, complement component C3 and the membrane attack complex might contribute to renal injury in the hyperglycaemic mileu. New approaches to modulate the complement system might lead to the development of new agents to prevent...

  19. First thermochronological constraints on the Cenozoic extension along the Balkan fold-thrust belt (Central Stara Planina Mountains, Bulgaria)

    Science.gov (United States)

    Kounov, Alexandre; Gerdjikov, Ianko; Vangelov, Dian; Balkanska, Eleonora; Lazarova, Anna; Georgiev, Stoyan; Blunt, Edward; Stockli, Daniel

    2017-11-01

    The Balkan fold-thrust belt, exposed in Bulgaria and north-east Serbia, is part of the north-east vergent segment of the bi-vergent Eastern Mediterranean Alpine orogen. It was formed during two distinct compressional stages; the first one lasted from the Middle Jurassic to the Early Cretaceous and the second from Late Cretaceous to the Paleogene. Although the compressional tectonic evolution of the Balkan fold-thrust belt since the Middle Jurassic and during most of the Mesozoic is relatively well studied, the final exhumation of the rocks of the belt during the Cenozoic has remained poorly understood. Here, we present the first thermochronological constraints, based on fission-track and [U-Th-(Sm)]/He analysis, showing that along the central part of the belt syn- to post-orogenic extension could have started as early as the middle Eocene. Low-temperature thermochronological analysis of samples collected from three areas reveals at least two phases of increased cooling and exhumation during the Cenozoic. The first exhumation phase took place between 44 and 30 Ma and appears to be related to the syn- to post-orogenic collapse coeval with the earliest Cenozoic extensional stage observed across the southern Balkan Peninsula. A period of relative quiescence (between 30 and 25 Ma) is followed by the next cooling stage, between 25 and 20 Ma, which appears to be related to late Oligocene to early Miocene crustal extension across the Balkan Peninsula. Extension accommodated by the late Miocene to Recent age Sub-Balkan Graben System does not appear to have produced exhumation of rocks from beneath 2-4 km depth, as it was not detected by the low-temperature thermochronological methods applied in this study.

  20. Dioxins, furans and dioxin-like PCBs in human blood: causes or consequences of diabetic nephropathy?

    Science.gov (United States)

    Everett, Charles J; Thompson, Olivia M

    2014-07-01

    Nephropathy, or kidney disease, is a major, potential complication of diabetes. We assessed the association of 6 chlorinated dibenzo-p-dioxins, 9 chlorinated dibenzofurans and 8 polychlorinated biphenyls (PCBs) in blood with diabetic nephropathy in the 1999-2004 National Health and Nutrition Examination Survey (unweighted N=2588, population estimate=117,658,357). Diabetes was defined as diagnosed or undiagnosed (glycohemoglobin ≥ 6.5%) and nephropathy defined as urinary albumin to creatinine ratio >30 mg/g, representing microalbuminuria or macroalbuminuria. For the 8 chemicals analyzed separately, values above the 75th percentile were considered elevated, whereas for the other 15 compounds values above the maximum limit of detection were considered elevated. Seven of 8 dioxins and dioxin-like compounds, analyzed separately, were found to be associated with diabetic nephropathy. The chemicals associated with diabetic nephropathy were: 1,2,3,6,7,8-Hexachlorodibenzo-p-dioxin; 1,2,3,4,6,7,8,9-Octachlorodibenzo-p-dioxin; 2,3,4,7,8-Pentachlorodibenzofuran; PCB 126; PCB 169; PCB 118; and PCB 156. Three of the 8 dioxins and dioxin-like compounds; 1,2,3,4,6,7,8,9-Octachlorodibenzo-p-dioxin; 2,3,4,7,8-Pentachlorodibenzofuran and PCB 118; expressed as log-transformed continuous variables; were associated with diabetes without nephropathy. When 4 or more of the 23 chemicals were elevated the odds ratios were 7.00 (95% CI=1.80-27.20) for diabetic nephropathy and 2.13 (95% CI=0.95-4.78) for diabetes without nephropathy. Log-transformed toxic equivalency (TEQ) was associated with both diabetic nephropathy, and diabetes without nephropathy, the odds ratios were 2.35 (95% CI=1.57-3.52) for diabetic nephropathy, and 1.44 (95% CI=1.11-1.87) for diabetes without nephropathy. As the kidneys function to remove waste products from the blood, diabetic nephropathy could be either the cause or the consequence (or both) of exposure to dioxins, furans and dioxin-like PCBs. Copyright © 2014

  1. [Endemic plants for medicine use in China].

    Science.gov (United States)

    Su, Gang-Qiang; Li, Hai-Tao; Sun, Hui; Zhang, Xiao-Bo; Zhang, Li-Xia; Li, Ya-Jing; Huang, Lu-Qi; Ma, Xiao-Jun

    2017-11-01

    Based on plant species databases, species lists and literature records, general situation of the Chinese medicinal endemic plant (vascular plant) has been systematically summarized, and its quantity and distribution characteristics of Chinese medicinal endemic plants are presented in this paper. The results showed that 3 150 endemic species are Chinese medicinal plants belonging to 785 genera in 153 families, which includes 38 species of 22 genera in 12 families of pteridophyta, 42 species of 14 genera in7 families of gymnosperms, and 3 070 species of 749 genara in 134 families of angiosperms. The top four families involving medicinal endemic species are Asteraceae (218 species), Ranunculaceae (182 species), Labiatae (151 species), and Liliaceae (133 species). The top four provincial administration distributed medicinal endemic species are Sichuan (1 568 species), Yunnan (1 533 species), Guizhou (955 species) and Hubei (930 species).On the regional scale, the most abundant one is the southwest region (2 465 species), followed by the central region (1 226 species) and the northwest region (949 species). Localization characteristics for domestication and artificial cultivation of medicinal endemic species are more prominent due to their narrower and limited distribution areas, indicating it is possible for these species acting as local potential resource for reasonable economic development. Copyright© by the Chinese Pharmaceutical Association.

  2. Bioaccumulation of heavy metals by endemic Viola species from the soil in the vicinity of the As-Sb-Tl mine "allchar' Republic of Macedonia.

    Science.gov (United States)

    Baceva, K; Stafilov, T; Matevski, V

    2014-01-01

    Allchar mine is an abandoned arsenic-antimony-thallium deposit located on the northwestern part of Kozuf Mt., Republic of Macedonia. Allchar is a unique deposit within the world, due to the variety of its mineral composition especially and in the high content of thallium. The aim of this work was to assess the level of contamination at this post-mining area as well as to determine the intensity of accumulation of various elements (Ag, Al, As, Ba, Ca, Cd, Co, Cr, Cu, Fe, Ga, K, Li, Mg, Mn, Mo, Na, Ni, P, Pb, Rb, S, Sb, Sr, Tl, V, and Zn) with focus on As, Sb and Tl, in two endemic Viola species from this locality (Viola allcharensis G. Beck, Viola arsenica G. Beck) and one Balkan endemic species (Viola macedonica Boiss. & Heldr.). Samples of different plant parts and soil were digested and then analysed by ICP-AES. It was found that the accumulation of As, Sb, and Tl in these endemic species is significantly high. In this study a systematic investigation of the As-Sb-Tl contamination of soils and their bioavailability was carried out using the extraction procedure in order to explore the mobility and potential bioavailability of the As, Sb, and Tl.

  3. Informal Patient Payments and Bought and Brought Goods in the Western Balkans - A Scoping Review.

    Science.gov (United States)

    Buch Mejsner, Sofie; Eklund Karlsson, Leena

    2017-07-03

    Informal patient payments for healthcare are common in the Western Balkans, negatively affecting public health and healthcare. To identify literature from the Western Balkans on what is known about informal patient payments and bought and brought goods, to examine their effects on healthcare and to determine what actions can be taken to tackle these payments. After conducting a scoping review that involved searching websites and databases and filtering with eligibility criteria and quality assessment tools, 24 relevant studies were revealed. The data were synthesized using a narrative approach that identified key concepts, types of evidence, and research gaps. The number of studies of informal patient payments increased between 2002 and 2015, but evidence regarding the issues of concern is scattered across various countries. Research has reported incidents of informal patient payments on a wide scale and has described various patterns and characteristics of these payments. Although these payments have typically been small - particularly to providers in common areas of specialized medicine - evidence regarding bought and brought goods remains limited, indicating that such practices are likely even more common, of greater magnitude and perhaps more problematic than informal patient payments. Only scant research has examined the measures that are used to tackle informal patient payments. The evidence indicates that legalizing informal patient payments, introducing performance-based payment systems, strengthening reporting, changing mentalities and involving the media and the European Union (EU) or religious organizations in anti-corruption campaigns are understood as some of the possible remedies that might help reduce informal patient payments. Despite comprehensive evidence regarding informal patient payments, data remain scattered and contradictory, implying that informal patient payments are a complex phenomenon. Additionally, the data on bought and brought goods

  4. Sirtuins and renal diseases: relationship with aging and diabetic nephropathy.

    Science.gov (United States)

    Kitada, Munehiro; Kume, Shinji; Takeda-Watanabe, Ai; Kanasaki, Keizo; Koya, Daisuke

    2013-02-01

    Sirtuins are members of the Sir2 (silent information regulator 2) family, a group of class III deacetylases. Mammals have seven different sirtuins, SIRT1-SIRT7. Among them, SIRT1, SIRT3 and SIRT6 are induced by calorie restriction conditions and are considered anti-aging molecules. SIRT1 has been the most extensively studied. SIRT1 deacetylates target proteins using the coenzyme NAD+ and is therefore linked to cellular energy metabolism and the redox state through multiple signalling and survival pathways. SIRT1 deficiency under various stress conditions, such as metabolic or oxidative stress or hypoxia, is implicated in the pathophysiologies of age-related diseases including diabetes, cardiovascular diseases, neurodegenerative disorders and renal diseases. In the kidneys, SIRT1 may inhibit renal cell apoptosis, inflammation and fibrosis, and may regulate lipid metabolism, autophagy, blood pressure and sodium balance. Therefore the activation of SIRT1 in the kidney may be a new therapeutic target to increase resistance to many causal factors in the development of renal diseases, including diabetic nephropathy. In addition, SIRT3 and SIRT6 are implicated in age-related disorders or longevity. In the present review, we discuss the protective functions of sirtuins and the association of sirtuins with the pathophysiology of renal diseases, including diabetic nephropathy.

  5. Personalized prophylactic anticoagulation decision analysis in patients with membranous nephropathy

    Science.gov (United States)

    Lee, Taewoo; Biddle, Andrea K.; Lionaki, Sofia; Derebail, Vimal K.; Barbour, Sean J.; Tannous, Sameer; Hladunewich, Michelle A.; Hu, Yichun; Poulton, Caroline J.; Mahoney, Shannon L.; Jennette, J. Charles; Hogan, Susan L.; Falk, Ronald J.; Cattran, Daniel C.; Reich, Heather N.; Nachman, Patrick H.

    2014-01-01

    Primary membranous nephropathy is associated with increased risk of venous thromboembolic events, which are inversely correlated with serum albumin levels. To evaluate the potential benefit of prophylactic anticoagulation (venous thromboembolic events prevented) relative to the risk (major bleeds), we constructed a Markov decision model. The venous thromboembolic event risk according to serum albumin was obtained from an inception cohort of 898 patients with primary membranous nephropathy. Risk estimates of hemorrhage were obtained from a systematic literature review. Benefit-to-risk ratios were predicted according to bleeding risk and serum albumin. This ratio increased with worsening hypoalbuminemia from 4.5:1 for an albumin under 3 g/dl to 13.1:1 for an albumin under 2 g/dl in patients at low bleeding risk. Patients at intermediate bleeding risk with an albumin under 2 g/dl have a moderately favorable benefit-to-risk ratio (under 5:1). Patients at high bleeding risk are unlikely to benefit from prophylactic anticoagulation regardless of albuminemia. Probabilistic sensitivity analysis, to account for uncertainty in risk estimates, confirmed these trends. From these data, we constructed a tool to estimate the likelihood of benefit based on an individual’s bleeding risk profile, serum albumin level, and acceptable benefit-to-risk ratio (http://www.gntools.com). This tool provides an approach to the decision of prophylactic anticoagulation personalized to the individual’s needs and adaptable to dynamic changes in health status and risk profile. PMID:24336031

  6. Assessment of diabetic nephropathy in the Akita mouse.

    Science.gov (United States)

    Chang, Jae-Hyung; Gurley, Susan B

    2012-01-01

    Akita mice have type 1 diabetes mellitus caused by a spontaneous point mutation in the Ins2 gene which leads to misfolding of insulin, resulting in pancreatic β-cell failure. Akita mice develop pronounced and sustained hyperglycemia, high levels of albuminuria, and consistent histopathological changes, suggesting that these mice may be suitable as an experimental platform for modeling diabetic nephropathy. One key feature of diabetic kidney disease in Akita mice is that the severity of renal injury is significantly influenced by genetic background. In this chapter, we describe the Akita model and present some of the experimental studies utilizing Akita mice as a model of type 1 diabetes. For example, deficiency in bradykinin receptors, endothelial nitric oxide synthase, or angiotensin-converting enzyme 2 leads to development of functionally and structurally more advanced diabetic nephropathy in these mice, while ketogenic diet has been shown to reverse kidney injury associated with diabetes. This chapter also describes the application of 24-h urine collections from mice for careful measurement of urinary albumin excretion.

  7. Tempol effects on diabetic nephropathy in male rats.

    Science.gov (United States)

    Ranjbar, Akram; Ghasemi, Hassan; Hatami, Mahdi; Dadras, Farahanaz; Heidary Shayesteh, Tavakol; Khoshjou, Farhad

    2016-01-01

    Diabetic nephropathy (DN) is the most common cause of the chronic kidney disease in the world. Oxidative stress on the other hand has a major and well known role in its pathophysiology. The aim of the study is to figure out if tempol, a synthetic antioxidant agent, modifies DN and to determine its relevance to changes of serum oxidative biomarkers. Twenty-seven male rats were equally divided in to 4 groups (7 rats for each group). Group I (control or C), group II (diabetic or D), groups III (Tempol) which were given tempol (100 mg/kg/day) by gavages for 28 days and group IV (D&T) which includes diabetic rats that also received same dose of tempol. After treatment, blood samples were isolated. Enzymatic scavengers including catalase (CAT), glutathione peroxidase (GPx) and superoxide dismutase (SOD) activities, lipid peroxidation (LPO), total antioxidant capacity (TAC) and total thiol molecules (TTM) were measured. Blood urea nitrogen (BUN), creatinine (Cr) an albumin/Cr ratio were evaluated as well. Statistical differences were assessed with one-way analysis of variance (ANOVA) by SPSS followed by Tukey t test. Oxidative stress biomarkers modified and Alb/Cr ratio increased in diabetic group (II), however, they were altered to normal in group IV (D&T) compared with diabetic group (D). Tempol can modify oxidative stress biomarkers and presumably nephropathy in diabetic rats.

  8. Antioxidative Effects of Tempol on Mitochondrial Dysfunction in Diabetic Nephropathy.

    Science.gov (United States)

    Ranjbar, Akram; Kheiripour, Nejat; Ghasemi, Hassan; Seif Rabiei, Mohamad Ali; Dadras, Farahnaz; Khoshjou, Farhad

    2018-03-01

    Oxidative stress has a well-known role in diabetic nephropathy, and mitochondria are the major source of reactive oxygen species production. This study aimed to assess the effect of tempol, a superoxide dismutase mimetic agent, on mitochondrial antioxidant enzymes and cell viability in diabetic nephropathy. Adult male Wistar rats were divided into 4 groups of 7 animals. Diabetes mellitus was induced by injection of streptozotocin in 2 groups, the rat in one of which were also treated with tempol for 4 weeks. Another group without diabetes mellitus received tempol, and the last group was the control. At the end of the treatment period, the kidney mitochondria were isolated and their antioxidant enzymes, including superoxide dismutase, glutathione peroxidase, and catalase were assessed. Malondialdehyde, total antioxidant capacity, and kidney cells viability were studied, as well. The diabetic group was significantly different compared with the control group in malondialdehyde, catalase, and glutathione peroxidase activities. Superoxide dismutase and total antioxidative capacity did not show any significant differences among the four groups. Moreover, the diabetic group treated with tempol had significantly different glutathione peroxidase level and kidney cells viability, compared to the other diabetic group (P tempol administration in rats.

  9. ESSENTIAL ARTERIAL HYPERTENSION AND RISK FACTORS ASSOCIATED WITH HYPERTENSIVE NEPHROPATHY

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    Boban Milojković

    2014-12-01

    Full Text Available Arterial hypertension is a major risk factor that predisposes to cardiovascular disorders and is responsible for most of the morbidity and mortality in patients. Hypertension is closely associated with the kidney, because kidney disease can be both the cause and consequence of increased blood pressure. Elevation of blood pressure is a strong independent risk factor for hypertensive nephropathy and development of ESRD. The pathogenesis of ischemic hypertensive nephropathy (IHN is multifactoral, and in addition to blood pressure other factors contribute to the development of this renal pathology and its progression to end-stage renal disease. These include obesity, smoking, male gender and other still unknown risk factors. The aim of this paper was to analyse the association between essential arterial hypertension and renal hypertensive disease and prevalence of other atherosclerotic risk factors in patients with developed hypertensive renal disease. In this prospective cross sectional study 283 patients of both genders with diagnosed essential hypertension and hypertensive renal disease were analysed. The anamnestic data related to age, duration of hypertension, history of smoking, presence of hypertensive retinopathy, hypertrophy of the left chamber and data about previous renal diseases were collected through conversation and medical documentation. The clinical examination comprise determination of blood pressure, body mass index (BMI, lipid parameters (total cholesterol, LDL cholesterol, HDL cholesterol and triglycerides, serum urea and creatinine, urine, albumin and protein concentration. The total number of 283 patients (185 males and 98 females with HN was analyzed. The analysis revealed significantly higher proportion of males aged over 60 years with IHN. The mean age of examined hypertensive patients with IHN is 62.6±8.8 years with duration of hypertension 19.8±5.9 years. All examined patients had hypertensive retinopathy and

  10. Diagnosis and treatment of patients with IgA nephropathy in Japan

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    Yasuhiko Tomino

    2016-12-01

    Full Text Available Chronic kidney disease (CKD is a worldwide public health problem that affects millions of people from all racial and ethnic groups. Although CKD is not one specific disease, it is a comprehensive syndrome that includes IgA nephropathy. As reported by the Japanese Society of Nephrology, 13.0 million people have CKD. In Japan, major causes of end-stage kidney disease are type 2 diabetic nephropathy, chronic glomerulonephritis, especially IgA nephropathy, hypertensive nephrosclerosis, and polycystic kidney disease. IgA nephropathy is characterized by polymeric IgA1 with aberrant galactosylation (galactose-deficient IgA1 increased in the blood and deposited in the glomerular mesangial areas, as well as partially in the capillary walls. The tonsils are important as one of the responsible regions in this disease. The clarification of the mechanism of galactose-deficient IgA1 production will pave the way for the development of novel therapies. The results of future research are eagerly awaited. At present, the most important therapeutic goals in patients with IgA nephropathy are the control of hypertension, the decrease of urinary protein excretion, and the inhibition of progression to end-stage kidney disease. Several investigators have reported that renin–angiotensin–aldosterone system inhibitors reduce levels of urinary protein excretion and preserve renal function in patients with IgA nephropathy. In Japan, tonsillectomy and steroid pulse therapy are more effective for patients with IgA nephropathy.

  11. Gene Expression Analysis in Tubule Interstitial Compartments Reveals Candidate Agents for IgA Nephropathy

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    Jinling Wang

    2014-09-01

    Full Text Available Background/Aims: Our aim was to explore the molecular mechanism underlying development of IgA nephropathy and discover candidate agents for IgA nephropathy. Methods: The differentially expressed genes (DEGs between patients with IgA nephropathy and normal controls were identified by the data of GSE35488 downloaded from GEO (Gene Expression Omnibus database. The co-expressed gene pairs among DEGs were screened to construct the gene-gene interaction network. Gene Ontology (GO enrichment analysis was performed to analyze the functions of DEGs. The biologically active small molecules capable of targeting IgA nephropathy were identified using the Connectivity Map (cMap database. Results: A total of 55 genes involved in response to organic substance, transcription factor activity and response to steroid hormone stimulus were identified to be differentially expressed in IgA nephropathy patients compared to healthy individuals. A network with 45 co-expressed gene pairs was constructed. DEGs in the network were significantly enriched in response to organic substance. Additionally, a group of small molecules were identified, such as doxorubicin and thapsigargin. Conclusion: Our work provided a systematic insight in understanding the mechanism of IgA nephropathy. Small molecules such as thapsigargin might be potential candidate agents for the treatment of IgA nephropathy.

  12. Mineral deposits related to tertiary magmatism in the southern part of the Balkan Peninsula

    International Nuclear Information System (INIS)

    Serafimovski, Todor; Jelenkovic, Rade; Tasev, Goran; Lazarov, Pande

    2003-01-01

    Neogene volcanism in the southern parts of the Balkan Peninsula is distributed in wide area, mainly in the terraines of the Vardar zone and Serbo-Macedonian massif. They are, mostly volcano-intrusive complexes, partly with emphasized extrusive-effusive character manifested in area of almost 1200 km 2 (Kratovo-Zletovo volcanic area, eastern Macedonia). From the geo tectonic point of view they are part of Vardar zone and Serbo-Macedonian massif, often they are located at the contact parts between these two geo tectonic units. With these volcano-intrusive magmatic complexes with Tertiary age, there are connected numerous deposits and occurrences of Pb-Zn, Cu, Mo, Au, Ag, Sb±W, Sn etc. (Original)

  13. Range of engineering-geological properties for some carbonate rock complexes for Balkan peninsula

    International Nuclear Information System (INIS)

    Jovanovski, Milorad; Shpago, Azra; Peshevski, Igor

    2010-01-01

    The Carbonate Rock masses are a geological media with extremely complex states and properties, which has a certain influences on the mechanical and hydraulic behavior during construction and exploitation of engineering structures. Practical aspects of the problem analysis arise from the fact that the areas of Bosnia and Herzegovina, Macedonia and the entire Balkans is characterized by presence of wide areas covered with carbonate complexes, where large number of complex engineering structures have been, or shall be constructed in the future. In this context, their engineering-geological modeling is still a practical and scientific challenge. The analysis of engineering- geological properties is one of the main steps in forming of analytical and geotechnical models for complex rock structures. This article gives a data about the range for these properties, according to the results from an extensive investigation program. Some original correlations and testing results are given and they are compared with some published relations from the world. (Author)

  14. Chromosome aberration analysis in peripheral lymphocytes of Gulf war and Balkans war veterans

    International Nuclear Information System (INIS)

    Schroeder, H.; Heimers, A.; Frentzel-Beyme, R.; Schott, A.; Hoffmann, W.

    2003-01-01

    Chromosome aberrations and sister chromatid exchanges (SCEs) were determined in standard peripheral lymphocyte metaphase preparations of 13 British Gulf War veterans, two veterans of the recent war in the Balkans, and one veteran of both wars. All 16 volunteers suspect exposures to depleted uranium while deployed at the two different theatres of war in 1990 and later on. The Bremen laboratory control served as a reference in this study. Compared with this control there was a statistically significant increase in the frequency of dicentric chromosomes (dic) and centric ring chromosomes (cR) in the veterans' group, indicating a previous exposure to ionising radiation. The statistically significant overdispersion of dic and cR indicates non-uniform irradiation as would be expected after non-uniform exposure and/or exposure to radiation with a high linear energy transfer. The frequency of SCEs was decreased when compared with the laboratory control. (author)

  15. On operational safety of nuclear power plants in Balkans and surroundings

    International Nuclear Information System (INIS)

    Spasojevic, D.; Jovic, V.; Milivojevic, S.

    1997-01-01

    An analysis of nuclear power plants operational safety in Balkan Peninsula and surrounding in this paper is presented. The nuclear power plants: Kozloduy (Bulgaria), Bohunice (Slovak Republic), Krsko (Slovenia), PAKS (Hungary) and Cernavoda (Romania) in this analysis are considered. The approaches, methods and criteria used in operational safety analyses are quite different from that which are used by nuclear power plant proprietors. As the input data for the analysis presented in this paper, the originally developed computer program BOGRAP and the nuclear power plants operating experience published by International Agency for Atomic Energy (IAEA) were used. The results show that considered nuclear power experienced outages, failures, and operator errors, but none of them ever released significantly increased quantities of radioactive effluents into the environment.(author)

  16. Discourse of simulacra in Kovacević's drama Balkan Spy

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    Milojević Snežana J.

    2016-01-01

    Full Text Available This paper is based on a reading of the famous Dušan Kovačević's drama Balkan Spy, contextualized by postulates of simulacra. The starting point for finding symbols that corresponded to the system of the non-referent world (and each such system creates its own reality, and proceeds from its own frame in which it must be interpreted is a book of Jean Baudrillard 'Simulacrum and Simulation'. Through chapters that accentuate simulacrum-like phenomena for proving the actual through imaginary and cloned, as well as defining the world of literary text as a kind of Disneyland, it becomes evident soundness of this idea that confirms the quality of this drama.

  17. Sexual size and shape dimorphism in Salamandra salamandra (Amphibia, Caudata, Salamandridae from the central Balkans

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    Labus N.

    2013-01-01

    Full Text Available Sexual size dimorphism is one of the key evolutionary features that has been studied in many organisms. On the other hand, sexual shape dimorphism has not been examined as well despite being as important as size dimorphism. Therefore, we analyzed the sexual size and shape dimorphism (SSSD of Salamandra salamandra from the territory of the central Balkans. In addition, we wanted to reconsider if there is some regularity in the geographical distribution of SSSD in the investigated area. Significant differences in size and shape between the sexes were found for the whole sample and among the analyzed groups. Females were larger than males and had bigger heads, interlimb distances and a parotid gland, while males had bigger tails, forelimbs, hindlimbs, and forefoot and hindfoot length. Our results reveal a strong effect of locality on trait variation. This variation from the general pattern of SSSD is not substantial but still has to be considered.

  18. Population genetic studies in the Balkans. II. DNA-STR-systems.

    Science.gov (United States)

    Huckenbeck, W; Scheil, H G; Schmidt, H D; Efremovska, L; Xirotiris, N

    2001-09-01

    Within a study of the genetics of Southeastern European populations four DNA-STR-systems (D21S11, FGA, TH01, VWA) were examined in seven samples (samples of three Aromuns and four other Balkan populations). The results have been compared to data from four samples from literature (Austrians, Germans, Hungarians, Slovenians). The results show three clusters: a) the Aromuns from Albania (Andon Poci) and Macedonia (Stip region), b) the Romanian Aromuns (Kogalniceanu), Romanians (Constanta, Ploiesti) and Albanians (Tirana) und c) the data from literature. A sample of Northeastern Greece clearly differs from these three clusters. Including seven serum protein polymorphisms (without the populations from literature) results in two clusters: a) the three Aromun populations and b) Albanians and Romanians. Again the sample of Northeastern Greece clearly differs from these clusters.

  19. Antibacterial activity of domestic Balkan donkey milk toward Listeria monocytogenes and Staphylococcus aureus

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    Šarić Ljubiša Ć.

    2014-01-01

    Full Text Available The aim of this study was to investigate the antibacterial activity of raw milk from Domestic Balkan donkey breed toward Listeria monocytogenes and Staphylococcus aureus. Examination of antibacterial activity was performed in artificially contaminated milk samples by monitoring the changes of count of viable cells of tested bacteria during 8 hours of incubation at 38°C. Lysozyme and fatty acids contents were also determined in donkey milk. The obtained results indicated inhibitory effect of donkey milk toward both tested bacteria. The lysozyme content in the analyzed milk samples was ranged from 0.67 to 3.54 g/L. The most abundant fatty acids with known antibacterial activity toward Gram positive bacteria were linoleic, lauric and oleic acid.

  20. Product availability from delivery aspect: Evidence from retailers in selected Western Balkan countries

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    Grubor Aleksandar

    2016-01-01

    Full Text Available Bearing in mind that it represents one of the main preconditions of sales, product availability is the key task of retail companies and their delivery systems. This paper analyses its levels from the aspect of centralized and DSD systems. The research is conducted in Serbia, Bosnia and Herzegovina and Montenegro, including 84 stores and more than 70 FMCG products per each store. Thereby, the comparisons in product availability levels between alternative delivery systems are carried out within different trading formats and within different product categories. Unlike the results of similar studies and ongoing changes on retail markets, this research shows that at retailers in these Western Balkan countries, availability levels are higher in the case of DSD system.

  1. Croatia’s police and security community building in the Western Balkans

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    Sandro KNEZOVIĆ

    2017-12-01

    Full Text Available The article examines the eventual existence of a security community within the Western Balkans region by exploring the contribution of police as a profession/epistemic community in Croatia to the security community building process. In order to do so, two theoretical concepts have been applied: first, the one of security community which, according to Deutsch, as well as Adler and Barnett, is something that is leading IR and humanity out of the era of nation-state; secondly, the one of professions as exclusive occupational groups in Abbott’s interpretation (wherein the police is considered to be a profession. Our approach builds on a combination of the aforementioned theories, while the study itself has been based on the developments in the field of policing in Croatia since 1990 and its implications for the creation of a security community in the region.

  2. Fertility and union formation during crisis and societal consolidation in the Western Balkans.

    Science.gov (United States)

    Lerch, Mathias

    2018-01-23

    Fertility decline in central and eastern Europe (CEE) since the fall of the communist regimes has been driven by both stopping and postponement of childbearing: two processes that have been related to crisis and economic development, respectively. In the Western Balkans these economic and political contexts followed each other in the form of a biphasic transition. I examine whether this sequence triggered fertility responses like those observed elsewhere. Relying on three independent data sources, I cross-validate the levels of, and describe the trends in, union formation and fertility (by birth order) between 1980 and 2010. Results do not reveal widespread declines in fertility to lowest-low levels during the most acute period of crisis. The subsequent postponement of marriage and first birth was also limited, and the two-child family remains the norm. This relative resilience of childbearing patterns compared with other CEE countries is discussed with reference to the institutional context.

  3. On problems related to the deployment of depleted uranium weapons in the Balkans

    International Nuclear Information System (INIS)

    Mietelski, J. W.; Waligorski, M.P.R.; Zunic, Z.S.

    2002-01-01

    The likely long-term environmental and health effects of the deployment of weapons containing depleted uranium (DU) in the Balkans are discussed. To determine whether depleted uranium or spent reactor fuel was used in the weapons, knowledge is required of the 235 U to 238 U activity (or concentration) ratio in the measured samples. To this end, and to distinguish between uranium originating from natural and man-made sources, we discuss some of the methodology and metrology issues involved in performing alpha- and gamma- spectrometry of uranium in environmental and human samples. We present results of nuclear spectrometry performed on DU core deposits from the aluminium jacket of a PGU-14 bullet found in South Serbia. We draw attention to aspects involving ionising radiation, which are likely to be of importance when formulating a prognosis of the possible environmental and health impact of the deployment of DU weapons, indicating the importance of the inhalation pathway in children. (author)

  4. Remembrance, Public Narratives, and Obstacles to Justice in the Western Balkans

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    Jelena Subotic

    2013-06-01

    Full Text Available Twenty years since the onset of the traumatic wars of Yugoslav secession, the countries of the Western Balkans continue to nurture narratives of the past that are mutually exclusive, contradictory, and irreconcilable. The troubling ways in which states in the region remember their pasts provide continuing obstacles in the search for acknowledgment and justice. In this essay, I develop an argument for understanding the relationship between justice and remembrance of the past. To illustrate this relationship, I explore ways in which education and memorialization projects contribute to justice efforts. I critically analyze a few ongoing education and memory projects in the region, and then present alternative ideas on mechanisms of public memory that would be more conducive to building the foundational blocks of justice based on trust, respect, and dignity.

  5. David Mitrany and South-East Europe: The Balkan Key to World Peace

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    Lucian M. Ashworth

    2006-01-01

    Full Text Available Today David Mitrany is best known for his work on international functionalism, which influenced the development of European integration and the organisation of United Nations specialised agencies. What is often ignored in the West is his work on South-East Europe. During the inter-war period Mitrany studied both the operation of war government and the subsequent peasant revolution in the Balkans. War government demonstrated that political organisation could bridge the gap between social action and private property, while the peasant social revolution showed that the abstract economics associated with both capitalist and Marxist economics was not applicable outside of urban industrial production. It was through his studies of South-East Europe that Mitrany drew many of the lessons and concepts that were to form the foundations of his international theory.

  6. The contribution of tourism industry on the GDP growth of Western Balkan countries

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    Čerović Slobodan

    2015-01-01

    Full Text Available Tourism industry records various economic, social, political and others influences and provides itself important position in the overall economic development of many countries. The analysis of the available data of tourist arrivals and number of tourist overnight stays in observed countries of the Western Balkans (Serbia, Macedonia, Montenegro led us to conduct research in order to determine tourism contribution to the overall economic growth. Based on the modified methodology used by Brida et al. (2008 for calculating real GDP growth rates and tourism contribution to the overall economic growth, the paper indicates that tourism makes a modest direct contribution to the overall economic growth in the examined countries, regardless of the continuous increase in the number of foreign tourist arrivals. The level of tourism contribution to the overall economic growth varies and it is primarily related to diversity and quality of supply (the highest contribution is recorded in Montenegro, while lowest contribution is observed in Macedonia.

  7. Contractors on the Battlefield: When and How? Using the US Military's Risk Management Framework to Learn from the Balkans Support Contract

    National Research Council Canada - National Science Library

    Greenfield, Victoria A; Camm, Frank

    2007-01-01

    .... To illustrate, this paper applies the framework to the Army's Balkans Support Contract (BSC); the contract covers a variety of life support, transportation, and maintenance services and has registered...

  8. Lisinopril Protects Against the Adriamycin Nephropathy and Reverses the Renalase Reduction: Potential Role of Renalase in Adriamycin Nephropathy

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    Pengxun Han

    2013-09-01

    Full Text Available Aims: To investigate the potential role of renalase in adriamycin nephropathy and the effect of lisinopril on the regulation of renalase. Methods: Adriamycin nephropathy was induced in male Wistar rats (n=12 by a single injection of adriamycin at 2 mg/kg body weight. Rats were then randomly assigned to a model group or a treatment group, to which were administered distilled water or the angiotensin converting enzyme inhibitor lisinopril, respectively, for 12 weeks. Six normal rats served as controls. At the end of study, physiological parameters and systolic blood pressure were measured. Glomerulosclerosis and tubulointerstitial injury were assessed by histopathology Renalase protein expression in kidney was quantified by immunohistochemistry and immunoblotting. The serum concentration and urinary excretion of renalase were determined by enzyme-linked immunosorbent assay. Results: In model group rats, proteinuria and systolic blood pressure were elevated. Increased serum renalase concentration was observed; however, renalase protein expression in the kidney was significantly decreased. Compared with the model group, decreased proteinuria, lower systolic blood pressure, and fewer morphologic lesions were detected in the treatment group. Although levels of serum renalase were similar, accumulation of renalase in urine and kidney tissue increased notably in the treatment group compared with the model group. Conclusions: This study suggests that renalase may be involved in the process of adriamycin-induced renal injuries. Lisinopril may attenuate adriamycin-induced kidney injury by controlling blood pressure, which may be partially attributed to the renalase expression and secretion.

  9. Das Problem der sogenannten zusammengesetzten Bezirke auf dem Balkan im 11. Jahrhundert: Zwei fallbeispiele

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    Krsmanović Bojana

    2009-01-01

    Full Text Available (nemački In der vorliegenden Arbeit wurden Charakteristika der sogenannten zusammengesetzten militärisch-zivilen Bezirke behandelt, die aus zwei oder drei Untereinheiten bestanden. Diese Untereinheiten der zusammengesetzten Bezirke hatten in der Regel feste zivile und militärische Verwaltungsstrukturen, d.h. sie hatten eine gewisse Unabhängigkeit. Ein zusammengesetzter Bezirk konnte in den Quellen als ein 'thema' (im Singular bezeichnet werden oder auch im Plural als 'themata'. An seiner Spitze befand sich ein Dux/katepano oder gelegentlich auch ein Stratege. Der zivilen Verwaltung stand ein Richter/Prätor vor, welcher häufig das Amt eines anagrapheus innehatte. Weiterhin wurde der zusammengesetzte Bezirk Voleron-Strymon-Thessalonike naher untersucht sowie die Probleme, die mit dem Status seiner Unterheiten, insbesondere mit Voleron, zusammenhängen. Es ist möglich, dass aus denjenigen Gebieten des Balkans, die nach dem Jahr 1018 unter byzantinische Herrschaft gefallen waren, ein zusammengesetzter Bezirk gebildet wurde. Die Rede ist von dem Thema Bulgaria-Sirmium-Paradounavon. Es wird vermutet, dass die demographischen Umstände sowie die ethnische Zusammensetzung der Bevölkerung der Region Einfluss auf die Charakteristika des zusammengesetzten Bezirks hatten. Die zivile Verwaltungsstruktur war hier nicht derart beständig wie in den anderen Gebieten des Balkans, die bereits vor dem Krieg von 976-1018 unter byzantinischer Herrschaft standen. Sirmium und Paradounavon scheinen im zivilen Bereich der Verwaltung von Amtsträgern aus Bulgarien geleitet worden zu sein, wahrend die militärische Führung anscheinend unabhängig von Bulgarien war.

  10. Greek Death-Cult, Modern and Ancient: A Comparison of a Mediterranean and Balkan Cultural Pattern

    Directory of Open Access Journals (Sweden)

    E.J. Håland

    2010-08-01

    Full Text Available The article examines emotion and identity in connection with Greek death-cult in an attempt to clarify certain contemporary political phenomena in the Mediterranean and Balkan area. The cult of the dead is a common cultural pattern in the area. Why is this cult so persistent? What is death-cult and how does it manifest itself? The article delves into its lasting importance in the Greek part of the cultural area, where the author has conducted several fieldworks. To illustrate the persistence of this cultural pattern, the characteristic aspects connected with death-cult in Greek tradition are discussed: The comparison is based on festivals, which are dedicated to deceased persons and domestic death-rituals combined with ancient sources. Based on them an analytical survey of the relationship between the death-cult dedicated to deceased mediators in ancient and modern society, as it is manifested through laments, burials and the following memorial rituals is made. The modern domestic rituals people perform for their own dead influence the official ideological rituals, and vice versa, the domestic rituals reflect public performances. A study of modern cult practices reveals many parallels with the official cult of the ancients, and suggests ways in which modern rituals can throw new light upon the ancient rituals and vice versa. The article seeks to demonstrate how new ideologies must adjust to older rituals and beliefs and how public and domestic rituals are connected. The article finally suggests how these similarities might represent a common way of expression within a larger context in which the Mediterranean and Balkan cultural meaning of emotion is central.

  11. Trends in biological activity research of wild-growing aromatic plants from Central Balkans

    Directory of Open Access Journals (Sweden)

    Džamić, A.M.

    2016-12-01

    Full Text Available Flowering plants consists of more than 300.000 species around the world, out of which a small percentage has been sufficiently investigated from phytochemical and biological activity aspects. Plant diversity of the Balkans is very rich, but still poorly investigated. The aim of this paper is survey of current status and trends in research of wild-growing aromatic plants from Central Balkans. Many aromatic plants are investigated from morphological, physiological, ecological, systematic and phytochemical aspects. However, traditionally used medicinal and aromatic plants can also be considered from applicative aspects, concerning their health effects, and from wide range of usage in cosmetics, and as food, agrochemical and pharmaceutical products. In order to achieve all planned objectives, following methodology has been applied: field research, taxonomic authentication and, comparative biologically assayed phytochemical investigations. The total herbal extracts, postdistillation waste (deodorized extracts, essential oils and individual compounds of some autochthonous plants have been considered as potential source of antibacterial, antifungal, anti-biofilm, antioxidant and cytotoxic agents. In this manuscript, composition of essential oils and extracts were evaluated in a number of species, from the Apiaceae, Lamiaceae, Rosaceae and Asteraceae families. Extracts which were rich in phenols mostly of flavonoids, often showed high antioxidant potential. Also, phenolic compounds identified in essential oils and extracts were mostly responsible for expected antimicrobial activity. Current worldwide demand is to reduce or, if possible, eliminate chemically synthesized food additives. Plant-produced compounds are becoming of interest as a source of more effective and safe substances than synthetically produced antimicrobial agents (as inhibitors, growth reducers or even inactivators that control growth of microorganisms. Many different pathogens have

  12. Improvement in kidney transplantation in the Balkans after the Istanbul Declaration: where do we stand today?

    Science.gov (United States)

    Spasovski, Goce; Busic, Mirela; Delmonico, Francis

    2016-02-01

    Due to the limited access to kidney transplantation (KTx) in developing countries, desperate patients have engaged in the purchase and sale of kidneys. In 2004, the World Health Assembly urged member states to protect the poor and vulnerable from being exploited through practices of illegal organ trafficking that had become widespread throughout the world. In 2008, the international transplant community convened a summit of transplant professionals, legal experts and ethicists to combat organ trafficking, transplant tourism and transplant commercialism that resulted in the Declaration of Istanbul (DOI). The South-Eastern Europe Health Network (SEEHN) represents a nine country multigovernmental collaboration on health systems. The Regional Health Development Centre on Organ Donation and Transplant Medicine (RHDC) was established in 2011 in Croatia to facilitate cooperation among south-eastern European countries to improve organ transplantation within the Balkan region. Since 2011, a collaboration between the RHDC, the Custodian Group of the DOI (DICG) and SEEHN professionals has enhanced strategic planning and definition of country-specific action plan priorities on organ donation and transplantation. Data of kidney transplantation provided in this report show a significant increase in transplantation activities in a 4-year period in Macedonia, Moldova, Bosnia and Hercegovina, Romania and Montenegro. The success of the donation and transplantation programmes was influenced by the engagement of key professionals and the establishment of organizational infrastructure with the implementation of an appropriate funding model. In conclusion, the DOI has provided an ethical framework for engagement of health professionals from south-eastern European countries. The newly established SEEHN RHDC as a technical coordinating body greatly contributed in building institutional capacity and strengthening regional collaboration between health authorities and professionals within

  13. The possible role of glutathione-S-transferase activity in diabetic nephropathy.

    Science.gov (United States)

    Tesauro, M; Nisticò, S; Noce, A; Tarantino, A; Marrone, G; Costa, A; Rovella, V; Di Cola, G; Campia, U; Lauro, D; Cardillo, C; Di Daniele, N

    2015-03-01

    The most common cause of end stage renal disease is diabetic nephropathy. An early diagnosis may allow an intervention to slow down disease progression. Recently, it has been hypothesized that glutathione-S-transferase (GST) activity may be a marker of severity of chronic kidney disease. In particular, a lower GST activity is present in healthy subjects compared to patients with nephropathy. In the present review we illustrate the scientific evidence underlying the possible role of GST activity in the development of diabetic nephropathy and we analyze its usefulness as a possible early biomarker of this diabetic complication. © The Author(s) 2015.

  14. Recent Advances in the Pathogenesis and Management of Cast Nephropathy (Myeloma Kidney

    Directory of Open Access Journals (Sweden)

    Stephanie Stringer

    2011-01-01

    Full Text Available Multiple myeloma is an incurable plasma cell malignancy that is often accompanied by renal failure; there are a number of potential causes of this, of which cast nephropathy is the most important. Renal failure is highly significant in myeloma, as patient survival can be stratified by the severity of the renal impairment. Consequently, there is an ongoing focus on the pathological basis of cast nephropathy and the optimal treatment regimens in this setting, including effective chemotherapy regimens to reduce light chain production and emerging extracorporeal techniques to remove circulating light chains. This paper bridges recent advances in the pathogenesis and management of cast nephropathy in multiple myeloma.

  15. Elevated vascular endothelial growth factor in type 1 diabetic patients with diabetic nephropathy

    DEFF Research Database (Denmark)

    Hovind, P; Tarnow, L; Oestergaard, P B

    2000-01-01

    BACKGROUND: Growth factors have been suggested to play a role in the development and progression of diabetic nephropathy. Vascular endothelial growth factor (VEGF) is a potent cytokine family that induces angiogenesis and markedly increases endothelial permeability. The aim of the present study...... with normoalbuminuria, P gender. Hemoglobin A1c and plasma VEGF did not act as predictors. No significant differences between...... patients with and without proliferative retinopathy were detected. CONCLUSIONS: Our data suggest that VEGF is elevated early in the course of diabetic nephropathy in men with type 1 diabetes mellitus. Baseline albuminuria, arterial blood pressure and male gender was predictors of diabetic nephropathy...

  16. Risks and Opportunities of Urbanization – Structure of Two Populations of the Balkan Wall Lizard Podarcis tauricus (Pallas, 1814) in the City of Plovdiv

    OpenAIRE

    Ivelin A. Mollov; Miglena V. Valkanova

    2009-01-01

    The current study analyzes the structure and some features of two urban metapopulations of the Balkan Wall Lizard (Podarcis tauricus (Pallas, 1814)) from Nature Monument (NM) “Mladezhki halm” and Nature Monument “Halm na osvoboditelite” in the city of Plovdiv (South Bulgaria). In both study sites, the Balkan Wall lizard inhabits exclusively the interior of the hills and prefers mainly open areas with rare grass and shrub vegetation. The recorded dominant plant species are not autochthonous fo...

  17. Alterations of urinary metabolite profile in model diabetic nephropathy

    Energy Technology Data Exchange (ETDEWEB)

    Stec, Donald F. [Vanderbilt Institute of Chemical Biology, Vanderbilt University Medical Center, Nashville, TN 37232 (United States); Wang, Suwan; Stothers, Cody [Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232 (United States); Avance, Josh [Berea College, 1916 CPO, Berea, KY 40404 (United States); Denson, Deon [Choctaw Central High School, Philadelphia, MS 39350 (United States); Harris, Raymond [Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232 (United States); Voziyan, Paul, E-mail: paul.voziyan@vanderbilt.edu [Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232 (United States)

    2015-01-09

    Highlights: • {sup 1}H NMR spectroscopy was employed to study urinary metabolite profile in diabetic mouse models. • Mouse urinary metabolome showed major changes that are also found in human diabetic nephropathy. • These models can be new tools to study urinary biomarkers that are relevant to human disease. - Abstract: Countering the diabetes pandemic and consequent complications, such as nephropathy, will require better understanding of disease mechanisms and development of new diagnostic methods. Animal models can be versatile tools in studies of diabetic renal disease when model pathology is relevant to human diabetic nephropathy (DN). Diabetic models using endothelial nitric oxide synthase (eNOS) knock-out mice develop major renal lesions characteristic of human disease. However, it is unknown whether they can also reproduce changes in urinary metabolites found in human DN. We employed Type 1 and Type 2 diabetic mouse models of DN, i.e. STZ-eNOS{sup −/−} C57BLKS and eNOS{sup −/−} C57BLKS db/db, with the goal of determining changes in urinary metabolite profile using proton nuclear magnetic resonance (NMR). Six urinary metabolites with significantly lower levels in diabetic compared to control mice have been identified. Specifically, major changes were found in metabolites from tricarboxylic acid (TCA) cycle and aromatic amino acid catabolism including 3-indoxyl sulfate, cis-aconitate, 2-oxoisocaproate, N-phenyl-acetylglycine, 4-hydroxyphenyl acetate, and hippurate. Levels of 4-hydroxyphenyl acetic acid and hippuric acid showed the strongest reverse correlation to albumin-to-creatinine ratio (ACR), which is an indicator of renal damage. Importantly, similar changes in urinary hydroxyphenyl acetate and hippurate were previously reported in human renal disease. We demonstrated that STZ-eNOS{sup −/−} C57BLKS and eNOS{sup −/−} C57BLKS db/db mouse models can recapitulate changes in urinary metabolome found in human DN and therefore can be

  18. Alterations of urinary metabolite profile in model diabetic nephropathy

    International Nuclear Information System (INIS)

    Stec, Donald F.; Wang, Suwan; Stothers, Cody; Avance, Josh; Denson, Deon; Harris, Raymond; Voziyan, Paul

    2015-01-01

    Highlights: • 1 H NMR spectroscopy was employed to study urinary metabolite profile in diabetic mouse models. • Mouse urinary metabolome showed major changes that are also found in human diabetic nephropathy. • These models can be new tools to study urinary biomarkers that are relevant to human disease. - Abstract: Countering the diabetes pandemic and consequent complications, such as nephropathy, will require better understanding of disease mechanisms and development of new diagnostic methods. Animal models can be versatile tools in studies of diabetic renal disease when model pathology is relevant to human diabetic nephropathy (DN). Diabetic models using endothelial nitric oxide synthase (eNOS) knock-out mice develop major renal lesions characteristic of human disease. However, it is unknown whether they can also reproduce changes in urinary metabolites found in human DN. We employed Type 1 and Type 2 diabetic mouse models of DN, i.e. STZ-eNOS −/− C57BLKS and eNOS −/− C57BLKS db/db, with the goal of determining changes in urinary metabolite profile using proton nuclear magnetic resonance (NMR). Six urinary metabolites with significantly lower levels in diabetic compared to control mice have been identified. Specifically, major changes were found in metabolites from tricarboxylic acid (TCA) cycle and aromatic amino acid catabolism including 3-indoxyl sulfate, cis-aconitate, 2-oxoisocaproate, N-phenyl-acetylglycine, 4-hydroxyphenyl acetate, and hippurate. Levels of 4-hydroxyphenyl acetic acid and hippuric acid showed the strongest reverse correlation to albumin-to-creatinine ratio (ACR), which is an indicator of renal damage. Importantly, similar changes in urinary hydroxyphenyl acetate and hippurate were previously reported in human renal disease. We demonstrated that STZ-eNOS −/− C57BLKS and eNOS −/− C57BLKS db/db mouse models can recapitulate changes in urinary metabolome found in human DN and therefore can be useful new tools in

  19. Is low birth weight a risk factor for the development of diabetic nephropathy in patients with type 1 diabetes?

    DEFF Research Database (Denmark)

    Eshoj, O; Vaag, A; Borch-Johnsen, K

    2002-01-01

    OBJECTIVES: To investigate if low birth weight as a consequence of intrauterine malnutrition is a risk factor for the later development of diabetic nephropathy. DESIGN AND SUBJECTS: In a case-control set-up a group of type 1 diabetic subjects with diabetic nephropathy (n = 51) and a matched contr...... in the number of patients with nephropathy in the lower versus upper quartiles of birth weights. CONCLUSION: We found no evidence of low birth weight as a risk factor for the development of diabetic nephropathy.......OBJECTIVES: To investigate if low birth weight as a consequence of intrauterine malnutrition is a risk factor for the later development of diabetic nephropathy. DESIGN AND SUBJECTS: In a case-control set-up a group of type 1 diabetic subjects with diabetic nephropathy (n = 51) and a matched control...... nephropathy and 3,600 g (2,880-4,220) in the group without nephropathy, P = 0.52. In the lower quartile of birth weights the median (10-90 percentile) birth weights were 3,000 g (2,780-3,200) in the group with nephropathy versus 2,850 g (2,250-3,175) in the group without nephropathy, P = 0.07. In the upper...

  20. Predicting diabetic nephropathy in insulin-dependent patients

    DEFF Research Database (Denmark)

    Mogensen, C E; Christensen, Cramer

    1984-01-01

    development of proteinuria. Forty-four patients who had had Type I diabetes for at least seven years and who had albumin excretion rates below 150 micrograms per minute were studied from 1969 to 1976, and 43 were restudied in 1983. Of the 14 who initially had albumin excretion rates at or above 15 micrograms...... was not elevated in these patients. We conclude that microalbuminuria predicts the development of diabetic nephropathy and that elevated glomerular filtration rates and increased blood pressure may also contribute to this progression.......We studied whether microalbuminuria (urinary albumin excretion rates of 15 to 150 micrograms per minute) would predict the development of increased proteinuria in Type I diabetes. We also studied the influence of glomerular filtration rate, renal blood flow, and blood pressure on the later...

  1. An update on pathology of IgA nephropathy

    Directory of Open Access Journals (Sweden)

    Maria Fernanda Soares

    Full Text Available Abstract IgA Nephropathy (IgAN is the commonest of the glomerular diseases in the world. Its progression rate of 30-40% of the cases em 20-30 years makes IgAN an important healthcare issue in Nephrology. Diagnosis of IgAN depends on biopsy findings, particularly at immunofluorescence microscopy. The frequence of IgAN diagnosis is variable in different populations and depends on screening and biopsy indication policies. IgAN pathogenesis is considered multifactorial; its primordial defect is the production of galactosis-deficient IgA molecules. This review paper discusses the most uptodate aspects of the pathogenesis, pathological classification and clinical implications of IgAN.

  2. An update on pathology of IgA nephropathy.

    Science.gov (United States)

    Soares, Maria Fernanda

    2016-12-01

    IgA Nephropathy (IgAN) is the commonest of the glomerular diseases in the world. Its progression rate of 30-40% of the cases em 20-30 years makes IgAN an important healthcare issue in Nephrology. Diagnosis of IgAN depends on biopsy findings, particularly at immunofluorescence microscopy. The frequence of IgAN diagnosis is variable in different populations and depends on screening and biopsy indication policies. IgAN pathogenesis is considered multifactorial; its primordial defect is the production of galactosis-deficient IgA molecules. This review paper discusses the most uptodate aspects of the pathogenesis, pathological classification and clinical implications of IgAN.

  3. Predisposition to essential hypertension and development of diabetic nephropathy in IDDM patients

    DEFF Research Database (Denmark)

    Fagerudd, J A; Tarnow, L; Jacobsen, P

    1998-01-01

    Conflicting results have been reported on the relationship between familial predisposition to hypertension and development of diabetic nephropathy in IDDM. In our case-control study, we assessed the prevalence of hypertension among parents of 73 IDDM patients with diabetic nephropathy (DN...... for hypertension than were patients with DN+ and without parental treatment for hypertension (100 vs. 61%; P = 0.034; difference 39% [21-57%]). In conclusion, familial predisposition to essential hypertension increases the risk of diabetic nephropathy and may also contribute to the development of systemic......+; persistent albuminuria > 200 microg/min or > 300 mg/24 h) and 73 IDDM patients without diabetic nephropathy (DN-; urinary albumin excretion or = 135/85 mm...

  4. Identification of β2-microglobulin as a urinary biomarker for chronic allograft nephropathy using proteomic methods.

    LENUS (Irish Health Repository)

    Johnston, Olwyn

    2011-08-01

    Chronic allograft nephropathy (CAN) remains the leading cause of renal graft loss after the first year following renal transplantation. This study aimed to identify novel urinary proteomic profiles, which could distinguish and predict CAN in susceptible individuals.

  5. Reduction of urinary connective tissue growth factor by Losartan in type 1 patients with diabetic nephropathy

    NARCIS (Netherlands)

    Andersen, S; van Nieuwenhoven, FA; Tarnow, L; Rossing, P; Rossing, K; Wieten, L; Goldschmeding, R; Parving, HH

    Background. Connective tissue growth factor (CTGF) is an important profibrotic cytokine implicated in development of diabetic glomerulosclerosis. Urinary CTGF is reported to be significantly increased in patients with diabetic nephropathy. The present study aimed to investigate the short- and long

  6. Plasma proteome analysis of patients with type 1 diabetes with diabetic nephropathy

    DEFF Research Database (Denmark)

    Overgaard, Anne Julie; Hansen, Henning Gram; Lajer, Maria

    2010-01-01

    As part of a clinical proteomics program focused on diabetes and its complications we are looking for new and better protein biomarkers for diabetic nephropathy. The search for new and better biomarkers for diabetic nephropathy has, with a few exceptions, previously focused on either hypothesis-d...... enhanced laser desorption/ionization time-of-flight mass spectrometry analysis.......As part of a clinical proteomics program focused on diabetes and its complications we are looking for new and better protein biomarkers for diabetic nephropathy. The search for new and better biomarkers for diabetic nephropathy has, with a few exceptions, previously focused on either hypothesis......-driven studies or urinary based investigations. To date only two studies have investigated the proteome of blood in search for new biomarkers, and these studies were conducted in sera from patients with type 2 diabetes. This is the first reported in depth proteomic study where plasma from type 1 diabetic...

  7. Membrane targeting and secretion of mutant uromodulin in familial juvenile hyperuricemic nephropathy

    NARCIS (Netherlands)

    Jennings, Paul; Aydin, Sonia; Kotanko, Peter; Lechner, Judith; Lhotta, Karl; Williams, Sian; Thakker, Rajesh V; Pfaller, Walter

    Familial juvenile hyperuricemic nephropathy (FJHN) is an autosomal dominant genetic disorder that is characterized by hyperuricemia, gout, and tubulointerstitial nephritis. FJHN is caused by mutations in the UMOD gene, which encodes for uromodulin, the most abundant urinary protein. Herein is

  8. Urinary excretion of Tamm-Horsfall protein and epidermal growth factor in chronic nephropathy

    DEFF Research Database (Denmark)

    Torffvit, O; Jørgensen, P E; Kamper, A L

    1998-01-01

    with chronic nephropathy. Four groups of patients with moderate to severely reduced renal function were studied: glomerulonephritis (n = 10), diabetic nephropathy (n = 11), tubulointerstitial nephropathy (n = 13), and polycystic kidney disease (n = 8). The renal function was evaluated by glomerular filtration...... rate (GFR) as an indicator for the general renal function, lithium clearance (C(Li)) as an indicator for proximal tubular function, and absolute distal reabsorption of sodium (ADR(Na)) as an indicator for distal tubular function. The excretion rate of EGF was rather closely correlated with GFR, C...... analyses, the excretion rates of the two peptides were still associated with ADR(Na) but not with C(Li). In conclusion, the urinary excretion rates of especially EGF but also those of THP were correlated with renal function and distal tubular reabsorption of sodium in patients with chronic nephropathy....

  9. A series of patients with minimal change nephropathy treated with rituximab during adolescence and adulthood

    NARCIS (Netherlands)

    M.J. Dekkers (Marinus J.); J. Groothoff (Jaap); R. Zietse (Bob); M.G.H. Betjes (Michiel)

    2015-01-01

    markdownabstract__Background:__ The treatment of immune suppression dependent minimal change nephropathy (MCN) can be challenging and frequently leads to serious complications. In paediatric patients, successful treatment with rituximab is described in steroid-dependent MCN. There is limited

  10. The endothelin antagonist atrasentan lowers residual albuminuria in patients with type 2 diabetic nephropathy

    DEFF Research Database (Denmark)

    de Zeeuw, Dick; Coll, Blai; Andress, Dennis

    2014-01-01

    Despite optimal treatment, including renin-angiotensin system (RAS) inhibitors, patients with type 2 diabetic nephropathy have high cardiorenal morbidity and mortality related to residual albuminuria. We evaluated whether or not atrasentan, a selective endothelin A receptor antagonist, further re...

  11. Diabetic Nephropathy and Microalbuminuria in Pregnant Women With Type 1 and Type 2 Diabetes

    DEFF Research Database (Denmark)

    Damm, Julie Agner; Asbjörnsdóttir, Björg; Callesen, Nicoline Foged

    2013-01-01

    To evaluate the prevalence of diabetic nephropathy and microalbuminuria in pregnant women with type 2 diabetes in comparison with type 1 diabetes and to describe pregnancy outcomes in these women following the same antihypertensive protocol....

  12. The Clinical Epidemiology of Contrast-Induced Nephropathy

    International Nuclear Information System (INIS)

    Parfrey, Patrick

    2005-01-01

    Recent improvements in contrast agents and radiologic imaging tools have resulted in an increasing number of patients undergoing contrast media (CM)-enhanced examinations. Although the majority of patients undergoing these diagnostic and therapeutic procedures experience only mild adverse events, some patient subpopulations are at risk for developing contrast-induced nephropathy (CIN), an adverse event that is associated with high morbidity and mortality. Contrast-induced nephropathy is usually defined as an increase of ≥25% in the serum creatinine level relative to baseline. Pathophysiologic mechanisms underlying this disorder are not fully understood, but it is currently believed that disturbances in renal hemodynamics and a direct effect of CM on renal tubules are involved. In the general population, the incidence of CIN is estimated to be 1% to 6%. However, the risk may be as high as 50% in some patient subgroups. Patients with diabetes and pre-existing renal impairment are at high risk, and CIN incidence increases in patients with multiple comorbidities. The volume and osmolality of CM used also play a role in the development of CIN. Patients who develop CIN are more likely to die in-hospital and, for those who are discharged, 1-year mortality rates are high. Whether this is due to CM, comorbidity, or concurrent comorbid events is unclear. Randomized controlled trials that measure non-renal clinical outcomes are necessary to determine whether interventions that prevent CIN can also prevent non-renal adverse events. A review of the incidence, pathogenesis, and clinical consequences of CIN is provided

  13. Computerized Tomography Contrast Induced Nephropathy (CIN among adult inpatients

    Directory of Open Access Journals (Sweden)

    Luciano Passamani Diogo

    2014-12-01

    Full Text Available Introduction: Contrast induced nephropathy (CIN is one of the complications of the use of intravascular contrast agents, being defined as a reduction of the glomerular filtration rate caused by the iodinated contrast. Most CIN data derive from the cardiovascular literature, which identified as the most consistent risk factors pre-existing chronic renal insufficiency and diabetes mellitus. However, these studies limit their conclusions to a more specific patient population. Computerized tomography as a cause of CIN has been studied less often. Objective: To report on the incidence of computerized tomography contrast induced nephropathy (CIN in an inpatient population of a tertiary general hospital, identifying potentially avoidable risk factors. Methods: We performed a prospective cohort study with inpatients admitted at a tertiary hospital requiring contrast-induced CT. The primary outcome was the development of CIN, measure by the alteration of serum creatinine or glomerular filtration rate in 48 or 72 hours. Through clinical interview, we verified possible risk factors and preventive measures instituted by the medical team and their association with development of CIN. Results: Of a total of 410 patients, 35 (8.5% developed CIN. There was a positive correlation between CIN and the presence of diabetes mellitus (OR = 2.15; 95%CI 1.35-4.06; p = 0.02, heart failure (OR = 2.23; 95%CI 1.18-8.8; p = 0.022, and renal failure (OR = 3.36; 95%CI 1.57- 7.17; p = 0.002 Conclusion: Incidence of CIN varies according to the population. Diabetes mellitus, heart failure and renal failure were independent risk factors for the development of CT-associated CIN. Further studies are needed to better understand and treat CT-associated CIN.

  14. Reducing the Risks for Contrast-Induced Nephropathy

    International Nuclear Information System (INIS)

    Stacul, Fulvio

    2005-01-01

    Contrast-induced nephropathy (CIN) is one of the most serious adverse events associated with the use of contrast media (CM). Patients who develop this complication can have increased morbidity, higher rates of mortality, lengthy hospital stays, and poor long-term outcomes. Although CIN cannot be eliminated, the chances of developing this condition can be reduced by using appropriate prevention strategies. An important first step to reduce the chance of CIN is to identify risk factors associated with this condition. Patients with a previously elevated serum creatinine level, especially when secondary to diabetic nephropathy, are at great risk for developing CIN. Other patient-related risk factors include concurrent use of nephrotoxic medications, dehydration, congestive heart failure, age greater than 70 years, and probably the presence of diabetes mellitus even if serum creatinine is normal. Adequate hydration is widely accepted as an important prophylactic measure for preventing CIN, but the optimal hydration regimen is still debatable. The risk of CIN increases with greater doses of CM, as well as with the type of CM used. A high-osmolar CM poses a greater risk of CIN than does a low-osmolar CM and, as recent but limited data suggest, the use of an iso-osmolar CM is less nephrotoxic than a low-osmolar CM in patients with renal impairment following intra-arterial procedures, although this finding needs to be verified in future clinical studies. Pharmacologic agents such as calcium channel blockers, dopamine, atrial natriuretic peptide, fenoldopam, prostaglandin E1, and endothelin receptor antagonist have not been proven effective against CIN development. Controversies still exist on the possible effectiveness of theophylline and N-acetylcysteine. Simple strategies for the prevention of CIN in at-risk patients are reviewed and unproven interventions are discussed

  15. Contribution of glomerular morphometry to the diagnosis of pediatric nephropathies

    Directory of Open Access Journals (Sweden)

    Mariana Barreto Marini

    2016-01-01

    Full Text Available Only a few studies describe histopathological changes in renal biopsies performed in pediatric patients. This study was conducted to identify an association between morphometric data in renal biopsies and renal function of these patients. Fifty-nine individuals with ages between 2 and 18 years old were selected, who were divided into six groups consisting of frequent nephropathies in children and adolescents and one control group. Proteinuria, urea, and creatinine values of the patients were recorded. Interactive image analysis software Leica QWin[®]was used for morpho- metric analysis of Bowman′s capsule, glomerular capillary tuft, and Bowman′s space area. The mean glomerular tuft area was higher in the membranous glomerulopathy group than in the podo- cytopathy group (57,101 ± 25,094 vs. 27,420 c ± 6279 µm2; P <0.05. The median of Bowman′s space area was higher in the control group than in the podocytopathy group and in the thin basement membrane/Alport syndrome group [12,210 (7676-26,945 vs. 5801 (3031-7852 µm2; P <0.01 and 12210 (7676-26,945 vs. 4183 (3797-7992 µm2; P <0.01, respectively]. There was a positive and significant correlation between Bowman′s capsule area and the levels of proteinuria, creatinine, and urea of the patients, as well as between the glomerular tuft area and the levels of proteinuria, creatinine, and urea in the patients, regardless of their nephropathy. Glomerular morphometry may contribute to the diagnosis of some glomerulopathies and the association between glomerular morphometric parameters, and laboratory data may promote a better understanding of the prognosis of these patients.

  16. The Balkans in Search of a New Breath: South-east Europe Revealed by the Energy Stakes

    International Nuclear Information System (INIS)

    Dorlhiac, Renaud

    2014-01-01

    In the coming years, the fact that Western Europe has no choice but to equip itself with new ways of energy supply will confer a strategic place on the Balkans. The countries concerned by the projects promoted within the framework of the 'southern corridor' intend to take advantage of this transit role to boost economies hardly affected by the financial crisis, and lighten their energy dependence, while waiting to develop their own potential, still under-exploited, in particular in the renewable energies field. But the Balkans States intend also to seize this opportunity to raise their weight on the international scene and to assert their regional supremacy. Those political stakes drive most of them to settle (or minimize) some bilateral issues with their neighbors. It also drives them to broaden their partnerships beyond the European continent in order to free themselves from relations more and more tense between Russia and the European Union

  17. 20 years since the establishment of the BANTAO association (Balkan Cities Association of Nephrology, Dialysis, Transplantation and Artificial Organs).

    Science.gov (United States)

    Polenakovic, Momir; Nenov, Dimitar; Basci, Ali; Djukanovic, Ljubica; Tsakiris, Dimitris; Nesic, Vida; Schiller, Adalbert; Spasovski, Goce; Klinkmann, Horst; Vienken, Joerg; Falkenhagen, Dieter; Ivanovich, Peter

    2013-01-01

    The Balkan Cities Association of Nephrology, Dialysis, Transplantation and Artificial Organs (BANTAO) was born in Ohrid on October 9, 1993. The war in former Yugoslavia negatively affected the development of nephrology and also the connections among the nephrologists from the Balkans. However, there was willingness for further mutual collaboration between the nephrologists from the Balkans. The war in Yugoslavia created hate among people, between the newly established countries, and there were problems with the recognition of the names of the new countries, and so, the nephrologists decided to apply the ancient principle of using the names of the cities, instead of the countries, as the founders of the Association. The main goal of BANTAO is to promote scientific and technical cooperation in the fields of renal disease and artificial organs between the regions on the Balkan Peninsula and the world, to give an opportunity for exchange of experience and knowledge among the experts in the area and to engage in collaborative projects in order to demonstrate that cooperation is possible even on the turbulent Balkan Peninsula. The I BANTAO congress was held in Varna from September 22 to 24th, 1995 (President--D. Nenov, Varna). The II congress of BANTAO was held from September 6th to 10th, 1997 in Struga, (President--M. Polenakovic, Skopje). The III BANTAO congress was held in Belgrade from September 18th to 20th, 1998 (President--Lj. Djukanović, Belgrade). The IV congress of BANTAO was held in Izmir from 14th to 16th November 1999 (President--A. Akcicek, Izmir). The V Congress of BANTAO was held in Thessaloniki from September 30th to October 3rd, 2001 (President--P. Stathakis, Athens). The VI Congress of BANTAO was held for the second time in Varna from 6th to 9th October 2003 (President--D. Nenov, Varna). The VII congress of BANTAO was held from September 8th to 11th, 2005 in Ohrid, (President--M. Polenakovic, Skopje). The VIII BANTAO congress was held in Belgrade, 16

  18. Distribution and variability of n-alkanes in epicuticular waxes of sedum species from the central Balkan Peninsula: chemotaxonomic importance.

    Science.gov (United States)

    Jovanović, Snežana Č; Zlatković, Bojan K; Stojanović, Gordana S

    2015-05-01

    For the first time, the n-alkane distribution and variability of the epicuticular waxes within 22 Sedum taxa was reported with focus on the chemotaxonomy of native Sedum representatives from the central Balkan Peninsula, compared to their relations with four other species of the Crassulaceae family. By GC/MS and GC-FID identification and quantification, it was established that n-alkanes C27 , C29 , C31 , C33 , and C35 were the dominant constituents of the examined epicuticular wax samples. Applying multivariate statistical analyses including agglomerative hierarchical clustering (AHC) and principal component analysis (PCA), the relation according to the n-alkane composition between the examined samples was established. It was shown that the n-alkane variability of the central Balkan Sedum species was considerable and that n-alkanes might not be very reliable taxonomic markers for these species. Copyright © 2015 Verlag Helvetica Chimica Acta AG, Zürich.

  19. Prevention of contrast-induced nephropathy by use of bicarbonate solution: preliminary results and literature review.

    Science.gov (United States)

    Silva, Ricardo Gonçalves da; Silva, Nelson Gonçalves da; Lucchesi, Fabiano; Burdmann, Emmanuel A

    2010-01-01

    The incidence of contrast-induced nephropathy has increased simultaneously with the increase in contrast medium use in diagnostic and interventional procedures. The incidence of contrast-induced nephropathy in the general population is low, but increases exponentially in patients with risk factors, such as diabetes and chronic kidney disease. Several strategies have been used in order to prevent contrast-induced nephropathy. The most efficient strategies are saline hydration (0.9% or 0.45%), use of low-or iso-osmolality contrast medium, and sodium bicarbonate infusion. The aim of this study was to review the pertinent literature and to assess the efficacy of hydration with 1.3% sodium bicarbonate compared with hydration with 0.9% saline solution in preventing contrast-induced nephropathy in high-risk patients. A systematic search of the literature was conducted in PubMed by using the following keywords: bicarbonate, nephropathy, contrast medium, and acute kidney failure. In addition, 27 patients with diabetes and/or chronic kidney disease, diagnosed with some kind of cancer were randomized for study. None of the patients developed contrast-induced nephropathy characterized as a 0.5 mg/ dL-increase and/or a relative 25%-increase in baseline creatinine. The literature review strongly suggested that sodium bicarbonate is effective in preventing contrast-induced nephropathy. Regarding the randomized study, saline solution and bicarbonate solution had similar efficacy in preventing contrast-induced nephropathy. However, the small number of patients does not allow definite conclusions.

  20. The Oxford IgA nephropathy clinicopathological classification is valid for children as well as adults

    NARCIS (Netherlands)

    Coppo, Rosanna; Troyanov, Stéphan; Camilla, Roberta; Hogg, Ronald J.; Cattran, Daniel C.; Cook, H. Terence; Feehally, John; Roberts, Ian S. D.; Amore, Alessandro; Alpers, Charles E.; Barratt, Jonathan; Berthoux, Francois; Bonsib, Stephen; Bruijn, Jan A.; D'Agati, Vivette; D'Amico, Giuseppe; Emancipator, Steven N.; Emma, Francesco; Ferrario, Franco; Fervenza, Fernando C.; Florquin, Sandrine; Fogo, Agnes B.; Geddes, Colin C.; Groene, Hermann J.; Haas, Mark; Herzenberg, Andrew M.; Hill, Prue A.; Hsu, Stephen I.; Jennette, J. Charles; Joh, Kensuke; Julian, Bruce A.; Kawamura, Tetsuya; Lai, Fernand M.; Li, Lei S.; Li, Philip K.; Liu, Zhi H.; Mezzano, Sergio; Schena, F. Paolo; Tomino, Yasuhiko; Walker, Patrick D.; Wang, Haiyan; Weening, Jan J.; Yoshikawa, Norishige; Zhang, Hong

    2010-01-01

    To study the predictive value of biopsy lesions in IgA nephropathy in a range of patient ages we retrospectively analyzed the cohort that was used to derive a new classification system for IgA nephropathy. A total of 206 adults and 59 children with proteinuria over 0.5 g/24h/1.73 m(2) and an eGFR of

  1. The effects of German Military Commission and Balkan wars on the reorganization and modernization of the Ottoman Army

    OpenAIRE

    Topal, Ali E.

    2013-01-01

    Approved for public release; distribution is unlimited. This thesis investigates the consequences of the Ottoman Army reform initiatives from the establishment of German Military Commission (18821918) to the outbreak of World War I (19141918). The Ottoman Army undertook huge change, supported by the German Military Commission, for the survival of the Empire. During this period, the results of the Balkan Wars (19121913) provided a critical impetus to accomplish these reforms efforts. The ef...

  2. Managing Water Sustainability: Virtual Water Flows and Economic Water Productivity Assessment of the Wine Trade between Italy and the Balkans

    Directory of Open Access Journals (Sweden)

    Pier Paolo Miglietta

    2018-02-01

    Full Text Available The management of natural resources in economic activities has become a fundamental issue when considering the perspective of sustainable development. It is necessary to rethink every process in order to reach efficiency from different points of view, not only environmentally but also economically. Water scarcity is growing because of economic and population growth, climate change, and the increasing water demand. Currently, agri-food represents the most water consumptive sector, and the increasing importance of international trade in this industry puts freshwater issues in a global context that should be analyzed and regulated by sustainable policies. This analysis is focused on virtual water flows and economic water productivity related to the wine trade, and aims to evaluate water loss/savings achieved through bilateral trade relations. The choice fell on Italy, the first wine producer in the world, and the Balkan countries. The latter are new markets for wine production/consumption, in which Italian wines are strongly positioned for different reasons. The results show that, from a national point of view and considering wine trade, Italy exports water in virtual form to the Balkan countries, more than it imports, so that in effect it partially uses its own water resources for the wine supply of the Balkans. The latter, on the other hand, being a net importer of wine, partially depends on Italian water resources and exerts less pressure on their own water basins in the supporting wine supply. We also observed that the wine trade between Italy and the Balkans implies global water savings.

  3. The New Environment of EU Enlargement: The Impact of Economic Crisis on the Western Balkans and their EU Accession Prospects

    OpenAIRE

    Ritsa Panagiotou

    2014-01-01

    This paper will explore the impact of the economic crisis on the Western Balkan countries, and how the new, unfavorable international environment is affecting their EU accession prospects. The analysis will be presented in three sections: the first part will examine the effect of the “first wave” of the global economic crisis on the economies of the region, specifically the impact on the region’s macroeconomic indicators, foreign direct investment flows, financial sectors, etc. Part two...

  4. Tendances et différences démographiques dans les Balkans

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    Parant, Alain

    2009-12-01

    Full Text Available The Balkans, which had long been characterized by higher fertility and earlier mortality than the more western and northern parts of the European continent, have become demographically modern. They are not for that reason any less diverse. This is witnessed, for example, by the gap that separates Bulgaria, which has long made the demographic transition, and Albania, the Former Yugoslav Republic of Macedonia, or Kosovo, where the natural population growth exceeds by far the migratory deficit. It is also witnessed by the very large spectrum of degrees of aging. Political and economic changes in the Balkans, the crises that accompanied them, the doubts that they have caused concerning the collective future, have reinforced the general tendencies toward delayed marriage and fertility, as well as toward reduced marriage and fertility rates. This has de facto consolidated the tendency toward demographic aging. Migrations, especially the migrations directly or indirectly related to the conflicts in former Yugoslavia, have also contributed to the modification of the demographic landscape and to the altering of the dynamic of the affected populations. They have also had an effect on the ethnic distribution of these populations. In the Balkans, whose bases have been strongly shaken in the past twenty years, heavy fertility and mortality tendencies limit the spectrum of possible mid-to-long term futures. There are also important consequences on the socioeconomic plan. All this in a political context, internal and external, that is the source of many questions.

    Los Balcanes, que se caracterizaron durante mucho tiempo por una fecundidad más elevada y una mortalidad más precoz que en las partes oeste y norte del continente europeo, están a partir de ahora inscritos en la modernidad demográfica. A pesar de ello son extremadamente diversos. Así lo confirma la distancia que separa, por ejemplo, Bulgaria, tierra de transición demográfica antigua

  5. Role of Nutrient-Sensing Signals in the Pathogenesis of Diabetic Nephropathy

    Directory of Open Access Journals (Sweden)

    Shinji Kume

    2014-01-01

    Full Text Available Diabetic nephropathy is the leading cause of end-stage renal disease worldwide. The multipronged drug approach still fails to fully prevent the onset and progression of diabetic nephropathy. Therefore, a new therapeutic target to improve the prognosis of diabetic nephropathy is urgently required. Nutrient-sensing signals and their related intracellular machinery have evolved to combat prolonged periods of starvation in mammals; and these systems are conserved in the kidney. Recent studies have suggested that the activity of three nutrient-sensing signals, mTORC1, AMPK, and Sirt1, is altered in the diabetic kidney. Furthermore, autophagy activity, which is regulated by the above-mentioned nutrient-sensing signals, is also altered in both podocytes and proximal tubular cells under diabetic conditions. Under diabetic conditions, an altered nutritional state owing to nutrient excess may disturb cellular homeostasis regulated by nutrient-responsible systems, leading to exacerbation of organelle dysfunction and diabetic nephropathy. In this review, we discuss new findings showing relationships between nutrient-sensing signals, autophagy, and diabetic nephropathy and suggest the therapeutic potential of nutrient-sensing signals in diabetic nephropathy.

  6. Secular variation of the Earth's magnetic field in the Balkan region during the last eight millennia based on archaeomagnetic data

    Science.gov (United States)

    Tema, E.; Kondopoulou, D.

    2011-08-01

    The first archaeomagnetic secular variation (SV) curves for the whole Southern Balkan Peninsula are presented. These are based on all data within a 700 km circle centred at Thessaloniki (40.60oN, 23.00oE). This data set consists of 325 directional and 625 intensity data mainly from Greece, Bulgaria, Serbia and southern Hungary. Some data from southern Italy are also included. The sliding moving window technique, was used to calculate a continuous SV curve for intensity while the directional SV curves were calculated using the bivariate extension of the Fisher statistics. These curves are well constrained and clearly show the main features of the geomagnetic field variation in this region during the last eight millennia. Comparisons with the predictions of the SCHA.DIF.3K and SCHA.DIF.8K regional and the CALS7K.2 and ARCH3K.1 global geomagnetic field models show a good agreement for the last 3000 years but differences for older times. The Balkan SV curves identify several rapid changes of the geomagnetic field in eastern Europe and can be used as reference curves for archaeomagnetic dating in the Balkan Peninsula.

  7. The Impact of Ethno Marketing Activities on Consumer Buying Behavior in the Balkans: The Case of Kosovo

    Directory of Open Access Journals (Sweden)

    Dr.Sc. Jusuf Zeqiri

    2016-01-01

    Full Text Available Ethno marketing defines as marketing segmentation approach that groups consumers on the basis of ethnicity. Ethno marketing starts with recognizing the elements of culture as crucial and essential for driving contemporary marketing strategies. Ethno marketing is slowly gaining traction in marketing in multicultural environments, particularly in countries or regions inhabited by consumers from different ethnic backgrounds. This study aims to find whether such marketing activities based on cultural elements practice has any effect on consumers’ buying behavior in the Balkans.  It focuses on consumers in Kosova with the understanding that this is a preliminary exploratory study whose results will form basis for a large study on the Balkan region. The study used a structured questionnaire with the Likert Scale. One hundred, forty-eight responses were received and analyzed using the SPSS statistical software. The results of the analysis show that Albanian consumers in Kosova agree that ethno marketing is important and company marketing activities such as a company’s advertisement and promotion in the language of the ethnic is considered very important during consumers purchase decisions. Furthermore, results reveal that symbols, cultural elements as well as the information dissemination inside the stores and outside seem to be very important for consumers. On the basis of this study, a larger study that covers the different countries in the Balkan region to determine how consumers in the different countries in the region relate to ethno marketing is strongly recommended.

  8. Characterization of several milk proteins in Domestic Balkan donkey breed during lactation, using lab-on-a-chip capillary electrophoresis

    Directory of Open Access Journals (Sweden)

    Gubić Jasmina

    2016-01-01

    Full Text Available Domestic Balkan donkey (Equus asinus asinus is a native donkey breed, primarily found in the northern and eastern regions of Serbia. The objective of the study was to analyze proteins of Domestic Balkan donkey milk during the lactation period (from the 45th to the 280th day by applying Lab-on-a-Chip electrophoresis. The chip-based separations were performed on the Agilent 2100 Bioanalyzer in combination with the Protein 80 Plus Lab Chip kit. The protein content of Domestic Balkan donkey milk during the lactation period of 280 days ranged from 1.40 % to 1.92 % and the content of αs1-casein, αs2-casein, b-casein, α-, β- lactoglobulin, lysozyme, lactoferrin and serum albumin was relatively quantified. Lysozyme (1040-2970 mg/L, α-lactalbumin 12 kDa (1990-2730 mg/L and α-lactalbumin 17.7 kDa (2240-3090 mg/L were found to be the proteins with the highest relative concentrations. [Projekat Ministarstva nauke Republike Srbije, br. III46012

  9. Changes of plasma levels of homocysteine (Hcy) and urinary albumin contents in patients with type 2 diabetes complicated with nephropathy

    International Nuclear Information System (INIS)

    Song Lili

    2010-01-01

    Objective: To study the changes of plasma levels of homocysteine (Hcy) and urinary albumin contents in patients with type 2 diabetes complicated with nephropathy. Methods: Plasma Hcy (with fluorescence immunoassay) fasting glucose, BUN, Cr (with biochemistry) levels and urinary albumin contents (with RIA) were determined in 36 DM2 patients without nephropathy, 30 DM2 patients with nephropathy and 30 controls. Results: The fasting blood glucose levels in the 2 groups of diabetic patients were not much different. Again, the BUN and Cr levels in the 3 groups of patients were about the same. The plasma Hcy levels in the group of patients with diabetic nephropathy were significantly higher than those in both controls and DM2 patients without nephropathy (all P<0.01). Conclusion: Hyperhomocysteinemia is a risk factor for nephropathy in DM2 patients. (authors)

  10. Karyotype analysis of Ethiopian endemic Kniphofia species ...

    African Journals Online (AJOL)

    Image analysis was used to study the karyotype of six Ethiopian Kniphofia species: K. foliosa, K. hildebrandtii, K. insignis, K. isoetifolia, K. schimperi and K. pumila. The first five are endemic to Ethiopia. All have somatic chromosome number of 2n = 12, and follow the same karyotype formula: 1m + 3sm + 2st. There was ...

  11. The Quality of Governance and EU Regional Policy as a key determinant in the process of the integration of the Western Balkans into the EU

    Directory of Open Access Journals (Sweden)

    Demush Bajrami

    2017-12-01

    Full Text Available This paper analyzes the quality of governance and financial assistance as key determinants for successful functioning of the process of integration within the European Union (EU. Moreover, the paper develops a comparison of the Western Balkans with current EU members and the forthcoming, on the basis of the selected indicators of governance (rule of law, democracy, corruption, political stability, and effectiveness of state with the experience of the implementation of the reforms of public administration. Various surveys show that the Western Balkans, by all quality of governance indicators, especially in the rule of law, lags behind 28 (twenty eight of the current EU countries (without taking in account the Great Britain. The low level of the functioning of rule of law, combined with inadequate and unreformed public administration is potentially the biggest obstacle in the association agreement of the Western Balkans with EU, but also as challenge in achieving sustainable social and economic development. Whereas in the case of the Western Balkan countries, there is an obvious difference between proclaiming and internal reality, which is further compounded by a difficult political and economic transition, as well as in social domain - where poverty and corruption are the most worrying. The research data obtained from independent bodies - academic and research institutions, civil society and international organizations - confirm this controversial picture of the Western Balkans. Negative attitudes still prevail in Western Balkans political elites and if given the chance to political manipulation, may behave unpredictably. All this makes it obligatory to make a comparative overview, for depicting in particular the quality of governance as sine qua non for the Western Balkans countries‘ integration in EU.

  12. Endemism in the moss flora of North America.

    Science.gov (United States)

    Carter, Benjamin E; Shaw, Blanka; Shaw, A Jonathan

    2016-04-01

    Identifying regions of high endemism is a critical step toward understanding the mechanisms underlying diversification and establishing conservation priorities. Here, we identified regions of high moss endemism across North America. We also identified lineages that contribute disproportionately to endemism and document the progress of efforts to inventory the endemic flora. To understand the documentation of endemic moss diversity in North America, we tabulated species publication dates to document the progress of species discovery across the continent. We analyzed herbarium specimen data and distribution data from the Flora of North America project to delineate major regions of moss endemism. Finally, we surveyed the literature to assess the importance of intercontinental vs. within-continent diversification for generating endemic species. Three primary regions of endemism were identified and two of these were further divided into a total of nine subregions. Overall endemic richness has two peaks, one in northern California and the Pacific Northwest, and the other in the southern Appalachians. Description of new endemic species has risen steeply over the last few decades, especially in western North America. Among the few studies documenting sister species relationships of endemics, recent diversification appears to have played a larger role in western North America, than in the east. Our understanding of bryophyte endemism continues to grow rapidly. Large continent-wide data sets confirm early views on hotspots of endemic bryophyte richness and indicate a high rate of ongoing species discovery in North America. © 2016 Botanical Society of America.

  13. Balkan Türk Ağızlarının Tasnifleri Üzerine Bir Değerlendirme An Assessment On Classification Of Balkan Turkish Dialects

    Directory of Open Access Journals (Sweden)

    Ahmet GÜNŞEN

    2012-01-01

    Full Text Available Balkan Turkish dialects are the dialects established in varioushistorical, geographical, social and cultural conditions by the Turks,who had been moved from Anatolian and settled in the Balkans fromthe mid 14th century.Balkan Turkish dialects, just like Anatolian dialects, have hadnumber of branches due to the fact that they belonged to differentTurkish tribes and lived within various political, social, cultural andgeographical conditions on the one hand and interacted with differentlanguages and cultures, mainly like Slavic ones, on the other.The ultimate objective of the researches on dialects, which havegained great significance nowadays, is to classify the existing dialects ina certain geography of language upon certain criteria within themselvesand even within the sub-dialects and eventually to form the atlases ofthe dialects. While the Western countries and some Turkish states havetaken great steps in this field, unfortunately it is hard to say the samefor the dialects of Turkey Turkish yet. Although the classificationproblem of the dialects of Turkey Turkish has widely been solved afterquite a long process, it is yet not possible to argue the same for BalkanTurkish dialects. The researches on Balkan Turkish dialects startedwith compilations of I. Kunos and the researches of T. Kowalski andthere have been some classification attempts later by mainly J. Németh,D. Gacanov, G. Hazai, M. Mollava and I. Dryga. However it is too earlyto claim that the last word has been spoken out on this matter yet.There are still a lot to do with Balkan Turkish dialects which are lessresearchescompared to Anatolian dialects.In this paper the researches on Balkan Turkish dialects up thepresent day is going to be introduced, the basic criteria and thecommon and differing criteria used by the researchers who made theclassification is going to be assessed and finally it is going to bediscussed whether some other criteria can be used for the mainstreamdialect

  14. Folk food and medicinal botanical knowledge among the last remaining Yörüks of the Balkans

    Directory of Open Access Journals (Sweden)

    Anely Nedelcheva

    2017-03-01

    Full Text Available The present study examines the current lifestyle of the last remaining Balkan Yörüks, a small and isolated group found within the Republic of Macedonia, and the modern representatives of an important portion of the Balkan nomads. The aim of this study was to document knowledge concerning local wild food plants and wild and cultivated medicinal plants, and to compare the Yörük ethnobotany with that of similar, more or less isolated ethnic groups occurring in the Balkan region (Macedonia, Bulgaria, Albania, and Turkey in order to assess how cultural adaptation processes may have affected Yörük plant folklore. We conducted this study by means of detailed, semi-structured interviews with 48 key informants. Sixty-seven plant taxa were recorded from 55 genera, based on the compilation of more than 150 reports relating to medicinal, food, forage, ornamental, and dye plants, as well as some elements relating to animals and minerals. Our field study data show several major ethnic boundary markers that contribute to the homogeneity of the community and also distinguish it sufficiently from the surrounding society: (i well-isolated locality; (ii local dialect and endogamy; (iii casual clothing worn by women; (iv ceremonial jewelry: a necklace of cloves (Syzygium aromaticum; (v Sempervivum marmoreum as an only ornamental plant which also has a medicinal use; and (vi Mentha spicata as the dominant culinary herb, which has a medicinal use too. Comparison of the collected ethnobotanical data with that of similar, more or less isolated ethnic groups in the Balkan region shows that overlapping taxa include mainly plants whose fresh fruit are used; both nuts as well as edible greens. These plants are simultaneously used for medicinal purposes too, as home remedies, but in very different ways to other ethnic groups. Yörüks represent a remarkable cultural group in the Balkans. This community has nomadic traditions, but nowadays the people have a settled

  15. Genetic relationships among one non-endemic and two endemic Mediterranean Triplefin Blennies (Pisces, Blennioidei)

    NARCIS (Netherlands)

    Geertjes, G.J; Kamping, A; van Delden, W.; Videler, J.J

    Three triplefin blennies occur sympatrically in the Mediterranean Sea; Tripterygion tripteronotus and T melanurus are endemic, whereas T delaisi is also found in the Eastern Atlantic. Although very similar in morphology, ecology and behaviour, some striking differences exist among reproductive

  16. Distribution of Mycobacterium ulcerans in buruli ulcer endemic and non-endemic aquatic sites in Ghana.

    Directory of Open Access Journals (Sweden)

    Heather R Williamson

    2008-03-01

    Full Text Available Mycobacterium ulcerans, the causative agent of Buruli ulcer, is an emerging environmental bacterium in Australia and West Africa. The primary risk factor associated with Buruli ulcer is proximity to slow moving water. Environmental constraints for disease are shown by the absence of infection in arid regions of infected countries. A particularly mysterious aspect of Buruli ulcer is the fact that endemic and non-endemic villages may be only a few kilometers apart within the same watershed. Recent studies suggest that aquatic invertebrate species may serve as reservoirs for M. ulcerans, although transmission pathways remain unknown. Systematic studies of the distribution of M. ulcerans in the environment using standard ecological methods have not been reported. Here we present results from the first study based on random sampling of endemic and non-endemic sites. In this study PCR-based methods, along with biofilm collections, have been used to map the presence of M. ulcerans within 26 aquatic sites in Ghana. Results suggest that M. ulcerans is present in both endemic and non-endemic sites and that variable number tandem repeat (VNTR profiling can be used to follow chains of transmission from the environment to humans. Our results suggesting that the distribution of M. ulcerans is far broader than the distribution of human disease is characteristic of environmental pathogens. These findings imply that focal demography, along with patterns of human water contact, may play a major role in transmission of Buruli ulcer.

  17. Current concepts of contrast-induced nephropathy: A brief review

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    Chao-Fu Chang

    2013-12-01

    Full Text Available Contrast-induced nephropathy (CIN is a common hospital-acquired acute kidney injury. Published studies on this condition have dramatically increased in recent years. This article aims to provide a brief literature review. English articles published from 1983 to 2012 were retrieved from PubMed by searching using the term “contrast-induced nephropathy.” Patients with CIN were associated with increased resource utilization, prolonged hospital stay, and increased long-term mortality. CIN is defined as a ≥0.5 mg/dL rise in serum creatinine or a 25% increase, assessed within 48–72 hours after administration of contrast medium (CM. All patients receiving CM should be evaluated for their CIN risk, especially preexisting kidney disease. The CM should be prewarmed to 37 °C and injected at the lowest possible dose. Repeat injection within 72 hours should be avoided. Either iso-osmolar CM or low-osmolar CM, except ioxaglate or iohexol, can be used in all patients. Iso-osmolar CM iodixanol may be a better choice for high-risk patients with chronic kidney disease requiring intra-arterial administration. Nephrotoxic drugs should be stopped 2 days prior to when the patient undergoes a procedure. All patients receiving CM should be at an optimal volume status. Parenteral isotonic saline without any diuretic should be started 12 hours prior to CM at a rate of 1 mL/kg/h and continued for 24 hours if there is no contraindication. In patients who require shorter volume supplement periods or are at a higher risk, bicarbonate infusion (154 mEq/L, 3 mL/kg/h for 1 hour bolus prior to CM, followed by 1 mL/kg/h for 6 hours may be used as an alternative to isotonic saline. Oral N-acetylcysteine (600 mg bid, starting on the day prior to the procedure together with parenteral hydration is suggested for patients at risk. Hemodialysis/hemofiltration is only considered in chronic kidney disease stage 4/5 patients when an access is available. The other medications

  18. A System-Wide Approach to Diabetic Nephropathy

    KAUST Repository

    Palafox, Luis

    2011-07-07

    Diabetes mellitus is a complex human disease that affects more than 280 million people worldwide. One of the diabetic long-term complications is diabetic nephropathy that it is responsible for 50% of all end-stage renal disease. The complexity of diabetes and the lack of comprehensive systematic studies have halted the development of drugs and clinical therapies for the treatment of diabetes and its major complications. The present project, based on the db/db mice as animal model, investigates the repercussions of diabetes mellitus in the transcriptome as well as the mechanism of action of pirfenidone, an antifibrotic drug, in the treatment of diabetic nephropathy. The study was centered on the system-wide measurements transcriptional state of the mouse kidney. The expression profile of three experimental groups: control, diabetic, and diabetic treated with the drug, were analyzed using expression clustering, gene ontology enrichment analysis, protein-protein interaction network mapping, and gene expression behavior. The results show significant expression dysregulation of genes involved in RNA processing, fatty acid oxidation, and oxidative phosphorylation under the diabetic condition. The drug is able to regulate the expression levels of RNA processing genes but it does not show any effect in the expression profile of genes required in the oxidative phosphorylation and in the fatty acid metabolism. In conclusion diabetes mellitus induce the dysregulation of the splicing apparatus, the oxidative phosphorylation, and the fatty acid metabolic pathway at an expression level. The malfunction of these biological pathways causes cellular stress by increasing the concentration of reactive oxygen species within the cell due to a high oxidative and respiratory activity of mitochondria in addition to the increased demand of the folding machinery as a consequence of a dysregulation of the splicing apparatus. Pirfenidone regulates the expression of RNA processing genes mainly

  19. Thyroid Function In Type 2 Diabetes Mellitus and in Diabetic Nephropathy

    Science.gov (United States)

    Rai, Srinidhi; Kumar J, Ashok; K, Prajna; Shetty, Shobith Kumar; Rai, Tirthal; Shrinidhi; Begum, Mohamedi; Shashikala

    2013-01-01

    Introduction: Diabetic patients have higher prevalence of thyroid disorders than the general population which may have an influence on diabetic management. The present study compared the levels of thyroid hormones, serum creatinine, glycated haemoglobin and urine microalbumin between type 2 diabetics without any complications, type 2 diabetics with nephropathy and age and sex matched normal controls. Result: The mean serum T3 level in type 2 diabetics without any complications was 91.27 ± 14.56 ng/dl , in type 2 diabetics with nephropathy was 88.5320 ± 30.87 ng/dl and in controls was 134.98 ± 28.55 ng/dl. The mean serum T4 level in type 2 diabetics without any complications was 7.73 ± 1.42 μg/dl, in type 2 diabetics with nephropathy was 7.25 ± 2.72 μg/dl and in controls was 8.61 ± 1.73 μg/dl. The mean serum TSH level in type 2 diabetics without any complications was 3.99 ± 1.87 μIU/ml, in type 2 diabetics with nephropathy was 4.27 ± 1.62 μIU/ml and in controls was 2.07 ± 1.09 μIU/ml. Correlations between T3, T4, TSH with serum creatinine, glycated haemoglobin were not statistically significant in type 2 diabetes without any complications and diabetic nephropathy. We found a statistically significant correlation between T3 and urine microalbumin in patients with diabetic nephropathy. Conclusion: Failure to recognize the presence of abnormal thyroid hormone levels may be a primary cause of poor management of diabetes mellitus type 2. Therefore there is a need for the routine assay of thyroid hormones in type 2 diabetics and diabetic nephropathy in order to improve the quality of life and reduce the morbidity. PMID:24086845

  20. Dynamic magnetic resonance imaging in the assessment of chronic medical nephropathies with impaired renal function

    International Nuclear Information System (INIS)

    Dalla-Palma, L.; Pozzi-Mucelli, R.S.; Cova, M.; Meduri, S.; Panzetta, G.; Galli, G.

    2000-01-01

    We examined the value of dynamic magnetic resonance imaging (MRI) in chronic renal disease with renal insufficiency. In 33 consecutive patients (21 vascular nephropathy, 12 glomerular nephropathy) MRI was performed using a 1.5-T unit and a body coil, with SE T1-weighted (TR/TE = 600/19 ms) and dynamic TFFE T1-weighted sequences (TR/TE = 12/5 ms, flip angle = 25 ) after manual bolus injection (via a cubital vein) of 0.1 mmol/kg Gd-DTPA-BMA. Morphological evaluation was performed in unblinded fashion by three radiologists, evaluating renal size, cortical thickness, and corticomedullary differentiation. Functional analysis was performed by one reviewer. Time-signal intensity curves, peak intensity value (P), time to peak intensity (T), and the P/T ratio were obtained at the cortex, medulla, and pyelocaliceal system of each kidney. The relationship of these parameters to serum creatinine and with creatinine clearance was investigated. A good correlation between morphological features of the kidneys and serum creatinine values was found. Morphological findings could not distinguish between vascular and glomerular nephropathies. A statistically significant correlation (P <0.01) between cortical P, cortical P/T, medullary P, and serum creatinine and creatinine clearance was found. A significant correlation (P <0.01) was also found between cortical T, medullary P/T, T of the excretory system, and creatinine clearance. The cortical T value was significantly higher (P <0.01) in vascular nephropathy than in glomerular nephropathy. Thus in patients with chronic renal failure dynamic MRI shows both morphological and functional changes. Morphological changes are correlated with the degree of renal insufficiency and not with the type of nephropathy; the functional changes seem to differ in vascular from glomerular nephropathies. (orig.)

  1. Contrast nephropathy in high-risk patients undergoing coronary angiography and intervention

    International Nuclear Information System (INIS)

    Uddin, M.A.; Rabbani, M.A.; Jafary, F.H.; Bhatti, M.A.; Islam, M.

    2005-01-01

    Objective: To determine the incidence of contrast nephropathy in high-risk patients undergoing coronary angiography and percutaneous coronary intervention (PCI), and to define the characteristics of this cohort. Design: Descriptive study. Place and Duration of Study: The Aga Khan University Hospital, Karachi from January to December 2002. Patients and Methods: One hundred and fifteen patients with serum creatinine greater than 1.4mg/dl who underwent coronary angiography or PCI were included. All patients received non-ionic contrast dye. Acute contrast nephropathy was defined as rise in serum creatinine of >0.5mg/dl within 48 hours following the index procedure. Means and standard deviations were calculated for continuous variables and frequencies for categorical variables. Results: Mean age of patients was 62.3 year + 8.83. Mean pre-contrast creatinine was 1.9+0.9mg/dl. Eleven (9.65%) patients developed contrast nephropathy. 4.4% of patients with serum creatinine 4.0(p-value 0.001). 11.9% diabetic patients developed nephropathy compared to 6.3% of non-diabetics (p-value 0.355). 11.4% of hypertensive and 3.7% of non-hypertensive patients developed contrast-nephropathy (p-value 0.454). 12.9% of low dose group ( 100ml) developed nephropathy (p-value 0.188). Mean serum creatinine in low dose group was higher (3.0mg/dl vs. 1.7 mg/dl). Conclusion: The incidence of contrast nephropathy in this study was similar to that reported in literature. Risk of CIN was found to be significantly proportional to the severity of baseline renal disease. Trends towards higher risk of CIN were seen in patients with diabetes and hypertension. Higher incidence of CIN in patients receiving low-dose contrast was confounded by higher baseline serum creatinine in that group. (author)

  2. Sodium bicarbonate-based hydration prevents contrast-induced nephropathy: a meta-analysis

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    Tamhane Umesh

    2009-05-01

    Full Text Available Abstract Background Contrast-induced nephropathy is the leading cause of in-hospital acute renal failure. This side effect of contrast agents leads to increased morbidity, mortality, and health costs. Ensuring adequate hydration prior to contrast exposure is highly effective at preventing this complication, although the optimal hydration strategy to prevent contrast-induced nephropathy still remains an unresolved issue. Former meta-analyses and several recent studies have shown conflicting results regarding the protective effect of sodium bicarbonate. The objective of this study was to assess the effectiveness of normal saline versus sodium bicarbonate for prevention of contrast-induced nephropathy. Methods The study searched MEDLINE, EMBASE, Cochrane databases, International Pharmaceutical Abstracts database, ISI Web of Science (until 15 December 2008, and conference proceedings for randomized controlled trials that compared normal saline with sodium bicarbonate-based hydration regimen regarding contrast-induced nephropathy. Random-effects models were used to calculate summary odds ratios. Results A total of 17 trials including 2,633 subjects were pooled. Pre-procedural hydration with sodium bicarbonate was associated with a significant decrease in the rate of contrast-induced nephropathy (odds ratios 0.52; 95% confidence interval 0.34–0.80, P = 0.003. Number needed to treat to prevent one case of contrast-induced nephropathy was 16 (95% confidence interval 10–34. No significant differences in the rates of post-procedure hemodialysis (P = 0.20 or death (P = 0.53 was observed. Conclusion Sodium bicarbonate-based hydration was found to be superior to normal saline in prevention of contrast-induced nephropathy in this updated meta-analysis.

  3. Dynamic magnetic resonance imaging in the assessment of chronic medical nephropathies with impaired renal function

    Energy Technology Data Exchange (ETDEWEB)

    Dalla-Palma, L.; Pozzi-Mucelli, R.S.; Cova, M.; Meduri, S. [Dept. of Radiology, University of Trieste (Italy); Panzetta, G.; Galli, G. [Hemodialysis Service, Ospedale Maggiore, Trieste (Italy)

    2000-02-01

    We examined the value of dynamic magnetic resonance imaging (MRI) in chronic renal disease with renal insufficiency. In 33 consecutive patients (21 vascular nephropathy, 12 glomerular nephropathy) MRI was performed using a 1.5-T unit and a body coil, with SE T1-weighted (TR/TE = 600/19 ms) and dynamic TFFE T1-weighted sequences (TR/TE = 12/5 ms, flip angle = 25 ) after manual bolus injection (via a cubital vein) of 0.1 mmol/kg Gd-DTPA-BMA. Morphological evaluation was performed in unblinded fashion by three radiologists, evaluating renal size, cortical thickness, and corticomedullary differentiation. Functional analysis was performed by one reviewer. Time-signal intensity curves, peak intensity value (P), time to peak intensity (T), and the P/T ratio were obtained at the cortex, medulla, and pyelocaliceal system of each kidney. The relationship of these parameters to serum creatinine and with creatinine clearance was investigated. A good correlation between morphological features of the kidneys and serum creatinine values was found. Morphological findings could not distinguish between vascular and glomerular nephropathies. A statistically significant correlation (P <0.01) between cortical P, cortical P/T, medullary P, and serum creatinine and creatinine clearance was found. A significant correlation (P <0.01) was also found between cortical T, medullary P/T, T of the excretory system, and creatinine clearance. The cortical T value was significantly higher (P <0.01) in vascular nephropathy than in glomerular nephropathy. Thus in patients with chronic renal failure dynamic MRI shows both morphological and functional changes. Morphological changes are correlated with the degree of renal insufficiency and not with the type of nephropathy; the functional changes seem to differ in vascular from glomerular nephropathies. (orig.)

  4. Foreign direct investment in the western Balkans: Privatization, institutional change, and banking sector dominance

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    Botrić Valerija

    2010-01-01

    Full Text Available The paper provides analysis of foreign direct investment (FDI dynamics and its determinants for the group of countries lately referred to as Western Balkans (non- EU ex-Yugoslavia countries plus Albania. Due to vulnerable external positions and enhanced funding requirements related to the EU accession and catching-up, FDI is often highly welcomed by government officials in the South East European (SEE countries. The notion that FDI is frequently accompanied by knowledge and know-how transfer makes this source of capital growth even more desirable than simple capital accumulation from frequently inadequate domestic savings. The analysis of the FDI determinants on the overall economy level conducted within the panel data framework aims to provide the answer whether the same factors as in Central and Eastern European countries, now new EU member states, are relevant for the sampled countries. Due to data limitations and the frequent emergence of new countries in the region, the analysis does not extend to the early transition period. Since it entails the beginning of the financial crisis, the comparison of the results obtained with those of previous studies will enable the discussion of internal versus external factors of FDI attraction in the region.

  5. Material Deprivation, Social Class and Life Course in the Balkans, Eastern Europe and Central Asia

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    Alexi Gugushvili

    2011-06-01

    Full Text Available This paper employs the factor analysis technique and data from the UNDP/UNICEF Social Inclusion Survey to construct a material deprivation index for fi ve transitional societies in the Balkans (FYR Macedonia and Serbia, Eastern Europe (Moldova and Ukraine and Central Asia (Kazakhstan. The distribution of deprivation between these societies can be largely explained by their level of economic development, but within-county variance is not limited to monetary dimension. Controlling for settlement type, human capital and employment status in multivariate settings, the paper tests the hypothesis of the continuous importance of occupational social class and the emerging role of diff erent life phases in individuals’ welfare outcomes. The results reveal that all specifi ed social classes and most of the defi ned life phases have diverse and statistically signifi cant eff ects on the constructed deprivation index and the likelihood of being under 70 per cent of the median deprivation threshold. Belonging to non-skilled manual, farmers and skilled manual social class as well as being a child or lone parent were revealed to have the highest risk of material deprivation. These fi ndings are in line with the conclusions made for the Western welfare democracies on the complementary nature of social class and life course dimensions in explaining social hardship.

  6. The Balkans and the Polish cause. Radosław Kobierski’s “Mitrovica”

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    Dariusz Pawelec

    2012-01-01

    Full Text Available The aim of the interpretation of the poem Mitrovica written by Radosław Kobierski is a quest for the ”peculiarity” and “singularity” of the literature” as it is viewed by Derek Attridge. The way the eponymous word sounds leads to a formulation of the question on what “semantic relations” are established between the title word and the remaining text. The journalistic character of the poem relates to the geography of the Balkan War of the 1990s. But the singularity and uniqueness of the poem Mitrovica stems rather from the tension that arises from its journalistic-style narration, reporting citation and a specific place name and what is metaphorical and symbolic. The Kobierski’s poem, creating its own, unique “singularity” comes also to grips with the media discourse related to the post-Yugoslav crisis. The interpretation shows how important is the application of the rule of myth-making poetical reversal in stripping the poetical discourse of stereotypes and cliches, but not of the relevance to reality.

  7. Phenolic and mineral profile of Balkan indigenous apple and pear cultivars

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    Živković Jelena

    2016-01-01

    Full Text Available The aim of this study was chemical analysis of phenolic compounds, as well as mineral nutrients in pulp and peel obtained from Balkan indigenous apple and pear cultivars. Phenolic composition assesed by means of HPLC-DAD and spectrophotometric methods varied significantly between the cultivars for both peel and pulp. Among apples Mekica cultivar had the highest total phenolic content while Šećerlija and Zlatna Parmenka had the lowest. In the case of pear samples the principal source of total phenolic content was Crna Takiša while their minimum was recorded for Bela Arapka. In most of the investigated samples chlorogenic acid in apples and arbutin in pears were major detected polyphenolic compounds. With regard to mineral analysis K was the most abundant followed by P, Mg, Ca and S. Iron was the dominant microelement in apple peel and pulp samples, while in pear samples the principal microelement was B. Obtained results provide detailed information on chemical composition of tested apple and pear cultivars and therby could encourage their wider cultivation and consumption. [Projekat Ministarstva nauke Republike Srbije, br. 46013

  8. Detection of Leishmania infantum and a Novel Phlebovirus (Balkan Virus) from Sand Flies in Albania.

    Science.gov (United States)

    Ayhan, Nazli; Velo, Enkelejda; de Lamballerie, Xavier; Kota, Majlinda; Kadriaj, Perparim; Ozbel, Yusuf; Charrel, Remi N; Bino, Silvia

    2016-12-01

    To organize entomological campaigns to trap sand flies in selected regions of Albania and to test them for the presence of existing or new phleboviruses and for leishmania DNA. Sand flies were collected in 14 locations from May to October 2014 using three different types of traps. Pools with a maximum of 30 individuals were prepared according to gender, trapping site, and trapping date; they were tested for the presence of (1) phlebovirus RNA with three different PCR systems (2) and Leishmania DNA using two different real-time PCR assays. A total of 972 sand flies (568 females, 404 males) were aliquoted to 55 pools. Three pools (in two different regions) were positive for Leishmania infantum. Two pools (Kruje region) were positive for phlebovirus RNA and a 575-nucleotide (nt) colinearized sequence of a novel virus most closely related to but clearly distinct from Tehran virus (16% and 3% divergence at nt and amino acid levels). Next generation sequencing analysis indicated that this virus might be transmitted by either Phlebotomus neglectus, Phlebotomus tobbi, or both vectors. Visceral leishmaniasis has been clinically recognized in Albania for at least 80 years; however, this is the first time that L. infantum, detected by molecular means, has been reported in sand flies in Albania. At the outset of this study, only Adria virus (Salehabad species) was recognized in Albania. A novel virus, Balkan virus, was identified and genetic analysis revealed that it belongs to the Sandfly fever Naples virus group containing human pathogens.

  9. Free Radical Scavenging Activity and Anthocyanin Profile of Cabernet Sauvignon Wines from the Balkan Region

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    Blaga Radovanović

    2010-06-01

    Full Text Available The present study is focused on anthocyanin derivatives characterizing the antioxidant activity of Cabernet Sauvignon wines produced from different vineyard regions in the Balkans. These bioactive compounds were quantified with a high performance liquid chromatography (HPLC-diode array detection (DAD method. The antiradical activity was estimated by the ability of the wine to scavenge the stable 2,2`-diphenyl-1-picrylhydrazyl free radical (DPPH·. The results show that the total anthocyanin content varied from 205.88 to 1940.28 mg/L, depending on agroclimatic factors and the enological practices of the corresponding vineyard region. The most prominent antocyanin in all investigated Cabernet Sauvignon wines was malvidin-3-O-monoglucoside, which accounted for 50.57% of total content, followed by its acetyl derivatives, 15.45%, and p-coumaryl derivatives 5.66%. The relationship between the anthocyanin derivatives and free radical scavenging activity is discussed. A high correlation between total anthocyanin content and DPPH· scavenging ability of tested wines was confirmed (r2 = 0.9619. The significant correlations were obtained between antiradical activity and the sum of 3-monoglucoside (r2 = 0.95594, the sum of 3-acetyl-3-glucoside (r2 = 0.9728 and the sum of p-coumaryl-3-glucoside (r2 = 0.8873 of wine samples. It can be concluded that, the anthocyanin composition can be used as biochemical marker for the authenticity of red grape cultivar and their corresponding single-cultivar wine.

  10. Strontium isotopes document greater human mobility at the start of the Balkan Neolithic.

    Science.gov (United States)

    Borić, Dušan; Price, T Douglas

    2013-02-26

    Questions about how farming and the Neolithic way of life spread across Europe have been hotly debated topics in archaeology for decades. For a very long time, two models have dominated the discussion: migrations of farming groups from southwestern Asia versus diffusion of domesticates and new ideas through the existing networks of local forager populations. New strontium isotope data from the Danube Gorges in the north-central Balkans, an area characterized by a rich burial record spanning the Mesolithic-Neolithic transition, show a significant increase in nonlocal individuals from ∼6200 calibrated B.C., with several waves of migrants into this region. These results are further enhanced by dietary evidence based on carbon and nitrogen isotopes and an increasingly high chronological resolution obtained on a large sample of directly dated individuals. This dataset provides robust evidence for a brief period of coexistence between indigenous groups and early farmers before farming communities absorbed the foragers completely in the first half of the sixth millennium B.C.

  11. Size-segregated concentration of heavy metals in an urban aerosol of the Balkans region (Belgrade

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    Đorđević D.

    2013-04-01

    Full Text Available This work focuses on the heavy metals contents of the size-segregated urban aerosol of the continental area of Balkans. The distribution of nano/micron heavy metals in the size-segregated urban aerosol of Belgrade center was studied during the summer–autumn of 2008. The particle size distribution in the size ranges Dp ≤ 0.49 μm, 0.49 ≤ Dp ≤ 0.95 μm, 0.95 ≤ Dp ≤ 1.5 μm, 1.5 ≤ Dp ≤ 3.0 μm, 3.0 ≤ Dp ≤ 7.2 μm and Dp ≥ 7.2 μm was measured. The aerosol samples were submitted to gravimetric and chemical analyses. The obtained mean mass concentration of the PM fractions was in accordance with an urban aerosol distribution. The aerosol mass concentrations were determined by gravimetric measurements (mGM and, for heavy metals analyzed by ICP/MS.

  12. Characteristics of Vancomycin-Resistant Enterococcus Strains in the West Balkans: A First Report.

    Science.gov (United States)

    Jakovac, Sanja; Bojić, Elma Ferić; Ibrišimović, Monia Avdić; Tutiš, Borka; Ostojić, Maja; Hukić, Mirsada

    2017-01-01

    Vancomycin-resistant enterococci are among the major causes of nosocomial infections and represent a growing problem in many European countries. Among the most common enterococcal isolates, Enterococcus faecium is considered to be the reservoir of VanA and VanB-mediated resistance to glycopeptides. Enterococci with VanA-mediated resistance can transfer resistance genes to other enterococci and gram-positive bacteria. Hence, monitoring and surveillance of vancomycin-resistant enterococci (VREs) are crucial for the prevention of the spread of glycopeptide resistance. No reports have yet been published that document the resistance rates and typization of VREs in the region of Bosnia and Herzegovina as well as Croatia. In this study, 64 clinical enterococcal strains that were isolated in clinical centers, Mostar, Sarajevo, and Zagreb, were studied and findings regarding characteristics of vancomycin-resistant strains found in the West Balkan region are reported for the first time. All of the strains were identified using conventional phenotypic methods, and the resistance to glycopeptides was determined using the disk diffusion method, Vitek 2, and genotypic Enterococcus assay. The results of genotyping showed that 40 strains were identified as VREs (30% Enterococcus faecalis and 70% E. faecium), while the sensitivity of the phenotypic methods was 87.5%. Furthermore, VanA and VanB resistance types were found in Bosnia and Herzegovina and Croatia, with slightly higher prevalence of the latter (72.5%) over the former (27.5%).

  13. The Impact of Foreign Direct Investment on the Export Performance: Empirical Evidence for Western Balkan Countries

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    Dr.Sc. Nasir Selimi

    2016-07-01

    Full Text Available Recently there are many authors that have studied and analyzed the impact of foreign direct investments (FDI on the export performance. They have different opinions about the effect of foreign direct investments on the export performance. Some of them in their papers conclude that FDI have positive effect on the export performance and some not. There are also findings that FDI do not have any impact on the export performance. Of course for economic benefit of host country it is not important only the amount of FDI, but also their structure. To measure the effect of FDI on the export performance is not easy. Therefore, the main objective of this paper is to analyze empirically the foreign direct investments and exports performance during the period of 1996-2013 in Western Balkan countries. The paper also investigates for the fixed effects and individual heterogeneity across countries and years. Based on the panel regression techniques and Least Square Dummy Variable (LSDV regression method, FDI positively affect export performance in the sample countries in various model specifications. The results and conclusions of this paper we hope that will help everybody who are interested and studying this matter, especially the policy makers.  The last ones have the obligation to facilitate and promote the export if they award confirm that FDI contribute on developing their economy.

  14. The real aims of the USA and the EU in the Balkans

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    Čavoški Kosta S.

    2002-01-01

    Full Text Available The article explores the real aims of the so-called international community which is usually understood as the USA, as the only remaining super power and the European Union, particularly France. Great Britain and Germany. The author argues that the real and particularly long-term aims of these powers should be primarily inferred from their real deeds and only subsequently from public statements of their officials. By analyzing a number of examples in the Balkans and in other parts of the world the author comes to unexpected conclusions. While in words big Western powers supported multi-ethnicity and preservation of multi-ethnic states, in deeds they not only instigated nationalism and separatism but also hastened and recognized the dissolution of three European federations into 22 more or less national states. And while in words they apparently supported so-called democratization, in practice they not only supported authoritarian regimes but also identified democracy with occupation in Republika Srpska.

  15. Firm productivity in the western Balkans: The impact of European Union membership and access to finance

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    Howard-Jones P.

    2017-01-01

    Full Text Available This study examines the productivity performance of Balkan firms within and outside the European Union (EU, including the influence of loans. A multiple treatment model is used to compare the effects on productivity of membership and loans both separately and collectively, which in the case of loans allows a separate analysis of their influence on firms in non-member states. The use of conditional quantile regressions measures the effect on productivity of membership and loans separately as treatment variables. This provides an analysis of where the treatment influence is greatest across the distribution curve and identifies the significance of selected control variables on the outcome. In the full sample, the findings indicate that EU membership and loans have a positive effect on productivity, with membership being more important than loans. Outside the EU, firms in receipt of loans are more productive than those without. However, the significance of both membership and loans is restricted to the lower end of the productivity distribution curve. The manufacturing sample shows that EU membership has a significant positive effect across 70% of the deciles measured, whilst the influence of loans is restricted to the lower deciles, with rental capital (leasing also positively significant in the lower four deciles. In the services sector, however, membership is significant up to 90% of the distribution, with loans at 60%.

  16. Economic development in the European super-periphery: Evidence from the Western Balkans

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    Bartlett Will

    2009-01-01

    Full Text Available This paper argues that the conflicts that afflicted the Western Balkan region in the 1990s pushed the countries into the European 'super-periphery', characterized by deindustrialization and high unemployment, ethnic and regional fragmentation, political turmoil, and instability. Integration into international trade has been disrupted, leading to chronic balance of payments deficits. Low inflows of international capital, due to high country risk, have hindered technological catch-up and weakened international competitiveness. An unattractive environment for productive entrepreneurship has created barriers to the entry of SMEs, and at the same time large informal economies. Several countries have become labour-export economies, with significant outflows of skilled labour. Economic development follows a low-skill growth path. The current global economic crisis is having a further deleterious effect as export revenues, foreign direct investment, and labour remittances all diminish. Furthermore, as transition has proceeded, disparities between capital cities and rural areas have increased, while weak administrative capacities have hindered the implementation of effective local development policies to counteract these effects. Endogenous local development cannot provide an alternative to greater engagement with the global economy. The conclusion is that the countries of the region have been left out of the most beneficial elements of the globalisation process, while simultaneously suffering from its main defects. Without a faster process of accession to the EU, local disparities are likely to widen, and the region may remain within the European super-periphery for the foreseeable future.

  17. Rapid assessment of endemic bird areas in Michoacan, Mexico

    Science.gov (United States)

    Gilberto Chavez-Leon; Deborah M. Finch

    1999-01-01

    Non-sustainable land use practices in the state of Michoacan, Mexico, have perturbed endemic bird h~bitats for several decades. Endemic birds have a restricted geographic and ecological distribution. This feature makes them suitable to be used as indicators of biological diversity and environmental perturbation. Forty-one Mexican endemic species have been recorded in...

  18. Patterns of plant diversity and endemism in Namibia

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    P. Craven

    2006-08-01

    Full Text Available Species richness, endemism and areas that are rich in both species and endemic species were assessed and mapped for Namibia. High species diversity corresponds with zones where species overlap. These are particularly obvious where there are altitudinal variations and in high-lying areas. The endemic flora of Namibia is rich and diverse. An estimated 16% of the total plant species in Namibia are endemic to the country. Endemics are in a wide variety of families and sixteen genera are endemic. Factors that increase the likelihood of endemism are mountains, hot deserts, diversity of substrates and microclimates. The distribution of plants endemic to Namibia was arranged in three different ways. Firstly, based on a grid count with the phytogeographic value o f the species being equal, overall endemism was mapped. Secondly, range restricted plant species were mapped individually and those with congruent distribution patterns were combined. Thirdly, localities that are important for very range-restricted species were identified. The resulting maps o f endemism and diversity were compared and found to correspond in many localities. When overall endemism is compared with overall diversity, rich localities may consist of endemic species with wide ranges. The other methods identify important localities with their own distinctive complement of species.

  19. Endemicity of cholera in Nigeria: A mathematical model to ...

    African Journals Online (AJOL)

    The focal point is to investigate the persistent endemic nature of cholera in Nigeria using mathematical model. We found that, there can be no backward bifurcation because there existed only one positive endemic equilibrium. In other words, it is not possible for multiple endemic equilibria to exist if the reproduction number ...

  20. Endemics and Pseudo-Endemics in Relation to the Distribution Patterns of Indian Pteridophytes

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    C. R. Fraser-Jenkins

    2008-09-01

    Full Text Available Of c. 530 Pteridophytes reported as endemic to the India in recent decades (about half the total number of c. 950-1000 known Indian species, the great bulk are mistaken, particularly those from the Indo-Himalaya. Only 47 endemic Indian ferns, less than 10% of those reported previously, are accepted here. But this figure includes several that are rather doubtfully endemic, mainly due to unresolved taxonomic doubt, or because they may be expected to occur in adjacent Countries. Thus 8 are taxonomically dubious, requiring further study, and a further 7, all from N.E. India, may possibly be expected elsewhere outside India. The c. 483 mistaken pseudo-endemics arose mainly due to naming of erroneous 'new species' thought to be endemic, or due to not knowing the range of species outside political India, combined with insufficient investigative taxonomic research. In the present paper previous reports of endemics are listed and their status is reappraised along with a new list of accepted endemics. Quite opposite to previous conclusions, the great majority of endemic Indian Pteridophytes are peninsular-Indian to south-Indian ferns (27, plus 5 more taxonomically dubious, with far fewer being N.E. Indian (7, all of which may possibly be expected elsewhere outside India and W. Himalayan (2, plus 1 taxonomically dubious; the floristically Malesian Nicobar Islands have (3, plus 2 more taxonomically dubious. These numbers are only to be expected as N.E. India is an intimate part of the Sino-Himalayan and S.E. Asian flora, connected without barriers to Tibet and China or to Myanmar by two mountain chains, while S. India is more isolated geographically since more ancient times and has a partly Malesian fern-flora. Some details of Indian endemics in relation to phytogeographical elements are given. Endemic species: Huperzia - 1, Selaginella - 9, Isoetes - 1, Osmunda - 1, Arthromeris - 1, Phymatosorus - 1, Oreogrammitis - 2, Trichomanes - 1, Pteris - 1, Cyathea