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Sample records for balkan endemic nephropathy

  1. Balkan (endemic) nephropathy and foodborn ochratoxin A: preliminary results of a survey of foodstuffs.

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    Krogh, P; Hald, B; Plestina, R; Ceović, S

    1977-06-01

    Ochratoxin A is a nephrotoxic fungal metabolite (mycotoxin) occurring in foodstuffs. The compound is causally associated with mycotoxic porcine nephropathy, a disease comparable with a human kidney disease, Balkan endemic nephropathy. A preliminary survey of home-produced foodstuffs in areas of Yugoslavia revealed that contamination with ochratoxin A is more frequent in an area where Balkan endemic nephropathy is prevalent (endemic area) than in area where this disease is absent. This indicates higher exposure to foodborn ochratoxin A in the endemic area. Thus further evidence is provided supporting the hypothesis that ochratoxin A is a disease determinant of Balkan endemic nephropathyk0 PMID:888703

  2. Etiology of Balkan endemic nephropathy and associated urothelial cancer

    Energy Technology Data Exchange (ETDEWEB)

    Stefanovic, V.; Toncheva, D.; Atanasova, S.; Polenakovic, M. [Inst. of Nephrology and Hemodialysis, Nish (Serbia Montenegro)

    2006-07-01

    Balkan endemic nephropathy (BEN) is a familial chronic tubulointerstitial disease with insidious onset and slow progression to terminal renal failure. Evidence has accumulated that BEN is an environmentally induced disease. There are three actual theories attempting to explain the environmental cause of this disease: (1) the aristolochic acid hypothesis, which considers that the disease is produced by chronic intoxication with Aristolochia, (2) the mycotoxin hypothesis, which considers that BEN is produced by ochratoxin A, and (3) the Pliocene lignite hypothesis, which proposes that the disease is caused by long-term exposure to polycyclic aromatic hydrocarbons and other toxic organic compounds leaching into the well drinking water from low-rank coals in the vicinity to the endemic settlements. Moreover, it was suggested that BEN risk is influenced by inherited susceptibility. Therefore, it has been expected that molecular biological investigations will discover genetic markers of BEN and associated urothelial cancer, permitting early identification of susceptible individuals who may be at risk of exposure to the environmental agents. Since kidney pathophysiology is complex, gene expression analysis and highly throughput proteomic technology can identify candidate genes, proteins and molecule networks that eventually could play a role in BEN development. Investigation of gene-gene and gene-environment interactions could be the content of further studies determining the precise risk for BEN.

  3. Is Aristolochic Acid Really the Cause of the Balkan Endemic Nephropathy?

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    Peter George Mantle

    2016-03-01

    Full Text Available In recent years, aristolochic acid has been promoted vigorously as the causal agent of the Balkan endemic nephropathy because of similarities to some other nephropathies, association with DNA adducts and a perception of human exposure via bread. Critical evaluation of the literature exposes flaws in these aspects, and there has been consistent failure of experimental toxicology to mimic either the slow silent bilateral atrophy of the Balkan disease or the transitional cell carcinomas in the upper urothelium. It seems yet premature to promote the curious Balkan disease as aristolochic acid nephropathy without the epidemiological rigour necessary in biomedical research.

  4. Etiology of Balkan endemic nephropathy: A multifactorial disease?

    International Nuclear Information System (INIS)

    Balkan endemic nephropathy (BEN) is of great clinical importance in the restricted areas of Bulgaria, Rumania, Croatia, Serbia, Bosnia and Herzegovina. So far, studies on the etiological factors for BEN have not discovered any single environmental causative agent of this puzzling disease. These data reject the possibility of a purely environmental causation of BEN. The pattern of BEN transmission in the risk families is not typical for single gene disorders. Extensive epidemiological and genetic studies disclose characteristics of multifactorial (polygenic) inheritance of BEN. The evidences of 'familial tendency', variation of the risk for BEN depending on the number of sick parents and the degree of relatedness; the development of BEN in individuals from at-risk families who were born in non-endemic areas; the data that disease is not found in the gypsy population and the expressions of 3q25 cytogenetic marker suggest that the genetic factors play an important role as causative factors in BEN development. The possible impact of environmental triggers on individuals genetically predisposed to BEN could be supposed by the following data: the cytogenetic results of the increased frequency of folate sensitive Fra sites, spontaneous or radiation-induced aberrations in several bands in BEN patients, the data from the detailed analysis of breaks in BEN patients and controls that generate structural chromosome aberrations; the occurrence of BEN in immigrants. Genetical epidemiological approaches to etiology and prevention of BEN are proposed. The predisposing genes for BEN could be genes localized in a region between 3q25-3q26; transforming growth factor-β (TGF-β), genetic heterogeneity of xenobiotic-metabolizing enzymes; defects in the host's immune system. The predisposing genes for BEN patients with urinary tract tumors could be germline mutations in tumor suppressor genes and acquired somatic mutations in oncogenes

  5. 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.

  6. MicroRNA Profiling in Patients with Upper Tract Urothelial Carcinoma Associated with Balkan Endemic Nephropathy

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    Popovska-Jankovic, Katerina; Noveski, Predrag; Jankovic-Velickovic, Ljubinka; Stojnev, Slavica; Cukuranovic, Rade; Stefanovic, Vladisav; Toncheva, Draga; Staneva, Rada; Polenakovic, Momir; Plaseska-Karanfilska, Dijana

    2016-01-01

    Balkan endemic nephropathy (BEN) is a disease that affects people that live in the alluvial plains along the tributaries of the Danube River in the Balkan region. BEN is a chronic tubulointerstitial disease with a slow progression to terminal renal failure and has strong association with upper tract urothelial carcinoma (UTUC). There are several hypotheses about the etiology of BEN, but only the toxic effect of aristolochic acid has been confirmed as a risk factor in the occurrence of the disease. Aberrantly expressed miRNAs have been shown to be associated with many types of cancers. A number of studies have investigated the expression of microRNAs in urothelial carcinoma, mainly on urothelial bladder cancer, and only a few have included patients with UTUC. Here we present the first study of microRNA profiling in UTUC tissues from patients with BEN (BEN-UTUC) and patients with UTUC from nonendemic Balkan regions (non-BEN-UTUC) in comparison to normal kidney tissues. We found 10 miRNAs that were differentially expressed in patients with BEN-UTUC and 15 miRNAs in patients with non-BEN-UTUC. miRNA signature determined in BEN-UTUC patients differs from the non-BEN-UTUC patients; only miR-205-5p was mutual in both groups. PMID:27218105

  7. 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

  8. Quantitation of Aristolochic Acids in Corn, Wheat Grain, and Soil Samples Collected in Serbia: Identifying a Novel Exposure Pathway in the Etiology of Balkan Endemic Nephropathy.

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    Chan, Wan; Pavlović, Nikola M; Li, Weiwei; Chan, Chi-Kong; Liu, Jingjing; Deng, Kailin; Wang, Yinan; Milosavljević, Biljana; Kostić, Emina N

    2016-07-27

    While to date investigations provided convincing evidence on the role of aristolochic acids (AAs) in the etiology of Balkan endemic nephropathy (BEN) and upper urothelial cancer (UUC), the exposure pathways by which AAs enter human bodies to cause BEN and UUC remain obscure. The goal of this study is to test the hypothesis that environmental pollution by AAs and root uptake of AAs in the polluted soil may be one of the pathways by which AAs enter the human food chain. The hypothesis driving this study was that the decay of Aristolochia clematitis L., a AA-containing herbaceous plant that is found growing widespread in the endemic regions, could release free AAs to the soil, which could be taken up by food crops growing nearby, thereby transferring this potent human nephrotoxin and carcinogen into their edible parts. Using the highly sensitive and selective high-performance liquid chromatography coupled with fluorescence detection method, we identified and quantitated in this study for the first time AAs in corn, wheat grain, and soil samples collected from the endemic village Kutles in Serbia. Our results provide the first direct evidence that food crops and soil in the Balkans are contaminated with AAs. It is possible that the presence of AAs in edible parts of crops originating from the AA-contaminated soil could be one of the major pathways by which humans become exposed to AAs. PMID:27362729

  9. Balkan nephropathy: evolution of our knowledge.

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    Bamias, Giorgos; Boletis, John

    2008-09-01

    Balkan endemic nephropathy (BEN), originally described in the late 1950s as a chronic tubulointerstitial kidney disease, is identified by its unique epidemiological features. The most remarkable characteristic of BEN is the focal topographical nature that characterizes its occurrence at the global, national, and even household level. BEN affects only certain endemic rural foci along tributaries of the Danube River in the Balkan countries of Bosnia, Bulgaria, Croatia, Romania, and Serbia. The spatial distribution has remained astonishingly unchanged with time because the disease affects the same endemic clusters as 50 years ago. The natural course of the disease is characterized by universal development of end-stage renal disease and the frequent development of upper urinary tract tumors, posing a substantial disease burden to the afflicted areas. The greatest challenge in the study of BEN has been the elucidation of its cause. The unique features of the disease, in particular its endemic nature and the long incubation period required for the disease to develop, have led to the proposal that BEN represents a unique environmental disease. The quest for the responsible environmental factor has been long and diverse, and although no definitive answer has been provided to date, converging lines of evidence support the theory that long-term consumption of food contaminated with aristolochic acid underlies the pathogenesis of BEN. The present review describes the evolution of our knowledge of BEN in relation to the development of the main theories for its pathogenesis. PMID:18725017

  10. 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.

  11. One-year follow-up of renal function in endemic nephropathy families

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    Arsenović Aleksandra; Bukvić Danica; Đukanović Ljubica

    2009-01-01

    Introduction. Endemic nephropathy is familial, chronic tubulointerstitial disease with an insidious onset and asymptomatic, slow progressive course. Objective. The present study was undertaken with the aim to find out whether new persons with renal disorders can be detected among members of endemic families in the village of Šopić (Kolubara River region, Serbia). Methods. The study involved 44 members of five endemic families without history of renal disorders. Objective survey and laboratory...

  12. Metals and kidney markers in adult offspring of endemic nephropathy patients and controls: a two-year follow-up study

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    Tsolova Svetla

    2008-04-01

    Full Text Available Abstract Background The etiology of Balkan Endemic Nephropathy, (BEN, a tubulointerstitial kidney disease, is unknown. Although this disease is endemic in rural areas of Bosnia, Bulgaria, Croatia, Romania, and Serbia, similar manifestations are reported to occur in other regions, for instance Tunisia and Sri Lanka. A number of explanations have been stated including lignites, aristolochic acid, ochratoxin A, metals, and metalloids. Etiologic claims are often based on one or a few studies without sound scientific evidence. In this systematic study, we tested whether exposures to metals (cadmium and lead and metalloids (arsenic and selenium are related to Balkan Endemic Nephropathy. Methods In 2003/04 we recruited 102 adults whose parents had BEN and who resided in one of three communities (Vratza, Bistretz, or Beli Izvor, Bulgaria. A control group comprised of 99 adults having non-BEN hospitalized parents was enrolled in the study during the same time. We conducted face-to-face interviews, ultrasound kidney measurements, and determined kidney function in two consecutive investigations (2003/04 and 2004/05. Metals and metalloids were measured in urine and blood samples. To assess the agreement between these consecutive measurements, we calculated intraclass correlation coefficients. Repeated measurement data were analyzed using mixed models. Results We found that cadmium and arsenic were associated with neither kidney size nor function. Lead had a significant but negligible effect on creatinine clearance. Selenium showed a weak but significant negative association with two of the four kidney parameters, namely creatinine clearance and β2-microglobulin. It was positively related to kidney length. These associations were not restricted to the offspring of BEN patients. Adding credence to these findings are reports showing comparable kidney effects in animals exposed to selenium. Conclusion The findings of this 2-year follow-up study indicate that

  13. Cryptic diversity in the Western Balkan endemic copepod: Four species in one?

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    Previšić, Ana; Gelemanović, Andrea; Urbanič, Gorazd; Ternjej, Ivančica

    2016-07-01

    We use mitochondrial (mtCOI) and nuclear (nH3) sequence data to investigate differentiation of Eudiaptomus hadzici, a freshwater copepod endemic to the Western Balkans. E. hadzici has a disjunct distribution and morphological differences were observed at regional scale. In the current study 6 out of 7 known populations are included. We applied several species delimiting approaches, distance based methods (K2P p-distance and Automatic Barcode Gap Discovery, ABGD) using the mtCOI, Bayesian phylogeny and the Bayesian method implemented in bPTP and BPP programs using the concatenated sequences of both genes. Phylogenetic and species delimitation analyses all suggest that the nominal species E. hadzici consists of four isolated, cryptic evolutionary lineages in the Western Balkans. Each of the four lineages inhabits a single lake or a group of lakes in close proximity. They exhibit major differences in secondary sexual characters, e.g. right antennule in males. Denticulation of spine on 13th segment is substantially distinct among the four lineages, having different number and shape of tooth-like protrusions. Gene flow and dispersal are restricted to very small spatial scale, but with local differences, implying that diverse historical and contemporary processes are operating at small spatial scales in E. hadzici. In order to further examine spatial and temporal diversification patterns, we constructed a dated species tree analysis using (*)BEAST. Due to lack of reliable calibration points and taxa specific evolutionary rates, two evolutionary rates were applied and the faster one (2.6% myr) seems more plausible considering the geological history of the region. The divergence of E. hadzici lineages is dated from Early Miocene onwards with geographically close lineages diverging more recently, Late Miocene to Pleistocene and Pleistocene, respectively. Overall, our findings shed light on cryptic genetic complexity of endemics in one of European biodiversity hotspots

  14. Endemic Balkan parsnip Pastinaca hirsuta: the chemical profile of essential oils, headspace volatiles and extracts.

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    Jovanović, Snežana Č; Jovanović, Olga P; Petrović, Goran M; Stojanović, Gordana S

    2015-04-01

    The present study for the first time reports the chemical composition of the endemic Balkan parsnip Pastinaca hirsuta Pančić essential oil and headspace (HS) volatiles, obtained from fresh roots, stems, flowers and fruits, as well as fresh fruits n-hexane and diethyl ether extracts. According to GC-MS and GC-FID analyses, β-Pinene was one of the major components of the root and stem HS volatiles (50.6-24.1%). (E)-β-Ocimene was found in a significant percentage in the stem and flowers HS volatiles (31.6-57.3%). The most abundant constituent of the fruit HS, flower and fruit essential oils and both extracts was hexyl butanoate (70.5%, 31.1%, 80.4%, 47.4% and 52.7%, respectively). Apiole, accompanied by myristicin and (Z)-falcarinol, make up over 70% of the root essential oils. γ-Palmitolactone was the major component of the stem essential oils (51.9% at the flowering stage and 45.7% at the fruiting stage). Beside esters as dominant compounds, furanocoumarins were also identified in extracts. (Dis)similarity relations of examined plant samples were also investigated by the agglomerative hierarchical cluster analysis. The obtained results show there is difference in the composition of volatile components from different plant organs, while the stage of growth mainly affects the quantitative volatiles composition. PMID:25973504

  15. Mycotoxic and aristolochic acid theories of the development of endemic nephropathy.

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    Peraica, Maja; Domijan, Ana-Marija; Sarić, Marko

    2008-03-01

    Despite many efforts of scientists and epidemiologists, the aetiology of endemic nephropathy (EN) is still unknown. This disease occurs in the rural population of geographically limited areas of Bulgaria, Bosnia and Herzegovina, Croatia, Romania, and Serbia, and a number of theories have been proposed about its aetiology. The mycotoxin theory has prevailed until now, based on the studies of nephrotoxic mycotoxin ochratoxin A (OTA) that revealed higher frequency of OTA-positive food and blood samples in endemic than in non-endemic areas.However, a new aristolochic acid (AA) theory of EN origin has been proposed recently, due to the histological similarities in kidney lesions between patients suffering from EN and patients suffering from Chinese herbs nephropathy caused by AA. Until now it has not been unequivocally proved that the inhabitants of EN areas are exposed to higher concentration of AA than in other regions and the exposure pathways are rather uncertain. This paper presents most important studies supporting both theories, indicating also the inconsistencies of each. PMID:18407872

  16. One-year follow-up of renal function in endemic nephropathy families

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    Arsenović Aleksandra

    2009-01-01

    Full Text Available Introduction. Endemic nephropathy is familial, chronic tubulointerstitial disease with an insidious onset and asymptomatic, slow progressive course. Objective. The present study was undertaken with the aim to find out whether new persons with renal disorders can be detected among members of endemic families in the village of Šopić (Kolubara River region, Serbia. Methods. The study involved 44 members of five endemic families without history of renal disorders. Objective survey and laboratory analyzes that enabled determination of kidney functions (creatinine clearance, proteinuria, urine specific gravity and osmolality, fractional sodium excretion (FENa, the rate of tubular phosphate reabsorption (TRP, urine N-acetil-D-glycosaminidase and intestinal alkaline phosphatase were done in all examined persons three times during the 6-month intervals. Results. At the first examination, hypertension was detected in 23 (52% person, decreased creatinine clearance in two and proteinuria in 10 persons included in the study. In addition, proteinuria and tubular disorders were detected in 6, hypertension, proteinuria and/or tubular disorders in 9 persons. The analysis of the results obtained by three check-ups undertaken during one year showed that proteinuria and tubular disorders appeared intermittently in half of the examined endemic family members. All persons with detected renal disorders required further examination in order to establish accurate diagnosis of renal disease. Conclusion. Three check-ups performed at six-month intervals in the members of five endemic families detected various renal disorders including renal hypofunction. Regular systematic check-ups of endemic families could enable early detection of the disease and early initiation of measures for slowing down chronic renal disease progression.

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

    OpenAIRE

    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 expressin...

  18. Silica nephropathy.

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    Ghahramani, N

    2010-07-01

    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. PMID:23022796

  19. 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.

  20. 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

  1. Escaping to the summits: phylogeography and predicted range dynamics of Cerastium dinaricum, an endangered high mountain plant endemic to the western Balkan Peninsula.

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    Kutnjak, Denis; Kuttner, Michael; Niketić, Marjan; Dullinger, Stefan; Schönswetter, Peter; Frajman, Božo

    2014-09-01

    The Balkans are a major European biodiversity hotspot, however, almost nothing is known about processes of intraspecific diversification of the region's high-altitude biota and their reaction to the predicted global warming. To fill this gap, genome size measurements, AFLP fingerprints, plastid and nuclear sequences were employed to explore the phylogeography of Cerastium dinaricum. Range size changes under future climatic conditions were predicted by niche-based modeling. Likely the most cold-adapted plant endemic to the Dinaric Mountains in the western Balkan Peninsula, the species has conservation priority in the European Union as its highly fragmented distribution range includes only few small populations. A deep phylogeographic split paralleled by divergent genome size separates the populations into two vicariant groups. Substructure is pronounced within the southeastern group, corresponding to the area's higher geographic complexity. Cerastium dinaricum likely responded to past climatic oscillations with altitudinal range shifts, which, coupled with high topographic complexity of the region and warmer climate in the Holocene, sculptured its present fragmented distribution. Field observations revealed that the species is rarer than previously assumed and, as shown by modeling, severely endangered by global warming as viable habitat was predicted to be reduced by more than 70% by the year 2080. PMID:24857887

  2. Endemism

    NARCIS (Netherlands)

    Vidal, J.E.

    1969-01-01

    In the Flore générale de l’Indochine, 217 families have been described, 1794 genera, c. 9000 species. There is an amount of endemism, on the basis of which attempts have been made towards an inner subdivision of the region. The problem is, that the endemism is of uncertain status. A few percentages

  3. Des Balkans About the Balkans

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    Predrag Matvejević

    2012-05-01

    Full Text Available Les Balkans témoignent de contradictions géographiques et politiques, perceptibles dans le changement d’appellation des lieux au cours de l’Histoire : de la péninsule illyrienne, grecque, byzantine à la « Turquie d’Europe » plus récente. Il est resté une dénomination venue des Turcs, les « Balkans ». Cette presqu’île n’offre pas de frontières naturelles difficiles à franchir. Les délimitations des géographes et historiens sont relatives et souvent arbitraires, et donc contestées. Sa définition est difficile, car, étant associée à la progression des troupes ottomanes, cette « zone de turbulences » garde aux yeux de certains un caractère négatif. Marqués par les bouleversements telluriques et historiques, les Balkans témoignent d’une pluralité et d’une variété démographiques, ce qui pose un grand nombre de questions en termes de rapports ethniques, de constructions identitaires et territoriales. Les revendications s’appuient aussi bien sur le mythe que sur l’Histoire. L’apparition de l’État-nation a constitué dans ces régions de multiples fractures à l’image du schisme chrétien de 1054, divisant Églises et croyances, empires et pouvoirs, styles et écritures. L’islam a engendré de nouvelles oppositions ou intolérances. Les puissances étrangères sont intervenues dans ce jeu pour tenter de le stabiliser tout en déterminant leurs sphères d’influence, figeant par le jeu des traités une multitude de questions irrésolues ou conflictuelles, sans apporter de réponse durable. Cet inachevé, dans une histoire faite de partages, suscite des frustrations, et nécessite une réécriture qui tarde à se faire jour, faute d’apaisement entre les différentes sensibilités. La littérature se fait l’écho de ces situations par l’évocation de la cruauté, sous l’occupation ottomane (cf. Ivo Andrić notamment, mais aussi dans l’actualité récente. « Cet espace qui produit

  4. 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.)

  5. 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...

  6. 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.

  7. Internal Globalization of Western Balkan

    OpenAIRE

    Vukotić Veselin

    2006-01-01

    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.

  8. Balkan Print Forum – Dynamic Balkan Print Media Community

    OpenAIRE

    Rossitza Velkova

    2011-01-01

    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 compani...

  9. Balkan environmental atlas

    Directory of Open Access Journals (Sweden)

    Cekić Nikola

    2006-01-01

    Full Text Available This paper points out an extremely delicate urbarchitectonic-environemental drama, with innumerable global complex situations. There seems to be little hope for improvement in the actual living environment where the condition, in the developmental sense of the term, grows less and less sustainable. Very frequent conferences organized at all quarters of the world, with important declarations and recommendation do not manage to curb the increasingly evident crisis. The author points out to the need to create new action conditions in the Balkans and argues for the creation of a singular coordinated, environmental Atlas of the Balkans, an important document, with bases of key data, so that a better quality of life in micro and macro ambience units could be achieved. Therefore, striving for a different, new reality which will not be based on the declarative principles, but on the scientific research and academic education.

  10. 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.

  11. 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.

  12. Radiogenic nephropathy

    International Nuclear Information System (INIS)

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

    International Nuclear Information System (INIS)

    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 (Ki = 0.6 μM) as well as hOAT3 (Ki = 0.5 μM), and lower affinity for hOAT4 (Ki = 20.6 μM). Subsequently, AAI-DNA adduct formation (investigated by 32P-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.

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

    Science.gov (United States)

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

    2009-10-01

    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 microM) as well as hOAT3 (K(i)=0.5 microM), and lower affinity for hOAT4 (K(i)=20.6 microM). 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. PMID:19643159

  15. Balkans as the cultural subcontinent of Europe

    OpenAIRE

    Grčić Mirko

    2005-01-01

    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 Europ...

  16. 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.

  17. 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

  18. Feminist troubles with the Balkans

    Directory of Open Access Journals (Sweden)

    Drezgić Rada

    2005-01-01

    Full Text Available The paper analyses writings of Slavenka Drakulić and certain number of other feminist writers from ex-Yugoslavia aiming to answer to the following questions: first, how much and in what way the discourses on ex-Yugoslavia Balkans, (postsocialism, nationalism and war have been produced by local feminists and/or imported from the West; second, have these discourses been overlapping with local feminist discourses about masculinity and femininity and how.

  19. Lattice QCD and the Balkan physicists contribution

    CERN Document Server

    Borici, Artan

    2015-01-01

    This is a paper based on the invited talk the author gave at the 9th Balkan Physical Union conference. It contains some of the main achievements of lattice QCD simulations followed by a list of Balkan physicists who have contributed to the project.

  20. Proliferative retinopathy predicts nephropathy

    DEFF Research Database (Denmark)

    Karlberg, Charlotte; Falk, Christine; Green, Anders;

    2012-01-01

    We wanted to examine proliferative retinopathy as a marker of incident nephropathy in a 25-year follow-up study of a population-based cohort of Danish type 1 diabetic patients and to examine cross-sectional associations between nephropathy and retinopathy in long-term surviving patients of the sa...

  1. Boosting Job Growth in the Western Balkans

    OpenAIRE

    Dmitriy Kovtun; Alexis Mayer Cirkel; Zuzana Murgasova; Dustin Smith; Suchanan Tambunlertchai

    2014-01-01

    Labor markets in the Western Balkan countries (Albania, Bosnia and Herzegovina, Kosovo, Macedonia, Montenegro, and Serbia) are characterized by some of the highest unemployment and low employment rates in Europe. We analyze the poor labor market outcomes in these countries by comparison with the New Member States of the European Union and advanced European economies. Our findings suggest that long-lasting labor market weaknesses in the Western Balkans have structural roots: the institutional ...

  2. 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.

  3. Proceedings of papers. 3. Balkan Metallurgical Conference

    International Nuclear Information System (INIS)

    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

  4. International Balkan and Near Eastern Social Sciences Conference

    OpenAIRE

    YILMAZ, Rasim

    2016-01-01

    International Balkan and Near Eastern Social Sciences Conference Series (IBANESS) Conference series are held in different Balkan Countries with hosting Universities in Balkan countries. The organization committee includes respected scientists from all over the world. International Balkan and Near Eastern Social Sciences Conference Series is held in Plovdiv, Bulgaria on March 12-13, 2016. The conference is hosted by University of Agribusiness and Rural Development-Plovdiv.

  5. Kaliopenic nephropathy revisited.

    Science.gov (United States)

    Elitok, Saban; Bieringer, Markus; Schneider, Wolfgang; Luft, Friedrich C

    2016-08-01

    In the 'older' literature, a definitive renal pathology was described in patients with long-standing hypokalaemia and depletion of the body's potassium reserves. The topic is relevant because possibly a quite cheaply reversible element in the course of chronic kidney disease progression could be addressed. Earlier, pathologists drew attention to vacuolar changes in renal tubular epithelium accompanied by inflammatory interstitial changes in patients with potassium losses. The diagnostic term 'kaliopenic nephropathy' was coined to describe such patients. Kaliopenic nephropathy now receives less emphasis than in earlier times. However, with eating disorders, laxative abuse and other potential causes, we suggest that the syndrome should be resurrected. PMID:27478593

  6. 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?

  7. Mouse Models of Diabetic Nephropathy

    OpenAIRE

    Brosius, Frank C.; Alpers, Charles E.; Bottinger, Erwin P.; Breyer, Matthew D.; Coffman, Thomas M.; Gurley, Susan B.; Harris, Raymond C.; Kakoki, Masao; Kretzler, Matthias; Leiter, Edward H.; Levi, Moshe; McIndoe, Richard A.; Sharma, Kumar; Smithies, Oliver; Susztak, Katalin

    2009-01-01

    Diabetic nephropathy is the major cause of end-stage renal disease worldwide. Despite its prevalence, identification of specific factors that cause or predict diabetic nephropathy has been delayed in part by lack of reliable animal models that mimic the disease in humans. The Animal Models of Diabetic Complications Consortium (AMDCC) was created 8 years ago by the National Institutes of Health to develop and characterize models of diabetic nephropathy and other complications. This interim rep...

  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...... 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....

  9. 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....

  10. Scorpion sting nephropathy

    OpenAIRE

    Viswanathan, Stalin; Prabhu, Chaitanya

    2011-01-01

    Scorpion envenomations are ubiquitous, but nephropathy is a rare manifestation, reported mainly from the Middle East and North Africa. Rapid venom redistribution from blood, delayed excretion from the kidneys, direct toxicity of venom enzymes, cytokine release and afferent arteriolar constriction have been seen in experimental animals. Haemoglobinuria, acute tubular necrosis, interstitial nephritis and haemolytic–uraemic syndrome have been documented in human victims of scorpion envenomation....

  11. Nephropathy in leptospirosis

    OpenAIRE

    Visith S; Kearkiat P

    2005-01-01

    Renal involvement is common in leptospirosis. Bacterial invasion, inflammatory process, haemodynamic alterations and direct toxicity of bacterial products are thought to be responsible for the development of nephropathy. Pathologically, all renal structures are involved. Interstitial nephritis is the basic lesion, and is observed even in patients without clinical renal manifestations. Tubular necrosis is the important pathological counterpart of acute renal failure. The clinical spectrum of r...

  12. Comparison of the prevalence of Crimean-Congo hemorrhagic fever virus in endemic and non-endemic Bulgarian locations

    Directory of Open Access Journals (Sweden)

    Ivanka Gergova

    2013-12-01

    Full Text Available Background & objectives: The Balkans is an endemic region for Crimean-Congo hemorrhagic fever (CCHF, caused by the CCHF virus (CCHFV. Several Bulgarian regions comprised of smaller locations are categorized either as endemic or non-endemic for CCHF. However, little is known about the dynamics that underlie the development of endemicity within the locations throughout the years. Methods: Seven locations categorized as endemic in one central Bulgarian region (Stara Zagora were compared to seven non-endemic areas. During the period 2006-12, a total of 1775 blood samples from cattle, were tested for anti-CCHFV antibodies using an indirect immunofluorescence antibody assay. Also, the infestation of 617 mature ticks for CCHFV was studied using a combination of an immunofluorescence haemocytes assay and molecularvirological methods. Results: Anti-CCHFV antibodies were established in 7.89% (140/1775 of the sera. The average CCHFV-infestation in the ticks was 1.46% (9/617. CCHFV was detected in three tick species: H.m. marginatum (3.73%, 6/161, being the main vector of the infection; R. sanguineus (1.63%, 2/123; and I. ricinus (1.96%, 1/51. Interpretation & conclusion: The data for the endemic and non-endemic locations did not reveal significant differences for the prevalence of CCHFV. Mosaic dispersion of the virus was determined in the studied region and the results did not vary significantly throughout the investigated years.

  13. Diabetic nephropathy : pathology, genetics and carnosine metabolism

    NARCIS (Netherlands)

    Mooyaart, Antien Leonora

    2011-01-01

    My thesis concerns different aspects of diabetic nephropathy. A pathologic classification of diabetic nephropathy is developed, a meta-analyis of genes in diabetic nephropathy is developed and the other chapters are about the CNDP1 gene in relation to kidney disease, mainly diabetic nephropathy.

  14. The Western Balkans Geopolitics and Russian Energy Politics

    OpenAIRE

    Mulalic, Muhidin; Karic, Mirsad

    2014-01-01

    The Energy politics is today at the center of the Russian and the Western Balkans relations. It is widely known that Russia has been playing significant role in world energy supply. Therefore, Russian energy companies have taken a leading role in the promotion of their businesses in the Western Balkans. The Western Balkans region has become geostrategic partner as a transit route for the integration of Russia into the global energy world market. With regards to the transportation of gas Weste...

  15. Balkan variations of Orientalism and Occidentalism

    Directory of Open Access Journals (Sweden)

    Nikolay Aretov

    2014-09-01

    Full Text Available Summarizing, the aim of this paper was to provoke scrutinizing in a Balkan context the notions of Orientalism and Occidentalism – two forms of demonizing the Other, coined in the age of Enlightenment, two phenomena that are ambivalent and imported from other cultures. They interact in a curious manner and took critical place in the mythologues of all the nations in the region although in different ways.

  16. European Dimension of the Balkan Crisis

    OpenAIRE

    Rodin, Davor

    1995-01-01

    In this text the Balkan crisis caused by the break-up of the Yugoslav federation is analysed in the international context. The author inquires into the causes of the dissolution of Yugoslavia, which as well demonstrated the crisis of the European Union (EU). The basis for both developments is the end of the Cold war, although Yugoslavian disintegreation also stems from adition international factors which have been present from the very beggining of this state in 1918. The diagnosis is that th...

  17. Intercultural and Interreligious Communication in the Balkan

    OpenAIRE

    Arta Musaraj

    2013-01-01

    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 existenc...

  18. The German heritage in Balkan languages

    Directory of Open Access Journals (Sweden)

    Helmut Wilhelm Schaller

    2015-09-01

    Full Text Available The German heritage in Balkan languagesAll Balkan languages show some German elements in their vocabulary, beginning with Old Bulgarian Bible texts up to modern Balkan languages, including Bulgarian, Macedonian, Serbian, Albanian, Romanian and Modern Greek. Etymologies of Balkan words and German words must be distinguished. Loanwords in Balkan languages are confined to words which are traceable back to Germanic languages, e. g. Gothic, Old and Middle High German and contemporary German. Not only the word store but also onomastics were occasionally influenced by German languages, but it is not possible to speak of a German substrat or adstrat in the way we can speak of a Thracian or Illyrian substrat, or Greek or Romance adstrat. Dziedzictwo germańskie w językach bałkańskichW słownictwie każdego z języków bałkańskich występują pewne germańskie elementy, poczynając od starobułgarskich tekstów biblijnych, a kończąc na współczesnych językach bałkańskich, jakimi są: bułgarski, macedoński, serbski, albański, rumuński i nowogrecki. W badaniach nad etymologią należy wyraźnie rozgraniczać dwa nurty rozwojowe: germański i bałkański. Katalog zapożyczeń ograniczamy do wyrazów obecnych w językach bałkańskich, których etymologię możemy prześledzić wstecz do gockiego, staro- i środkowo-wysoko-niemieckiego oraz współczesnego niemieckiego. Nie tylko słownictwo, lecz także onomastyka wykazują okazjonalnie wpływy niemieckie, jednak w żadnym razie nie ma podstaw, by mówić o germańskim substracie czy adstracie w takim sensie, w jakim mówimy o substracie trackim czy iliryjskim, bądź adstracie romańskim lub greckim.

  19. Deep drilling of ancient Lake Ohrid (Balkan region) to capture over 1 million years of evolution and global climate cycling [abstract only

    OpenAIRE

    Wagner, Bernd; Francke, Alexander; Wilke, Thomas; Krastel, Sebastian; Zanchetta, Giovanni; Sulpizio, Roberto; Reicherter, Klaus; Leng, Melanie; Grazhdani, Andon; Trajanovski, Sasho; Levko, Zlatko; Reed, Jane; Wonik, Thomas

    2014-01-01

    Ancient lakes, with sediment records spanning >1 million years, are very rare. The UNESCO World Heritage site of Lake Ohrid in the Balkan region is thought to be the oldest lake in continuous existence in Europe and, with 212 endemic species described to date, is a hotspot of evolution. An international group of scientists working on a project entitled 'Scientific Collaboration on Past Speciation Conditions in Lake Ohrid (SCOPSCO)' realized a deep drilling campaign of Lake Ohrid in spring 201...

  20. Radionuclide diagnosis of diabetic nephropathy

    International Nuclear Information System (INIS)

    The authors report the results of investigation of the state of filtration-excretory function of the kidneys, renal hemodynamics in patients with type I diabetes mellitus and stage II and III diabetic nephropathy

  1. ANTIOXIDANT STATUS IN DIABETIC NEPHROPATHY

    Directory of Open Access Journals (Sweden)

    Giriraja

    2015-12-01

    Full Text Available BACKGROUND Hyperglycemia and dislipidemia in DM induce increased lipid peroxdation and free radical formation. This is an important mechanism of microangiopathy. AIM To measure the antioxidant status in type 2 DM with nephropathy and compared with nondiabetic control group. MATERIALS AND METHODS 50 type 2 DM patients aged between 50 to 70 years according to national diabetes data group criteria with nephropathy diagnosed on the basis of history, physical examination and biochemical parameters were included. 50 age and sex matched apparently healthy individuals with normal plasma glucose, normal renal parameters and with no symptoms suggestive of DM were taken as controls. RESULTS Antioxidant status was significantly less in patients with diabetic nephropathy. CONCLUSION Data suggests that alteration in antioxidant status may help predict the risk of diabetic nephropathy.

  2. GENETICS ASPECTS OF DIABETIC NEPHROPATHY

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    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.

  3. Angiopoietins and diabetic nephropathy.

    Science.gov (United States)

    Gnudi, Luigi

    2016-08-01

    Diabetic nephropathy is the main cause of end-stage renal failure in the Western world. In diabetes, metabolic and haemodynamic perturbations disrupt the integrity of the glomerular filtration barrier, leading to ultrastructural alterations of the glomeruli, including podocyte foot process fusion and detachment, glomerular basement membrane thickening, reduced endothelial cell glycocalyx, and mesangial extracellular matrix accumulation and glomerulosclerosis, ultimately leading to albuminuria and end-stage renal disease. Many vascular growth factors, such as angiopoietins, are implicated in glomerular biology. In normal physiology angiopoietins regulate the function of the glomerular filtration barrier. When they are dysregulated, however, as they are in diabetes, they drive the cellular mechanisms that mediate diabetic glomerular pathology. Modulation of angiopoietins expression and signalling has been proposed as a tool to correct the cellular mechanisms involved in the pathophysiology of diabetic microvascular disease, such as retinopathy in humans. Future work might evaluate whether this novel therapeutic approach should be extended to diabetic kidney disease. PMID:27207083

  4. Towards Common Balkan Lexical Evidential Markers

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    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

  5. Turkish Foreign Policy towards the Balkans

    OpenAIRE

    Mitrovic, Marija

    2014-01-01

    Das Ziel dieser Arbeit ist die strukturellen Determinanten der türkischen Politik auf dem Balkan in der letzten Zeit zu erklären. Es wird versucht, mit einem konstruktivistischen Ansatz der internationalen Beziehungen und Alexander Wendts Auffassung über die Agentur-Struktur-Beziehungen in der internationalen Politik fol-gende Fragen zu beantworten: Ob und inwieweit werden das traditionelle Verständnis der Außenpolitik, die Identität und das Verhalten der neuen Akteure in der türkischen Außen...

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

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    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.

  7. Aristotle vs. Plato: The Balkans' Paradoxical Enlightenment

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    D. Michalopoulos

    2007-09-01

    Full Text Available As it occurred in West, Aristotle’s thought was in Byzantium the main organon of philosophical meditation within the frame of the Christian Faith. Nonetheless, from the ninth century on it was a revival of Platonism that took place – of Neo-Platonism at the beginning and of Platonism itself at the end. The Church, initially indifferent, became suspicious only when, at the turning of the fourteenth to the fifteenth century, the Platonism seemed to engender somewhat a latent paganism; but the Patriarchate was not then able to fight that tendency. So only after the 1453 capture of Constantinople by the Ottomans, Gennadius Scholarius managed to root out from the Greek lands Platonism and its crypto-pagan extension. Be that as it may; the main paradox of the Balkan history is that in the early seventeenth century some leading Greek scholars endorsed the materialist interpretation of Aristotle’s thought – as it was taught in the University of Padua by Cesare Cremonini; and as a corollary this materialistic philosophical system began being taught in both Constantinople and Athens. It was that very way that the Enlightenment took birth in the Balkans – and somehow became a State ideology - long before its prevalence in France. And of course all this had as a result a turn toward Physics and Chemistry with far-reaching consequences

  8. Results of kidney function measurement and blood pressure in population from endemic region of Vitina

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    Stašević Zvonimir

    2008-01-01

    Full Text Available Introduction. The analysis of frequency of kidney diseases, causes of terminal renal failure in patients subjected to repeated dialysis in major dialysis centers in the region of Kosovo and Metohija as well as mortality rate in these patients showed a stable number of patients with kidney diseases, evidencing that the populations of Vitina and Gnjilane were the most commonly affected. These towns are designated as regions with the highest incidence of Balkan endemic nephropathy. The present analysis was aimed at: 1. establishing the incidence rate of hypertension and renal function impairment by using clinical and laboratory analyses in individuals from Vitina and neighboring villages, and 2. investigating the correlation between creatinine clearance, age and arterial blood pressure in the studied group. Material and methods. The analysis included 510 individuals (excluding diabetics over the one-month period during 2004 (201 males with their age ranging from 18 to 90 years. Blood pressure measurements were performed in all the individuals, while renal function was determined by glomerular filtration rate (GFR, as calculated according to Cockcroft-Gault formula. Results. Creatinine clearance was lower than 100 ml/min in 237 (46.5% individuals, out of whom 62 (12% had GFR below 60 ml/min. Among the remaining 273 (53.5% individuals with GFR above 100 ml/min, 68 individuals had GFR above 140 ml/min. The distribution of patients depending on their systolic blood pressure values revealed that systolic blood pressure was lower in 44 subjects and higher in 302 subjects (59%. The correlation test revealed significant association between the studied parameters. The positive correlation between patients' age and kidney function means the higher the age of subjects the lower creatinine clearance value (r=-0.622, p<0.001. The negative correlation of the systolic blood pressure value and kidney function was found, meaning that higher the systolic blood

  9. INVESTMENTS AND INVESTMENT INCENTIVES IN THE BALKAN STATES

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    MEHMET YÜCE

    2016-04-01

    Full Text Available Balkan region, located in the south eastern part of the European Continent, is composed Albania, Bosnia and Herzegovina, Bulgaria, Montenegro, Kosovo, Macedonia, Greece with a portion of the Croatia, Romania, Serbia, Slovenia and Turkey. Southeast Europe are composed of Slovenia, Croatia, Bosnia and Herzegovina, Serbia, Montenegro, Kosovo, Macedonia and Albania which known as the Western Balkans countries. That international investments are assessed on a regional and global scale in the Balkans, these investments gained importance after the 1990s with political, social and geographical variation. In the 2000s, after legal and administrative framework oriented reforms of investments which are continuations of global integration efforts, development of the investment opportunities in Balkans have been considered positively. While the investment incentive structures and rates differ on the basis of the countries, they are of capital importance for investors. After the 2008 global economic crisis which has happened because of the economic shrinkage on global scale, despite the worries for political and economic unsteadiness in specific countries, development of investments in Balkans has not been affected in a negative way. In this study development of investment in Balkans is analysed with negative and positive factors, investment opportunities and incentives are examined on the basis of countries. The Balkans gain acceleration positively thanks to the reforms of investment opportunities on the national scope. As to the need of investment development oriented local and international coordinated programme and approach is an important issue that should be analysed.

  10. The vegetational history of the Balkans

    Science.gov (United States)

    Willis, K. J.

    The vegetational history of the Balkans from the last glacial through to present features a dynamic system not subject to immigration of additional taxa. Many temperate taxa appear to have survived in this region during the last glacial in low but persistent populations. Evidence suggests that a greater diversity of taxa existed in the mid to high altitude sites probably where the climate was more humid. At the lateglacial/Holocene transition many tree taxa expanded simultaneously with no evidence of the time-transgressive appearance of taxa which is taken to be indicative of differential immigration in northern Europe. Expansion of temperate woodland was at least 1000 years earlier than in northern Europe suggesting that this was the minimum time for migration of temperate trees into northern Europe. Changes in the composition of the early Holocene woodland included expansion of Pistacia between 9000 and 8000 14C BP, a change in the forest dominants between 8000 and 7000 14C BP, and the appearance and increase of Carpinus orient./Ostrya, Abies. Carpinus betulus and Fagus between 7500 and 5000 14C BP. Since all types were present in the region from the lateglacial, it is suggested that factors other than migration are responsible for their population increase. These factors are considered and include climate, soil development, establishment time and anthropogenic disturbance. Development of the present day landscape started at approximately 4500 14C BP with the onset of anthropogenic disturbance. Clearance resulted in the increase of open ground herbaceous types with grasses, Cerealia-type and Plantago lanceolata. New trees also to become established included Juglans, Olea, Castanea and Platanus. At least two of these types ( Juglans and Castanea) were present in the Balkans during the lateglacial suggesting that although some types were imported by the Greeks/Romans others may have expanded in situ as a result of a favourable niche being created by anthropogenic

  11. Mafia links between the Balkans and Scandinavia. State of affairs

    OpenAIRE

    Matteo Albertini

    2012-01-01

    The last twenty years has seen an increasing presence of Balkan organized crime groups in security reports and newspapers' headlines. This does not mean that mafia groups did not exist during Socialist Yugoslavia – even if its collapse and the following war made criminals and smugglers useful for politicians and leaders to maintain their power; it rather means that Balkan organized crime came outside its traditional areas of action in Serbia, Montenegro and Albania: less territorial and natio...

  12. Tephrostratigraphy and tephrochronology of lakes Ohrid and Prespa, Balkans

    OpenAIRE

    Sulpizio, R.; G. Zanchetta; M. D'Orazio; H. Vogel; Wagner, B.

    2010-01-01

    Four cores from Balkans lakes Ohrid and Prespa were studied for recognition of tephra layers and cryptotephras, and the results presented along with the review of data from other two already published cores from Lake Ohrid. The six cores provide a previously unrealised tephrostratigraphic framework of the two lakes, and supply the first detailed tephrochronologic profile (composite) for the Balkans, which spans from the end of the Middle Pleistocene to the end of the Ancient Age (AD 47...

  13. Tephrostratigraphy and tephrochronology of lakes Ohrid and Prespa, Balkans

    OpenAIRE

    Sulpizio, R.; G. Zanchetta; M. D'Orazio; H. Vogel; Wagner, B.

    2010-01-01

    Four cores from Balkans lakes Ohrid and Prespa were examined for recognition of tephra layers and cryptotephras, and the results presented along with the review of data from other two already published cores from Lake Ohrid. The six cores provide a previously unrealised tephrostratigraphic framework of the two lakes, and provide a new tephrostratigraphic profile (composite) for the Balkans, which spans from the end of the Middle Pleistocene to the AD 472. A total of 12 tephra layers and crypt...

  14. Visa liberalisation and economic implication for the Western Balkans

    OpenAIRE

    Ylber Sela

    2011-01-01

    When in April, 2007, western Balkan countries started the facilitation of the visa agreement that will allow them extremely simplified procedures for visa application in order to enter EU countries, many of the citizens of this region that historically has been isolated were skeptical this will really happen. This article analyses in detail the process of visa liberalization for the western Balkan countries and argues that visa facilitation is shown to be very useful despite the fact that onl...

  15. Traditional Food in Western Balkan Countries Consumers’ Perceptions and Habits

    OpenAIRE

    Barjolle, Dominique; Brecic, Ruzica; Cerjak, Marija; Giraud, Georges

    2015-01-01

    Te aim of this paper is to explore consumers' perceptions and habits regarding traditional food in the Western Balkan Countries. In each Western Balkan country, two focus groups were carried-out (total twelve focus groups; eight to ten participants per each – total sample of 104 participants). Results of this study show that consumer motives for the choice of traditional products pertain to higher health, safety, sensory and increasingly also sustainability beliefs and expectation. Results of...

  16. Podocyte Pathology and Nephropathy

    Directory of Open Access Journals (Sweden)

    Sandra eMerscher

    2014-07-01

    Full Text Available Sphingolipids are components of the lipid rafts in plasma membranes, which are important for proper function of podocytes, a key element of the glomerular filtration barrier. Research revealed an essential role of sphingolipids and sphingolipid metabolites in glomerular disorders of genetic and non-genetic origin. The discovery that glucocerebrosides accumulate in Gaucher disease in glomerular cells and are associated with clinical proteinuria initiated intensive research into the function of other sphingolipids in glomerular disorders. The accumulation of sphingolipids in other genetic diseases including Tay-Sachs, Sandhoff, Fabry, hereditary inclusion body myopathy 2, Niemann-Pick and nephrotic syndrome of the Finnish type and its implications with respect to glomerular pathology will be discussed. Similarily, sphingolipid accumulation occurs in glomerular diseases of non-genetic origin including diabetic kidney disease (DKD, HIV-associated nephropathy, focal segmental glomerulosclerosis (FSGS and lupus nephritis. Sphingomyelin metabolites, such as ceramide, sphingosine and sphingosine-1-phosphate have also gained tremendous interest. We recently described that sphingomyelin phosphodiesterase acid-like 3b (SMPDL3b is expressed in podocytes where it modulates acid sphingomyelinase (ASMase activity and acts as a master modulator of danger signaling. Decreased SMPDL3b expression in post-reperfusion kidney biopsies from transplant recipients with idiopathic FSGS correlates with the recurrence of proteinuria in patients and in experimental models of xenotransplantation. Increased SMPDL3b expression is associated with DKD. The consequences of differential SMPDL3b expression in podocytes in these diseases with respect to their pathogenesis will be discussed. Finally, the role of sphingolipids in the formation of lipid rafts in podocytes and their contribution to the maintenance of a functional slit diaphragm in the glomerulus will be discussed.

  17. Lithium nephropathy: a case report

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    Raphael Reis Pereira-Silva

    2014-01-01

    Full Text Available Although widely used in the management of bipolar disorder, lithium may cause adverse kidney effects. The importance of the present study is to report the case of a 59-year-old woman who was under regular treatment with lithium for bipolar disorder and whose imaging studies demonstrated the presence of multiple renal microcysts, suggesting lithium nephropathy as main diagnostic hypothesis.

  18. Membranous nephropathy in sibling cats.

    Science.gov (United States)

    Nash, A S; Wright, N G

    1983-08-20

    Membranous nephropathy was diagnosed in two sibling cats from the same household. Both cases presented with the nephrotic syndrome but 33 months elapsed before the second cat became ill, by which time the first cat had been in full clinical remission for over a year. PMID:6623883

  19. Microscale vicariance and diversification of Western Balkan caddisflies linked to karstification

    Science.gov (United States)

    Schnitzler, Jan; Kučinić, Mladen; Graf, Wolfram; Ibrahimi, Halil; Kerovec, Mladen

    2016-01-01

    The karst areas in the Dinaric region of the Western Balkan Peninsula are a hotspot of freshwater biodiversity. Many investigators have examined diversification of the subterranean freshwater fauna in these karst systems. However, diversification of surface-water fauna remains largely unexplored. We assessed local and regional diversification of surface-water species in karst systems and asked whether patterns of population differentiation could be explained by dispersal–diversification processes or allopatric diversification following karst-related microscale vicariance. We analyzed mitochondrial cytochrome c oxidase subunit I (mtCOI) sequence data of 4 caddisfly species (genus Drusus) in a phylogeographic framework to assess local and regional population genetic structure and Pliocene/Pleistocene history. We used BEAST software to assess the timing of intraspecific diversification of the target species. We compared climate envelopes of the study species and projected climatically suitable areas during the last glacial maximum (LGM) to assess differences in the species climatic niches and infer potential LGM refugia. The haplotype distribution of the 4 species (324 individuals from 32 populations) was characterized by strong genetic differentiation with few haplotypes shared among populations (16%) and deep divergence among populations of the 3 endemic species, even at local scales. Divergence among local populations of endemics often exceeded divergence among regional and continental clades of the widespread D. discolor. Major divergences among regional populations dated to 2.0 to 0.5 Mya. Species distribution model projections and genetic structure suggest that the endemic species persisted in situ and diversified locally throughout multiple Pleistocene climate cycles. The pattern for D. discolor was different and consistent with multiple invasions into the region. Patterns of population genetic structure and diversification were similar for the 3 regional

  20. Banking Regulation Of Western Balkan Countries

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    Denada Hafizi

    2014-10-01

    Full Text Available The current global economic crisis has affected the development of banking system in Western Balkan Countries, including Italy and Greece. These effects are expressed with the contraction of lending, fallen of foreign direct investments, fallen of the volume of remittances and fallen of international trade. The banking system continually faces new challenges in a dynamically changing financial system, and this makes difficult theimplementation of bank regulation and supervision.All the countries have improved their banking regulation in order to avoid the contagion effect among banks and banking system in general, effects that get increased especially when banks are engaged in international banking. The standardization of regulatory requirements provides potential solution to the problems of regulating international banking. So, there is a moving through agreements like Basel Accords.For all these countries will be a comparison of regulatory capital to risk-weighted assets ratio and of capital to assets ratio in order to find out how well is capitalized their bankingsystem. The sources of data are the reports of International Monetary Fund for a time series of 2008-2013. In the end there are some conclusions for the main problems that theimplementation of supervision and bank regulation faces.Keywords: Basel Accords, Capital Ratio, Banking Regulation

  1. 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.

  2. Marketing of the Balkans as à tourist destination for cultural tourism

    OpenAIRE

    Stoyan Marinov

    2011-01-01

    The aim of this work is to outline possibilities for the marketing of the Balkans as à tourist destination for cultural tourism. It gives à definition of the Balkan region as à tourist destination. The target cultural tourist segments of the region are indicated. The strategic marketing mix is drawn for the positioning of the Balkans on the market of cultural tourism. The possible organizational platform for the marketing of the Balkans as à tourist destination is shown.

  3. 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...... 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...

  4. 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...... 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...

  5. 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.

  6. Lichens as biomonitors of uranium in the Balkan area

    Energy Technology Data Exchange (ETDEWEB)

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

    2003-09-01

    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 {sup 235}U/{sup 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.

  7. Renal function in diabetic nephropathy.

    Science.gov (United States)

    Dabla, Pradeep Kumar

    2010-05-15

    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. Thus, chronic kidney disease may predict cardiovascular disease in the general population. The impact of diabetes on renal impairment changes with increasing age. Serum markers of glomerular filtration rate and microalbuminuria identify renal impairment in different segments of the diabetic population, indicating that serum markers as well as microalbuminuria tests should be used in screening for nephropathy in diabetic older people. The American Diabetes Association and the National Institutes of Health recommend Estimated glomerular filtration rate (eGFR) calculated from serum creatinine at least once a year in all people with diabetes for detection of kidney dysfunction. eGFR remains an independent and significant predictor after adjustment for conventional risk factors including age, sex, duration of diabetes, smoking, obesity, blood pressure, and glycemic and lipid control, as well as presence of diabetic retinopathy. Cystatin-C (Cys C) may in future be the preferred marker of diabetic nephropathy due differences in measurements of serum creatinine by various methods. The appropriate reference limit for Cys C in geriatric clinical practice must be defined by further research. Various studies have shown the importance of measurement of albuminuria, eGFR, serum creatinine and hemoglobin level to further enhance the prediction of end stage renal disease. PMID:21537427

  8. 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

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

    Directory of Open Access Journals (Sweden)

    T. Kevrekidis

    2010-06-01

    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. Despite considerable research efforts, faunal relationships among those lakes are, however, not well understood. Therefore, genetic information from native representatives of the mussel genus Dreissena is used here 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 populations studied belong to two native species: D. presbensis (incl. 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. is largely in concordance with the biogeographical zonations previously proposed based on fish data. Disagreement, however, consists regarding the assignment of the ancient lakes in the area to biogeographical regions. The data for Lake Ohrid are not conclusive. For Lake Prespa, however, a closer biogeographical connection to lakes of the Vardar region and possibly the Northern Ionian region is suggested. While reconstructing the evolutionary histories of Dreissena spp., signs of major demographic and spatial expansions were found. They started some 320 000–300 000 years ago in D. ''stankovici'', some 160 000–140 000 years ago in D. blanci, and some 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

  10. 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

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

    International Nuclear Information System (INIS)

    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 109 t) and Greece (4.0 x 109 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)

  12. „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

  13. Association of genetic variants with diabetic nephropathy

    Institute of Scientific and Technical Information of China (English)

    Saliha; Rizvi; Syed; Tasleem; Raza; Farzana; Mahdi

    2014-01-01

    Diabetic nephropathy accounts for the most serious microvascular complication of diabetes mellitus. It is suggested that the prevalence of diabetic nephropathy will continue to increase in future posing a major challenge to the healthcare system resulting in increased morbidity and mortality. It occurs as a result of interaction between both genetic and environmental factors in individuals with both type 1 and type 2 diabetes. Genetic susceptibility has been proposed as an important factor for the development and progression of diabetic nephropathy, and various research efforts are being executed worldwide to identify the susceptibility gene for diabetic nephropathy. Numerous single nucleotide polymorphisms have been found in various genes giving rise to various gene variants which have been found to play a major role in genetic susceptibility to diabetic nephropathy. The risk of developing diabetic nephropathy is increased several times by inheriting risk alleles at susceptibility loci of various genes like ACE, IL, TNF-α, COL4A1, e NOS, SOD2, APOE, GLUT, etc. The identification of these genetic variants at a biomarker level could thus, allow the detection of those individuals at high risk for diabetic nephropathy which could thus help in the treatment, diagnosis and early prevention of the disease. The present review discusses about the various gene variants found till date to be associated with diabetic nephropathy.

  14. 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. PMID:27152340

  15. 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.

  16. The Balkans - the most erosive part of Europe?

    Directory of Open Access Journals (Sweden)

    Blinkov Ivan

    2015-01-01

    Full Text Available Soil erosion has been occurring over the geological time. Inappropriate human activities accelerate this process. Soil erosion by water is a widespread problem throughout Europe. The South and Southeast regions of Europe are significantly prone to water erosion. In parts of the region, erosion has reached a stage of irreversibility and in some places erosion has practically ceased because there is no soil left. Scientists from the Balkan countries faced with the erosion problem for years, paid significant attention to solving problems with erosion. The aim of this study is to compare the results of water erosion intensity in the Balkan countries with other European countries. The basic methodological approach in this paper is an analysis of secondary data, using the method of “content analyses” of various data sources. Inductive and deductive qualitative analysis was used and finally the method of “comparative analysis” is applied too. Through the analysis of national researches, it was estimated that erosion intensity in Balkan countries is 548 m3km-2 (similar to 5.48 tha-1 and the total amount of annual produced erosive material is 419.9 *106 m3. The mean European average annual erosion intensity is 3.13tha-1. The most erosive countries in Europe are the Balkan countries, Albania and Montenegro where the mean annual intensity of erosion is > 10 tha-1.

  17. Karyotypic variation in mammals of the Balkan Peninsula

    Czech Academy of Sciences Publication Activity Database

    Zima, Jan

    Dordrecht : Kluwer Academic, 2004 - (Griffiths, H.; Kryštufek, B.; Reed, J.), s. 109-133 ISBN 1-4020-2853-9 R&D Projects: GA ČR GA206/01/0562 Institutional research plan: CEZ:AV0Z6093917 Keywords : karyotypes * Balkan Peninsula * Mammalia Subject RIV: EB - Genetics ; Molecular Biology

  18. Western Balkans: sixth enlargement of the European Union

    OpenAIRE

    Monzonis-Vilallonga, Jorge Fuentes

    2005-01-01

    After the enlargement to Central and Eastern Europe, the process of European integration has advanced, but it is still not complete. Twenty countries are still not members of the EU. The republics of Western Balkans are likely candidates for the next wave of enlargement.

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

    Science.gov (United States)

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

    2016-01-01

    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. PMID:27152340

  20. Balkan – Pestens første udbrud?

    DEFF Research Database (Denmark)

    Fledelius, Karsten

    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...

  1. 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

  2. Bibliography of Balkan demography: the contribution of Italian studies

    OpenAIRE

    Di Cesare, Rosa; Roberti, Matteo

    2010-01-01

    The working paper presents a selected bibliography on Balkan demography on featuring books and chapter from books, scientific articles, conference proceedings and conference papers, reports and other grey materials. The bibliography includes Italian authors who published both in Italian and a language other than Italian as well as foreign authors who published their works in Italian and/or in Italian journals

  3. 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.

  4. Endemic treponemal diseases.

    OpenAIRE

    Marks, M; Solomon, AW; Mabey, DC

    2014-01-01

    : The endemic treponemal diseases, consisting of yaws, bejel (endemic syphilis) and pinta, are non-venereal infections closely related to syphilis, and are recognized by WHO as neglected tropical diseases (NTDs). Despite previous worldwide eradication efforts the prevalence of yaws has rebounded in recent years and the disease is now a major public health problem in 14 countries. Adequate data on the epidemiology of bejel and pinta is lacking. Each disease is restricted to a specific ecologic...

  5. Mafia links between the Balkans and Scandinavia. State of affairs

    Directory of Open Access Journals (Sweden)

    Matteo Albertini

    2012-11-01

    Full Text Available The last twenty years has seen an increasing presence of Balkan organized crime groups in security reports and newspapers' headlines. This does not mean that mafia groups did not exist during Socialist Yugoslavia – even if its collapse and the following war made criminals and smugglers useful for politicians and leaders to maintain their power; it rather means that Balkan organized crime came outside its traditional areas of action in Serbia, Montenegro and Albania: less territorial and nationalist than it was before, it is now gaining prominence in an international scenario, making agreements with Italian and South American mafias – the so-called Holy Alliance – to manage drug routes towards Western Europe. One of the most interesting factors concerning Balkan mafia groups today is their presence in countries which traditionally do not have a history of organized crime, such as the Scandinavian states. One of the reasons lies in the wide percentage of immigrants moving from Balkan countries to Sweden or Norway. Since the wars of the 1990s in the former Yugoslavia, war-crimes fugitives were able to become common criminals in these countries, such as the infamous Želiko Raznjatović (“Arkan”. However, year by year, these gangs grew larger, taking advantage of the “expertise” and the resources gained during the war. In particular, the most spectacular case – the Våstberga helicopter robbery in 2009 – showed how these groups operate with military-style precision, utilize a wide number of participants, and have at their disposal laerge amounts of weapons and money. This paper will draw on the importance of Scandinavian – Balkan mafia relations in relation to three main criminal areas: drug and weapon smuggling and human trafficking, in order to underline the role of diasporas in enforcing organized crime groups and the extent to which these mafias could be a threat for the stability in both Eastern and Western Europe.

  6. Sonographic findings in Gouty Nephropathy

    International Nuclear Information System (INIS)

    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

  7. Sonographic findings in Gouty Nephropathy

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Mi Young; Jeon, Woo Ki; Kim, Ho Kyun; Kim, Yong Soo; Han, Chang Yul; Kim, Young Tong; Han, Sung Tag; Lee, Yoon Woo [Inje University College of Medicine, Seoul (Korea, Republic of)

    1994-09-15

    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.

  8. International virtual e-hospital: the Balkans journey.

    Science.gov (United States)

    Latifi, Rifat

    2008-01-01

    What started in Berlin in May of 2000 as an idea to create the telemedicine program of Kosova in order to help the country rebuild the broken medical system and change the miserable face of medicine, has now spread to other countries in the Balkans. Today, June 29, 2007, as I am rewriting this chapter, ten doctors and engineers from Kosova, Montenegro and Macedonia graduated from a three weeks intensive course on telemedicine, e-health and medical electronic library. This international telemedicine fellowship is organized by the very entity that was created in Berlin 7 years ago: The International Virtual e-Hospital (IVEH). This time, however they are part of a project called "Improving Health Care in the Balkans Using Telemedicine, Advanced Technologies and Cultural Exchange Programs as a Platform" funded by the Bureau of Education and Cultural Exchange of the State department of USA, and is being implemented in collaboration with Arizona Telemedicine Program and University of Arizona Health Science Center Library, as well as Alaska Telemedicine program in Anchorage. The goal of the program is to create the medical and technical leadership that will significantly enhance health care access and quality in the region. This program is creating a powerful international medical education network in the Balkans for further collaboration and development. As part of the project, 48 physicians, nurses and engineers from Kosova, Montenegro, Macedonia and Albania are being trained in telemedicine, e-health, electronic library management, trauma and surgical critical care. A group of experts in these same medical disciplines will conduct workshops, seminars and other cultural and educational activities in the Balkan region. We can say now with certainty that the Telemedicine Program of Kosova is having an impact in the region that goes far beyond telemedicine applications and advanced technologies in the Balkans. It is creating leadership that will take the future in their

  9. Genetic Diversity and Conservation of the Prespa Trout in the Balkans

    Directory of Open Access Journals (Sweden)

    Patrick Berrebi

    2013-11-01

    Full Text Available The Balkans are known to have a high level of biodiversity and endemism. No less than 15 taxa have been recorded in salmonids of the Salmo genus. Among them, the Prespa trout is found in only four river systems flowing into Lake Macro Prespa, three in the Former Yugoslav Republic of Macedonia and one in Greece. This is the first comprehensive survey of all streams located within the Macro Prespa Basin, encompassing the whole taxon range. A large genetic sample of 536 Prespa trout was collected mainly between 2005 and 2007. The sampling included 59 individuals from the Golema river system, 93 from the Kranska, 260 from the Brajcinska, 119 from the Agios Germanos, and five individuals from the lake itself. These specimens were analyzed with six microsatellite markers and by sequencing the mitochondrial control region. Nuclear data were examined through multidimensional analysis and assignment tests. Five clusters were detected by assignment: Golema, Kranska, Brajcinska upstream, Rzanska Brajcinska tributary and Brajcinska downstream. Most of these river systems thus hosted differentiated Prespa trout populations (with past gene flows likely dating before the construction of dams, except Agios Germanos, which was found to be composed of 5% to 32% of each cluster. Among the five trout individuals from the lake, four originated from Kranska River and one was admixed. Supported parsimonious hypotheses are proposed to explain these specificities. Conservation of this endemic taxon should take these results into account. No translocation should be performed between different tributaries of the lake and preservation of the Brajcinska populations should address the upstream-downstream differentiation described.

  10. 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...

  11. 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.

  12. Significance of unilateral radiation nephropathy

    International Nuclear Information System (INIS)

    Thirteen patients with non-Hodgkin's lymphoma with residual disease in the abdomen were treated by irradiation to the whole abdomen and left upper quadrant. The entire or half of the left kidney received between 2550 rad in 6 weeks and 4900 rad in 5 weeks. Seven of 12 patients evaluated showed functional and/or morphological changes in the left kidney on renal function studies and renal scan at various intervals. None of these patients clinically demonstrated overt acute radiation nephropathy. Three patients developed elevated blood pressure; the plasma renin level was markedly elevated in one of these patients. With the possible exception of one patient, no patient was discovered to have any functional morphological changes in the right kidney. The lymphoma in the abdomen was under control in 12 out of 13 patients treated at this writing

  13. The Balkans at the turn of the century: challenges for Greece and European Security Institutions

    OpenAIRE

    Milas, Adamantios

    2000-01-01

    The changes that occurred in the Balkans since 1991, following Soviet Union's dissolution and the breakup of Yugoslavia, revived the violent history of the Balkan Peninsula. The Kosovo war in 1998 aggravated the situation and increased fears among countries in the region for more ethnic strife, military operations and a massive exodus of refugees. As a Balkan country, Greece was affected by the evolving situation, which was reflected in its foreign security policy towards its northern neighbo...

  14. The Burdens of History: Problems Invoked by Occidental Travel Writing on the Balkans

    OpenAIRE

    Boynton, Eric Grayson

    2011-01-01

    Works on the Balkans currently face a crisis of representation--from Ivo Andric's fictionalized memory to Joe Sacco's humanitarian witnessing, the occidental reader must examine the Balkans within a historical context of colonialism to avoid misrepresentation. The goal of this study is threefold: to provide a firm historical grounding while observing the instruments of colonialism, to give an overview of Occidental travel writing on the Balkans with a particular focus on the formation and d...

  15. BIOCHEMICAL SCREENING OF DIABETIC NEPHROPATHY

    Directory of Open Access Journals (Sweden)

    Vivek

    2016-01-01

    Full Text Available Diabetic nephropathy is a clinical syndrome characterized by the following- Persistent albuminuria (>300mg/d or >200μg/min, that is confirmed on at least 2 occasions 3-6 months apart diabetic, progressive decline in the Glomerular Filtration Rate (GFR, elevated arterial blood pressure. The earliest biochemical criteria for the diagnosis of diabetic nephropathy is the presence of micro-albumin in the urine, which if left untreated will eventually lead to End-Stage Renal Disease (ESRD. Micro-albuminuria refers to the excretion of albumin in the urine at a rate that exceeds normal limits. The current study was conducted to establish the prevalence of micro-albuminuria in a sequential sample of diabetic patients attending hospital and OPD Clinic to determine its relationship with known and putative risk factors to identify micro- and normo-albuminuric patients in their sample for subsequent comparison in different age, sex, weight and creatinine clearance of the micro- and normo-albuminuric patients. This cross-sectional analytical study was conducted in one hundred patients at Saraswathi Institute of Medical Sciences, Anwarpur, Hapur, U. P. Patients having diabetes mellitus in different age group ranging from 30 to 70 years were selected. Data was analysed by SPSS software. Micro-albuminuria was observed in 35% in patients with type 2 diabetes mellitus. It was observed that 65% patients were free from any type of albuminuria. Also micro-albuminuria was present in 10% of the patients less than 50 yrs. of age, while 15% of the patients more than 50 yrs. of age were having micro-albuminuria. There was a statistically significant correlation of micro-albuminuria with duration of diabetes. Incidence of micro-albuminuria increases with age as well as increased duration of diabetes mellitus. Our study shows that only 5% patients developed macro-albuminuria. Glycosylated haemoglobin and fasting plasma glucose was significantly raised among all these

  16. Phylogeny of European Bullhead (Cottus sp.) in Western Balkans

    OpenAIRE

    Jernej Bravničar; Anja Palandačić; Saša Marić; Radek Šanda

    2015-01-01

    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 mole...

  17. Names of plants of Mediterranean and Balkan origin in Burushaski

    OpenAIRE

    Čašule, Ilija

    2014-01-01

    After a brief overview of studies that correlate the Burushaski language with Indo-European, the article goes on to examine the close and specific semantic and phonological correspondence between eight plant names shared by Burushaski and the Indo-European languages of the Mediterranean and Southern Europe. On the strength of this correlation it is proposed that these plant names may point to the Eastern Mediterranean and the Balkans as the original area of inhabitation of the Burushaski people.

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

    OpenAIRE

    Ioannis PETASAKIS; Athanasios MANDILAS; Stavros VALSAMIDIS

    2012-01-01

    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 presen...

  19. Visual material evidence of viking presence in the Balkans

    OpenAIRE

    Konstantin Kolev Jr

    2015-01-01

    The Swedish and Norwegian Vikings were present in the Balkans including in Bulgaria. The archaeological and visual materials found on the Romanian, Bulgarian and Turkish territory support this statement. The majority of the objects constitute parts of weapons and tools related to the Scandinavian warfare. Most of these artifacts were discovered in North East of Bulgaria close to the Romanian border. They can be attributed to the Rus princes (father and son): Igor I (912-945) and Svyatoslav I ...

  20. SECURITY PROBLEM IN THE BALKANS: VIEW FROM ITALY AND RUSSIA (LATE XX – EARLY XXI

    Directory of Open Access Journals (Sweden)

    I. O. RATUSHNYAK

    2016-01-01

    Full Text Available The article relevance is proved by the importance of studying of a security problem in the Balkans which takes a significant place in the foreign policy of Russia and Italy. The article gives short excursus to the security problem in the Balkans and discovers geostrategic value of the Balkan Peninsula. It also describes turmoil factors in this South-Eastern European region. The author examines the impact of the Balkan crisis on the Common European security and also the Balkans’ place on the modern geopolitical world map. The article analyzes disintegrating processes in the Balkan Peninsula, particularly break-up of Yugoslavia, Italian and Russian views of this problem and their role in resolution of the Balkan crisis. It is considered the Balkan security problem within the framework of maintenance of national security by Italy and Russia and also the Balkans’ position in the foreign policy of Italy and Russia in late XX – early XXI. Finally it is made a conclusion that the Balkan vector is of great priority in the foreign policy line of Italy and Russia and that geopolitical stability of the Balkans takes a heavy toll on the security of Italy and Russia.

  1. The Balkan gurbet/pečalbarstvo - past and present

    Directory of Open Access Journals (Sweden)

    Hristov Petko

    2015-01-01

    Full Text Available The article presents an observation on the various traditional forms of cross-border seasonal labour mobility on the Balkans, both as agricultural works away from the home place, and as large-scale temporary craftsmen’s migrations of builders, bakers, dairy workers, confectioners and so on. In countries like Albania, Bulgaria, Greece, Macedonia and Serbia, traditional cultural models of trans-border labour mobility that encompasses the majority of the male population of entire regions have existed for centuries. These migrant groups created the specific subculture of gurbet, which the men carried with them in the big city, at the same time altering the entire model of traditional culture in their home regions. The annual journeys of men from the various mountain parts of the Balkans “at work” and “for gain” (pečalba in the course of the years developed specific features of the feast-ritual system and folklore in the villages of these regions. At the same time, the traditional Balkan gurbet is an important condition for mutual penetration between various cultures and peoples and for creating new cultural patterns and various multidimentional identities.

  2. Visual material evidence of viking presence in the Balkans

    Directory of Open Access Journals (Sweden)

    Konstantin Kolev Jr

    2015-06-01

    Full Text Available The Swedish and Norwegian Vikings were present in the Balkans including in Bulgaria. The archaeological and visual materials found on the Romanian, Bulgarian and Turkish territory support this statement. The majority of the objects constitute parts of weapons and tools related to the Scandinavian warfare. Most of these artifacts were discovered in North East of Bulgaria close to the Romanian border. They can be attributed to the Rus princes (father and son: Igor I (912-945 and Svyatoslav I Igorevich (942-972 who passed by the Bulgarian lands in the 10-th century and the Norwegian prince Harald who supported the Byzantine Empire to cause the downfall of the First Bulgarian kingdom at the beginning of the next century. Despite this sorrowful reputation, though, the Viking material culture in Bulgaria, Romania and Istanbul gives evidence to the multicultural mosaic of our region. It also enriches the Balkan history and culture. Therefore, the purpose of this article is to outline the Viking objects discovered in the Balkans.

  3. Surveillance of wildlife zoonotic diseases in the Balkans Region

    Directory of Open Access Journals (Sweden)

    Mirsada Hukić

    2010-08-01

    Full Text Available The countries of the Balkan Peninsula have become the region with frequent outbreaks of the emerging and re-emerging diseases during the last decade of the 20th and the first decade of the 21st century. The majority of outbreaks were wildlife zoonotic, and vector-borne diseases, such as brucellosis, leptospirosis, listeriosis, tularemia, Q-fever, Lyme disease, anthrax, rabies, viralhemorrhagic fevers, sandfly fever, tick-borne encephalitis and leishmainiasis. Epidemiological factors determined by ecology ofcausative agents are often the most useful diagnostic clues. The recognition of evolving problems of emerging and re-emergingdiseases emphasizes the need for the development of better laboratory diagnostic methods for the surveillance and tracking ofthe diseases, and for continued research of factors contributing to the transmission of the organisms. The continuous occurrence of previously unidentified infections requires prospective nationalstrategies for timely recognition of the syndromes, causative agent identification, establishment of criteria and methods for the diagnosis, optimization of the treatment regime, and determinationof successful approaches to prevention and control. Wildlife diseasessurveillance in the most of the Balkan countries has been coordinated by the WHO since 1992. Although new technology and communication have extremely improved in the last decade, there is a need for optimal communication lines among the Balkan countries, better exploitation of communication technologies like the Internet and other media in the field of emerging diseases.

  4. THE FINDINGS UPON THE DESIGNATION OF TURKISH WORDS AMONG BALKAN LANGUAGES
    BALKAN DİLLERİNDEKİ TÜRKÇE KELİMELERİN TANIMLANMASI PROBLEMİ ÜZERİNE TESPİTLER

    OpenAIRE

    Fatih İYİYOL; Ahmet M. KESMECİ

    2011-01-01

    The presence of the Turks in the geography of Balkans can betrack back to the centuries before Ottomans. The actual impact of theTurkish language and culture began with the start of Ottomanconquests. With the Ottoman conquest, there have been greatchanges on the structure of the Balkan communities. As a result ofthis comprehensive and large impact, thousands of Turkish wordsentered into the Balkanic Languages. The quantity of Turkish words,their effect of the Balkanic Cultures and Languages h...

  5. Cancer risk after cyclophosphamide treatment in idiopathic membranous nephropathy

    NARCIS (Netherlands)

    Brand, J.A. van den; Dijk, P.R. van; Hofstra, J.M.; Wetzels, J.F.

    2014-01-01

    BACKGROUND AND OBJECTIVES: Cyclophosphamide treatment improves renal survival in patients with idiopathic membranous nephropathy. However, use of cyclophosphamide is associated with cancer. The incidence of malignancies in patients with idiopathic membranous nephropathy was evaluated, and the cancer

  6. Le conflit franco-italien dans les Balkans 1915-1935.: Le rôle de la Yougoslavie

    OpenAIRE

    Pavlović Vojislav

    2005-01-01

    The conflict between France and Italy in the Balkans in fact was an attempt at reorganizing the Balkans and Central Europe following the disappearance of the Habsburg and Romanoff. The two Latin powers now had a unique opportunity to dictate a rearrangement of the Balkans, but their positions were diametrically opposed. Italy sought to establish domination in the Adriatic and the Balkans, whereas France sought to reorganize the region with the view to precluding Germany from recovering its fo...

  7. The endemic treponematoses.

    Science.gov (United States)

    Giacani, Lorenzo; Lukehart, Sheila A

    2014-01-01

    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

  8. 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...

  9. 78 FR 37097 - Continuation of the National Emergency With Respect to the Western Balkans

    Science.gov (United States)

    2013-06-19

    ... With Respect to the Western Balkans #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register... President ] Notice of June 17, 2013 Continuation of the National Emergency With Respect to the Western... respect to the Western Balkans, pursuant to the International Emergency Economic Powers Act (50...

  10. 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. PMID:27384106

  11. Immunoglobulin A nephropathy: Basic characteristics

    Directory of Open Access Journals (Sweden)

    Petrović Lada

    2003-01-01

    Full Text Available Introduction Immunoglobulin A nephropathy (IgAN is one of the most common forms of primary glomerulonephritis in many countries. Most clinical features of IgAN point to a renal problem, such as recurrent macroscopic hematuria or asymptomatic microscopic hematuria and proteinuria. Pathologic features of IgAN present with different types and different degrees of glomerular tubulointerstitial and vascular lesions. The aim of this study was detailed analysis of clinical and laboratory findings, as well as findings of immunofluorescence and light microscopy. We also investigated associations between these factors. Material and methods We investigated 60 patients who underwent renal biopsy. The study was partly retrospective and partly prospective. Results The average age of patients was 34.19 years. Male female ratio was 2.33:1. IgAN was most frequently asymptomatic (83.33% as microhematuria and proteinuria, while gross hematuria was found in 16.667%. Renal biopsy material was analyzed by light microscopy revealing changes in all glomerular structures. Immunofluorescence microscopy demonstrated dominant IgA deposits. This study established association of glomerulosclerosis with clinical features of disease. Discussion and conclusions IgAN frequently develops in the 4th decade of life, mostly in males and presents as asymptomatic (83.33%. Patohistological changes include all glomerular structures. There is no specific serological test for IgAN, but pathological changes affect clinical features of the disease, as proteinuria and increase of creatinine concentration.

  12. Signaling pathways in diabetic nephropathy.

    Science.gov (United States)

    Kawanami, Daiji; Matoba, Keiichiro; Utsunomiya, Kazunori

    2016-10-01

    Diabetic nephropathy (DN) is a major cause of end-stage renal disease (ESRD), however, specific treatment for DN has not yet been elucidated. Therefore, it is critically important to understand the molecular mechanism underlying DN to develop cause-related therapeutic strategy. To date, various factors such as hemodynamic changes and metabolic pathways have been shown to be involved in the pathogenesis of DN. Excessive glucose influx activates cellular signaling pathways, including the diacylglycerol (DAG)-protein kinase C (PKC) pathway, advanced glycation end-products (AGE), polyol pathway, hexosamine pathway and oxidative stress. These factors interact with one another, thereby facilitating inflammatory processes, leading to the development of glomerulosclerosis under diabetic conditions. In addition to metabolic pathways, Rho-kinase, an effector of small-GTPase binding protein Rho, has been implicated as an important factor in the pathogenesis of DN. A number of studies have demonstrated that Rho-kinase plays key roles in the development of DN by inducing endothelial dysfunction, mesangial excessive extracellular matrix (ECM) production, podocyte abnormality, and tubulointerstitial fibrosis. In this review article, we describe our current understanding of the signaling pathways in DN. PMID:27094540

  13. Tephrostratigraphy and tephrochronology of lakes Ohrid and Prespa, Balkans

    Directory of Open Access Journals (Sweden)

    R. Sulpizio

    2010-10-01

    Full Text Available Four cores from Balkans lakes Ohrid and Prespa were examined for recognition of tephra layers and cryptotephras, and the results presented along with the review of data from other two already published cores from Lake Ohrid. The six cores provide a previously unrealised tephrostratigraphic framework of the two lakes, and provide a new tephrostratigraphic profile (composite for the Balkans, which spans from the end of the Middle Pleistocene to the AD 472. A total of 12 tephra layers and cryptotephras were recognised in the cores. One is of Middle Pleistocene age (131 ka and correlated to the marine tephra layer P-11 from Pantelleria Island. Eight volcanic layers are Upper Pleistocene in age, and encompass the period between ca. 107 ka and ca. 31 ka. This interval contains some of the main regional volcanic markers of the central Mediterranean area, including X-6, X-5, Y-5 and Y-3 tephra layers. The other layers of this interval have been related to the marine tephra layers C20, Y-6 and C10, while one was for the first time recognised in distal areas and correlated to the Taurano eruption of probable Vesuvian origin. Three cryptotephras were of Holocene age. Two of which have been correlated to Mercato and AD 472 eruptions of Somma-Vesuvius, while the third has been correlated to the FL eruption from Mount Etna. These recognitions provide a link of the Ohrid and Prespa lacustrine successions to other archives of the central Mediterranean area, like south Adriatic, Ionian, and south Tyrrhenian seas, lakes of southern Italy (Lago Grande di Monticchio, Pantano di San Gregorio Magno and Lago di Pergusa and Balkans (Lake Shkodra.

  14. Tephrostratigraphy and tephrochronology of lakes Ohrid and Prespa, Balkans

    Directory of Open Access Journals (Sweden)

    R. Sulpizio

    2010-05-01

    Full Text Available Four cores from Balkans lakes Ohrid and Prespa were studied for recognition of tephra layers and cryptotephras, and the results presented along with the review of data from other two already published cores from Lake Ohrid. The six cores provide a previously unrealised tephrostratigraphic framework of the two lakes, and supply the first detailed tephrochronologic profile (composite for the Balkans, which spans from the end of the Middle Pleistocene to the end of the Ancient Age (AD 472. A total of 12 tephra layers and cryptotephras were recognised in the cores. One is of Middle Pleistocene age (131 ky and correlated to the marine tephra layer P-11 from Pantelleria Island. Eight volcanic layers are Upper Pleistocene in age, and encompass the period between ca. 107 ky and ca. 31 ky. This interval contains some of the main regional volcanic markers of the Central Mediterranean area, including X-6, X-5, Y-5 and Y-3 tephra layers. The other layers of this interval have been related to the marine tephra layers C20, Y-6 and C10, while one was for the first time recognised in distal areas and correlated to the Taurano eruption of probable Vesuvian origin. Three cryptotephras were of Holocene age. Two of which have been correlated to Mercato and AD 472 eruptions of Somma-Vesuvius, while the third has been correlated to the FL eruption from Mount Etna. These recognitions provide a link of the Ohrid and Prespa lacustrine successions to other archives of the Central Mediterranean area, like South Adriatic, Ionian, and South Tyrrhenian Seas, lakes of Southern Italy (Lago Grande di Monticchio, Pantano di San Gregorio Magno and Lago di Pergusa and Balkans (Lake Shkodra.

  15. Tephrostratigraphy and tephrochronology of lakes Ohrid and Prespa, Balkans

    Science.gov (United States)

    Sulpizio, R.; Zanchetta, G.; D'Orazio, M.; Vogel, H.; Wagner, B.

    2010-10-01

    Four cores from Balkans lakes Ohrid and Prespa were examined for recognition of tephra layers and cryptotephras, and the results presented along with the review of data from other two already published cores from Lake Ohrid. The six cores provide a previously unrealised tephrostratigraphic framework of the two lakes, and provide a new tephrostratigraphic profile (composite) for the Balkans, which spans from the end of the Middle Pleistocene to the AD 472. A total of 12 tephra layers and cryptotephras were recognised in the cores. One is of Middle Pleistocene age (131 ka) and correlated to the marine tephra layer P-11 from Pantelleria Island. Eight volcanic layers are Upper Pleistocene in age, and encompass the period between ca. 107 ka and ca. 31 ka. This interval contains some of the main regional volcanic markers of the central Mediterranean area, including X-6, X-5, Y-5 and Y-3 tephra layers. The other layers of this interval have been related to the marine tephra layers C20, Y-6 and C10, while one was for the first time recognised in distal areas and correlated to the Taurano eruption of probable Vesuvian origin. Three cryptotephras were of Holocene age. Two of which have been correlated to Mercato and AD 472 eruptions of Somma-Vesuvius, while the third has been correlated to the FL eruption from Mount Etna. These recognitions provide a link of the Ohrid and Prespa lacustrine successions to other archives of the central Mediterranean area, like south Adriatic, Ionian, and south Tyrrhenian seas, lakes of southern Italy (Lago Grande di Monticchio, Pantano di San Gregorio Magno and Lago di Pergusa) and Balkans (Lake Shkodra).

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

    International Nuclear Information System (INIS)

    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)

  17. IgA nephropathy and infections.

    Science.gov (United States)

    Rollino, Cristiana; Vischini, Gisella; Coppo, Rosanna

    2016-08-01

    In this paper we concentrate on the role of infections in IgA nephropathy both from a pathogenetic and clinic point of view. The current hypotheses as regards the role of infections in the pathogenesis of IgA nephropathy are: (a) role of particular pathogens, (b) chronic exposure to mucosal infections, (c) abnormal handling of commensal microbes (gut microbiota). We also focus on particular infections reported in association with classic IgA nephropathy (HIV, malaria, Chlamydia, Lyme disease), as well as on IgA dominant-infection-associated glomerulonephritis. This is a unique form of glomerulonephritis, where IgA deposition is dominant. It is mostly recognized in old, diabetic patients and in association with staphylococcal infection. PMID:26800970

  18. The EU and the Balkans: Shifting Meanings after the Crisis

    OpenAIRE

    Musliu, Vjosa

    2016-01-01

    This article discusses to what extent meanings and discourses on ‘EU membership’ on the one hand and on the ‘Balkans’ on the other, have shifted within Western Balkan countries in the past few years as a result of financial crisis in the European Union. Focusing on Kosovo and Bosnia and Herzegovina, the article uses Derrida’s deconstruction to problematize the return of terms such as ‘Balkan’ and ‘Balkanized’, as a way to explain failures of the economic system. The article concludes that in ...

  19. The European Union and State Building in the Western Balkans

    Directory of Open Access Journals (Sweden)

    Andrew J. Taylor

    2013-11-01

    Full Text Available This paper examines the feasibility of network governance in the context of the EU's expansion in the Western Balkans. The EU is formally committed to promoting network governance but the realities of enlargement require the creation of effective states, in other words of the primacy of hierarchy over network. Networks are created in enlargement and reflect the complexities of public policy but these networks do not represent, as yet, a significant shift of power away from the state. Despite a normative preference for network governance, the political reality of enlargement is that the EU seeks the creation of effective hierarchy.

  20. Treatment of Diabetic Nephropathy with Acupuncture

    Institute of Scientific and Technical Information of China (English)

    CHU Qin; WANG Lin; LIU Guo-zhen; HAN Chou-ping

    2007-01-01

    Objective: to observe the clinical efficacy of acupuncture on diabetic nephropathy.Methods: altogether 54 cases were randomly allocated into acupuncture group (30 cases) and control group of western medications (24 cases), the latter was treated with routine western medication, while the former was combined acupuncture based on routine western medication,and the treatment course of the two groups were both 30 days. Results: the effect of treatment group was superior to the control group (P<0.05). Conclusion: acupuncture can improve symptoms of diabetic nephropathy, lower blood glucose, urine albumin, blood urine nitrogen,and creatinine and improve the function of kidney.

  1. Iga nephropathy: clinical-morphologic correlation

    Directory of Open Access Journals (Sweden)

    Basta-Jovanović Gordana M.

    2003-01-01

    Full Text Available IgA nephropathy is glomerular disease caracterized by the presencemorphologic changes as wella as the prognosis is in correlation with of IgA dominant or codominant imunoglobuline deposits in glomer-the amount of proteinuria. The prognosis is better in children. ular mesangium which can be demostrated by immunofluorescence. Clinical manifestations of IgA nephropathy in the majority of cases is hematuria which can be macro or mikroskopic, isolated or combined with proteinuria, which can be of nephrotic range. The prognosis o the disease is better if presented with haematuria. Intensity of????.

  2. Vesicoureteral reflux and reflux nephropathy

    International Nuclear Information System (INIS)

    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.)

  3. 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.

  4. Business regulation and economic growth in the Western Balkan countries

    Directory of Open Access Journals (Sweden)

    Engjell PERE

    2013-06-01

    Full Text Available Actually economic policies in many countries aimed to stimulate their economic growth, particularly after negative impact of the global economic crisis. In this regards, fiscal regulation are an important aspect of those policies, that can promote or obstacle the economic growth in general. In this point of view this paper aims to analyze the system of administration rules in different Western Balkans Countries, (which includes Albania, Bosnia & Herzegovina, Croatia, Kosovo, Macedonia (FYROM, Montenegro and Serbia. Moreover, a special attention is given investigation of the regulation and administrative facilitation aspects of doing business in the above-mentioned countries, whether this system stimulates, or not, the development of private business and economic growth.The paper is divided into three main sections. The first part provides a retrospective of economic growth in the Western Balkan countries and the dependence of this growth on global economic development. The second part proceeds with the investigations of the impact of administrative regulation on economic growth. The third part, based on an econometric model, will analyze the correlation between economic growth and elaborated indicators which present the level of business administrative regulation system. Furthermore, this last section discusses the results and concludes. In this analysis, the paper is based substantially on the data base of "Doing Business 2013" (World Bank.

  5. 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

  6. Monitoring Diabetic Nephropathy by Circulating Gangliosides.

    Science.gov (United States)

    Ene, Corina Daniela; Penescu, Mircea; Anghel, Amalia; Neagu, Monica; Budu, Vlad; Nicolae, Ilinca

    2016-01-01

    Gangliosides are multifunctional molecules, abundantly expressed in renal cell membrane but also in sera of patients with renal disease. The aim of this study was to quantify the serum levels of sialic acid-ganglioside in patients diagnosed with diabetes for an eventual biomarker stratification of patients with renal complications. We included 35 diabetic patients without metabolic complications, 35 patients with diabetic nephropathy, 35 non-diabetic individuals. We found that sialic acid ganglioside serum level was significantly increased in patients with diabetic nephropathy compared to the level obtained in patients with uncomplicated diabetes and to non-diabetic controls. A statistically significant positive correlation was obtained between serum levels of sialic acid gangliosides, HbA1c, and serum creatinine in patients with diabetes without complications. Moreover positive correlation was found between sialic acid ganglioside and blood glucose, HbA1c, urea, creatinine, microalbuminuria in patients with diabetic nephropathy. We can conclude that serum sialic acid-gangliosides are statistically increased in diabetic nephropathy positively correlated with microalbuminuria. PMID:26359623

  7. Diabetic nephropathy: Prescription trends in tertiary care

    Directory of Open Access Journals (Sweden)

    Devi D

    2008-01-01

    Full Text Available Diabetic nephropathy is a leading cause of end stage renal disease. Drug utilization studies could promote rational drug use. The objective of this study was to evaluate prescribing trends in hospitalized patients with diabetic nephropathy. A prospective, observational study was conducted in a tertiary care hospital. The demographic, disease and treatment data of patients with diabetic nephropathy were collected for a period of six months and analysed. Drugs were classified using World Health Organization recommended Anatomic Therapeutic Chemical classification. A total of 755 drugs (7.4 drugs per prescription were prescribed to 102 study patients, who were all hypertensive and in late stages of diabetic nephropathy. Drug classes with largest representation were those acting on gastrointestinal tract plus metabolism (37% and cardiovascular drugs (28%. Calcium channel blockers represented the largest antihypertensive drug class (41%. Almost three-fourths of patients received more than one antihypertensive agent. Approximately 37% of patients did not receive any antidiabetic medication. Of those who did, prescriptions for insulin (91% exceeded those of oral hypoglycaemic drugs (9%. Antimicrobials accounted for 10.2% of all drugs prescribed, of which 31.8% were quinolones. Drugs prescribed by generic name accounted for 11.98%. While all patients received antihypertensive therapy, more than a third were not on any antidiabetic treatment. Antihypertensive poly-therapy was observed in the majority with calcium channel blockers being most frequently prescribed antihypertensive drug class. Insulin was the preferred to hypoglycaemic drugs.

  8. Application of bioeffect to clinical radiation nephropathy

    International Nuclear Information System (INIS)

    Normal tissue injury is usually the dose limiting factor in radiotherapy. It is, therefore, important to gain information on the tolerance of normal tissues to radiation and on the sensitivity to fractionation of the total radiation dose. The aim of the present study was to correlate prognostic factors with clinical radiation nephropathy

  9. The course of incipient diabetic nephropathy

    DEFF Research Database (Denmark)

    Christensen, Cramer; Mogensen, C E

    1985-01-01

    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 (in...

  10. The Weight of Islam in the Turkish Foreign Policy in the Balkans

    OpenAIRE

    Gangloff, Sylvie

    2001-01-01

    Could the historical role played by Turkey in the Balkans or its geographical proximity establish Turkey as pole of attraction for the Muslims in the Balkans? First, Turkey's secularism and aspiration to be recognized as a fully westernized country forbid it to raise the Muslim banner as soon as its political interests are concerned. Second, Turkey's long domination of the Balkans sets it up as a suspicious actor in the eyes of most of the countries in the area and its initiatives were carefu...

  11. 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.

  12. Pleistocene horses (genus Equus in the central Balkans

    Directory of Open Access Journals (Sweden)

    Forsten Ann

    2003-01-01

    Full Text Available A review of the fossil horses of the genus Equus from the central Balkans, a mountainous area comprising Serbia and Montenegro, is presented in this paper. The time period covered by the finds is from the late Early to and including the Late Pleistocene, but the record is not complete: the dated finds are Late Pleistocene in age, while Early and Middle Pleistocene are poorly represented. The horses found resemble those from neighbouring countries from the same time period, probably showing the importance of river valleys as migration routes. The Morava River valley runs in a roughly south-to-north direction, connecting, via the Danube and Tisa River valleys the Hungarian Pannonian Plain in the north with northern Greece in the south, via the Vardar River valley in Macedonia. In Pleistocene, large mammals, including horses, probably used this route for dispersal.

  13. Identities and family value orientations in the Balkans

    Directory of Open Access Journals (Sweden)

    Stjepanović-Zaharijevski Dragana

    2010-01-01

    Full Text Available According to Giddens, the modern self is bewildered by the growing variety of possible identities on offer. In the transitional period Balkan countries are currently facing, we can observe a dynamic interplay of traditional and new identities. Traditional identities on one hand change under the pressure of new ones, and on the other put up certain resistance to possible changes. In this paper the authors present a comparative analysis of identification and identities in Serbia, Bulgaria and Macedonia, based on the findings of empirical research. By establishing similarities and differences between identity dynamics in these countries, it becomes possible to account for identity trends in them. In a separate section, family value orientations are examined as cultural frames of reference of identity constructions. Their analytical deconstruction is accomplished through the prism of relatively structured gender relations and a particular, 'desired' pattern of family values.

  14. Genetic associations in diabetic nephropathy: a meta-analysis

    OpenAIRE

    Mooyaart, A. L.; Valk, E. J. J.; L. A. van Es; Bruijn, J. A.; de Heer, E.; Freedman, B.I.; Dekkers, O. M.; Baelde, H. J.

    2010-01-01

    Aims/hypothesis This meta-analysis assessed the pooled effect of each genetic variant reproducibly associated with diabetic nephropathy. Methods PubMed, EMBASE and Web of Science were searched for articles assessing the association between genes and diabetic nephropathy. All genetic variants statistically associated with diabetic nephropathy in an initial study, then independently reproduced in at least one additional study, were selected. Subsequently, all studies assessing these variants we...

  15. TRAC Variants Associate with IgA Nephropathy

    OpenAIRE

    Li, Ru; Xue, Chao; Li, Caixia; Lou, Tanqi; Tao, Yu; Li, Youji; Huang, Weijun; Zhang, Jun; Leung, Joseph C. K.; Lam, Man F.; Vyse, Tim J.; Kar N. Lai; Wu, Changyou; Wang, Yiming

    2009-01-01

    The T cell receptor alpha constant gene (TRAC) encodes the constant region of the α chain for the T cell receptor, and the association of its gene variants with IgA nephropathy remains controversial. The authors resequenced the gene in 100 patients with IgA nephropathy and 100 controls, tested its linkage disequilibrium pattern, constructed haplotypes, and performed association and functional studies. First, the association between TRAC variants and IgA nephropathy was tested in 704 patients ...

  16. Tubular biomarkers to assess progression of diabetic nephropathy.

    Science.gov (United States)

    Tramonti, Gianfranco; Kanwar, Yashpal S

    2011-05-01

    Despite aggressive management, many patients with diabetic nephropathy still develop end-stage renal disease. Accompanying tubulointerstitial damage is important in the progression of diabetic nephropathy. Markers of tubular damage, such as NGAL, KIM-1, and LFABP, have been proposed for monitoring the effectiveness of therapy. However, Nielsen et al. report a lack of an independent correlation between these biomarkers and glomerular filtration rate. Therefore, these markers seem to offer no improvement in the management of diabetic nephropathy. PMID:21527942

  17. Differentiated Integration - from Theory to Practice. Determiners in the Integration Process of the Western Balkans: Ethnicity

    OpenAIRE

    Blaga, Daniela; Brie, Mircea

    2013-01-01

    Most studies of differentiated integration are limited to the European Union, to the relations between the existing Member-States, and to the various institutional arrangements. The relationship between the European Union and the Western Balkans offers the support for testing the concept of differentiated integration on the dynamics recorded between the EU and a group of foreign states. Different Balkan states signed different contractual agreements with the European Union, with the expressed...

  18. The model for successful development of NGA infrastructure in the Balkans

    OpenAIRE

    Matej Požarnik; Lea Robič Mohar; Tea Taras

    2016-01-01

    Unavailability of fast broadband internet access, primarily due to the lack of commercial interest of telecommunication operators, is the key reason for economic underdevelopment in rural areas in the Balkans. The process of developing broadband access in rural areas is multifaceted, complex and time-consuming. This paper analyses the current state of availability of broadband access in the Balkan countries, and investigates the algorithm with specific project phases and benefits of stakehold...

  19. Genetic diversity of Sabanejewia balcanica (Actinopterygii: Cobitidae) in the western Balkans and comparison with other regions

    Czech Academy of Sciences Publication Activity Database

    Marešová, Eva; Delić, A.; Kostov, V.; Marić, S.; Mendel, Jan; Šanda, R.

    2011-01-01

    Roč. 60, č. 4 (2011), s. 335-342. ISSN 0139-7893 R&D Projects: GA MŽP SM/6/3/05 Grant ostatní: VEGA(SK) 1/2360/05; GA AV ČR(CZ) M200930901 Institutional research plan: CEZ:AV0Z60930519 Keywords : Balkan golden loach * cytochrome b * mitochondrial DNA * Balkans region Subject RIV: EH - Ecology, Behaviour Impact factor: 0.554, year: 2011

  20. 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

  1. Basic Variables of Economic and Social Development in Balkan Region (Regional Development -Industrialisation-Humanpower

    Directory of Open Access Journals (Sweden)

    Fazil Yozgat

    2014-10-01

    Full Text Available In this study, three subjects had been investigated. Firstly history of industry Balkan region, secondly basic variables economic and social development, thirdly relation to variables. Industry is basic element of development. In addition to in this paper theoretical and literal concept has been investigated. In this study is aimed at presenting the most important new trends of economic, social, political and institutional development of Balkan region with relation to four major factors shaping the regions countries. Industrial Revolution in Europe and made major investments in the first half of the 19th century particularly central Europe and Balkan region. Balkan regions represent complex and diverse reality. These regions are from Old Continent to Central Europe, South East Europe and Mediterranean. From Adriatic to Black Sea and Mediterranean also. In these regions there are some different economic, social and political events. I.e. Croatia moves to final round member of European Union some countries face to particular problems of political subjects.I offer framework analysis of the regional country by country based on the existing set of criteria, which are variables of social and economic development. Those variables are including (cluster industry, expenditure R&D od GDP, variations of capitals, population and market, some trade block which are impact of economic and social developmentProposed key pillars to support sustainable competitiveness in the Western Balkans. Sustaining competitiveness =Human capital development==Regional Cluster==SectorPolicy reforms.(OECD,2008Key words. Balkan region, Social development, Globalisation, Sustainable development

  2. Stroke prevention in atrial fibrillation and 'real world' adherence to guidelines in the Balkan Region: The BALKAN-AF Survey.

    Science.gov (United States)

    Potpara, Tatjana S; Dan, Gheorghe-Andrei; Trendafilova, Elina; Goda, Artan; Kusljugic, Zumreta; Manola, Sime; Music, Ljilja; Musetescu, Rodica; Badila, Elisabeta; Mitic, Gorana; Paparisto, Vilma; Dimitrova, Elena S; Polovina, Marija M; Petranov, Stanislav L; Djergo, Hortensia; Loncar, Daniela; Bijedic, Amira; Brusich, Sandro; Lip, Gregory Y H

    2016-01-01

    Data on the management of atrial fibrillation (AF) in the Balkan Region are limited. The Serbian AF Association (SAFA) prospectively investigated contemporary 'real-world' AF management in clinical practice in Albania, Bosnia&Herzegovina, Bulgaria, Croatia, Montenegro, Romania and Serbia through a 14-week (December 2014-February 2015) prospective, multicentre survey of consecutive AF patients. We report the results pertinent to stroke prevention strategies. Of 2712 enrolled patients, 2663 (98.2%) with complete data were included in this analysis (mean age 69.1 ± 10.9 years, female 44.6%). Overall, 1960 patients (73.6%) received oral anticoagulants (OAC) and 762 (28.6%) received antiplatelet drugs. Of patients given OAC, 17.2% received non-vitamin K antagonist oral anticoagulants (NOACs). CHA2DS2-VASc score was not significantly associated with OAC use. Of the 'truly low-risk' patients (CHA2DS2-VASc = 0 [males], or 1 [females]) 56.5% received OAC. Time in Therapeutic Range (TTR) was available in only 18.7% of patients (mean TTR: 49.5% ± 22.3%). Age ≥ 80 years, prior myocardial infarction and paroxysmal AF were independent predictors of OAC non-use. Our survey shows a relatively high overall use of OAC in AF patients, but with low quality of vitamin K antagonist therapy and insufficient adherence to AF guidelines. Additional efforts are needed to improve AF-related thromboprophylaxis in clinical practice in the Balkan Region. PMID:26869284

  3. Corticosteroid therapy in IgA nephropathy.

    Science.gov (United States)

    Lv, Jicheng; Xu, Damin; Perkovic, Vlado; Ma, Xinxin; Johnson, David W; Woodward, Mark; Levin, Adeera; Zhang, Hong; Wang, Haiyan

    2012-06-01

    The benefits and risks of steroids for the treatment of IgA nephropathy remain uncertain. We systematically searched MEDLINE, EMBASE, and the Cochrane Library for randomized, controlled trials of corticosteroid therapy for IgA nephropathy published between 1966 and March 2011. We identified nine relevant trials that included 536 patients who had urinary protein excretion >1 g/d and normal renal function. Forty-six (8.6%) of these patients developed a kidney failure event, defined as doubling of the serum creatinine/halving of the GFR or ESRD. Overall, steroid therapy was associated with a lower risk for kidney failure (relative risk, 0.32 [95% confidence interval [CI], 0.15-0.67]; P=0.002) and a reduction in proteinuria (weighted mean difference, -0.46 g/d [95% CI, -0.63 to -0.29 g/d]), with no evidence of heterogeneity in these outcomes. Subgroup analysis suggested that the dose modifies the effect of steroids for renal protection (P for heterogeneity=0.030): Relatively high-dose and short-term therapy (prednisone >30 mg/d or high-dose pulse intravenous methylprednisolone with duration ≤1 year) produced significant renal protection, whereas low-dose, long-term steroid use did not. Steroid therapy was associated with a 55% higher risk for adverse events. The quality of included studies was low, however, limiting the generalizability of the results. In conclusion, steroids appear to provide renal protection in patients with IgA nephropathy but increase the risk for adverse events. Reliably defining the efficacy and safety of steroids in IgA nephropathy requires a high-quality trial with a large sample size. PMID:22539830

  4. Alteration of pulmonary function in diabetic nephropathy

    OpenAIRE

    Shafiee, Gita; Khamseh, Mohammad E.; Rezaei, Nader; Aghili, Rokhsareh; MALEK, Mojtaba

    2013-01-01

    Background Type 2 diabetes mellitus is increasing worldwide with an alarming rate. It is associated with the development of various chronic complications. The aim of this study was to explore the alteration of pulmonary function, and its association with renal complications in people with type 2 diabetes mellitus. Methods This cross-sectional study was conducted on three groups; 40 diabetic subjects without nephropathy (urinary albumin300 mg/day) .Diabetic subjects were matched to the control...

  5. Biomarkers for early detection of sickle nephropathy

    OpenAIRE

    Sundaram, Nambirajan; Bennett, Michael; Wilhelm, Jamie; Kim, Mi-Ok; Atweh, George; Devarajan, Prasad; Malik, Punam

    2011-01-01

    Renal complications affect nearly 30–50% of adults with sickle cell anemia (SCA), causing significant morbidity and mortality. Standard renal function tests like serum creatinine and glomerular filtration rate become abnormal in this disease only when renal damage has become extensive and largely irreversible. Moreover, not all patients develop sickle nephropathy (SN). Therefore, noninvasive biomarkers that predict early onset of SN are necessary. We performed a cross-sectional analysis for n...

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

    International Nuclear Information System (INIS)

    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

  7. Mitochondrial DNA differentiation between two forms of trout Salmo letnica, endemic to the Balkan Lake Ohrid, reflects their reproductive isolation.

    Science.gov (United States)

    Sell, J; Spirkovski, Z

    2004-12-01

    Mitochondrial haplotype diversity in sympatric populations of Ohrid trout, Salmo letnica was investigated by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis of the mtDNA control region and ND1, ND3/4, ND5/6 segments. A 310 bp fragment at the 5' end, and a 340-572 bp fragment at the 3' end of the control region were sequenced from representatives of the populations studied. Based on pairwise comparison of the sequences, five new haplotypes were identified plus one identical with the brown trout Andalusian haplotype from the southern Iberian Peninsula. The combination of both RFLP and sequence data sets yielded a total of 10 composite haplotypes. A high degree of genetic subdivision between S. letnica typicus and S. letnica aestivalis populations was observed. The notion of a sympatric origin for the two morphs is discussed. Length variation of the mtDNA control region due to the presence of an 82 bp unit, tandemly repeated one to four times, in the region between the conserved sequence block-3 (CSB-3) and the gene for phenylalanine tRNA is reported. Further, we demonstrate that a single duplication of the approximately 82 bp repeat unit is a common element of the salmonid mitochondrial control region. The unique genetic structure of Ohrid trout represents a highly valuable genetic resource that deserves appropriate management and conservation. PMID:15548279

  8. Neurology of endemic skeletal fluorosis

    Directory of Open Access Journals (Sweden)

    Reddy D

    2009-01-01

    Full Text Available Endemic skeletal fluorosis is widely prevalent in India and is a major public health problem. The first ever report of endemic skeletal fluorosis and neurological manifestation was from Prakasam district in Andhra Pradesh in the year 1937. Epidemiological and experimental studies in the endemic areas suggest the role of temperate climate, hard physical labor, nutritional status, presence of abnormal concentrations of trace elements like strontium, uranium, silica in water supplies, high fluoride levels in foods and presence of kidney disease in the development of skeletal fluorosis. Neurological complications of endemic skeletal fluorosis, namely radiculopathy, myelopathy or both are mechanical in nature and till date the evidence for direct neurotoxicity of fluoride is lacking. Prevention of the disease should be the aim, knowing the pathogenesis of fluorosis. Surgery has a limited role in alleviating the neurological disability and should be tailored to the individual based on the imaging findings.

  9. Irregular Migration flows and human trafficking in the Western Balkan countries: challenges of the covergence of counter-trafficking response

    OpenAIRE

    Mece, Merita H.

    2016-01-01

    Irregular migration on the Western Balkan route has marked an unprecedented number during the last five years. Evidence indicates that both, non-European nationals and Western Balkan citizens have been involved in this complex migratory flow being exposed to various risks of human trafficking. But Western Balkan countries are source, transit and destination countries of human trafficking while their states are not well organized to implement a comprehensive and well-coordinated regional respo...

  10. Nuclear and mitochondrial DNA sequence data reveal the evolutionary history of Barbus (Cyprinidae) in the ancient lake systems of the Balkans.

    Science.gov (United States)

    Marková, Silvia; Sanda, Radek; Crivelli, Alain; Shumka, Spase; Wilson, Iain F; Vukić, Jasna; Berrebi, Patrick; Kotlík, Petr

    2010-05-01

    Freshwater fauna of ancient lakes frequently contain endemic taxa thought to have originated during the long existence of these lakes, yet uncertainties remain as to whether they represent distinct genetic lineages with respect to more widespread relatives and to the relative roles of isolation and dispersal in their evolution. Phylogenetic analyses of sequence variation at nuclear and mitochondrial genes were used to examine these issues for the freshwater fish genus Barbus in two European ancient lake systems on the Balkan Peninsula. The nuclear and mitochondrial data yielded concordant phylogeographic patterns though incomplete sorting of nuclear haplotypes between some mitochondrial clades was detected. The distributions of two currently recognized species investigated here do not match the distributions of evolutionary lineages revealed by phylogenetic analyses. The Prespa barbel, Barbus prespensis, is not endemic to the lakes Prespa as previously thought but is instead found to be widespread in the south-eastern Adriatic Sea basin, with a distribution largely corresponding to the basin of the now extinct Lake Maliq historically connected with Lake Prespa. On the other hand, a cryptic phylogenetic subdivision in a widespread species, B. rebeli, was discovered to be more distant from B. rebeli than from other Barbus species and to be endemic to the system of connected lakes Ohrid and Shkodra. The division coincides with the hydrogeographical boundary delimiting distributions of other freshwater fishes, and we suggest that this newly discovered evolutionary lineage represents a distinct species. These findings support the emerging pattern that endemic taxa have evolved not through isolation of individual lakes, but in systems of currently and historically interconnected lakes and their wider basins. PMID:20139017

  11. The nature of serpentine endemism.

    Science.gov (United States)

    Anacker, Brian L

    2014-02-01

    Serpentine soils are a model system for the study of plant adaptation, speciation, and species interactions. Serpentine soil is an edaphically stressful, low productivity soil type that hosts stunted vegetation and a spectacular level of plant endemism. One of the first papers on serpentine plant endemism was by Arthur Kruckeberg, titled "Intraspecific variability in the response of certain native plant species to serpentine soil." Published in the American Journal of Botany in 1951, it has been cited over 100 times. Here, I review the context and content of the paper, as well as its impact. On the basis of the results of reciprocal transplant experiments in the greenhouse, Kruckeberg made three important conclusions on the nature of serpentine plant endemism: (1) Plants are locally adapted to serpentine soils, forming distinct soil ecotypes; (2) soil ecotypes are the first stage in the evolutionary progression toward serpentine endemism; and (3) serpentine endemics are restricted from more fertile nonserpentine soils by competition. Kruckeberg's paper inspired a substantial amount of research, especially in the three areas reviewed here: local adaptation and plant traits, speciation, and the interaction of climate and soil in plant endemism. In documenting soil ecotypes, Kruckeberg identified serpentine soils as a potent selective factor in plant evolution and helped establish serpentine soils as a model system in evolution and ecology. PMID:24509800

  12. 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...

  13. 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.

  14. 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

  15. Western Balkan States and the European Union Enlargement

    Directory of Open Access Journals (Sweden)

    Gelina Maliqi (Ramolli,

    2011-06-01

    Full Text Available For half a century, European Union-(EU has pursued ever-deeper integration while takingin new members. It’s marked as an important step in relationship deepening between EU and WesternBalkans-(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 inWBs. The declaration contained a conditional promise; EU would consider WBs for membership onlyif they reached EU standards. The EU was motivated by usual economic considerations connected toenlargement and a desire to increase regional stability. The enlargement process regarding Albaniawill bring several reforms on different fields. Our country will benefit from a share of multibeneficiaryfunds for competitiveness, SMEs, energy efficiency and banking sector regulation. Thispresentation handles out these main issues: EU policy and the enlargement process regarding Albaniainspecting the way and progress done up to now by our country, the main features of our national EU coordinationsystem, 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 forthe future of EU.

  16. Western Balkan States and the European Union Enlargement

    Directory of Open Access Journals (Sweden)

    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.

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

    Directory of Open Access Journals (Sweden)

    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

  18. Higher Education in Balkan Region and its Contribution to the Earth Observation

    Science.gov (United States)

    Lisec, A.; Fras, M. K.

    2012-07-01

    The needs for spatial data as well as techniques of Earth Observation are changing, and new professional areas are developing very rapidly. In addition, scientific work and its connection with the teaching process have influenced the introduction of new cognitions into the higher education programs in general. Considering these facts, in the period shorter than one decade, the higher education institutions in the Balkan region, which have study programs in the fields of spatial data acquisition, analysis and spatial decisions, have made significant changes of the curricula. In our research, we have analyzed the current higher education programs in the Balkan region having focused on curricula related to the Earth Observation. Due to historical reasons, these curricula have its roots in surveying study programs in the most Balkan countries. The competences of classical surveying higher educational programs have been changing and nowadays include the wider area of spatial data acquisition, geoinformatics. In parallel, we present the current Earth Observation activities in the selected countries from the Balkan region. Based on the results of our research in the framework of the European program Observe, which aims to establish a new Balkan Earth Observation (EO) community of multilevel stakeholders that will make use of state of the art technological developments, products and knowhow from the existing European EO community and industry, we estimate the contribution of advanced higher educational programs to the Earth Observation activities in the selected countries.

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

    Directory of Open Access Journals (Sweden)

    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

  20. Luo Lingjie's Experience in Treating Chronic Nephropathy

    Institute of Scientific and Technical Information of China (English)

    Cai Min; Yang Yonghe; Luo Lingjie; Duan Shumin

    2008-01-01

    @@ In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.

  1. BALKAN TARİHİ KARŞISINDA YAHYA KEMAL BEYATLI'NIN ŞİİRİ

    Directory of Open Access Journals (Sweden)

    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.

  2. Clinical application of urodilatin in Type 2 diabetic nephropathy

    International Nuclear Information System (INIS)

    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)

  3. TOURISM POLICY OF BALKAN COUNTRIES: REVIEW OF NATIONAL TOURISM DEVELOPMENT STRATEGIES

    Directory of Open Access Journals (Sweden)

    Dejan Metodijeski

    2014-12-01

    Full Text Available A different tourism policy created by various states is one of the primary factors for the existence and development of tourism, along with its natural and anthropogenic resources of specified destinations. The subject of this paper is the tourism policy of the Balkan countries, as seen through the prism of national strategies for the development of tourism and tourism products. The paper provides basic data for the Balkan countries such as: population, territory characteristics, number of international tourists, the existence of a National Tourism Organization and facilities included in the UNESCO list of world cultural heritage. Table showing government bodies responsible for tourism, national tourism development strategies as well as tourism products defined in these strategies shall be presented. An analysis and review of strategies has been made, based on their duration and types of tourism products. The paper concluding remarks are regarding the structuring of the prospects and directions of tourism development in the Balkan countries.

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

    Science.gov (United States)

    Zunić, Z S; Celiković, I; Tokonami, S; Ishikawa, T; Ujić, P; Onischenko, A; Zhukovsky, M; Milić, G; Jakupi, B; Cuknić, O; Veselinović, N; Fujimoto, K; Sahoo, S K; Yarmoshenko, I

    2010-10-01

    This paper deals with the results of the first-field use in the Balkans, i.e. Serbia and Republic of Srpska (Bosnia and Hercegovina), of a passive polycarbonate Mark II type and poliallyldiglycol 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 Institute 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. PMID:20966203

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

    Directory of Open Access Journals (Sweden)

    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.

  6. 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...

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

    International Nuclear Information System (INIS)

    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)

  8. Risk factors and management of diabetic nephropathy

    Directory of Open Access Journals (Sweden)

    Mohamed Akheel Ahmed

    2013-01-01

    Full Text Available To determine the risk factors for nephropathy in diabetic patients and to study the management of diabetic nephropathy (DN, we conducted a hospital-based prospective study in the Internal Medicine department of our hospital on 60 patients with DN and 60 diabetic patients without DN. An odds ratio (OR disclosed the following risk factors: Hypertension (OR = 2.06, family history of diabetes (OR = 1.23, family history of DN (OR = 2.86, uncontrolled hyperglycemia (OR = 11.80, obesity (OR = 1.07, duration of diabetes between 11 and 20 years (OR = 4.69, smoking (OR = 2.79, alcohol consumption (OR = 3.75, other complications (OR = 2.03, lack of physical activity (OR = 1.51 and anemia (OR = 2.29. According to these risk factors, we suggest that improving patient′s knowledge on diabetes and its treatment, life style modifications and aggressive management of the disease may delay the progression of disease to advanced stages.

  9. Minimizing the risk of chronic allograft nephropathy.

    Science.gov (United States)

    Weir, Matthew R; Wali, Ravinder K

    2009-04-27

    Chronic allograft nephropathy, now defined as interstital fibrosis and tubular atrophy not otherwise specified, is a near universal finding in transplant kidney biopsies by the end of the first decade posttransplantation. After excluding death with functioning graft, caused by cardiovascular disease or malignancy, chronic allograft nephropathy is the leading cause of graft failure. Original assumptions were that this was not a modifiable process but inexorable, likely due to past kidney injuries. However, newer understandings suggest that acute or subacute processes are involved, and with proper diagnosis, appropriate interventions can be instituted. Our method involved a review of the primary and secondary prevention trials in calcineurin inhibitor withdrawal. Some of the more important causes of progressive graft deterioration include subclinical cellular or humoral rejection, and chronic calcineurin inhibitor toxicity. Early graft biopsy, assessment of histology, and changes in immunosuppression may be some of the most important measures available to protect graft function. The avoidance of clinical inertia in pursuing subtle changes in graft function is critical. Modification in maintenance immunosuppression may benefit many patients with early evidence of graft deterioration. PMID:19384181

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

    Directory of Open Access Journals (Sweden)

    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.

  11. Relationship between E-cadherin and diabetic nephropathy

    Institute of Scientific and Technical Information of China (English)

    姜洪娟

    2014-01-01

    Objective To identify novel biomarker for diabetic nephropathy(DN)by urinary proteomic methods,and to detect the expression of E-cadherin in urine and renal tissue of patients with DN.Methods Urine samples were collected from 12 cases of type 1 diabetic nephropathy patients(T1DN),12 cases of type 2 diabetic nephropathy patients(T2DN),12 cases of nephritic syndrome patients(NS),and 12 cases of healthy Controls.Comparative proteomic approach of two-dimensional gel electro-

  12. Nomadic pastoralism in the Early Bronze Age of the central Balkans evaluation of background knowledge

    Directory of Open Access Journals (Sweden)

    Porčić Marko

    2008-01-01

    Full Text Available The aim of the paper is to examine background knowledge about the orga­nizational properties of mobile pastoral groups in order to assess the likelihood of the existence of pastoral nomads in the Early Bronze Age in the central Balkans. The patterning found by A. L. Johnson (2002 is taken as a point of departure for the cross-cultural analysis conducted in this study. Johnson’s findings are in the main corroborated. Acquired knowledge about the workings of pastoral societies suggests that highly mobile pastoral groups should not be expected in the Early Bronze Age of the central Balkans.

  13. 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...

  14. The complete genome sequence of a Crimean-Congo Hemorrhagic Fever virus isolated from an endemic region in Kosovo

    Directory of Open Access Journals (Sweden)

    Dedushaj Iusuf

    2008-01-01

    Full Text Available Abstract The Balkan region and Kosovo in particular, is a well-known Crimean-Congo hemorrhagic fever (CCHF endemic region, with frequent epidemic outbreaks and sporadic cases occurring with a hospitalized case fatality of approximately 30%. Recent analysis of complete genome sequences of diverse CCHF virus strains showed that the genome plasticity of the virus is surprisingly high for an arthropod-borne virus. High levels of nucleotide and amino acid differences, frequent RNA segment reassortment and even RNA recombination have been recently described. This diversity illustrates the need to determine the complete genome sequence of CCHF virus representatives of all geographically distinct endemic areas, particularly in light of the high pathogenicity of the virus and its listing as a potential bioterrorism threat. Here we describe the first complete CCHF virus genome sequence of a virus (strain Kosova Hoti isolated from a hemorrhagic fever case in the Balkans. This virus strain was isolated from a fatal CCHF case, and passaged only twice on Vero E6 cells prior to sequence analysis. The virus total genome was found to be 19.2 kb in length, consisting of a 1672 nucleotide (nt S segment, a 5364 nt M segment and a 12150 nt L segment. Phylogenetic analysis of CCHF virus complete genomes placed the Kosova Hoti strain in the Europe/Turkey group, with highest similarity seen with Russian isolates. The virus M segments are the most diverse with up to 31 and 27% differences seen at the nt and amino acid levels, and even 1.9% amino acid difference found between the Kosova Hoti and another strain from Kosovo (9553-01. This suggests that distinct virus strains can coexist in highly endemic areas.

  15. 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...

  16. Canine IgA nephropathy: a case report.

    Science.gov (United States)

    Yabuki, Akira; Shimokawa Miyama, Takako; Kohyama, Moeko; Yamato, Osamu

    2016-04-01

    Immunoglobulin (Ig) A nephropathy is a rare form of canine glomerular disease. This report describes a case of canine IgA nephropathy showing characteristics typical of human IgA nephropathy. An 8-year-old, spayed female Miniature Dachshund showed persistent severe proteinuria without azotemia. She was receiving long-term glucocorticoid therapy due to chronic gastritis and an intra-abdominal suture granuloma. A renal biopsy demonstrated mesangial proliferative glomerulonephritis with predominantly mesangial IgA deposition and electron-dense deposits in the paramesangium. These findings closely resembled those of human IgA nephropathy. Glucocorticoid treatment was discontinued, and the angiotensin-converting enzyme inhibitor enalapril was administrated as an antiproteinuric agent. The proteinuria subsequently went into remission, and the patient has maintained good condition without recurrence. PMID:26596464

  17. Therapeutic potential of Keishi-bukuryo-gan on diabetic nephropathy

    OpenAIRE

    中川, 孝子

    2004-01-01

    Keishi-bukuryo-gan is a Chinese traditional medicine, which is used clinically as a vascular system disordereliminating drug. This review summarizes the effects of Keishi-bukuryo-gan on the occurrence and progression of diabetic nephropathy. To prove its usefulness, we employed two kinds of experimental model animals ; diabetic nephropathy rats induced by subtotal nephrectomy plus streptozotocin injection and spontaneously diabetic WBN/Kob rats. In both animal models, Keishi-bukuryo-gan treat...

  18. Erythropoietin Produktion bei akuter und chronischer obstruktiven Nephropathie

    OpenAIRE

    Tawosh, Ammar

    2008-01-01

    EPO is a circulating hormon that stimulates erythrocyte generation in bone marrow. EPO is secreted by the kidney and its production is stimulated following hypoxic stimuli. Little is known about the influence of obtructive nephropathy on hypoxia-stimulated EPO production. Therefore, we established a model of obstructive nephropathy (ONP) by unilateral ureteral ligation (UUL) in rats which were subjected to CO and hypobaric hypoxia (8% O2). We also tested the reversibility of UUL on EPO plasma...

  19. Preventive effect of taurine on experimental type II diabetic nephropathy

    OpenAIRE

    Lin Shumei; Yang Jiancheng; Wu Gaofeng; Liu Mei; Luan Xinhong; Lv Qiufeng; Zhao He; Hu Jianmin

    2010-01-01

    Abstract Background It has been verified that taurine has some preventive effects on diabetes and its complications when used alone or together with other drugs, but there are few reports about taurine on the prevention of diabetic nephropathy, the mechanisms of which are still unknown. Methods Taurine was administered to type Ⅱ diabetic rats induced by high fat high sugar diet combined with STZ injection. The preventive effect of taurine on diabetic nephropathy was investigated by detecting ...

  20. Vesicoureteral Reflux, Reflux Nephropathy, and End-Stage Renal Disease

    OpenAIRE

    Paul Brakeman

    2008-01-01

    Objective. To review the contribution of vesicoureteral reflux and reflux nephropathy to end-stage renal disease. Data Source. Published research articles and publicly available registries. Results. Vesicoureteral reflux (VUR) is commonly identified in pediatric patients and can be associated with reflux nephropathy (RN), chronic kidney disease (CKD), and rarely end-stage renal disease (ESRD). Patients with reduced GFR, bilateral disease, grade V VUR, proteinuria, and hypertension are more l...

  1. IGA NEPHROPATHY IN A PATIENT WITH SYSTEMIC LUPUS ERITAMATOSUS

    OpenAIRE

    Karakose, Suleyman; Unverdi, Selman; Algul, Durak; Ensari, Arzu; Koc, Eyup; Duranay, Murat

    2014-01-01

    INTROduCTION. Autoimmune disorders might develop under the effect of various genetic, immunological, hormonal or environmental factors and they could involve a single organ or multiple organs and tissues. Systemic lupus erythematosus is a multisystem autoimmune disease with kidney involvement. IgA nephropathy is an uncommon cause of proteinuria in lupus nephritis. In the case presented here, IgA nephropathy was observed in the renal biopsy of a patient with SLE. CASE. During investigation of ...

  2. Ways of Treating IgA Nephropathies

    Directory of Open Access Journals (Sweden)

    Wardle E

    2000-01-01

    Full Text Available Summary: Treatment options for IgA nephropathy (IgAN must take into consideration the pathophysiology, namely the role of eicosanoids, angiotensin II and monocyte-macrophages releasing reactive oxygen species (ROS. Angiotensin converting enzyme inhibitors and early corticosteroid usage are prime therapies. Tonsillectomy should be considered. Other components of a therapeutic cocktail could be; (a thromboxane antogonist, (b leukotriene antagonist, (c platelet activating factor antagonist, (d an anti-oxidant and (e an anti-fibrotic agent like pentoxyfylline. In the new millenium, there will be focus on anti-proliferative measures like platelets dependent growth factor aptamers. For unusual cases with rapid progression, the use of FK-506 or mycophenolate mofetil can be considered.

  3. 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...... haemodynamics, regional hypoxia, auto-, and paracrine factors (adenosine, endothelin, reactive oxygen species) to direct cytotoxic effects. Although these potential mediators of CIN will be discussed separately, several factors may act in concert to perturb kidney function after exposure to contrast media. From...... 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...

  4. 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. PMID:26587777

  5. Complex networks analysis of obstructive nephropathy data

    Science.gov (United States)

    Zanin, M.; Boccaletti, S.

    2011-09-01

    Congenital obstructive nephropathy (ON) is one of the most frequent and complex diseases affecting children, characterized by an abnormal flux of the urine, due to a partial or complete obstruction of the urinary tract; as a consequence, urine may accumulate in the kidney and disturb the normal operation of the organ. Despite important advances, pathological mechanisms are not yet fully understood. In this contribution, the topology of complex networks, based on vectors of features of control and ON subjects, is related with the severity of the pathology. Nodes in these networks represent genetic and metabolic profiles, while connections between them indicate an abnormal relation between their expressions. Resulting topologies allow discriminating ON subjects and detecting which genetic or metabolic elements are responsible for the malfunction.

  6. Role of metabolic control on diabetic nephropathy

    Directory of Open Access Journals (Sweden)

    Macedo Célia Sperandéo

    2002-01-01

    Full Text Available OBJECTIVE: The aim of this investigation was studying the influence of glucose metabolic control on diabetic nephropathy. The authors observed the effect of acarbose, insulin, and both drugs on the metabolic control and development of mesangial enlargement of kidney glomeruli in alloxan-diabetic rats. METHODS: Five groups of Wistar rats were used: normal rats (N, non-treated alloxan-diabetic rats (D, alloxan-diabetic rats treated with acarbose (AD, alloxan-diabetic rats treated with insulin (ID, and alloxan-diabetic rats treated with insulin plus acarbose (IAD. The following parameters were evaluated: body weight; water and food intake; diuresis; blood and urine glucose levels; and the kidney lesions: mesangial enlargement and tubule cell vacuolization. Renal lesions were analysed using a semi-quantitative score 1, 3, 6, 9, and 12 months after diabetes induction. RESULTS: Diabetic rats showed a marked increase of glycemia, urinary glucose levels, diuresis, water and food intake, and weight loss, while the treated diabetic rats showed significant decreased levels of these parameters. The most satisfactory metabolic control was that of diabetic rats treated with acarbose + insulin. There was a significant mesangial enlargement in diabetic rats compared to normal rats from the third up to the 12th month after diabetes induction, with a significant difference between the animals treated with acarbose + insulin and non-treated diabetic rats. A difference between the animals treated with acarbose or insulin alone and non-treated diabetics rats was not seen. CONCLUSIONS: The authors discuss the results stressing the role of diabetic metabolic control in the prevention of diabetic nephropathy.

  7. Diabetic nephropathy in Africa: A systematic review

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    AIM To determine the prevalence and incidence ofdiabetic nephropathy in Africa.METHODS: We performed a systematic narrativereview of published literature following the MOOSEGuidelines for Meta-Analysis and Systematic Reviewsof Observational Studies. We searched PubMed-MEDLINE for all articles published in English and Frenchlanguages between January 1994 and July 2014 usinga predefined strategy based on the combination ofrelevant terms and the names of each of the 54 Africancountries and African sub-regions to capture the largestnumber of studies, and hand-searched the referencelists of retrieved articles. Included studies reported onthe prevalence, incidence or determinants of chronickidney disease (CKD) in people with diabetes withinAfrican countries.RESULTS: Overall, we included 32 studies from 16countries; two being population-based studies andthe remaining being clinic-based surveys. Most of thestudies (90.6%) were conducted in urban settings.Methods for assessing and classifying CKD variedwidely. Measurement of urine protein was the mostcommon method of assessing kidney damage (62.5%of studies). The overall prevalence of CKD varied from11% to 83.7%. Incident event rates were 94.9% forproteinuria at 10 years of follow-up, 34.7% for endstagerenal disease at 5 years of follow-up and 18.4%for mortality from nephropathy at 20 years of followup.Duration of diabetes, blood pressure, advancingage, obesity and glucose control were the commondeterminants of kidney disease.CONCLUSION: The burden of CKD is importantamong people with diabetes in Africa. High quality datafrom large population-based studies with validatedmeasures of kidney function are still needed to bettercapture the magnitude and characteristics of diabeticnephropathy in Africa.

  8. Contrast-induced nephropathy in interventional cardiology

    Directory of Open Access Journals (Sweden)

    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

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

    International Nuclear Information System (INIS)

    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)

  10. 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.

  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...

  12. Balkan Flint’ – fiction and/or trajectory to Neolithization: Evidence from Bulgaria

    Directory of Open Access Journals (Sweden)

    Maria Gurova

    2012-05-01

    Full Text Available The paper focuses on the current state of research and knowledge about ‘Balkan flint’ (hereinafter BF and trajectories flowing from the BF problem to the bigger and increasingly complex problem of the Neolithization of the eastern Balkans. The emergence and consolidation of the BF problem within the research agenda of specialists working on Balkan prehistory is briefly traced, as well as the confusing and inconsistently repetitive use of the term BF leading to some ‘mythologisation’ of the topic.A particular section of the paper represents the thoughts of the author on the conceptual meaning of BF in the context of the Balkan Neolithization debate, because until now its role has not been fully appreciated and recognized. Several theories and scenarios of the emergence and spread of the Neolithic in present-day Bulgaria are reviewed through the evidence of the particular Early Neolithic flint toolkits consisting in representative (retouched blades made from BF and attributed to the diagnostic features of the Early Neolithic package/culture.

  13. 76 FR 37239 - Continuation of the National Emergency With Respect To the Western Balkans

    Science.gov (United States)

    2011-06-24

    .... (Presidential Sig.) THE WHITE HOUSE, June 23, 2011. [FR Doc. 2011-16103 Filed 6-23-11; 11:15 am] Billing code...#0;#0; ] Notice of June 23, 2011 Continuation of the National Emergency With Respect To the Western... respect to the Western Balkans, pursuant to the International Emergency Economic Powers Act (50...

  14. 77 FR 37993 - Continuation of the National Emergency With Respect to the Western Balkans

    Science.gov (United States)

    2012-06-25

    .... (Presidential Sig.) THE WHITE HOUSE, Washington, June 22, 2012. [FR Doc. 2012-15671 Filed 6-22-12; 2:15 pm... With Respect to the Western Balkans #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal Register... President ] Notice of June 22, 2012 Continuation of the National Emergency With Respect to the...

  15. 75 FR 32843 - Continuation of the National Emergency With Respect to the Western Balkans

    Science.gov (United States)

    2010-06-10

    ... the Congress. (Presidential Sig.) THE WHITE HOUSE, June 8, 2010. [FR Doc. 2010-14118 Filed 6-9-10; 8... Documents#0;#0; ] Notice of June 8, 2010 Continuation of the National Emergency With Respect to the Western... respect to the Western Balkans, pursuant to the International Emergency Economic Powers Act (50...

  16. CARPATHIANS ENDEMIC TAXA IN ARGEŞ COUNTY

    Directory of Open Access Journals (Sweden)

    Valeriu Alexiu

    2013-12-01

    Full Text Available Endemic plant species are the biogeographic elements why use the delimitation of biogeographical regions. Their presence explains, in the context of identifying phyto-historical factors, distribution of species and certain distribution patterns. Endemic areas, with pronounced as the basic unit of biogeography, indicates those particular geographic region, both in the growth areas and the evolutionary biological processes of speciation.In this study we proposed the following objectives: knowing the list Carpathian endemic species and endemic centers present in Argeş, also, areas of endemism in the Carpathians Mountains of the Argeş County.

  17. Trichinella infections in different host species of an endemic district of Serbia.

    Science.gov (United States)

    Zivojinovic, M; Sofronic-Milosavljevic, Lj; Cvetkovic, J; Pozio, E; Interisano, M; Plavsic, B; Radojicic, S; Kulisic, Z

    2013-05-20

    Trichinella infections are endemic in the Balkan region of Europe. Though trichinellosis and agents thereof are serious problems for human health and animal husbandry, only a limited number of Trichinella isolates from Serbia have been identified at the species level so far. The aim of the present study was the surveillance and monitoring of Trichinella in domestic pigs and wild animals from the endemic district of Branicevo. Investigations performed during the 2009-2010 period revealed Trichinella infections in 344 out of 282,960 (0.12%) domestic pigs. Among wildlife, Trichinella infections were detected in 11 out of 94 (11.7%) wild boars (Sus scrofa), 7 out of 57 (12.3%) red foxes (Vulpes vulpes), 7 out of 13 (53.8%) golden jackals (Canis aureus), and in all three examined wolves (Canis lupus). Trichinella spiralis and Trichinella britovi were the only two species identified. T. britovi was identified in 31% of isolates from wildlife of the Branicevo district and T. spiralis was found in 53% of wild animals; mixed infections were observed in 16% of the animals examined. Findings form the basis of an information campaign for veterinary services, pig owners and the hunter's associations about the risk of the transmission of these zoonotic agents. The application of control programs as established at the Veterinary Specialist Institute of Pozarevac resulted in a decline in Trichinella infections among domestic pigs and the absence of human trichinellosis in the last three years in the Branicevo district. PMID:23453823

  18. Application of GIS in epizootiological surveillance of swine trichinellosis in one endemic district in Serbia*

    Directory of Open Access Journals (Sweden)

    Zivojinovic M.

    2010-12-01

    Full Text Available Application of new tools for epizootiological investigations in veterinary medicine, such as Geographical Information Systems (GIS, offers a new approach and possibilities for the eradication or control of infectious diseases. GIS is particularly useful for research conducted in small areas strongly impacted by man. Trichinellosis is a world-wide zoonosis, which is endemic in some European countries, Balkan district and Serbia in particular. There are very few data on GIS application in the field of trichinellosis. We here present the application of GIS for mapping Trichinella spp. occurrence and spatial and temporal patterns of Trichinella infection in one endemic district in Serbia. Settlements with trichinellosis were marked and particular points of interest were designated. Data on prevalence of Trichinella infection in domestic swine accompanied by location of foci indicated the existence of disease geographical stationarity. This first report on GIS application in Serbia will facilitate trichinellosis surveillance and monitoring of Trichinella spp. circulation among domestic pigs, and populations of synanthropic and sylvatic animals.

  19. Unravelling the evolutionary history and future prospects of endemic species restricted to former glacial refugia.

    Science.gov (United States)

    Razgour, Orly; Salicini, Irene; Ibáñez, Carlos; Randi, Ettore; Juste, Javier

    2015-10-01

    The contemporary distribution and genetic composition of biodiversity bear a signature of species' evolutionary histories and the effects of past climatic oscillations. For many European species, the Mediterranean peninsulas of Iberia, Italy and the Balkans acted as glacial refugia and the source of range recolonization, and as a result, they contain disproportionately high levels of diversity. As these areas are particularly threatened by future climate change, it is important to understand how past climatic changes affected their biodiversity. We use an integrated approach, combining markers with different evolutionary rates and combining phylogenetic analysis with approximate Bayesian computation and species distribution modelling across temporal scales. We relate phylogeographic processes to patterns of genetic variation in Myotis escalerai, a bat species endemic to the Iberian Peninsula. We found a distinct population structure at the mitochondrial level with a strong geographic signature, indicating lineage divergence into separate glacial refugia within the Iberian refugium. However, microsatellite markers suggest higher levels of gene flow resulting in more limited structure at recent time frames. The evolutionary history of M. escalerai was shaped by the effects of climatic oscillations and changes in forest cover and composition, while its future is threatened by climatically induced range contractions and the role of ecological barriers due to competition interactions in restricting its distribution. This study warns that Mediterranean peninsulas, which provided refuge for European biodiversity during past glaciation events, may become a trap for limited dispersal and ecologically limited endemic species under future climate change, resulting in loss of entire lineages. PMID:26346923

  20. Broadband adoption, digital divide, and the global economic competitiveness of Western Balkan countries

    Directory of Open Access Journals (Sweden)

    Mitrović Đorđe

    2015-01-01

    Full Text Available The existing variation in economic performance between countries is significantly affected by the level, diffusion, and use of different types of information and communication technology. In the last several years economic competitiveness increasingly depends on broadband availability and the adoption, use, and speed of this technology. Broadband access to the internet fosters economic growth and development and increases a country’s global competitiveness. This technology could have a big impact on the competitive advantage of Western Balkan countries because they currently experience a large digital divide, both within countries (between regions, urban and rural areas, different vulnerable groups, etc. and with EU countries. The purpose of the paper is to analyse the current level and dynamics of the digital divide in Western Balkan countries using the Broadband Achievement Index (BAI, the Data Envelopment Analysis (DEA-based model, the Global Competitiveness Index (GCI, the Corruption Perception Index (CPI, and cross-country methodology. This paper measures and compares Western Balkan countries’ current level of broadband adoption and their position on the evolutionary path towards closing the existing economic and digital gap with EU countries. Comparative analysis of calculated BAI data values, GCI, and CPI shows that Western Balkan countries belong to the ‘laggard’ group regarding their broadband achievement and global economic competitiveness. The values of the calculated BAI sub-indexes in this paper indicate the strong and weak sides of the corresponding aspects of broadband technology implementation and give directions for setting further priorities for political intervention, not only in the building of information society but also in the improvement of the economic competitiveness of Western Balkan countries.

  1. 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.

  2. IRREGULAR MIGRATION FLOWS AND HUMAN TRAFFICKING IN THE WESTERN BALKAN COUNTRIES: CHALLENGES OF THE CONVERGENCE OF COUNTER-TRAFFICKING RESPONSE

    Directory of Open Access Journals (Sweden)

    Merita H. Mece

    2016-05-01

    Full Text Available Irregular migration on the Western Balkan route has marked an unprecedented number during the last five years. Evidence indicates that both, non-European nationals and Western Balkan citizens have been involved in this complex migratory flow being exposed to various risks of human trafficking. But Western Balkan countries are source, transit and destination countries of human trafficking while their states are not well organized to implement a comprehensive and well-coordinated regional response to combat it. This paper aims at examining challenges faced by the Western Balkan countries to converge anti-trafficking response while facing increased irregular migratory waves. Using secondary data it illustrates various disparities and differences among them concluding that a well-coordinated, multi-faceted and integrated regional response is needed to combat this humanitarian problem.

  3. 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. 99 (2016), s. 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: 3.368, year: 2014

  4. Slavic South into Wild Balkans. Conceptualization of South Eastern Europe in Czech Society, 19th - 21st Centuries

    Czech Academy of Sciences Publication Activity Database

    Šístek, František

    Sofia : Universitetsko izdatelstvo "Sv. Kliment Ochridski", 2014 - (Parvev, I.; Baramova, M.), s. 155-166 ISBN 978-954-07-3290-9 Institutional support: RVO:67985963 Keywords : Balkans * History * Czech Society Subject RIV: AB - History

  5. Bench-to-bedside review: preventive measures for contrast-induced nephropathy in critically ill patients

    OpenAIRE

    Berk, van den, G.E.; Tonino, S.; Fijter, de, C.; Smit, W.; Schultz, M.J

    2005-01-01

    An increasing number of diagnostic imaging procedures requires the use of intravenous radiographic contrast agents, which has led to a parallel increase in the incidence of contrast-induced nephropathy. Risk factors for development of contrast-induced nephropathy include pre-existing renal dysfunction (especially diabetic nephropathy and multiple myeloma-associated nephropathy), dehydration, congestive heart failure and use of concurrent nephrotoxic medication (including aminoglycosides and a...

  6. Tracing the Mediterranean climate influence over the central Balkans (southeast Europe) during the past 350 ka

    Science.gov (United States)

    Obreht, Igor; Zeeden, Christian; Hambach, Ulrich; Veres, Daniel; Marković, Slobodan; Boesken, Janina; Bačević, Nikola; Gavrilov, Milivoj; Lehmkuhl, Frank

    2016-04-01

    Knowledge of past climate variability based on the study of paleoclimate archives may help in better understanding the forcing mechanisms and extent of any future climate change. In some regions, such as Eastern Europe, loess-paleosol sequences (LPS) are one of the most important terrestrial archives of Quaternary paleoclimate and its spatial and temporal dynamics. Studies of LPS from the Middle and Lower Danube basins fundamentally improved understanding of the European Quaternary climate and environmental evolution. The central Balkans (central Serbia) is situated in a transition zone between the temperate-continental climate zone to the north and Mediterranean climate to the south. Up to now this area has been poorly investigated concerning the paleoclimate evolution on a longer term, albeit this region is considered more sensitive to the relative influence associated to the Mediterranean climate influence than the Carpathian basin further north. To fill this gap we conducted a high-resolution multiproxy investigation on the Stalać LPS in the central Balkan (Serbia). Located at the southern limits of European loess distribution and within the Mediterranean climate influence, the Stalać section has potential for better understanding of past regional climate dynamics. We discuss grain-size (granulometric fractions, U-ratio), environmental magnetic (χ, χfd), geochemical (major and trace elements) and colour (L*, a*, b* values) data from the Stalać section in terms of switching sediment provenance sources modulated by past environmental conditions. We can show that the Carpathian Basin and central Balkans were influenced by different environmental conditions during past ~350 ka. A general higher continentality of the climate during the late Pleistocene can be observed over the Stalać section and the Carpathian Basin, indicating that this trend is more than a regional feature. Our results indicate warmer and/or more humid last glacial cycles compared to

  7. Vitamin D receptor and its protective role in diabetic nephropathy

    Institute of Scientific and Technical Information of China (English)

    Guan Xiaoling; Yang Huajie; Zhang Wei; Wang Huanjun; Liao Lin

    2014-01-01

    Objective To review the advances of studies on vitamin D receptor and its role in the pathogenesis of diabetic nephropathy.Data sources A comprehensive search of the PubMed literatures without restriction on the publication date was carried out using keywords such as vitamin D receptor and diabetic nephropathy.Study selection Articles related to vitamin D receptor and diabetic nephropathy were selected and carefully analyzed.Results The ligands as well as construction and tissue distribution of vitamin D receptor were summarized.Pathogenesis of diabetic nephropathy was analyzed.The mechanisms underlying the renoprotective role of vitamin D receptor including inhibition of renin-angiotensin system,anti-inflammation,anti-fibrosis and the reduction of proteinuria were reviewed.Mounting evidences from animal and clinical studies have suggested that vitamin D therapy has beneficial effects on the renal systems and the underlying renoprotective mechanisms of the vitamin D receptor-mediated signaling pathways is a hot research topic.Conclusion Our study suggests that vitamin D receptor has a great potential for preventing the progression of diabetic nephropathy via multiple mechanisms.

  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. Early pre-eclampsia unmasks underlying IgA nephropathy

    Directory of Open Access Journals (Sweden)

    Mona Singh

    2010-12-01

    Full Text Available 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 results of a renal biopsy. The biopsy noted the presence of both pre-eclampsia and immunoglobulin A (IgA nephropathy. Thus, the onset of pre-eclampsia unmasked the presence of unrecognized IgA nephropathy, and the IgA nephropathy was a risk factor for this patient developing pre-eclampsia. The results of a renal biopsy are key in distinguishing pre-eclampsia from other kidney diseases and instituting appropriate clinical management.Keywords: proteinuria, IgA nephropathy, renal biopsy, pre-eclampsia

  10. Chronic hypokalemic nephropathy: a clinical study.

    Science.gov (United States)

    Bock, K D; Cremer, W; Werner, U

    1978-01-01

    Description of 23 patients (21 women, 2 men) with an average age of 36.6 (19--68) years, who were hypokalemic during 6.5 years on the average (range 1/2--16 years). The cause of the potassium depletion was malnutrition (anorexia nervosa, vomiting) and/or abuse of laxatives and/or diuretics. With increasing duration of potassium depletion renal function deteriorated; in two cases terminal renal failure developed. Histology of the kidneys (9 cases) showed the picture of chronic abacterial interstitial nephritis. Urinalysis was negative or non-specific. The blood pressure levels were normal or low, hypertensive values being exceptional. Aside of hypokalemia a tendency to hyponatriemia, hypochloremia and metabolic alcalosis was observed, the latter turning into hypokalemic normochloremic acidosis with advancing renal insufficiency. Plasma renin activity and aldosterone concentration or excretion frequently were elevated, but no close correlation was found between these parameters or with the blood pressure. Bacterial infection of the urinary tract occured, if at all, in the late phase and seems to be complication rather than the cause of the kidney disease. The discussion of other possible pathogenetic factors leads to the conclusion that the term "chronic kaliopenic nephropathy" is justified. Some diagnostic and therapeutic consequences are mentioned. PMID:732256

  11. 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.

  12. Deep drilling of ancient Lake Ohrid (Balkan region) to capture over 1 million years of evolution and global climate cycling

    Science.gov (United States)

    Wagner, Bernd; Francke, Alexander; Wilke, Thomas; Krastel, Sebastian; Zanchetta, Giovanni; Sulpizio, Roberto; Reicherter, Klaus; Leng, Melanie; Grazhdani, Andon; Trajanovski, Sasho; Levkov, Zlatko; Reed, Jane; Wonik, Thomas

    2014-05-01

    Ancient lakes, with sediment records spanning >1 million years, are very rare. The UNESCO World Heritage site of Lake Ohrid in the Balkan region is thought to be the oldest lake in continuous existence in Europe and, with 212 endemic species described to date, is a hotspot of evolution. An international group of scientists working on a project entitled 'Scientific Collaboration on Past Speciation Conditions in Lake Ohrid (SCOPSCO)' realized a deep drilling campaign of Lake Ohrid in spring 2013. Based on several coring seismic campaigns between 2004 and 2011, Lake Ohrid became the target of an ICDP deep drilling campaign, with specific research aims: (i) obtain precise information about the age and origin of the lake, (ii) unravel the lake's seismotectonic history, (iii) obtain a continuous record of Quaternary volcanic activity and climate change, and (iv) investigate the influence of major geological/environmental events on evolution and the generation of extraordinary endemic biodiversity. Drilling began in April 2013 using the Deep Lake Drilling System (DLDS) of DOSECC (USA). The campaign, completed by late May, was deemed one of the most successful ICDP lake drilling projects, with a total of ~2100 m of sediment recovered from four different sites. At the central "DEEP" site, hydro-acoustic data indicated a maximum sediment fill of ca. 700 m, of which the uppermost 568 m was recovered. Coarse gravel and pebbles underlying clay and shallow water facies hampered deeper penetration. A total of 1526 m of sediment cores was collected from six boreholes, with a composite field recovery ('master core') of 544 m (95%). Three additional sites were drilled in order to analyze lake-level fluctuations, catchment dynamics, biodiversity and evolution processes ("Cerava", deepest drilled depth: 90 m), to investigate active tectonics and spring dynamics ("Gradiste", deepest drilled depth: 123 m), and to try to understand the geological origins of the Ohrid Basin ("Pestani

  13. 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...... previously 4.0 to 3.3 ml/min per 1.73 m2/year. During a median follow-up of 9.1 years, 29% of participants doubled their plasma creatinine or developed end-stage renal disease. Mortality risk was similar to our prior study (hazard ratio 1.05 (0.76-1.43). However, after age adjustment, as both diabetes...

  14. Containers and grains: food storage and symbolism in the Central Balkans (Vinča period

    Directory of Open Access Journals (Sweden)

    Boban Tripković

    2011-12-01

    Full Text Available Since Flannery, who showed that types and locations of storage facilities provide a variety of associations for explaining social change, the economic and social role of storage has been reviewed numerous times. So far, no research pertaining to storage practice has been conducted in the Central Balkans. However, storage strategies play an important role in the agricultural history of the region. Similar, or exactly the same storage techniques have been practiced from the Early Neolithic until modern times, and even today some are practiced by traditional farming communities. Hence this article, which is intended to lay the foundations for understanding the relation between economic and social processes as reflected by storage behaviour in the Late Neolithic-Early Eneolithic in the Central Balkans region.

  15. The Romanian Schools and Churches in Balkan Peninsula. 1864-1948. Archives Documents

    Directory of Open Access Journals (Sweden)

    Adina Berciu-Drăghicescu

    2006-01-01

    Full Text Available The present article on Romanian schools and churches, in the Balkan Peninsula, over the period 1918-1948 is based on the unprecedented documents identified in the funds preserved in the Diplomatic Archives of the Ministry of Foreign Affairs and in the Central Historic National Archives in Bucharest. The author has studied and selected the unprecedented documents that had the most important significance for the purpose of presenting the evolution of the school and churche situation of the Romanian communities situated at the south of the Danube, starting from year 1864, when the first school was established in Tarnova, (Macedonia and up to 1948 when the Romanian state abandoned the work unveiled by ruler Al. Ioan Cuza. The article presents this situation, very dramatic, of the Romanian communities from the Balkans based on the documents of Archives.

  16. 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...

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

    International Nuclear Information System (INIS)

    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.

  18. 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.

  19. The Contribution of the Concept of Human Security to the Western Balkans

    OpenAIRE

    Gemma Collantes Celador

    2007-01-01

    This article evaluates the usefulness that stems from adopting the concept of human security for analysing the situation of the Western Balkan societies affected by the dismemberment of the former Yugoslavia. While accepting that the argument of the lack of consensus on the definition of human security hampers its study, this work sustains that incorporating a perspective influenced by this concept aids in understanding two specific aspects. On the one hand, the form that the international r...

  20. Western Balkans: state of agriculture and its opportunities on the eve of EU accession

    OpenAIRE

    Tamás Mizik

    2011-01-01

    The Western Balkan countries can be characterised by their shared goal, which is the quickest possible accession to the European Union. Agriculture is an important obstacle to achieving this goal. The role of agriculture differs widely among the analysed countries but is more important than the average of the EU. This study gives a comprehensive overview of the most important agricultural indicators related to both crop and livestock production. These indicators present a precise picture of t...

  1. Western Balkans: State of Agriculture and its Opportunities on the Eve of EU Accession - I

    OpenAIRE

    Tamás Mizik

    2011-01-01

    The Western Balkan countries can be characterised by their shared goal, which is thequickest possible accession to the European Union. Agriculture is an important obstacle to achievingthis goal. The role of agriculture differs widely among the analysed countries but is more importantthan the average of the EU. This study gives a comprehensive overview of the most importantagricultural indicators related to both crop and livestock production. These indicators present aprecise picture of the se...

  2. Western Balkans: State of Agriculture and its Opportunities on the Eve of EU Accession - II

    OpenAIRE

    Tamás Mizik

    2011-01-01

    The Western Balkan countries can be characterized by their shared goal, which is the quickest possible accession to the European Union. Agriculture is an important obstacle to achieving this goal. The role of agriculture differs widely among the analyzed countries but is more important than the average of the EU. This study gives a comprehensive overview of the most important agricultural indicators related to both crop and livestock production. These indicators present a precise picture of t...

  3. Women in the Ottoman Balkans: gender, culture and history by Amila Buturovic and Irvin Cemil Schick

    OpenAIRE

    Akbaş, Arif

    2013-01-01

    When reading the texts in the book without prejudice, it will be seen that the women who tried to balance the necessities of an empire of many beliefs that live together and poetic justice, had roles beyond their traditional, private and public status. The women in Ottoman Balkans were foundation founders; they were organizing workers and were consuming luxury Western goods to show off. They were lovers, wives, left behinds, divorced and widows; they were symbols, mediators, subjects of f...

  4. Containers and grains: food storage and symbolism in the Central Balkans (Vinča period):

    OpenAIRE

    Boban Tripković

    2011-01-01

    Since Flannery, who showed that types and locations of storage facilities provide a variety of associations for explaining social change, the economic and social role of storage has been reviewed numerous times. So far, no research pertaining to storage practice has been conducted in the Central Balkans. However, storage strategies play an important role in the agricultural history of the region. Similar, or exactly the same storage techniques have been practiced from the Early Neolithic unti...

  5. 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...

  6. Banking Operational Cost in the Balkan Region under a Quadratic Loss Function

    OpenAIRE

    Mamatzakis, Emmanuel

    2009-01-01

    This paper presents of theoretical specification of a quadratic loss function based on forward looking rational expectations to model the underlying dynamics of operational performance of the banking industry. As an empirical application we examine the determinants of total operating costs within a dynamic panel analysis in the Balkan region that is the South East Europe (SEE) over the period 1998-2005. Results show that operating performance is positively related to loan quality and the asse...

  7. Balkan Holocausts?: Serbian and Croatian victim centred propaganda and the war in Yugoslavia

    OpenAIRE

    Macdonald, David Bruce

    2003-01-01

    "Balkan Holocausts compares and contrasts Serbian and Croatian propaganda from 1986 to 1999, analysing each group's contemporary interpretations of history and current events. It offers a detailed discussion of holocaust imagery and the history of victim-centred writing in nationalism theory, including the links between the comparative genocide debate, the so-called holocaust industry and Serbian and Croatian nationalism. No studies on Yugoslavia have thus far devoted significant space to suc...

  8. RENEWABLE ENERGY POLICY IN THE WESTERN BALKANS: ALBANIA, BOSNIA HERZEGOVINA, KOSOVO AND SERBIA

    OpenAIRE

    Mihaela PÃCE?ILÃ

    2013-01-01

    This paper presents reviews and an analysis of the policy and support mechanisms for the promotion of renewable in the Western Balkan countries, as well as an overview of the legislation and other official documents influencing the renewable energy sector. The importance of renewable energy sources, along with key information about the countries commitments to renewable energy are also summarized. The methodology used in this article consists in studying and analysing a range of published mat...

  9. HUMAN RIGHTS AND DISCRIMINATION ISSUES IN THE EU INTEGRATION PROCESS OF MUSLIM BALKAN STATES AND TURKEY

    OpenAIRE

    KINGA ANETTA TRUFAN

    2010-01-01

    Turkey has received a great deal of attention lately as a result of its unsuccessful efforts to join the European Union (EU). European leaders have indicated that before Turkey can join, it must improve its human rights record. This article will examine the relationship between human rights issues in Turkey and its ability to meet international standards necessary for membership in the EU. The purpose of this paper is to illustrate a clear image of the stage to which the Western Balkan Muslim...

  10. 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...

  11. Comparison of E-Commerce behaviour among women consumers of Balkan and Baltic Regions

    OpenAIRE

    Polychronidou Persefoni; Valsamidis Stavros; Florou Giannoula; Karasavvoglou Anastasios

    2011-01-01

    Nowadays, more and more consumers prefer to make their shopping via Internet. Researchers wish to study the e-commerce behaviour and the factors influencing consumer’s attitude while shopping on line. This paper investigates the differences and similarities of women’s behaviour toward e-commerce in two culturally different Europe regions; the Balkans and the Baltic regions. Some attributes such as trust in vendor, trust in transactions, language, culture, age or education and their possible i...

  12. Microscale vicariance and diversification of Western Balkan caddisflies linked to karstification

    OpenAIRE

    Previšić, Ana; Schnitzler, Jan; KUČINIĆ, MLADEN; GRAF, WOLFRAM; Ibrahimi, Halil; Kerovec, Mladen; PAULS, STEFFEN U.

    2013-01-01

    The karst areas in the Dinaric region of the Western Balkan Peninsula are a hotspot of freshwater biodiversity. Many investigators have examined diversification of the subterranean freshwater fauna in these karst systems. However, diversification of surface-water fauna remains largely unexplored. We assessed local and regional diversification of surface-water species in karst systems and asked whether patterns of population differentiation could be explained by dispersal–diversification proce...

  13. Potential impact of the 74 ka Toba eruption on the Balkan region, SE Europe

    OpenAIRE

    Wagner, B.; Leng, M. J.; Wilke, T.; A. Böhm; K. Panagiotopoulos; Vogel, H; Lacey, J.; G. Zanchetta; R. Sulpizio

    2013-01-01

    The 74 ka Toba eruption in Sumatra, Indonesia, is considered to be one of the largest volcanic events during the Quaternary. Tephra from the Toba eruption has been found in many terrestrial and marine sedimentary deposits, and acidity peaks related to the eruption have been used to synchronize ice core records from Greenland and Antarctica. Seismic profiles from Lake Prespa on the Balkan Peninsula, SE Europe, indicate a lake level lowstand, which is confirmed by the occurrence of an ex...

  14. Perception of Information Security of Management of Banking and Insurance Companies in Countries of Western Balkans

    OpenAIRE

    Edin Osmanbegovic; Sejfudin Zahirović

    2013-01-01

    In this paper it is described aspects of standardisation of information security and itsimplementation in banking and insurance companies in countries of Western Balkans. Interms of approaching the standards of EU, one of the areas that need to be fully justified isthe information security. It has been identified and applied a new dual methodology whichcovers measurement of same variables of information security into two opposite populations.Authors identify banking and insurance sector as a ...

  15. Endemism analysis of Neotropical Pentatomidae (Hemiptera, Heteroptera

    Directory of Open Access Journals (Sweden)

    Augusto Ferrari

    2010-12-01

    Full Text Available The definition of areas of endemism is central to studies of historical biogeography, and their interrelationships are fundamental questions. Consistent hypotheses for the evolution of Pentatomidae in the Neotropical region depend on the accuracy of the units employed in the analyses, which in the case of studies of historical biogeography, may be areas of endemism. In this study, the distribution patterns of 222 species, belonging to 14 Pentatomidae (Hemiptera genera, predominantly neotropical, were studied with the Analysis of Endemicity (NDM to identify possible areas of endemism and to correlate them to previously delimited areas. The search by areas of endemism was carried out using grid-cell units of 2.5° and 5° latitude-longitude. The analysis based on groupings of grid-cells of 2.5° of latitude-longitude allowed the identification of 51 areas of endemism, the consensus of these areas resulted in four clusters of grid-cells. The second analysis, with grid-cells units of 5° latitude-longitude, resulted in 109 areas of endemism. The flexible consensus employed resulted in 17 areas of endemism. The analyses were sensitive to the identification of areas of endemism in different scales in the Atlantic Forest. The Amazonian region was identified as a single area in the area of consensus, and its southeastern portion shares elements with the Chacoan and Paraná subregions. The distribution data of the taxa studied, with different units of analysis, did not allow the identification of individual areas of endemism for the Cerrado and Caatinga. The areas of endemism identified here should be seen as primary biogeographic hypotheses.

  16. Autoimmunity in Membranous Nephropathy Targets Aldose Reductase and SOD2

    OpenAIRE

    Prunotto, Marco; Carnevali, Maria Luisa; Candiano, Giovanni; Murtas, Corrado; Bruschi, Maurizio; Corradini, Emilia; Trivelli, Antonella; Magnasco, Alberto; Petretto, Andrea; Santucci, Laura; Mattei, Silvia; Gatti, Rita; Scolari, Francesco; Kador, Peter; Allegri, Landino

    2010-01-01

    Glomerular targets of autoimmunity in human membranous nephropathy are poorly understood. Here, we used a combined proteomic approach to identify specific antibodies against podocyte proteins in both serum and glomeruli of patients with membranous nephropathy (MN). We detected specific anti–aldose reductase (AR) and anti–manganese superoxide dismutase (SOD2) IgG4 in sera of patients with MN. We also eluted high titers of anti-AR and anti-SOD2 IgG4 from microdissected glomeruli of three biopsi...

  17. Specific Blood Pressure Targets for Patients With Diabetic Nephropathy?

    Science.gov (United States)

    Grassi, Guido; Mancia, Giuseppe; Nilsson, Peter M

    2016-08-01

    Diabetic nephropathy represents a condition frequently detected in current clinical practice characterized by a very high cardiovascular risk profile. Blood pressure reduction via antihypertension drug treatment represents a therapeutic approach capable of exerting favorable effects on renal and cardiovascular outcomes. The purpose of this article is to review the current literature and results of key clinical trials pertaining to blood pressure goals of antihypertension treatment in these patients. The pros and cons of a less or a more intensive blood pressure goal in diabetic nephropathy will be discussed, with particular emphasis on the cardiovascular and renal effects of each therapeutic strategy. PMID:27440837

  18. 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.

  19. The 2011 Census in Croatia- A (partial role model for the Western Balkans?

    Directory of Open Access Journals (Sweden)

    Anna-Lena Hoh

    2015-12-01

    Full Text Available Within the framework of EU enlargement, the population and housing census is a pre-condition for EU membership. The 2011 census in Croatia was conducted according to EU regulations1 and considering this, it should present a good example for the region. However, there are some aspects which are not addressed by EU regulations, but are of importance when looking at censuses in the Western Balkans: the so-called sensitive issues (ethnicity, language and religion2. Answers to these questions are not required by the EU; nonetheless all Western Balkan countries have included these questions in their censuses. In Croatia, the census results are used to determine political participation by proportional representation of ethnic minorities, and this has led to ethnic tensions3. This article looks into the historical perspective of censuses in Croatia, as well as the EU conditionality of census-taking in the Croatian census of 2011. In addition, the practice of linking political participation to census results will be taken into account, before finally posing the question of whether the 2011 census in Croatia can really be taken as a role model for census-taking in the Western Balkans.

  20. 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.

  1. A Balkan-style French revolution?: The 1804 Serbian Uprising in European perspective

    Directory of Open Access Journals (Sweden)

    Bataković Dušan T.

    2005-01-01

    Full Text Available The Serbian uprising of 1804-13, initially a peasant rebellion against abuses of power by local janissaries, turned into a national and social revolution from 1806. During its second phase (late 1806 - early 1807, Serbian insurgents openly proclaimed their demand for independence. Encouraged by their military achievements, the insurgent leaders began to seek wider Balkan support for their struggle against Ottoman domination. Although its political claims were a mixture of modern national and romantic historic rights, the uprising gave hope to all Balkan Christians that the Ottoman defeat was an achievable goal. For the Balkan nations it was a French Revolution adapted to local conditions: the principle of popular sovereignty was opposed to the principle of legitimism; a new peasant-dominated society was created in which, due to the lack of the aristocracy and well-established middle classes, agrarian egalitarianism was combined with the rising aspirations of a modern nation. Its long-term effects on the political and social landscape of the whole region justified the assessment of the eminent German historian Leopold von Ranke who described the uprising, by analogy with the French example, as the Serbian Revolution.

  2. THE WESTERN BALKANS BETWEEN INTERNAL TRANSITIONS AND THE EU INTEGRATION PROCESS

    Directory of Open Access Journals (Sweden)

    Elira LULI

    2015-12-01

    Full Text Available The Balkan region is still a “hot” zone where old legacies of the past interfere with the present and contribute to the transition processes of the countries there. The region seems committed to follow an EU-bound path, although it faces many challenges in terms of meeting the standards for EU and NATO membership. Somehow, persistent conflicts delay finding solutions. The difficult democratic transition, the lack of will and shallow political culture of regional elites delay the process of bringing these countries forward. This profound transition unfortunately occurs while the EU, on one hand, is trying to play the arbitrator part having promised to assume full leadership role and, on the other hand, tries to restrain the voices of those Euro-Sceptics who have been increasing their numbers recently. Meanwhile, a deterioration of the situation in the Balkans might have a negative impact across Europe and decrease the credibility of the EU as the main foreign policy and security actor in the whole region. This paper will first analyse the transition processes in the Balkans and the back and forth efforts to leave behind the past and head toward a common European perspective. Secondly, it will analyse the required active role of the EU and the urgency for a closer monitoring of the situation in this region. Thirdly, it emphasises the need to encourage public diplomacy in the region in order to mitigate conflicts and promote cooperation between the people there.

  3. Net capital flows to and the real exchange rate of Western Balkan countries

    Directory of Open Access Journals (Sweden)

    Gabrisch Hubert

    2015-01-01

    Full Text Available This paper uses Granger causality tests to assess the linkages between changes in the real exchange rate and net capital inflows using the example of Western Balkan countries, which have suffered from low competitiveness and external imbalances for many years. The real exchange rate is a measure of a country’s price competitiveness, and the paper uses two concepts: relative unit labour cost and relative inflation differential. The sample consists of six Western Balkan countries for the period 1996-2012, relative to the European Union (EU. The main finding is that changes in the net capital flows precede changes in relative unit labour costs and not vice versa. Also, there is evidence that net capital flows affect the inflation differential of countries, although to a less discernible extent. This suggests that the increasing divergence in the unit labour cost between the EU and Western Balkan countries up to the global financial crisis was at least partly the result of net capital inflows. The paper adds to the ongoing debate on improving cost competitiveness through wage restrictions as the main vehicle to avert the accumulation of current account imbalances. It shows the importance of changes in the exchange rate regime, reform of the interaction between the financial and the real sector, and financial supervision and structural change.

  4. Religious configuration of the “other” in the contemporary Balkan societies (cultural mechanisms and perspectives

    Directory of Open Access Journals (Sweden)

    Bogomilova Nonka

    2015-01-01

    Full Text Available The paper argues that the Balkans are not a single-type cultural- political and conflictogenic space where religions are the basic factor, but a heterogeneous zone made up of specific states, in each of which religion or religions have a specific positive cultural status and/or conflict potential (persistently or in certain period. The qualitative changes that have taken place in Christianity as a faith and an institution, both in the West and East (including the Balkans during the second half of the 20th century have shown that Christianity has become more dependent on and responsive to the fundamental cultural specificity of each particular society in which it exists. The thesis is emphasized that in the conflictual configuration of “Other” in the Balkans (of ethnic, nationalist, cultural type religion is not a pro-active factor but functions in interacting with a number of other factors (the Weberian idea of religious “strands”, coming to the fore in certain situations.

  5. 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.

  6. Agricultural Support: Consequences of the Eventual Accession of the Balkan Countries to the Europe Union

    Directory of Open Access Journals (Sweden)

    Sándor Richter

    2008-06-01

    Full Text Available The author estimates the potential impact of the accession of seven Balkan countries (Albania, Croatia, Bosnia and Herzegovina, Macedonia, Montenegro, Serbia and Turkey to the EU on the agricultural direct payments and rural development expenditures disbursed from the EU budget. The estimation is based on the assumption that the agricultural support to GDP ratios are similar across member states at similar levels of development sharing a similar weight of agriculture in the economy. The results show that the annual additional burden for the 27 current EU members due to a Balkan enlargement would range between EUR 5 and 11.5 billion (in 2004 prices. The former figure reflects an agricultural support to GDP ratio corresponding to the average of the 12 new member states; the latter reflects the respective (average ratio of Bulgaria and Romania. In relative terms the Balkan enlargement would necessitate a net increase of the pool of transfers for direct payments and rural development expenditures in the range of 10% to 23%.

  7. Iodinated contrast agent-induced nephropathy

    International Nuclear Information System (INIS)

    Contrast-induced nephropathy (CIN) is a well-known complication of therapeutic and diagnostic procedures requiring contrast administration and accounts for 10% of acute renal failure in hospitalized patients. Although the incidence of this complication is relatively low, its consequences can be catastrophic. The development of CIN is associated with increased length of hospital stay, an increased requirement for acute dialysis, and an increased risk of death. Preexisting renal dysfunction, age, diabetes, congestive heart failure, and volume of administered contrast are all associated with a risk of developing CIN. Despite a large number of clinical trials that have evaluated prophylaxis strategies for CIN, no uniform strategies have been developed so far. The use of N-acetyl-L-cysteine (NAC) or theophylline in specific subgroups of patients has been shown to reduce dialysis requirement and mortality in patients undergoing angiographic procedures. Hemofiltration has also shown positive results. In this review we will discuss the epidemiology and the risk factors for CIN and the evidence for commonly employed prophylaxis strategies, and we will provide general recommendations with respect to CIN prevention and management. A practicable strategy to prevent CIN includes: correct identification of individuals at greatest risk, thorough evaluation of whether other diagnostic maneuvers could be employed instead (i.e., sonography), application of low-osmolar contrast media at the minimum acceptable dose, stopping potential nephrotoxic drugs (NSAID), hydration with sodium chloride 0.9% 1 ml/kg per h i.v. 12 h before and after CM application, administration of acetylcysteine 600 mg twice the day before and after (in cases of emergency investigation and high-risk patients 1200 mg i.v.), and theophylline (250-350 mg) the day before and the day after CM application (in cases of emergency investigation 5 mg/kg i.v.). (orig.)

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

    International Nuclear Information System (INIS)

    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

  9. 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

    arterial blood pressure to a hypertensive level is an early feature; 43% of the patients had diastolic blood pressure greater than 100 mm Hg. Early and aggressive antihypertensive treatment reduces both albuminuria and the rate of decline in GFR in young patients with diabetic nephropathy....

  10. Uric acid as a mediator of diabetic nephropathy

    DEFF Research Database (Denmark)

    Jalal, Diana I; Maahs, David M; Hovind, Peter;

    2011-01-01

    Despite advances in the management of patients with diabetes, diabetic nephropathy (DN) remains the most common cause of end-stage renal disease in the United States and worldwide. Inflammation and endothelial dysfunction appear to play a central role in the onset and the progression of DN. Recent...

  11. 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.

  12. Diabetic Kidney Disease (Diabetic Nephropathy) (Beyond the Basics)

    Science.gov (United States)

    ... SP, et al. Diabetic nephropathy: diagnosis, prevention, and treatment. Diabetes Care 2005; 28:164. Writing Team for the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and ... of intensive treatment of type 1 diabetes mellitus on development and ...

  13. Predicting diabetic nephropathy using a multifactorial genetic model.

    Directory of Open Access Journals (Sweden)

    Ilana Blech

    Full Text Available AIMS: The tendency to develop diabetic nephropathy is, in part, genetically determined, however this genetic risk is largely undefined. In this proof-of-concept study, we tested the hypothesis that combined analysis of multiple genetic variants can improve prediction. METHODS: Based on previous reports, we selected 27 SNPs in 15 genes from metabolic pathways involved in the pathogenesis of diabetic nephropathy and genotyped them in 1274 Ashkenazi or Sephardic Jewish patients with Type 1 or Type 2 diabetes of >10 years duration. A logistic regression model was built using a backward selection algorithm and SNPs nominally associated with nephropathy in our population. The model was validated by using random "training" (75% and "test" (25% subgroups of the original population and by applying the model to an independent dataset of 848 Ashkenazi patients. RESULTS: The logistic model based on 5 SNPs in 5 genes (HSPG2, NOS3, ADIPOR2, AGER, and CCL5 and 5 conventional variables (age, sex, ethnicity, diabetes type and duration, and allowing for all possible two-way interactions, predicted nephropathy in our initial population (C-statistic = 0.672 better than a model based on conventional variables only (C = 0.569. In the independent replication dataset, although the C-statistic of the genetic model decreased (0.576, it remained highly associated with diabetic nephropathy (χ(2 = 17.79, p<0.0001. In the replication dataset, the model based on conventional variables only was not associated with nephropathy (χ(2 = 3.2673, p = 0.07. CONCLUSION: In this proof-of-concept study, we developed and validated a genetic model in the Ashkenazi/Sephardic population predicting nephropathy more effectively than a similarly constructed non-genetic model. Further testing is required to determine if this modeling approach, using an optimally selected panel of genetic markers, can provide clinically useful prediction and if generic models can be

  14. 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.

  15. 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. PMID:27383872

  16. Constant diversification rates of endemic gastropods in ancient Lake Ohrid: ecosystem resilience likely buffers environmental fluctuations

    Directory of Open Access Journals (Sweden)

    K. Föller

    2015-08-01

    Full Text Available Ancient lakes represent key ecosystems for endemic freshwater species. This high endemic biodiversity has been shown to be mainly the result of intra-lacustrine diversification. Whereas the principle role of this mode of diversification is generally acknowledged, actual diversification rates in ancient lakes remain little understood. At least four modes are conceivable. Diversification rates may be constant over time, they may fluctuate, rates may be higher in the initial phase of diversification, or there may be a pronounced lag phase between colonization and subsequent diversification. As understanding the tempo of diversification in ancient lake environments may help unrevealing the underlying processes that drive speciation and extinction, we here use the Balkan Lake Ohrid as a model system and the largest species flock in the lake, the non-pyrgulinid Hydrobiidae, as a model taxon to study changes in diversification rates over time together with the respective drivers. Based on phylogenetic, molecular-clock, lineage-through-time plot and diversification-rate analyses we found that this monophyletic group is comparatively old and that it most likely evolved with a constant diversification rate. Preliminary data of the SCOPSCO deep-drilling program do indicate signatures of severe environmental/climatic perturbations in Lake Ohrid. However, so far there is no evidence for the occurrence of catastrophic environmental events. We therefore propose that the rate homogeneity observed in endemic gastropods has been caused by two factors: (i a potential lack of catastrophic environmental events in Lake Ohrid and/or (ii a high ecosystem resilience, buffering environmental changes. Parameters potentially contributing to the lake's high ecosystem resilience are its distinct bathymetry, ongoing tectonic activities, and karst hydrology. The current study not only contributes to one of the overall goals of the SCOPSCO deep-drilling program – inferring

  17. Constant diversification rates of endemic gastropods in ancient Lake Ohrid: ecosystem resilience likely buffers environmental fluctuations

    Science.gov (United States)

    Föller, K.; Stelbrink, B.; Hauffe, T.; Albrecht, C.; Wilke, T.

    2015-12-01

    Ancient lakes represent key ecosystems for endemic freshwater species. This high endemic biodiversity has been shown to be mainly the result of intra-lacustrine diversification. Whereas the principle role of this mode of diversification is generally acknowledged, actual diversification rates in ancient lakes remain little understood. At least four types are conceivable. Diversification rates may be constant over time, they may fluctuate, rates may be higher in the initial phase of diversification, or there may be a pronounced lag phase between colonization and subsequent diversification. As understanding the tempo of diversification in ancient lake environments may help reveal the underlying processes that drive speciation and extinction, we here use the Balkan Lake Ohrid as a model system and the largest species flock in the lake, the non-pyrgulinid Hydrobiidae, as a model taxon to study changes in diversification rates over time together with the respective drivers. Based on phylogenetic, molecular-clock, lineage-through-time plot, and diversification-rate analyses we found that this potentially monophyletic group is comparatively old and that it most likely evolved with a constant diversification rate. Preliminary data of the SCOPSCO (Scientific Collaboration On Past Speciation Conditions in Lake Ohrid) deep-drilling program do indicate signatures of severe environmental/climatic perturbations in Lake Ohrid. However, so far there is no evidence for the occurrence of catastrophic environmental events. We therefore propose that the constant diversification rate observed in endemic gastropods has been caused by two factors: (i) a potential lack of catastrophic environmental events in Lake Ohrid and/or (ii) a probably high ecosystem resilience, buffering environmental changes. Parameters potentially contributing to the lake's high ecosystem resilience are its distinct bathymetry, ongoing tectonic activities, and karst hydrology. The current study not only

  18. Stroke prevention in atrial fibrillation and ‘real world’ adherence to guidelines in the Balkan Region: The BALKAN-AF Survey

    Science.gov (United States)

    Potpara, Tatjana S.; Dan, Gheorghe-Andrei; Trendafilova, Elina; Goda, Artan; Kusljugic, Zumreta; Manola, Sime; Music, Ljilja; Musetescu, Rodica; Badila, Elisabeta; Mitic, Gorana; Paparisto, Vilma; Dimitrova, Elena S.; Polovina, Marija M.; Petranov, Stanislav L.; Djergo, Hortensia; Loncar, Daniela; Bijedic, Amira; Brusich, Sandro; Lip, Gregory Y. H.; Potpara, Tatjana S.; Polovina, Marija; Milanov, Srdjan; Pavlovic, Marija; Petrovic, Marijana; Simovic, Stefan; Mitic, Gorana; Milanov, Marko; Savic, Jelena; Gnip, Sanja; Radovic, Pavica; Markovic, Snezana; Koncarevic, Ivana; Gavrilovic, Jelena; Acimovic, Tijana; Djikic, Dijana; Malic, Semir; Hodzic, Jusuf; Stojanovic, Milovan; Ilic, Marina Deljanin; Zlatar, Milan; Matic, Dragan; Lazic, Snezana; Peric, Vladan; Markovic, Sanja; Kovacevic, Snezana; Arandjelovic, Aleksandra; Asanin, Milika; Zdravkovic, Marija; Dan, Gheorghe-Andrei; Breha, Anca; Dan, Anca Rodica; Musetescu, Rodica; Popescu, Mircea Ioachim; Badila, Elisabeta; Georgescu, Catalina Arsenescu; Pop, Sorina; Popescu, Raluca; Neamtu, Simina; Oancea, Floriana; Trendafilova, Elina; Dimitrova, Elena; Goshev, Evgenii; Velichkova, Anna; Petranov, Stanislav; Kamenova, Delyana; Kamenova, Penka; Elefterova, Svetoslava; Shterev, Valentin; Zekova, Maria; Diukiandzhieva, Stela; Dimitrov, Boiko; Sotirov, Tihomir; Simeonova, Valentina; Drianovska, Dimitrina; Boiadzhieva, Liliya Ivanova Vasileva; Buchukova, Darina; Goda, Artan; Paparisto, Vilma; Gjergo, Hortensia; Mijo, Alma; Shirka, Ervina; Gjini, Viktor; Ekmekciu, Uliks; Refatllari, Ina; Kusljugic, Zumreta; Loncar, Daniela; Mrsic, Denis; Tulumovic, Hazim; Pojskic, Belma; Sijamija, Alma; Bijedic, Amira; Karamujic, Indira; Bijedic, Irma; Halilovic, Sanela; Sokolovic, Sekib; Manola, Sime; Zeljkovic, Ivan; Pavlovic, Nikola; Radeljic, Vjekoslav; Brusich, Sandro; Anic, Ante; Jeric, Melita; Pekic, Petar; Milas, Kresimir; Music, Ljilja; Bulatovic, Nebojsa; Nenezic, Ana; Asanovic, Dijana

    2016-01-01

    Data on the management of atrial fibrillation (AF) in the Balkan Region are limited. The Serbian AF Association (SAFA) prospectively investigated contemporary ‘real-world’ AF management in clinical practice in Albania, Bosnia&Herzegovina, Bulgaria, Croatia, Montenegro, Romania and Serbia through a 14-week (December 2014-February 2015) prospective, multicentre survey of consecutive AF patients. We report the results pertinent to stroke prevention strategies. Of 2712 enrolled patients, 2663 (98.2%) with complete data were included in this analysis (mean age 69.1 ± 10.9 years, female 44.6%). Overall, 1960 patients (73.6%) received oral anticoagulants (OAC) and 762 (28.6%) received antiplatelet drugs. Of patients given OAC, 17.2% received non-vitamin K antagonist oral anticoagulants (NOACs). CHA2DS2-VASc score was not significantly associated with OAC use. Of the ‘truly low-risk’ patients (CHA2DS2-VASc = 0 [males], or 1 [females]) 56.5% received OAC. Time in Therapeutic Range (TTR) was available in only 18.7% of patients (mean TTR: 49.5% ± 22.3%). Age ≥ 80 years, prior myocardial infarction and paroxysmal AF were independent predictors of OAC non-use. Our survey shows a relatively high overall use of OAC in AF patients, but with low quality of vitamin K antagonist therapy and insufficient adherence to AF guidelines. Additional efforts are needed to improve AF-related thromboprophylaxis in clinical practice in the Balkan Region. PMID:26869284

  19. 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.

  20. The environmental state of rivers in the Balkans--a review within the DPSIR framework.

    Science.gov (United States)

    Skoulikidis, Nikolaos Th

    2009-04-01

    Fifteen major Balkan rivers with over 80% of the inflows in Eastern Mediterranean were examined for their environmental state within the DPSIR framework. Physicogeographic and hydrochemical conditions differ substantially among river basins, which may be roughly classified into three main zones. Despite strong fragmentation, most of the rivers are liable to flash floods and have low summer flow. Decreasing precipitation and (mis)management caused a dramatic discharge reduction over the last decades. Wars, political instability, economical crises over the past decades, combined with administrative and structural constraints, poor environmental planning and inspection and, frequently, a lack of environmental awareness imposed significant pressures on rivers. Large wetland areas were drained in favour of widespread intensive agriculture. The treatment of municipal wastewaters is barely adequate in Greece and insufficient elsewhere, while management and treatment of mining and industrial wastewaters is overall poor. In general, lowland river sections are hydro-morphologically modified and are at the greatest pollution risk, while upstream areas mostly retain their natural conditions. Nutrient concentrations in a number of central and eastern Balkan rivers often exceed quality standards, whereas pesticides and heavy metals, partly of geochemical origin, occasionally exceed quality standards. Reservoirs retain vast masses of sediments, thus adversely affecting delta evolution, while dam operation disturbs the seasonal hydrological and hydrochemical regimes. Almost all Balkan countries face daunting water resource challenges because of urgently needed investments in water supply, sanitation, irrigation, and hydroelectricity. International treaties and designations and European Union Directives have mobilized pollution mitigation and conservation efforts. However, the application of environmental legislation has proved in a number of cases inadequate. Constraints arise

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

    International Nuclear Information System (INIS)

    Objective: To investigate the relationship between the serum type IV collagen (IV-C), β2-micro globulin (β2-m) levels and diabetic nephropathy. Methods: Serum IV-C, β2-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 β2-m in diabetic patients with nephropathy were significantly higher than those in controls (P0.05). Conclusion: Serum IV-C and β2-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)

  2. Relationship between serum leptin and adiponectin levels in patients with primary hypertensive nephropathy

    International Nuclear Information System (INIS)

    Objective: To explore the relationship between serum leptin and adiponectin levels in patients with primary hypertensive nephropathy. Methods: Serum leptin (wire RIA) and serum adiponectin (with ELISA) levels were measured in 34 patients with primary hypertensive nephropathy, in 50 patients with essential hypertension but no nephropathy, as well as in 35 controls. Results: Serum leptin levels in the patients were significantly higher than those in controls (P<0.01). While the serum adiponectin levels were significantly lower than those in controls (P<0.01 ). Among the patients, serum leptin levels were significantly higher in subject with nephropathy than those in subjects without nephropathy (P<0.05) while the reverse was true for adiponectin (P<0.05). Conclusion: The development of primary hypertensive nephropathy is correlated with a higher serum leptin and a decreased serum adiponectin levels. (authors)

  3. VS structure of the crust and upper mantle in the Balkan Peninsula region

    CERN Document Server

    Raykova, Reneta Blagoeva

    2015-01-01

    This study defines a 3D shear-wave velocity model to the depth of about 350 km in the region of Balkan Peninsula by application of several methods and tools: collection of surface-wave dispersion measurements; tomography on a grid sized 1 degree by 1 degree; non-linear inversion of dispersion relations; local smoothing optimization; and juxtaposition of representative cellular models. This study upgrades, refines and extends the results obtained for the region by Raykova and Panza (2006), Raykova and Nikolova (2007), Panza et al. (2007) and Brandmayr et al. (2010).

  4. Environmental changes on the Balkans recorded in the sediments from lakes Prespa and Ohrid

    OpenAIRE

    Wagner, B.; H. Vogel; G. Zanchetta; Sulpizio, R.

    2010-01-01

    Lakes Prespa and Ohrid on the Balkans are considered to be amongst the oldest lakes in Europe. Both lakes are hydraulically connected via karst aquifers. From Lake Ohrid, several up to ca. 15 m long sediment records were studied during the past years. In this study, a first long sediment record from Lake Prespa was studied in order to shed more light on the influence of Lake Prespa on Lake Ohrid and the environmental history of the region. Radiocarbon dating and the occurrence of 3 dated teph...

  5. EU regional approach to the Western Balkans: The human security dimension

    OpenAIRE

    Žarin Irina

    2007-01-01

    The human security dimension has been defined as a "freedom from want and freedom from fear", with the aim to identify the key security issues that the region is facing and to assess the EU foreign policies in parallel. This aim was also directed towards articulating the proposals for a more coherent and effective approach to the Western Balkans transition to a stable democracy. The assumption of this article rests on the fact that the spillover of the soft security issues into the hard secur...

  6. Političnogeografska analiza Balkana = Political-Geographical analysis of the Balkans

    Directory of Open Access Journals (Sweden)

    Jernej Zupančič

    2009-01-01

    Full Text Available The paper deals with contemporary political map of the Balkans, founded on morphological,structural and functional analysis. Characteristically, there are frequent changes of politicalborders in common. The most of nation-states are relatively young, small-sized, ethnicheterogeneous. The space is characteristic by large peripheral areas, but the core areas aresmall. The most of nations have two spatial-political units. All these nation-states are weakand vulnerable, and that is why they represent a high latent crisis potential. On the otherhand, the transport, transit and strategic role of this area is increasing, indeed.

  7. Historiebrug på Balkan - et casestudie om fremstillingen af folkedrab i Jugoslavien

    OpenAIRE

    Gunner, Oliver William Gunner

    2013-01-01

    This report examines how the history of the past was being used for certain purposes in the The Federal Republic of Yugoslavia in the eighties. The analysis is based on a general historical understanding of the cultural flows in the Balkan region during the period of 1918-1991. Through this understanding I investigate Vladimir Dedijer’s thesis in the book The Yugoslav Auschwitz and The Vatican in which he claims an agreement exists on commiting genocide between the catholic church and the for...

  8. 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...... seven supposedly non-admixed and three stocked brown trout populations. 2. The analyses confirmed the absence of immigration and extraordinarily strong genetic differentiation among the seven non-introgressed populations in parallel with low levels of intrapopulation genetic variability. In contrast...

  9. 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...... these scenarios, are carefully studied. The major conclusion is that the increase of the temperature, alone or in combination with some other factors, leads to rather considerable increases of some pollution levels, which might become dangerous for the environment. © 2012 Elsevier Ltd. All rights...

  10. Tres publicaciones recientes sobre Lope de Aguirre: Galster, Aguilar y Córdoba, y Balkan

    Directory of Open Access Journals (Sweden)

    Carlos Páramo Bonilla

    2012-07-01

    Full Text Available Ingrid Galster. Aguirre o la posteridad arbitraria. Bogotá: Universidad del Rosario-Pontificia Universidad Javeriana, 2011. Traducción de Oscar Sola. 844 páginas.Diego de Aguilar y Córdoba. El Marañón [1578]. Madrid-Frankfurt: Universidad de Navarra-Iberoamericana-Vervuert, 2011. 423 páginas.Evan L. Balkan. The Wrath of God: Lope de Aguirre, Revolutionary of the Americas Albuquerque: University of New Mexico Press, 2011. 225 páginas.

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

    International Nuclear Information System (INIS)

    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 238U, 234U, 235U, 226Ra, 232Th, and 40K in water samples and radioactive disequilibrium between members of the natural radioactive series, based on the isotopic ratios, has been discussed. (author)

  12. Prevalence & Risk Factors of Nephropathy in Type 2 Diabetic Patients

    Directory of Open Access Journals (Sweden)

    Vimalkumar V K

    2011-08-01

    Full Text Available Background: 31.7 million people in India are suffering from diabetes. Diabetic nephropathy (Kimmelstiel-Wilson syndrome is the leading cause of end-stage renal disease (ESRD worldwide and a leading cause of DM-related morbidity and mortality. It is estimated that 79.4 million diabetic patients will be in India by 2030. So a study was done on the prevalence rate of diabetic nephropathy (DN and its associated risk factors.Aims and Objectives: This study is a small cross sectional study conducted in a tertiary hospital (Dr. Ambedkar institute of diabetes, Kilpauk medical college hospital, Chennai.. The objective is to analyze the prevalence of DN and to determine the factors leading to DN in type 2 diabetic patients (mainly containing urban Asian Indian populationMaterials and Methods: 200 Type 2 diabetic patients were randomly selected. All the patients were interviewed with a questionnaire. A detailed history including risk factors like age ,sex , socio economic status, duration of diabetes , smoking , alcohol , family history of DM and kidney disease, Ischemic heart disease(IHD, Oral Hypoglycemic Drugs(OHA , Insulin was taken followed by measurement of blood pressure, BMI assessment, urine analysis for albuminuria and microalbuminuria using dipsticks, lipid profile, GFR estimation, retinopathy screening. Statistical analysis was done by SPSS software. Univariate analysis, Chi-square and Binary Logistic Regression Model was used.Results: In this study prevalence rate of overt nephropathy is 2.5% and microalbuminuria is 13%, Using Binary logistic regression analysis, Woman gender, Duration of diabetes, family history of kidney disease, Hypertension, BMI, GFR, retinopathy were found to be significantly associated with overt DN. There was no increased risk among IHD patients, smokers, alcoholics and no significant relationship with treatment history.Limitations: This is a hospital based cross sectional study. Population based Case control studies

  13. Concomitant macro and microvascular complications in diabetic nephropathy

    International Nuclear Information System (INIS)

    To determine the prevalence of concomitant microvascular and macro vascular complications of diabetic nephropathy we retrospectively reviewed the medical records of all 1,952 type 2 dia-betic patients followed-up at Security Forces Hospital, Riyadh, Saudi Arabia from January 1989 to December 2004. There were 626 (32.1%) patients (294 (47%) were males) who developed diabetic nephropathy. Their mean age was 66.9 + -11.4 years, mean duration of diabetes was 15.4 + -7.5 years, mean age at the onset of nephropathy was 61.5 + - 12.4 years, and mean duration of nephropathy was 3.9 + - 3.8 years. Concomitant diabetic complications included cataract (38.2%), acute coronary syndrome (36.1%), peripheral neuropathy (24.9%), myocardial infarction (24.1%), background retinopathy (22.4%), stroke (17.6%), proliferative retinopathy (11.7%), foot infection (7.3%), limb amputation (3.7%) and blindness (3%). Hypertension was documented in 577 (92.2%) patients, dyslipidemia in 266 (42.5%) and mortality from all causes in 86 (13.7%). There were 148 (23.6%) patients with one complication, 81 (12.9%) with two, 83 (13.3%) with three, and 61 (9.7%) with four or more. Deterioration of glomerular filtration rate was observed in 464 (74%) patients and doubling of serum creatinine in 250 (39.9%), while 95 (15.2%) developed end-stage renal disease (ESRD) at the end of study and 79 (12.6%) required dialysis. Complications were significantly more prevalent among males with greater number reaching ESRD level than females (P< 0.05). Relative risks of developing complications were significant after the onset of nephropathy; ACS (1.41), MI (1.49), stroke (1.48), diabetic foot (1.6), amputation (1.58) and death (1.93). We conclude that complications of diabetes are aggressive and progressive including high prevalence of diabetic nephropathy. Careful monitoring and proper institution of management protocols should be implemented to identify diabetic patients at high risk for complications and mitigate

  14. 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

    .23-16.31). Haplotype with all the wild alleles (T-b-G) was found to be associated with a decreased risk of nephropathy (OR: 0.68, P = 0.005) and haplotype with all mutant alleles (C-a-T) was associated with higher risk of diabetic nephropathy as compared to diabetes without nephropathy group (OR: 2.6, P = 0.14). No...

  15. Prevalence and Determinants of Diabetic Nephropathy in Korea: Korea National Health and Nutrition Examination Survey

    OpenAIRE

    Jae Hee Ahn; Ji Hee Yu; Seung-Hyun Ko; Hyuk-Sang Kwon; Dae Jung Kim; Jae Hyeon Kim; Chul Sik Kim; Kee-Ho Song; Jong Chul Won; Soo Lim; Sung Hee Choi; Kyungdo Han; Bong-Yun Cha; Nan Hee Kim

    2014-01-01

    Background Diabetic nephropathy is a leading cause of end stage renal disease and is associated with an increased risk of cardiovascular mortality. It manifests as albuminuria or impaired glomerular filtration rate (GFR), and the prevalence of diabetic nephropathy varies with ethnicity. The prevalence of diabetic nephropathy and its determinants in Korean adults have not previously been studied at the national level. This cross-sectional study was undertaken to ascertain the prevalence and de...

  16. The association of single nucleotide P-selectin gene polymorphism with IgA nephropathy

    Institute of Scientific and Technical Information of China (English)

    王朝晖

    2006-01-01

    Objective IgA nephropathy is one of the most com- mon form of primary glomerulonephritis throughout the world and a main renal disease which causes renal failure. P-selectin plays an important role in the pathogenesis and development of IgA nephropathy. The purpose of this study is to find a possible relationship between P-selectin gene polymorphism and IgA nephropathy. Methods In this study,a comprehensive P-selectin gene sur-

  17. Analysis of a Urinary Biomarker Panel for Obstructive Nephropathy and Clinical Outcomes

    OpenAIRE

    Yuanyuan Xie; Wei Xue; Xinghua Shao; Xiajing Che; Weijia Xu; Zhaohui Ni; Shan Mou

    2014-01-01

    OBJECTIVES: To follow up renal function changes in patients with obstructive nephropathy and to evaluate the predictive value of biomarker panel in renal prognosis. METHODS: A total of 108 patients with obstructive nephropathy were enrolled in the study; 90 patients completed the follow-up. At multiple time points before and after obstruction resolution, urinary samples were prospectively collected in patients with obstructive nephropathy; the levels of urinary kidney injury molecule-1 (uKIM-...

  18. 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.

  19. Vesicoureteral Reflux, Reflux Nephropathy, and End-Stage Renal Disease

    Directory of Open Access Journals (Sweden)

    Paul Brakeman

    2008-07-01

    Full Text Available Objective. To review the contribution of vesicoureteral reflux and reflux nephropathy to end-stage renal disease. Data Source. Published research articles and publicly available registries. Results. Vesicoureteral reflux (VUR is commonly identified in pediatric patients and can be associated with reflux nephropathy (RN, chronic kidney disease (CKD, and rarely end-stage renal disease (ESRD. Patients with reduced GFR, bilateral disease, grade V VUR, proteinuria, and hypertension are more likely to progress to CKD and ESRD. Because progression to ESRD is rare in VUR and often requires many decades to develop, there are limited prospective, randomized, controlled trials available to direct therapy to prevent progression to ESRD. Conclusions. Identification of patients with increased risk of progression to CKD and ESRD should be the goal of clinical, biochemical, and radiological evaluation of patients with VUR. Treatment of patients with VUR should be directed at preventing new renal injury and preserving renal function.

  20. Evaluation of reflux nephropathy, pyelonephritis and renal dysplasia

    International Nuclear Information System (INIS)

    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.)

  1. Features of endothelial dysfunction in early diabetic nephropathy

    DEFF Research Database (Denmark)

    Jensen, T; Bjerre-Knudsen, J; Feldt-Rasmussen, B; Deckert, T

    1989-01-01

    ); group II (n = 11), incipient diabetic nephropathy (30-300 mg albumin excreted per 24 h); and group III (n = 10), clinical diabetic nephropathy (more than 300 mg albumin excreted per 24 h). Nine non-diabetic men served as controls. The rise in tPA antigen with exercise was similar in the controls and.......01) and II (difference not significant, p = 0.06) than in group I and normal controls. These findings suggest that insulin-dependent diabetic patients with only slightly raised urinary albumin excretion have general endothelial cell dysfunction or damage. It is not yet clear whether these changes are......The release of tissue plasminogen activator (tPA) by vascular endothelial cells during exercise was studied in forty men with insulin-dependent diabetes. Three groups, matched for age and diabetes duration, were defined as: group I (n = 19), normal urinary albumin excretion (less than 30 mg/24 h...

  2. Association of renal adenocarcinoma and BK virus nephropathy post transplantation.

    Science.gov (United States)

    Kausman, Joshua Yehuda; Somers, Gino Rene; Francis, David Michael; Jones, Colin Lindsay

    2004-04-01

    While most BK virus infections are asymptomatic, immunosuppression has been associated with BK virus reactivation and impaired graft function or ureteric ulceration in renal transplant patients and hemorrhagic cystitis in bone marrow transplant patients. Oncogenicity is also postulated and this is the first report of a child with a carcinoma of the donor renal pelvis following BK virus allograft nephropathy. Removal of the primary tumor and cessation of immunosuppression led to regression of secondary tumors and a return to health. PMID:14986088

  3. Aplastic anemia and membranous nephropathy induced by intravenous mercury

    OpenAIRE

    Priya, N.; Nagaprabhu, V. N.; Kurian, G.; Seethalakshmi, N.; Rao, G. G.; Unni, V. N.

    2012-01-01

    Self-injection of mercury can be life-threatening. We report a case of attempted suicide by self-intravenous injection of elemental mercury. The patient suffered from two side effects : membranous nephropathy and aplastic anemia. She was treated and the systemic effects of mercury were reversed after 4 years. The toxicology of mercury, mechanisms of renal and systemic toxicities, and the various therapeutic measures for mercury poisoning are discussed.

  4. Urinary Proteomics for Early Diagnosis in Diabetic Nephropathy

    OpenAIRE

    Zurbig, P.; Jerums, G; Hovind, P.; MacIsaac, R.; Mischak, H.; Nielsen, S. E.; Panagiotopoulos, S.; Persson, F.; Rossing, P.

    2012-01-01

    Diabetic nephropathy (DN) is a progressive kidney disease, a well-known complication of long-standing diabetes. DN is the most frequent reason for dialysis in many Western countries. Early detection may enable development of specific drugs and early initiation of therapy, thereby postponing/preventing the need for renal replacement therapy. We evaluated urinary proteome analysis as a tool for prediction of DN. Capillary electrophoresis–coupled mass spectrometry was used to profile the low–mol...

  5. Chronic interstitial nephropathy after plasma cutting in stainless steel.

    OpenAIRE

    Petersen, R.; Mikkelsen, S; Thomsen, O F

    1994-01-01

    Chromium is nephrotoxic in experimental animals. In subjects with acute chromium intoxication acute nephritis has been reported and renal function has been affected in chromium exposed workers with a high urinary chromium concentration. Chronic kidney disease after long term occupational exposure to chromium has, however, not been reported previously. A case report is presented concerning a 48 year old man who was diagnosed with chronic interstitial nephropathy. He had worked for nine years a...

  6. The role of ultrasonography in the study of medical nephropathy

    OpenAIRE

    Fiorini, F.; Barozzi, L.

    2007-01-01

    Diagnostic techniques in nephrology include clinical history, physical examination, laboratory tests, scintigraphy, diagnostic imaging techniques as well as renal biopsy. In kidney diseases, ultrasonography is used as a first-line imaging technique, and its role in medical nephropathy is to exclude urological pathologies, to differentiate between acute and chronic renal failure, to follow-up on the course of a disease, to guide needle biopsy, etc. Ultrasound images are useful at characterizin...

  7. Vitamin E and diabetic nephropathy in mice model and humans

    OpenAIRE

    Farid, Nakhoul; Inbal, Dahan; Nakhoul, Nakhoul; Evgeny, Farber; Miller-Lotan, Rachel; Levy, Andrew P.; Rabea, Asleh

    2013-01-01

    Diabetes mellitus (DM) is associated with increased oxidative stress due to elevated glucose levels in the plasma. Glucose promotes glycosylation of both plasma and cellular proteins with increased risk for vascular events. Diabetic patients suffer from a higher incidence of cardiovascular complications such as diabetic nephropathy. Haptoglobin (Hp) is an antioxidant plasma protein which binds free hemoglobin, thus preventing heme-iron mediated oxidation. Two alleles exist at the Hp gene locu...

  8. [Mechanism of Chinese herbal medicine delaying glomerulosclerosis in diabetic nephropathy].

    Science.gov (United States)

    Chen, Jing; Wan, Yigang; Bian, Rongwen; Gu, Liubao; Wang, Chaojun; Zhang, Huilan; Yao, Jian

    2010-02-01

    The pathomechanisms of glomerulosclerosis in diabetic nephropathy (DN) are considered to be related with glycometabolism disorder, podocyte injury, intra-renal hemodynamics abnormality, fibrogenic cytokines over-expression, oxidative stress and inflammatory reaction. Chinese herbal medicine could delay the progression of glomerulosclerosis in DN by ameliorating the harmful factors of these pathological changes. Therefore, it is possible to postpone the progress of DN to end-stage renal disease through the treatment with Chinese herbal medicine. PMID:20450059

  9. Daily uranium excretion in German peacekeeping personnel serving on the Balkans compared to ICRP model prediction.

    Science.gov (United States)

    Oeh, U; Li, W B; Höllriegl, V; Giussani, A; Schramel, P; Roth, P; Paretzke, H G

    2007-01-01

    An investigation was performed to assess a possible health risk of depleted uranium (DU) for residents and German peacekeeping personnel serving on the Balkans. In order to evaluate a possible DU intake, the urinary uranium excretions of volunteers were collected and analysed using inductively coupled plasma mass spectrometry (ICP-MS). In total, more than 1300 urine samples from soldiers, civil servants and unexposed controls of different genders and ages were analysed to determine uranium excretion parameters. All participating volunteers, aged 3-92 y, were grouped according to their gender and age for evaluation. The results of the investigation revealed no significant difference between the unexposed controls and the peacekeeping personnel. In addition, the geometric means of the daily urinary excretion in peacekeeping personnel, ranging from 3 to 23 ng d(-1) for different age groups, fall toward the lower end of renal uranium excretion values published for unexposed populations in literature. The measured data were compared with the International Commission on Radiological Protection prediction for the intake of natural uranium by unexposed members of the public. The two data sets are in good agreement, indicating that no relevant intake of additional uranium, either natural or DU, has appeared for German peacekeeping personnel serving on the Balkans. PMID:17567762

  10. 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.

  11. 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.

  12. 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.

  13. Crystallographic investigationsof urine at newborns with ischemic nephropathy

    Directory of Open Access Journals (Sweden)

    Loboda A.

    2012-01-01

    Full Text Available The study is devoted to the identification of structural markers of ischemic nephropathy by studying facies (dry drops of urine in newborn infants. The study involved two groups of full-term newborns with gestational age 38-41 weeks and signs of ischemic nephropathy: 1st - 75 children who suffered severe asphyxia, 2nd - 75 children with moderate asphyxia. Comparison group consisted of 20 infants without asphyxia at birth. Morphological changes were detected in dry drops by microscopy at 40-fold increase in 1-2 and 7-8 days of life. Asphyxia cause disturbance of renal filtration, tubular reabsorption and secretion that lead to increase levels of organic components and mineral salts in urine, crystallization of which forms a specific picture of facies. By urine’s facies morphology at 1-2 days of life is possible to evaluate renal function in newborns suffered from asphyxia. The number of inclusions in facies, their total area and distribution are depending on the severity of asphyxia. Structural changes in the urine of children with ischemic nephropathy remain till the end of the early neonatal period.

  14. 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.

  15. Immunoglobulin A Nephropathy and Malaria falciparum Infection; a Rare Association

    Directory of Open Access Journals (Sweden)

    Mahmoud Rafieian-Kopaei

    2013-05-01

    Full Text Available Glomerular involvement occurs as a rare form of renal manifestation in Plasmodium falciparum malaria. Here, we report a rare case of falciparum malaria-associated IgA nephropathy. A 28-year-old man was admitted because of fever and abdominal pain. Ultrasound and computed tomography (CT showed right kidney pyonenphrosis. Despite placing a nephrostomy tube, fever continued. Repeated CT was in favor of focal pyelonephritis. In addition, peripheral blood smear suggested malaria. Anti-malarial drugs were initiated and right nephrectomy was performed. One year after recovery from malaria, a persistent rise in serum creatinine was detected. A left kidney biopsy showed mesangial proliferation and dominant IgA deposits in immunofluorescence study while C1q was not deposited. The impression was IgA nephropathy with M1E0S0T0 of Oxford classification. The patient was prescribed a combination of low dose prednisolone and angiotensin converting enzyme inhibitor. Six months after treatment serum creatinine decreased from 1.6 mg/dL to 1.3mg/dL and urine abnormalities were disappeared. Our findings suggest that malaria infection might be associated with IgA nephropathy.

  16. OTTOMAN BALKAN HERITAGE AND THE CONSTRUCTION OF TURKISH NATIONAL IDENTITY / OSMANLI BALKAN MİRASI VE TÜRK MİLLÎ KİMLİĞİNİN OLUŞUMU

    Directory of Open Access Journals (Sweden)

    Tamer BALCI

    2015-05-01

    Full Text Available This study covers the influence of Ottoman Balkan Heritage on the construction of Turkish national identity.In order to shed light on the intricate correlation among the Ottoman heritage, the Balkans and Turkish national identity, thisarticle presents thatwhile the Turkish republicanelite took a negative stance on the Ottoman Empire to create a secular nation-state,Balkanmigrants’ view on Islam as the main component of their identity helped to shape the creation of Turkish national identity. Bu çalışma Osmanlı Balkan mirasının Türk millî kimliğinin oluşturulmasındaki etkilerini incelemektedir. Osmanlı mirası, Balkanlar ve Türk millî kimliği arasındaki münasebeti aydınlatabilmek amacıyla araştırma şu hipotezi sunmaktadır: Her ne kadar cumhuriyetçi Türk eliti laik bir ulus devlet inşa etmek amacıyla Osmanlı Devleti’ne karşı olumsuz bir tavır almışsa da, Balkan göçmenlerinin İslam’ı millî kimliklerinin ana unsuru olarak görmesi Türk millî kimliğinin oluşturulmasında önemli bir etken olmuştur

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

    International Nuclear Information System (INIS)

    There are almost one and half million lakes in Europe, if small water bodies with an area down to 0.001 km2 are included. The total area of lakes is over 200.000 km2, in addition the man-made reservoirs cover almost 100.000 km2. 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 km2 and total volume of almost loo km3. 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 km3. 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 retention

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

    Directory of Open Access Journals (Sweden)

    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.

  19. Iodinated contrast agent-induced nephropathy; Mit jodhaltigen Kontrastmitteln induzierte Nephropathie

    Energy Technology Data Exchange (ETDEWEB)

    Erley, C. [St. Joseph-Krankenhaus Berlin, Berlin (Germany)

    2007-09-15

    Contrast-induced nephropathy (CIN) is a well-known complication of therapeutic and diagnostic procedures requiring contrast administration and accounts for 10% of acute renal failure in hospitalized patients. Although the incidence of this complication is relatively low, its consequences can be catastrophic. The development of CIN is associated with increased length of hospital stay, an increased requirement for acute dialysis, and an increased risk of death. Preexisting renal dysfunction, age, diabetes, congestive heart failure, and volume of administered contrast are all associated with a risk of developing CIN. Despite a large number of clinical trials that have evaluated prophylaxis strategies for CIN, no uniform strategies have been developed so far. The use of N-acetyl-L-cysteine (NAC) or theophylline in specific subgroups of patients has been shown to reduce dialysis requirement and mortality in patients undergoing angiographic procedures. Hemofiltration has also shown positive results. In this review we will discuss the epidemiology and the risk factors for CIN and the evidence for commonly employed prophylaxis strategies, and we will provide general recommendations with respect to CIN prevention and management. A practicable strategy to prevent CIN includes: correct identification of individuals at greatest risk, thorough evaluation of whether other diagnostic maneuvers could be employed instead (i.e., sonography), application of low-osmolar contrast media at the minimum acceptable dose, stopping potential nephrotoxic drugs (NSAID), hydration with sodium chloride 0.9% 1 ml/kg per h i.v. 12 h before and after CM application, administration of acetylcysteine 600 mg twice the day before and after (in cases of emergency investigation and high-risk patients 1200 mg i.v.), and theophylline (250-350 mg) the day before and the day after CM application (in cases of emergency investigation 5 mg/kg i.v.). (orig.) [German] Die Kontrastmittelnephropathie (contrast

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

    International Nuclear Information System (INIS)

    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 research. These

  1. 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

  2. Contribution to the Veigaiidae Oudemans, 1939 fauna of the Carpathian Basin and the Balkan Peninsula (Acari: Mesostigmata

    Directory of Open Access Journals (Sweden)

    Ács, A.

    2015-11-01

    Full Text Available Altogether nine veigaiid mite species were listed from different countries of the Carpathian Basin and the Balkan Peninsula, eight of them belonging to the genus Veigaia Oudemans, 1905 and one to Gamasolaelaps Berlese, 1904. New species are added to the fauna of Albania (two, Austria (one, Kosovo (one, Macedonia (three, Serbia (four and Slovakia (two.

  3. Berriasian bio- and magnetostratigraphy and magnetic susceptibility of the Barlya section (Western Balkan Unit, Bulgaria) – preliminary results

    Czech Academy of Sciences Publication Activity Database

    Grabowski, J.; Lakova, I.; Schnabl, Petr; Sobien, K.; Petrova, S.

    2014-01-01

    Roč. 12, č. 1 (2014), s. 185-194. ISSN 1731-3708 Institutional support: RVO:67985831 Keywords : Berriasian * Western Balkan * calpionellids * magnetostratigraphy * magnetic susceptibility Subject RIV: DE - Earth Magnetism, Geodesy, Geography https://www.voluminajurassica.org/index.php/volumina/article/view/143

  4. 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

  5. Kako se gnijezdio Balkan na "jugoslavenskoj Atlantidi" (Četiri pogleda na reprodukciju orijentalizma u postjugoslavenskoj književnosti

    Directory of Open Access Journals (Sweden)

    Miranda Levanat-Peričić

    2016-06-01

    Full Text Available Beginning with the concept of "nesting orientalism" introduced by Milica Bakić-Hayden in the sense of patterns of representation used to describe the Other by all ethnic groups in former Yugoslavia, this paper examines four views of "nesting balkanism" in post-Yugoslav literature. First, there is a chronotopic view from the post-Yugoslav exile back to the past, in which the Balkans function as a contextual synonym for the "former homeland," always used in a context of "war," "violence," "primitivism," "disorder" and "cruelty". The second view refers to several Slovenian authors, starting with Slavoj Žižek, Aleš Debeljak and the young novelist Goran Vojnović, who show specific balkanistic representation connected with sevdah and turbofolk music. The third view is connected with travelling and trains, as a frequent topic of orientalistic representation inherited from the Orient Express novels. Finally, the fourth view draws on examples from Dubravka Ugrešić’s descriptions of her "fellow-countrymen." Almost all analyzed examples show that using the name Balkan in post-Yugoslav literature is connected with the "logic of displaced racism," a practice regarded by Žižek as a kind of inverted racism which is allowed when comparing "tolerant" Europe to Balkan Otherness.

  6. 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

  7. History of the Balkans: Eighteenth and Nineteenth Centuries. Volume 1. The Joint Committee on Eastern Europe Publications Series. No. 12.

    Science.gov (United States)

    Jelavich, Barbara

    Designed as an introductory history, this book covers developments in the Balkan Peninsula from the 17th through the 19th centuries. Emphasis is placed on the process by which separate nationalities broke away from imperial rule, established independent states, and embarked on economic and social modernization. To establish perspective on the role…

  8. Balkan cereals genetic resources in collection of Vavilov Institute of Plant Industry and main directions of cereals breeding in Russia

    OpenAIRE

    LOSKUTOV, Igor

    2014-01-01

    Analysis of information about Balkan cereals collection in VIR passport database is presented. The paper offers the long-term data on the collection of cereal forage crops (barley, oat) studied under diverse conditions at experiment stations of VIR. The selected sources of economically important traits that can be used for main direction of cereal forages breeding are presented

  9. Quaternary climate change and Heinrich events in the southern Balkans : Lake Prespa diatom palaeolimnology from the last interglacial to present

    NARCIS (Netherlands)

    Cvetkoska, Aleksandra; Levkov, Zlatko; Reed, Jane M.; Wagner, Bernd; Panagiotopoulos, Konstantinos; Leng, Melanie J.; Lacey, Jack H.

    2015-01-01

    Lake Prespa, in the Balkans, contains an important palaeo-archive in a key location for understanding Quaternary climate variability in the transition between Mediterranean and central European climate zones. Previous palaeoenvironmental research on sediment cores indicates that the lake is highly s

  10. Clinical significance of neurocysticercosis in endemic villages

    International Nuclear Information System (INIS)

    Cerebral cysticercosis is the main cause of late-onset epilepsy in most developing countries. Data on the neuroepidemiology of cysticercosis in endemic populations is scarce. In an endemic village on the northern coast of Peru, 49 individuals with neurological symptomatology (41 epileptic and 8 non-epileptic) were screened for antibodies to Taenia solium, using a serum electroimmuno transfer blot assay. Fifteen subjects were seropositive, 14 (34%) of those with epilepsy but only one (13%) of those who were non-epileptic. A history of passing proglottides was associated with positive serology. Thirteen of the 15 seropositive individuals underwent cerebral computed tomography; only 7 (54%) were abnormal. A randomly selected sample of 20 pigs from the village was also tested, and 6 (30%) were seropositive. This study demonstrated the importance of cysticercosis in the aetiology of epilepsy in endemic villages and the close relationship between porcine and human infection

  11. Association of an Osteopontin gene promoter polymorphism with susceptibility to diabetic nephropathy in Asian Indians

    DEFF Research Database (Denmark)

    Cheema, Balneek Singh; Iyengar, Sreenivasa; Ahluwalia, Tarun Veer Singh;

    2012-01-01

    genetic polymorphisms in OPN with diabetic nephropathy is lacking. Thus, the present study was designed with the aim to examine the association of an OPN gene promoter polymorphism with diabetic nephropathy in Asian Indians. OPN C-443T (rs11730582) polymorphism was determined in 1115 type 2 diabetic...

  12. Vogt-Koyanagi-Harada Syndrome in Two Patients with Immunoglobulin A Nephropathy

    Directory of Open Access Journals (Sweden)

    Sunami,Reiko

    2007-10-01

    Full Text Available We describe herein 2 patients who developed Vogt-Koyanagi-Harada syndrome in the course of renal biopsy-proven immunoglobulin A (IgA nephropathy. A 61-year-old man with an 11-year history of IgA nephropathy and a 16-year history of thyroiditis, and a 56-year-old man with a 5-year history of IgA nephropathy developed Vogt-Koyanagi-Harada syndrome. At the time of the eye disease presentation, IgA nephropathy was stable without corticosteroids in both patients. Vogt-Koyanagi-Harada syndrome was successfully treated with intravenous administration of prednisolone tapered from 200 mg daily. Vogt-Koyanagi-Harada syndrome is associated with IgA nephropathy, suggesting a similar autoimmune mechanism for both diseases.

  13. Historical chronology of basic and clinical research in diabetic nephropathy and contributions of Japanese scientists.

    Science.gov (United States)

    Wada, Jun; Makino, Hirofumi

    2009-10-01

    The most problematic issue in clinical nephrology worldwide is the relentless and progressive increase in patients with end-stage renal disease (ESRD). Diabetic nephropathy has considerable impact on society in the areas of public health and social economy; many scientists are involved in research for the elucidation of the pathogenesis of diabetic nephropathy and for the prevention and cure of the disease. In contrast, diabetic nephropathy was a neglected or ignored disease in the historical era, and few dedicated physicians recognized the disease process of diabetic nephropathy. In this review, we look back on the history of basic and clinical research on diabetic nephropathy and survey the recent progress of the research, especially focusing on the contribution of Japanese scientists. PMID:19363645

  14. 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.

  15. Voriconazole Use for Endemic Fungal Infections▿

    OpenAIRE

    Freifeld, Alison; Proia, Laurie; Andes, David; Baddour, Larry M.; Blair, Janis; Spellberg, Brad; Arnold, Sandra; Lentnek, Arnold; Wheat, L. Joseph

    2009-01-01

    In a retrospective review of 24 patients with histoplasmosis, blastomycosis, or coccidioidomycosis treated with voriconazole (most for salvage therapy), the outcome was favorable (improved or stable) for 22 (95.8%) within 2 months of starting voriconazole and for 20 (83.3%) at the last follow-up. Prospective studies are required to determine its role in the treatment of endemic mycoses.

  16. Chromosome aberration analysis in peripheral lymphocytes of Gulf war and Balkans war veterans

    International Nuclear Information System (INIS)

    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)

  17. Study of aquatic macrophytes in the wetlands on the territory of Vrachanski Balkan nature park

    Directory of Open Access Journals (Sweden)

    Valčev Vladimir V.

    2010-01-01

    Full Text Available An overall study of the species composition and abundance of macrophytes in all open water bodies of a large protected territory was made for the first time in Bulgaria. Four high-mountain eutrophic lakes and the upper stretches of three rivers within the boundaries of Vrachanski Balkan Nature Park were investigated. Thirty-nine macrophyte species (higher plants and mosses were identified scattered around, or forming more or less distinct vegetation groups. Three of the lakes are new for the country locations of the species Elatine alsinastrum and Peplis portula. The processes of eutrophication are more advanced in the lakes. The habitats formed around the investigated water bodies have been determined. They are three habitats of European Community interest for Bulgaria. The major threats for the investigated wetlands on the territory of the Park are pointed out.

  18. The genus Gymnospermium (Berberidaceae) in the Balkans

    DEFF Research Database (Denmark)

    Tan, Kit; Shuka, Lulezim; Siljak-Yakovlev, Sonja; Malo, Sadik; Pustahija, F.

    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 a...... 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....

  19. Globalizing the Western Balkans: Transnational Crime, Fundamental Islam and Unholy Alliances

    OpenAIRE

    Arsovska, Jana; Basha, Dimal

    2013-01-01

    Durant les deux dernières décennies, le monde s’est intégré dans un seul système économique capitaliste. Alors que les processus de mondialisation ont facilité les flux de biens et de services, ils ont aussi mené à des formes nouvelles d’exclusion, d’inégalité et de « conflit culturel ».  Cet essai offre une réflexion sur le lien entre les réseaux transnationaux du crime organisé, les mouvements islamiques radicaux et les groupes terroristes dans la région des Balkans. Il soutient l’idée selo...

  20. Range of engineering-geological properties for some carbonate rock complexes for Balkan peninsula

    International Nuclear Information System (INIS)

    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)

  1. Mineral deposits related to tertiary magmatism in the southern part of the Balkan Peninsula

    International Nuclear Information System (INIS)

    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 km2 (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)

  2. On problems related to the deployment of depleted uranium weapons in the Balkans

    International Nuclear Information System (INIS)

    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)

  3. The Little Ice Age and its Spatial Variability across the Balkans

    Science.gov (United States)

    Kulkarni, C.; Peteet, D. M.; Boger, R. A.

    2015-12-01

    Using biological proxies (pollen, spores, and charcoal), geochemical signals through X-ray fluorescence, and AMS 14C based chronology, we present a correlation between two new high resolution Little Ice Age (LIA) records from the Central Balkans that are part of one of the least studied regions of Europe. The sediments extracted from a western sinkhole and central Serbian oxbow lake are analyzed at 8-10-cm intervals to capture the nature and magnitude of the LIA at a resolution of 20 years. During the 15th-19th CE, indigenous tree (e.g. Quercus, Acer, Pinus) and herbaceous (e.g. Poaceae, Chenopodiaceae, Artemisia) pollen from these records demonstrate fluctuations in woodland-grassland dynamics. While tree populations from Central Serbia remain comparatively stable (40-60%), the trees of western Serbia vacillate drastically between 15% and 50%. Similarly, central Serbian grasses show variations of ~18-36% whereas the western Serbian grass populations exhibit abrupt oscillations between high (55%) and low (19%) percentages. As a proxy for surface erosion and clastic input into the lakes, the 1-cm resolution potassium and titanium counts are in strong agreement with varying herbaceous taxa. These variations in ecological signals across the cores can account for local factors including altitude, terrain exposure, soils etc., however, the dynamic human component of the landscape is evident through crop pollen (e.g. Cerealia, Juglans) and microscopic charcoal highlighting the dominant role of people in ecological changes. Although the two sites show certain differences in charcoal concentration, extremely high charcoal indicates accelerated land clearance between the 15th and 17th CE. Until the beginning of 18th CE, the cultivars (e.g. Secale, Triticum) occur with very low percentages and then peak to suggest improved agriculture in the region. In the post-LIA era, the 20th CE exhibits increased arboreal percentages and declining grasslands in both the two Central

  4. 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.

  5. 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

    2016-01-01

    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

  6. Tracing lexical borrowings in the Balkans Albanian loan-words in the Serbian speech of Prizren

    Directory of Open Access Journals (Sweden)

    Petrović Snežana

    2003-01-01

    Full Text Available During the past centuries the city of Prizren has persisted as a unique multiethnic and multicultural environment atypical even for the Balkans, well-known for its ethnic, linguistic, cultural and religious diversity. Various nations used to live and pass through Prizren in the course of more than six centuries – the Serbs Turks, Albanians, Aromanians, Greeks and others – leaving their specific marks, visible on the city itself as well as the life and the mentality of its inhabitants. One of the most vivid testimonies to this long-term coexistence can be seen in vernaculars of the local population. This paper presents some Albanian loan-words from the Serbian speech of Prizren hitherto not registered (or not recognised as such in the respective etymological dictionaries and linguistic studies. The aim of this work is to offer their etymological analysis, through an investigation of the ways and mechanisms of lexical borrowing in the limited area of this town and to observe this phenomenon in a broader Balkan perspective. Analyzed are the following words: bajmak m., adj. indecl. "with bow legs (of man or horse", cub adj. indecl. "short; short-tailed", cub m., adj. indecl. "robber, outlaw", ćul adj. indecl. "soaking wet", điza f. "kind of crumbly cheese", glistra f. "worm", korse, korsem, krsem adv. "perhaps, as if", kulme n., kuljma f. "top of the roof", ljajka f. "lie", ljaper m. "idler", ljočka f. "darling, sweetheart", ljum adj. indecl. "dear", ljunga f. "boil; swelling", putarka f. "salted and dried caviar", ravš adv. "flat", roktar m. "servant, attendant", škret adj. "lonely, deserted, empty", škrum adj. indecl. "dry as ashes".

  7. 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

  8. Alterations of urinary metabolite profile in model diabetic nephropathy

    International Nuclear Information System (INIS)

    Highlights: • 1H 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 metabolomic

  9. Effect of pregnancy on diabetic nephropathy and retinopathy

    International Nuclear Information System (INIS)

    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)

  10. Minimal change disease versus IgA nephropathy

    International Nuclear Information System (INIS)

    IgA nephropathy is the most common type of the glomerulonephritis all over the world. However, its clinical presentation is variable, as is the underlying histopathological lesion. We report herein a case of an adult with steroid responsive minimal change disease and IgA mesangial deposits. During the first two weeks of therapy with prednisolone, the patient reported dramatic improvement in his clinical condition and remitted his disease. Unfortunately, at the end of the second month of prednisolone therapy, an acute flare of viral hepatitis was diagnosed. Interestingly, the acute viral flare was without a concomitant relapse of proteinuria. (author)

  11. Minimal change disease versus IgA nephropathy

    Directory of Open Access Journals (Sweden)

    Jabur Wael

    2009-01-01

    Full Text Available IgA nephropathy is the most common type of the glomerulonephritis all over the world. However, its clinical presentation is variable, as is the underlying histopathological lesion. We report herein a case of an adult with steroid responsive minimal change disease and IgA mesangial deposits. During the first two weeks of therapy with prednisolone, the patient reported dramatic improvement in his clinical condition and remitted his disease. Unfortunately, at the end of the second month of prednisolone therapy, an acute flare of viral hepatitis was diagnosed. Interes-tingly, the acute viral flare was without a concomitant relapse of proteinuria.

  12. 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......-angiotensin-aldosterone system (RAAS) with an ACE inhibitor (ACEI) or angiotensin II receptor blocker (ARB) in microalbuminuric type 1 diabetic patients on progression of microalbuminuria and development of DN. METHODS: All patients with type 1 diabetes and persistent microalbuminuria (30-300 mg/24 h) were identified (n=227) in...

  13. On the short time prediction of earthquakes in the Balkan- Black Sea region based on geomagnetic field measurements and tide gravitational potential behavior

    CERN Document Server

    Mavrodiev, S C

    2002-01-01

    The paper is a first attempt for statistical estimation of method for a short time prediction of incoming earthquake in the Balkan and Black Sea region from January to June, 2002. The essence of the discovery is that the geomagnetic local "quake" is a precursor of future earthquake, which time is determined by the tide gravitational potential behavior. A Balkan Black Sea region Earthquake's "When, where" Prediction Network is proposed.

  14. Distribution of Mycobacterium ulcerans in buruli ulcer endemic and non-endemic aquatic sites in Ghana.

    Directory of Open Access Journals (Sweden)

    Heather R Williamson

    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.

  15. Features and distribution patterns of Chinese endemic seed plant species

    Institute of Scientific and Technical Information of China (English)

    Ji-Hong HUANG; Jian-Hua CHEN; Jun-Sheng YING; Ke-Ping MA

    2011-01-01

    We compiled and identified a list of Chinese. endemic seed plant species based on a large number of published References and expert reviews. The characters of these seed plant species and their distribution patterns were described at length. China is rich in endemic seed plants, with a total of 14 939 species (accounting for 52.1%of its total seed plant species) belonging to 1584 genera and 191 families. Temperate families and genera have a significantly higher proportion of endemism than cosmopolitan and tropical ones. The most primitive and derived groups have significantly higher endemism than the other groups. The endemism of tree, shrub, and liana or vine is higher than that of total species; in contrast, the endemism of herb is lower than that of total species. Geographically,these Chinese endemic plants are mainly distributed in Yunnan and Sichuan provinces, southwest China. Species richness and proportion of these endemic plants decrease with increased latitude and have a unimodal response to altitude. The peak value of proportion of endemism is at higher altitudes than that of total species and endemic species richness. The proportions of endemic shrub, liana or vine, and herb increase with altitude and have a clear unimodal curve. In contrast, the proportion of tree increases with altitude, with a sudden increase at~4000 m and has a completely different model. To date, our study provides the most comprehensive list of Chinese endemic seed plant species and their basic composition and distribution features.

  16. Patterns of plant diversity and endemism in Namibia

    Directory of Open Access Journals (Sweden)

    P. Craven

    2006-12-01

    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.

  17. Gene Expression Analysis in Tubule Interstitial Compartments Reveals Candidate Agents for IgA Nephropathy

    Directory of Open Access Journals (Sweden)

    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.

  18. Ochratoxin A: General Overview and Actual Molecular Status

    OpenAIRE

    el Khoury, André; Atoui, Ali

    2010-01-01

    Ochratoxin A (OTA) is a mycotoxin produced by several species of Aspergillus and Penicillium fungi that structurally consists of a para-chlorophenolic group containing a dihydroisocoumarin moiety that is amide-linked to L-phenylalanine. OTA is detected worldwide in various food and feed sources. Studies show that this molecule can have several toxicological effects such as nephrotoxic, hepatotoxic, neurotoxic, teratogenic and immunotoxic. A role in the etiology of Balkan endemic nephropathy a...

  19. A development of a molecularly imprinted polymer: Specific for ochratoxin A: Theoretical and sensor applications

    OpenAIRE

    Turner, Nicholas W.

    2004-01-01

    In this work the development of two molecularly imprinted polymers, specific for ochratoxin A, is presented. Ochratoxin A is produced by several Aspergillus and Penicillium species and is common in cereals and other starch rich foods and has also been found in coffee, dried fruits, wine, beer and meats. It demonstrates potent teratogenic, immunosuppressive, mutagenic and carcinogenic properties. The toxin is also linked to Balkan Endemic Nephropathy, a chronic kidney disease...

  20. Rutin ameliorates kidney interstitial fibrosis in rats with obstructive nephropathy.

    Science.gov (United States)

    Wang, Bin; Liu, Ding; Zhu, Qiu-Hua; Li, Min; Chen, Hua; Guo, Ying; Fan, Li-Pei; Yue, Liang-Sheng; Li, Liu-Yang; Zhao, Ming

    2016-06-01

    Rutin reportedly conveys many beneficial effects, including renoprotection; however, it has not yet been demonstrated to have a renoprotective effect against obstructive nephropathy. The present study is the first to show a protective effect of rutin against obstructive renal injury induced by unilateral ureteral obstruction (UUO). A total of 24 male Wistar rats were randomly divided into four groups of six rats each, including vehicle- or rutin-treated sham operated groups, and vehicle- or rutin-treated UUO groups. Rats received daily oral gavage of rutin (100mg/kg) for 2weeks. All rats were euthanized on postoperative day 14. Histological findings showed that rutin administration significantly reduced renal interstitial injury and suppressed interstitial collagen deposits in UUO rats. Moreover, rutin decreased macrophage infiltration, proinflammatory cytokine expression and phosphorylation of nuclear factor-κB p65. Furthermore, rutin inhibited extracellular matrix accumulation by reducing expression of type I/III collagen and fibronectin. Rutin also prevented the epithelial-mesenchymal transition processes of renal tubular cells by decreasing α-smooth muscle actin expression and retaining E-cadherin expression. These effects of rutin were in parallel with the reductions in Smad3 activity and pivotal to the fibrogenic potential of TGF-β1. Taken together, the renoprotective effects of rutin in obstructive nephropathy were likely due to anti-inflammatory effects and inhibition of TGF-β1/Smad3 signaling. PMID:27035719

  1. Pyelonephritis, renal scarring, and reflux nephropathy: a pediatric urologist's perspective

    International Nuclear Information System (INIS)

    Imaging of children with a clinical diagnosis of pyelonephritis is performed to characterize the extent of the infection, to identify associated renal injury and to uncover risk factors for future infections and renal damage. Although there is general agreement regarding the need for parenchymal imaging and the need to exclude processes that are either functionally or anatomically obstructive, there is controversy regarding the need for routine cystography, especially when parenchymal involvement has not been documented. A protocol that limits the use of cystography for evaluation of urinary tract infections must assume that the diagnosis of reflux is at least of variable clinical significance. It is now clear that vesicoureteral reflux and reflux nephropathy represent a diverse population that includes both congenital and acquired processes. MR imaging will improve our understanding of vesicoureteral reflux, pyelonephritis and renal scarring and might help us to identify and manage those patients most at risk for recurrent infections and renal injury. To recognize the potential contributions of this newer imaging technique it is helpful to look at our understanding of the pathophysiology of pyelonephritis, reflux and reflux nephropathy. (orig.)

  2. Mesoamerican nephropathy: a neglected tropical disease with an infectious etiology?

    Science.gov (United States)

    Murray, Kristy O; Fischer, Rebecca S B; Chavarria, Denis; Duttmann, Christiane; Garcia, Melissa N; Gorchakov, Rodion; Hotez, Peter J; Jiron, William; Leibler, Jessica H; Lopez, Job E; Mandayam, Sreedhar; Marin, Alejandro; Sheleby, Jessica

    2015-10-01

    An outbreak of unexplained and severe kidney disease, "Mesoamerican Nephropathy," in mostly young, male sugar cane workers emerged in Central America in the late 1990's. As a result, an estimated 20,000 individuals have died, to date. Unfortunately, and with great consequence to human life, the etiology of the outbreak has yet to be identified. The sugarcane fields in Chichigalpa, Chinandega, Nicaragua, have been involved in the outbreak, and during our initial investigation, we interviewed case patients who experienced fever, nausea and vomiting, arthralgia, myalgia, headache, neck and back pain, weakness, and paresthesia at the onset of acute kidney disease. We also observed a heavy infestation of rodents, particularly of Sigmodon species, in the sugarcane fields. We hypothesize that infectious pathogens are being shed through the urine and feces of these rodents, and workers are exposed to these pathogens during the process of cultivating and harvesting sugarcane. In this paper, we will discuss the epidemic in the Chichigalpa area, potential pathogens responsible for Mesoamerican Nephropathy, and steps needed in order to diagnose, treat, and prevent future cases from occurring. PMID:26320026

  3. Effect of antihypertensive treatment on progression of incipient diabetic nephropathy

    DEFF Research Database (Denmark)

    Christensen, Cramer; Mogensen, C E

    The aim of the study was to clarify whether antihypertensive treatment with a selective beta blocker would have an effect on the progression rate of kidney disease in patients with incipient diabetic nephropathy. Six male patients with juvenile-onset diabetes with incipient nephropathy (urinary...... albumin excretion above 15 micrograms/min and total protein excretion below 0.5 g/24 hr) were treated with metoprolol (200 mg daily). At the start of the antihypertensive treatment the mean age was 32 years +/- 4.2 (SD). The patients were followed a mean 5.4 years +/- 3.1 (SD) with repeated measurements...... of urinary albumin excretion before and during 2.6 years +/- 1.0 (SD) of treatment. The blood pressure was depressed by the treatment (systolic blood pressure from 135 mm Hg +/- 8.6 to 124 mm Hg +/- 6.2, NS; mean blood pressure from 107 mm Hg +/- 7.6 to 97 mm Hg +/- 3.4, 2p less than 0.05; diastolic...

  4. ACE Gene Insertion/Deletion Polymorphism and Type-2 Diabetic Nephropathy in Eastern Indian Population

    Directory of Open Access Journals (Sweden)

    Mithun Sikdar

    2013-02-01

    Full Text Available Background: Nephropathy is one of the major complications among the patients having type 1 or long term Type 2 diabetes and there are various studies that suggest its genetic predisposition. A 287 bp insertion/deletion (I/D polymorphism of the gene encoding angiotensin-I converting enzyme (ACE is shown to have association with diabetic nephropathy. Aim: To identify the association of ACE I/D polymorphism with subjects having diabetic nephropathy.Materials and methods: The present study examined the prevalence of ACE insertion/deletion polymorphism among 91 Bengali individuals from Eastern India. Among them 30 individuals belong to diabetic nephropathy (DN, 30 individuals having diabetes without nephropathy (DM and 31 normal controls. The DNA samples of studied subjects were genotyped using polymerase chain reaction.Results: The frequency of DD, ID and II genotypes in patients having diabetic nephropathy (DN were found to be 26.7%, 53.3% and 20.0% respectively, whereas the same for only diabetic patients (DM were 26.7%, 50.0%and 23.3% respectively. The frequencies of the same genotypes among the normal controls were found to be 9.68%, 64.5% and 25.8% respectively. Inspite of a slightly higher odds ratio for DD genotypes among DM and DN subjects in comparison to the normal group the distribution pattern of DD genotype did not differ significantly within the three cohorts. The frequency of D allele among the patients having diabetic nephropathy, diabetic without nephropathy and control subjects was found to be 0.533, 0.516 and 0.420 respectively. This distribution pattern also did not differ significantly (χ2=1.859, p>0.05.Conclusion: No significant association was found between ACE I/D polymorphism with diabetic nephropathy patients from Bengali caste population.

  5. Genome-wide DNA methylation analysis for diabetic nephropathy in type 1 diabetes mellitus

    Directory of Open Access Journals (Sweden)

    Beck Stephan

    2010-08-01

    Full Text Available Abstract Background Diabetic nephropathy is a serious complication of diabetes mellitus and is associated with considerable morbidity and high mortality. There is increasing evidence to suggest that dysregulation of the epigenome is involved in diabetic nephropathy. We assessed whether epigenetic modification of DNA methylation is associated with diabetic nephropathy in a case-control study of 192 Irish patients with type 1 diabetes mellitus (T1D. Cases had T1D and nephropathy whereas controls had T1D but no evidence of renal disease. Methods We performed DNA methylation profiling in bisulphite converted DNA from cases and controls using the recently developed Illumina Infinium® HumanMethylation27 BeadChip, that enables the direct investigation of 27,578 individual cytosines at CpG loci throughout the genome, which are focused on the promoter regions of 14,495 genes. Results Singular Value Decomposition (SVD analysis indicated that significant components of DNA methylation variation correlated with patient age, time to onset of diabetic nephropathy, and sex. Adjusting for confounding factors using multivariate Cox-regression analyses, and with a false discovery rate (FDR of 0.05, we observed 19 CpG sites that demonstrated correlations with time to development of diabetic nephropathy. Of note, this included one CpG site located 18 bp upstream of the transcription start site of UNC13B, a gene in which the first intronic SNP rs13293564 has recently been reported to be associated with diabetic nephropathy. Conclusion This high throughput platform was able to successfully interrogate the methylation state of individual cytosines and identified 19 prospective CpG sites associated with risk of diabetic nephropathy. These differences in DNA methylation are worthy of further follow-up in replication studies using larger cohorts of diabetic patients with and without nephropathy.

  6. Notes on autumn-winter stomach contents of the Stone Marten (Martes foina in the Balkan Mountains, Central Bulgaria

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    Masumi Hisano

    2014-05-01

    Full Text Available We studied autumn-winter food (November-February, 1997-2003 of the Stone Marten in the Balkan Mountains, Central Bulgaria. A total of 26 stomachs (18 of males and eight of females were examined, of which contents was expressed as the number of occurrence and relative frequency of occurrence. The result clearly showed that rodents are primary prey for the Stone Marten. Birds and insects were the following categories consumed. The edible dormouse was detected as a prey for the first time in Bulgaria. Besides, wild ungulates and domestic animals were occasionally scavenged, while neither fruits nor artificial materials were detected in the marten stomachs. Thus, our study showed that the Stone Marten in the Balkan Mountains tended to be more carnivorous in winter.

  7. The Importance of the geographical position of Kosovo in increasing the Trade, Transit and International Transport in the Balkans

    Directory of Open Access Journals (Sweden)

    Ramadan Mazrekaj

    2015-07-01

    Full Text Available This paper analyzes the effect of the main highways in Kosovo (Roads 6 and 7 in the development of trade and transport of goods. In this sense, another objective of this paper is the effect of the Kosovo highways (Kosovo Roads 6 and 7 in developing the Albanian Sea Ports (Port of Durres, Vlora and Shengjin. Many Balkan countries are working in the improvement of roads and rail capacity in order to develop multimodal transport, aiming always at strengthening a dominant position in the Balkans, to serve as a connection bridge for the transportation of goods between Asia and Europe. Parts of this paper are also the movement of goods, trade exchange between Kosovo and other European countries, and a short analysis of the Trans CAD software program consisting of calculations of the quantity of goods that can be traded in Kosovo or through its territory (transit.

  8. The association between vitamin D deficiency and diabetic nephropathy in type 2 diabetic patients

    Institute of Scientific and Technical Information of China (English)

    李冬梅

    2013-01-01

    Objective To evaluate the association between vitamin D deficiency and diabetic nephropathy in type 2 diabetic patients.Methods A total of 594 patients with type2 diabetes were enrolled from the inpatients of the Nanjing Medical University Affiliated Nanjing Hospital.Fasting serum lipid profile,25-hydroxycalciferol vitamin D and urinary albumin excretion rate were investigated.The relationship between nephropathy and vitamin D deficiency (<20μg/L) or insufficiency (20-<30μg/L) was analyzed.Results Nephropathy was found in 177subjects (29.8%) with albuminuria in 141 and proteinu-

  9. 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.

  10. Endemic mycoses in AIDS: a clinical review.

    OpenAIRE

    Wheat, J

    1995-01-01

    Histoplasmosis and coccidioidomycosis are serious opportunistic infections in patients with AIDS who reside in areas of endemicity of the United States and Central and South America. Blastomycosis, although less common, also must be recognized as an opportunistic infection in patients with AIDS. Prompt diagnosis requires knowledge of the clinical syndromes and diagnostic tests as well as a high index of suspicion. Histoplasmosis and blastomycosis respond well to antifungal treatment, but rela...

  11. Endemic pemphigus over a century: Part II

    OpenAIRE

    Ana María Abréu-Vélez; Ana Maria Roselino; Howard, Michael S.; Iara J. de Messias Reason

    2010-01-01

    Background : Endemic pemphigus foliaceus (EPF) is an autoimmune disease, classically occurring in a restricted geographic area. Foci of EPF have been described in several Central and South American countries, often affecting young people and Amerindians, with some female predilection. Although most American EPF cases have been documented in Brazil, cases have been reported in Peru, Paraguay, El Salvador and Venezuela. An additional variant of EPF has been described in El Bagre, Colombia, (El ...

  12. Tendances et différences démographiques dans les Balkans

    Directory of Open Access Journals (Sweden)

    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

  13. A snapshot of Western Balkan’s agriculture from the perspective of EU accession

    OpenAIRE

    Mizik, Tamas

    2012-01-01

    The Western Balkan countries can be characterised by their shared goal, which is rapid accession to the EU. Agriculture is an important element to achieving this goal. The role of agriculture differs widely among the analysed countries but is more important than the average of the EU. This study gives a comprehensive overview of the most important agricultural indicators. These indicators give a precise picture of the sector’s relevance, production structure, efficiency and international re...

  14. Natural radioactivity level in materials used for medieval vaulting in the territory of the central Balkan region

    OpenAIRE

    Bjelić Igor S.; Todorović Dragana J.; Krneta-Nikolić Jelena D.; Lazarević Đorđe R.; Stanković Koviljka Đ.

    2016-01-01

    This work presents the results of an investigation undertaken to determine the level of natural radioactivity in the traditional building materials used for medieval indoor vaulted constructions in the territory of the central Balkan region. Indoor radiation exposure varies appreciably if it comes from the earth building materials, hence the presence of natural radioisotopes of 226Ra, 232Th, and 40K in masonry vaulted constructions was analyzed using gamma ...

  15. The transition to farming and the "revolution" of symbols in the Balkans: from ornament to entoptic and external symbolic storage:

    OpenAIRE

    Mihael Budja

    2004-01-01

    In desimplifying the logic of colonisation and transition to farming we discuss huntergatherers' and farmer's symbolic structures in the Balkans and Carpathians. Particular attention is paid to the concepts of 'revolution of symbols', 'external symbolic storage' and 'signs of all time'. Our basic premises are (1) that ceramic technology and the principles of fragmentation and accumulationwere not the exclusive domains of farmers and, (2) that the hunter-gatherers' symbolic structures and the ...

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

    OpenAIRE

    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 explore, analyze and understand perceptions, motivations and barriers of consumers in WBC towards fruit and fruit products and their nutritional balance. In this WP 5 the focus is on consumption o...

  17. Climate variability over the last 92 ka in SW Balkans from analysis of sediments from Lake Prespa

    OpenAIRE

    Panagiotopoulos, K.; Böhm, A.; Leng, M. J.; Wagner, B.; Schäbitz, F.

    2014-01-01

    The transboundary Lake Prespa (Albania/former Yugoslav Republic of Macedonia/Greece) has been recognized as a conservation priority wetland. The high biodiversity encountered in the catchment at present points to the refugial character of this mountainous region in the southwestern Balkans. A lake sediment core retrieved from a coring location in the northern part of the lake was investigated through sedimentological, geochemical, and palynological analyses. Based on tephrochronology, radioca...

  18. Effects of different production systems on carcass and meat quality of sheep and lamb from Western Balkan and Norway

    OpenAIRE

    Bjelanović M.; Grabež V.; Vučić G.; Martinović A.; Lima L.R.; Marković B.; Egelandsdal B.

    2015-01-01

    The identification of meat quality characteristics from selected breeds grazing in specific regions is particularly relevant to achieve a marketing advantage. Longisimus thoracis at lumborum (LTL) from the indigenous Western Balkan (WB) sheep - VlašićkaPramenka (VP) sheep and lambs, and Pivska Pramenka (PP) sheep grazing in Bosnia & Herzegovina (B&H) and Montenegro (MN), respectively, was compared regarding carcass and meat qualities to the crossbred Norweg...

  19. "Initiate-build-operate-transfer"--a strategy for establishing sustainable telemedicine programs in developing countries: initial lessons from the balkans.

    Science.gov (United States)

    Latifi, Rifat; Merrell, Ronald C; Doarn, Charles R; Hadeed, George J; Bekteshi, Flamur; Lecaj, Ismet; Boucha, Kathe; Hajdari, Fatmir; Hoxha, Astrit; Koshi, Dashurije; de Leonni Stanonik, Mateja; Berisha, Blerim; Novoberdaliu, Kadri; Imeri, Arben; Weinstein, Ronald S

    2009-12-01

    Establishing sustainable telemedicine has become a goal of many developing countries around the world. Yet, despite initiatives from a select few individuals and on occasion from various governments, often these initiatives never mature to become sustainable programs. The introduction of telemedicine and e-learning in Kosova has been a pivotal step in advancing the quality and availability of medical services in a region whose infrastructure and resources have been decimated by wars, neglect, lack of funding, and poor management. The concept and establishment of the International Virtual e-Hospital (IVeH) has significantly impacted telemedicine and e-health services in the Balkans. The success of the IVeH in Kosova has led to the development of similar programs in other Balkan countries and other developing countries in the hope of modernizing and improving their healthcare infrastructure. A comprehensive, four-pronged strategy, "Initiate-Build-Operate-Transfer" (IBOT), may be a useful approach in establishing telemedicine and e-health educational services in developing countries. The development strategy, IBOT, used by the IVeH to establish and develop telemedicine programs, was discussed. IBOT includes assessment of healthcare needs of each country, the development of a curriculum and education program, the establishment of a nationwide telemedicine network, and the integration of the telemedicine program into the healthcare infrastructure. The endpoint is the transfer of a sustainable telehealth program to the nation involved. By applying IBOT, a sustainable telemedicine program of Kosova has been established as an effective prototype for telemedicine in the Balkans. Once fully matured, the program will be transitioned to the national Ministry of Health, which ensures the sustainability and ownership of the program. Similar programs are being established in Albania, Macedonia, and other countries around the world. The IBOT model has been effective in creating

  20. 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...

  1. Lisinopril Protects Against the Adriamycin Nephropathy and Reverses the Renalase Reduction: Potential Role of Renalase in Adriamycin Nephropathy

    Directory of Open Access Journals (Sweden)

    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.

  2. The state of hepatitis B and C in the Mediterranean and Balkan countries: report from a summit conference.

    Science.gov (United States)

    Hatzakis, A; Van Damme, P; Alcorn, K; Gore, C; Benazzouz, M; Berkane, S; Buti, M; Carballo, M; Cortes Martins, H; Deuffic-Burban, S; Dominguez, A; Donoghoe, M; Elzouki, A-N; Ben-Alaya Bouafif, N; Esmat, G; Esteban, R; Fabri, M; Fenton, K; Goldberg, D; Goulis, I; Hadjichristodoulou, C; Hadjichristodoulou, T; Hatzigeorgiou, T; Hamouda, O; Hasurdjiev, S; Hughes, S; Kautz, A; Malik, M; Manolakopoulos, S; Matičič, M; Papatheodoridis, G; Peck, R; Peterle, A; Potamitis, G; Prati, D; Roudot-Thoraval, F; Reic, T; Sharara, A; Shennak, M; Shiha, G; Shouval, D; Sočan, M; Thomas, H; Thursz, M; Tosti, M; Trépo, C; Vince, A; Vounou, E; Wiessing, L; Manns, M

    2013-08-01

    The burden of disease due to chronic viral hepatitis constitutes a global threat. In many Balkan and Mediterranean countries, the disease burden due to viral hepatitis remains largely unrecognized, including in high-risk groups and migrants, because of a lack of reliable epidemiological data, suggesting the need for better and targeted surveillance for public health gains. In many countries, the burden of chronic liver disease due to hepatitis B and C is increasing due to ageing of unvaccinated populations and migration, and a probable increase in drug injecting. Targeted vaccination strategies for hepatitis B virus (HBV) among risk groups and harm reduction interventions at adequate scale and coverage for injecting drug users are needed. Transmission of HBV and hepatitis C virus (HCV) in healthcare settings and a higher prevalence of HBV and HCV among recipients of blood and blood products in the Balkan and North African countries highlight the need to implement and monitor universal precautions in these settings and use voluntary, nonremunerated, repeat donors. Progress in drug discovery has improved outcomes of treatment for both HBV and HCV, although access is limited by the high costs of these drugs and resources available for health care. Egypt, with the highest burden of hepatitis C in the world, provides treatment through its National Control Strategy. Addressing the burden of viral hepatitis in the Balkan and Mediterranean regions will require national commitments in the form of strategic plans, financial and human resources, normative guidance and technical support from regional agencies and research. PMID:23827008

  3. 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

  4. Development of New Microsatellite Markers for Salvia officinalis L. and Its Potential Use in Conservation-Genetic Studies of Narrow Endemic Salvia brachyodon Vandas

    Directory of Open Access Journals (Sweden)

    Ivan Radosavljević

    2012-09-01

    Full Text Available Nine new microsatellite markers (SSR were isolated from Salvia officinalis L. A total of 125 alleles, with 8 to 21 alleles per locus, were detected in a natural population from the east Adriatic coast. The observed heterozygosity, expected heterozygosity, and polymorphic information content ranged from 0.46 to 0.83, 0.73 to 0.93 and 0.70 to 0.92, respectively. New microsatellite markers, as well as previously published markers, were tested for cross-amplification in Salvia brachyodon Vandas, a narrow endemic species known to be present in only two localities on the Balkan Peninsula. Out of 30 microsatellite markers tested on the natural S. brachyodon population, 15 were successfully amplified. To obtain evidence of recent bottleneck events in the populations of both species, observed genetic diversity (HE was compared to the expected genetic diversity at mutation-drift equilibrium (HEQ and calculated from the observed number of alleles using a two-phased mutation model (TPM. Recent bottleneck events were detected only in the S. brachyodon population. This result suggests the need to reconsider the current threat category of this endemic species.

  5. 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

  6. 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

  7. Incidence of Contrast-Induced Nephropathy after Contrast-Enhanced Computed Tomography in the Outpatient Setting

    OpenAIRE

    Mitchell, Alice M.; Jones, Alan E.; James A Tumlin; Kline, Jeffrey A.

    2010-01-01

    Background and objectives: No prospective study has reported the incidence of contrast-induced nephropathy (CIN) or the associated morbidity and mortality after contrast-enhanced computed tomography (CECT) in the outpatient setting.

  8. 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.

  9. IgA Nephropathy in a Patient Presenting with Pseudotumor Cerebri

    Directory of Open Access Journals (Sweden)

    Umair Syed Ahmed

    2016-01-01

    Full Text Available IgA nephropathy is the most common glomerulonephritis worldwide and typically has minimal signs for chronicity in histopathology at the time of initial presentation. Pseudotumor cerebri (PTC is characterized by increased intracranial pressure in the absence of any intracranial lesions, inflammation, or obstruction. PTC has been reported in renal transplant and dialysis patients, but we are unaware of any reports of pseudotumor cerebri in patients with IgA nephropathy. We report a case of a young female who presented with signs and symptoms of pseudotumor cerebri and was subsequently diagnosed with IgA nephropathy and end-stage renal disease. To our knowledge this is the first report of IgA nephropathy presenting as end-stage renal disease in a patient who presented with pseudotumor cerebri.

  10. IgA Nephropathy in a Patient Presenting with Pseudotumor Cerebri

    Science.gov (United States)

    Ahmed, Umair Syed; Bacaj, Patrick; Iqbal, Hafiz Imran; Onder, Songul

    2016-01-01

    IgA nephropathy is the most common glomerulonephritis worldwide and typically has minimal signs for chronicity in histopathology at the time of initial presentation. Pseudotumor cerebri (PTC) is characterized by increased intracranial pressure in the absence of any intracranial lesions, inflammation, or obstruction. PTC has been reported in renal transplant and dialysis patients, but we are unaware of any reports of pseudotumor cerebri in patients with IgA nephropathy. We report a case of a young female who presented with signs and symptoms of pseudotumor cerebri and was subsequently diagnosed with IgA nephropathy and end-stage renal disease. To our knowledge this is the first report of IgA nephropathy presenting as end-stage renal disease in a patient who presented with pseudotumor cerebri. PMID:26989531

  11. Bestimmung der Albuminausscheidung im Urin bei Diabetikern zur Vorsorge und Kontrolle der diabetischen Nephropathie

    OpenAIRE

    Schroeder, A.; Heiderhoff, M; KÖBBERLING, J.

    2005-01-01

    The issue Diabetes has become the main cause of endstage renal disease. The costs for the treatment of diabetic patients with endstage renal disease have increased in the last years and have become a relevant economic topic of the health service. The first unspecific predictor of a diabetic nephropathy is an albuminuria. The screening for diabetic nephropathy uses microalbuminuria as a proof. Objectives What significance does the determination of albuminuria have on the precaution and course...

  12. The Role of Bone Marrow Cells in the Phenotypic Changes Associated with Diabetic Nephropathy

    OpenAIRE

    Guang Yang; Qingli Cheng; Sheng Liu; Jiahui Zhao

    2015-01-01

    The aim of our study was to investigate the role of bone marrow cells in the phenotypic changes that occur in diabetic nephropathy. Bone marrow cells were obtained from either streptozotocin-induced diabetic or untreated control C3H/He mice and transplanted into control C3H/He mice. Eight weeks after bone marrow cell transplantation, renal morphologic changes and clinical parameters of diabetic nephropathy, including the urine albumin/creatinine ratio and glucose tolerance, were measured in v...

  13. Membranous nephropathy with repeated flares in IgG4-related disease

    OpenAIRE

    Kanda, Hiroko; Koya, Junji; Uozaki, Hiroshi; Tateishi, Shoko; Sato, Kojiro; Hagino, Noboru; Sawada, Tetsuji; Yamamoto, Kazuhiko

    2013-01-01

    IgG4-related disease (IgG4-RD) is associated with the infiltration of IgG4-positive plasma cells into various organs. Nephropathy of IgG4-RD is generally interstitial nephritis and glomerulonephritis is rare. We describe a case of membranous nephropathy (MN) without interstitial nephritis associated with IgG4-RD symptoms including lymphadenopathy and pulmonary and pleural lesions. Treatment with steroids improved these clinical symptoms, but withdrawal of steroids induced the repeated relapse...

  14. Membranous nephropathy as a rare renal manifestation of IgG4-related disease

    OpenAIRE

    Kurien, A. A.; RayChaudhury, A; Walker, P D

    2015-01-01

    IgG4-related disease, a newly described immune-mediated disorder with tissue infiltration of IgG4-positive plasma cells, has been reported in nearly every organ. In the kidney, it manifests as IgG4-related tubulointerstitial nephritis (TIN) but may also present as membranous nephropathy. We report a patient with IgG4 renal disease who had membranous nephropathy as well as TIN.

  15. Determination of albuminuria in the urine of diabetics for prevention and control of diabetic nephropathy

    OpenAIRE

    Köbberling, Johannes; Schroeder, Andreas; Heiderhoff, Marc

    2005-01-01

    The issue: Diabetes has become the main cause of endstage renal disease. The costs for the treatment of diabetic patients with endstage renal disease have increased in the last years and have become a relevant economic topic of the health service. The first unspecific predictor of a diabetic nephropathy is an albuminuria. The screening for diabetic nephropathy uses microalbuminuria as a proof. Objectives: * What significance does the determination of albuminuria have on the precaution and cou...

  16. Diabetic Nephropathy and Microalbuminuria in Pregnant Women With Type 1 and Type 2 Diabetes

    OpenAIRE

    Damm, Julie Agner; Ásbjörnsdóttir, Björg; Callesen, Nicoline Foged; Mathiesen, Jonathan M.; Ringholm, Lene; Pedersen, Berit Woetmann; Mathiesen, Elisabeth R

    2013-01-01

    OBJECTIVE 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. RESEARCH DESIGN AND METHODS Among 220 women with type 2 diabetes and 445 women with type 1 diabetes giving birth from 2007–2012, 41 women had diabetic nephropathy (albumin-creatinine ratio ≥300 mg/g) or microalbuminuria (albumin-creatinine ratio...

  17. 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 and...... with normoalbuminuria, 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...

  18. 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; Mathiesen, Jonathan Michael; Ringholm, Lene; Pedersen, Berit Woetmann; Mathiesen, Elisabeth R

    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.......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....

  19. Effect of Eugenia Jambolana on Streptozotocin-Nicotinamide induced type-2 Diabetic Nephropathy in Rats

    OpenAIRE

    Godwin Selvaraj Esther; Alvin Jose Manonmani

    2014-01-01

    The chronic type-2 diabetes mellitus leads to diabetic nephropathy, which is one of the major microvascular complication of end stage renal disease worldwide and causes premature death in diabetic patients. The objective of the present investigation was to evaluate the antidiabetic activity and protective effect of diabetic induced nephropathy of ethanolic extract of seeds of Eugenia jambolana (SEEJ) by using in-vitro and in-vivo models. The in-vitro antidiabetic effect was studied by glucose...

  20. Hepatic-associated immunoglobulin-A nephropathy in a child with liver cirrhosis and portal hypertension

    Directory of Open Access Journals (Sweden)

    Sharifa A Alghamdi

    2012-01-01

    Full Text Available Hepatic-associated immunoglobulin A (IgA nephropathy is a relatively common condition that occurs in adults with liver cirrhosis and portal hypertension. However, it is rare in children. This condition is characterized by the deposition of IgA in the renal glomeruli. The present report describes a 14-year-old boy with cryptogenic liver cirrhosis and portal hypertension who presented with hematuria and proteinuria associated with histological changes of IgA nephropathy.

  1. Taurine Alleviates the Progression of Diabetic Nephropathy in Type 2 Diabetic Rat Model

    OpenAIRE

    Jang Hyun Koh; Eun Soo Lee; Miri Hyun; Hong Min Kim; Yoon Jung Choi; Eun Young Lee; Dhananjay Yadav; Choon Hee Chung

    2014-01-01

    The overexpression of vascular endothelial growth factor (VEGF) is known to be involved in the pathogenesis of diabetic nephropathy. In this study, the protective effects of taurine on diabetic nephropathy along with its underlying mechanism were investigated. Experimental animals were divided into three groups: LETO rats as normal group (n = 10), OLETF rats as diabetic control group (n = 10), and OLETF rats treated with taurine group (n = 10). We treated taurine (200 mg/kg/day) for 20 weeks ...

  2. Urinary sulphate excretion and progression of diabetic nephropathy in Type 1 diabetes

    DEFF Research Database (Denmark)

    Andrésdóttir, G; Bakker, S J L; Hansen, H P; Parving, H-H; Rossing, P

    2013-01-01

    Hydrogen sulphide levels are reduced in many disease states, including diabetes and end-stage renal disease. We aimed to determine whether urinary sulphate excretion, as a proxy for hydrogen sulphide, was associated with progression of diabetic nephropathy.......Hydrogen sulphide levels are reduced in many disease states, including diabetes and end-stage renal disease. We aimed to determine whether urinary sulphate excretion, as a proxy for hydrogen sulphide, was associated with progression of diabetic nephropathy....

  3. Ginkgo biloba Extract for Patients with Early Diabetic Nephropathy: A Systematic Review

    OpenAIRE

    Lei Zhang; Wei Mao; Xinfeng Guo; Yifan Wu; Chuang Li; Zhaoyu Lu; Guobin Su; Xiaoyan Li; Zhuangzhu Liu; Rong Guo; Xina Jie; Zehuai Wen; Xusheng Liu

    2013-01-01

    Objectives. To evaluate the effectiveness and safety of a Ginkgo biloba extract for patients with early diabetic nephropathy. Methods. Randomised controlled trials (RCTs) conducted on adults with early diabetic nephropathy which used Gingko biloba extract were included. The major databases were searched, and manufacturers of Gingko biloba products were contacted for information on any published or unpublished studies. Two authors independently extracted the data from the included studies. Dat...

  4. An unusual presentation of venous thrombosis in a child with idiopathic membranous nephropathy

    Directory of Open Access Journals (Sweden)

    Sreekanth Burri

    2015-01-01

    Full Text Available Venous thrombosis is one of the major complications associated with nephrotic syndrome. Among the primary glomerular diseases, membranous nephropathy is associated with a high incidence of thrombotic events. Although this is well described in adults, there is paucity of the literature regarding venous thrombosis in children. Herein, we report such a thrombotic event involving both the lower limb veins and the inferior vena cava in a child with membranous nephropathy.

  5. Treatment of progressive IgA nephropathy: an update.

    Science.gov (United States)

    Wang, Weiming; Chen, Nan

    2013-01-01

    IgA nephropathy (IgAN) is the most common primary glomerular disease worldwide. About 25-30% of IgAN patients will progress to end-stage kidney disease in 20-25 years. Early-onset symptoms that are highly suggestive of progressive IgAN include massive proteinuria, hypertension, renal damage, glomerular sclerosis, crescent formation, and tubulointerstitial fibrosis. Progressive IgAN may progress to renal failure in a short time. Optimized supportive therapy is the fundamental treatment for progressive IgAN patients, and includes renin-angiotensin system blockers, blood pressure control, antiplatelet and anticoagulant drugs, statins, and allopurinol. In progressive IgAN patients whose clinical and pathological manifestations are more severe, active therapy may be considered including glucocorticoid therapy, cyclophosphamide, azathioprine, mycophenolate mofetil, tacrolimus, and other immunosuppressants. However, there are currently controversies on the definition and treatment of progressive IgAN. PMID:23689569

  6. Urinary proteomics for early diagnosis in diabetic nephropathy

    DEFF Research Database (Denmark)

    Zürbig, Petra; Jerums, George; Hovind, Peter; Macisaac, Richard J; Mischak, Harald; Nielsen, Stine; Panagiotopoulos, Sianna; Persson, Frederik; Rossing, Peter

    2012-01-01

    Diabetic nephropathy (DN) is a progressive kidney disease, a well-known complication of long-standing diabetes. DN is the most frequent reason for dialysis in many Western countries. Early detection may enable development of specific drugs and early initiation of therapy, thereby postponing...... diabetic patients (n = 35) using a previously generated chronic kidney disease (CKD) biomarker classifier to assess peptides of collected urines for signs of DN. The application of this classifier to samples of normoalbuminuric subjects up to 5 years prior to development of macroalbuminuria enabled early...... detection of subsequent progression to macroalbuminuria (area under the curve [AUC] 0.93) compared with urinary albuminroutinely used to determine the diagnosis (AUC 0.67). Statistical analysis of each urinary CKD biomarker depicted its regulation with respect to diagnosis of DN over time. Collagen...

  7. Treatment of IgA nephropathy with renal insufficiency.

    Science.gov (United States)

    Pozzi, Claudio; Sarcina, Cristina; Ferrario, Francesca

    2016-08-01

    IgA Nephropathy leads young people to dialysis more often than other glomerular diseases, because often diagnosis and therapy are made late. Nephrologists waive to treat IgAN pts with chronic renal insufficiency, believing that treatment may not be effective and safe. Moreover, studies in IgAN pts with reduced renal function are lacking. Small studies seem to indicate a possible utility of RAS blockers and corticosteroids in these patients. Recently, VALIGA study showed that corticosteroids and immunosuppressants were more frequently used in pts with eGFR 30 ml/min (60 vs. 44 %, respectively; p = 0.004). The goal of treating IgAN pts is to obtain a time-average proteinuria 1 g/day a 6-month course of corticosteroids could be useful and safe. PMID:26743078

  8. 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

    publications under the heading CIN have been published during the last 5 years. Fewer than 5% of these publications are randomized prospective controlled studies. In spite of the large number of reports on CIN, very little has been changed. The use of the smallest possible dose of low- or iso-osmolar contrast......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...... the incidence of CIN have been highly contentious. They include choice of contrast, pharmacologic manipulation, and volume expansion. The pathophysiology of this complication remains uncertain, but reduction in renal blood flow and direct toxicity of tubular cells has been implicated. More than 900...

  9. Changes and role of adrenomedullin in diabetic nephropathy

    Institute of Scientific and Technical Information of China (English)

    Huimin Li; Heng Miao; Xiuqin Jian; Fageng Hou

    2005-01-01

    Objective: To investigate the role and mechanism of adrenomedullin (AM) in diabetic nephropathy. Methods:This research observed the changes of the expression and secretion of AM, TGF-β1 in the cultured human mesangial cells under high glucose conditions and the contents of the laminin and type Ⅳ collagen in the supernatants, and the effect of intervention with AM on the changes.Results: High glucose condition resulted in increase in the expression and secretion of AM, TGF-β1, laminin and type Ⅳ collagen, and AM could reverse the influence of high glucose on the cultured human mesangial cells. Conclusion: The results showed that high glucose condition in one of the stimulating factors of AM, and the renal protective action of AM may be associated with suppression of TGF-β1 and reducing excessive accumulation of laminin and type Ⅳ collagen.

  10. A Case of Acute Phosphate Nephropathy After Colonoscopy

    Directory of Open Access Journals (Sweden)

    Ömer Celal ELÇİOĞLU

    2013-01-01

    Full Text Available Acute phosphate nephropathy is a form of acute kidney injury (AKI due to oral sodium phosphate (ONaP purgatives used for bowel cleansing before colonoscopy. Usually, 45 ml ONaP is given two times daily 12-24 hours prior to colonoscopy. Intestinal absorption is followed by transient hypocalcemia and hyperphosphatemia in almost all patients. In addition, severe hyperphosphatemia, symptomatic hypocalcemia, hypernatremia, hypocalcemia, hyponatremia, hypokalemia, high anion gap metabolic acidosis and AKI can be seen. The patient presented in this paper is a 65-year-old female. She was diagnosed with type 2 diabetes mellitus and hypertension. Colonoscopy was performed in order to investigate the etiology of iron deficiency anemia. ONaP was administered for preparation of colonoscopy and AKI which was clinically compatible with APN developed after the procedure.

  11. Membranous nephropathy in the cat: a clinical and pathological study.

    Science.gov (United States)

    Nash, A S; Wright, N G; Spencer, A J; Thompson, H; Fisher, E W

    1979-07-28

    A series of 13 cases of feline membranous nephropathy is presented. Two groups were distinguished clinically; eight cats had the nephrotic syndrome and five others were in renal failure but not nephrotic. The definitive diagnosis was based on histological, immunofluorescence and ultrastructural examinations of renal tissue obtained at renal biopsy or necropsy. Glomerular lesions were classified according to the degree of glomerular change into three distinct groups; mild, moderately severe and advanced. A relationship was established between the mild and moderately severe groups and cats with the nephrotic syndrome, and the advanced group and cats in renal failure. Diuretic therapy was satisfactory in initial control of oedema in the nephrotic cases. Monitoring of previously nephrotic cats for up to three years indicated that the disease is progressive, although in some cases it is sufficiently slow for a cat to live a relatively normal life without continuing treatment. The prognosis for cats presented in renal failure is hopeless. PMID:552741

  12. Reducing the Risks for Contrast-Induced Nephropathy

    International Nuclear Information System (INIS)

    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

  13. Pathophysiology of radiocontrast nephropathy: a role for medullary hypoxia.

    Science.gov (United States)

    Heyman, S N; Reichman, J; Brezis, M

    1999-11-01

    Recent experimental data underlies the role of hypoxic tubular injury in the pathophysiology of radiocontrast nephropathy. Although systemic transient hypoxemia, increased blood viscosity, and a leftward shift of the oxygen-hemoglobin dissociation curve may all contribute to intrarenal hypoxia, imbalance between oxygen demand and supply plays a major role in radiocontrast-induced outer medullary hypoxic damage. Low oxygen tension normally exists in this renal region, reflecting the precarious regional oxygen supply and a high local metabolic rate and oxygen requirement, resulting from active salt reabsorption by medullary thick ascending limbs of Henle's loop. Radiologic contrast agents markedly aggravate outer medullary physiologic hypoxia. This results from enhanced metabolic activity and oxygen consumption (as a result of osmotic diuresis and increased salt delivery to the distal nephron) because the regional blood flow and the oxygen supply actually increase. The latter effect may result in part from the activation of various regulatory mediators of outer medullary blood flow to ensure maximal regional oxygen supply. Low-osmolar radiocontrast agents may be less nephrotoxic because of the smaller osmotic load and vasomotor alterations. Experimental radiocontrast-induced renal failure requires preconditioning of animals with various insults (for example, congestive heart failure, reduced renal mass, salt depletion, or inhibition of nitric oxide and prostaglandin synthesis). In all these perturbations, which resemble clinical conditions that predispose to contrast nephropathy, outer medullary hypoxic injury results from insufficiency or inactivation of mechanisms designed to preserve regional oxygen balance. This underlines the importance of identifying and ameliorating predisposing factors in the prevention of this iatrogenic disease. PMID:10548380

  14. Effect of atorvastatin on preventing contrast-induced nephropathy

    International Nuclear Information System (INIS)

    Objective: To study the effects of atorvastatin on contrast-induced renal function and urinary protein change in patients undergoing diagnostic and therapeutic coronary intervention. Methods: Two hundred and forty-six patients who underwent coronary angiography or percutaneous coronary intervention (PCI) were randomized to receive atorvastatin (40 mg, qn, n=123) or no atorvastatin (n=123) treatment 3 days before coronary angiography. All patients received hydrated therapy. Serum creatinine (Scr), urinary αl-microglobulin (αl-MG), and urinary albumin (mALB) were checked for evidence of tubular or glomerular damage at start, and 36 to 48 hours after the administration of a radiocontrast agent. High-sensitive C-reactive protein (hsCRP) levels, urinary αl-MG/ urinary creatinine(Ucr) and mALB/ Ucr were also assessed at the same time. Creatinine clearance(Ccr) was calculated according to Cockcroft-Gault formulas basing on serum creatinine. Results: (1) In the control group and atorvastatin-treated group, comparison with the value before coronary angiography or PCI, urinary αl-MG/ Ucr, mALB/ Ucr, Scr and hsCRP significantly increased from 36 to 48 hours after angiography or PCI (Pl-MG/ Ucr significantly increased at the 2nd day after angiography or PCI in the control group (P<0.05), incidence of contrast induced nephropathy (CIN) significantly increased too (8.13% vs 0.81%, P<0.05). Conclusions: Contrast media induces light renal function damage. Pretreatment with atorvastatin 40 mg/qn for 3 days could significantly reduce procedural inflammatory reaction and prevent contrast-induced nephropathy. (authors)

  15. Dietary hypercholesterolemia aggravates contrast media-induced nephropathy

    Institute of Scientific and Technical Information of China (English)

    杨定位; 贾汝汉; 杨定平; 丁国华; 黄从新

    2004-01-01

    Background Contrast media administration can result in severe nephrotoxicity under pathological conditions such as diabetic nephropathy, congestive heart failure, dehydration, et al. The purpose of this study was to evaluate the effects of dietary hypercholesterolemia on contrast media-induced changes in renal function, blood flow, and histopathology.Methods Rats were fed either on a normal rodent diet (group N) or a high-cholesterol supplemented diet (group H; 4% cholesterol and 1% cholic acid) for 8 weeks. Half of the animals (n =6) from each diet group were then given a tail vein injection of 60% diatrizoate (6 ml/kg; group NC and group HC)and the other half were administered saline. Total serum cholesterol, triglyceride, serum creatinine,creatinine clearance rate, fractional excretion of sodium and potassium, and cortical nitric oxide production were determined one day following contrast media administration. Renal blood flow was determined by color Doppler flow imaging and pulsed-mode Doppler. Renal histopathology was observed by light microscopy.Results Total serum cholesterol and resistance indices of renal blood vessels increased significantly,while creatinine clearance rate and production of nitric oxide in the renal cortex decreased markedly in group HC and group H when compared to group N and group NC. The creatinine clearance rate decreased significantly in group HC compared to group H. Serum creatinine levels and fractional excretion of sodium and potassium in group HC were significantly higher than those in the other three groups. Severe tubular degeneration and necrosis, protein cast accumulation, and medullary congestion were found in group HC.Conclusion Hypercholesterolemia is a risk factor for contrast media-induced nephropathy.Hypercholesterolemia aggravates contrast media-induced nephrotoxicity through the reduced production of nitric oxide.

  16. Markers for the progression of IgA nephropathy.

    Science.gov (United States)

    Maixnerova, Dita; Reily, Colin; Bian, Qi; Neprasova, Michaela; Novak, Jan; Tesar, Vladimir

    2016-08-01

    We have summarized the latest findings on markers for progression of immunoglobulin A (IgA) nephropathy (IgAN), the most common primary glomerulonephritis with a high prevalence among end-stage renal disease (ESRD) patients. The clinical predictors of renal outcome in IgAN nephropathy, such as proteinuria, hypertension, and decreased estimated glomerular filtration rate (eGFR) at the time of the diagnosis, are well known. The Oxford classification of IgAN identified four types of histological lesions (known as the MEST score) associated with the development of ESRD and/or a 50 % reduction in eGFR. In addition, the role of genetic risk factors associated with IgAN is being elucidated by genome-wide association studies, with multiple risk alleles described. Recently, biomarkers in serum (galactose-deficient IgA1, IgA/IgG autoantibodies against galactose-deficient IgA1, and soluble CD 89-IgA complexes) and urine (soluble transferrin receptor, interleukin-6/epidermal growth factor ratio, fractalkine, laminin G-like 3 peptide, κ light chains, and mannan-binding lectin) have been identified. Some of these biomarkers may represent candidates for the development of noninvasive diagnostic tests, that would be useful for detection of subclinical disease activity, monitoring disease progression, assessment of treatment, and at the same time circumventing the complications associated with renal biopsies. These advances, along with future disease-specific therapy, will be helpful in improving the treatment effectiveness, prognosis, and the quality of life in connection with IgAN. PMID:27142988

  17. 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)

    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)

  18. First records of Dirofilaria repens in wild canids from the region of Central Balkan.

    Science.gov (United States)

    Cirović, Duško; Penezić, Aleksandra; Pavlović, Ivan; Kulišić, Zoran; Cosić, Nada; Burazerović, Jelena; Maletić, Vladimir

    2014-12-01

    Dirofilaria repens causes an emerging zoonotic disease in Europe, particularly in its southern part, the Mediterranean region. Many reports on human dirofilariosis have been published recently, but little is known about the wildlife hosts and reservoirs of this parasite in nature. This paper presents the first records of adult D. repens specimens from free-ranging carnivores in Central Balkan countries (Serbia and Macedonia). During the period 2009-2013, a total of 145 regularly shot canids were examined for the presence of D. repens adults. In order to investigate their role as hosts and potential wild reservoirs of this zoonosis, 71 wolves (Canis lupus), 48 foxes (Vulpes vulpes) and 26 jackals (Canis aureus) were examined. Under the skin of two wolves (one from Serbia and one from Macedonia) and of a red fox from Serbia D. repens adults were found. In all three cases only one parasite was present. Further research on wild canids is needed, particularly on species widening their range (such as jackals) and those living near human settlements (foxes and jackals), which facilitates the transmission of the parasites to dogs and humans. PMID:25410390

  19. Price dispersion in neighboring countries in the Western Balkans - the case of the Macedonian tomato industry

    Directory of Open Access Journals (Sweden)

    Blazhe JORDANOV

    2013-03-01

    Full Text Available The aim of this paper was to analyze the degree of change in price and co- movement of prices between markets. The distinctiveness of the study is that it introduced a single product (highly perishable product price relationship analysis between a pair of spatially separated markets in the countries of the Western Balkan. This study attempts to comprehend to what extent the Macedonian domestic market is integrated into the regional markets, as well as to understand the relationship between the spatially separated regional markets. The data refer to the domestic Macedonian market and four different regional markets (Croatia, Serbia, Kosovo and Montenegro, as major importers of Macedonian fresh tomatoes. These countries were part of a common market until the 1990s and in the past period transited to a market economy. The method used is common time series analysis through unit root test, co-integration test and causality test. The study showed that the Macedonian economy, especially in terms of the tomato industry, is highly vulnerable and dependant on external markets. Future developments do not only depend upon the advances in the country, but also on developments in the export destinations. This also applies to the other concerned countries in the regions. The main finding is that a small country such as Macedonia is absorbed by developments in other countries in the region. This finding is supported by the results of the study that demonstrated a high level of co-integration between the domestic and regional markets.

  20. Western Balkans: State of Agriculture and its Opportunities on the Eve of EU Accession - II

    Directory of Open Access Journals (Sweden)

    Tamás Mizik

    2011-04-01

    Full Text Available The Western Balkan countries can be characterised by their shared goal, which is thequickest possible accession to the European Union. Agriculture is an important obstacle to achievingthis goal. The role of agriculture differs widely among the analysed countries but is more importantthan the average of the EU. This study gives a comprehensive overview of the most importantagricultural indicators related to both crop and livestock production. These indicators present aprecise picture of the sector’s relevance, production structure, efficiency and international relations.After demonstrating changes in input use, production structure, prices, terms of trade and agriculturalpolicies, the next section identifies some of the reasons for these changes. The time horizon of theanalysis goes back to the early nineties and tries to capture some transition effects. The consequencesof the Yugoslav war can be easily recognised in every country involved. However, since the end ofthe war Serbia became the leading producer and the only net exporter of agricultural goods in theregion. Nevertheless, the current situation is endangered by several issues, such as imbalancedsectoral production, fragmented production structure, relatively low yields, unfavourable exportcomposition, and poor food hygiene and quality control, which anticipate painful and hard actionsneed to be carried out.

  1. Western Balkans: State of Agriculture and its Opportunities on the Eve of EU Accession - I

    Directory of Open Access Journals (Sweden)

    Tamás Mizik

    2011-02-01

    Full Text Available The Western Balkan countries can be characterised by their shared goal, which is thequickest possible accession to the European Union. Agriculture is an important obstacle to achievingthis goal. The role of agriculture differs widely among the analysed countries but is more importantthan the average of the EU. This study gives a comprehensive overview of the most importantagricultural indicators related to both crop and livestock production. These indicators present aprecise picture of the sector’s relevance, production structure, efficiency and international relations.After demonstrating changes in input use, production structure, prices, terms of trade and agriculturalpolicies, the next section identifies some of the reasons for these changes. The time horizon of theanalysis goes back to the early nineties and tries to capture some transition effects. The consequencesof the Yugoslav war can be easily recognised in every country involved. However, since the end ofthe war Serbia became the leading producer and the only net exporter of agricultural goods in theregion. Nevertheless, the current situation is endangered by several issues, such as imbalancedsectoral production, fragmented production structure, relatively low yields, unfavourable exportcomposition, and poor food hygiene and quality control, which anticipate painful and hard actionsneed to be carried out.

  2. The Alburnus benthopelagic fish species of the Western Balkan Peninsula: An assessment of their sustainable use.

    Science.gov (United States)

    Simić, Vladica; Simić, Snežana; Paunović, Momir; Radojković, Nataša; Petrović, Ana; Talevski, Trajče; Milošević, Djuradj

    2016-01-01

    In this study, we aimed to assess the population status of bleak (Alburnus spp.) over the Western Balkan Peninsula in terms of its sustainable use. A second objective was to determine key factors important for fishery management planning. Two different basins, continental (the Danube Basin and the Sava River sub-basin) and marine (the Adriatic and the Aegean Sea Basins) were examined. A sustainability assessment and factor analysis were conducted using the adjusted ESHIPPOfishing model, extended with additional socio-economic sub-elements, and the categorical principal components analysis (CATPCA), respectively. The results of the assessment revealed the bleak populations in the Danube Basin and the Sava River sub-basin to be highly sustainable. The population characteristics with abiotic and biotic factors were responsible for this status, while the influence of socio-economic factors was insignificant. The sustainability status of the bleak populations of the Mediterranean basin varied, with the populations from Ohrid and Skadar Lakes showing a high and those from Prespa and Dojran Lakes a medium status. Socio-economic factors with traditional fishing were the most important for the Mediterranean bleak populations. PMID:26216478

  3. Environmental changes on the Balkans recorded in the sediments from lakes Prespa and Ohrid

    Science.gov (United States)

    Wagner, B.; Vogel, H.; Zanchetta, G.; Sulpizio, R.

    2010-05-01

    Lakes Prespa and Ohrid on the Balkans are considered to be amongst the oldest lakes in Europe. Both lakes are hydraulically connected via karst aquifers. From Lake Ohrid, several up to ca. 15 m long sediment records were studied during the past years. In this study, a first long sediment record from Lake Prespa was studied in order to shed more light on the influence of Lake Prespa on Lake Ohrid and the environmental history of the region. Radiocarbon dating and the occurrence of 3 dated tephra layers provide a good age control and indicate that the 10.5 m long sediment record reaches back to 48 ka. The comparison of the results from this study with those from former studies of the Lake Ohrid cores indicates that Lake Prespa is more susceptible to environmental changes due to its lower volume and water depth. Glacial sedimentation is characterized by low organic matter contents and absence of carbonates in the sediments, which indicate oligotrophic conditions in both lakes. Holocene sedimentation is characterized by particularly high carbonate contents in Lake Ohrid and by particularly high organic matter contents in Lake Prespa, which indicate a shift towards more mesotrophic conditions in the latter. Long-term environmental changes and short-term events, such as the Heinrich events during the Pleistocene or the 8.2 cooling event during the Holocene, are well recorded in both lakes, but partly expressed in different proxies.

  4. Environmental changes on the Balkans recorded in the sediments from lakes Prespa and Ohrid

    Directory of Open Access Journals (Sweden)

    B. Wagner

    2010-05-01

    Full Text Available Lakes Prespa and Ohrid on the Balkans are considered to be amongst the oldest lakes in Europe. Both lakes are hydraulically connected via karst aquifers. From Lake Ohrid, several up to ca. 15 m long sediment records were studied during the past years. In this study, a first long sediment record from Lake Prespa was studied in order to shed more light on the influence of Lake Prespa on Lake Ohrid and the environmental history of the region. Radiocarbon dating and the occurrence of 3 dated tephra layers provide a good age control and indicate that the 10.5 m long sediment record reaches back to 48 ka. The comparison of the results from this study with those from former studies of the Lake Ohrid cores indicates that Lake Prespa is more susceptible to environmental changes due to its lower volume and water depth. Glacial sedimentation is characterized by low organic matter contents and absence of carbonates in the sediments, which indicate oligotrophic conditions in both lakes. Holocene sedimentation is characterized by particularly high carbonate contents in Lake Ohrid and by particularly high organic matter contents in Lake Prespa, which indicate a shift towards more mesotrophic conditions in the latter. Long-term environmental changes and short-term events, such as the Heinrich events during the Pleistocene or the 8.2 cooling event during the Holocene, are well recorded in both lakes, but partly expressed in different proxies.

  5. Molecular detection and prevalence of Theileria equi and Babesia caballi in horses of central Balkan.

    Science.gov (United States)

    Davitkov, Darko; Vucicevic, Milos; Stevanovic, Jevrosima; Krstic, Vanja; Slijepcevic, Dajana; Glavinic, Uros; Stanimirovic, Zoran

    2016-06-01

    Equine piroplasmosis is significant tick-borne disease with wide distribution. The prevalence of equine piroplasmosis in Serbia, Montenegro and Bosnia and Herzegovina is unknown. In aim to obtain a first insight into the prevalence we performed molecular epidemiological study which included 142 horses, on seven locations in these three countries. We first performed PCR for the detection of a 450bp long section of the 18S rRNA of piroplasma-specific region. For all positive samples we have done multiplex PCR for the species detection. Species determination was further confirmed by sequencing PCR products of 10 randomly selected Theileria equi and all Babesia caballi samples. The overall prevalence rates in analysed region for T. equi and B. caballi were 22.5% and 2.1%, respectively. Possible risk factors (such as location, age, sex and activity) associated with PCR positivity were evaluated. Marked differences were found in prevalence between geographic areas. There was no significant association between positivity and age group. T. equi was more prevalent in females and farming horses. This is the first report on the molecular survey of T. equi and B. caballi in central Balkan. Further prevalence studies on definitive host and vectors in this region are necessary. PMID:27078657

  6. Do GCI indicators predict SME creation? A Western Balkans cross-country comparative analysis

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    Fëllënza Lushaku

    2016-03-01

    Full Text Available In early stages SMEs were seen as insignificant supplement to large business supply, whereas today they have a very important social and economic role, because of their contribution to job creation. These contributions are very valuable in times of crises and rising unemployment. In Kosovo and the Western Balkan countries, including countries such as Albania, Macedonia, Montenegro, Serbia and Bosnia and Herzegovina, the development of SMEs can contribute in facing many challenges, effects of inequality, high level of unemployment and demographic challenges. In addition, SME development can contribute to strengthening the competitiveness and productivity, while also promoting the growth of income per capita. Besides the positive perception the creation of small and medium enterprises has, it is also indispensable to consider their extinction rate, being the most affected category of businesses, especially in the initial stages. It is proved that the net SME creation and cross-country differences in the relationship between new businesses and extinct businesses, can serve as a recommendation for policy makers in order to create a favorable climate for small and medium enterprises. GCI indicators that measures global competitiveness are used to determine if the climate of competitiveness predicts the development of SMEs.

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

    Directory of Open Access Journals (Sweden)

    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.

  8. Structural Changes and Convergence in EU and in Adriatic-Balkans Region

    Directory of Open Access Journals (Sweden)

    Lucian-Liviu ALBU

    2011-06-01

    Full Text Available Coming from standard economic growth theory and empirical evidences, we concentrated on the convergence process as a result of structural changes in economy. We investigate the differences among countries in EU in terms of the share in total economy of main sectors. Then, based on the spatial (empirical distribution of such shares in EU we are proposing a model to estimate a typology of the convergence process in the European area. Taking into account the existing differences among sectors in matter of productivity, there are two versions of the model: considering the share of sectors in total employment and the share of sectors in GDP, respectively. Moreover, we developed several modelling schemes that could be useful to improve the strategies oriented to achieve a real convergence in EU and further in the Adriatic-Balkans Region. In this way, we can obtain simulations from a country or group of countries (European Union, for example on long term and quantifying the impact of structural changes on the convergence process. Indeed, the actual global crisis seems to influence negatively the convergence process in the EU. As a rule, just newly adhered countries have been more affected by the actual crisis. Today all forecasts are suffering from uncertainty. Thus, further efforts must be allocated to evaluate the negative impact of actual crisis on the convergence process.

  9. Mass distributions and morphological and chemical characterization of urban aerosols in the continental Balkan area (Belgrade).

    Science.gov (United States)

    Đorđević, D; Buha, J; Stortini, A M; Mihajlidi-Zelić, A; Relić, D; Barbante, C; Gambaro, A

    2016-01-01

    This work presents characteristics of atmospheric aerosols of urban central Balkans area, using a size-segregated aerosol sampling method, calculation of mass distributions, SEM/EDX characterization, and ICP/MS analysis. Three types of mass distributions were observed: distribution with a pronounced domination of coarse mode, bimodal distribution, and distribution with minimum at 1 μm describing the urban aerosol. SEM/EDX analyses have shown morphological difference and variation in the content of elements in samples. EDX spectra demonstrate that particles generally contain the following elements: Al, Ca, K, Fe, Mg, Ni, K, Si, S. Additionally, the presence of As, Br, Sn, and Zn found in air masses from southeast segment points out the anthropogenic activities most probably from mining activities in southeastern part of Serbia. The ratio Al/Si equivalent to the ratio of desert dust was associated with air masses coming from southeastern and southwestern segments, pointing to influences from North Africa and Middle East desert areas whereas the Al/Si ratio in other samples is significantly lower. In several samples, we found high values of aluminum in the nucleation mode. Samples with low share of crustal elements in the coarse mode are collected when Mediterranean air masses prevailed, while high share in the coarse mode was associated with continental air masses that could be one of the approaches for identification of the aerosol origin. Graphical abstract ᅟ. PMID:26347417

  10. Foreign direct investment in the western Balkans: Privatization, institutional change, and banking sector dominance

    Directory of Open Access Journals (Sweden)

    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.

  11. Effect of nephrotoxic drugs on the development of radiation nephropathy after bone marrow transplantation

    International Nuclear Information System (INIS)

    Chronic renal failure is a significant cause of late morbidity in bone marrow transplant patients whose conditioning regimen includes total body irradiation (TBI). Radiation is a major cause of this syndrome (bone marrow transplant nephropathy), but it may not be the only cause. These studies use a rat syngeneic bone marrow transplant model to determine whether nephrotoxic agents used in conjunction with bone marrow transplantation (BMT) could be enhancing or accelerating the development of radiation nephropathy. Rats received 11-17 Gy TBI in six fractions over 3 days followed by syngeneic bone marrow transplant. In conjunction with the bone marrow transplants, animals received either no drugs, cyclosporine, amphotericin, gentamicin, or busulfan. Drugs were given in schedules analogous to their use in clinical bone marrow transplantation. Drug doses were chosen so that the drug regimen alone caused detectable acute nephrotoxicity. Animals were followed for 6 months with periodic renal function tests. Gentamicin had no apparent interactions with TBI. Amphotericin increased the incidence of engraftment failure, but did not enhance radiation nephropathy. Cyclosporin with TBI caused late morbidity that appeared to be due to neurological problems, but did not enhance radiation nephropathy. Busulfan resulted in a significant enhancement of radiation nephropathy. Of the nephrotoxins used in conjunction with bone marrow transplantation only radiation and busulfan were found to be risk factors for bone marrow transplant nephropathy. 34 refs., 4 figs., 2 tabs

  12. Role of Nutrient-Sensing Signals in the Pathogenesis of Diabetic Nephropathy

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    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.

  13. Toponyms for centers of endemism in Madagascar

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    Eric Mathieu

    2012-06-01

    Full Text Available A biogeographical model was proposed in 2006 to explain the centers of endemism and the importance of riparian for­est of some watersheds as refuges or dispersal corridors during paleoclimatic oscillations. Here, we consider these geographical features highlighting their biological and socio-cultural importance. We explain the etymology or eponymy of the major rivers of the retreat-dispersal watersheds, i.e., the drainage basins of Bemarivo, Antainambalana, Mangoro, Manampatrana, Mananara South, Mandrare, Onilahy, Mangoky, Tsiribihina, Betsiboka, Maevarano, Sambirano, and Mahavavy North. We propose a toponymy for each of the 15 centers of endemism and highlight their peculiarities. We named the cent­ers of endemism of Vohimarina, Masoala, Analanjirofo, Tanala, Manombo, Anosy, Ranopiso, Karimbola, Mikea, Menabe, Melaky, Sofia, Ampasindava, Ankify, and Ankarana. We illustrate each center of endemism with a flagship spe­cies and report on its natural and cultural histories, and conservation. RÉSUMÉUn modèle biogéographique a été proposé en 2006 pour expliquer les centres d’endémisme de la biodiversité et l’importance des ripisylves de certains bassins versants en tant que refuges ou couloirs de dispersion au cours des oscillations paléoclimatiques. Ici, nous considérons ces dispositifs géographiques en soulignant leur importance biologique et socioculturelle. Dans un premier temps, nous expliquons la toponymie ou l’éponymie des grands fleuves des bassins refuges et de dispersion, à savoir les bassins de la Bemarivo, de l’Antainambalana, du Mangoro, de la Manampatrana, de la Mananara du Sud, du Mandrare, de l’Onilahy, du Mangoky, de la Tsiribihina, de la Betsiboka, de la Maevarano, du Sambirano et de la Mahavavy du Nord. Puis nous proposons une toponymie pour chacun des 17 centres et sous-centres d’endémisme en justifiant leurs particularités. Nous retenons ainsi les centres d’endémisme de Vohimarina, de l

  14. Evolutionary relationships of endemic/epidemic and sylvatic dengue viruses.

    Science.gov (United States)

    Wang, E; Ni, H; Xu, R; Barrett, A D; Watowich, S J; Gubler, D J; Weaver, S C

    2000-04-01

    Endemic/epidemic dengue viruses (DEN) that are transmitted among humans by the mosquito vectors Aedes aegypti and Aedes albopictus are hypothesized to have evolved from sylvatic DEN strains that are transmitted among nonhuman primates in West Africa and Malaysia by other Aedes mosquitoes. We tested this hypothesis with phylogenetic studies using envelope protein gene sequences of both endemic/epidemic and sylvatic strains. The basal position of sylvatic lineages of DEN-1, -2, and -4 suggested that the endemic/epidemic lineages of these three DEN serotypes evolved independently from sylvatic progenitors. Time estimates for evolution of the endemic/epidemic forms ranged from 100 to 1,500 years ago, and the evolution of endemic/epidemic forms represents relatively recent events in the history of DEN evolution. Analysis of envelope protein amino acid changes predicted to have accompanied endemic/epidemic emergence suggested a role for domain III in adaptation to new mosquito and/or human hosts. PMID:10708439

  15. Vascular Endothelial Growth Factor-A165b Is Protective and Restores Endothelial Glycocalyx in Diabetic Nephropathy.

    Science.gov (United States)

    Oltean, Sebastian; Qiu, Yan; Ferguson, Joanne K; Stevens, Megan; Neal, Chris; Russell, Amy; Kaura, Amit; Arkill, Kenton P; Harris, Kirstie; Symonds, Clare; Lacey, Katja; Wijeyaratne, Lihini; Gammons, Melissa; Wylie, Emma; Hulse, Richard P; Alsop, Chloe; Cope, George; Damodaran, Gopinath; Betteridge, Kai B; Ramnath, Raina; Satchell, Simon C; Foster, Rebecca R; Ballmer-Hofer, Kurt; Donaldson, Lucy F; Barratt, Jonathan; Baelde, Hans J; Harper, Steven J; Bates, David O; Salmon, Andrew H J

    2015-08-01

    Diabetic nephropathy is the leading cause of ESRD in high-income countries and a growing problem across the world. Vascular endothelial growth factor-A (VEGF-A) is thought to be a critical mediator of vascular dysfunction in diabetic nephropathy, yet VEGF-A knockout and overexpression of angiogenic VEGF-A isoforms each worsen diabetic nephropathy. We examined the vasculoprotective effects of the VEGF-A isoform VEGF-A165b in diabetic nephropathy. Renal expression of VEGF-A165b mRNA was upregulated in diabetic individuals with well preserved kidney function, but not in those with progressive disease. Reproducing this VEGF-A165b upregulation in mouse podocytes in vivo prevented functional and histologic abnormalities in diabetic nephropathy. Biweekly systemic injections of recombinant human VEGF-A165b reduced features of diabetic nephropathy when initiated during early or advanced nephropathy in a model of type 1 diabetes and when initiated during early nephropathy in a model of type 2 diabetes. VEGF-A165b normalized glomerular permeability through phosphorylation of VEGF receptor 2 in glomerular endothelial cells, and reversed diabetes-induced damage to the glomerular endothelial glycocalyx. VEGF-A165b also improved the permeability function of isolated diabetic human glomeruli. These results show that VEGF-A165b acts via the endothelium to protect blood vessels and ameliorate diabetic nephropathy. PMID:25542969

  16. Endemic taxa of vascular plants in the Polish Carpathians

    OpenAIRE

    Halina Piękoś-Mirkowa; Zbigniew Mirek

    2011-01-01

    The Carpathians, particularly their highest massif, the Tatra Mountains, exhibit the greatest richness of endemics in Poland. The present paper is a critical recapitulation of existing knowledge of endemism among the vascular plants of the Polish part of the Carpathians. It comprises a list of all 110 taxa (49 species, 26 microspecies of the genus Alchemilla and 35 conspicuous subspecies) that can be considered Carpathian endemics or subendemics. Their distribution, vertical ranges and habita...

  17. EPIDEMIOLOGY OF MALARIA IN ENDEMIC AREAS

    Directory of Open Access Journals (Sweden)

    Beatrice Autino

    2012-01-01

    Full Text Available

    Malaria infection is still to be considered a major public health problem in those 106 countries where the risk of contracting the infection with one or more of the Plasmodium species exists. According to estimates from the World Health Organization, over 200 million cases and about 655.000 deaths have occurred in 2010. Estimating the real health and social burden of the disease is a difficult task, because many of the malaria endemic countries have limited diagnostic resources, especially in rural settings where conditions with similar clinical picture may coexist in the same geographical areas. Moreover, asymptomatic parasitaemia may occur in high transmission areas after childhood, when anti-malaria semi-immunity occurs. Malaria endemicity and control activities are very complex issues, that are influenced by factors related to the host, to the parasite, to the vector, to the environment and to the health system capacity to fully implement available anti-malaria weapons such as rapid diagnostic tests, artemisinin-based combination treatment, impregnated bed-nets and insecticide residual spraying while waiting for an effective vaccine to be made available.

  18. Diversity and endemism of Peruvian mammals

    Directory of Open Access Journals (Sweden)

    Víctor Pacheco

    2011-07-01

    Full Text Available We present an annotated list for all land, aquatic and marine mammals known to occur in Peru and their distribution by ecoregions. We also present species conservation status according to international organizations and the legal conservation status in Peru. At present, we record 508 species, in 13 orders, 50 families, and 218 genera, making Peru the third most diverse country with regards to mammals in the New World, after Brazil and Mexico, and the fifth most diverse country for mammals in the World. This diversity includes 40 didelphimorphs, 2 paucituberculates, 1 manatee, 6 cingulates, 7 pilosa, 39 primates, 162 rodents, 1 rabbit, 2 soricomorphs, 165 bats, 34 carnivores, 2 perissodactyls, and 47 cetartiodactyls. Bats and rodents (327 species represent almost two thirds of total diversity (64% for Peru. Five genera and 65 species (12.8% are endemics to Peru, with the majority of these being rodents (45 species, 69,2%. Most of the endemic species are restricted to the Yungas of the eastern slope of the Andes (39 species, 60% followed by Selva Baja (14 species, 21.5%. The taxonomic status of some species is commented on, when those depart from accepted taxonomy. The marsupial Marmosa phaea; the rodents Melanomys caliginosus, M. robustulus, and Echinoprocta rufescens; the shrew Cryptotis equatoris; the bats Anoura fistulata, Phyllostomus latifolius, Artibeus ravus, Cynomops greenhalli, Eumops maurus, and Rhogeessa velilla; and the carnivore Nasuella olivacea are first records of species occurrence in Peru. Finally, we also include a list of 15 non-native species.

  19. The necessity and effectiveness of mineralocorticoid receptor antagonist in the treatment of diabetic nephropathy.

    Science.gov (United States)

    Sato, Atsuhisa

    2015-06-01

    Diabetes mellitus is a major cause of chronic kidney disease (CKD), and diabetic nephropathy is the most common primary disease necessitating dialysis treatment in the world including Japan. Major guidelines for treatment of hypertension in Japan, the United States and Europe recommend the use of angiotensin-converting enzyme inhibitors and angiotensin-receptor blockers, which suppress the renin-angiotensin system (RAS), as the antihypertensive drugs of first choice in patients with coexisting diabetes. However, even with the administration of RAS inhibitors, failure to achieve adequate anti-albuminuric, renoprotective effects and a reduction in cardiovascular events has also been reported. Inadequate blockade of aldosterone may be one of the reasons why long-term administration of RAS inhibitors may not be sufficiently effective in patients with diabetic nephropathy. This review focuses on treatment in diabetic nephropathy and discusses the significance of aldosterone blockade. In pre-nephropathy without overt nephropathy, a mineralocorticoid receptor antagonist can be used to enhance the blood pressure-lowering effects of RAS inhibitors, improve insulin resistance and prevent clinical progression of nephropathy. In CKD categories A2 and A3, the addition of a mineralocorticoid receptor antagonist to an RAS inhibitor can help to maintain 'long-term' antiproteinuric and anti-albuminuric effects. However, in category G3a and higher, sufficient attention must be paid to hyperkalemia. Mineralocorticoid receptor antagonists are not currently recommended as standard treatment in diabetic nephropathy. However, many studies have shown promise of better renoprotective effects if mineralocorticoid receptor antagonists are appropriately used. PMID:25762415

  20. 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.)

  1. Sodium bicarbonate-based hydration prevents contrast-induced nephropathy: a meta-analysis

    Directory of Open Access Journals (Sweden)

    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.

  2. Potential impacts of climate change on flow regime and fish habitat in mountain rivers of the south-western Balkans.

    Science.gov (United States)

    Papadaki, Christina; Soulis, Konstantinos; Muñoz-Mas, Rafael; Martinez-Capel, Francisco; Zogaris, Stamatis; Ntoanidis, Lazaros; Dimitriou, Elias

    2016-01-01

    The climate change in the Mediterranean area is expected to have significant impacts on the aquatic ecosystems and particular in the mountain rivers and streams that often host important species such as the Salmo farioides, Karaman 1938. These impacts will most possibly affect the habitat availability for various aquatic species resulting to an essential alteration of the water requirements, either for dams or other water abstractions, in order to maintain the essential levels of ecological flow for the rivers. The main scope of this study was to assess potential climate change impacts on the hydrological patterns and typical biota for a south-western Balkan mountain river, the Acheloos. The altered flow regimes under different emission scenarios of the Intergovernmental Panel on Climate Change (IPCC) were estimated using a hydrological model and based on regional climate simulations over the study area. The Indicators of Hydrologic Alteration (IHA) methodology was then used to assess the potential streamflow alterations in the studied river due to predicted climate change conditions. A fish habitat simulation method integrating univariate habitat suitability curves and hydraulic modeling techniques were used to assess the impacts on the relationships between the aquatic biota and hydrological status utilizing a sentinel species, the West Balkan trout. The most prominent effects of the climate change scenarios depict severe flow reductions that are likely to occur especially during the summer flows, changing the duration and depressing the magnitude of the natural low flow conditions. Weighted Usable Area-flow curves indicated the limitation of suitable habitat for the native trout. Finally, this preliminary application highlighted the potential of science-based hydrological and habitat simulation approaches that are relevant to both biological quality elements (fish) and current EU Water policy to serve as efficient tools for the estimation of possible climate

  3. Oncology monoclonal antibodies expenditure trends and reimbursement projections in the emerging Balkan market

    Directory of Open Access Journals (Sweden)

    Mihajlo B Jakovljevic

    2014-03-01

    Full Text Available Monoclonal antibodies applied in clinical oncology present a therapeutic promise for many patients with cancer. Nevertheless these expensive protocols are associated with extremely high acquisition and administration costs. The issue of societal affordability of such treatment options is particularly at stake among middle income European economies. Medicines Agency of Serbia issues regular annual reports on public expenditure on pharmaceuticals since 2004. According to these official data total public expenditure on drugs doubled from 2004-2012 (from € 339,279,304 to € 742,013,976. During the same nine years public expenditure on antineoplastic pharmaceuticals was rising at much faster pace, approximately five times from € 10,297,616 in 2004 to € 51,223,474 in 2012. Absolutely record growth belongs to the value of turnover of monoclonal antibodies indicated in diverse malignancies. These costs became almost twenty times higher in 2012 compared to 2004 (€ 19,687,454 towards € 1,033,313 in the past. National pharmaceutical expenditure trend projections in this country show strong recovery in 2012 after severe blow to the overall health care market imposed by the worldwide crisis. Universal health insurance coverage and sustainable health care financing provision will remain difficult issues for Balkan economies in years to come. Although monoclonal antibodies exhibit undisputed therapeutic efficiency in certain malignant disorders, cost-effectiveness estimates must be taken into consideration by policy makers deciding on reimbursement.http://dx.doi.org/10.7175/fe.v15i1.909

  4. Concentration and characteristics of uranium isotopes in water collected in central Italy and Balkan regions

    International Nuclear Information System (INIS)

    Full text: Uranium is a naturally occurring, ubiquitous heavy metal found in the environment in various chemical forms in all soils, rocks, seas and oceans. It is also present in air, food and drinking water. Due to its widespread existence in nature, uranium isotopes (238U, 234U and 235U) have become one of the most important source of natural radioactivity and make a significant contribution to external and internal dose to population. Uranium isotopes enter the human body mainly through ingestion, and by inhalation to a considerably smaller degree. Hence the internal radiation exposure for members of the public can be evaluated through the intake of the radionuclides from both food and water. Pietrzak-Flis et al., have investigated the uranium intake fractions of the different pathways, and concluded that the uranium intake from water by man is the most important pathway which contributes the largest fraction (75.1%-76.9%) of uranium intake. For the purpose of estimating the radiological impact of uranium isotopes in water to the residents, some natural water samples were collected in central Italy and Balkan Regions and analysed in the laboratory of Italian Environmental Protection Agency and Technical Services (APAT). The activity concentrations of 238U, 234U and 235U were obtained. The radioanalytical procedure used for determination of uranium isotopes in water mainly includes steps of uranium pre-concentration, mineralization, separation by a Microthene- TOPO column, electrodeposition and measurement by alpha-spectrometry. Based on the obtained activity concentrations of uranium isotopes in drinking water, annual consumption rate of the water, and the dose conversion factor per unit intake given by the International Commission on Radiological Protection, the annual effective dose resulting from 1-year ingestion for the adult population was calculated. (author)

  5. Morphological variability of Fraxinus angustifolia Vahl in the north-western Balkans

    Directory of Open Access Journals (Sweden)

    Kristjan Jarni

    2011-08-01

    Full Text Available Fraxinus angustifolia Vahl is a species native in the north-western Balkans, where it has a divided range. Most of its range is located in flood-prone riparian sites in the Pannonian plain but the species is also found on humid sites along some rivers in the Submediterranean region. We analysed morphologic variation within and between five populations (14 trees/population located in the Subpannonian and Submediterranean region of Slovenia. Thirty two characters were assessed on ca. 80 leaves from each tree which were divided depending on exposure to sunlight (sun and shade leaves, and 8 traits on each fruit (ca. 50 fruits/tree. A hierarchically designed experiment using analysis of variance confirmed the significant contribution of all the analysed hierarchical levels of variation to the total variation. The results show that the differences between the trees in a single population are the greatest factor of variability of leaves, followed by differences between populations and differences which are the result of variation in exposure to sunlight. Leaves in shade positions are typically larger than those in sunny positions, and they have broader and shorter-pointed leaflets; in this feature they are very similar to the leaves of F. excelsior. Stepwise discriminant analysis showed that the traits which refer to the leaflet number and length are the best differentiating traits between individual populations. The Submediterranean population Dragonja stands out with the smallest leaves and the population Lijak from the same region is the most similar to Dragonja for most morphological traits. In general, phenotypic differences between the Subpannonian and the Submediterranean populations of F. angustifolia are minor and indistinct. Based on the differences ascertained by the study, we can only confirm the presence of F. angustifolia subsp. oxycarpa (Bieb. ex Willd. Franco et Rocha Alfonso in this part of its natural range.

  6. Balkanized Research in Ecological Engineering Revealed by a Bibliometric Analysis of Earthworms and Ecosystem Services

    Science.gov (United States)

    Blouin, Manuel; Sery, Nicolas; Cluzeau, Daniel; Brun, Jean-Jacques; Bédécarrats, Alain

    2013-08-01

    Energy crisis, climate changes, and biodiversity losses have reinforced the drive for more ecologically-based approaches for environmental management. Such approaches are characterized by the use of organisms rather than energy-consuming technologies. Although earthworms are believed to be potentially useful organisms for managing ecosystem services, there is actually no quantification of such a trend in literature. This bibliometric analysis aimed to measure the evolution of the association of "earthworms" and other terms such as ecosystem services (primary production, nutrient cycling, carbon sequestration, soil structure, and pollution remediation), "ecological engineering" or "biodiversity," to assess their convergence or divergence through time. In this aim, we calculated the similarity index, an indicator of the paradigmatic proximity defined in applied epistemology, for each year between 1900 and 2009. We documented the scientific fields and the geographical origins of the studies, as well as the land uses, and compare these characteristics with a 25 years old review on earthworm management. The association of earthworm related keywords with ecosystem services related keywords was increasing with time, reflecting the growing interest in earthworm use in biodiversity and ecosystem services management. Conversely, no significant increase in the association between earthworms and disciplines such as ecological engineering or restoration ecology was observed. This demonstrated that general ecologically-based approaches have yet to emerge and that there is little exchange of knowledge, methods or concepts among balkanized application realms. Nevertheless, there is a strong need for crossing the frontiers between fields of application and for developing an umbrella discipline to provide a framework for the use of organisms to manage ecosystem services.

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

    Directory of Open Access Journals (Sweden)

    Jasmina Gubić

    2015-07-01

    Full Text Available 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 to 90th day of lactation. Donkey milk was particularly rich in two whey proteins, lactoferrin and lysozyme, which were found to have molecular weight of approximately 76 kDa and 14.9-15.4 kDa, respectively. The content of lysozyme in donkey milk ranged from 2.39 to 2.97 g/L, while human milk contained 30-50 times lower concentrations of lysozyme in comparison to donkey milk. Thus, donkey milk contained also a higher concentration of lactoferrin (0.012-0.25 g/L than it was found in the human milk. Lysozyme and lactoferrin content in donkey milk increased during the period from 40th to 90th day of lactation. The percentage of total SFA, MUFA and PUFA was similar in donkey and human milk. The content of essential fatty acids increased during 40-90 days of lactation and was approximately 2.5 times higher in comparison to human milk.

  8. A new earthquake catalogue for Bulgaria and the conterminous Balkan high hazard region

    Directory of Open Access Journals (Sweden)

    T. J. Bayliss

    2007-01-01

    Full Text Available A new homogenous earthquake catalogue covering Bulgaria and the surrounding Balkan area has been created with intention of performing a consistent seismic hazard assessment across the region. In keeping with modern requirements of cataloguing seismicity, this catalogue has been made homogenous as far as possible with regards to magnitude, which has been provided on any of four different reported scales for each event; mb, Ms, Mw and ML. A key historical catalogue for the region has been used to represent the early instrumental period of earthquake recording (1900 to 1963, whilst data have been obtained from the International Seismological Centre (ISC, National Earthquake Information Center (NEIC and National Observatory of Athens (NOA to cover the instrumental period of earthquake recording (1964 to 2004. ISC data have also been used to develop a new mb→Ms magnitude conversion equation for the catalogued region. Application of this new magnitude conversion relation, in combination with other selected magnitude scale correlations, ensures reported magnitudes can be systematically rendered onto homogenized Ms and Mw scales for all earthquakes. This catalogue contains 3681 events with homogenized magnitudes ≥4.0 Mw, for the time interval 1900 to 2004 (inclusive, located in the region bounded by 39°–45° N, 19°–29° E, at focal depths of 0.0 km to 401.0 km and in a magnitude range 4.0≤Mw≤7.2. Selected large magnitude (M≥6.0 Ms earthquakes have had their reported magnitudes reassessed – and adjusted if necessary – in light of work by other authors. Applied statistical approaches aimed at determining the lower threshold to magnitude completeness suggest this catalogue is complete down to a homogenized surface-wave magnitude of 4.6 Ms.

  9. Environmental impact of radioactivity in waste from the coal and aluminium industries in western Balkan countries

    International Nuclear Information System (INIS)

    The paper deals with industrial tailings resulting from the use of coal and bauxite, assessing the impact on the population and the environment in the western Balkan countries (WBC). It considers the direct hazard resulting from the wastes on their immediate neighbourhood and the radionuclide dispersal in the environment through surface and groundwater. The selected test sites have been investigated by different methods assessing the presence and type of radionuclides in the primary and waste products, analysing and identifying the pathways for dispersion of radionuclides in the waste surroundings, and defining the impact of the waste on the ecosystem. The processes of leachability and fractionation of the various radionuclides have been studied also. The transport of radionuclides in groundwater has been studied by 3-D groundwater flow and solute transport modelling. The following parameters have been assessed: (1) gamma dose rate levels, (2) radon in soil gas, (3) radon exhalation, (4) indoor and outdoor radon, (5) radionuclide activity in soil and in waste material, (6) radionuclides in surface water and groundwater, and (7) radionuclides in biota. Several case studies highlight the transfer of the radionuclides to plants and animal consumption products. The radionuclide concentrations in the waste and in the surroundings range over three orders of magnitude. The radionuclide concentrations in groundwater surrounding the waste are low and have a lower variability than in the wastes. The radon concentrations above the tailings are increased with respect to the surroundings. The transfer factors in the soil-plant-animal system indicate low bioavailability of the radionuclides investigated. A preliminary dose assessment shows that the highest contributions to dose are from external and radon exposure. On the basis of the results obtained by using transport model simulation and considering the high Kd values and low concentration of radium, radionuclide transport in

  10. Tectonic, magmatic, and metallogenic evolution of the Late Cretaceous arc in the Carpathian-Balkan orogen

    Science.gov (United States)

    Gallhofer, Daniela; Quadt, Albrecht von; Peytcheva, Irena; Schmid, Stefan M.; Heinrich, Christoph A.

    2015-09-01

    The Apuseni-Banat-Timok-Srednogorie Late Cretaceous magmatic arc in the Carpathian-Balkan orogen formed on the European margin during closure of the Neotethys Ocean. It was subsequently deformed into a complex orocline by continental collisions. The Cu-Au mineralized arc consists of geologically distinct segments: the Apuseni, Banat, Timok, Panagyurishte, and Eastern Srednogorie segments. New U-Pb zircon ages and geochemical whole rock data for the Banat and Apuseni segments are combined with previously published data to reconstruct the original arc geometry and better constrain its tectonic evolution. Trace element and isotopic signatures of the arc magmas indicate a subduction-enriched source in all segments and variable contamination by continental crust. The magmatic arc was active for 25 Myr (~92-67 Ma). Across-arc age trends of progressively younger ages toward the inferred paleo-trench indicate gradual steepening of the subducting slab away from the upper plate European margin. This leads to asthenospheric corner flow in the overriding plate, which is recorded by decreasing 87Sr/86Sr (0.70577 to 0.70373) and increasing 143Nd/144Nd (0.51234 to 0.51264) ratios over time in some segments. The close spatial relationship between arc magmatism, large-scale shear zones, and related strike-slip sedimentary basins in the Timok and Pangyurishte segments indicates mild transtension in these central segments of the restored arc. In contrast, the Eastern Srednogorie segment underwent strong orthogonal intraarc extension. Segmental distribution of tectonic stress may account for the concentration of rich porphyry Cu deposits in the transtensional segments, where lower crustal magma storage and fractionation favored the evolution of volatile-rich magmas.

  11. Origin and differentiation of endemism in the flora of China

    Institute of Scientific and Technical Information of China (English)

    WU Zhengyi; SUN Hang; ZHOU Zhekun; PENG Hua; LI Dezhu

    2007-01-01

    The present paper analyzed 239 endemic genera in 67 families in the flora of seed plants in China.The results showed that there are five families containing more than ten endemic genera,namely,Gesneriaceae (27),which hereafter refers to the number of endemic genera in China,Composite (20),Labiatae (12),Cruciferae (11),and Umbelliferae (10),15 families with two endemic genera,and another 30 families with only one endemic genus.Four monotypic families (Ginkgoaceae,Davidiaceae,Eucommiaceae and Acanthochlamydaceae)are the most ancient,relict and characteristic in the flora of seed plants in China.Based on integrative data of systematics,fossil history,and morphological and molecular evidence of these genera,their origin,evolution and relationships were discussed.In gymnosperms,all endemic genera are relicts of the Arctic-Tertiary flora,having earlier evolutionary history,and can be traced back to the Cretaceous or to the Jurassic and even earlier.In angiosperms,the endemic genera are mostly relicts,and are represented in all lineages in the"Eight-Class System ofClassification of Angiosperms",and endemism can be found in almost every evolutionary stage of extant angiosperms.The relict genera once occupied huge areas in the northern hemisphere in the Tertiary or the late Cretaceous,while neo-endemism mostly originated in the late Tertiary.They came from Arctic-Tertiary,Paleo-tropical-Tertiary and Tethys-Tertiary florisitic elements,and the blend of the three elements with many genera of autochthonous origin.The endemism was formed when some dispersal routes such as the North Atlantic Land Bridge,and the Bering Bridge became discontinuous during the Tertiary,as well as the climate change and glaciations in the late Tertiary and the Quaternary.Therefore,the late Tertiary is the starting point of extant endemism of the flora in China.

  12. Notes on autumn-winter stomach contents of the Stone Marten (Martes foina) in the Balkan Mountains, Central Bulgaria

    OpenAIRE

    Masumi Hisano; Evgeni Raichev; Stanislava Peeva; Dian Georgiev; Hiroshi Tsunoda; Ryuichi Masuda; Yayoi Kaneko

    2014-01-01

    We studied autumn-winter food (November-February, 1997-2003) of the Stone Marten in the Balkan Mountains, Central Bulgaria. A total of 26 stomachs (18 of males and eight of females) were examined, of which contents was expressed as the number of occurrence and relative frequency of occurrence. The result clearly showed that rodents are primary prey for the Stone Marten. Birds and insects were the following categories consumed. The edible dormouse was detected as a prey for the first time in B...

  13. Contribution to the Macrochelidae Vitzthum, 1930 fauna of the Carpathian Basin and the Balkan Peninsula (Acari: Mesostigmata

    Directory of Open Access Journals (Sweden)

    Anita Ács

    2014-11-01

    Full Text Available From different localities of the Balkan Peninsula and the Carpathian Basin altogether 19 macrochelid mite species are listed belonging to the genera Geholaspis Berlese, 1918 (three species, Glyptholaspis Filipponi et Pegazzano, 1960 (one species, Longicheles Valle, 1953 (four species, Macrholaspis Oudemans, 1931 (one species, Macrocheles Latreille, 1829 (five species, Neopodocinum Oudemans, 1902 (two species and Nothrholaspis Berlese, 1918 (three species. New country occurrences are also given for Croatia (three species, Hungary (three species, Macedonia (five species Romania (five species and Serbia (seven species.

  14. Evidence of a plate-wide tectonic pressure pulse provided by extensometric monitoring in the Balkan Mountains (Bulgaria)

    Czech Academy of Sciences Publication Activity Database

    Briestenský, Miloš; Rowberry, Matthew David; Stemberk, Josef; Stefanov, P.; Vozár, J.; Šebela, S.; Petro, L.; Bella, P.; Gaal, L.; Ormukov, Ch.

    2015-01-01

    Roč. 66, č. 5 (2015), s. 427-438. ISSN 1335-0552 R&D Projects: GA MŠk LM2010008; GA MŠk OC 625.10; GA ČR GA205/05/2770; GA ČR GA205/06/1828; GA ČR GA205/09/2024 Institutional support: RVO:67985891 Keywords : Eurasian Plate * Balkan Peninsula * active tectonics research * aseismic transient deformations * slow-slip phenomena Subject RIV: DC - Siesmology, Volcanology, Earth Structure Impact factor: 0.761, year: 2014 http://www.geologicacarpathica.com/browse-journal/volumes/66-5/article-780

  15. Nacionalismo e etnias em conflito nos Bálcãs The Balkans, nationalism and ethnic clashes

    OpenAIRE

    José Augusto Lindgren Alves

    2004-01-01

    O artigo resgata a história dos países balcânicos para refletir sobre o nacionalismo - uma peculiar importação da cultura política européia - e os conflitos étnicos da região, exacerbados pela reinvenção de ortodoxias religiosas desaparecidas há décadas.The article turns to the history of the Balkan, countries to think about the region's nationalism - a peculiar importation from the European political culture - and the region's ethnic conflicts, intensified by recently re-invented religious o...

  16. The Importance of the geographical position of Kosovo in increasing the Trade, Transit and International Transport in the Balkans

    OpenAIRE

    Ramadan Mazrekaj

    2015-01-01

    This paper analyzes the effect of the main highways in Kosovo (Roads 6 and 7) in the development of trade and transport of goods. In this sense, another objective of this paper is the effect of the Kosovo highways (Kosovo Roads 6 and 7) in developing the Albanian Sea Ports (Port of Durres, Vlora and Shengjin). Many Balkan countries are working in the improvement of roads and rail capacity in order to develop multimodal transport, aiming always at strengthening a dominant position in the Balka...

  17. 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

  18. Patients with primary membranous nephropathy are at high risk of cardiovascular events.

    Science.gov (United States)

    Lee, Taewoo; Derebail, Vimal K; Kshirsagar, Abhijit V; Chung, Yunro; Fine, Jason P; Mahoney, Shannon; Poulton, Caroline J; Lionaki, Sophia; Hogan, Susan L; Falk, Ronald J; Cattran, Daniel C; Hladunewich, Michelle; Reich, Heather N; Nachman, Patrick H

    2016-05-01

    Here we conducted a retrospective study to examine the risk of cardiovascular events (CVEs) relative to that of end-stage renal disease (ESRD) in patients with primary membranous nephropathy, in a discovery cohort of 404 patients. The cumulative incidence of CVEs was estimated in the setting of the competing risk of ESRD with risk factors for CVEs assessed by multivariable survival analysis. The observed cumulative incidences of CVEs were 4.4%, 5.4%, 8.2%, and 8.8% at 1, 2, 3, and 5 years respectively in the primary membranous nephropathy cohort. In the first 2 years after diagnosis, the risk for CVEs was similar to that of ESRD in the entire cohort, but exceeded it among patients with preserved renal function. Accounting for traditional risk factors and renal function, the severity of nephrosis at the time of the event (hazard ratio 2.1, 95% confidence interval 1.1 to 4.3) was a significant independent risk factor of CVEs. The incidence and risk factors of CVEs were affirmed in an external validation cohort of 557 patients with primary membranous nephropathy. Thus early in the course of disease, patients with primary membranous nephropathy have an increased risk of CVEs commensurate to, or exceeding that of ESRD. Hence, reduction of CVEs should be considered as a therapeutic outcome measure and focus of intervention in primary membranous nephropathy. PMID:26924046

  19. Association of Intercellular Adhesion Molecule 1 (ICAM1 with Diabetes and Diabetic Nephropathy

    Directory of Open Access Journals (Sweden)

    HarvestFGu

    2013-01-01

    Full Text Available Diabetes and diabetic nephropathy are complex diseases affected by genetic and environmental factors. Identification of the susceptibility genes and investigation of their roles may provide useful information for better understanding of the pathogenesis and for developing novel therapeutic approaches. Intercellular adhesion molecule 1 (ICAM1 is a cell surface glycoprotein expressed on endothelial cells and leukocytes in the immune system. The ICAM1 gene is located on chromosome 19p13 within the linkage region of diabetes. In the recent years, accumulating reports have implicated that genetic polymorphisms in the ICAM1 gene are associated with diabetes and diabetic nephropathy. Serum ICAM1 levels in diabetes patients and the icam1 gene expression in kidney tissues of diabetic animals are increased compared to the controls. Therefore, ICAM1 may play a role in the development of diabetes and diabetic nephropathy. In this review, we present genomic structure, variation and regulation of the ICAM1 gene, summarized genetic and biological studies of this gene in diabetes and diabetic nephropathy and discussed about the potential application using ICAM1 as a biomarker and target for prediction and treatment of diabetes and diabetic nephropathy.

  20. Oxidative Stress/Angiotensinogen/Renin-Angiotensin System Axis in Patients with Diabetic Nephropathy

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    Masumi Kamiyama

    2013-11-01

    Full Text Available Although recent studies have proven that renin-angiotensin system (RAS blockades retard the progression of diabetic nephropathy, the detailed mechanisms of their reno-protective effects on the development of diabetic nephropathy remain uncertain. In rodent models, it has been reported that reactive oxygen species (ROS are important for intrarenal angiotensinogen (AGT augmentation in the progression of diabetic nephropathy. However, no direct evidence is available to demonstrate that AGT expression is enhanced in the kidneys of patients with diabetes. To examine whether the expression levels of ROS- and RAS-related factors in kidneys are increased with the progression of diabetic nephropathy, biopsied samples from 8 controls and 27 patients with type 2 diabetes were used. After the biopsy, these patients were diagnosed with minor glomerular abnormality or diabetes mellitus by clinical and pathological findings. The intensities of AGT, angiotensin II (Ang II, 4-hydroxy-2-nonenal (4-HNE, and heme oxygenase-1 (HO-1 were examined by fluorescence in situ hybridization and/or immunohistochemistry. Expression levels were greater in patients with diabetes than in control subjects. Moreover, the augmented intrarenal AGT mRNA expression paralleled renal dysfunction in patients with diabetes. These data suggest the importance of the activated oxidative stress/AGT/RAS axis in the pathogenesis of diabetic nephropathy.

  1. Endemic time-spaces of Finland: Aquatic regimes

    Directory of Open Access Journals (Sweden)

    Tero Mustonen

    2014-08-01

    Full Text Available This article explores the endemic time-spaces of Finnish aquatic regimes. More precisely, it examines the socio-ecological relationships between Finns and lakes, rivers, and marshes-mires. First, the 'engine' of endemic time-space research, land use, and occupancy documentation, is explored in the Finnish context. Then two catchment areas, Kokemäenjoki in Western Finland and Vuoksi in Eastern Finland, provide cases which illustrate both past endemic time-spaces and surviving aspects of cultural readings of lakes and rivers. The ongoing winter seining in Lake Puruvesi in North Karelia emerges as an unbroken practice, with deep roots, that maintains the endemic time-spaces of a traditional Finnish relationship with a lake. As industrial uses of catchment areas, zoning, and environmental permitting exclude endemic readings inherent on the land and waterscapes, solutions are explored through mapping, along with its limitations, as a form bridging the gap between local realities and resource extraction.

  2. Prognostic value of quantitative furosemide radionuclide renography in obstructive nephropathy

    International Nuclear Information System (INIS)

    Diuretic radionuclide renography is applied in patients with hydronephrosis in order to distinguish dilated, non-obstructed systems from those with significant mechanical obstruction. This is done after furosemide application by (semi) quantification of pelvic radioactivity outflow. In the dilated, non-obstructed pelvis, this outflow is increased, whereas in mechanical obstructed systems no response or even a decreased outflow is observed. It was expected that the latter outcome of the test is associated with an impaired renal function due to obstructive nephropathy. In the case that furosemide was given 30 min after 123I hippuran application, this assumption could not be proved. When furosemide and 123I hippuran were applied simultaneously, only a poor correlation was found between the response of pelvic outflow and the individual tubular clearance of the affected kidney. On the other hand, there was a clear correlation between the delay of pelvic outflow in the non-diuretic radionuclide renography and the individual tubular clearance. It can therefore be concluded that this test has little prognostic value and that other criteria in addition to the quantification of diuretic pelvic outflow are necessary for providing more reliable results. (orig.)

  3. Therapeutic approaches to diabetic nephropathy--beyond the RAS.

    Science.gov (United States)

    Fernandez-Fernandez, Beatriz; Ortiz, Alberto; Gomez-Guerrero, Carmen; Egido, Jesus

    2014-06-01

    Despite improvements in glycaemic and blood pressure control, and the efficacy of renin-angiotensin system (RAS) blockade for proteinuria reduction, diabetic nephropathy is the most frequent cause of end-stage renal disease in developed countries. This finding is consistent with the hypothesis that key pathogenetic mechanisms leading to progression of renal disease are not modified or inactivated by current therapeutic approaches. Although extensive research has elucidated molecular signalling mechanisms that are involved in progression of diabetic kidney disease, a number of high-profile clinical trials of potentially nephroprotective agents have failed, highlighting an insufficient understanding of pathogenic pathways. These include trials of paricalcitol in early diabetic kidney disease and bardoxolone methyl in advanced-stage disease. Various strategies based on encouraging data from preclinical studies that showed renoprotective effects of receptor antagonists, neutralizing antibodies, kinase inhibitors, small compounds and peptide-based technologies are currently been tested in randomized controlled trials. Phase II clinical trials are investigating approaches targeting inflammation, fibrosis and signalling pathways. However, only one trial that aims to provide evidence for marketing approval of a potentially renoprotective drug (atrasentan) is underway-further research into the potential nephroprotective effects of novel glucose-lowering agents is required. PMID:24802062

  4. Urinary Markers of Tubular Injury in Early Diabetic Nephropathy

    Directory of Open Access Journals (Sweden)

    Temesgen Fiseha

    2016-01-01

    Full Text Available Diabetic nephropathy (DN is a common and serious complication of diabetes associated with adverse outcomes of renal failure, cardiovascular disease, and premature mortality. Early and accurate identification of DN is therefore of critical importance to improve patient outcomes. Albuminuria, a marker of glomerular involvement in early renal damage, cannot always detect early DN. Thus, more sensitive and specific markers in addition to albuminuria are needed to predict the early onset and progression of DN. Tubular injury, as shown by the detection of tubular injury markers in the urine, is a critical component of the early course of DN. These urinary tubular markers may increase in diabetic patients, even before diagnosis of microalbuminuria representing early markers of normoalbuminuric DN. In this review we summarized some new and important urinary markers of tubular injury, such as neutrophil gelatinase associated lipocalin (NGAL, kidney injury molecule-1 (KIM-1, liver-type fatty acid binding protein (L-FABP, N-acetyl-beta-glucosaminidase (NAG, alpha-1 microglobulin (A1M, beta 2-microglobulin (B2-M, and retinol binding protein (RBP associated with early DN.

  5. Urinary Markers of Tubular Injury in Early Diabetic Nephropathy.

    Science.gov (United States)

    Fiseha, Temesgen; Tamir, Zemenu

    2016-01-01

    Diabetic nephropathy (DN) is a common and serious complication of diabetes associated with adverse outcomes of renal failure, cardiovascular disease, and premature mortality. Early and accurate identification of DN is therefore of critical importance to improve patient outcomes. Albuminuria, a marker of glomerular involvement in early renal damage, cannot always detect early DN. Thus, more sensitive and specific markers in addition to albuminuria are needed to predict the early onset and progression of DN. Tubular injury, as shown by the detection of tubular injury markers in the urine, is a critical component of the early course of DN. These urinary tubular markers may increase in diabetic patients, even before diagnosis of microalbuminuria representing early markers of normoalbuminuric DN. In this review we summarized some new and important urinary markers of tubular injury, such as neutrophil gelatinase associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), liver-type fatty acid binding protein (L-FABP), N-acetyl-beta-glucosaminidase (NAG), alpha-1 microglobulin (A1M), beta 2-microglobulin (B2-M), and retinol binding protein (RBP) associated with early DN. PMID:27293888

  6. Aristolochic acid nephropathy: epidemiology, clinical presentation, and treatment.

    Science.gov (United States)

    Luciano, Randy L; Perazella, Mark A

    2015-01-01

    Aristolochic acid (AA) is a compound extracted from the Aristolochia species of herbs. It has been used for centuries as a remedy for various illnesses and diseases. However, in the early 1990s in the setting of a weight loss herbal remedy, AA exposure was associated with a syndrome of kidney injury, termed aristolochic acid nephropathy (AAN). This entity is marked by elevated serum creatinine, significant anemia, and histopathologic changes demonstrating a hypocellular interstitial infiltrate with severe fibrosis. Progression towards end-stage renal disease (ESRD) is rapid, with most patients having chronic kidney disease for less than 2 years. In addition, AAN is associated with a 40-45 % prevalence of urothelial carcinomas. Treatment of AAN is limited to glucocorticoids that have been shown to delay progression in non-randomized trials. As most patients progress to ESRD, need for renal replacement therapy, as either dialysis or kidney transplant, usually ensues. However, given the high malignant potential, care must be taken to minimize future development of upper urinary tract cancers by performing prophylactic bilateral nephroureterectomies and aggressive cancer surveillance. PMID:25446374

  7. Risk score for contrast induced nephropathy following percutaneous coronary intervention

    International Nuclear Information System (INIS)

    Contrast-induced nephropathy (CIN) is an important cause of acute renal failure. Identification of risk factors of CIN and creating a simple risk scoring for CIN after percutaneous coronary intervention (PCI) is important. A prospective single center study was conducted in Kuwait chest disease hospital. All patients admitted to chest disease hospital for PCI from March to May 2005 were included in the study. Total of 247 patients were randomly assigned for the development dataset and 100 for the validation set using the simple random method. The overall occurrence of CIN in the development set was 5.52%. Using multivariate analysis; basal Serum creatinine, shock, female gender, multivessel PCI, and diabetes mellitus were identified as risk factors. Scores assigned to different variables yielded basal creatinine > 115 micron mol/L with the highest score(7), followed by shock (3), female gender, multivessel PCI and diabetes mellitus had the same score (2). Patients were further risk stratified into low risk score (12). The developed CIN model demonstrated good discriminative power in the validation population. In conclusion, use of a simple risk score for CIN can predict the probability of CIN after PCI; this however needs further validation in larger multicenter trials. (author)

  8. Urinary Biomarkers in the Assessment of Early Diabetic Nephropathy

    Science.gov (United States)

    Gluhovschi, Gheorghe; Petrica, Ligia; Timar, Romulus; Velciov, Silvia; Ionita, Ioana; Kaycsa, Adriana; Timar, Bogdan

    2016-01-01

    Diabetic nephropathy (DN) is a frequent and severe complication of diabetes mellitus (DM). Its diagnosis in incipient stages may allow prompt interventions and an improved prognosis. Towards this aim, biomarkers for detecting early DN can be used. Microalbuminuria has been proven a remarkably useful biomarker, being used for diagnosis of DN, for assessing its associated condition—mainly cardiovascular ones—and for monitoring its progression. New researches are pointing that some of these biomarkers (i.e., glomerular, tubular, inflammation markers, and biomarkers of oxidative stress) precede albuminuria in some patients. However, their usefulness is widely debated in the literature and has not yet led to the validation of a new “gold standard” biomarker for the early diagnosis of DN. Currently, microalbuminuria is an important biomarker for both glomerular and tubular injury. Other glomerular biomarkers (transferrin and ceruloplasmin) are under evaluation. Tubular biomarkers in DN seem to be of a paramount importance in the early diagnosis of DN since tubular lesions occur early. Additionally, biomarkers of inflammation, oxidative stress, podocyte biomarkers, and vascular biomarkers have been employed for assessing early DN. The purpose of this review is to provide an overview of the current biomarkers used for the diagnosis of early DN.

  9. MicroRNAs in Diabetic Nephropathy: From Biomarkers to Therapy.

    Science.gov (United States)

    Simpson, Kate; Wonnacott, Alexa; Fraser, Donald J; Bowen, Timothy

    2016-03-01

    Recent estimates suggest that 1 in 12 of the global population suffers from diabetes mellitus. Approximately 40 % of those affected will go on to develop diabetes-related chronic kidney disease or diabetic nephropathy (DN). DN is a major cause of disability and premature death. Existing tests for prognostic purposes are limited and can be invasive, and interventions to delay progression are challenging. MicroRNAs (miRNAs) are a recently described class of molecular regulators found ubiquitously in human tissues and bodily fluids, where they are highly stable. Alterations in miRNA expression profiles have been observed in numerous diseases. Blood and tissue miRNAs are already established cancer biomarkers, and cardiovascular, metabolic and immune disease miRNA biomarkers are under development. Urinary miRNAs represent a potential novel source of non-invasive biomarkers for kidney diseases, including DN. In addition, recent data suggest that miRNAs may have therapeutic applications. Here, we review the utility of miRNAs as biomarkers for the early detection and progression of DN, assess emerging data on miRNAs implicated in DN pathology and discuss how the data from both fields may contribute to the development of novel therapeutic agents. PMID:26973290

  10. Prognostic factors and biomarkers of congenital obstructive nephropathy.

    Science.gov (United States)

    Chevalier, Robert L

    2016-09-01

    Congenital obstructive nephropathy (CON) is the leading cause of chronic kidney disease (CKD) in children. Anomalies of the urinary tract are often associated with abnormal nephrogenesis, which is compounded by obstructive injury and by maternal risk factors associated with low birth weight. Currently available fetal and postnatal imaging and analytes of amniotic fluid, urine, or blood lack predictive value. For ureteropelvic junction obstruction, biomarkers are needed for optimal timing of pyeloplasty; for posterior urethral valves, biomarkers of long-term prognosis and CKD are needed. The initial nephron number may be a major determinant of progression of CKD, and most patients with CON who progress to renal failure reach this point in adulthood, presumably compounded by episodes of acute kidney injury. Biomarkers of tubular injury may be of particular value in predicting the need for surgical intervention or in tracking progression of CKD, and must be adjusted for patient age. Discovery of new biomarkers may depend on "unbiased" proteomics, whereby patterns of urinary peptide fragments from patients with CON are analyzed in comparison to controls. Most promising are the analysis of urinary exosomes (restricting biomarkers to relevant tubular cells) and quantitative magnetic resonance imaging techniques allowing precise determination of nephron number and tubular mass. The greatest need is for large prospective multicenter studies with centralized biomarker sample repositories to follow patients with CON from fetal life through adulthood. PMID:26667236

  11. IgA Nephropathy: New Aspects in Pathophysiology and Pathogenesis

    Directory of Open Access Journals (Sweden)

    Francois Berthoux

    2015-07-01

    Full Text Available Knowledge of the pathophysiology of immunoglobulin A nephropathy (IgAN has progressed significantly, with this disease being clearly identified as an autoimmune disease with a peculiar autoantigen (galactosedeficient IgA1 [Gd-IgA1], specific autoantibodies (IgG and IgA1 anti-glycans, and formation followed by mesangial deposition of circulating immune complexes with the involvement of other players, such as mesangial transferrin receptor (TfR, monocyte Fcα receptor (CD89, and glomerular transglutaminase 2 (TG2. The pathogenesis still requires additional clarifications in order to explain the initiation of the disease and to establish the respective role of genetics, environment, and hazard concordance in the cascade of events/steps. The clinical application of this new knowledge is spreading slowly and includes possible measurement of serum Gd-IgA1, IgG anti-Gd-IgA1, IgA anti-Gd-IgA1, soluble CD89, and soluble TfR in the urine of patients with IgAN.

  12. A case of primary JC polyomavirus infection-associated nephropathy.

    Science.gov (United States)

    Lautenschlager, I; Jahnukainen, T; Kardas, P; Lohi, J; Auvinen, E; Mannonen, L; Dumoulin, A; Hirsch, H H; Jalanko, H

    2014-12-01

    A 15-year-old boy with a posterior urethral valve received a deceased donor kidney transplant (KT) in March 2011. Basiliximab induction followed by tacrolimus-based triple medication was used as immunosuppression. Eleven months after KT, the graft function deteriorated and the biopsy demonstrated interstitial nephritis suggestive of acute rejection. BK polyomavirus (BKPyV) surveillance in urine and plasma was negative. The patient received methylprednisolone pulses and anti-thymocyte globulin. Immunohistochemistry was positive for simian virus 40 (SV40) large T-antigen (LTag) in the biopsies, and quantitative polymerase chain reaction for JC polyomavirus (JCPyV) indicated high viral loads in urine and borderline levels in plasma. Immunosuppression was reduced and follow-up biopsies showed tubular atrophy and interstitial fibrosis. Two years after KT, antibody-mediated rejection resulted in graft loss and return to hemodialysis. Retrospective serologic work-up indicated a primary JCPyV infection with seroconversion first for IgM, followed by IgG, but no indication of BKPyV infection. In the SV40 LTag positive biopsies, JCPyV deoxyribonucleic acid (DNA) with archetype noncoding control region was detected, while BKPyV DNA was undetectable. To the best of our knowledge, this is the first reported case of primary JCPyV infection as the cause of PyV-associated nephropathy in KT. PMID:25359127

  13. Urinary monocyte chemoattractant protein-1 and hepcidin and early diabetic nephropathy lesions in type 1 diabetes mellitus

    OpenAIRE

    Fufaa, Gudeta D.; Weil, E. Jennifer; Nelson, Robert G; Hanson, Robert L.; Knowler, William C.; Rovin, Brad H; Wu, Haifeng; Jon B Klein; Mifflin, Theodore E.; Feldman, Harold I.; Vasan, Ramachandran S.; Kimmel, Paul L.; Kusek, John W.; Mauer, Michael; Zinman, Bernard

    2015-01-01

    …the residual risk of renal disease progression in patients with diabetic nephropathy is still extremely high despite current optimal treatment; innate immunity, MCP-1 and macrophage tissue infiltration seem very promising targets for future treatment of diabetic nephropathy on top of the standard of care with RAAS inhibition.

  14. Carnosine as a protective factor in diabetic nephropathy - Association with a leucine repeat of the carnosinase gene CNDP1

    NARCIS (Netherlands)

    Janssen, B; Hohenadel, D.; Brinkkoetter, P.; Peters, V.; Rind, N.; Fischer, C.; Rychlik, I.; Cerna, M.; Romzova, M.; de Heer, E.; Baelde, H.; Bakker, Stephan; Zirie, M.; Rondeau, E.; Mathieson, P.; Saleem, M.A.; Meyer, J.; Koppel, H.; Sauerhoefer, S.; Bartram, C.R.; Nawroth, P.; Hammes, H.P.; Yard, B.A.; Zschocke, J.; van der Woude, F.J.

    2005-01-01

    The risk of diabetic nephropathy is partially genetically determined. Diabetic nephropathy is linked to a gene locus on chromosome 18q22.3-q23. We aimed to identify the causative gene on chromosome 18 and to study the mechanism by which the product of this gene could be involved in the development o

  15. Carnosine as a protective factor in diabetic nephropathy: association with a leucine repeat of the carnosinase gene CNDP1.

    Science.gov (United States)

    Janssen, Bart; Hohenadel, Daniela; Brinkkoetter, Paul; Peters, Verena; Rind, Nina; Fischer, Christine; Rychlik, Ivan; Cerna, Marie; Romzova, Marianna; de Heer, Emile; Baelde, Hans; Bakker, Stephan J L; Zirie, Mahmoud; Rondeau, Eric; Mathieson, Peter; Saleem, Moin A; Meyer, Jochen; Köppel, Hannes; Sauerhoefer, Sibylle; Bartram, Claus R; Nawroth, Peter; Hammes, Hans-Peter; Yard, Benito A; Zschocke, Johannes; van der Woude, Fokko J

    2005-08-01

    The risk of diabetic nephropathy is partially genetically determined. Diabetic nephropathy is linked to a gene locus on chromosome 18q22.3-q23. We aimed to identify the causative gene on chromosome 18 and to study the mechanism by which the product of this gene could be involved in the development of diabetic nephropathy. DNA polymorphisms were determined in 135 case (diabetic nephropathy) and 107 control (diabetes without nephropathy) subjects. The effect of carnosine on the production of extracellular matrix components and transforming growth factor-beta (TGF-beta) after exposure to 5 and 25 mmol/l d-glucose was studied in cultured human podocytes and mesangial cells, respectively. A trinucleotide repeat in exon 2 of the CNDP1 gene, coding for a leucine repeat in the leader peptide of the carnosinase-1 precursor, was associated with nephropathy. The shortest allelic form (CNDP1 Mannheim) was more common in the absence of nephropathy (P = 0.0028, odds ratio 2.56 [95% CI 1.36-4.84]) and was associated with lower serum carnosinase levels. Carnosine inhibited the increased production of fibronectin and collagen type VI in podocytes and the increased production of TGF-beta in mesangial cells induced by 25 mmol/l glucose. Diabetic patients with the CNDP1 Mannheim variant are less susceptible for nephropathy. Carnosine protects against the adverse effects of high glucose levels on renal cells. PMID:16046297

  16. Trablusgarb ve Balkan Savaşları’nın Osmanlı Devleti’nin Ticaret-i Hariciyesi Üzerindeki Etkileri The Impacts Of Tripolitanian And Balkan Wars On The Ottoman Foreign Trade

    Directory of Open Access Journals (Sweden)

    Filiz ÇOLAK

    2013-07-01

    Full Text Available The last ten years of the Ottoman State witnessed successivewars. These ten years began with the Tripolitanian War, which was aTurkish-Italian war, and ended with the Balkan Wars, World War I andTurkish War of Independence. These wars led to deterioration ofpolitical and economic conditions of the state and eventually to its fall.The Tripoli and Balkan Wars deeply influenced foreign policy andtrade of the Ottoman State. The Tripolitanian War began in 1911 whenItaly invaded Tripolitania and caused tension in the Ottoman-Italianeconomic relations even for a while. The same boycott, previouslyimplemented by the Ottoman State against Austrian goods as a result ofBosnia and Herzegovina invasion of Austria-Hungary in 1908, wasimplemented against Italian goods in 1911. The idea of boycott initiallycame up in the press, because the government was late to declare waragainst Italy. However Babıâli could not prevent Italian goods enteringthe country due to capitulations, therefore resorted to increase thecustoms duties taken from Italian goods. This policy continued until thepeace treaty in 1912.In 1912 the Ottoman State found itself at war with the BalkanLeague, an alliance formed by the Balkan States (Bulgaria, Greece,Montenegro, Serbia led by Bulgaria. Babıâli entered this war withoutany preparation and during the war Babıâli on the one hand tried tomeet army’s needs and on the other hand tried to take precautions byreviewing its economic relations with these countries. As a first step,like in the Tripolitanian War, Babıâli increased the customs dutiesapplied during trade activities with these Balkan countries and laterboycott was implemented against them by the Ottoman State. Thispolicy continued until the peace treaties in 1913 and ended after thepeace.In this study we will try to answer how these wars affected theforeign trade of the Ottoman State. The impact of these wars on theimport and export relations between Italy/Balkan States and

  17. Models of the potential distribution and habitat preferences of the genus Pipiza (Syrphidae: Diptera on the Balkan peninsula

    Directory of Open Access Journals (Sweden)

    Nikolić Tijana

    2013-01-01

    Full Text Available Seven species of the genus Pipiza, collected throughout the southern and western Balkans, were used for the analysis of habitat preferences and potential geographical distribution on the Balkan Peninsula. The analyzed species show a wide and uneven distribution across the delineated geographical-biogeographical regions. The highest number of species noted is from two regions - the Dinaric mountain chain and the Pannonian and subpannonian regions (seven and six. Land cover patch analysis revealed that forests dominate the landscape surroundings of the analyzed species. “Presenceonly models” developed by Maxent support the understanding of the distribution and ecology of each analyzed species. The low probability values of current potential distribution correspond to large non-forested and fragmented forest areas, where, on the other hand, relatively high probabilities overlap with areas of deciduous forests across the peninsula. Results confirm species preference to forest landscapes and emphasize the need for local scale analysis. The studies are of importance in developing regional monitoring schemes and conservation strategies.

  18. Analgesic nephropathy as a cause of end-stage renal disease in a 55 year-old Nigerian.

    Science.gov (United States)

    Okafor, U H; Unuigbe, E I; Onwuchekwa, A C; Emem-Chioma, P

    2012-01-01

    Analgesic nephropathy is a subtle but significant cause of chronic renal failure. There is paucity of data on analgesic nephropathy in Nigeria. This case presentation is to highlight the need to have high index of suspicion in patients at risk of developing analgesic nephropathy. In March 2009 a 55-year-old businessman was referred to the renal unit on account of azotemia by the hematologist who had hitherto managed the patient as a case of refractory anemia. The patient had osteoarthritis for over 10 years and was managed with several analgesic drugs over the same period. He was found to have features suggestive of analgesic nephropathy and had end-stage renal disease. He was commenced on appropriate therapy, and he had a live related kidney transplant six months later. Analgesic nephropathy is preventable and morbidity/mortality can be remarkably reduced with appropriate and prompt intervention. PMID:22718180

  19. Syphilis and the endemic treponematoses : clinical, (histo-) pathological and laboratory studies

    NARCIS (Netherlands)

    H.J.H. Engelkens (Herman)

    1993-01-01

    textabstractTreponemal diseases important to mankind are sexually transmitted syphilis and the endemic nonvenereally transmitted treponematoses (yaws, pinta, and endemic syphilis). Historically, the most important disease caused by treponemes is syphilis. During the last few decades, yaws, endemic s

  20. Urinary iodine excretion in relation to goiter prevalence in households of goiter endemic and non endemic regions of Ethiopia

    International Nuclear Information System (INIS)

    A Survey of goiter prevalence, among population of five endemic and four non endemic regions of Ethiopia was carried out prior to the distribution of iodate d salt. urine samples were collected from 327 subjects selected by systematic random sampling from endemic and 276 taken as non endemic. The lowest mean urinary iodine excretion (UIE) value was recorded in Bure (22 micro gl/day) and the highest in Alemmaya (148 micro gl/day). The highest goiter rate ( percent TGR) was recorded in Sawla 55.6 %) and the lowest (0.6 %) in Yabello. Iodine content of drinking was in the range of 0.4 - 48.5 micro gl. Iodine content of water source was correlated positively ( r0.8399) with the mean of UIE and TGR, however, indicates that sites considered as non endemic seem to be affected by iodine deficiency. The study results urge the need for intervention in controlling Iodine Deficiency Disorders. 3 tab

  1. Phospholipase A2 receptor positive membranous nephropathy long after living donor kidney transplantation between identical twins.

    Science.gov (United States)

    Saito, Hisako; Hamasaki, Yoshifumi; Tojo, Akihiro; Shintani, Yukako; Shimizu, Akira; Nangaku, Masaomi

    2015-07-01

    Although membranous nephropathy (MN) is a commonly observed cause of post-transplant glomerulonephritis, distinguishing de novo from recurrent MN in kidney allograft is often difficult. Phospholipase A2 receptor (PLA2R) staining is useful for diagnosing recurrent MN in allografts similarly to idiopathic MN in native kidney. No specific treatment strategy has been established for MN, especially when accompanied with HCV infection in kidney transplant recipients. This report describes a 66-year-old man who was diagnosed as having PLA2R positive membranous nephropathy accompanied with already-known IgA nephropathy and HCV infection 26 years after kidney transplantation conducted between identical twins. PLA2R was detected along capillary loops, implying that this patient is affected by the same pathogenic mechanism as idiopathic MN, not secondary MN associated with other disorders such as HCV infection. The patient successfully achieved clinical remission after steroid therapy. PMID:26031599

  2. Contrast-medium-induced nephropathy: is there a new consensus? A review of published guidelines

    International Nuclear Information System (INIS)

    The interest in contrast-medium-induced nephropathy has increased considerably during the last few years. Various guidelines regarding identifying patients at risk and measures to reduce the incidence of this complication have been proposed. The aim of this review was to analyse whether there is some consistency amongst these guidelines. A Medline search for the keyword ''contrast medium induced nephropathy'' during the period from the beginning of 2003 through the end of September 2005 was carried out. Only papers in English were reviewed. Thirteen guidelines were identified. Inconsistency was observed regarding advise on the prophylactic use of drugs and the isoosmolar dimer to reduce the incidence of contrast-medium-induced nephropathy. Consistency was found in relation to the importance of hydration, cessation of intake of nephrotoxic drugs and administration of the lowest possible dose of contrast medium. No new consensus has been observed in comparison to the European Society for Urogenital Radiology (ESUR) guidelines, which were published in 1999. (orig.)

  3. An unusual cause of acute kidney injury due to oxalate nephropathy in systemic scleroderma.

    Science.gov (United States)

    Mascio, Heather M; Joya, Christie A; Plasse, Richard A; Baker, Thomas P; Flessner, Michael F; Nee, Robert

    2015-08-01

    Oxalate nephropathy is an uncommon cause of acute kidney injury. Far rarer is its association with scleroderma, with only one other published case report in the literature. We report a case of a 75-year-old African-American female with a history of systemic scleroderma manifested by chronic pseudo-obstruction and small intestinal bacterial overgrowth (SIBO) treated with rifaximin, who presented with acute kidney injury with normal blood pressure. A renal biopsy demonstrated extensive acute tubular injury with numerous intratubular birefringent crystals, consistent with oxalate nephropathy. We hypothesize that her recent treatment with rifaximin for SIBO and decreased intestinal transit time in pseudo-obstruction may have significantly increased intestinal oxalate absorption, leading to acute kidney injury. Oxalate nephropathy should be considered in the differential diagnosis of acute kidney injury in scleroderma with normotension, and subsequent evaluation should be focused on bowel function to include alterations in gut flora due to antibiotic administration. PMID:25500295

  4. ELMO1 variants and susceptibility to diabetic nephropathy in American Indians.

    Science.gov (United States)

    Hanson, Robert L; Millis, Meredith P; Young, Naomi J; Kobes, Sayuko; Nelson, Robert G; Knowler, William C; DiStefano, Johanna K

    2010-12-01

    Variants in the engulfment and cell motility 1 gene, ELMO1, have previously been associated with kidney disease attributed to type 2 diabetes. The Pima Indians of Arizona have high rates of diabetic nephropathy, which is strongly dependent on genetic determinants; thus, we sought to investigate the role of ELMO1 polymorphisms in mediating susceptibility to this disease in this population. Genotype distributions were compared among 141 individuals with nephropathy and 416 individuals without heavy proteinuria in a family study of 257 sibships, and 107 cases with diabetic ESRD and 108 controls with long duration diabetes and no nephropathy. We sequenced 17.4 kb of ELMO1 and identified 19 variants. We genotyped 12 markers, excluding those in 100% genotypic concordance with other variants or with a minor allele frequency ELMO1 variation may involve as yet undiscovered functional variants or complex interactions with other biological variables. PMID:20826100

  5. A case of primary renal allograft dysfunction due to myeloma cast nephropathy

    Directory of Open Access Journals (Sweden)

    Umesh Lingaraj

    2015-01-01

    Full Text Available We report a rare case of primary renal allograft dysfunction due to myeloma cast nephropathy in a patient with no overt clinical features of multiple myeloma preceding his transplantation. A 45-year-old man on hemodialysis for six months for end-stage kidney disease due to presumed chronic glomerulonephritis developed immediate graft dysfunction post-transplantation. The graft biopsy was diagnostic of myeloma cast nephropathy. Other criteria for lambda light chain multiple myeloma were fulfilled with immunofixation electrophoresis and bone marrow biopsy. He was treated with plasmapheresis, bortezomib and high-dose dexamethasone. However, the patient succumbed to septicemia on the 37 th post-operative day. This is probably the first report of primary renal allograft dysfunction due to myeloma cast nephropathy diagnosed within the first week posttransplanation in a patient with unrecognized multiple myeloma.

  6. A comparison of spirapril and isradipine in patients with diabetic nephropathy and hypertension

    DEFF Research Database (Denmark)

    Nørgaard, K; Jensen, T; Christensen, P; Feldt-Rasmussen, B

    1993-01-01

    The effects of spirapril and isradipine on blood pressure, urinary albumin excretion and sodium-volume homeostasis in hypertensive insulin-dependent diabetic patients with nephropathy were assessed. Fifteen Type 1 diabetic patients aged 28-53 years with a diabetes duration of 19-37 years were...... studied. All had hypertension and diabetic nephropathy with a urinary albumin excretion of more than 300 mg/24 h. After a single blind placebo treatment period of 4 weeks the patients were randomly assigned to treatment with the calcium antagonist isradipine SRO 5 mg once daily or the ACE inhibitor...... vs 2636 +/- 194 meq/1.73 m2 (p < 0.05) and extracellular volume tended to do so (p = 0.12). On isradipine treatment these parameters remained unchanged. In conclusion both isradipine and spirapril lowered blood pressure in patients with diabetic nephropathy. Only the ACE inhibitor had demonstrable...

  7. The climate in the Balkans during the Eemian: a multi-method approach

    Science.gov (United States)

    Peyron, Odile; Lezine, Anne-Marie; Goring, Simon; Klotz, Stefan; Kuhl, Norbert; Bordon, Amandine

    2010-05-01

    available in south Europe (Monticchio and Ioannina). Although Brewer et al (2008) show stable temperatures and precipitation for southern Europe throughout the Eemian, our results indicate a gradual decline in temperatures throughout the Eemian at the Lake Orhid site. Thus the Lake Orhid reconstruction fills a gap in South Europe and provides new results for the Balkan Peninsula.

  8. Tephrostratigraphic studies on a sediment core from Lake Prespa in the Balkans

    Directory of Open Access Journals (Sweden)

    M. Damaschke

    2013-01-01

    Full Text Available A detailed tephrostratigraphic record, which dates back to Marine Isotope Stage (MIS 5b (ca. 91 kyr, has been established from a 17.76 m long core (Co1215 from Lake Prespa (Macedonia, Albania and Greece. A total of eleven tephra and cryptotephra layers (PT0915-1 to PT0915-11 were identified, using XRF scanning, magnetic susceptibility measurements, and macro- and microscopic inspection of the sediments. The major element composition of glass shards and/or micro-pumice fragments indicates that the tephras and cryptotephras originate from the explosive volcanism of Italy. Eight tephra and cryptotephra layers were correlated with specific volcanic eruptions: the AD 512 eruption of Somma-Vesuvius (1438 cal yr BP, the Mercato eruption of Somma-Vesuvius (8890 ± 90 cal yr BP, the Tufi Biancastri/LN1-LN2 eruption of the Campi Flegrei (14 749 ± 523 cal yr BP and 15 551 ± 621 cal yr BP, the SMP1-e/Y-3 eruption of the Campi Flegrei (30 000–31 000 cal yr BP, the Campanian Ignimbrite/Y-5 eruption of the Campi Flegrei (39 280 ± 110 cal yr BP, the SMP1-a event of Ischia Island (around 44 000 cal yr BP and the Green Tuff/Y-6 eruption of Pantelleria Island (around 45 000 cal yr BP. One tephra could be attributed to the volcanic activity of Mount Etna, but probably represents an unknown eruption at ca. 60 000 cal yr BP. Cryptotephras PT0915-6 and PT0915-10 remain unclassified so far, but according to the presented age-depth model these would have been deposited around 35 000 and 48 500 cal yr BP, respectively. Some of the tephras and cryptotephras are recognised for the first time in the Balkan region. The tephrostratigraphic work provides important information about ash dispersal and explosion patterns of source volcanoes and can be used to correlate and date geographically distant paleoenvironmental and archaeological archives in the central Mediterranean region. Moreover, the tephrostratigraphic work in combination with radiocarbon and electron spin

  9. Tephrostratigraphic studies on a sediment core from Lake Prespa in the Balkans

    Directory of Open Access Journals (Sweden)

    M. Damaschke

    2012-09-01

    Full Text Available A detailed tephrostratigraphic record, which dates back to Marine Isotope Stage (MIS 5, has been established from a 17.76 m long core (Co1215 from Lake Prespa (Macedonia, Albania and Greece. A total of eleven tephra and cryptotephra layers (PT0915-1 to PT0915-11 were identified, using XRF scanning, magnetic susceptibility measurements, and macro- and microscopic inspection of the sediments. The major element composition of glass shards and/or micro-pumice fragments indicates that the tephras and cryptotephras originate from the explosive volcanism of Italy. Eight tephra and cryptotephra layers were correlated with specific volcanic eruptions: cryptotephra PT0915-1 with the 512 AD eruption of Somma-Vesuvius (1438 cal yr BP, tephra PT0915-2 with the Mercato eruption of Somma-Vesuvius (8890 ± 90 cal yr BP, cryptotephras PT0915-3 and PT0915-4 with Tufi Biancastri/LN1-LN2 of the Campi Flegrei (14 749 ± 523 cal yr BP and 15 551 ± 621 cal yr BP, tephra PT0915-5 with the SMP1-e/Y-3 eruption of the Campi Flegrei (30 000–31 000 cal yr BP, tephra PT0915-7 with the Campanian Ignimbrite/Y-5 of the Campi Flegrei (39 280 ± 110 cal yr BP, cryptotephra PT0915-8 with the SMP1-a event of Ischia Island (around 44 000 cal yr BP and tephra PT0915-9 with the Green Tuff/Y-6 eruption of Pantelleria Island (around 45 000 cal yr BP. Tephra PT0915-11 could be attributed to the volcanic activity of Mount Etna, but probably represents a hitherto unknown eruption at ca. 60 000 cal yr BP. Cryptotephras PT0915-6 and PT0915-10 remain unclassified so far, but according to the presented age-depth model these would have been deposited around 35 000 and 48 500 cal yr BP, respectively. Some of the tephras and cryptotephras are recognised for the first time in the Balkan region. The tephrostratigraphic work provides important information about ash dispersal and explosion patterns of source volcanoes and can be used to correlate and date geographically distant paleoenvironmental

  10. Endemicity of chytridiomycosis features pathogen overdispersion.

    Science.gov (United States)

    Grogan, Laura F; Phillott, Andrea D; Scheele, Benjamin C; Berger, Lee; Cashins, Scott D; Bell, Sara C; Puschendorf, Robert; Skerratt, Lee F

    2016-05-01

    Pathogens can be critical drivers of the abundance and distribution of wild animal populations. The presence of an overdispersed pathogen load distribution between hosts (where few hosts harbour heavy parasite burdens and light infections are common) can have an important stabilizing effect on host-pathogen dynamics where infection intensity determines pathogenicity. This may potentially lead to endemicity of an introduced pathogen rather than extirpation of the host and/or pathogen. Overdispersed pathogen load distributions have rarely been considered in wild animal populations as an important component of the infection dynamics of microparasites such as bacteria, viruses, protozoa and fungi. Here we examined the abundance, distribution and transmission of the model fungal pathogen Batrachochytrium dendrobatidis (Bd, cause of amphibian chytridiomycosis) between wild-caught Litoria rheocola (common mist frogs) to investigate the effects of an overdispersed pathogen load distribution on the host population in the wild. We quantified host survival, infection incidence and recovery probabilities relative to infectious burden, and compared the results of models where pathogen overdispersion either was or was not considered an important feature of host-pathogen dynamics. We found the distribution of Bd load between hosts to be highly overdispersed. We found that host survival was related to infection burden and that accounting for pathogen overdispersion allowed us to better understand infection dynamics and their implications for disease control. In addition, we found that the pattern of host infections and recoveries varied markedly with season whereby (i) infections established more in winter, consistent with temperature-dependent effects on fungal growth, and (ii) recoveries (loss of infection) occurred frequently in the field throughout the year but were less likely in winter. Our results suggest that pathogen overdispersion is an important feature of endemic

  11. Urinary uromodulin excretion predicts progression of chronic kidney disease resulting from IgA nephropathy.

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    Jingjing Zhou

    Full Text Available BACKGROUND: Uromodulin, or Tamm-Horsfall protein, is the most abundant urinary protein in healthy individuals. Recent studies have suggested that uromodulin may play a role in chronic kidney diseases. We examined an IgA nephropathy cohort to determine whether uromodulin plays a role in the progression of IgA nephropathy. METHODS: A total of 344 IgA nephropathy patients were involved in this study. Morphological changes were evaluated with the Oxford classification of IgA nephropathy. Enzyme Linked Immunosorbent Assay (ELISA measured the urinary uromodulin level on the renal biopsy day. Follow up was done regularly on 185 patients. Time-average blood pressure, time-average proteinuria, estimated glomerular filtration rate (eGFR and eGFR decline rate were caculated. Association between the urinary uromodulin level and the eGFR decline rate was analyzed with SPSS 13.0. RESULTS: We found that lower baseline urinary uromodulin levels (P = 0.03 and higher time-average proteinuria (P = 0.04 were risk factors for rapid eGFR decline in a follow-up subgroup of the IgA nephropathy cohort. Urinary uromodulin level was correlated with tubulointerstitial lesions (P = 0.016. Patients that had more tubular atrophy/interstitial fibrosis on the surface had lower urinary uromodulin levels (P = 0.02. CONCLUSIONS: Urinary uromodulin level is associated with interstitial fibrosis/tubular atrophy and contributes to eGFR decline in IgA nephropathy.

  12. Telmisartan Ameliorates Nephropathy in Metabolic Syndrome by Reducing Leptin Release From Perirenal Adipose Tissue.

    Science.gov (United States)

    Li, Hao; Li, Min; Liu, Ping; Wang, YaPing; Zhang, Heng; Li, HongBin; Yang, ShiFeng; Song, Yan; Yin, YanRong; Gao, Lan; Cheng, Si; Cai, Jun; Tian, Gang

    2016-08-01

    Metabolic syndrome (MetS) is associated with nephropathy. Along with common risk factors such as hypertension and hyperglycemia, adipocytokines released from perirenal adipose tissue (PRAT) are implicated in the pathogenesis of MetS nephropathy. The study was designed to elucidate the adverse effects of PRAT-derived leptin on nephropathy and to determine whether the angiotensin II type 1 receptor antagonist telmisartan exerts a renoprotective effect by decreasing the PRAT-derived leptin level in the high-fat diet-induced MetS rat. In MetS rats, PRAT-derived leptin expression increased concomitant with dysfunction of adipogenesis, and the activities of the angiotensin II-angiotensin II type 1 receptor and the angiotensin-converting enzyme 2-angiotensin (1-7)-Mas receptor axes were imbalanced in PRAT. PRAT-derived leptin from MetS rats promoted proliferation of rat glomerular endothelial cells (GERs) by activating the p38 MAPK (mitogen-activated protein kinase) pathway, thereby contributing to the development of nephropathy. Long-term telmisartan treatment improved metabolic parameters and renal function, decreased the amount of PRAT, promoted adipogenesis, increased the expression of angiotensin-converting enzyme 2, restored balanced activities of the angiotensin II-AT1R and angiotensin-converting enzyme 2-angiotensin (1-7)-Mas axes, and exerted an indirect renoprotective effect on MetS rats by decreasing PRAT-derived leptin release. Our results demonstrate a novel link between nephropathy and PRAT in MetS and show that telmisartan confers an underlying protective effect on visceral adipose tissue and the kidney, suggesting that it has potential as a therapeutic agent for the treatment of MetS-associated nephropathy. PMID:27296996

  13. Description of Nasocoris lautereri sp. nov. from the Balkan peninsula, with a review of the genus Nasocoris (Hemiptera: Heteroptera: Miridae: Phylinae)

    Czech Academy of Sciences Publication Activity Database

    Kment, P.; Bryja, Josef

    2007-01-01

    Roč. 1633, - (2007), s. 39-61. ISSN 1175-5326 Institutional research plan: CEZ:AV0Z60930519 Keywords : Insecta * Balkan peninsula * host plant Subject RIV: EG - Zoology Impact factor: 0.691, year: 2007 http://www.mapress.com/zootaxa/2007f/z01633p038f.pdf

  14. BOOK REVIEW. 2014. Suveranitatea statelor si integrarea europeana a Balcanilor: cazul Serbiei (The Sovereignty of States and the European Integration of the Balkans: The case of Serbia

    Directory of Open Access Journals (Sweden)

    Oana C. POPA

    2015-12-01

    Full Text Available BOOK REVIEW. Dan D. Lazea. 2014. Suveranitatea statelor si integrarea europeana a Balcanilor: cazul Serbiei (The Sovereignty of States and the European Integration of the Balkans: The case of Serbia, Timișoara, Western University Publishing House, 257p, ISBN: 978-973-125-440-1.

  15. Advances in methods for measuring patterns of endemic plant diversity

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    Jihong Huang

    2013-01-01

    Full Text Available Endemism, the restriction of a taxon’s distribution to a specified geographical area, is central to the study of biogeography. Understanding endemism not only concerns a number of evolutionary and biogeographical issues, but also plays an important role in maintaining biodiversity and in the selection of priority areas for conservation. In recent years, various measures and analytical methods have been used to investigate patterns of endemism for various taxa from different regions. The emergence of these new measurements has benefited from the construction of phylogenetic trees and the implementation of data from spatial statistics. Some of these measures, such as phylogenetic diversity, phylogenetic endemism, and biogeographically weighted evolutionary distinctiveness deserve much more attention. Here, we review progress in the methodology used to measure the distribution patterns of endemism. These metrics have generally developed from a single time or space perspective to space-time united patterns. Specifically, the metrics include species richness, phylogenetic diversity and evolutionary distinctiveness, plus all there in combination as well as the weight of species range size. Moreover, we propose that studies on the distribution patterns of Chinese endemic taxa should pay attention to species diversity, phylogenetic diversity, species β-diversity, and phylogenetic β-diversity. In particular, model simulation analysis should be emphasized and implemented during investigations. These studies will provide fundamental knowledge for comprehensive recognition of scale-induced differences and for the detection of mechanisms underlying the distribution patterns of endemic taxa, and therefore provide theoretical support for biodiversity conservation.

  16. Changes in the gene expression programs of renal mesangial cells during diabetic nephropathy

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    Brunskill Eric W

    2012-07-01

    Full Text Available Abstract Background Diabetic nephropathy is the leading cause of end stage renal disease. All three cell types of the glomerulus, podocytes, endothelial cells and mesangial cells, play important roles in diabetic nephropathy. In this report we used Meis1-GFP transgenic mice to purify mesangial cells from normal mice and from db/db mice, which suffer diabetic nephropathy. The purpose of the study is to better define the unique character of normal mesangial cells, and to characterize their pathogenic and protective responses during diabetic nephropathy. Methods Comprehensive gene expression states of the normal and diseased mesangial cells were defined with microarrays. By comparing the gene expression profiles of mesangial cells with those of multiple other renal cell types, including podocytes, endothelial cells and renal vesicles, it was possible to better define their exceptional nature, which includes smooth muscle, phagocytic and neuronal traits. Results The complete set of mesangial cell expressed transcription factors, growth factors and receptors were identified. In addition, the analysis of the mesangial cells from diabetic nephropathy mice characterized their changes in gene expression. Molecular functions and biological processes specific to diseased mesangial cells were characterized, identifying genes involved in extracellular matrix, cell division, vasculogenesis, and growth factor modulation. Selected gene changes considered of particular importance to the disease process were validated and localized within the glomuerulus by immunostaining. For example, thrombospondin, a key mediator of TGFβ signaling, was upregulated in the diabetic nephropathy mesangial cells, likely contributing to fibrosis. On the other hand the decorin gene was also upregulated, and expression of this gene has been strongly implicated in the reduction of TGFβ induced fibrosis. Conclusions The results provide an important complement to previous studies

  17. Resolution of a proteinuric nephropathy associated with Babesia gibsoni infection in a dog.

    Science.gov (United States)

    Slade, Dennis J; Lees, George E; Berridge, Brian R; Clubb, Fred J; Kuczynski, Leslie A; Littman, Meryl P

    2011-01-01

    A 4 yr old male castrated Labrador retriever was evaluated for a short history of inappetance, lethargy, small-bowel diarrhea, polyuria, and polydipsia. Clinicopathologic abnormalities were consistent with protein-losing nephropathy and renal azotemia. Expansive infectious disease testing implicated Babesia gibsoni via whole blood polymerase chain reaction. Renal histopathology results were consistent with membranoproliferative glomerulonephritis and immune complex deposition. The dog was treated with azithromycin, atovaquone, and one dose of corticosteroids/cyclophosphamide. Three months after therapy was completed, the dog was clinically healthy, and all clinicopathologic abnormalities (including Babesia species polymerase chain reaction) had resolved. Atypical presentations of Babesia gibsoni should be considered with proteinuric nephropathy. PMID:22058361

  18. Impaired autoregulation of glomerular filtration rate in type 1 (insulin-dependent) diabetic patients with nephropathy

    DEFF Research Database (Denmark)

    Parving, H H; Kastrup, Helge; Smidt, U M; Andersen, A R; Feldt-Rasmussen, B; Christiansen, J S

    1984-01-01

    The effect of acute lowering of arterial blood pressure upon kidney function in nephropathy was studied in 13 patients with long-term Type 1 (insulin-dependent) diabetes. Ten normal subjects (six normotensive and four hypertensive) and five short-term Type 1 diabetic patients without nephropathy...... served as controls. Renal function was assessed by glomerular filtration rate (single bolus 51Cr-EDTA technique) and urinary albumin excretion rate (radial immunodiffusion). The study was performed twice within 2 weeks, with the subjects receiving an intravenous injection of either clonidine (225...

  19. Temporal stability of an endemic Mexican treefrog.

    Science.gov (United States)

    Cruz-Ruiz, Griselda; Venegas-Barrera, Crystian S; Sanchez-Sanchez, Hermilo; Manjarrez, Javier

    2015-01-01

    The demographic characteristics of an amphibian population fluctuate independently over time, mainly in response to the temporal variation of environmental factors, especially precipitation and temperature. These temporal fluctuations may contribute to the size of an amphibian population and could be used to determine the current conservation status of a species. During a five year (2004-2008) period, we studied the relative abundance, sex ratio, and age-sex structure of a population of metamorphosed individuals of the endemic treefrog Hyla eximia in Central Mexico. We also studied the species' relationship with climatic variables such as temperature and precipitation. We found an interannual constant abundance during the study period. However, interannual differences were observed in the population structure by age-sex category (males, females, or juveniles), with decreased abundance of males and juveniles during the rainy months (August-November). The annual abundance of H. eximia was positively correlated with rainfall, but negatively with monthly temperature. We found the sex ratio was male-biased (2:1), except for year 2008. Also, differences in snout-vent length (SVL) were found between years, suggesting changes in recruitment of new individuals. We conclude that variations in abundance, and frequencies by age-sex category, of H. eximia are related to seasonal variations in temperature and precipitation characteristics of temperate zones. However, this temporal stability may suggest that anurans have an unusual capacity to persist even in the face of human-induced habitat change. PMID:26421242

  20. REVIEW: Endemic plants of serpentine soils

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    SUDARMONO

    2007-10-01

    Full Text Available Plant adaptation to serpentine soils is a system ideal for studies in evolutionary ecology. Serpentine soils are characterized by low calcium to magnesium ratios with Ca at significantly lower concentrations relative to surrounding areas. Although some variation occurs between sites which identified three collective traits: poor plant productivity, high rates of endemism and vegetation type distinct from those of neighboring areas. The several morphological feature characteristic of serpentine-tolerant species is possess xeromorphic foliage, including reduced leaf size and sclerophylls, the stature is significantly reduced relative to counterparts on non serpentine soil and root systems of species growing on and off serpentine sites are often more developed on serpentine soils than on neighboring soils. Serpentine soils are ubiquitous, but patchily distributed and thus promote geographic isolation. Adaptation to edaphic conditions may also beget reproductive isolation. Adaptive mutation might be influenced frequently from related species inhabiting surrounding areas. For the future studies involving serpentine systems merge the fields of ecology, evolution, physiology, and genetics required for serpentine adaptation.