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1121 - 1130 / 2000
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1121.
Radical irradiation of the prostate. Combination of percutaneous irradiation and irradiation with LDR Ir-192 implants
Borut Kragelj, Franc Guna, Janez Burger, 2001, original scientific article

Abstract: Background. The irradiation of the carcinomas of the prostate with the doses above the tolerable ones of standard radiotherapy improves the local control of the disease. The aim of this study is to determine the acute toxicity and tolerability of the high-dose prostate irradiation combining external beam radiotherapy (EBRT) and interstitial low dose rate (LDR) brachyradiotherapy (BRT) Ir-192 of the prostate. Material and methods. We examined medical records of 8 patients with localized carcinoma of the prostate (T2-T3 No-x Mo)treated from August 1999 until February 2000. The initial PSA was 2.7-37.5 ng/ml (median 13.7) and Gleason score 4-9 (median 7). Radiotherapy consisted of 48.6-50.4 Gy of EBRT to the prostate and seminal vesicles (4 patients) or the whole pelvis (4 patients) and 20.0-28.0 Gy of interstital LDR Ir-192 BRT given as a single fraction, fluoroscopic guided transperineal Implantation of the prostate. The cumulative doses of percutaneous and interstitial irraditations to the prostate were 68.6 - 79.1 Gy. Results. Acute toxic effects of irradiation though observed in all patients were of only mild intensity. According to the RTOG criteria, 20/30 toxicities were assessed as grade 1, 9/30 as grade 2, and 1/30 as grade 3. In none of the patients, toxic effects required any specific modification of the treatment regimen. Conclusions. The very first experiences indicate moderate toxicity and optimaltolerance of the treatment by patients. An improvement of implantation techniques may be expected with regular CT controls of the implants and extra attentive care of the implants in the urethra region.
Published in DiRROS: 25.01.2024; Views: 213; Downloads: 80
.pdf Full text (223,53 KB)

1122.
What is current practice in soft tissue sarcoma grading?
Rastko Golouh, Matej Bračko, 2001, original scientific article

Abstract: Purpose. Most published grading systems of soft tissue sarcomas (STS) are somewhat subjective and it seems that there is no definite consensus among experts which of them is the most effective. The aim of this study was to collect data from practicing pathologists and to get some insight in the practice of STS grading. Subjects. A questionnaire was sent to 135 pathologists chosen randomly. Results. There were 88 responders from 30 countries from 5 continents. Most responders (85%) grade STS, more frequently in Europe than in non-European countries. Three-grade system is preferred by both European and non-European pathologists, who use it in almost 77% and 67%,respectively. They apply the criteria set by FNCLCC in 37.3%, by NCI in 24%, by Broders in 12% and by Markhede in 1.4%. In Europe, FNCLCC system is the most widely used. Beside classical histological criteria, other modern methods are applied by more than one half of the responders. Immunohistochemical evaluation of proliferation markers is the method most widely used, followed by molecular markers and DNA flow cytometry. Conclusion.The results of our study indicate that most pathologists consider histologic grade of STS as a valuable, however not completely satisfactory predictor of a patients survival.
Published in DiRROS: 25.01.2024; Views: 275; Downloads: 73
.pdf Full text (177,87 KB)

1123.
Computer systems for determination od pressure distribution in the hip joint articular surface : validation and results
Vlado Stankovski, Dragica Smrke, 2001, original scientific article

Abstract: Background. In this work, we describe the computer systems Viprecox and ActiveContours that are used in the process of realistic estimation of some biomechanical parameters of the hip joint, including the maximal value of the stress in the hip joint p max. The computer system Active Contours uses standard anteroposterior radiographs of the whole pelvis and both hips for itscalculations and Viprecox in its kernel uses a relatively simple three-dimensional mathematical model of stress distribution in the hip-joint articular surface which has been extensively elsewhere (e.g. Iglič 1996). Material and methods. Both state-of-the-art computer systems were tested by analysing the calculated values of p max for 81 patients (37 males and 44 females). Conclusions. In this way we prove that the described computer systems can be used for the determination of the contact stress distribution from standard AP radiographs.
Published in DiRROS: 25.01.2024; Views: 220; Downloads: 44
.pdf Full text (198,67 KB)

1124.
Upgrading of gamma cameras for developing countries
Valentin Fidler, Milan Prepadnik, Yanfen Xie, 2001, original scientific article

Abstract: Background. The project of upgrading the analog gamma cameras with PC based systems from International Atomic Energy Agency (IAEA) and the Ministry of Science and Technology of RS is presented from the initial basic demands to the final developments. Several national research groups (from China, India, Cuba and Slovenia) were involved in the IAEA development project for the acquisition card with software and the standard set of clinical protocols. Conclusions. The most functionally stable acquisition system tested on severalinternational workshops and in university clinics was the Slovenian onewith a complete set of nuclear medicine clinical protocols, documenting, networking and archiving solutions for simple MS Network or server oriented network systems (NT server, etc). More than 300 gamma cameras in 52 countries all over the world were digitized and put in routine clinical work.
Published in DiRROS: 25.01.2024; Views: 239; Downloads: 45
.pdf Full text (275,44 KB)

1125.
First experience with a novel luminescence-based optical sensor for measurement of oxygenation in tumors
Tomaž Jarm, Hotimir Lešničar, Gregor Serša, Damijan Miklavčič, 2001, original scientific article

Abstract: Background. The purpose of this preliminary study was to evaluate a novel luminescence-based fiber-optic sensor (OxyLite system) for the measurement of partial pressure of oxygen (pO2) in tumors and for the detection of changes inpO2 as a function of time. The new method was used simultaneously with the laser Doppler flowmetry method for the measurement of relative tissue perfusion. Materials and methods. Blood perfusion and pO2 were measured continuously via fiber-optic sensors inserted into SA-1 tumors in anesthetizedAžJ mice. The changes in blood flow and oxygenation of tumors wereinduced by transient changes of the parameters of anesthesia and by injection of a vasoactive drug hydralazine. Results. Both optical methods usedin the study successfully detected the induced changes in blood flow and pO2. The measurements of pO2 were well correlated with measurements of microcirculatory blood perfusion. In the majority of pO2 measurements, we observed an unexpected behavior of the signal during the stabilization processimmediately after the insertion of the probe into tumor. This behaviourof the pO2 signal was most probably caused by local tissue damage induced by the insertion of the probe. Conclusion. The novel luminescence-based optical oximetry can reliably detect local pO2 changes in tumors as a function of time but some aspects of prolonged pO2 measurement by this method require further investigation.
Keywords: sarcoma experimental, blood supply, laser-doppler flowmetry, oxygen, luminiscence
Published in DiRROS: 25.01.2024; Views: 275; Downloads: 91
.pdf Full text (231,19 KB)

1126.
Electroporator for in vitro cell permeabilization
Marko Puc, Karel Flisar, Stanislav Reberšek, Damijan Miklavčič, 2001, original scientific article

Abstract: The use of high voltage electric pulse technology, electroporation, in cell biology, biotechnology and medicine has attracted an enormous interest. Electroporation is a transient phenomenon that increases the permeability of cell plasma membrane. In the state of high permeability, the plasma membrane allows small and large molecules to be introduced into the cytoplasm, althoughthe cell plasma membrane represents a considerable barrier for them inits normal state. The effectiveness of electroporation depends on many parameters that can be divided into the parameters of the electric field and the parameters that define the state of cells and their surrounding i.e, temperature, osmotic pressure, etc. In this article, we present a prototype electroporator GT-1 for in vitro electropermeabilization that we have developed. Our electroporator offers a vast flexibility of parameters and can generate high and low voltage pulses, of which the latter ones are used for electrophoretic transfer of charged molecules through permeabilized cell plasma membrane.
Keywords: electroporation instrumentation methods, cell membrane permeabilization
Published in DiRROS: 25.01.2024; Views: 327; Downloads: 91
.pdf Full text (239,19 KB)

1127.
Combined therapy for oral cavity and oropharyngeal squamous cell carcinoma : depth of invasion as prognostic factor
Bogdan Čizmarevič, Boštjan Lanišnik, Vojislav Didanovič, Kristina Gornik-Kramberger, 2001, review article

Abstract: Background. The aim of the study was to emphasize the importance of surgical management of squamous cell carcinoma (SCC) in the head and neck to find the most important predictive factor for cervical lymph node metastasis and prognostic factor for survival. The use of multimodality therapy is being discussed as well. Patients and methods. From June 1st, 1992 to May 31st, 1998, 154 patients with oral cavity and oropharyngeal SCC were admitted to the Department of Otorhinolaryngology and Cervicofacial Surgery in the Teaching Hospital of Maribor. The criteria for inclusion into the study were met by 142 patients, but only 62/142 patients entered the multimodality protocol (surgery and postoperative radiotherapy). These 62/142 patients were treated surgically and 49 of them were postoperatively irradiated, while 13/62 declined postoperative radiotherapy. Surgical specimen was evaluated for positive or negative lymph nodes, tumor margins and the depth of invasion. Tumor cells were stained for Ki67 proliferative factor. Results. The depth of invasion was the most important predictive factor for the neck metastases in multivariate model including also the grade, pT and T. pN was found to be important in determining the overall survival using Cox regression model (p>0,05). A statistically important discrepancy between N and pN classification was found. In 23 cases N was overrated and in 3 cases underrated. The overall 5-year disease specific survival was 55%. Ki67 correlated with the grade of tumor differentiation. No statistically significant correlation was found with lymph node metastases. Conclusions. The depth of invasion is the most important determining the occurrence of the neck metastases whereas the N status determines the survival.
Published in DiRROS: 25.01.2024; Views: 200; Downloads: 50
.pdf Full text (124,52 KB)

1128.
Communication after laryngectomy
Irena Hočevar-Boltežar, Miha Žargi, 2001, review article

Abstract: Izhodišča. Pri bolnikih z napredovalim rakom grla in spodnjega žrela je kirurška odstranitev grla najbolj primeren način zdravljenja. To zdravljenje pa negativno vpliva na številne pomembne bolnikove funkcije in tudi na govor. Bolniki in metode dela. Po odstranitvi grla je možnih več različnih načinov tvorbe glasu, tako da se vsak laringektomirani bolnik lahko nauči katerega od teh načinov govornega sporazumevanja. Rezultati. Znanih je več različnih, tudielektronskih naprav, ki s pomočjo lastnih baterij proizvajajo zvok. Drugo možnost predstavlja ezofagalni govor, pri katerem se bolnik nauči uporabljati mišični segment na prehodu v zgornji požiralnik kot generator glasu. Kirurško možnost govorne rehabilitacije po laringektomiji pa predstavlja vstavitev proteze v kirurško narejeno fistulo med zgornjim požiralnikom in sapnikom. Proteza usmeri zrak iz pljuč v zgornji požiralnik, glas pa nastane pri prehoduzraka skozi že omenjeni mišični segment. Zaključki. Številni dejavniki vplivajo na izbiro najprimernejšega načina nadomestnega govora pri posameznem bolniku. V Sloveniji največ laringektomiranih bolnikov uporablja ezofagalni govor.
Published in DiRROS: 25.01.2024; Views: 236; Downloads: 68
.pdf Full text (82,96 KB)

1129.
Patogenost izolatov izbranih vrst gliv na Pinus sylvestris L. IN P. nigra Arnold
Ana Brglez, Barbara Piškur, Nikica Ogris, 2023, original scientific article

Abstract: Na sadikah rdečega in črnega bora smo testirali patogenost osmih izbranih izolatov gliv (Corinectria fuckeliana, Diaporthe eres, Diplodia pinea, Fusarium sp. 1 in 2, Fusicolla sp., Nectria dematiosa in Tympanis sp.), ki smo jih izolirali iz obolelih borovih dreves v Sloveniji v letih 2020 in 2021. Inokulirali smo skupno 115 sadik borov (vključno s kontrolo), periodično smo preverjali njihovo zdravstveno stanje in ob prvih znakih sušenja opravili reizolacije iz robov nastalih nekroz. Reizolacije so bile uspešne le v primeru inokulacije z vrstami gliv Diplodia pinea, Diaporthe eres in Fusarium sp. 2. Povprečna dolžina nekroz sadik rdečega bora, inokuliranih z D. pinea, Di. eres in Tympanis sp., se je statistično značilno razlikovala od kontrolnih sadik (p < 0,05). Pri sadikah črnega bora pa so se za statistično značilne izkazale povprečne dolžine nekroz pri kontroli in inokulacijah z glivama D. pinea in Tympanis sp. (p < 0,05).
Keywords: test patogenosti, reizolacije, Pinus sylvestris, rdeči bor, Pinus nigra, črni bor
Published in DiRROS: 25.01.2024; Views: 632; Downloads: 253
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1130.
Ocenjevanje kakovosti zraka na izbranih lokacijah v Mežiški dolini z uporabo epifitskih lišajev
Samar Al Sayegh-Petkovšek, Teja Sterže, Helena Poličnik, 2023, original scientific article

Abstract: Na 12 izbranih lokacijah v Mežiški dolini smo spomladi leta 2022 opravili popis epifitskih lišajev z uporabo slovenske metode SI in nemške metode VDI. Z obema metodama se ocenjuje kakovost zraka na podlagi obstoječih rastnih tipov steljk in vrst epifitskih lišajev, na katere vplivajo predvsem plinasta onesnažila v zraku. Dodatno smo določali tudi indekse toksitolerance. Skupaj smo na prostostoječem drevju evidentirali 34 vrst epifitskih lišajev; 25 v Zgornji Mežiški dolini in 27 vrst epifitskih lišajev v Spodnji Mežiški dolini. Na podlagi izračuna povprečnega indeksa toksitolerance za posamezno lokacijo smo ugotovili, da na vseh lokacijah prevladujejo vrste, ki so manj občutljive za onesnaževanje. Največji indeks zračne čistosti, določen po metodi VDI, je bil izračunan za lokacijo Lom, sledita lokaciji Žerjav in Tolsti vrh, kjer smo evidentirali tudi največje število vrst lišajev. Stanje lišajske vegetacije na vseh obravnavanih lokacijah je primerljivo in kaže, da so lokacije srednje obremenjene s plinastimi onesnažili. V ospredje lahko postavimo lokaciji Dolgo Brdo in Preški vrh, kjer je izpostavljenost plinastim onesnažilom velika do zmerna; na lokaciji Dolgo Brdo pa je bila tudi obrast lišajev revna. Izračunani indeksi zračne čistosti so sicer pokazali, da je kakovost zraka v Zgornji Mežiški dolini nekoliko boljša kot v Spodnji Mežiški dolini, vendar razlike niso statistično značilne.
Keywords: epifitski lišaji, kartiranje, bioindikatorji, onesnažen zrak, Mežiška dolina
Published in DiRROS: 25.01.2024; Views: 858; Downloads: 285
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