Petr Dvořák

Background: Increased arterial stiffness elevates mortality in chronic kidney disease. Limited available data suggest that regular exercise can reduce arterial stiffness in hemodialysis patients. This pilot study aimed to investigate the effects of intra-dialytic aerobic training on arterial stiffness in hemodialysis patients. Methods: Outpatients undergoing hemodialysis were randomized to a 20-week intra-dialytic aerobic training group (bedside ergometer exercise) or a control group receiving standard care. Arterial stiffness was evaluated using the cardio-ankle vascular index (CAVI). CAVI measurements, functional fitness tests, laboratory analyses, and quality-of-life assessments were performed at baseline and at the end of the study. Results: A significant decrease in CAVI was observed in the intra-dialytic aerobic training group (−5%; p = 0.037). Concurrently, significant improvements occurred in VO2peak/kg (+31%; p = 0.015), 6 min walk test (6 MWT) distance (+18%; p = 0.005), clearance (URR +2%; p < 0.001; Kt/V +6%; p = 0.001), and select quality-of-life parameters (social support +9%; p = 0.022; general health +25%; p = 0.008; well-being +3%; p < 0.001). No significant changes were found in the control group. Conclusions: The reduction in arterial stiffness confirms the efficacy of intra-dialytic aerobic training in improving overall health status. Consequently, CAVI appears to be a valuable tool for monitoring arterial stiffness changes in hemodialysis patients.

Aim. Specify the risk rate of incorrect patient classification based on the night-to-day ratio specification from singular 24-h ABPM in comparison to the results of 7-day ABPM monitoring Materials and Methods. 1197 24 h cycles were enrolled in 171 subjects in the study and divided into 4 groups: group 1 (40 healthy men and women without exercise), group 2 (40 healthy exercise-training men and women), group 3 (40 patients with ischemic coronary artery disease without exercise), and group 4 (51 patients with ischemic coronary artery disease following cardiovascular rehabilitation). The subject of the evaluation was the percentage rate of incorrect subject classification (dipper, nondipper, extreme dipper, and riser) based on the mean blood pressure values for 7 days and from seven independent 24-hour cycles (the mean value mode). Results. In the case of the individuals included in the monitored groups, the mean night-to-day ratio-based (mode for the 7 days versus the individual days of 24-hour monitoring) classification accordance ranged between 59% and 62%. Only in singular cases did the accordance reach 0% or 100%. The accordance size was not dependent on the health or cardiovascular disease ( ; 56% vs. 54%) or physical activity ( ; 55% vs. 54%) of the monitored individuals. Conclusion. The specification of the night-to-day ratio of each individual for each day of the 7-day ABPM monitoring would be the most convenient option. In many patients, diagnosing could thus be based on the most frequently occurring values (mode specification). The study protocol was registered with ClinicalTrials.gov (NCT05264090)

The use of anabolic steroid hormones as growth promoters in feed for farm animals has been banned in the European Union since 1988 on the basis of Council Directive 96/22/EC. However, there is still ongoing monitoring and reporting of positive findings of these banned substances in EU countries. The aim of this work was to investigate the efficacy and discriminatory ability of metabolic fingerprinting after the administration of 17β-testosterone esters to pigs. Plasma and urine samples were chromatographically separated on a Hypersil Gold C18 column. High resolution mass spectrometry metabolomic fingerprints were analysed on a hybrid mass spectrometer Q-Exactive. Three independent multivariate statistical methods, namely principal component analysis, clustre analysis, and orthogonal partial least squares discriminant analysis showed significant differences between the treated and control groups of pigs even 14 days after the administration of the hormonal drug. Plasma samples were also analysed by a conventional quantitative analysis using liquid chromatography with tandem mass spectrometry and a pharmacokinetic curve was constructed based on the results. In this case, no testosterone residue was detected 14 days after the administration. The results clearly showed that a metabolomics approach can be a useful and effective tool for the detection and monitoring of banned anabolic steroids used illegally in pig fattening.

Atomic force microscopy (AFM) is not only a high-resolution imaging technique but also a sensitive tool able to study biomechanical properties of bio-samples (biomolecules, cells) in native conditions—i.e., in buffered solutions (culturing media) and stable temperature (mostly 37 °C). Micromechanical transducers (cantilevers) are often used to map surface stiffness distribution, adhesion forces, and viscoelastic parameters of living cells; however, they can also be used to monitor time course of cardiomyocytes contraction dynamics (e.g. beating rate, relaxation time), together with other biomechanical properties. Here we describe the construction of an AFM-based biosensor setup designed to study the biomechanical properties of cardiomyocyte clusters, through the use of standard uncoated silicon nitride cantilevers. Force-time curves (mechanocardiograms, MCG) are recorded continuously in real time and in the presence of cardiomyocyte-contraction affecting drugs (e.g., isoproterenol, metoprolol) in the medium, under physiological conditions. The average value of contraction force and the beat rate, as basic biomechanical parameters, represent pharmacological indicators of different phenotype features. Robustness, low computational requirements, and optimal spatial sensitivity (detection limit 200 pN, respectively 20 nm displacement) are the main advantages of the presented method.

Czechia lost more than 3,000,000 inhabitants as a result of the WW II. Germans displaced from the borderland formed the largest part. The newcomers after 1945 were of a different character – without any relation to their new settlements. This population formed a special social milieu familiar with the socialist way of thinking and that of a suppressed middle class. The consequences of it are seen in demographic, economic, environmental and social areas. After 1989, the factories in the borderland were mostly closed down, armies left the territory, people were not prepared to start their own businesses. Large-scale landscape protection formed a new barrier. Tourism is not able to substitute for the decrease in employment. The hope in cross-border collaboration has been overestimated.

Currently, due to the elapsed time and the nature of the Chernobyl accident, the only artificial radionuclide present in the soil is 137Cs, with a physical half-life conversion of 30.17 years. The 137Cs is quickly integrated into a biological cycle, similar to potassium. Generally, radionuclides are characterized by their mobility in soil. Contamination of materials and food by radionuclides represent a serious problem and has a negative impact on human health. The threat of international terrorism and the inability to forestall the impact of natural disasters on nuclear energetic (Fukushima accident), are also reasons for continuous monitoring of food safety. According screening measurement performed in European countries, high radioactivity levels were reported in the wild boars muscles from Sumava (Czech Republic). Seasonal fluctuation of 137Cs activity in the wild boar meat samples was observed in the forests on the southern Rhineland. Monitoring of 137Cs activity in the wild boar meat samples in the hunting grounds in Slovakia was initiated based on the reports on exceeding limits of the content of radiocaesium in the meat of wild boar from the surrounding countries. The aim of this study was to determine the 137Cs post Chernobyl contamination of wild boars population in different hunting districts of Slovakia during 2013 - 2014. A total of 60 thigh muscle samples from wild boars of different age categories (4 months - 2 years) were evaluated. 137Cs activity was measured by gamma spectrometry (Canberra). Despite the fact Slovakia is closer to Chernobyl as Czech Republic and Germany, the 137Cs activity measured was very low and far below the permitted limit. The highest radiocaesium activity level measured in muscle was 37.2 Bq.kg-1 ±4.7%. Wild boar originated from Zlate Moravce district. The measurement results show, that 137Cs contamination levels of game in Slovakia are low. Radiocaesium activity in examined samples was very low and therefore consumption of wild boar meat does not represent a health risk problem.

The monitoring survey to assess the environmental pollution status of the river Morava--was carried out in 2014. This study presents the concentrations of heavy metals (Hg, Cr, Zn, Pb and Cd) in the water, sediment and muscle tissue of fish from the middle and lower reaches of the Morava river basin (Bečva, Dřevnice, Haná, Kyjovka and Morava rivers), in the Czech Republic. Atomic absorption spectrometry (AAS) was used for the analysis of toxic metals. European chub (Squalius cephalus) was chosen as a reference fish species for the comparison of monitored localities. Results showed a positive significant correlation between concentration of Hg, Pb, Cd, Cr and Zn in muscles and age of fishes (p<0.05). The contents of the analyzed metals in European chub muscles were low Hg 0.049-0.402, Pb 0.005-0.035, Cd 0.006-0.026, Cr 0.016-0.042 and Zn 5.59-64.31 mg.kg(-1) wet weight basis and did not exceed the values of limits admissible in the Czech Republic. The contents of the analyzed metals in European chub muscles were low at monitoring sites and did not exceed the values of limits admissible in the Czech Republic.

83 pacemaker (PM)/14 implantable cardioverter-defibrillator (ICD) autopsied patients, predominantly males, deceased 4.0±3.0/2.8±2.5 years after implantation in hospital. Coronary artery disease was most frequent. Its consequences were more severe in ICD patients. Sclerotic and rheumatic heart changes were present in older PM patients group only. The immediate cause of death was mostly of cardiac etiology. Relatively short implant-death interval should be explained by rather great part of non-cardiac causes of death in hospitalised patients. pacemakers - implantable cardioverter - defibrillators-causes of death - heart pathology - autopsy.

This study presents the concentrations of heavy metals (Cr, Cd, Hg, Zn and Pb) in the water, sediment, and muscle of two fish species from the middle and lower reaches of the Dyje river basin (Dyje, Jihlava, Svratka, Svitava and Trkmanka rivers), in the Czech Rebublic. Samples of water, sediment (Tab. 1.) and fish muscle were obtained during the seasons of 2012-2013. As the reference species were chosen chub (Squalius cephalus) and roach (Rutilus rutilus) due to their occurrence in all of the evaluated fishing grounds. The potential ecological risk analysis of heavy metal concentrations in the sediments indicated that nine sites in the middle and lower reaches posed moderate or considerable ecological risk. The health risk analysis of individual heavy metals in fish muscle indicated safe levels for the general population, but there was a possible risk in terms of the total target hazard quotients. The contents of the analysed metals in fish muscles were low at seven sites and did not exceed the values of limits admissible in the Czech Republic. The increased values of heavy metals in the fish muscle from the Svratka and Svitava rivers may be mainly derived from metal processing, electroplating industries, industrial wastewater and domestic sewage.