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Cox I, Xu ZY, Grzywacz R, Ong WJ, Rasco BC, Kitamura N, Hoskins D, Neupane S, Ruland TJ, Allmond JM, King TT, Lubna RS, Rykaczewski KP, Schatz H, Sherrill BM, Tarasov OB, Ayangeakaa AD, Berg HC, Bleuel DL, Cerizza G, Christie J, Chester A, Davis J, Dembski C, Doetsch AA, Duarte JG, Estrade A, Fijałkowska A, Gray TJ, Good EC, Haak K, Hanai S, Harke JT, Harris C, Hermansen K, Hoff DEM, Jain R, Karny M, Kolos K, Laminack A, Liddick SN, Longfellow B, Lyons S, Madurga M, Mogannam MJ, Nowicki A, Ogunbeku TH, Owens-Fryar G, Rajabali MM, Richard AL, Ronning EK, Rose GE, Siegl K, Singh M, Spyrou A, Sweet A, Tsantiri A, Walters WB, Yokoyama R. Proton Shell Gaps in N=28 Nuclei from the First Complete Spectroscopy Study with FRIB Decay Station Initiator. Phys Rev Lett 2024; 132:152503. [PMID: 38682970 DOI: 10.1103/physrevlett.132.152503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 12/12/2023] [Accepted: 03/08/2024] [Indexed: 05/01/2024]
Abstract
The first complete measurement of the β-decay strength distribution of _{17}^{45}Cl_{28} was performed at the Facility for Rare Isotope Beams (FRIB) with the FRIB Decay Station Initiator during the second FRIB experiment. The measurement involved the detection of neutrons and γ rays in two focal planes of the FRIB Decay Station Initiator in a single experiment for the first time. This enabled an analytical consistency in extracting the β-decay strength distribution over the large range of excitation energies, including neutron unbound states. We observe a rapid increase in the β-decay strength distribution above the neutron separation energy in _{18}^{45}Ar_{27}. This was interpreted to be caused by the transitioning of neutrons into protons excited across the Z=20 shell gap. The SDPF-MU interaction with reduced shell gap best reproduced the data. The measurement demonstrates a new approach that is sensitive to the proton shell gap in neutron rich nuclei according to SDPF-MU calculations.
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Affiliation(s)
- I Cox
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - Z Y Xu
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - R Grzywacz
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - W-J Ong
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - B C Rasco
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - N Kitamura
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - D Hoskins
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - S Neupane
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - T J Ruland
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803, USA
| | - J M Allmond
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - T T King
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - R S Lubna
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - K P Rykaczewski
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - H Schatz
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - B M Sherrill
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - O B Tarasov
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - A D Ayangeakaa
- Department of Physics and Astronomy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA
- Triangle Universities Nuclear Laboratory, Duke University, Durham, North Carolina 27708, USA
| | - H C Berg
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - D L Bleuel
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - G Cerizza
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Christie
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - A Chester
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - J Davis
- Pacific Northwest National Laboratory, Richland, Washington 99354, USA
| | - C Dembski
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - A A Doetsch
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - J G Duarte
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - A Estrade
- Department of Physics, Central Michigan University, Mount Pleasant, Michigan 48859, USA
| | - A Fijałkowska
- Faculty of Physics, University of Warsaw, PL 02-093 Warsaw, Poland
| | - T J Gray
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - E C Good
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
| | - K Haak
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - S Hanai
- Center for Nuclear Study, University of Tokyo, Wako, Saitama 351-0198, Japan
| | - J T Harke
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - C Harris
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - K Hermansen
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - D E M Hoff
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - R Jain
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - M Karny
- Faculty of Physics, University of Warsaw, PL 02-093 Warsaw, Poland
| | - K Kolos
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - A Laminack
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - S N Liddick
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Chemistry, Michigan State University, East Lansing, Michigan 48824, USA
| | - B Longfellow
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - S Lyons
- Pacific Northwest National Laboratory, Richland, Washington 99354, USA
| | - M Madurga
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - M J Mogannam
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Chemistry, Michigan State University, East Lansing, Michigan 48824, USA
| | - A Nowicki
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - T H Ogunbeku
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - G Owens-Fryar
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - M M Rajabali
- Physics Department, Tennessee Technological University, Cookeville, Tennessee 38505, USA
| | - A L Richard
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - E K Ronning
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Chemistry, Michigan State University, East Lansing, Michigan 48824, USA
| | - G E Rose
- University of California, Berkeley, Berkeley, California 94704, USA
| | - K Siegl
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - M Singh
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
- Los Alamos National Laboratory, Los Alamos, New Mexico 87545, USA
| | - A Spyrou
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - A Sweet
- Lawrence Livermore National Laboratory, Livermore, California 94550, USA
| | - A Tsantiri
- Facility for Rare Isotope Beams, Michigan State University, East Lansing, Michigan 48824, USA
- Department of Physics and Astronomy, Michigan State University, East Lansing, Michigan 48824, USA
| | - W B Walters
- Department of Chemistry and Biochemistry, University of Maryland, College Park, Maryland 20742, USA
| | - R Yokoyama
- Center for Nuclear Study, University of Tokyo, Wako, Saitama 351-0198, Japan
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Stukel M, Hariasz L, Di Stefano PCF, Rasco BC, Rykaczewski KP, Brewer NT, Stracener DW, Liu Y, Gai Z, Rouleau C, Carter J, Kostensalo J, Suhonen J, Davis H, Lukosi ED, Goetz KC, Grzywacz RK, Mancuso M, Petricca F, Fijałkowska A, Wolińska-Cichocka M, Ninkovic J, Lechner P, Ickert RB, Morgan LE, Renne PR, Yavin I. Rare ^{40}K Decay with Implications for Fundamental Physics and Geochronology. Phys Rev Lett 2023; 131:052503. [PMID: 37595241 DOI: 10.1103/physrevlett.131.052503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 05/09/2023] [Accepted: 05/19/2023] [Indexed: 08/20/2023]
Abstract
Potassium-40 is a widespread, naturally occurring isotope whose radioactivity impacts subatomic rare-event searches, nuclear structure theory, and estimated geological ages. A predicted electron-capture decay directly to the ground state of argon-40 has never been observed. The KDK (potassium decay) collaboration reports strong evidence of this rare decay mode. A blinded analysis reveals a nonzero ratio of intensities of ground-state electron-captures (I_{EC^{0}}) over excited-state ones (I_{EC^{*}}) of I_{EC^{0}}/I_{EC^{*}}=0.0095±[over stat]0.0022±[over sys]0.0010 (68% C.L.), with the null hypothesis rejected at 4σ. In terms of branching ratio, this signal yields I_{EC^{0}}=0.098%±[over stat]0.023%±[over sys]0.010%, roughly half of the commonly used prediction, with consequences for various fields [27L. Hariasz et al., companion paper, Phys. Rev. C 108, 014327 (2023)PRVCAN2469-998510.1103/PhysRevC.108.014327].
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Affiliation(s)
- M Stukel
- Department of Physics, Engineering Physics & Astronomy, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - L Hariasz
- Department of Physics, Engineering Physics & Astronomy, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - P C F Di Stefano
- Department of Physics, Engineering Physics & Astronomy, Queen's University, Kingston, Ontario K7L 3N6, Canada
| | - B C Rasco
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - K P Rykaczewski
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - N T Brewer
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Joint Institute for Nuclear Physics and Application, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - D W Stracener
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - Y Liu
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - Z Gai
- Center for Nanophase Materials Sciences, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - C Rouleau
- Center for Nanophase Materials Sciences, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - J Carter
- Berkeley Geochronology Center, Berkeley, California 94709, USA
| | - J Kostensalo
- Natural Resources Institute Finland, Joensuu FI-80100, Finland
| | - J Suhonen
- Department of Physics, University of Jyväskylä, Jyväskylä FI-40014, Finland
| | - H Davis
- Department of Nuclear Engineering, University of Tennessee, Knoxville, Tennessee 37996, USA
- Joint Institute for Advanced Materials, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - E D Lukosi
- Department of Nuclear Engineering, University of Tennessee, Knoxville, Tennessee 37996, USA
- Joint Institute for Advanced Materials, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - K C Goetz
- Nuclear and Extreme Environments Measurement Group, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - R K Grzywacz
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Joint Institute for Nuclear Physics and Application, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - M Mancuso
- Max-Planck-Institut für Physik, Munich D-80805, Germany
| | - F Petricca
- Max-Planck-Institut für Physik, Munich D-80805, Germany
| | - A Fijałkowska
- Faculty of Physics, University of Warsaw, Warsaw PL-02-093, Poland
| | - M Wolińska-Cichocka
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Joint Institute for Nuclear Physics and Application, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Heavy Ion Laboratory, University of Warsaw, Warsaw PL-02-093, Poland
| | - J Ninkovic
- MPG Semiconductor Laboratory, Munich D-80805, Germany
| | - P Lechner
- MPG Semiconductor Laboratory, Munich D-80805, Germany
| | - R B Ickert
- Department of Earth, Atmospheric, and Planetary Sciences, Purdue University, West Lafayette, Illinois 47907, USA
| | - L E Morgan
- U.S. Geological Survey, Geology, Geophysics, and Geochemistry Science Center, Denver, Colorado 80225, USA
| | - P R Renne
- Berkeley Geochronology Center, Berkeley, California 94709, USA
- Department of Earth and Planetary Science, University of California, Berkeley, California 94720, USA
| | - I Yavin
- Department of Physics, Engineering Physics & Astronomy, Queen's University, Kingston, Ontario K7L 3N6, Canada
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Joint Institute for Nuclear Physics and Application, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Center for Nanophase Materials Sciences, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Berkeley Geochronology Center, Berkeley, California 94709, USA
- Natural Resources Institute Finland, Joensuu FI-80100, Finland
- Department of Physics, University of Jyväskylä, Jyväskylä FI-40014, Finland
- Department of Nuclear Engineering, University of Tennessee, Knoxville, Tennessee 37996, USA
- Joint Institute for Advanced Materials, University of Tennessee, Knoxville, Tennessee 37996, USA
- Nuclear and Extreme Environments Measurement Group, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
- Max-Planck-Institut für Physik, Munich D-80805, Germany
- Faculty of Physics, University of Warsaw, Warsaw PL-02-093, Poland
- Heavy Ion Laboratory, University of Warsaw, Warsaw PL-02-093, Poland
- MPG Semiconductor Laboratory, Munich D-80805, Germany
- Department of Earth, Atmospheric, and Planetary Sciences, Purdue University, West Lafayette, Illinois 47907, USA
- U.S. Geological Survey, Geology, Geophysics, and Geochemistry Science Center, Denver, Colorado 80225, USA
- Department of Earth and Planetary Science, University of California, Berkeley, California 94720, USA
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Fijałkowska A, Karny M, Rykaczewski KP, Rasco BC, Grzywacz R, Gross CJ, Wolińska-Cichocka M, Goetz KC, Stracener DW, Bielewski W, Goans R, Hamilton JH, Johnson JW, Jost C, Madurga M, Miernik K, Miller D, Padgett SW, Paulauskas SV, Ramayya AV, Zganjar EF. Impact of Modular Total Absorption Spectrometer measurements of β decay of fission products on the decay heat and reactor ν[over ¯]_{e} flux calculation. Phys Rev Lett 2017; 119:052503. [PMID: 28949741 DOI: 10.1103/physrevlett.119.052503] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/17/2017] [Indexed: 06/07/2023]
Abstract
We report the results of a β-decay study of fission products ^{86}Br, ^{89}Kr, ^{89}Rb, ^{90gs}Rb, ^{90m}Rb, ^{90}Kr, ^{92}Rb, ^{139}Xe, and ^{142}Cs performed with the Modular Total Absorption Spectrometer (MTAS) and on-line mass-separated ion beams. These radioactivities were assessed by the Nuclear Energy Agency as having high priority for decay heat analysis during a nuclear fuel cycle. We observe a substantial increase in β feeding to high excited states in all daughter isotopes in comparison to earlier data. This increases the average γ-ray energy emitted by the decay of fission fragments during the first 10 000 s after fission of ^{235}U and ^{239}Pu by approximately 2% and 1%, respectively, improving agreement between results of calculations and direct observations. New MTAS results reduce the reference reactor ν[over ¯]_{e} flux used to analyze reactor ν[over ¯]_{e} interaction with detector matter. The reduction determined by the ab initio method for the four nuclear fuel components, ^{235}U, ^{238}U, ^{239}Pu, and ^{241}Pu, amounts to 0.976, 0.986, 0.983, and 0.984, respectively.
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Affiliation(s)
- A Fijałkowska
- Faculty of Physics, University of Warsaw, PL-02-093 Warsaw, Poland
- Department of Physics and Astronomy, Rutgers University, New Brunswick, New Jersey 08903, USA
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - M Karny
- Faculty of Physics, University of Warsaw, PL-02-093 Warsaw, Poland
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - K P Rykaczewski
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - B C Rasco
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803, USA
| | - R Grzywacz
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - C J Gross
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - M Wolińska-Cichocka
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Heavy Ion Laboratory, University of Warsaw, PL-02-093 Warsaw, Poland
| | - K C Goetz
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
- CIRE Bredesen Center, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - D W Stracener
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - W Bielewski
- Faculty of Physics, University of Warsaw, PL-02-093 Warsaw, Poland
| | - R Goans
- Oak Ridge Associated Universities, Oak Ridge, Tennessee 37831, USA
| | - J H Hamilton
- Department of Physics and Astronomy, Vanderbilt University, Nashville, Tennessee 37235, USA
| | - J W Johnson
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - C Jost
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - M Madurga
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - K Miernik
- Faculty of Physics, University of Warsaw, PL-02-093 Warsaw, Poland
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - D Miller
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - S W Padgett
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - S V Paulauskas
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - A V Ramayya
- Department of Physics and Astronomy, Vanderbilt University, Nashville, Tennessee 37235, USA
| | - E F Zganjar
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803, USA
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Szturmowicz M, Pawlak-Cieślik A, Fijałkowska A, Gątarek J, Skoczylas A, Dybowska M, Błasińska-Przerwa K, Langfort R, Tomkowski W. The value of the new scoring system for predicting neoplastic pericarditis in the patients with large pericardial effusion. Support Care Cancer 2017; 25:2399-2403. [PMID: 28258502 DOI: 10.1007/s00520-017-3645-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2016] [Accepted: 02/17/2017] [Indexed: 11/30/2022]
Abstract
PURPOSE Early recognition of neoplastic pericarditis (npe) is crucial for the planning of subsequent therapy. The aim of the present study was to construct the scoring system assessing the probability of npe, in the patients requiring pericardial fluid (pf) drainage due to large pericardial effusion. METHODS One hundred forty-six patients, 74 males and 72 females, entered the study. Npe based on positive pf cytology and/or pericardial biopsy specimen was recognised in 66 patients, non-npe in 80. Original scoring system was constructed based on parameters with the highest diagnostic value: mediastinal lymphadenopathy on chest CT scan, increased concentration of tumour markers (cytokeratin 19 fragments-Cyfra 21-1 and carcinoembryonic antigen-CEA) in pf, bloody character of pf, signs of imminent cardiac tamponade on echocardiography and tachycardia exceeding 90 beats/min on ECG. Each parameter was scored with positive or negative points depending on the positive and negative predictive values (PPV, NPV). RESULTS The area under curve (AUC) for the scoring system was 0.926 (95%CI 0.852-0.963) and it was higher than AUC for Cyfra 21-1 0.789 (95%CI 0.684-0.893) or CEA 0.758 (95%CI 0.652-0.864). The score optimally discriminating between npe and non-npe was 0 points (sensitivity 0.84, specificity 0.91, PPV 0.9, NPV 0.85). CONCLUSION Despite chest CT and tumour marker evaluation in pericardial fluid were good discriminators between npe and non-npe, the applied scoring system further improved the predicting of neoplastic disease in the studied population.
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Affiliation(s)
- M Szturmowicz
- 1st Department of Lung Diseases, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland.
| | - A Pawlak-Cieślik
- Independent Centre of Public Outpatient Care Units, Warsaw, Poland
| | - A Fijałkowska
- Department of Cardiology National Research Institute for Mother and Child, Warsaw, Poland
| | - J Gątarek
- Department of Thoracic Surgery, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland
| | - A Skoczylas
- Freelance Statistical Analytic, Warsaw, Poland
| | - M Dybowska
- Cardiopulmonary Intensive Care Unit, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland
| | - K Błasińska-Przerwa
- Department of Radiology, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland
| | - R Langfort
- Department of Pathology, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland
| | - W Tomkowski
- Cardiopulmonary Intensive Care Unit, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland
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5
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Madurga M, Paulauskas SV, Grzywacz R, Miller D, Bardayan DW, Batchelder JC, Brewer NT, Cizewski JA, Fijałkowska A, Gross CJ, Howard ME, Ilyushkin SV, Manning B, Matoš M, Mendez AJ, Miernik K, Padgett SW, Peters WA, Rasco BC, Ratkiewicz A, Rykaczewski KP, Stracener DW, Wang EH, Wolińska-Cichocka M, Zganjar EF. Evidence for Gamow-Teller Decay of ^{78}Ni Core from Beta-Delayed Neutron Emission Studies. Phys Rev Lett 2016; 117:092502. [PMID: 27610848 DOI: 10.1103/physrevlett.117.092502] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2016] [Indexed: 06/06/2023]
Abstract
The β-delayed neutron emission of ^{83,84}Ga isotopes was studied using the neutron time-of-flight technique. The measured neutron energy spectra showed emission from states at excitation energies high above the neutron separation energy and previously not observed in the β decay of midmass nuclei. The large decay strength deduced from the observed intense neutron emission is a signature of Gamow-Teller transformation. This observation was interpreted as evidence for allowed β decay to ^{78}Ni core-excited states in ^{83,84}Ge favored by shell effects. We developed shell model calculations in the proton fpg_{9/2} and neutron extended fpg_{9/2}+d_{5/2} valence space using realistic interactions that were used to understand measured β-decay lifetimes. We conclude that enhanced, concentrated β-decay strength for neutron-unbound states may be common for very neutron-rich nuclei. This leads to intense β-delayed high-energy neutron and strong multineutron emission probabilities that in turn affect astrophysical nucleosynthesis models.
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Affiliation(s)
- M Madurga
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
- ISOLDE, EP Department, CERN, CH-1211 Geneva, Switzerland
| | - S V Paulauskas
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - R Grzywacz
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37830, USA
| | - D Miller
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - D W Bardayan
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37830, USA
| | - J C Batchelder
- Department of Nuclear Engineering, University of California, Berkeley, Berkeley, California 94702, USA
| | - N T Brewer
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37830, USA
| | - J A Cizewski
- Department of Physics and Astronomy, Rutgers University, New Brunswick, New Jersey 08903, USA
| | - A Fijałkowska
- Faculty of Physics, University of Warsaw, Warszawa PL 00-681, Poland
| | - C J Gross
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37830, USA
| | - M E Howard
- Department of Physics and Astronomy, Rutgers University, New Brunswick, New Jersey 08903, USA
| | - S V Ilyushkin
- Department of Physics, Colorado School of Mines, Golden, Colorado 80401, USA
| | - B Manning
- Department of Physics and Astronomy, Rutgers University, New Brunswick, New Jersey 08903, USA
| | - M Matoš
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803, USA
| | - A J Mendez
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37830, USA
- Department of Physics and Astronomy, Austin Peay State University, Clarksville, Tennessee 37044, USA
| | - K Miernik
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37830, USA
- Faculty of Physics, University of Warsaw, Warszawa PL 00-681, Poland
| | - S W Padgett
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37996, USA
| | - W A Peters
- Oak Ridge Associated Universities, Oak Ridge, Tennessee 37831, USA
| | - B C Rasco
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803, USA
| | - A Ratkiewicz
- Department of Physics and Astronomy, Rutgers University, New Brunswick, New Jersey 08903, USA
| | - K P Rykaczewski
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37830, USA
| | - D W Stracener
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37830, USA
| | - E H Wang
- Department of Physics and Astronomy, Vanderbilt University, Nashville, Tennessee 37235, USA
| | - M Wolińska-Cichocka
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37830, USA
- Heavy Ion Laboratory, University of Warsaw, Warsaw PL 02-093, Poland
| | - E F Zganjar
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803, USA
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6
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Rasco BC, Wolińska-Cichocka M, Fijałkowska A, Rykaczewski KP, Karny M, Grzywacz RK, Goetz KC, Gross CJ, Stracener DW, Zganjar EF, Batchelder JC, Blackmon JC, Brewer NT, Go S, Heffron B, King T, Matta JT, Miernik K, Nesaraja CD, Paulauskas SV, Rajabali MM, Wang EH, Winger JA, Xiao Y, Zachary CJ. Decays of the Three Top Contributors to the Reactor ν[over ¯]_{e} High-Energy Spectrum, ^{92}Rb, ^{96gs}Y, and ^{142}Cs, Studied with Total Absorption Spectroscopy. Phys Rev Lett 2016; 117:092501. [PMID: 27610847 DOI: 10.1103/physrevlett.117.092501] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Indexed: 06/06/2023]
Abstract
We report total absorption spectroscopy measurements of ^{92}Rb, ^{96gs}Y, and ^{142}Cs β decays, which are the most important contributors to the high energy ν[over ¯]_{e} spectral shape in nuclear reactors. These three β decays contribute 43% of the ν[over ¯]_{e} flux near 5.5 MeV emitted by nuclear reactors. This ν[over ¯]_{e} energy is particularly interesting due to spectral features recently observed in several experiments including the Daya Bay, Double Chooz, and RENO Collaborations. Measurements were conducted at Oak Ridge National Laboratory by means of proton-induced fission of ^{238}U with on-line mass separation of fission fragments and the Modular Total Absorption Spectrometer. We observe a β-decay pattern that is similar to recent measurements of ^{92}Rb, with a ground-state to ground-state β feeding of 91(3)%. We verify the ^{96gs}Y ground-state to ground-state β feeding of 95.5(20)%. Our measurements substantially modify the β-decay feedings of ^{142}Cs, reducing the β feeding to ^{142}Ba states below 2 MeV by 32% when compared with the latest evaluations. Our results increase the discrepancy between the observed and the expected reactor ν[over ¯]_{e} flux between 5 and 7 MeV, the maximum excess increases from ∼10% to ∼12%.
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Affiliation(s)
- B C Rasco
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - M Wolińska-Cichocka
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Heavy Ion Laboratory, University of Warsaw, PL-02-093 Warsaw, Poland
| | - A Fijałkowska
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
- Faculty of Physics, University of Warsaw, PL-02-093 Warsaw, Poland
| | - K P Rykaczewski
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - M Karny
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Faculty of Physics, University of Warsaw, PL-02-093 Warsaw, Poland
| | - R K Grzywacz
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - K C Goetz
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
- CIRE Bredesen Center, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - C J Gross
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - D W Stracener
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - E F Zganjar
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803 USA
| | - J C Batchelder
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Nuclear Engineering, University of California, Berkeley, Berkeley California 94720, USA
| | - J C Blackmon
- Department of Physics and Astronomy, Louisiana State University, Baton Rouge, Louisiana 70803 USA
| | - N T Brewer
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - S Go
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - B Heffron
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - T King
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - J T Matta
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - K Miernik
- JINPA, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
- Faculty of Physics, University of Warsaw, PL-02-093 Warsaw, Poland
| | - C D Nesaraja
- Physics Division, Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831, USA
| | - S V Paulauskas
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - M M Rajabali
- Department of Physics, Tennessee Technological University, Cookeville, Tennessee 38505, USA
| | - E H Wang
- Department of Physics and Astronomy, Vanderbilt University, Nashville, Tennessee 37235, USA
| | - J A Winger
- Department of Physics and Astronomy, Mississippi State University, Mississippi State, Mississippi 39762, USA
| | - Y Xiao
- Department of Physics and Astronomy, University of Tennessee, Knoxville, Tennessee 37966, USA
| | - C J Zachary
- Department of Physics and Astronomy, Vanderbilt University, Nashville, Tennessee 37235, USA
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7
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Pruszczyk P, Kostrubiec M, Bochowicz A, Styczyński G, Szulc M, Kurzyna M, Fijałkowska A, Kuch-Wocial A, Chlewicka I, Torbicki A. N‐terminal pro-brain natriuretic peptide in patients with acute pulmonary embolism. Eur Respir J 2003; 22:649-53. [PMID: 14582919 DOI: 10.1183/09031936.03.00023303] [Citation(s) in RCA: 140] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Plasma brain natriuretic peptide (BNP), released from myocytes of ventricles upon stretch, has been reported to differentiate pulmonary from cardiac dyspnoea. Limited data have shown elevated plasma BNP levels in acute pulmonary embolism (APE), frequently accompanied by dyspnoea and right ventricular (RV) dysfunction. The aim of this study was to assess plasma N-terminal proBNP (NT-proBNP) in APE, and to establish whether it reflects the severity of RV overload and if it can be used to predict adverse clinical outcome. On admission, NT-proBNP and echocardiography for RV overload were performed in 79 APE patients (29 males), aged 63 +/- 16 yrs. Plasma NT-proBNP was elevated in 66 patients (83.5%) and was higher in patients with (median 4,650 pg x mL(-1) (range 61-60,958)) than without RV strain (363 pg x mL(-1) (16-16,329)). RV-to-left ventricular ratio and inferior vena cava dimension correlated with NT-proBNP. All 15 in-hospital deaths and 24 serious adverse events occurred in the group with elevated NT-proBNP, while all 13 (16.5%) patients with normal values had an uncomplicated clinical course. Plasma NT-proBNP predicted in-hospital mortality. Plasma N-terminal pro-brain natriuretic peptide is elevated in the majority of cases of pulmonary embolism resulting in right ventricular overload. Plasma levels reflect the degree of right ventricular overload and may help to predict short-term outcome. Acute pulmonary embolism should be considered in the differential diagnosis of patients with dyspnoea and abnormal levels of brain natriuretic peptide.
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Affiliation(s)
- P Pruszczyk
- Dept of Internal Medicine and Hypertension, Medical University of Warsaw, Warsaw, Poland.
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8
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Dawidowicz A, Fijałkowska A, Nestorowicz A, Kalitynński R, Trojanowski T. Cerebrospinal fluid and blood propofol concentration during total intravenous anaesthesia for neurosurgery. Br J Anaesth 2003. [DOI: 10.1093/bja/aeg009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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9
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Dawidowicz AL, Fijałkowska A, Nestorowicz A, Kalityński R, Trojanowski T. Cerebrospinal fluid and blood propofol concentration during total intravenous anaesthesia for neurosurgery. Br J Anaesth 2003; 90:84-6. [PMID: 12488384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/28/2023] Open
Abstract
BACKGROUND The aim of this paper is to compare the propofol concentration in blood and cerebrospinal fluid (CSF) in patients scheduled for different neurosurgical procedures and anaesthetized using propofol as part of a total intravenous anaesthesia technique. METHODS Thirty-nine patients (ASA I-III) scheduled for elective intracranial procedures, were studied. Propofol was infused initially at 12 mg kg(-1) h(-1) and then reduced in steps to 9 and 6 mg kg(-1) h(-1). During anaesthesia, bolus doses of fentanyl and cis-atracurium were administered as necessary. After tracheal intubation the lungs were ventilated to achieve normocapnia with an oxygen-air mixture (FI(O(2))=0.33). Arterial blood and CSF samples for propofol examination were obtained simultaneously directly after intracranial drainage insertion and measured using high-performance liquid chromatography. The patients were divided into two groups depending on the type of neurosurgery. The Aneurysm group consisted of 13 patients who were surgically treated for ruptured intracranial aneurysm. The Tumour group was composed of 26 patients who were undergoing elective posterior fossa extra-axial tumour removal. RESULTS Blood propofol concentrations in both groups did not differ significantly (P>0.05). The propofol concentration in CSF was 86.62 (SD 37.99) ng ml(-1) in the Aneurysm group and 50.81 (26.10) ng ml(-1) in the Tumour group (P<0.005). CONCLUSIONS Intracranial pathology may influence CSF propofol concentration. However, the observed discrepancies may also result from quantitative differences in CSF composition and from restricted diffusion of the drug in the CSF.
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Affiliation(s)
- A L Dawidowicz
- Department of Chemical Physics and Physicochemical Separation Methods, Faculty of Chemistry, Maria Curie-Skłodowska University, 20-031 Lublin, pl. Marii Curie-Skłodowskiej 3, Poland.
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10
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Fijałkowska A, Dawidowicz AL, Nestorowicz A, Fornal E. Influence of blood cell transfusion on the presence of propofol in blood components. Med Sci Monit 2001; 7:1334-8. [PMID: 11687753] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2023] Open
Abstract
BACKGROUND Understanding propofol distribution in blood is important for optimizing drug usage during TIVA. We studied changes in the propofol concentration in plasma and formed blood elements separated from blood samples taken before and after transfusion of blood cells to patients during TIVA with propofol. MATERIAL AND METHODS Twelve patients were studied (ASA I-II). Propofol TIVA was performed at infusion rates of 12-9-6 mg x kg(-1) x h(-1). Fentanyl and pancuronium bromide were administered in fractional doses. After tracheal intubation the lungs were ventilated to normocapnia with oxygen-air mixture (FiO2=0.33). Blood samples for propofol analysis were taken 5 min before and 30 min after blood cell transfusion. At that point the propofol infusion rate was 6 mg x kg(-1) x h(-1). Propofol concentrations were measured by means of HPLC. RESULTS Blood cell transfusion leads to a change in the propofol level in plasma and formed blood elements. The transfusion process lowers the ratio of the plasma propofol concentration to the propofol concentration in formed blood elements. CONCLUSIONS Formed blood elements show a greater ability to bind propofol after transfusion of 5-15 day erythrocytes.
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Affiliation(s)
- A Fijałkowska
- Department of Anesthesiology and Intensive Care, Medical University, Lublin, Poland.
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11
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Fijałkowska A. [Abnormal regulation of coagulation and fibrinolysis in lung cancer]. Pneumonol Alergol Pol 2001; 68:175-82. [PMID: 11004854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Affiliation(s)
- A Fijałkowska
- Klinika Chorób Wewnetrznych Klatki Piersiowej, Instytut Gruźlicy i Chorób Płuc, Warszawa
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12
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Fijałkowska A. [Management of coagulation and fibrinolysis disorders in patients with cancer]. Pneumonol Alergol Pol 2001; 68:183-6. [PMID: 11004855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Affiliation(s)
- A Fijałkowska
- Klinika Chorób Wewnetrznych Klatki Piersiowej, Instytut Gruźlicy i Chorób Płuc, Warszawa
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13
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Burakowska B, Oniszh K, Burakowski J, Tomkowski W, Fijałkowska A, Kurzyna M, Kober J, Bestry I, Torbicki A. [Echocardiography improves the chance of conclusive results in spiral computed tomography of suspected pulmonary embolism]. Pol Arch Med Wewn 2000; 104:723-8. [PMID: 11434082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
While highly specific for detecting thromboembolism in proximal pulmonary arteries, spiral computed tomography (spiral CT) cannot reliably exclude pulmonary embolism. Therefore "negative" spiral CT in patients with high clinical probability of acute pulmonary embolism should be considered as non-conclusive. The goal of our study was to check whether echo/Doppler could stratify patients with suspected pulmonary embolism according to the chance of obtaining a conclusive spiral CT result. Echo/Doppler recordings of 51 patients (27 F, mean aged 50 +/- 19) admitted to ICU with high probability of acute pulmonary embolism were compared with the results of spiral CT of pulmonary artery. Pulmonary embolism was revealed by spiral CT in 36 pts. who at echocardiography were found to have shorter acceleration time (AcT 86 +/- 27 vs 117 +/- 7 ms, p < 0.00001) and right ventricle enlargement (PK 30 +/- 5 vs 25 +/- 2 mm p < 0.0001). The velocity of tricuspid regurgitation (TVPG) could not be measured in 19 patients. Among patients with long AcT (> or = 120 ms) or without right ventricle enlargement 8 of 14 and 14 of 28 patients, respectively had no intrapulmonary clots at spiral CT. Echo/Doppler helps in preselection of patients in whom confirmation of PE with spiral CT is highly probable. In patients without indirect echocardiographic sings of pulmonary embolism, despite high clinical probability the chance of a conclusive spiral CT is 40-50%. This should be kept in mind when selecting the most effective diagnostic strategy in individual cases.
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Affiliation(s)
- B Burakowska
- Zakład Radiologii Instytutu Gruźlicy i Chorób Płuc
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14
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Fijałkowska A, Kwiek S, Kurzyna M, Kuca P, Kober J, Tomkowski W, Subda-Zdzieborska A, Borowska A, Torbicki A. [Usefulness of measuring levels of d-dimer for diagnosis of hospital venous thromboembolism]. Pol Arch Med Wewn 2000; 104:735-40. [PMID: 11434084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
D-dimer measurement with highly sensitive tests seems useful to rule out pulmonary embolism (PE) and deep vein thrombosis (DVT). However, nonspecific increase in d-dimer is common among inpatients. The aim of our study was to check: 1) whether the frequency of normal DD level in inpatients justifies its assessment as a part of diagnostic strategy for VTE, 2) whether tests that we are using are sensitive enough to exclude PE and DVT. In 27 (47%) out of 58 hospitalised patients evaluated by ultrafast ELISA (VIDAS bioMerieux), but in none of 20/58 patients with confirmed VTE, DD-level was found normal. In 35 of those patients DD was measured also with microlatex tests--Tinaquant and BC d-dimer. In 14/35 patients imaging test confirmed VTE. Sensitivity, specificity and negative predictive value (NPV) respectively were following: VIDAS: 100%, 80%, 100%, Tinaquant: 100%, 48%, 100%, BC d-dimer: 29%, 90%, 70%. Our results suggest that: 1) the relatively high frequency of normal DD-level among inpatients justifies its use in diagnostic strategies involving hospitalised patients, 2) negative VIDAS test confirms its as reliability for excluding VTE while 3) high sensitivity found for Tinaquant test encourages further prospective studies, 4) sensitivity of BC d-dimer is too low to be useful for excluding VTE.
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Affiliation(s)
- A Fijałkowska
- Klinika Chorób Wewnetrznych Klatki Piersiowej w Warszawie
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15
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Hajduk B, Tomkowski W, Fijałkowska A, Oniszh K, Małek G, Wawrzyńska L, Radomyski A, Filipecki S, Torbicki A. [LGM inferior vena cava filters--observation of 79 patients]. Pol Arch Med Wewn 2000; 104:753-60. [PMID: 11434087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
The aim of the study was to assess effectiveness and safety of the LGM inferior vena cava (IVC) filters in patients with venous thromboembolic disease. In the Department of Internal Medicine of Institute of Tuberculosis and Lung Diseases in Warsaw 79 LGM IVC filters have been inserted since 1993. Indications for filters placement were as follows: recurrent pulmonary embolism (pe) despite anticoagulation--17 patients (pts), severe bleeding complications of thrombolytic or anticoagulant therapy--11 pts, contraindications for thrombolytic and/or anticoagulant treatment--5 pts, massive pe--14 pts, chronic thromboembolic-major vessel pulmonary hypertension (CTEPH)--30 pts, extensive deep vein thrombosis of lower limbs or vena cava inferior in patients with urgent indications for surgery--24 pts. Each filter placement was preceded by cavography. The diagnostic procedures (mainly ultrasonography) were performed after 3-6 and 12 months in the first year then once yearly during follow-up period. Oral anticoagulants (OA) or low-molecular-weight heparins (LMWH) were instituted in the majority of patients. 58 patients are still alive, 21 patients died. Only two non-fatal episodes of recurrent pe were documented. Other complications were rare and insignificant. We have not observed excess rate of recurrent deep venous thrombosis nor thrombosis at the filter site. The LGM IVC filters are effective and safe in such selectively chosen group of patients.
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Affiliation(s)
- B Hajduk
- Klinika Chorób Wewnetrznych Klatki Piersiowej Instytutu Gruźlicy i Chorób Płuc w Warszawie
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16
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Kurzyna M, Fijałkowska A, Kuca P, Tomkowski W, Torbicki A. [Recombinant hirudine in suspected heparin induced thrombocytopenia--case report of pulmonary embolism]. Pol Arch Med Wewn 2000; 104:785-9. [PMID: 11434091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
A case of 68 years old women suffering from chronic anemia, myelodysplastic syndrome and treated with progestogen due to endometrial hypertrophy is presented. Initially she was admitted to a regional hospital because of progressive weakness and exertional dyspnea. Three months earlier she reported an episode of acute dyspnea and chest pain. On the basis of clinical symptoms and perfusion lung scintigraphy pulmonary embolism (PE) was diagnosed. Patient received i.v. heparin which was changed to s.c. nadroparine subcutaneously. Platelet count dropped to 55,000'/ml on fifth day of treatment from initial level of about 200,000'/ml. Heparin induced thrombocytopenia was diagnosed, heparin was stopped and ticlopidine was recommended. After 3 weeks symptoms suggesting recurrent PE were observed. The patient was transferred to National Tuberculosis and Lung Diseases Research Institute. Recombinant hirudine (Refludan) was administrated (bolus 0.4 mg/kg and initial dose of infusion 0.1 mg/kg/h) overlapping with acenocoumarol from second day. Dose of r-hirudine was adjusted to achieve APTT prolongation 1.5 to 2.5 times of mid-normal range. During treatment with r-hirudine no bleeding and new thromboembolic complications occurred. Platelets count remained within normal range. After 14 days clinical improvement was observed, though symptoms of right ventricular overload and hypoxemia were still present after 6 months of treatment with oral anticoagulants suggesting chronic thromboembolic pulmonary hypertension.
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Affiliation(s)
- M Kurzyna
- Klinika Chorób Wewnetrznych Klatki Piersiowej Instytutu Gruźlicy i Chorób Płuc w Warszawie
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17
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Wawrzyńska L, Przedlacki J, Hajduk B, Tomkowski W, Fijałkowska A, Ostrowski K, Torbicki A. [Secondary anticoagulant prophylaxis with low molecular heparins or oral anticoagulants and bone mineral density]. Pol Arch Med Wewn 2000; 104:769-77. [PMID: 11434089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
A broad spectrum of indications for low molecular weight heparin (LMWH) requires an assessment of side effects especially during prolonged administration. There are common risk factors for venous thromboembolism (VTE) and osteoporosis; heparin is "the drug of choice" for VTE treatment. The aim of our study was to assess the effect of treatment and prophylaxis with LMWH (enoxaparine sodium) and oral anticoagulant (acenocoumarol) for bone structure. Material consists of in- and outpatients. 49 densitometries were performed in 31 patients (in 15 cases double examination). We observed a decrease of bone mineral density in comparison to the initial examination in most cases: mean change of bone mass for examined areas was 3.05%.
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Affiliation(s)
- L Wawrzyńska
- Klinika Chorób Wewnetrznych Klatki Piersiowej Instytutu Gruźlicy i Chorób Płuc w Warszawie
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18
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Polanowski T, Kurzyna M, Kuca P, Tomkowski W, Fijałkowska A, Kober J, Torbicki A. [Differences in hemodynamics of thromboembolic and primary pulmonary hypertension]. Pol Arch Med Wewn 2000; 104:741-5. [PMID: 11434085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/20/2023]
Abstract
It is not clear whether right ventricle to pulmonary artery coupling is modified by the site of vascular obstruction in patients with chronic severe pulmonary hypertension. We compared invasively (Swan Ganz) and non-invasively (echo/ /Doppler) assessed hemodynamics between two groups of patients with severe chronic thromboembolic pulmonary hypertension (CTEPH)--(n = 6; 52 +/- 24 yrs) and pulmonary arterial hypertension (PAH) (n = 5; 42 +/- 9 yrs) who had similar invasively measured right ventricular systolic pressure (CTEPH: 78 +/- 14 mm Hg; PAH: 83 +/- 17 mm Hg; p = NS), mean pulmonary arterial pressure (CTEPH: 51 +/- 10; PAH 56 +/- 11 mm Hg, p = NS) and pulmonary vascular resistance (CTEPH: 15.6 +/- 4.4 l/min; PAH: 19.2 +/- 6.1; p = ns). Patients with CTEPH have significantly shorter acceleration time corrected to ejection time (RVET): (AcT/RVET % = 24 +/- 5% vs 32 +/- 6% in PAH; p = 0.04) as well as AcT corrected by RR distance was highly significantly shorter (8 +/- 2% vs 12 +/- 2%; p = 0.006). AcT in the CTEPH group was shorter than in the PAH (60 +/- 5 vs 75 +/- 15; p = 0.047). The mid-systolic deceleration was significantly more frequent in the CTEPH group than in the PAH group (88% vs 30%; p = 0.005). If the mid-systolic deceleration was present in patients with PAH, the time to mid-systolic deceleration (t-N) had tendency to be longer in CTEPH group (118 +/- 22 ms vs 150 +/- 28 ms in PAH; p = 0.09). Significant differences appeared after correction t-N to RVET (t-N/RVET % = 46 +/- 9% vs 61 +/- 4%; p = 0.027) and to RR interval (t-N/RVET % = 16 +/- 2% vs 24 +/- 1%; p = 0.002). Doppler derived RV index proposed by Tei was slightly higher in CTEPH (0.81 +/- 0.18 vs 0.65 +/- 0.32 in PAH) but not significantly. Taken together our observations indicate that dynamical coupling between RV and pulmonary arteries is more disturbed in CTEPH than in PPH despite similar levels of chronically increased PAP.
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Affiliation(s)
- T Polanowski
- Klinika Chorób Wewnetrznych Klatki Piersiowej Instytutu Gruźlicy i Chorób Płuc w Warszawie
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19
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Szturmowicz M, Tomkowski W, Burakowski J, Fijałkowska A, Rogińska E, Sakowicz A, Filipecki S. [The evaluation of carcinoembryonic antigen determination in the pericardial fluid in the diagnosis of the cause of pericarditis]. Pol Merkur Lekarski 1998; 4:306-8. [PMID: 9771011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
Pericardial fluid CEA level was measured with radioimmunoassay in 19 patients with large pericardial effusion of unknown origin. In 11 patients malignancy was diagnosed. In all of these patients pericardial fluid CEA levels were above 7 ng/ml (mean value 52.6 +/- 42.6 ng/ml). In 8 patients the etiology of pericarditis was non-malignant. In all of them pericardial fluid CEA levels were below 7 ng/ml (mean value 2.2 +/- 1.6 ng/ml). In 9 patients with malignant pericarditis serum CEA levels were also determined: they were found to be lower than pericardial fluid CEA values in 6 patients. It was concluded that pericardial fluid CEA elevation is a reliable criteria of neoplastic pericardial involvement.
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Załeska M, Słodkowska J, Zych J, Szturmowicz M, Fijałkowska A, Pawlicka L, Rowińska-Zakrzewska E. [Soft tissue sarcomas as a rare cause of pleural effusion]. Pneumonol Alergol Pol 1997; 65:348-54. [PMID: 9340062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Malignant disease is the cause of about 24% of all pleural effusions. They are caused mainly by lung and breast cancer. Three cases of pleural effusion caused by very rare neoplasm, soft tissues sarcoma are presented. In two of them the lesion found in the leg was observed for 4-14 month and not connected with the presence of pleural effusion. Difficulties in the histologic diagnosis of pleural sarcoma and of differentiating this tumour from mesothelioma are also presented.
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Affiliation(s)
- M Załeska
- III Kliniki Gruźlicy i Chorób Płuc, Warszawie
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21
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Tomkowski W, Szturmowicz M, Fijałkowska A, Burakowski J, Filipecki S. New approaches to the management and treatment of malignant pericardial effusion. Support Care Cancer 1997; 5:64-6. [PMID: 9010992 DOI: 10.1007/bf01681964] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The purpose of this study was the evaluation of the effectiveness of intrapericardial administration of tetracycline, 5-fluorouracil and cisplatin in patients with recurrent malignant pericardial effusion. In 33 cases with malignant pericardial effusion 46 pericardiocenteses under two-dimensional echo-cardiography were performed. No complications were observed after this procedure. Pericardiocentesis was followed by catheterization of the pericardial space for a mean period of 15 days (range 1-64). In 4 cases bacterial pericarditis was observed during catheterization. The mean volume of the pericardial fluid was 2.41 (range 0.4-13 l). In cases with bloody pericardial fluid the PO2, PCO2 and pH of the fluid were estimated and the results compared with the values for venous blood obtained from the upper limbs. Highly statistically significant differences were documented. Twenty cases of malignant pericardial effusion were treated with direct pericardial administration of cisplatin, 3 with 5-fluorouracil and 2 with tetracycline. Good results (no fluid reaccumulation) were observed only after cisplatin therapy. We conclude that pericardiocentesis performed under two-dimensional echo cardiography, followed by pericardial catheterization and direct pericardial treatment with cisplatin are the methods of choice in cases with malignant pericardial effusion. In cases with bloody pericardial fluid PO2, PCO2 and pH analysis can be useful to differentiate the source of the bloody fluid (blood or bloody fluid).
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Affiliation(s)
- W Tomkowski
- Department of Internal Medicine, National Institute of Tuberculosis and Pulmonary Diseases, Warsaw, Poland
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22
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Tomkowski W, Szturmowicz M, Borowiec B, Burakowski J, Fijałkowska A, Kober J, Filipecki S. [Evaluation of intrapericardial cisplatin administration in cases of recurrent malignant pericardial effusion and cardiac tamponade]. Pneumonol Alergol Pol 1996; 64 Suppl 2:180-6. [PMID: 9181888] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
30 consecutive patients with large malignant pericardial effusion (MPE) entered this prospective study. After pericardiocentesis and insertion of a polyurethane catheter, pericardial fluid was drained. Malignant etiology of pericardial fluid was confirmed by cytological examination. After confirmation of MPE cisplatin (10 mg in 20 ml normal saline) was instilled over 5 minutes during 5 consecutive days directly into pericardial space. If fluid reaccumulation occurred the courses were repeated every 3 weeks. Treatment was considered successful if the patient with malignant effusion survived 30 days without recurrence of symptoms of large pericardial effusion and other interventions directed to the pericardium were required. Positive effect of intrapericardial treatment with cisplatin was achieved in 18 cases (60%). Mean period of response was 3, 7 months (+/-6). Cisplatin administered directly into pericardial space is effective and safe method of treatment of recurrent MPE. Sclerosis of the pericardial space is rare complication connected with CP. Positive effect of CP can depend on improvement of lymphatic drainage from heart. CP seems to be method of choice in intal intrapericardial treatment in patients with malignant cardiac tamponade and recurrent MPE in course of lung cancer.
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Affiliation(s)
- W Tomkowski
- Kliniki Chorób Wewnetrznych Instytutu Gruźlicy i Chorób Płuc w Warszawie
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23
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Kober J, Tomkowski W, Fijałkowska A, Burakowski J, Filipecki S. [Pericardial syndrome in the course of pulmonary embolism in personal material]. Pneumonol Alergol Pol 1996; 64 Suppl 2:169-73. [PMID: 9181886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
UNLABELLED Dressler-like syndrome has been described in about 3-4% of patients after pulmonary embolism (PE). Out of 207 patients admitted to our hospital in whom the clinical diagnosis of PE was confirmed by scintigraphy, spiral computer tomography and angiography, in 19 patients (9.2%) pericardial fluid was detected and pericardial syndrome (PS) after PE was diagnosed. Other causes of pericarditis were excluded. Mean value of pericardial fluid in echocardiographic examination-behind left ventricular posterior wall was 3.84 mm (range 2-10 mm). No clinical or echocardiographic symptoms of cardiac tamponade were observed. In 6 patients PS complicated clinically massive PE, in 3 patients-non-massive PE, in 10 patients recurrent PE. In 6 patients fibrinolytic and in 13 patients heparin therapy was instituted. In 3 cases corticosteroids were given. No increase of pericardial fluid during fibrinolytic or heparin therapy was observed. CONCLUSIONS 1. PS after PE is more frequent, than it was estimated previously 2. During therapy of PE the echocardiographic monitoring of the amount of pericardial fluid is mandatory 3. The clinician considering in similar situations the risk-benefit ratio of fibrinolytics and anticoagulants should not abstain from the use of these drugs in the presence of PS after PE, in cases with high probability of cardiac tamponade-pericardial catheter should be used.
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Affiliation(s)
- J Kober
- Kliniki Chorób Wewnetrznych, Instytutu Gruźlicy i Chorób Płuc w Warszawie
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Hajduk B, Tomkowski W, Fijałkowska A, Kober J, Borowiec B, Radomyski A, Oniszh K, Pawlicka L, Małek G, Filipecki S. [LGM inferior vena cava filters--follow up 50 patients]. Pneumonol Alergol Pol 1996; 64 Suppl 2:143-53. [PMID: 9181882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
In the Department of Medicine at the Institute of Tuberculosis and Lung Diseases 50 LGM inferior vena cava filters have been inserted since 1993. Indications for filters placement were as follows: recurrent pulmonary embolism (PE) despite anticoagulation-16 patients (pts), severe bleeding complications of thrombolytic or anticoagulant therapy-9 pts, contraindications for thrombolytic and/or anticoagulant treatment-3 pts, massive PE-6 pts, chronic thromboembolic-major vessel pulmonary hypertension (CTEPH)-18 pts, extensive deep vein thrombosis of lower limbs or vena cava inferior in patients with urgent indications for surgery-10 pts. In every patient diagnostic procedures were performed after 1, 3, 6, 12, 24 and 36 months of follow-up period. Only one non-fatal episode of recurrent PE was documented. Other complications were rare and insignificant. The LGM inferior vena cava filters are effective and safe in such selectively chosen group of patients.
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Affiliation(s)
- B Hajduk
- Kliniki Chorób Wewnetrznych, Instytutu Gruźlicy i Chorób Płuc w Warszawie
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25
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Kober J, Tomkowski W, Fijałkowska A, Koziej M, Filipecki S, Zieliński J. [Echocardiographic analysis of cardiac size and function in patients with severe obstructive sleep apnea]. Pneumonol Alergol Pol 1996; 64 Suppl 2:187-92. [PMID: 9181889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
The purpose of this study was to determine usefulness of non invasive echocardiographic measurements in patients with severe obstructive sleep apnea (OSA). Diagnosis of OSA was established by polysomnography. We investigated 18 patients (16M, 2F), mean age 45 +/- 10 years, mean weight 114 +/- 16 kg and mean apnea/hypopnea index 69 +/- 23. Two-dimensional (2D) and Doppler echocardiography (DOP) was used to assess: 1. Systolic function of left ventricle by determination of cardiac output (CO), ejection fraction (EF), 2. Diastolic function of left ventricle by calculation of mitral early diastolic velocity to arterial velocity ratio (Ev/Av) and atrial flow to total mitral flow ratio (AF/Tf), 3. Right ventricle thickness in systole (RVWS) and diastole (RVWD), and its diastolic diameter (RVD), 4. Pulmonary arterial pressure (PAP) by evaluation of acceleration time in the pulmonary artery (ACT) and tricuspid regurgitation jet velocity (TR). Results (mean +/- SD): Co 6.67 +/- 2.0 L/min, EF 44 +/- 5.6%, RVWS 10.9 +/- 1.3 mm, RVWD 6.7 +/- 1.1 mm, RVD 30.3 +/- 2.8 mm, Ev/Av 1.22 +/- 0.39, Af/Tf 0.38 +/- 0.11, AcT 121.4 +/- 20.3 ms. These data confirm that intermittent hypoxia and increased ventricular afterload cause both systolic and diastolic left ventricular dysfunction. Right ventricular hypertrophy found despite normal resting, wake, PAP could be probably attributed to transient pulmonary hypertension during repeatable nocturnal hypoxic episodes.
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Affiliation(s)
- J Kober
- Kliniki Chorób Wewnetrznych, Instytutu Gruźlicy i Chorób Płuc w Warszawie
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Fijałkowska A, Szturmowicz M, Tomkowski W, Burakowski J, Kober J, Filipecki S, Sakowicz A, Kwiek S. [The value of measuring adenosine deaminase activity in pericardial effusion fluid for diagnosing the etiology of pericardial effusion]. Pneumonol Alergol Pol 1996; 64 Suppl 2:174-9. [PMID: 9181887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
The diagnosis of tuberculous pericarditis is difficult. The cultures of the pericardial fluid for M.tuberculosis are often negative. The determination of ADA activity in pleural fluid in TB patients /PTS/ is very useful. It seemed reasonable to measure ADA activity in pericardial effusion. ADA activity in pericardial fluid of 40PTS/19 women and 21 men/with large pericardial effusion of different etiologies who were treated in our institute in years 1988-1995 was investigated. The median age was 44 years. In each case the pericardiocentesis was performed. PTS were grouped as follows: group I-4 PTS with strongly suspected TB pericarditis, group II-32 PTS with malignancy and group III-4 PTS with miscellaneous diseases. In group I the mean ADA activity was 24U/I(3-60), in group II 18U/I (3-60) and in group III 18U/I (0-37) (with a cutoff value for ADA activity of 40U/I). It was definitive bacteriologic diagnosis of TB pericarditis in PTS of group I. Our observation does not confirm the earlier data about the high ADA activity in clinically suspected TB pericarditis without bacteriologic diagnosis. The value of ADA determination in pericardial fluid is its high specificity (97%) in excluding of TB etiology of pericardial effusion.
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Affiliation(s)
- A Fijałkowska
- Kliniki Chorób Wewnetrznych, Instytut Gruźlicy i Chorób Płuc w Warszawie
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27
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Fijałkowska A, Tomkowski W, Szturmowicz M, Wiatr E, Siekierzyńska A, Filipecki S. Pericardial metastases in small cell lung cancer-patients new approaches to the diagnosis and treatment. Eur J Cancer 1993. [DOI: 10.1016/0959-8049(93)91477-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Filipecki S, Pietraszek A, Szturmowicz M, Tomkowski W, Pokojski W, Fijałkowska A, Szymańska D. [Conservative and surgical treatment of pericarditis--our experience]. Pol Tyg Lek 1990; 45:894-8. [PMID: 2104426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Methods and results of both conservative and invasive therapy of pericarditis were analysed in the group of 30 patients. An emphasis was on successful treatment of mild (idiopathic) pericarditis and efficiency of the early started, combined pharmacotherapy (tuberculostatics + corticosteroids) of pericarditis of tuberculous etiology. A stress is on marked immediate efficacy of surgery in case of cardiac tamponade, independent on its etiology, with simultaneous recommendation of ultrasound-guided pericardial sac paracentesis. Survival rate in patients with malignant pericarditis is relatively low.
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Affiliation(s)
- S Filipecki
- Kliniki Chorób Wewnetrznych, Instytutu Gruźlicy i Chorób Płuc w Warszawie
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29
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Szturmowicz M, Fijałkowska A, Tomkowski W, Pasierski T, Filipecki S, Pawlicka L, Janowiec M, Styszewska H, Szymańska D. [Pericarditis at the Internal Disease Clinic of the Institute of Tuberculosis and Lung Diseases (1981-1987)]. Pol Tyg Lek 1990; 45:899-904. [PMID: 2104427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Causes, symptoms, clinical forms, and methods of diagnosis of pericarditis were analysed in a group of 30 patients. Chest pain, dyspnea, and tachycardia were prevailing clinical symptoms of the disease. Particularly useful diagnostic technique is ultrasound, being a method of choice in the diagnosis of the most frequent exudative pericarditis. The most frequent cause of cardiac tamponade was malignant pericarditis. Diagnostic problems with particular reference to tuberculous etiology of pericarditis have also been discussed.
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Affiliation(s)
- M Szturmowicz
- Kliniki Chorób Wewnetrznych, Zakładu Patomorfologii Instytutu Gruźlicy i Chorób Płuc w Warszawie
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30
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Sieniawska M, Rośzkowska-Blaim M, Krzemień G, Fijałkowska A, Makarewicz W, Lewicki Z. [Value of large doses of calcium carbonate for the control of serum level of phosphorus in children with terminal renal failure]. Pol Tyg Lek 1988; 43:475-7. [PMID: 3405879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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31
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Szturmowicz M, Fijałkowska A. [Cardiac tamponade]. Pol Tyg Lek 1986; 41:1123-7. [PMID: 3543896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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32
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Niesłuchowska-Frydrych B, Janecki J, Fijałkowska A, Marianowski L. [Possibility of diagnosing and monitoring malignant neoplasms of the genitals in women based on an analysis of HDL and their subfractions, blood protein levels and liver function tests using mathematical methods for the analysis of the results of these studies. II]. Ginekol Pol 1986; 57:20-9. [PMID: 3721265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
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33
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Niesłuchowska-Frydrych B, Janecki J, Fijałkowska A, Marianowski L. [Possibilities of diagnosis and monitoring of malignant neoplasms of the female genital organs based on determining HDL lipoproteins and their subfractions, serum proteins and liver function tests using mathematical methods of analysis of the results of the studies]. Ginekol Pol 1985; 56:661-70. [PMID: 4092995] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
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34
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Pirozyński M, Fijałkowska A, Grzbiela J, Filipecki S. [Acute respiratory distress syndrome in adults]. Pol Tyg Lek 1984; 39:1047-1051. [PMID: 6390374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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35
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Sieniawska M, Wierzbowska-Lange B, Fijałkowska A, Korniszewska J, Karczeńska J. [Lipid metabolism disorders in children with acute renal failure]. Pol Tyg Lek 1980; 35:659-60. [PMID: 7413483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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36
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Sieniawska M, Wierzbowska-Lange B, Fijałkowska A, Korniszewska J, Karczeńska J. [Lipid metabolism disorders in children with chronic renal failure and effects of hemodialysis treatment]. Pol Tyg Lek 1980; 35:229-31. [PMID: 7367341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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37
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Niesłuchowska B, Janecki J, Tomaszewska H, Fijałkowska A, Teter J. [Effect of exogenous estrogens on lipids and lipoproteins in secondary amenorrhea]. Ginekol Pol 1979; 50:689-94. [PMID: 226458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
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