Using role play to develop positive attitudes toward people with disabilities among dental students: An exploratory pilot study

INTRODUCTION

Comprehensive and interprofessional undergraduate teaching and training in special care dentistry (SCD) could influence future dentists' attitudes towards patients with disabilities. The aim of the study was to assess the influence of role play as part of SCD training on the attitudes of undergraduates towards patients with disabilities.

METHOD

The students attending the SCD module during the autumn semester of 2019 comprised our target population. A quasi-experimental design was used to compare the attitudinal scores between three groups of students exposed to different modalities of SCD teaching: group 1 - didactic teaching (N = 92), group 2 - didactic teaching and clinical training in the dental treatment of children or elderly patients with disabilities (N = 142), group 3 - theoretical teaching and clinical training, accompanied by role play sessions featuring persons with disabilities (N = 20). The contact rate was 100%. The outcomes of the intervention were measured using the altruism scale, which forms part of the International Association for Disability and Oral Health (iADH) Toolbox for measuring attitudes and intended behaviors towards persons with disabilities.

RESULTS

The analysis revealed the two-factor structure of the nine-item altruism scale. The first factor was described as the acceptance of oral health care as a universal human right, while the second was the perception of the contribution of marginalised groups, including people with disabilities, to the community. The students participating in the role play scored higher on both factors in comparison to those attending other modes of SCD training.

CONCLUSION

The presented findings suggested role play as a powerful tool in fostering positive attitudes towards persons with disabilities in the education of dental students and highlighted the importance of multidisciplinary training.

The Participation of Pediatric Dentists in Oral Health Promotion and Education in Serbia

Objectives

To identify the involvement of Serbian paediatric dentists in oral health promotion and education, and to propose further actions for the improvement of these activities.

Methods

This is an analysis of data collected by a cross-sectional, questionnaire-based survey of 445 dentists involved in the provision of dental health services to children at the primary healthcare level. We explored dentists' involvement in oral health education and promotion and the cooperation with other health professionals at the healthcare centre and the community level as well as their attitudes towards the importance of some factors influencing their work.

Results

Dentists estimate their cooperation with different services with ratings higher than 3 on the scale of 1 to 5. They reported the highest satisfaction in cooperation with paediatric services for preschool and schoolchildren (4.0±1.0). At the community level, they reported excellent cooperation with kindergartens (4.4±0.8), while collaboration with Roma health mediators (3.14±1.34) and nongovernmental organizations (2.5±1.4) received lower ratings. According to the average rating (4.7±0.7), dentists perceive the motivation of patients and/or their guardians for keeping good oral health as the factor with the highest importance for the quality of interventions they provide.

Conclusions

Dentists involved in the provision of dental healthcare for children and adolescents in primary healthcare centres in Serbia participate in different oral healthcare education and promotion activities in the community, and highlight the importance of strengthening cooperation with healthcare and other professionals and services aimed at vulnerable population groups, both within the health sector and nongovernmental organizations.

Physiological, Biochemical and Molecular Response of Different Winter Wheat Varieties under Drought Stress at Germination and Seedling Growth Stage

Due to climate change in recent years, there has been an increasing water deficit during the winter wheat sowing period. This study evaluated six Croatian winter wheat varieties’ physiological, biochemical, and molecular responses under two drought stress levels at the germination/seedling growth stage. Lipid peroxidation was mainly induced under both drought stress treatments, while the antioxidative response was variety-specific. The most significant role in the antioxidative response had glutathione along with the ascorbate-glutathione pathway. Under drought stress, wheat seedlings responded in proline accumulation that was correlated with the P5CS gene expression. Expression of genes encoding dehydrins (DHN5, WZY2) was highly induced under the drought stress in all varieties, while genes encoding transcription factors were differentially regulated. Expression of DREB1 was upregulated under severe drought stress in most varieties, while the expression of WRKY2 was downregulated or revealed control levels. Different mechanisms were shown to contribute to the drought tolerance in different varieties, which was mainly associated with osmotic adjustment and dehydrins expression. Identifying different mechanisms in drought stress response would advance our understanding of the complex strategies contributing to wheat tolerance to drought in the early growth stage and could contribute to variety selection useful for developing new drought-tolerant varieties.

Analysis of the pattern, type and the extent of dental services provided to children and youth on the territory of Republic of Serbia

Background/Aim: The requirements for dental specialties and the number of specialists in each country are unique and strong indicator of the availability and affordability of primary health care for children and adolescents. The aim of this study was to determine the pattern, type and the extent of dental services, as well as the influence of regional factors and data on whether services are provided by a pediatric dentist or general dentist have effect on these parameters, based on information obtained from dentists providing dental care to children and youth. Material and Methods: Within the project "Program for the improvement of oral health of children and youth in the Republic of Serbia", supported by the Ministry of Health of Serbia, a research was conducted among dentists involved in dental care for children and youth in Serbia. Data collection from primary health care facilities was performed through a specially designed questionnaire. A total of 445 questionnaires were collected from dentists from 102 health centers in Serbia in the period June - October 2019. Results: There are significant differences between regions in the pattern, type and the extent of dental services. In the quantitative analysis, there are no significant differences in the type of dental services between pediatric and preventive dentistry specialists and general dentists. Conclusions: The data from the conducted research speak in favor of a large daily workload of dentists who deliver oral health care for children and youth in Serbia. Additional multifactorial analysis, which includes epidemiological data from the region, but also environmental, demographic and cultural parameters of oral health could be the basis for improving the provision of preventive dental and preventive oral care

Pediatric Dentists' Service Provisions in South-East Europe during the First Wave of COVID-19 Epidemic: Lessons Learned about Preventive Measures and Personal Protective Equipment Use

Introduction: Having in mind the importance of providing continuous pediatric dental services during the COVID-19 pandemic and the fact that children have similar viral loads to adults, the potential to spread the virus to others, and with variable clinical presentation of COVID-19 infection, this study aimed to analyze the impact of COVID-19 outbreak on pediatric dentistry service provision, risks, and preventive measures before and during dental treatment. Method: Structured and closed epidemiological cross-sectional survey involved seven Southeastern European countries. The questionnaire was developed using the modified Delphi method, pretested, and tested in North Italy during April 2020. The sample consisted of licensed dental professionals reached via national dental chambers and social media using the best strategies according to the national setting. Results: A total of 3227 dentists participated in the survey, and we included 643 specialists in this study—among them, 164 were pediatric dentists. Most pediatric dentists worked in the public sector (61.0%) and provided emergency (64.6%) and routine dental treatment (18.3%) during the outbreak. One-third of pediatric dentists were COVID-19 tested, statistically significantly more than other specialties, and 3.0% tested COVID-19 positive. In addition, significantly more pediatric dentists (13.4%) reported the presence of at least one symptom related to COVID-19 compared to other specialists (6.1%). None of the pediatric dentists reported PPE shortage. However, 26.2% of all specialists stated that they lacked clear step by step professional guidance in a national language. Similarly, in both groups, around 10% of specialists attended education on coronavirus. Conclusions: Considering that most pediatric dentists provided dental treatment during lockdown in their countries in public health centers and that they will continue to work during pandemic, our results suggest that pediatric dentists might be at higher risk of COVID-19 infection. Further research should focus on finding better ways to promote and adapt preventive, protective measures and PPE in the pediatric dental setting to be behaviorally acceptable. Moreover, additional efforts should be invested in dental education regarding COVID-19 in the mother tongue.

Translation and preliminary validation of the Serbian version of an ageism scale for dental students (ASDS-Serb)

AIMS

The ageist attitudes among dental clinicians may result in inadequate treatment planning and reduce quality of life for older adults. This study aimed at performing a preliminary validation of an ageism scale for dental students (ASDS) in Serbia (ASDS-Serb).

METHODS AND RESULTS

The 27-item ASDS was translated from English into Serbian and completed by 129 dental students. Principal component analysis (PCA), Confirmatory factor analysis (CFA), internal consistency reliability and discriminant validity were estimated. PCA produced a 17-item scale distributed into five factors that explain 64.24% of the total variance. All items showed high to moderate reliability (0.50-0.83). CFA indicates an acceptable model fit with significant standardized factor loadings ranging from 0.14-0.99. The first factor dealt with negative views of older adults' life and dental treatment, the second factor related to ethical values about older people, the third factor compared younger and older adults in dental care and the fourth factor related to difficulties in medical history taking. The fifth factor related to perceptions of oral health and treatment of older adults. Discriminant validity revealed significant differences related to the semester of studies, gender and having older people in the family.

CONCLUSION

The preliminary validation of the ASDS-Serb resulted in a 17-item scale distributed into the five factors with acceptable validity and reliability.

AC/DC magnetic device for safe medical use of potentially harmful magnetic nanocarriers

Continuing our previous research work on a drug delivery system based on combined AC/DC magnetic fields, we have developed a prototype AC/DC magnetic syringe device for stimulation of drug release from drug carriers, with the options of injecting/removing drug carriers. The porous Fe₃O₄ carrier, in a dose-dependent manner, causes acute oxidative damage and reduces the viability of differentiated SH-SY5Y human neuroblastoma cells, indicating the necessity for its removal once it reaches the therapeutic concentration at the target tissue. The working mechanism of the device consists of three simple steps. First, direct injection of the drug adsorbed on the surface of a carrier via a needle inserted into the targeted area. The second step is stimulation of drug release using a combination of AC magnetic field (a coil magnetised needle with AC current) and permanent magnets (DC magnetic lens outside of the body), and the third step is removal of the drug carriers from the injected area after the completion of drug release by magnetising the tip of the needle with DC current. Removing the drug carriers allows us to avoid possible acute and long term side effects of the drug carriers in the patient's body, as well as any potential response of the body to the drug carriers.

Oxidative Status and Antioxidative Response to Fusarium Attack and Different Nitrogen Levels in Winter Wheat Varieties

Abiotic and biotic stresses, such as mineral nutrition deficiency (especially nitrogen) and Fusarium attack, pose a global threat with devastating impact on wheat yield and quality losses worldwide. This preliminary study aimed to determine the effect of Fusarium inoculation and two different nitrogen levels on oxidative status and antioxidative response in nine wheat varieties. Level of lipid peroxidation, activities of antioxidant enzymes (catalase, ascorbate peroxidase, glutathione reductase), phenolics, and chloroplast pigments content were measured. In general, wheat variety, nitrogen, and Fusarium treatment had an impact on all tested parameters. The most significant effect had a low nitrogen level itself, which mostly decreased activities of all antioxidant enzymes and reduced the chloroplast pigment content. At low nitrogen level, Fusarium treatment increased activities of some antioxidative enzymes, while in a condition of high nitrogen levels, antioxidative enzyme activities were mostly decreased due to Fusarium treatment. The obtained results provided a better understanding on wheat defense mechanisms against F. culmorum, under different nitrogen treatments and can serve as an additional tool in assessing wheat tolerance to various environmental stress conditions.

Mycoremediation affects antioxidative status in winter rye plants grown at Chernobyl exclusion zone site in Ukraine

Soil contaminated with heavy metals in general and radionuclides in particular represents an escalating problem for all living organisms. Since, Chernobyl nuclear power plant accident in 1986 in Ukraine, an exclusion zone of 30 km around the former power plant is uninhabitable land due to severe contamination. Two most notable beta emitters contributing to dose hazards for decades is radioactive ¹³⁷Cs/⁹⁰Sr. However, large parts of the zone are also highly contaminated with uranium particles (hot particles) bearing trace amounts of highly alpha-emitting radionuclides. We established an experiment at exclusion zone with the aim to investigate the influence of two macro fungi (Schizophyllum commune (S.C.) and Leucoagaricus naucinus (L.N.)) on oxidative status and antioxidative responses in winter rye plants; from this, we wanted to test the radionuclide/heavy metals retention capacity of both fungi, and probe their further potential for mycoremediation.Result shows some differences in the concentrations of radionuclides/heavy metals and micro/macronutrients uptake in plants. As a biomarker of oxidative status, lipid peroxidation (LPO) levels and other antioxidative parameters were determined, i.e., superoxide-dismutase (SOD) isoenzymes, cysteine (CYS), and ascorbic acid (AA) concentrations as well as catalase (CAT) and glutathione reductase (GR) activities in winter rye shoots. LPO showed no significant differences between controls and plants cultivated with macro fungi. However, CAT activities were elevated in the presence of S.C/L.N compared with control, while GR activity was significantly higher only in presence of S.C. In contrast, isozyme of SOD (Cu,Zn-SOD) was the most prominent in control. Likewise, CYS content was lower in plants grown with both fungi, while AA concentration was only lower in the presence of L.N. The results showed that presence of fungi in radionuclide contaminated soil caused induction of antioxidative response in shoots of winter rye and that the response depended on the type of fungi used.

Uranium accumulation and its phytotoxicity symptoms in Pisum sativum L

Environmental contamination by uranium (U) and other radionuclides is a serious problem worldwide, especially due to, e.g. mining activities. Ultimate accumulation of released U in aquatic systems and soils represent an escalating problem for all living organisms. In order to investigate U uptake and its toxic effects on Pisum sativum L., pea plantlets were hydroponically grown and treated with different concentrations of U. Five days after exposure to 25 and 50 μM U, P. sativum roots accumulated 2327.5 and 5559.16 mg kg-1 of U, respectively, while in shoots concentrations were 11.16 and 12.16 mg kg-1, respectively. Plants exposed to both U concentrations showed reduced biomass of shoots and reduced content of photosynthetic pigments (total chlorophyll and carotenoids) relative to control. As a biomarker of oxidative stress, lipid peroxidation (LPO) levels were determined, while antioxidative response was determined by catalase (CAT) and glutathione reductase (GR) activities as well as cysteine (Cys) and non-protein thiol (NP-SH) concentrations, both in roots and shoots. Both U treatments significantly increased LPO levels in roots and shoots, with the highest level recorded at 50 μM U, 50.38% in shoots and 59.9% in roots relative to control. U treatment reduced GR activity in shoots, while CAT activity was increased only in roots upon treatment with 25 μM U. In pea roots, cysteine content was significantly increased upon treatment with both U concentrations, for 19.8 and 25.5%, respectively, compared to control plants, while NP-SH content was not affected by the applied U. This study showed significant impact of U on biomass production and biochemical markers of phytotoxicity in P. sativum, indicating presence of oxidative stress and cellular redox imbalance in roots and shoots. Obtained tissue-specific response to U treatment showed higher sensitivity of shoots compared to roots. Much higher accumulation of U in pea roots compared to shoots implies potential role of this species in phytoremediation process.

Quantitative analysis and detection of chaptalization and watering down of wine using isotope ratio mass spectrometry

In early 1990's European Union has established new isotopic approach for detection of wine authenticity. In this article we setup the possibility of using new approach using new EIM – Module – IRMS (Ethanol Isotope Measurement – Module – Isotope Ratio Mass Spectrometry) instrumental technique and new analytical parameter δDn(δ2Hn) wine ethanol value, which represents δ2H value of non-exchangeable hydrogen stable isotope ratio in ethanol, with other isotopic species (δ18O values in wine water) to improve detection of illegal wine production practices such as addition of sugar and/or dilution with water. Total of 42 wine samples were analyzed. 10 wine samples (out of 42) were prepared from grapes by alcoholic fermentation and analyzed for δDn values of ethanol. 19 wine samples (out of 42) were collected from wine producers in Serbia plus 1 wine samples designated from United States was taken from Serbian market and analyzed for δDn values of ethanol, δ18O values in wine water and also δ13C values in wine ethanol. Furthermore 9 wine samples (out of 42) were taken from Hungarian market and analyzed for δDn values of ethanol, and also 3 wine samples (out of 42) were taken from Austrian market and analyzed for δDn values of ethanol. All experiments were done in 4 isotope laboratories located in US, Austria, Hungary and People's Republic of China. δDn values of ethanol were measured by using EIM Module connected to FlashHT 2000 pyrolizer (one laboratory – Imprint Analytics GmbH, Austria), while in other 3 laboratories (US – COIL – Cornell University, Stable Isotope Laboratory, Hungary – Isotoptech Ltd, Debrecen, Hungary and China – C.N.R.I.F.F.I. – China National Institute of Food and Fermentation Industries Limited) EIM Module was connected to TC/EA (High Temperature Conversion Elemental Analyzer). Peripherals in all laboratories were further interfaced with isotope ratio mass spectrometer. Furthermore δ18O values in wine water were measured by using Gas Bench II interfaced also with isotope ratio mass spectrometer (one laboratory – US). Obtained results from all 4 laboratories have shown that this new approach which uses δDn in wine ethanol is more effective in improving detection of illegal wine production practices (sugar enrichment and water dilution) and origin of ethanol, and also detecting the addition of corn or beet sugar, sugar syrup to wine, or dilution of grape must with water prior to alcoholic fermentation.

Keywords: Wine authenticity; EIM – Module – IRMS; Stable Isotope; Isotope Ratio Mass Spectrometry; Wine; Watering; Chaptalization.

History of dentistry in central Serbia

History of dentistry in the Central Serbian District of Jagodina has been influenced by traditional medicine for centuries. Development of dentistry in the region of Jagodina was slow, the level of oral and general hygiene was low and the sanitary prevention was absent. Trained physicians started to practice medicine and dentistry in the first half of the nineteenth century and they were educated in abroad universities. However, common people used to address to these physicians only when the traditional medicine were unable to help. Until the end of the World War II, common, mostly rural people, with the urgent dental treatment need were usually referred to the barbers, healers or empirics in the nearby villages rather than the dentists. Medications used for the urgent dental treatment were balsams and solutions made of herbs. After the World War II, the dental technicians who finished special courses started to practice dentistry. In 1947 the Regional Dental Office in Jagodina was opened and in 1955 the first Doctor of Dental Medicine who graduated from the School of Dental Medicine of University of Belgrade was employed. Nowadays, the Department of Dentistry represents is an important and independent part of the Health Care Centre in Jagodina.

Factors associated with positive outcome of avulsion injuries in children

INTRODUCTION/AIM

Avulsions are severe dental injuries with high impact on patients' quality of life due to prolonged treatment and possible severe complications. The aim of the study was to analyze the epidemiological factors related to the occurrence, treatment and outcome of avulsions in Serbian children.

METHODS

This research included 2,194 patients aged 1-18 years with traumatic dental injuries. The history, demographic, clinical and radiographic data of the patients were observed from dental medical records.

RESULTS

A total of 266 avulsions were observed in 207 patients. The frequency of avulsions was 12% in primary dentition and 5% in permanent dentition. A statistically significant relationship between place, cause of avulsion and outcome was observed. Replantation of permanent teeth was performed in 46.7% with a mean time 6.9 h. Almost a half of permanently avulsed teeth (48.7%) were not retrieved from the accident site and 11.3% of replanted teeth were transported in adequate media. The observed incidence of complications was 31.9%.

CONCLUSION

Replantation was not performed in more than a half of all eligible teeth due to either loss or inadequate/delayed transport, which emphasizes the need for preventive strategies and health education in population.

Efficiency of RO/NF membranes at the removal of veterinary antibiotics

The production of pharmaceuticals has increased rapidly during the last several decades as they have been used for the health of both humans and animals. Routes of environmental exposure include the release of treated wastewater, the land disposal of livestock manures and municipal biosolids (i.e. sewage sludge), as well as the use of medicated aquaculture feed. This study deals with application of reverse osmosis (RO) and nanofiltration (NF) membranes for removing of antibiotic residues (sulfamethoxazole, trimethoprim, ciprofloxacin, dexamethasone and febantel) and their mixture. According to the results obtained in this work the use of RO (LFC-1 and XLE) and the tight NF (NF90) membranes are recommended to achieve a high level of retention (>95%) of all selected veterinary antibiotics (VAs). Nanofiltration NF270, NF and HL membranes showed a lower rejection of individual components, but much higher in a mixture solution, due to the synergistic effect.

Predicting apricot phenology using meteorological data

The main objective of this study was to develop feasible, easy to apply models for early prediction of full flowering (FF) and maturing (MA) in apricot (Prunus armeniaca L.). Phenological data for 20 apricot cultivars grown in the Belgrade region were modeled against averages of daily temperature records over ten seasons for FF and eight seasons for MA. A much stronger correlation was found between the phenological timing and temperature at the very beginning than at the end of phenophases. Also, the length of developmental periods were better correlated to daily maximum than to daily minimum and mean air temperatures. Using prediction models based on daily maximum temperatures averaged over 30-, 45- and 60-day periods, starting from 1 January for FF prediction and from the date of FF for MA prediction, the onset of examined phenophases in apricot cultivars could be predicted from a few weeks to up to 2 months ahead with acceptable accuracy. The mean absolute differences between the observations and cross-validated predictions obtained by 30-, 45- and 60-day models were 8.6, 6.9 and 5.7 days for FF and 6.1, 3.6 and 2.8 days for MA, respectively. The validity of the results was confirmed using an independent data set for the year 2009.

Effect of water matrices on removal of veterinary pharmaceuticals by nanofiltration and reverse osmosis membranes

This study explored the removal of five veterinary pharmaceuticals (VPs) (sulfamethoxazole (SMETOX), trimethoprim (TMP), ciprofloxacin (CIPRO), dexamethasone (DEXA) and febantel (FEBA)) from different water matrices (Milli-Q water, model water, tap water and real pharmaceutical wastewater using four types of nanofiltration (NF) membranes (NF90, NF270, NF and HL) and two reverse osmosis (RO) membranes (LFC-1 and XLE). All VPs were added to different water matrices at a concentration of 10 mg/L. Rejections of VPs and water flux were measured. The rejection increased with increase of molecular weight. The highest rejections were obtained with RO membranes (LFC-1, XLE) and tight NF (NF90) membrane. In general, the rejection of VPs was higher in model water and tap water than in Milli-Q water, but the water flux was lower. This was mainly explained by ion adsorption inside the membranes pores. Narrower pore size counteracted the effect of presence of low concentration of natural organic matter (NOM) in tap water. The NOM was assumed to enhance the adsorption of VPs onto membrane surface, increased the size exclusion and electrostatic repulsion also appeared during the transport. Investigated water matrices had influence on water flux decline due to their complexity.

Evaluation of different methods for determining growing degree-day thresholds in apricot cultivars

The aim of this study was to examine different methods for determining growing degree-day (GDD) threshold temperatures for two phenological stages (full bloom and harvest) and select the optimal thresholds for a greater number of apricot (Prunus armeniaca L.) cultivars grown in the Belgrade region. A 10-year data series were used to conduct the study. Several commonly used methods to determine the threshold temperatures from field observation were evaluated: (1) the least standard deviation in GDD; (2) the least standard deviation in days; (3) the least coefficient of variation in GDD; (4) regression coefficient; (5) the least standard deviation in days with a mean temperature above the threshold; (6) the least coefficient of variation in days with a mean temperature above the threshold; and (7) the smallest root mean square error between the observed and predicted number of days. In addition, two methods for calculating daily GDD, and two methods for calculating daily mean air temperatures were tested to emphasize the differences that can arise by different interpretations of basic GDD equation. The best agreement with observations was attained by method (7). The lower threshold temperature obtained by this method differed among cultivars from -5.6 to -1.7 degrees C for full bloom, and from -0.5 to 6.6 degrees C for harvest. However, the "Null" method (lower threshold set to 0 degrees C) and "Fixed Value" method (lower threshold set to -2 degrees C for full bloom and to 3 degrees C for harvest) gave very good results. The limitations of the widely used method (1) and methods (5) and (6), which generally performed worst, are discussed in the paper.

[The carpal tunnel syndrome: medical and economic advantages of well-timed surgical treatment]

Carpal tunnel syndrome (CTS) is a somewhat neglected medical and economic problem, and surgery is one of the therapeutic options. We analyze the outcomes of surgical treatment in 114 consecutive patients (154 hands). Before the surgery, physical therapy was implemented (96% cases) and the patients were frequently on a sick leave (42% cases). Immediately before the surgery, the patients suffered intensive pain (median 7 on a 0-10 scale), and had a reduced hand function (median 2 on a 0-10 scale). After the surgery (6-12 months), the pain was reduced (difference -5.0, 95% CL -5.5, -4.5, p<0.001), and the function improved (difference 4.5, 95% CLs 4.0, 5.0, p<0.001). Longer time interval between referral to a primary care physician and referral to an orthopeadic surgeon (>1 year in 48% of the cases) was an independent negative predictor for these outcomes. Total difference in costs for sick leaves and physical therapies between the pre- and postoperative periods was estimated at approximately 269.030,00 to over 375.315,00 euros. The time between the entrance into the healthcare system and recognition of the need for surgical treatment of CTS needs to be reduced in order to get better medical and economic results.

[Diagnostic value of the NBT-PABA test in the functional evaluation of the exocrine pancreas]

N benzoyl-L-tyrosil PABA was orally administered to 13 controls and 35 patients with pancreatic disease: 7 with chronic exocrine pancreatic disease, 7 patients after an attack of acute pancreatitis, 3 with carcinoma of the pancreas, 8 with biliary tract disease and 10 with diabetes. The amount of PABA excreted serves as parameter exocrine pancreatic function. PABA excretion in patients with chronic pancreatitis (p < 0.01) and diabetes (p < 0.05) was significantly less then in controls. The present data justify further investigation of this procedure as a possible new oral test of exocrine pancreatic function.

[The mean values and correlation between blood pressure, body weight, height, heart rate, the PQ, QT and QTc intervals, the QRS-complex and the echocardiographic dimensions of the left atrium and ventricle in 515 14-year-old students]

In five hundred and fifteen schoolchildren, the mean values of blood pressure, body weight, height, heart rate, PQ, QT, QTc-interval, QRS-duration and echocardiographic left ventricular (LV) and left atrial (LA) diastolic internal dimension as well as their correlations were measured. There were 224 girls and 291 boys of 14 years of age. Mean systolic blood pressure was 118 +/- 15 mmHg in boys, 115 +/- 10 mmHg in girls. Mean diastolic blood pressure was 74 +/- 9 mmHg in boys, 74 +/- 7 mmHg in girls. The prevalence of systolic hypertension was 3.4% in boys, 3.1% in girls. The prevalence of diastolic hypertension was 2% in boys and 4% in girls. No significant difference was observed between body weight, height, PQ, QT, QTc-interval, QRS-duration and echocardiographic LA and LV measurement in boys and girls. Mean heart rate in girls was 98 +/- 19.7 and 88 +/- 17 in boys. The difference was statistically significant (t = 6.06; P less than 0.01). A significant positive correlation was found between body weight and height and diastolic and systolic blood pressure. The body weight and height revealed a significant positive correlation to echocardiographic left ventricular and left atrial dimension. No correlation of body weight to heart rate was observed in neither boys nor girls. A significant negative correlation was found between height and heart rate (P less than 0.05) in boys, whereas no correlation between these two variables was noticed in girls.(ABSTRACT TRUNCATED AT 250 WORDS)

Oxytocinase (CAP) activity in serum during normal pregnancy

Reference values for the activity of oxytocinase were determined in the sera of 371 women during normal pregnancy. An exponential relationship between enzyme activities and gestational age was found. The activity of oxytocinase (CAP) increased progressively from the beginning to the end of pregnancy. Statistical evaluation showed a significant difference between the 5th and 2nd months, as well as after the 20th week of pregnancy.