Hypodense regions in unenhanced CT identify nonviable myocardium: validation versus 18F-FDG PET

The aim of the present study was to evaluate the accuracy of hypodense regions in non-contrast-enhanced cardiac computed tomography (unenhanced CT) to identify nonviable myocardial scar tissue.

New Prosperity for Rural Regions

The project deals with problems of marginal rural regions in the period of transformation in Slovenia and the Czech Republic. The course of the transformation, its impact, related border problems and environmental aspects were studied in seven model regions of the two countries, using geographical, cartographic, sociological, historical and remote-sensing methods. The opinions of both the local populations and the local authorities were also taken into account. The most important problems observed included the deepening of marginality, the worsening situation in the labour market, structural demographic degradation of the most marginal settlements and a lack of development programmes. In the Czech Republic the state had no effective regional policy up to the time of the research. Possibilities for future prosperity include exploitation of human and other local resources, the elaboration of local and regional programmes capable of gaining financial support and the utilisation of tranquility and the positive environmental situation. It is the local people who usually represent the main wealth of marginal regions and care for them is the task of the local authorities.

Pneumococcal meningitis causes accumulation of neurotoxic kynurenine metabolites in brain regions prone to injury

Pneumococcal meningitis (PM) is characterized by an intense inflammatory host reaction that contributes to the development of cortical necrosis and hippocampal apoptosis. Inflammatory conditions in the brain are known to induce tryptophan degradation along the kynurenine pathway, resulting in accumulation of neurotoxic metabolites. In the present study, we investigated the contribution of the kynurenine pathway to brain injury in experimental PM by measuring the concentration of its metabolites and the enzymatic activities and mRNA levels of its major enzymes in the vulnerable brain regions. In the late phase of acute PM, we found a significant transcriptional upregulation of kynurenine-3-hydroxylase and an accumulation of the neurotoxic metabolites 3-hydroxykynurenine (3-HKYN) and 3-hydroxyanthranilic acid in cortex and hippocampus. The positive correlation between the concentration of 3-HKYN and the extent of hippocampal apoptosis adds support to the concept that 3-HKYN contributes to brain injury in PM.