Faris Gavrankapetanović

Evaluation of ENA-6 Profile by ELISA Immunoassay in Patients with Systemic Lupus Erythematodes

Autoimmune diseases occur in 3−5% of the population. Study included 30 patients with clinically diagnosed SLE and 30 healthy controls (American college of Rheumatology, 1997). SLE was diagnosed according to criteria issued in 1997 by the American College of Rheumatology (ACR). The aim of this study was to evaluate concentration values of each antigen of ENA-6 profile in SLE, to investigate possible correlation between the concentration of Sm antibodies and CIC, and to test their use as possible immunobiological markers in SLE. Furthermore, the aim of our study was to determine whether there is a correlation between Sm antibodies and CIC and SLE activity. The results revealed that all of these ENA-6 and Sm antibodies as biomarkers complement diagnoses of active SLE but their use as solo markers does not allow classifying patients with SLE. Our study has shown that based on calculations from ROC curves, Sm/RNP was clearly a very important marker for diagnosis of SLE (cut off ≥ 9.56 EU, AUC 0,942). The high incidence of Scl-70 (10%) reactivity suggests that ELISA monitoring of this antibody produces more false positive results than other multiplex assay. An important conclusion that can be drawn from the results of our study is that laboratory tests are no more effective than clinical examination for detecting disease relapse, but are helpful in the confirmation of SLE activity.

Gluteal compartment syndrome caused by traumatic rupture of the superior gluteal artery

Introduction. We report a case of a sixty-year-old man diagnosed with gluteal compartment syndrome caused by traumatic rupture of the superior gluteal artery associated with fracture of the inferior pubic ramus and blunt trauma. Case report. A patient was injured falling from a height of four meters. Signs of compartment syndrome and sciatic nerve compression developed three hours after the injury. The patient went through a computerized tomography (CT) scan procedure with contrast, which showed a hematoma in the gluteal region, but without signs of active bleeding. However, after observation and monitoring of the patient, CT angiography was performed which revealed a rupture of the superior gluteal artery. Fasciotomy and debridement were performed and the patient was diagnosed with gluteal compartment syndrome and rupture of the superior gluteal artery. Surgery resulted in a significant improvement of the patient’s condition. Conclusion. Traumatic gluteal compartment syndrome is a rare condition. Gluteal compartment syndrome should be taken into consideration in each patient with pelvic trauma and hematoma in the gluteal region whose neurological status is affected. Prompt diagnosis and fasciotomy are crucial in the treatment and fasciotomy presents the gold standard in the treatment.

Cloning-dilemmas-third-millennium-where to go in the future?

“We think that science has already explained all when explained movement of the Moon around the Earth. But the real world is not universe like a simple pendulum clock.”Jim York, a physicist from the University of Maryland who coined the name “chaos”We are assured that the field of “Human Cloning” comprise the most crucial scientific questions of present time. It seems that all exaltation of its progress and fascinating results have vanished while being replaced with the cogitative concern that Immanuel Kant expressed in three fundamental questions:What can I know?What should I do?What may I hope?While considering all these questions famous philosopher thought about any human being.Today, these queries consideration is based on the experience of illuminator “ingress” in all that exist, as well as in the human being itself. Experience of the “illumination” triumph seduces science beyond its achievements and freedoms. We would say that science wants even beyond its real wants. Nowadays, global scientific impact appears as general opinions correlated to the universe of technological utilisation, professionalism in knowledge and biological science influence on the behavioural inducements.The basic thinking principles established by modern science are inseparable from the statements of philosopher Descartes: “World of mind and world of body are separated as individual substances that exist separately without any needful co-existence”. In that way, a new authoritative scientific relation towards the world has been created, out of which, the field of values “Heavens are devoid of the glory of God” (A.N. Whitehead, “Science and the modern world”) has been completely excluded or eliminated.It is obvious that the crucial postulations of nature are created throughout gathering of the sufficient data and simplification of the numerous correlative causes and consequences in other to elucidate “the anarchy of systems” and accomplish the exact predictions of their attitudes. Amazing technological progress in 20th century made many people believe that some day science would find out all ignorance of nature and improve the control over it. According to that assumption, the attitude of very complex dynamic systems would finally conform to the scientific formulations and calculations.A fascinating thoughtful help of chaosologists, particularly in their theory of fractals that revealed an apprehension of the reality as made from worlds within self-similar worlds i.e. worlds within dimensions, is necessary for the proper quantification of defect associated with the progress in knowledge of life. That knowledge has been previously neglected to the simple scientific facts and responsibilities (especially in medicine) that naturally appear from inside when life is recognised as a holistic system.