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This paper presents the results of an experimental investigation into the distribution of copper in the slag of an industrial reverberatory furnace sulfide concentrates smelting process in the copper smelter RTB Bor (Serbia). The influence of copper content in the matte, the temperature and the height of the slag on the content of copper in the slag was determined as Cuoxide, Cusulfide and Cutotal and was based on possible mechanisms for the loss of copper in a silicate slag from the smelting of sulfide copper concentrates. The greatest quantity of copper in the silicate slag was found in the form of matte particles, which were captured in the slag as a result of the “flotation” of SO2 gas which was formed by magnetite reduction with FeS at the slag–matte interphase boundary.

This paper presents the results of an empirical investigation of the impact of leadership on strategy of quality planning in manufacturing companies with a certified Quality Management System (QMS)...

In this paper a hybrid model of SWOT–PROMETHEE/GAIA–GDSS is defined for the purpose of prioritizing strategic goals of the university and developed for the case of the Technical Faculty in Bor that belongs to the group of the Technology and Engineering Sciences faculties at the University of Belgrade, Serbia. Defined model is suitable for universities or autonomous faculties with diversified organizational structure, in which interests of individual departments are opposed, therefore there is a need for compromise in decision-making process while defining priorities of the strategic goals (SGs). SWOT factors, arising as a result of a survey based Brainstorming, are good foundation for further development of the model by assessing the opinions of the decision makers (DMs) through Group Decision Support System (GDSS), as a preparation for the PROMETHEE methodology which is used for prioritizing of the SGs. The Geometrical Analysis for Interactive Assistance (GAIA) plane is used to further analyze the alternative routes and to reach the group solution, which is consistent with managerial goals and objectives. The model is useful because it allows DMs a better understanding when defining a compromise in order to optimize the SGs, in the interest of growth and development of the University.

In this paper, a model for the development of relationships with suppliers in order to create long-term partnerships, while following the requirements of ISO 9001 standard, was defined. Research has shown that the same relations with suppliers that exist between standardised companies (SC) and non-standardised companies (NSC) within the set of suppliers, also exist between NSC and NSC within the set of companies. Creating partnerships between SC and NSC suppliers is not possible, while obtained results show the opposite, which clearly indicates that the certification in the studied economy is being performed pro forma.

This article presents the results of nonlinear statistical modeling of the decomposition process of sodium aluminate solution, as part of the Bayer technology for the production of alumina. Based on the data collected in 2011 and 2012 from industrial production in the Birac Alumina Factory, Zvornik (Bosnia and Herzegovina), nonlinear statistical modeling of the industrial processes was derived. The model was developed as an attempt to define the dependence of the degree of decomposition of sodium aluminate solution as a function of the input parameters of the leaching process: caustic ratio (αk) of the solution; ratio of the crystallization; content of Na2O(caustic) in the solution; the initial temperature of the solution; the final temperature of the solution; average diameter of the crystallized seeds; and duration of the crystallization process. As a tool for statistical modeling, Adaptive Network Based Fuzzy Inference System (ANFIS) was applied. The defined model using ANFIS methodology expressed a hi...

This article presents the results of the statistical modeling of copper losses in the silicate slag of the sulfide concentrates smelting process. The aim of this study was to define the correlation dependence of the degree of copper losses in the silicate slag on the following parameters of technological processes: SiO2, FeO, Fe3O4, CaO and Al2O3 content in the slag and copper content in the matte. Multiple linear regression analysis (MLRA), artificial neural networks (ANNs) and adaptive network based fuzzy inference system (ANFIS) were used as tools for mathematical analysis of the indicated problem. The best correlation coefficient (R2 = 0.719) of the final model was obtained using the ANFIS modeling approach.

We present a patient with blunt abdominal trauma with severe acute right limb ischemia and clinical signs of diffuse peritonitis. Computed tomography angiography showed circumferential dissection of the infrarenal aorta with occlusion of the right common iliac artery. We opted for simultaneous abdomen exploration and open repair of injured aorta. Critical weakening of the aortic wall with imminent rupture was identified intraoperatively. Aortotomy cranially from bifurcation showed circumferential intimomedial dissection. The fixation of fragile intimomedial flap of aortic dissection was achieved with reinforcement using an anterior longitudinal ligament. The long aortoiliac arteriotomy was repaired using a great saphenous vein patch. Patient had uneventful postoperative course and was discharged after 7 days. In patients with abdominal polytrauma with peritonitis, and no available endovascular tools, open surgery for circumferential aortic dissection is possible and successful. Described reinforcement of the posterior aortic wall to the anterior longitudinal ligament should be added to the armamentarium of aortic injury treatment.

The formation of input batch zinc concentrates is one of the key processes on which the quality and efficiency of all subsequent operations during the production of zinc cathodes directly depends. The optimization of the formation of a mixed batch aims at making a selection between the zinc concentrates that have different contents of useful and harmful components and to determine their share in the optimal mix. A multi criteria optimization model, which can be a good support for the defined problem of determining the optimal mixture of zinc concentrates, was developed in this study. For an evaluation of this model, according to four different research scenarios, the PROMETHEE/GAIA methodology was used to rank the considered zinc concentrates and determine their optimal share in the mix batch. In addition, the determination of the significance of the criteria in the optimization model was performed by application of the subjective AHP approach and the objective entropic approach. The results of this study...

The typical Serbian diet is characterised by high intake of cereal products and also legumes are often used. The content of total fibre as well as certain fibre fractions was determined in cereals, cereal products, and cooked legumes. The content of total fibre in cooked cereals and cereal products ranged from 2.5 to 20.8 g/100 g, and in cooked legumes from 14.0 to 24.5 g/100 g (on dry matter basis). Distribution of analysed fibre fractions and their quantities differed significantly depending on food groups. Fructans and arabinoxylans were the most significant fibre fractions in rye flakes, and beta-glucan in oat flakes, cellulose and resistant starch were present in significant amounts in peas and kidney beans. When the size of regular food portions was taken into consideration, the best sources of total dietary fibre were peas and kidney beans (more than 11 g/serving). The same foods were the best sources of cellulose (4.98 and 3.56 g/serving) and resistant starch (3.90 and 2.83 g/serving). High intake of arabinoxylans and fructans could be accomplished with cooked wheat (3.20 g and 1.60 g/serving, respectively). Oat (1.39 g/serving) and barley flakes (1.30 g/serving) can be recommended as the best sources of beta-glucan.

The aim of this study was to investigate the association between metabolic syndrome and liver enzymes in overweight and obese adolescents and young adults.A total of 126 overweight and obese adolescents and young adults (age, 15-26 years), 55 (43.6%) with metabolic syndrome and 71 (56.4%) without metabolic syndrome, were studied.Patients with metabolic syndrome had significantly higher alanine aminotransferase (ALT), γ-glutamyl transpeptidase (GGT), and alkaline phosphatase (ALP) levels compared to patients without metabolic syndrome [36.5±22.2 vs. 29.4±17.8 IU/L (P=0.043), 33.8±17.8 vs. 26.9±18.4 IU/L (P=0.002), and 84.3±32.2 vs. 75.7±29.5 IU/L (P=0.063)]. Aspartate aminotransferase (AST) levels were similar in both groups (24.1±9.8 vs. 23.3±9.0 IU/L, P=0.674). Elevated AST, ALT, GGT, and ALP levels were observed in 6, 15, 18, and 5 patients (11%, 27%, 14%, and 9%) with metabolic syndrome compared to 6, 17, 6, and 4 (8%, 24%, 8% and 5%) patients without metabolic syndrome (P=0.872, P=0.826, P0.001, and P=0.035). In multivariate regression models adjusted for age and gender, metabolic syndrome was not a significant predictor of ALT (P=0.967), GGT (P=0.526), and ALP levels (P=0.221), but insulin resistance was a significant predictor for ALT and GGT levels (P=0.001, P=0.028).Changes in liver function tests were observed in obese patients with metabolic syndrome, compared to patients without metabolic syndrome, especially in ALT and GGT levels. Insulin resistance is an independent pathogenic mechanism in liver function test changes regardless of metabolic syndrome in nondiabetic centrally obese youth.

This paper presents the extremely high concentrations of SO2 and particulate matter measured in the urban area of the town Bor (Serbia) during August 2011. Concentrations of SO2 above 125 μg m−3 and concentrations of particulate matter above 200 μg m−3 recorded over several days indicate significant risk to human health and the ecosystem in this region.

This paper presents the results of investigation of the effect of slag composition and the slag basicity, in the process of smelting of sulfide copper concentrate, on the distribution coefficient ( ) for the following elements: Cu, Bi, Co, Au, Ag, Zn, Pb, Ni, As, Sb, Se, and Te. The research was conducted under the industrial operating conditions of the copper smelter in Bor, Serbia. High values for the coefficient of determination (R 2 > 0.6) for the dependence on the slag composition were obtained, which presents a high degree of fitting. In the case of the dependence of on the slag basicity, obtained R 2 values were much lower, due to the much smaller statistical sample.

This paper presents results of measuring episodes of extremely high ozone concentrations in urban area of the town of Bor in Serbia. The measured ozone concentration of 3000 μgm −3 in two episodes, which lasted 3–5 days in November 2010, has not been recorded in the literature in this field. Sensitivity of generated ozone to the NOx was determined, since the concentrations of NOx in the same period were also high. In the morning when working hours start, episodes of increased NOx concentrations appear after several hours, leading to episodes of increased ozone concentrations reaching up to twenty times more than the threshold value, defined as harmful to vegetation and human health.

Liberase HI has many advantages over traditional collagenases. Liberase performs the rapid dissociation of human pancreata and allows for the preservation of the morphological and functional integrity of isolated islets. The aim of this study was to investigate the effect of different concentrations of Liberase HI (1.5, 2.5 and 3.5 mg/ml) on the yield, viability and function of islets isolated by a non-automated method. Based on our results, the Liberase HI concentration 1.5 mg/ml is recommended for this method of isolation. .

This paper presents the results of defining the mathematical model which describes the dependence of leaching degree of Al2O3 in bauxite from the most influential input parameters in industrial conditions of conducting the leaching process in the Bayer technology of alumina production. Mathematical model is defined using the stepwise MLRA method, with R2 = 0.764 and significant statistical reliability - VIF

BACKGROUND/AIM The most effective method for human adult pancreatic islets purification is density-gradient centrifugation. The aim of this study was to analyze the effects of non-automated purification on preservation of functional capacity of human adult pancreatic islet cells. METHODS Human pancreata were obtained after pancreatectomy in the patients with chronic pancreatitis or benign tumors. Pancreatic islets were purified by non-automated method in discontinuous Ficoll density gradient. The samples were divided in 2 fractions: purified (P) and non-purified (NP) cultures. Islets were stained with diphenyl-thiocarbazone. The efficiency of separation was determined by comparing percentage of stained cells in P and NP cultures on day 1, 3 and 7 of shortterm cultivation. Glucose-stimulated insulin secretion was expressed as stimulation index (SI). RESULTS The results obtained showed a statistically significant difference (p < 0.01) between P and NP cultures. P cultures had higher percentages of stained cells (70.43 +/- 3.97%, 73.77 +/- 4.22% and 71.34 +/- 4.69% on the first, third and seventh day of cultivation, respectively) than NP cultures (53.68 +/- 1.71%, 57.14 +/- 3.94% and 43.97 +/- 4.56%, respectively). P cultures had higher values of SI for the first, third and seventh day of cultivation than NP cultures (0.45 +/- 0.08, 0.80 +/- 0.21, 1.28 +/- 0.15 and 0.46 +/- 0.10, 0.752 +/- .0.16, 0.76 +/- 0.11 for P and NP cultures respectively). The difference was statistically significant on day seven (p = 0.01). CONCLUSION Although during purification process islets were exposed to a number of insults that might result in cellular damage and functional impairment, our assessments showed that islets in P cultures preserved their functional capacity better than islets in NP cultures, since they had greater insulin secretion.

We investigated the influence of short-term culture in vitro on the appearance of apoptosis of human fetal pancreatic islets (HFIs) and its effect on the mass and insulin-secretory capacity (ISC) of ?-cells. It was found that apoptosis was present from the end of the culture period, increasing as a function of time and leading to decrease of ?-cell mass. At the same time, ISC decreased. The decrease of ?-cell mass and ISC may influence significantly the clinical outcome of HFIs transplantation in type 1 diabetic patients.

Cilj naše studije bio je odrediti međusobne odnose između „prve", neenzim-ske, te „druge", enzimske crte antioksidacijske zaštite u bolesnika s šećernom bolesti tipa 2 i očitovanim kardiovaskularnim komplikacijama. Drugi je cilj bio utvrditi odnose između prooksidacijskih (lipidni status) i antioksidacijskih parametara u ispitivanih bolesnika. Materijali i metode: U našu je studiju parova bilo uključeno ukupno 117 bolesnika s šećernom bolesti tipa (69 sa, te 48 bez kardiovaskularnih komplikacija) i 42 zdrava ispitanika. Određivani su sljedeći antioksidacijski enzimski parametri: eritrociti, Cu, Zn-SOD, glutation-peroksidaza (GPx) i glutation-reduk-taza (GR), kao i ukupni antioksidacijski status (engl. total antioxidant status, TAS), te bilirubin, mokraćna kiselina, ukupni proteini, albumin i haptoglobin. Enzimski antioksidacijski parametri i TAS analizirani su pomoću komercijalnih testova tvrtke RandoxLtd, V. Britanija, koji se temelje na spektrofotometrij-skim metodama, dok su ostali neenzimski i lipidni parametri određeni standardnim laboratorijskim metodama. Rezultati: U odnosu na zdrave ispitanike, bolesnici s šećernom bolesti tipa 2 i kardiovaskularnim komplikacijama imali su značajno niže vrijednosti en-zimskih antioksidansa (P < 0,001) i više vrijednosti ukupnog bilirubina (P = 0,050), mokraćne kiseline (P < 0,001) i haptoglobina (P < 0,001). Slaba je pozitivna korelacija utvrđena između SOD i GPx (R = 0,289, P = 0,028) te između SOD i GR (R = 0,259, P = 0,045), a slaba negativna korelacija zabilježena je između GPx i mokraćne kiseline (R = - 0,35, P = 0,009) te GPx i ukupnog bilirubina (R = - 0,40, P = 0,018). TAS je slabo korelirao s trigliceridima (R = 0,32, P = 0,037), a GPx i GR su korelirali s HDL-kolesterolom (R = 0,457, P = 0,007; te R = 0,466, P = 0,001). Zaključci: Temeljem dobivenih rezultata može se zaključiti da bolesnici s šećernom bolesti tipa 2 imaju značajno promijenjenu antioksidacijsku zaštitu, uz različiti stupanj neravnoteže između skupa neenzimskih tvari i aktivnosti enzimskih antioksidanasa, koja ovisi o tome jesu li se kardiovaskularne komplikacije pojavile ili ne., The objective of our study was to determine the interrelations between the "first", non-enzymatic, and the "second", enzymatic line of antioxidant defense in patients with type 2 diabetes mellitus and manifested cardiovascular complications. The second aim was to determine the relations between pro-oxidant (lipid status) and antioxidant parameters in patients under observation. Methods: In our case-control study, a total of 117 type 2 diabetic patients (69 with and 48 without cardiovascular complications) and 42 healthy subjects were included. Antioxidant enzymatic parameters: erythrocyte, Cu,Zn-SOD, glutathione peroxidase (GPx) and glutathione reductase (GR), as well as total antioxidant status (TAS), bilirubin, uric acid, total proteins, albumin and haptoglobin were determined. The enzymatic antioxidant parameters and TAS were analyzed using commercial tests manufactured by Randox Ltd. UK, based on spectrophotometer methods, while the other non-enzymatic and lipid parameters were determined by standard laboratory methods. Results: In relation to healthy subjects, type 2 diabetics with cardiovascular complications had significantly lower values of enzymatic antioxidants (P < 0.001), and higher values of total bilirubin (P = 0.050), uric acid (P < 0.001) and haptoglobin (P < 0.001). Weak positive correlation was found between SOD and GPx (R = 0.289, P = 0.028) and between SOD and GR (R = 0.259, P = 0.045), while weak negative correlation was obtained between GPx and uric acid (R = -0.35, P = 0.009), GPx and total bilirubine (R = -0.40, P = 0.018). TAS correlated weakly with triglycerides (R = 0.32, P = 0.037), while GPx and GR correlated with HDL-cholesterol (R = 0.457, P = 0.007; and R = 0.466, P = 0.001). Conclusions: Based on the obtained results, it may be concluded that type 2 diabetic patients have significantly modified antioxidant defense, with a varying degree of imbalance between the "pool" of non-enzymatic substances and the activity of enzymatic antioxidants, which depends on whether they have or not manifested cardiovascular complications.

Summary: Oxidative stress and hyperglycemia play an important role in the aethiology of vascular complications in diabetes. Hyperglycemia induces a large number of alterations in vascular tissue that potentially accelerate the atherosclerotic process. Nonenzymatic glycosylation of proteins and lipids which can interfere with their normal function by disrupting molecular conformation, alter enzymatic activity, reduce degradative capacity and interfere with receptor recognition, oxidative stress and protein kinase C activations are the major processes that encompass most of the pathological alterations in the diabetic vasculature. Diabetes-associated oxidative stress is a consequence of both increased production of free radicals and reduced capacity for antioxidative defense. The aim of this study was to test the parameters of antioxidative defense: superoxide dismutase (SOD), glutathione peroxidase (GSH-Px), glutathione reductase (GR) and total antioxidant status (TAS), in type 2 diabetic patients with and without cardiovascular complications in order to determine the effect of hyperglycemia on the extent of disorders of antioxidative parameters. Sixty nine type 2 diabetic patients with cardiovascular complications, along with 48 diabetics without complications and 42 healthy subjects were examined. Determination of antioxidant parameters was performed using commercial tests manufactured by Randox Laboratories, UK, based on spectrophotometer determination methods. Statistical data processing revealed significantly lower SOD, GSH-Px, GR and TAS values in type 2 diabetic patients with cardiovascular complications in comparison to the control group (p

OBJECTIVE—To investigate the role of dietary factors in the development of type 2 diabetes. RESEARCH DESIGN AND METHODS—In the context of the Multinational MGSD Nutrition Study, three groups of subjects were studied: 204 subjects with recently diagnosed diabetes (RDM), 42 subjects with undiagnosed diabetes (UDM) (American Diabetes Association criteria—fasting plasma glucose [FPG] ≥126 mg/dl), and 55 subjects with impaired fasting glucose (IFG) (FPG ≥110 and RESULTS—Compared with control subjects, RDM more frequently had a family history of diabetes (49.0 vs. 14.2%; P < 0.001), exercised less (exercise index 53.5 vs. 64.4; P < 0.01), and more frequently had sedentary professions (47.5 vs. 27.4%; P < 0.001). Carbohydrates contributed less to their energy intake (53.5 vs. 55.1%; P < 0.05), whereas total fat (30.2 ± 0.5 vs. 27.8 ± 0.5%; P < 0.001) and animal fat (12.2 ± 0.3 vs. 10.8 ± 0.3%; P < 0.01) contributed more and the plant-to-animal fat ratio was lower (1.5 ± 0.1 vs. 1.8 ± 0.1; P < 0.01). UDM more frequently had a family history of diabetes (38.1 vs. 19.0%; P < 0.05) and sedentary professions (58.5 vs. 34.1%; P < 0.05), carbohydrates contributed less to their energy intake (47.6 ± 1.7 vs. 52.8 ± 1.4%; P < 0.05), total fat (34.7 ± 1.5 vs. 30.4 ± 1.2%; P < 0.05) and animal fat (14.2 ± 0.9 vs. 10.6 ± 0.7%; P < 0.05) contributed more, and the plant-to-animal fat ratio was lower (1.6 ± 0.2 vs. 2.3 ± 0.4; P < 0.05). IFG differed only in the prevalence of family history of diabetes (32.7 vs. 16.4%; P < 0.05). CONCLUSIONS—Our data support the view that increased animal fat intake is associated with the presence of diabetes.

Objective: To compare the nutritional habits among six Mediterranean countries and also with the various official recommendations and the ‘Mediterranean diet’ as originally described. Design: Cross-sectional study. Settings: Three centres in Greece, two in Italy and one in Algeria, Bulgaria, Egypt and Yugoslavia. Subjects: Randomly selected non-diabetic subjects from the general population, of age 35–60, not on diet for at least 3 months before the study. Interventions: A dietary questionnaire validated against the 3-Day Diet Diary was used. Demographic data were collected and anthropometrical measurements done. Results: All results were age adjusted. Energy intake varied in men, from 1825 kcal/day in Italy–Rome to 3322 kcal/day in Bulgaria and in women, from 1561 kcal/day in Italy–Rome to 2550 kcal/day in Algeria. Protein contribution (%) to the energy intake varied little, ranging from 13.4% in Greece to 18.5% in Italy–Rome, while fat ranged from 25.3% in Egypt to 40.2% in Bulgaria and carbohydrates from 41.5% in Bulgaria to 58.6% in Egypt. Fibre intake, g/1000 kcal, ranged from 6.8 in Bulgaria to 13.3 in Egypt and the ratio of plant to animal fat from 1.2 in Bulgaria to 2.8 in Greece. The proportion of subjects following the WHO and the Diabetes and Nutrition Study Group (DNSG) of the EASD recommendations for carbohydrates, fat and protein ranged from 4.2% in Bulgaria to 75.7% in Egypt. Comparison with the Mediterranean diet, as defined in the seven Country Study, showed significant differences especially for fruit, 123–377 vs 464 g/day of the Mediterranean diet, meat, 72–193 vs 35 g/day, cheese, 15–79 vs 13 g/day, bread, 126–367 vs 380 g/day. Conclusions: (a) Dietary habits of the ‘normal’ population vary greatly among the Mediterranean countries studied. (b) Egypt is closest to the DNSG recommendations. (c) Significant differences from the originally described Mediterranean diet are documented in most Mediterranean countries, showing a Westernization of the dietary habits.

Starting from the evidence-based health benefits that resistant starch (RS) shows when added to the diet, our aim in this study was to evaluate the effects of increased fibre intake with two different levels of RS coming from regular daily consumed foods on normalization of glycaemia within lifestyle intervention in the population with risk factors for developing diabetes. Study included 47 overweight and obese men and women with disordered glucoregulation and dyslipidaemia, aged between 45-74, divided into RS and Fibre group. Participants were subjected to the lifestyle and dietary intervention with low-fat and high-fibre (> 25 g/day) diet for 12 months and were offered two different dietary advices aimed at increasing total fibre intake in Fibre group and at increasing RS intake in RS group. The intake of macronutrients and total fibre was similar between groups at the end of the study, but achieved RS intake was two times higher in the RS group. Decrease in total cholesterol and non-HDL-cholesterol was more pronounced in RS group in comparison with Fibre group (p = 0.010, p = 0.031, respectively), whereas in Fibre group, a more pronounced effect on glucoregulation was observed: significant fall in glycaemia after 2-h oral glucose tolerance test (7.93 vs 6.96 mmol/L, p = 0.034). At the end of the study, RS-rich diet failed to affect glycaemic control in prediabetic obese individuals in contrast to the regular fibre-rich diet, which indicated that fibre profile could be an important determinant of the effect of dietary intervention.

This paper presents the results of investigating the dependence of distribution coefficient LS/MMe for: Cu, Zn, Pb, Sb, As, Ni, Ag, Au and Bi, between the slag and the matte, on the copper content in matte. The research was conducted under industrial conditions of copper concentrate smelting, in the reverberatory furnace in the copper smelter in Bor, Serbia. It was found that with the increase of the copper content in the matte, distribution coefficient between slag and matte for Cu, Zn and Pb increases, for Ag and Se decreases, while for Ni, As and Sb has an insignificant change. Au and Bi are almost entirely concentrated in the matte.

In this study we compared the effects of duration of cold ischemia (longer and shorter ischemia) on the yield, viability and preservation of the physiological function and insulin secretion of adult human pancreatic islets in short-term (seven days) culture. Based on the tested parameters, we established that there are no major differences between these two test groups and that the storage and transport of pancreatic tissue in physiological solution at 4oC gives quite satisfactory results.

Background/Aim. During the first 10 years over 50% of diabetes patients develop erectile dysfunction (ED). It is more severe and resistant to therapy than in male patients with normal glucoregulation. The purpose of this pilot study was to estimate the tadalafil (Cialis) efficacy and safety in male patients with diabetes mellitus (DM), together with moderate to severe ED. Methods. The study included 30 male patients with diagnozed type 1 or type 2 DM together with ED. ED was estimated through the International Index of Erectile Function (IIEF-6), Sexual Encounter Profile (SEP) questionnaire and prostaglandin test, at the beginning of the research and three months after the 20 mg tadalafil therapy initiation, once a week (on Fridays). Glycosylated haemoglobin in blood (HbA1c) values were also monitored. According to the ED severity (IIEF values at the beginning of the therapy) the patients were divided into 2 groups. The previous experience with sildenafil citrate (Viagra) and prostaglandin E1 intracavernous therapy was recorded. Results. Tadalafil significantly improved ED (p < 0.001) for 7.40 points of the IIEF score, i.e. for 58% and 60% towards SEP2 and SEP3 questionnaire, respectively. Compared to the previous ED therapy subjectively better tadalafil experience was recorded. Each group experienced a significant improvement in IIEF score (p < 0.001), more significantly in the group 2 (8.26?1.49 points) compared with the medium improvement in the group 1 (6.27?1.35 points). After three months HbA1c values decreased for 2.26?1.62 (p < 0.001). Conclusion. Tadalafil is an effective tool for treating ED in diabetes patients. In some situations tadalafil application could replace prostaglandin test. The sexual sphere motivation leads to the improvement of glucoregulation in DM patients. .

Background: The aim of this study was to examine prothrombogenic factors and antioxidative defense in obese children and adolescents with pre-metabolic and metabolic syndrome, and to analyze insulin secretion and resistance, early glycoregulation disorders and lipid status. Methods: Insulin sensitivity was determined using the homeostasis model assessment for insulin resistance (HOMA-IR), while insulin secretion was determined using the homeostasis model assessment (HOMA-β). Prothrombogenic factors analyzed were plasma plasminogen activator inhibitor-1 (PAI-1) and fibrinogen. Superoxide dismutase and glutathione peroxidase were measured as markers of antioxidative defense. Results: Patients with metabolic syndrome were characterized with increased body mass index (BMI), waist circumference, and HOMA-IR and HOMA-β levels, and all had increased blood pressure and triglyceride levels, low high-density lipoprotein cholesterol levels, increased PAI-1 levels and reduced antioxidative defense levels. Patients with pre-metabolic syndrome had higher levels of basal and mean insulinemia during an oral glucose tolerance test, higher levels of HOMA-β and lower levels of antioxidative defense compared to patients with metabolic syndrome. Conclusions: Negative correlations between antioxidative defense parameters and BMI, abdominal obesity, insulin secretion, systolic blood pressure and atherogenic lipid factors, as well as correlations between PAI-1 and insulin resistance and basal glycemia in the metabolic syndrome group contribute to accelerated atherosclerosis. Positive correlations between PAI-1 and waist circumference and BMI, and negative correlations between BMI and antioxidative defense in the pre-metabolic syndrome patients show that this early stage preceding the metabolic syndrome is also characterized by atherosclerotic complication risks and evident hyperinsulinism and insulin resistance.

To determine: (a) whether the components of metabolic syndrome (MetS) cluster more frequently than predicted by chance alone and (b) whether increased risk for MetS is associated also with values of each component below, but close to the cutoff points defining MetS.Anthropometrical and biochemical measurements were performed and a dietary questionnaire was filled-in in 1833 randomly selected non-diabetic subjects, 916 men and 917 women, 20-74 years old, in nine centres in five Mediterranean countries. The prevalence of MetS and of possible combinations of its individual components was measured. The expected frequencies of the above combinations were calculated according to the mathematical formula of probabilities.The overall prevalence of MetS was 27.2%, but varied greatly among countries, from 5.8% in Algeria to 37.3% in Greece. The observed prevalence of each combination diagnostic of MetS was higher than the expected by chance. Thus, the observed overall prevalence of MetS was also higher than the expected, 27.2 vs 24.0%, P=0.03. Furthermore, for each individual component (except high-density lipoprotein), as values in the normal range, approached the cutoff point, the risk of having MetS (i.e. clustering of the other components) increased significantly (odds ratio 2.2-4.6, P0.001).The MetS is not related to the Mediterranean type of diet and its prevalence varies greatly among five Mediterranean countries. The clustering of the components defining the MetS is not due to chance and moreover even 'high normal' levels of each component confer increased risk for the syndrome.