In this paper, repeated measurements of radon progeny concentration in dwellings in the Czech Republic are described. Two distinct data sets are available: one based on present measurements in 170 selected dwellings in the Central Bohemian Pluton with a primary measurement carried out in the 1990s and the other based on 1920 annual measurements in 960 single-family houses in the Czech Republic in 1992 and repeatedly in 1993. The analysis of variance model with random effects is applied to data to evaluate the variability of measurements. The calculated variability attributable to repeated measurements is compared with results from other countries. In epidemiological studies, ignoring the variability of measurements may lead to biased estimates of risk of lung cancer.
IntroductionMajor clinically relevant inflammatory events such as septic shock and severe COVID-19 trigger dynamic changes in the host immune system, presenting promising candidates for new biomarkers to improve precision diagnostics and patient stratification. Hepcidin, a master regulator of iron metabolism, has been intensively studied in many pathologies associated with immune system activation, however these data have never been compared to other clinical settings. Thus, we aimed to reveal the dynamics of iron regulation in various clinical settings and to determine the suitability of hepcidin and/or ferritin levels as biomarkers of inflammatory disease severity.CohortsTo investigate the overall predictive ability of hepcidin and ferritin, we enrolled the patients suffering with three different diagnoses – in detail 40 patients with COVID-19, 29 patients in septic shock and eight orthopedic patients who were compared to nine healthy donors and all cohorts to each other.ResultsWe showed that increased hepcidin levels reflect overall immune cell activation driven by intrinsic stimuli, without requiring direct involvement of infection vectors. Contrary to hepcidin, ferritin levels were more strongly boosted by pathogen-induced inflammation – in septic shock more than four-fold and in COVID-19 six-fold in comparison to sterile inflammation. We also defined the predictive capacity of hepcidin-to-ferritin ratio with AUC=0.79 and P = 0.03.DiscussionOur findings confirm that hepcidin is a potent marker of septic shock and other acute inflammation-associated pathologies and demonstrate the utility of the hepcidin-to-ferritin ratio as a predictor of mortality in septic shock, but not in COVID-19.
In autumn 2010, an outdoor measuring station for measurement of atmospheric radon, gamma equivalent dose rate in the range of 100 nSv h(-1)-1 Sv h(-1) and proper meteorological parameters such as thermal air gradient, relative air humidity, wind speed and direction and solar radiation intensity was built in the area of the National Radiation Protection Institute vvi. The station was designed to be independent of an electrical network and enables on-line wireless transfer of all data. After introduction of the station, illustrations of its measurement properties and the results of measured diurnal and seasonal variability of atmospheric radon, based on annual continuous measurement using a high-volume scintillation cell at a height of 2.5 m above the ground, are presented.
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