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Martin Hýža,1,2 Petr Šilhán,1,2 Eva Češková,1,2 Tomáš Skřont,1 Ivana Kacířová,3,4 Romana Uřinovská,3 Milan Grundmann4 1Department of Psychiatry, University Hospital Ostrava, Ostrava, Czech Republic; 2Department of Clinical Neurosciences, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic; 3Department of Clinical Pharmacology, Institute of Laboratory Diagnostics, University Hospital Ostrava, Ostrava, Czech Republic; 4Department of Clinical Pharmacology, Faculty of Medicine, University of Ostrava, Ostrava, Czech RepublicCorrespondence: Petr ŠilhánDepartment of Psychiatry, University Hospital Ostrava, 17. Listopadu 1790, Ostrava, 708 52, Czech RepublicTel +420 59 737 3145Fax +420 59 737 3314Email petr.silhan@fno.czPurpose: Antipsychotic efficacy in schizophrenia depends on its availability in the body. Although therapeutic outcomes remain still far from satisfactory, therapeutic drug monitoring is not a common part of clinical practice during treatment with long-acting injectable antipsychotics (LAI AP). The real effectiveness of LAI AP is thus uncertain.Patients and Methods: We made a retrospective evaluation of plasma levels of LAI AP. Collection of blood samples was performed just before the drug application and one week later. Forty patients with a stabilized clinical condition and steady-state plasma levels were included.Results: In the observed cohort of patients, flupentixol decanoate (n = 23) was the most often used drug, followed by fluphenazine decanoate (n = 7), haloperidol decanoate (n = 5), paliperidone palmitate (n = 3), and risperidone microspheres (n = 2). Just 5 of 40 patients were treated with a monotherapy. In the period before the application, 60% of the patients did not reach the therapeutic reference range (TRR) and 20% of the patients had an undetectable plasma level. At the time of collection of the second blood samples performed after 7 days, 24% of the patients were under the TRR.Conclusion: We have found a surprisingly high incidence of plasma levels under the TRR in patients treated with LAI AP. Notwithstanding individual variability in pharmacokinetics, it seems that LAI AP may be underdosed in usual clinical practice.Keywords: therapeutic drug monitoring, antipsychotics, psychotic disorders, schizophrenia

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Copyright of Česká a Slovenská Neurologie a Neurochirurgie is the property of Czech Medical Association of JE Purkyne and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Po was determined in 24-h urine of seven healthy males from Prague, Czech Republic, for ten consecutive days. The results show that for each volunteer, the urinary excretion of Po changed only little from day to day in the studied time period. For two volunteers, the difference in the daily excreted Po activity for two consecutive days was not significant, given the 95 % confidence interval (two sigma) of the activity measurements. The same is valid for the excretion data of the other volunteers, except for some days where the differences were slightly higher. The range of daily urinary excretion of Po of each volunteer in the studied time period was quite narrow. Among the volunteers, the maximum daily urinary excretion value of Po was at most about a factor of 2.5 higher than the lowest excretion value. An attempt to explain the observed small inter-individual variability of Po excretion in daily urine is made. [ABSTRACT FROM AUTHOR]

During the 7th European Conference on Protection Against Radon at Home and at Work held in the autumn of 2013 in Prague, the second intercomparison of measuring instruments for radon and its short-lived decay products and the first intercomparison of radon/thoron gas discriminative passive detectors in mix field of radon/thoron were organised by and held at the Natural Radiation Division of the National Radiation Protection Institute (NRPI) in Prague. In total, 14 laboratories from 11 different countries took part in the 2013 NRPI intercomparison. They submitted both continuous monitors for the measurement of radon gas and equivalent equilibrium radon concentration in a big NRPI chamber (48 m3) and sets of passive detectors including radon/thoron discriminative for the measurement of radon gas in the big chamber and thoron gas in a small thoron chamber (150 dm3). [ABSTRACT FROM AUTHOR]

We propose a novel approach for background subtraction in repeated gamma-ray spectrometric measurements. This entirely data-driven method eliminates the need for Monte Carlo detector simulation. To accomplish this, we utilized the framework of Latent Variable Modeling, incorporating various matrix factorization techniques and artificial neural networks. Subsequently, we applied this method to estimate radionuclide activity through spectrum unmixing. Significant improvements in sensitivity, surpassing traditional methods, were observed for the test case scenario of aerosol filter measurements., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Neuroleptic malignant syndrome is a life-threatening condition that can be fatal if unrecognized and inadequately treated. This disease is rarely seen in infectious diseases wards. As infectiologists, however, we are confronted with an increasingly broader spectrum of diagnoses and this disease should therefore be considered in any patient taking psychiatric medication who develops the typical symptoms of hyperthermia, rigidity and muscle tremors, autonomic lability and impaired consciousness. A case report is presented of a young man with schizophrenia admitted to the intensive care unit with COVID-19, who was treated with antipsychotics (formerly known as neuroleptics) for restlessness and who developed neuroleptic malignant syndrome. In cooperation with psychiatrists, a targeted therapy was initiated, after which the symptoms subsided and the patient's clinical condition resolved.

From early April 2020, wildfires raged in the highly contaminated areas around the Chernobyl nuclear power plant (CNPP), Ukraine. For about 4 weeks, the fires spread around and into the Chernobyl exclusion zone (CEZ) and came within a few kilometers of both the CNPP and radioactive waste storage facilities. Wildfires occurred on several occasions throughout the month of April. They were extinguished, but weather conditions and the spread of fires by airborne embers and smoldering fires led to new fires starting at different locations of the CEZ. The forest fires were only completely under control at the beginning of May, thanks to the tireless and incessant work of the firefighters and a period of sustained precipitation. In total, 0.7-1.2 TBq 137 Cs were released into the atmosphere. Smoke plumes partly spread south and west and contributed to the detection of airborne 137 Cs over the Ukrainian territory and as far away as Western Europe. The increase in airborne 137 Cs ranged from several hundred μBq·m -3 in northern Ukraine to trace levels of a few μBq·m -3 or even within the usual background level in other European countries. Dispersion modeling determined the plume arrival time and was helpful in the assessment of the possible increase in airborne 137 Cs concentrations in Europe. Detections of airborne 90 Sr (emission estimate 345-612 GBq) and Pu (up to 75 GBq, mostly 241 Pu) were reported from the CEZ. Americium-241 represented only 1.4% of the total source term corresponding to the studied anthropogenic radionuclides but would have contributed up to 80% of the inhalation dose.

Aim of a low radon cleanroom technology is to minimize at the same time radon, radon decay products concentration and aerosol concentration and to minimize deposition of radon decay products on the surfaces. The technology placed in a deep underground laboratory such as LSM Modane with suppressed muon flux and shielded against external gamma radiation and neutrons provides "Zero dose" space for basic research in radiobiology (validity of the LNT hypothesis for very low doses) and for the fabrication of nanoelectronic circuits to avoid undesirable "single event effects." Two prototypes of a low radon cleanroom were built with the aim to achieve radon concentration lower than 100 mBq·m 3 in an interior space where only radon-free air is delivered into the cleanroom technology from a radon trapping facility. The first prototype, built in the laboratory of SÚRO Prague, is equipped with a standard filter-ventilation system on the top of the cleanroom with improved leakproofness. In an experiment, radon concentration of some 50 mBq·m -3 was achieved with the filter-ventilation system switched out. However, it was not possible to seal the system of pipes and fans against negative-pressure air leakage into the cleanroom during a high volume ventilation with the rate of 3,500 m 3 ·h -1 . From that reason more sophisticated second prototype of the cleanroom designed in the LSM Modane uses the filter-ventilation system which is completely covered in a further improved leakproof sealed metal box placed on the top of the cleanroom. Preliminary experiments carried out in the SÚRO cleanroom with a high radon activity injection and intensive filter-ventilation (corresponding to room filtration rate every 13 s) showed extremely low radon decay products equilibrium factor of 0.002, the majority of activity being in the form of an "unattached fraction" (nanoparticles) of 218 Po and a surface deposition rate of some 0.05 mBq·m -2 ·s -1 per Bq·m -3 . Radon exhalation from persons may affect the radon concentration in a low radon interior space. Balance and time course of the radon exhalation from the human body is therefore discussed for persons that are about to enter the cleanroom., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Štekl, Hůlka, Mamedov, Fojtík, Čermáková, Jílek, Havelka, Hodák and Hýža.)

High-volume aerosol samplers combined with laboratory analysis using high-resolution gamma ray spectrometry allow determining artificial radionuclides in the atmosphere at sub μBq/m3 levels. A major drawback of this procedure is a significant delay of the analysis result after any potential radioactive contamination deposition on the aerosol filter. Within the scope of the HAMRAD project, an autonomous device was developed in order to increase the sampling and measuring frequency. This approach yields higher detection limits (minimum detectable activity concentration [MDAC]) due to the deposited activity of radon decay products on the filter. In order to quantify the radon effect, a simple mathematical model was developed to predict MDAC for the particular radionuclide of interest for the given background conditions. It was found that MDAC can vary by a factor of ~2 for typical 'radon' conditions (~10 Bq/m3) at SÚRO Prague and by a factor up to 5 for high radon concentration (100 Bq/m3)., (© The Author(s) 2019. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)

This paper reports on the structure of the autonomous station for monitoring artificial gamma activity in surface water bodies for the purposes of emergency preparedness of the Czech Republic. A simple design based on the NaI(Tl) submersible detector powered by a combined solar and wind source has been employed. Data transfer is provided by a satellite connection. The detection capabilities of the device have been tested for various unfavourable conditions, and the detection limits have been lowered by using the noise adjustment singular value decomposition (NASVD) method. The detection capabilities of the device fulfil the legal requirements for emergency monitoring, and are almost equal to the detection capabilities of other available devices with a more complicated and less versatile structure., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

Traces of particulate radioactive iodine ( 131 I) were detected in the European atmosphere in January/February 2017. Concentrations of this nuclear fission product were very low, ranging 0.1 to 10 μBq m -3 except at one location in western Russia where they reached up to several mBq m -3 . Detections have been reported continuously over an 8-week period by about 30 monitoring stations. We examine possible emission source apportionments and rank them considering their expected contribution in terms of orders of magnitude from typical routine releases: radiopharmaceutical production units > sewage sludge incinerators > nuclear power plants > spontaneous fission of uranium in soil. Inverse modeling simulations indicate that the widespread detections of 131 I resulted from the combination of multiple source releases. Among them, those from radiopharmaceutical production units remain the most likely. One of them is located in Western Russia and its estimated source term complies with authorized limits. Other existing sources related to 131 I use (medical purposes or sewage sludge incineration) can explain detections on a rather local scale. As an enhancing factor, the prevailing wintertime meteorological situations marked by strong temperature inversions led to poor dispersion conditions that resulted in higher concentrations exceeding usual detection limits in use within the informal Ring of Five (Ro5) monitoring network.

In order to increase the early warning ability of the radiation monitoring network of the Czech republic, a high-volume aerosol sampler was upgraded with a NaI(Tl) probe placed directly above the aerosol filter. The paper demonstrates the possibility of using a method based on principal component regression to accurately subtract the complicated natural background caused by radon decay products. This approach yielded minimum detectable activities of 8mBq/m 3 , 3mBq/m 3 and 7mBq/m 3 for 131 I, 134 Cs and 137 Cs, respectively, after 24h of sampling., (Copyright © 2016 Elsevier Ltd. All rights reserved.)

Early diagnosis of anxiety and depression may be facilitated by the use of neurobiological markers. In depression and panic disorder, transcranial sonography (TCS) has revealed decreased echogenicity of the brainstem raphe (BR). The aim of the present study was to detect whether decreased echogenicity of the BR correlates with personality features described in the five-dimension model, especially neuroticism. We examined 100 healthy volunteers using quantitative and qualitative TCS, the five-dimension revised NEO Personality Inventory, Beck´s scales of anxiety and depression, and the Social Re-adjustment Rating Scale (SRRS). Visual BR anechogenicity was found in 11 subjects, BR hypoechogenicity in 29 subjects, and normal BR echogenicity in 60 subjects. The visual assessment correlated with the digital assessment. Comparing the groups with visual BR anechogenicity and BR normoechogenicity, only increased SRRS score and increased agreeableness z-score were significant. Our hypothesis that BR hypoechogenicity reflects an inclination for depression and anxiety characterized by the personality dimension neuroticism was not supported. However, this disposition may be present in a different state, such as stress., (Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.)

Objectives: Several lines of evidence suggest an adverse effect of psychotic episodes on brain morphology. It is not clear if this relationship reflects the cumulative effect of psychotic outbursts on the gradual progressive reduction of hippocampal tissue or an increased tendency toward psychotic episodes in patients with a smaller hippocampus at the beginning of the illness., Methods: This is a longitudinal 4-year prospective study of patients with first-episode schizophrenia (FES, N = 58). Baseline brain anatomical scans (at FES) were analysed using voxel-based morphometry and atlas-based volumetry of the hippocampal subfields. The effects of first-episode duration on the hippocampal morphology, and the effect of baseline hippocampal morphology on illness course with relapses, number of psychotic episodes and residual symptoms were analysed., Results: A significant negative correlation was detected between first-episode duration and baseline hippocampal morphology. Relapse, number of psychotic episodes and residual symptoms had no correlation with baseline hippocampal volume., Conclusions: We replicated the effect of psychosis duration on hippocampal volume already at the time first-episode, which supports the concept of toxicity of psychosis. The indices of a later unfavourable course of schizophrenia had no correlation with baseline brain morphology, suggesting that there is no baseline morphological abnormality of the hippocampus that predisposes the patient to frequent psychotic outbursts.

This paper presents the results of atmospheric radioactivity monitoring over the Czech Republic, as obtained by the Radiation Monitoring Network, following the Fukushima Dai-Ichi Nuclear Power Plant accident. Maximum values for (131)I were 5.6 mBq m(-3) in aerosol form and 13 mBq m(-3) in gaseous form. The maximum values for (134)Cs and (137)Cs were 0.64 and 0.72 mBq m(-3), respectively. The estimated effective half-time for removing the activity from the atmosphere was 6-7 d and 3.5 d for caesium and iodine, respectively. The gaseous-to-total activity ratios of (131)I ranged between 0.3 and 0.9, with an arithmetic mean value of 0.77. The mean value for the (134)Cs/(137)Cs ratios was close to 1.0. The effective inhalation dose due to the accident for an adult living in the Czech Republic was estimated at <4 × 10(-5) mSv, out of which the proportion of (131)I was 88%., (© The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)

Introduction: In schizophrenia, disruption of the neurodevelopmental processes may lead to brain changes and subsequent clinical manifestations of the illness. Reports of the progressive nature of these morphological brain changes raise questions about their causes. The possible toxic effects of repeated stressful psychotic episodes may contribute to the disease progression., Objectives: To analyze the influence of illness duration and previous psychotic episodes on hippocampal gray matter volume (GMV) in schizophrenia., Methods: We performed an analysis of hippocampal GMV correlations with illness duration, number of previous psychotic episodes, and age in 24 schizophrenia patients and 24 matched healthy controls., Results: We found a cluster of GMV voxels in the left hippocampal tail that negatively correlated with the number of previous psychotic episodes, independent from the effect of age. On the other hand we found no effect of illness duration independent of age on the hippocampal GMV. Finally, we found a cluster of significant group-by-age interaction in the left hippocampal head., Conclusions: We found an additive adverse effect of psychotic episodes on hippocampal morphology in schizophrenia. Our findings support toxicity of psychosis concept, together with etiological heterogeneity of brain changes in schizophrenia., (© 2013.)