A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

First report of phenoloxidase and peroxidase activities in two intertidal sea anemone species of Argentina

The presence of immune responses within sea anemone species has received little attention, in comparison with coral species, so we decided to investigate the phenoloxidase and peroxidase activities in ectoderm, endoderm and tentacles of actiniarians Aulactinia marplatensis and Bunodosoma zamponii, the most common species in intertidal zone of Mar del Plata, Argentina. Enzyme activities were detected in all tissues evaluated with some differences among tissues and species. Phenoloxidase and peroxidase activities are associated with the mechanisms of innate immunity in invertebrates, and the high production of phenoloxidase observed in B. zamponii would provide a continual level of resistance to infection and this species to be less susceptible to stress and disease, compared to A. marplatensis. This study, represents the first step toward specific immune information about the mentioned sea anemone species of Argentina, and thus permits prediction of the potential effects of environmental factors on immune response

Sunflower and climate change: Possibilities of adaptation through breeding and genomic selection

Due to its ability to grow in different agroecological conditions and its moderate drought tolerance, sunflower may become the oil crop of preference in the future, especially in the light of global environmental changes. In the field conditions, sunflower crop is often simultaneously challenged by different biotic and abiotic stresses, and understanding the shared mechanisms contributing to two or more stresses occurring individually or simultaneously is important to improve crop productivity under foreseeable complex stress situations. Exploitation of the available plant genetic resources in combination with the use of modern molecular tools for genome-wide association studies (GWAS) and application of genomic selection (GS) could lead to considerable improvements in sunflower, especially with regard to different stresses and better adaptation to the climate change. In this chapter we present a review of climate-smart (CS) traits and respective genetic resources and tools for their introduction into the cultivated sunflower, thus making it the oil crop resilient to the extreme climatic conditions and well-known and emerging pests and diseases. © Springer Nature Switzerland AG 2019

Production of charged pions, kaons and protons at large transverse momenta in pp and Pb–Pb collisions at s

Transverse momentum spectra of pi(+/-), K-+/- and p((p) over bar) up to p(T) = 20 GeV/c at mid-rapidity in pp, peripheral (60-80%) and central (0-5%) Pb-Pb collisions at v root s(NN) = 2.76 TeV have been measured using the ALICE detector at the Large Hadron Collider. The proton-to-pion and the kaon-to-pionratios both show a distinct peak at p(T) approximate to 3 GeV/c in central Pb-Pb collisions. Below the peak, p(T) 10 GeV/c particle ratios in pp and Pb-Pb collisions are in agreement and the nuclear modification factors for pi(+/-), K-+/- and p((p) over bar) indicate that, within the systematic and statistical uncertainties, the suppression is the same. This suggests that the chemical composition of leading particles from jets in the medium is similar to that of vacuum jets