1,242 research outputs found
Shrunken Pore Syndrome Is Frequently Occurring in Severe COVID-19
Funding Information: The study was funded by the SciLifeLab/Knut and Alice Wallenberg national COVID-19 research program (M.H.: KAW 2020.0182, KAW 2020.0241), the Swedish Heart-Lung Foundation (M.H.: 20210089, 20190639, 20190637), the Swedish Research Council (R.F.: 2014-02569, 2014-07606), The Swedish Kidney Foundation (R.F.: F2020-0054), and The Swedish Society of Medicine (M.H. SLS-938101). Funding bodies had no role in the design of the study, data collection, interpretation, or in the writing of the manuscript. Publisher Copyright: © 2022 by the authors.A selective decrease in the renal filtration of larger molecules is attributed to the shrinkage of glomerular pores, a condition termed Shrunken Pore Syndrome (SPS). SPS is associated with poor long-term prognosis. We studied SPS as a risk marker in a cohort of patients with COVID-19 treated in an intensive care unit. SPS was defined as a ratio < 0.7 when the estimated glomerular filtration rate (eGFR), determined by cystatin C, calculated by the Cystatin C Caucasian-Asian-Pediatric-Adult equation (CAPA), was divided by the eGFR determined by creatinine, calculated by the revised Lund–Malmö creatinine equation (LMR). Clinical data were prospectively collected. In total, SPS was present in 86 (24%) of 352 patients with COVID-19 on ICU admission. Patients with SPS had a higher BMI, Simplified Physiology Score (SAPS3), and had diabetes and/or hypertension more frequently than patients without SPS. Ninety-nine patients in the total cohort were women, 50 of whom had SPS. In dexamethasone-naïve patients, C-reactive protein (CRP), TNF-alpha, and interleukin-6 did not differ between SPS and non-SPS patients. Demographic factors (gender, BMI) and illness severity (SAPS3) were independent predictors of SPS. Age and dexamethasone treatment did not affect the frequency of SPS after adjustments for age, sex, BMI, and acute severity. SPS is frequent in severely ill COVID-19 patients. Female gender was associated with a higher proportion of SPS. Demographic factors and illness severity were independent predictors of SPS.publishersversionpublishe
Estimated glomerular filtration rates are higher when creatinine-based equations are compared with a cystatin C-based equation in coronavirus disease 2019
Funding Information: The study was funded by the SciLifeLab/Knut and Alice Wallenberg national COVID‐19 research program (Michael Hultström; KAW 2020.0182, KAW 2020.0241), the Swedish Heart‐Lung Foundation (Michael Hultström; 20210089, 20190639, 20190637), the Swedish Research Council (Robert Frithiof; 2014‐02569, 2014‐07606), The Swedish Kidney Foundation (Robert Frithiof; F2020‐0054), and The Swedish Society of Medicine (Michael Hultström; SLS‐938101). Funding bodies had no role in the design of the study, data collection, interpretation, or in the writing of the article. Funding Information: Medicinska Forskningsrådet; SciLifeLab/Knut and Alice Wallenberg National COVID‐19 Research Program, Grant/Award Numbers: KAW 2020.0182, KAW 2020.0241; Swedish Heart‐Lung Foundation, Grant/Award Numbers: 20210089, 20190639, 20190637; Swedish Kidney Foundation, Grant/Award Number: F2020‐0054; Swedish Society of Medicine, Grant/Award Number: SLS‐938101; the Swedish Research Council, Grant/Award Numbers: 2014‐07606, 2014‐02569 Funding information Publisher Copyright: © 2022 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation.Objectives: Estimations of glomerular filtration rate (eGFR) are based on analyses of creatinine and cystatin C, respectively. Coronavirus disease 2019 (COVID-19) patients in the intensive care unit (ICU) often have acute kidney injury (AKI) and are at increased risk of drug-induced kidney injury. The aim of this study was to compare creatinine-based eGFR equations to cystatin C-based eGFR in ICU patients with COVID-19. Methods: After informed consent, we included 370 adult ICU patients with COVID-19. Creatinine and cystatin C were analyzed at admission to the ICU as part of the routine care. Creatinine-based eGFR (ml/min) was calculated using the following equations, developed in chronological order; the Cockcroft–Gault (C-G), Modified Diet in Renal Disease (MDRD)1999, MDRD 2006, Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI), and Lund–Malmö revised (LMR) equations, which were compared with eGFR calculated using the cystatin C-based Caucasian Asian Pediatric Adult (CAPA) equation. Results: The median eGFR when determined by C-G was 99 ml/min and interquartile range (IQR: 67 ml/min). Corresponding estimations for MDRD1999 were 90 ml/min (IQR: 54); MDRD2006: 85 ml/min (IQR: 51); CKD-EPI: 91 ml/min (IQR: 47); and for LMR 83 ml/min (IQR: 41). eGFR was calculated using cystatin C and the CAPA equation value was 70 ml/min (IQR: 38). All differences between creatinine-based eGFR versus cystatin C-based eGFR were significant (p <.00001). Conclusions: Estimation of GFR based on various analyses of creatinine are higher when compared with a cystatin C-based equation. The C-G equation had the worst performance and should not be used in combination with modern creatinine analysis methods for determination of drug dosage in COVID-19 patients.publishersversionepub_ahead_of_prin
Generation of Nano Size Particles from Limonene/Ozone Reactions for Controlled Human Exposures in a Chamber
Determination of the effective Young's modulus of vertically aligned carbon nanotube arrays: a simple nanotube-based varactor
Rosette-Disrupting Effect of an Anti-Plasmodial Compound for the Potential Treatment of Plasmodium falciparum Malaria Complications
The spread of artemisinin-resistant parasites could lead to
higher incidence of patients with malaria complications.
However, there are no current treatments that directly dislodge
sequestered parasites from the microvasculature. We show that
four common antiplasmodial drugs do not disperse rosettes
(erythrocyte clusters formed by malaria parasites) and therefore
develop a cell-based high-throughput assay to identify potential
rosette-disrupting compounds. A pilot screen of 2693 compounds
identified Malaria Box compound MMV006764 as a potential
candidate. Although it reduced rosetting by a modest 20%,
MMV006764 was validated to be similarly effective against both
blood group O and A rosettes of three laboratory parasite lines.
Coupled with its antiplasmodial activity and drug-likeness,
MMV006764 represents the first small-molecule compound that
disrupts rosetting and could potentially be used in a
resource-limited setting to treat patients deteriorating rapidly
from malaria complications. Such dual-action drugs that
simultaneously restore microcirculation and reduce parasite load
could significantly reduce malaria morbidity and mortality
Fluctuating loops and glassy dynamics of a pinned line in two dimensions
We represent the slow, glassy equilibrium dynamics of a line in a
two-dimensional random potential landscape as driven by an array of
asymptotically independent two-state systems, or loops, fluctuating on all
length scales. The assumption of independence enables a fairly complete
analytic description. We obtain good agreement with Monte Carlo simulations
when the free energy barriers separating the two sides of a loop of size L are
drawn from a distribution whose width and mean scale as L^(1/3), in agreement
with recent results for scaling of such barriers.Comment: 11 pages, 4 Postscript figure
Continuum limit, Galilean invariance, and solitons in the quantum equivalent of the noisy Burgers equation
A continuum limit of the non-Hermitian spin-1/2 chain, conjectured recently
to belong to the universality class of the noisy Burgers or, equivalently,
Kardar-Parisi-Zhang equation, is obtained and analyzed. The Galilean invariance
of the Burgers equation is explicitly realized in the operator algebra. In the
quasi-classical limit we find nonlinear soliton excitations exhibiting the
dispersion relation with dynamical exponent .Comment: 12 pages, latex, no figure
Direct transmission detection of tunable mechanical resonance in an individual carbon nanofiber relay
A direct on-chip transmission measurement of the resonance frequency of an individual singly clamped carbon nanofiber relay is reported.
The experimental results are in good agreement with a small signal model and show the expected tuning of the resonance frequency with
changing bias voltage
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