Biomarkers of coagulation and inflammation in dogs after randomized administration of 6% Hydroxyethyl Starch 130/0.4 or Hartmann’s Solution

Synthetic colloid fluids containing hydroxyethyl starch (HES) have been associated with impairment of coagulation in dogs. It is unknown if HES causes coagulation impairment in dogs with naturally occurring critical illness. This study used banked plasma samples from a blinded, randomized clinical trial comparing HES and balanced isotonic crystalloid for bolus fluid therapy in 39 critically ill dogs. Blood was collected prior to fluid administration and 6, 12, and 24 h thereafter. Coagulation biomarkers measured at each time point included prothrombin time, activated partial thromboplastin time, thrombin time, fibrinogen concentration, and the activities of coagulation factors V, VII, VIII, IX, and X, von Willebrand factor antigen, antithrombin, and protein C. Given the links between coagulation and inflammation, cytokine concentrations were also measured, including interleukins 6, 8, 10, and 18, keratinocyte-derived chemokine, and monocyte chemoattractant protein-1. Data were analyzed with linear mixed effects models. No significant treatment-by-time interactions were found for any biomarker, indicating that the pattern of change over time was not modified by treatment. Examining the main effect of time showed significant changes in several coagulation biomarkers and keratinocyte-derived chemokines. This study could not detect evidence of coagulation impairment with HES

Allergy, inflammation, hepatopathy and coagulation biomarkers in dogs with suspected anaphylaxis due to insect envenomation

Objectives: To compare concentrations of biomarkers of; allergy [mast cell tryptase (MCT) and histamine], inflammation [interleukin (IL)-6,-10, and−18, CXCL8, CCL2, keratinocyte chemoattractant (KC), C-reactive protein (CRP)], endothelial glycocalyx shedding (hyaluronan), coagulation [prothrombin time, activated partial thromboplastin time, fibrinogen concentration, and von Willebrand Factor antigen, protein C (PC) and antithrombin (AT) activity], and hepatopathy [alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), and total bilirubin] between dogs with anaphylaxis after suspected insect exposure, dogs with critical illness, and healthy dogs. Design: This was a single center prospective clinical observational comparative biomarker study that included 25 dogs with anaphylaxis (evidence of insect exposure, acute dermatological signs, and other organ involvement), 30 dogs with other critical illness, and 20 healthy dogs. Differences across groups in biomarker concentrations were tested using one-way ANOVA or Kruskal-Wallis test, with significant P values (<0.05) reported for pairwise differences detected by post-hoc tests. Logistic regression models were used to calculate the area under the receiver operator characteristic curve (AUROC) for discrimination between anaphylaxis and non-anaphylactic illness. Results: Histamine concentration was significantly higher in the anaphylaxis group than the healthy (P < 0.001) and critically ill groups (P < 0.001), whereas no differences in MCT were detected amongst groups. Biomarker concentrations that were increased relative to healthy dogs in both the anaphylaxis and critically ill groups included IL-10 (P < 0.001 and P = 0.007, respectively), CCL2 (P = 0.007 and P < 0.001, respectively) and AST (both P < 0.001), whereas only the critically ill group had significantly increased CRP (P < 0.001), IL-6 (P < 0.001), KC (P < 0.001), ALP (P < 0.001), and fibrinogen (P = 0.016) concentrations, compared to the healthy group. Only dogs with anaphylaxis had significantly higher hyaluronan (P = 0.021) and ALT (P = 0.021) concentrations, and lower PC (P = 0.030) and AT (P = 0.032) activities, compared to healthy dogs. Both CRP and histamine concentration showed good discrimination between anaphylaxis and other critical illness, with an AUROC of 0.96 (95% CI 0.91–1) and 0.81 (95% CI 0.69–0.93), respectively. Conclusions: This preliminary study in dogs with anaphylaxis after suspected insect exposure, found evidence of an early innate immune response, glycocalyx shedding and anticoagulant consumption. Both CRP and histamine showed potential clinical utility for differentiation between anaphylaxis and other critical illness

Thermodynamics of the PNJL model

QCD thermodynamics is investigated by means of the Polyakov-loop-extended Nambu Jona-Lasinio (PNJL) model, in which quarks couple simultaneously to the chiral condensate and to a background temporal gauge field representing Polyakov loop dynamics. The behaviour of the Polyakov loop as a function of temperature is obtained by minimizing the thermodynamic potential of the system. A Taylor series expansion of the pressure is performed. Pressure difference and quark number density are then evaluated up to sixth order in quark chemical potential, and compared to the corresponding lattice data. The validity of the Taylor expansion is discussed within our model, through a comparison between the full results and the truncated ones.Comment: 6 pages, 5 figures, Talk given at the Workshop for Young Scientists on the Physics of Ultrarelativistic Nucleus-Nucleus Collisions (Hot Quarks 2006), Villasimius, Italy, 15-20 May 200

The Equation of State for Two Flavor QCD at Non-zero Chemical Potential

We present results of a simulation of QCD on a 4x16^3 lattice with 2 continuum flavors of p4-improved staggered fermion with mass m/T=0.4. Derivatives of the thermodynamic grand potential with respect to quark chemical potential mu_q up to fourth order are calculated, enabling estimates of the pressure, quark number density and associated susceptibilities as functions of mu_q via Taylor series expansion. Discretisation effects associated with various staggered fermion formulations are discussed in some detail. In addition it is possible to estimate the radius of convergence of the expansion as a function of temperature. We also discuss the calculation of energy and entropy densities which are defined via mixed derivatives of the thermodynamic grand potential with respect to the bare couplings and quark masses.Comment: 30 pages, LaTeX2e File, 17 Postscript figure

From QCD lattice calculations to the equation of state of quark matter

We describe two-flavor QCD lattice data for the pressure at finite temperature and zero chemical potential within a quasiparticle model. Relying only on thermodynamic selfconsistency, the model is extended to nonzero chemical potential. The results agree with lattice calculations in the region of small chemical potential.Comment: 5 eps figure

The pressure of QCD at finite temperatures and chemical potentials

The perturbative expansion of the pressure of hot QCD is computed here to order g^6ln(g) in the presence of finite quark chemical potentials. In this process all two- and three-loop one-particle irreducible vacuum diagrams of the theory are evaluated at arbitrary T and mu, and these results are then used to analytically verify the outcome of an old order g^4 calculation of Freedman and McLerran for the zero-temperature pressure. The results for the pressure and the different quark number susceptibilities at high T are compared with recent lattice simulations showing excellent agreement especially for the chemical potential dependent part of the pressure.Comment: 35 pages, 6 figures; text revised, one figure replace

Quasi-particle model for lattice QCD: quark-gluon plasma in heavy ion collisions

We propose a quasi-particle model to describe the lattice QCD equation of state for pure SU(3) gauge theory in its deconfined state, for $T \ge 1.5T_c$. The method involves mapping the interaction part of the equation of state to an effective fugacity of otherwise non-interacting quasi-gluons. We find that this mapping is exact. Using the quasi-gluon distribution function, we determine the energy density and the modified dispersion relation for the single particle energy, in which the trace anomaly is manifest. As an application, we first determine the Debye mass, and then the important transport parameters, {\it viz}, the shear viscosity, $\eta$ and the shear viscosity to entropy density ratio, $\eta/{\mathcal S}$. We find that both $\eta$ and $\eta/{\mathcal S}$ are sensitive to the interactions, and that the interactions significantly lower both $\eta$ and $\eta/\mathcal S$.Comment: 10 pages, 8 figures, epj class file, version accepted for publication in Euro. Phys.J