Characterization of hemodialysis membranes by inverse size exclusion chromatography

Inverse size exclusion chromatography (i-SEC) was used to characterize three different cellulosic hollow fiber hemodialysis membranes, i.e. low-flux cuprophan and hemophan and high-flux RC-HP400A. With the i-SEC technique the pore size distribution and porosity of a membrane can be determined and adsorption phenomena can be studied. The membranes showed clear differences in pore size and porosity, the high-flux RC-HP400A membrane has a larger pore size as well as a higher porosity. For all the membranes it was found that the elution curves were best described by a homoporous pore volume distribution. It appeared that the bound or non-freezing water in the membranes was at least partly accessible to solutes. The test molecules creatinine and vitamin B 12 both adsorbed to the cellulosic membranes. The adsorption behavior of creatinine was strongly dependent on the NaCl concentration present. The observations could be explained by assuming that cuprophan and RC-HP400A are negatively charged whereas hemophan is positively charged due to the modification with N,N-diethylaminoethyl ether. The net charge of the hemophan is smaller

Valence bond solid states with symplectic symmetry

We introduce a one-dimensional valence bond solid (VBS) state with symplectic symmetry SP(n) and construct the corresponding parent Hamiltonian. We argue that there is a gap in the spectrum. We calculate exactly the static correlation functions, which fall off exponentially. Hence the model introduced here shares all properties of the Haldane scenario for integer-spin quantum antiferromagnets. We further show that the VBS state possesses string order and discuss its generalization to higher dimensions.Comment: 10 pages, 5 figure

Anterolateral approach with tibial tubercle osteotomy versus standard medial approach for primary total knee arthroplasty: does it matter?

The purpose of this prospective consecutive multicenter study was to investigate whether the type of surgical approach (medial parapatellar (MPA) or lateral parapatellar with tibial tubercle osteotomy (TubOT)) influences the early clinical and radiological outcomes of primary total knee arthroplasty (TKA)

The predictive ability of the 313 variant–based polygenic risk score for contralateral breast cancer risk prediction in women of European ancestry with a heterozygous BRCA1 or BRCA2 pathogenic variant

Abstract: Purpose: To evaluate the association between a previously published 313 variant–based breast cancer (BC) polygenic risk score (PRS313) and contralateral breast cancer (CBC) risk, in BRCA1 and BRCA2 pathogenic variant heterozygotes. Methods: We included women of European ancestry with a prevalent first primary invasive BC (BRCA1 = 6,591 with 1,402 prevalent CBC cases; BRCA2 = 4,208 with 647 prevalent CBC cases) from the Consortium of Investigators of Modifiers of BRCA1/2 (CIMBA), a large international retrospective series. Cox regression analysis was performed to assess the association between overall and ER-specific PRS313 and CBC risk. Results: For BRCA1 heterozygotes the estrogen receptor (ER)-negative PRS313 showed the largest association with CBC risk, hazard ratio (HR) per SD = 1.12, 95% confidence interval (CI) (1.06–1.18), C-index = 0.53; for BRCA2 heterozygotes, this was the ER-positive PRS313, HR = 1.15, 95% CI (1.07–1.25), C-index = 0.57. Adjusting for family history, age at diagnosis, treatment, or pathological characteristics for the first BC did not change association effect sizes. For women developing first BC < age 40 years, the cumulative PRS313 5th and 95th percentile 10-year CBC risks were 22% and 32% for BRCA1 and 13% and 23% for BRCA2 heterozygotes, respectively. Conclusion: The PRS313 can be used to refine individual CBC risks for BRCA1/2 heterozygotes of European ancestry, however the PRS313 needs to be considered in the context of a multifactorial risk model to evaluate whether it might influence clinical decision-making

Characterization of hollow fiber hemodialysis membranes: pore size distribution and performance

The effect of two commonly used sterilization methods for artificial kidneys on the morphology and performance of hollow fiber Hemophan® hemodialysis membranes was studied. A relatively new membrane characterization method, thermoporometry, was used to determine the pore size distributions and porosities of the differently treated membrane samples. The samples used for this study were not treated with a concentrated glycerol solution before sterilization. Hemophan was found to have a pore size distribution with pore radii between 1.5 and 12 nm, the volume porosity was 20%. The sample sterilized with ethylene oxide (EtO) had a volume porosity of 18% which was due to a decrease of the pore volume of the smallest pores. The applied dry steam sterilization treatment resulted in a drastic collapse of the large pores while smaller pores were formed. The calculated porosity was only 10%. The `tortuous capillary pore model¿ was used to predict the performance of the artificial kidneys from the pore size distribution in the membrane material. In vitro dialysis experiments with creatinine and vitamin B12 were carried out to compare the calculated and measured clearance rates. Also the ultrafiltration capacity of the devices was determined. It was found that a reasonable estimation of the ultrafiltration capacity could be made. The calculated clearance rates were systematically underestimated, although the relative dependence of the clearance rates on the applied sterilization methods was approximated reasonably