Serum Bile Acid Concentrations, Histopathological Features, and Short-, and Long-term Survival in Horses with Hepatic Disease

BACKGROUND: Serum bile acid concentrations (SBA) and a histopathological biopsy score [Equine Vet J 35 (2003) 534] are used prognostically in equine hepatic disease. HYPOTHESIS: Histopathologic features and scores, but not SBA, differ between survivors and nonsurvivors and correlate with histopathologic evidence of hepatic inflammation and fibrosis. ANIMALS: Retrospective study. Records (1999–2011) of horses with hepatic disease diagnosed by biopsy and with concurrent measurements of SBA. METHODS: Retrospective cohort study. Biopsies were examined for inflammatory cell infiltration including type and distribution, fibrosis, irreversible cytopathology affecting hepatocytes, hemosiderin, or other pigment deposition and bile duct proliferation. SBA, histopathological findings and a histological score [Equine Vet J 35 (2003) 534] were compared between short‐ (survival to discharge) and long‐term (>6 months) survivors and correlations between SBA and histopathological findings investigated. RESULTS: Of 81 cases 90% survived short‐term and 83% long‐term. Short‐term and long‐term nonsurvival were associated with SBA (P = .009; P = .006), overall (P = .001; P = .002) and parenchymal (short‐term only; P = .01) inflammation, portal and bridging fibrosis (all P < .001), apoptosis or single cell necrosis (P < .001; P = .008), hemosiderin deposition in hepatocytes (P = .011; P = .028), biliary (both P < .001), vascular (P = .003; P = .045) and endothelial (P < .001; P = .02) hyperplasia, nucleic changes (P = .004; P < .001) and the histopathological score (both P < .001). SBA were significantly and positively correlated with overall (P = .001), parenchymal (P < .001) and portal (P = .004) inflammation and portal (P = .036) and bridging (P = .002) fibrosis. CONCLUSIONS AND CLINICAL IMPORTANCE: SBA, histopathological findings and scores differ between survivors and nonsurvivors. SBA concentrations are associated with inflammation and fibrosis suggesting interference with hepatic function. A histopathological score >2 and, less so, SBA >20 μmol/L are specific but not sensitive indicators of nonsurvival

The necessity of entanglement and the equivalency of Bell's theorem with the second law of thermodynamics

We demonstrate that both Wigner's form of Bell's inequalities as well as a form of the second law of thermodynamics, as manifest in Carath\'{e}odory's principle, can be derived from the same simple experimental and statistical mechanical assumptions combined with the trivial behavior of integers. This suggests that Bell's theorem is merely a well-disguised statement of the second law. It also suggests that entanglement is necessary for quantum theory to be in full accord with the second law and thus builds on the results of Wiesniak, Vedral, and Brukner \cite{Marcin-Wiesniak:2008fv} who showed it was necessary for consistency with the third law.Comment: Greatly simplified the derivation of the entropic inequality in the third section and added acknowledgements. Note that this is not the version that appears in the FPP-6 proceedings. When possible, please cite this version. 5 pages, 1 table, 1 figur

Cryostat modified to aid rotating beam fatigue test

Modified stainless steel Dewar aids rotating beam fatigue test in a cryogenic environment. The Dewar is modified to receive extended specimen supporting members through specially designed rotary seals. The test set can be fully enclosed and pressurized with an inert gas to make the system explosion proof