Natural History and Risk Stratification of Recurrent Crohn's Disease After Ileocolonic Resection: A Multicenter Retrospective Cohort Study

BACKGROUND: Prediction of endoscopic postoperative recurrence (POR) and prophylactic treatment based on clinical risk profile have thus far been inconclusive. This study aimed to examine the association between clinical risk profile and the development of endoscopic POR in a Crohn's disease population without postoperative treatment and to identify individual risk factors of endoscopic POR. METHODS: Medical records of 142 patients with Crohn's disease during follow-up after ileocecal or ileocolonic resection without prophylactic treatment at 3 referral centers were reviewed. Endoscopic POR was defined as a modified Rutgeerts score ≥i2b. Clinical risk profiles were distilled from current guidelines. Both uni- and multivariate logistic regression analysis were used to assess the relationship between risk profiles and endoscopic POR. RESULTS: Endoscopic POR was observed in 68 out of 142 (47.9%) patients. Active smoking postsurgery (odds ratio [OR], 3.01; 95% confidence interval [CI], 1.24-7.34; P = 0.02), a Montreal classification of A3 (OR, 3.05; 95% CI, 1.07-8.69; P = 0.04), and previous bowel resections (OR, 2.58; 95% CI, 1.07-6.22; P = 0.03) were significantly associated with endoscopic POR. No significant association was observed between endoscopic POR and any guideline defined as a high-/low-risk profile. However, patients with a combination of any 3 or more European Crohns & Colitis Organisation- (OR, 4.87; 95% CI, 1.30-18.29; P = 0.02) or British Society of Gastroenterology-defined (OR 3.16; 95% CI, 1.05-9.49; P = 0.04) risk factors showed increased odds of developing endoscopic POR. CONCLUSIONS: Our results suggest that patients with a combination of any 3 or more European Crohns & Colitis Organisation- or British Society of Gastroenterology-defined risk factors would probably benefit from immediate prophylactic treatment

Spin-glass magnetism of the non-equiatomic CoCrFeMnNi high-entropy alloy

International audienceThe CoCrFeMnNi high-entropy alloy (HEA) is a magnetically concentrated crystalline system with all lattice sites magnetic, containing randomness (five different types of spins are randomly positioned on the lattice) and frustration (a consequence of mixed ferromagnetic and antiferromagnetic interactions). The sample material was prepared as a non-equiatomic, fully random solid solution of the five magnetic elements and we have studied experimentally the nature of the magnetic state. Upon cooling, no long-range magnetic ordering takes place, but the spin system undergoes a kinetic freezing transition to a spin glass phase, where below the spin freezing temperature 20 K, ergodicity of the system is broken. The observed broken-ergodicity phenomena include zero-field-cooled – field-cooled magnetization splitting in low magnetic fields, a frequency-dependent cusp in the ac susceptibility, an ultraslow time-decay of the thermoremanent magnetization and the memory effect, where the state of the spin system reached upon isothermal aging at a certain temperature can be retrieved after a reverse temperature cycle. All these phenomena are associated with the out-of-equilibrium dynamics of a nonergodic, frustrated system of coupled spins that approach thermal equilibrium, but can never reach it on a finite experimental time scale, so that we are observing only transient effects of partial equilibration within localized spin domains

Spin-glass magnetism of the non-equiatomic CoCrFeMnNi high-entropy alloy

International audienceThe CoCrFeMnNi high-entropy alloy (HEA) is a magnetically concentrated crystalline system with all lattice sites magnetic, containing randomness (five different types of spins are randomly positioned on the lattice) and frustration (a consequence of mixed ferromagnetic and antiferromagnetic interactions). The sample material was prepared as a non-equiatomic, fully random solid solution of the five magnetic elements and we have studied experimentally the nature of the magnetic state. Upon cooling, no long-range magnetic ordering takes place, but the spin system undergoes a kinetic freezing transition to a spin glass phase, where below the spin freezing temperature 20 K, ergodicity of the system is broken. The observed broken-ergodicity phenomena include zero-field-cooled – field-cooled magnetization splitting in low magnetic fields, a frequency-dependent cusp in the ac susceptibility, an ultraslow time-decay of the thermoremanent magnetization and the memory effect, where the state of the spin system reached upon isothermal aging at a certain temperature can be retrieved after a reverse temperature cycle. All these phenomena are associated with the out-of-equilibrium dynamics of a nonergodic, frustrated system of coupled spins that approach thermal equilibrium, but can never reach it on a finite experimental time scale, so that we are observing only transient effects of partial equilibration within localized spin domains