Effect of Iron Therapy on Platelet Counts in Patients with Inflammatory Bowel Disease-Associated Anemia

Secondary thrombocytosis is a clinical feature of unknown significance. In inflammatory bowel disease (IBD), thrombocytosis is considered a marker of active disease; however, iron deficiency itself may trigger platelet generation. In this study we tested the effect of iron therapy on platelet counts in patients with IBD-associated anemia.Platelet counts were analyzed before and after iron therapy from four prospective clinical trials. Further, changes in hemoglobin, transferrin saturation, ferritin, C-reactive protein, and leukocyte counts, before and after iron therapy were compared. In a subgroup the effect of erythropoietin treatment was tested. The results were confirmed in a large independent cohort (FERGIcor).A total of 308 patient records were available for the initial analysis. A dose-depended drop in platelet counts (mean 425 G/L to 320 G/L; p<0.001) was found regardless of the type of iron preparation (iron sulphate, iron sucrose, or ferric carboxymaltose). Concomitant erythropoietin therapy as well as parameters of inflammation (leukocyte counts, C-reactive protein) had no effect on the change in platelet counts. This effect of iron therapy on platelets was confirmed in the FERGIcor study cohort (n=448, mean platelet counts before iron therapy: 383 G/L, after: 310 G/L, p<0.001).Iron therapy normalizes elevated platelet counts in patients with IBD-associated anemia. Thus, iron deficiency is an important pathogenetic mechanism of secondary thrombocytosis in IBD

Language documentation and archives in South America

This paper addresses a set of issues related to language documentation that are not often explicitly dealt with in academic publications, yet are highly important for the development and success of this new discipline. These issues include embedding language documentation in the socio-political context not only at the community level but also at the national level, the ethical and technical challenges of digital language archives, and the importance of regional and international cooperation among documentation activities. These issues play a major role in the initiative to set up a network of regional language archives in three South American countries, which this paper reports on. Local archives for data on endangered languages have recently been set up in Iquitos (Peru), Buenos Aires (Argentina), and in various locations in Brazil. An important feature of these is that they provide fast and secure access to linguistic and cultural data for local researchers and the language communities. They also make data safer by allowing for regular update procedures within the network

FLOW PATTERNS OF THE ESTER OIL-REFRIGERANT R134A MIXTURE FLASHING FLOW THROUGH A SMALL DIAMETER TUBE

This work presents an experimental investigation of the ester oil ISO VG10-refrigerant R134a mixture flashing flow with foam formation through a straight horizontal 3.22 mm-diameter-6.0 m- long tube. An experimental apparatus was designed to allow the measurement of both pressure and temperature profiles along the tube as well as the visualization of the flow patterns. Tests were performed at different mass flow rates, several refrigerant mass fractions at the inlet of the flow, and inlet mixture temperatures around 28 and 39 °C. A liquid mixture flow with constant temperature and pressure gradient could be noticed at the inlet of the tube. As the flow proceeded towards the exit of the tube the pressure drop produced a reduction of the refrigerant solubility in the oil yielding to formation of the first bubbles. Initially, small and few bubbles could be noticed and the flow behaved as a conventional two-phase flow. Eventually, the bubble population increased and foam flow was observed at the exit of the tube. Due to the great formation of bubbles, both the temperature and pressure gradient of the mixture were greatly reduced in this region of the flow

VORTEX FORMATION IN INCOMPRESSIBLE AXISYMMETRIC FREE JETS

Free jets have been utilized extensively in many industrial applications. In general jet fluid discharging from a nozzle develops flow oscillations in the shear layer. The oscillations will roll up to eventually become toroidal vortices which increase in size with the axial distance from the nozzle. In the present work, flow visualization as well as hot-film anemometry have been employed in order to study incompressible axisymmetric free jet in moderate Reynolds numbers up to 20,000. The injection of liquid dye or micro particles associated with a laser sheet turns possible to visualize the shear layers and, consequently, the vortex formation. Hot-film measurements into the jet allow determining the flow velocity profile. Flow visualization is a qualitative tool which a broad view of the flow topology. On the other hand, hot-film anemometry is a precise quantitative tool but measurement in only one location at a time. The association of flow visualization and hot-film anemometry shows very adequate for free jet studies

Electronic structure and x-ray magnetic dichroism in random substitutional alloys of f-electron elements

The Koringa-Kohn-Rostoker —coherent-potential-approximation method combines multiple-scattering theory and the coherent-potential approximation to calculate the electronic structure of random substitutional alloys of transition metals. In this paper we describe the generalization of this theory to describe f-electron alloys. The theory is illustrated with a calculation of the electronic structure and magnetic dichroism curves for a random substitutional alloy containing rare-earth or actinide elements from first principles

Surface flux estimates derived from UAS-based mole fraction measurements by means of a nocturnal boundary layer budget approach

The carbon exchange between ecosystems and the atmosphere has a large influence on the Earth system and specifically on the climate. This exchange is therefore being studied intensively, often using the eddy covariance (EC) technique. EC measurements provide reliable results under turbulent atmospheric conditions, but under stable conditions – as they often occur at night – these measurements are known to misrepresent exchange fluxes. Nocturnal boundary layer (NBL) budgets can provide independent flux estimates under stable conditions, but their application so far has been limited by rather high cost and practical difficulties. Unmanned aircraft systems (UASs) equipped with trace gas analysers have the potential to make this method more accessible. We present the methodology and results of a proof of concept study carried out during the ScaleX 2016 campaign. Successive vertical profiles of carbon dioxide dry air mole fraction in the NBL were taken with a compact analyser carried by a UAS. We estimate an average carbon dioxide flux of 12 μmol m−2 s−1, which is plausible for nocturnal respiration in this region in summer. Transport modelling suggests that the NBL budgets represent an area on the order of 100 km2

Iron Status and Analysis of Efficacy and Safety of Ferric Carboxymaltose Treatment in Patients with Inflammatory Bowel Disease

Background and Aims:We analyzed iron deficiency and the therapeutic response following intravenous ferric carboxymaltose in a large single-center inflammatory bowel disease (IBD) cohort. Methods: 250 IBD patients were retrospectively analyzed for iron deficiency and iron deficiency anemia. A subgroup was analyzed regarding efficacy and side effects of iron supplementation with ferric carboxymaltose. Results: In the cohort (n = 250), 54.4% of the patients had serum iron levels 60 mu g/dl, 61.6% had ferritin >100 ng/ml, and 90.7% reached Hb >12/13 g/dl at follow-up (p < 0.0001 for all parameters vs. pretreatment values). The most frequent adverse event was a transient increase of liver enzymes with male gender as risk factor (p = 0.008, OR 8.62, 95% CI 1.74-41.66). Conclusions: Iron deficiency and anemia are frequent in IBD patients. Treatment with ferric carboxymaltose is efficious, safe and well tolerated in iron-deficient IBD patients. Copyright (C) 2011 S. Karger AG, Base

Contribution of Matrix Metalloproteinase-9 to Cerebral Edema and Functional Outcome following Experimental Subarachnoid Hemorrhage

Background: Cerebral edema is an important risk factor for death and poor outcome following subarachnoid hemorrhage (SAH). However, underlying mechanisms are still poorly understood. Matrix metalloproteinase (MMP)-9 is held responsible for the degradation of microvascular basal lamina proteins leading to blood-brain barrier dysfunction and, thus, formation of vasogenic cerebral edema. The current study was conducted to clarify the role of MMP-9 for the development of cerebral edema and for functional outcome after SAH. Methods: SAH was induced in FVB/N wild-type (WT) or MMP-9 knockout (MMP-9(-/-)) mice by endovascular puncture. Intracranial pressure (ICP), regional cerebral blood flow (rCBF), and mean arterial blood pressure (MABP) were continuously monitored up to 30 min after SAH. Mortality was quantified for 7 days after SAH. In an additional series neurological function and body weight were assessed for 3 days after SAH. Subsequently, ICP and brain water content were quantified. Results: Acute ICP, rCBF, and MABP did not differ between WT and MMP-9(-/-) mice, while 7 days' mortality was lower in MMP-9(-/-) mice (p = 0.03; 20 vs. 60%). MMP-9(-/-) mice also exhibited better neurological recovery, less brain edema formation, and lower chronic ICP. Conclusions: The results of the current study suggest that MMP-9 contributes to the development of early brain damage after SAH by promoting cerebral edema formation. Hence, MMP-9 may represent a novel molecular target for the treatment of SAH. Copyright (C) 2011 S. Karger AG, Base