End-stage renal failure due to analgesic nephropathy, its changing pattern and cardiovascular mortality

The changing pattern of prevalence and age distribution of analgesic nephropathy as a cause of end-stage renal failure (ESRF) in patients on RRT was analysed using the EDTA-ERA Registry's files. Comparing 1990 to 1981, the percentage of patients with analgesic nephropathy decreased in many European countries and the Registry's average came down from 3 to 2%. The highest prevalence was noted for Switzerland, which showed a decrease from 28 in 1981 to 12% in 1990. During the same interval the age distribution shifted to the right with an increase in median age from 57 to 63 at start of RRT for analgesic nephropathy. In Switzerland the age-specific acceptance rate to RRT for patients with analgesic nephropathy decreased to less than 1/3 in the age cohorts below 55 but increased in those aged 65 or older. This increase in the elderly cohorts appeared to be related to the growing acceptance rate to RRT of elderly patients in general rather than to an increasing incidence of ESRF due to analgesic nephropathy. Mortality in general and death rates due to cardiovascular causes were found not to differ in RRT patients with analgesic nephropathy from that of other standard primary renal diseases (excluding diabetic nephropathy and systemic diseases). Some 20 years after withdrawal of phenacetin from the analgesic market, analgesic nephropathy all but disappeared as a cause of ESRF in Sweden and Denmark, and the same may be expected to occur in countries like Switzerland, Belgium, and others in the not too far distant futur

Changes in phasic femoral artery flow induced by various stimuli: a study with percutaneous pulsed Doppler ultrasound

Transcutaneous blood flow measurements were performed by means of a pulsed Doppler ultrasound flowmeter in the femoral artery of healthy subjects. The pulsatile flow pattern was changed characteristically from resting state by postocclusive reactive hyperaemia, by the application of amyl nitrite, xanthinol nicotinate, and angiotensin amide. During reactive hyperaemia systolic flow was increased, diastolic reverse flow was abolished, and the forward flow continued throughout diastole. Amyl nitrite augmented the negative flow phase and reduced mean flow, while xanthinol nicotinate decreased the negative component and augmented mean flow. Angiotensin amide produced enhancement of the average flow by elevating systolic and diastolic flow equally over the base line. In each of these interventions the changes in flow were determined mainly by variations during the diastolic flow phas

An efficient collocation method for a Caputo two-point boundary value problem

peer-reviewedA two-point boundary value problem is considered on the interval , where the leading term in the differential operator is a Caputo fractional-order derivative of order with . The problem is reformulated as a Volterra integral equation of the second kind in terms of the quantity , where is the solution of the original problem. A collocation method that uses piecewise polynomials of arbitrary order is developed and analysed for this Volterra problem; then by postprocessing an approximate solution of is computed. Error bounds in the maximum norm are proved for and . Numerical results are presented to demonstrate the sharpness of these bounds.ACCEPTEDpeer-reviewe

ALMA observations of the variable 12CO/13CO ratio around the asymptotic giant branch star R Sculptoris

[abridged] The 12CO/13CO ratio is often used as a measure of the 12C/13C ratio in the circumstellar environment, carrying important information about the stellar nucleosynthesis. External processes can change the 12CO and 13CO abundances, and spatially resolved studies of the 12CO/13CO ratio are needed to quantify the effect of these processes on the globally determined values. Additionally, such studies provide important information on the conditions in the circumstellar environment. The detached-shell source R Scl, displaying CO emission from recent mass loss, in a binary-induced spiral structure as well as in a clumpy shell produced during a thermal pulse, provides a unique laboratory for studying the differences in CO isotope abundances throughout its recent evolution. We observed both the 12CO(J=3-2) and the 13CO(J=3-2) line using ALMA. We find significant variations in the 12CO/13CO intensity ratios and consequently in the abundance ratios. The average CO isotope abundance ratio is at least a factor three lower in the shell (~19) than that in the present-day (60). Additionally, variations in the ratio of more than an order of magnitude are found in the shell itself. We attribute these variations to the competition between selective dissociation and isotope fractionation in the shell, of which large parts cannot be warmer than ~35 K. However, we also find that the 12CO/13CO ratio in the present-day mass loss is significantly higher than the 12C/13C ratio determined in the stellar photosphere from molecular tracers (~19). The origin of this discrepancy is still unclear, but we speculate that it is due to an embedded source of UV-radiation that is primarily photo-dissociating 13CO. This radiation source could be the hitherto hidden companion. Alternatively, the UV-radiation could originate from an active chromosphere of R Scl itself....Comment: 6 pages, 5 figures, online data available at http://vizier.u-strasbg.fr/viz-bin/VizieR?-source=J/A+A/556/L

A new borehole wire extensometer with high accuracy and stability for observation of local geodynamic processes

Very stable and reliable instruments with high accuracy are required in field measurements for continuous monitoring local geodynamic processes, such as tectonic movements, ground motions in landslide prone areas, etc. A sensitive borehole wire extensometer with low energy consumption was developed in the Geodetic and Geophysical Research Institute of the Hungarian Academy of Sciences to observe very small vertical movements (in the order of a few millimeters) of the upper layer of the soil due to hydrological, meteorological and biological processes. The newly developed instrument eliminates the disadvantages of the borehole wire extensometers which are presently used. Its sensitivity and stability are much higher than these parameters of the previous instruments. The instrument is able to measure distance variations without instrumental drift in a range of 0–4 mm with a resolution of better than 1 μm. Since the effect of the yearly temperature variations can be easily removed from the extensometric data record, the compensation for the short-periodic (daily) thermal effects on the instrument was of high priority during the design of the instrument. This paper describes the construction and calibration of the extensometer. The extensometer was installed for monitoring vertical ground movements due to hydro-meteorological processes on the high loess wall of the Danube River at Dunaföldvár, Hungary. The efficiency of the temperature compensation of the instrument was investigated in detail on the basis of the measured data series. © 2012 American Institute of Physic

Triangle-generation in topological D-brane categories

Tachyon condensation in topological Landau-Ginzburg models can generally be studied using methods of commutative algebra and properties of triangulated categories. The efficiency of this approach is demonstrated by explicitly proving that every D-brane system in all minimal models of type ADE can be generated from only one or two fundamental branes.Comment: 34 page

Do riverine barriers, history or introgression shape the genetic structuring of a common shrew (Sorex araneus) population?

The common shrew (Sorex araneus) is subdivided into numerous chromosome races. The Valais and Cordon chromosome races meet and hybridize at a mountain river in Les Houches (French Alps). Significant genetic structuring was recently reported among populations found on the Valais side of this hybrid zone. In this paper, a phylogenetic analysis and partial Mantel tests are used to investigate the patterns and causes of this structuring. A total of 185 shrews were trapped at 12 localities. All individuals were typed for nine microsatellite loci. Although several mountain rivers are found in the study area, riverine barriers do not have a significant influence on gene flow. Partial Mantel tests show that our result is caused by the influence of the hybrid zone with the Cordon race. The geographical patterns of this structuring are discussed in the context of the contact zone, which appears to extend up to a group of two rivers. The glacier they originate from is known to have cut the Arve valley as recently as 1818. The recent history of this glacier, its moraine and possibly rivers, may therefore be linked to the history of this hybrid zone

A Morphological and Multicolor Survey for Faint QSOs in the Groth-Westphal Strip

Quasars representative of the populous faint end of the luminosity function are frustratingly dim with m~24 at intermediate redshift; moreover groundbased surveys for such faint QSOs suffer substantial morphological contamination by compact galaxies having similar colors. In order to establish a more reliable ultrafaint QSO sample, we used the APO 3.5-m telescope to take deep groundbased U-band CCD images in fields previously imaged in V,I with WFPC2/HST. Our approach hence combines multicolor photometry with the 0.1" spatial resolution of HST, to establish a morphological and multicolor survey for QSOs extending about 2 magnitudes fainter than most extant groundbased surveys. We present results for the "Groth-Westphal Strip", in which we identify 10 high likelihood UV-excess candidates having stellar or stellar-nucleus+galaxy morphology in WFPC2. For m(606)<24.0 (roughly B<24.5) the surface density of such QSO candidates is 420 (+180,-130) per square degree, or a surface density of 290 (+160,-110) per square degree with an additional V-I cut that may further exclude compact emission line galaxies. Even pending confirming spectroscopy, the observed surface density of QSO candidates is already low enough to yield interesting comparisons: our measures agree extremely well with the predictions of several recent luminosity function models.Comment: 29 pages including 6 tables and 7 figures. As accepted for publication in The Astronomical Journal (minor revisions