Den enigmatiske „Brune Dreng“ på Rosenholm i nyt lys

A Fresh View of the Enigmatic „Brown Boy“ at RosenholmOne of the treasures of 17th century portrait painting in Danish museums is „The brown Boy“, a full-length figure of a boy dressed completely in brown. The painting is now on loan to Rosenholm Castle, from the Museum of Frederiksborg in Hillerød. Surprisingly and sadly, the identities of the represented person and of the painter are not known. While the names of Axel Rosenkrantz and Abraham Wuchters have been proposed, respectively, these are just hypotheses without documentation. Historians and art historians remain unconvinced. The attribution to Wuchters was rejected by the late historian Povl Eller, who studied the canvas and discussed it in his 1971 doctoral thesis. A couple of years later, he mentioned the picture again and suggested that, „More likely it has been executed abroad.“ Eller continued with an appeal to other Danish scholars: ‘It should be an essential task to have the matter resolved or simply have it better illuminated.’This is the goal of the current work, almost half a century later. A coat of arms figures on the canvas; this was added in a later period, and indicates that the boy represented must be one of the barons of Rosendal (in Norway), which in the 17th century belonged to the Boller branch of the Rosenkrantz family. The lives and careers of Axel Rosenkrantz and his three elder brothers seem to exclude all of them as models of the portrait, leaving their father, Ludvig Rosenkrantz (1628–1685), who founded the barony in 1678, as the only possibility. It must be he who had the coat of arms added to the portrait from his boyhood, which most probably was painted in the late 1630s, after his father‘s death, while he was living with his mother and his younger brother in the Netherlands.Stylistic, chromatic and compositional analyses of the picture testify that its author hailed from the Flemish-Dutch painting schools from just before the middle of the century. International art historians have ruled out the possibility of a Dutch or Flemish artist as the author of the painting, yet Abraham Wuchters (1608–1682) was born in Antwerp and is documented to have married and lived in Holland until 1638, when he was appointed court painter to Christian IV and immigrated to Denmark. It is proposed that Wuchters met the Rosenkrantz family in the Netherlands and painted Ludvig when the future baron was about eight years old

Systemic and intraperitoneal interleukin‐6 system during the first year of peritoneal dialysis

Perit Dial Int. 2006 Jan-Feb;26(1):53-63. Systemic and intraperitoneal interleukin-6 system during the first year of peritoneal dialysis. Pecoits-Filho R, Carvalho MJ, Stenvinkel P, Lindholm B, Heimbürger O. Division of Renal Medicine and Baxter Novum, Karolinska Institutet, K-56, Huddinge University Hospital, 141 86 Stockholm, Sweden. [email protected] Comment in: Perit Dial Int. 2006 Jan-Feb;26(1):35-7. Abstract OBJECTIVE: To investigate if intraperitoneal and systemic interleukin-6 (IL-6) and soluble IL-6 receptor (sIL-6R) are related to each other and to peritoneal solute transport rate (PSTR). DESIGN: Longitudinal study in retrospectively selected patients. SETTING: Peritoneal dialysis (PD) unit of a university-based hospital. PATIENTS AND METHODS: 31 PD patients on treatment with conventional glucose-based solutions participated in a longitudinal study. IL-6 and sIL-6R were measured in plasma and overnight effluent, both at baseline and after 12 +/- 2 months on PD. C-reactive protein (CRP) and serum albumin were used as surrogate markers of inflammation. PSTR of small solutes was evaluated using the dialysate-to-plasma ratio (D/P) of creatinine after a 4-hour dwell; PSTR of large solutes was evaluated using the 24-hour D/P ratio of albumin. RESULTS: D/P creat increased over time (0.67 +/- 0.15 vs 0.80 +/- 0.11, p or = median had higher (p or = median [24.7 (16.5 - 38.5) pg/mL] compared to patients with IL-6 < median [14.1 (10 - 25.7) pg/mL]. Neither CRP nor albumin changed over time on PD, although they were closely linked to plasma IL-6 levels. A strong positive correlation was found between D/P creat and dialysate IL-6 (rho = 0.77, p < 0.0001) at baseline, but not at 1 year. In contrast, there was a significant correlation between D/P creat and dialysate sIL-6R (rho = 0.39, p < 0.05) at 1 year, but not at baseline. At 1 year, 17 patients with increasing PSTR had higher increases in dialysate IL-6 (28 +/- 26 vs -21 +/- 78 pg/mL, p < 0.05) and levels of dialysate sIL-6R (693 +/- 392 vs 394 +/- 274 pg/mL, p = 0.05) compared to patients with stable PSTR (n = 11). Patients who had peritonitis presented higher baseline serum IL-6 concentration (6.8 +/- 1.0 pg/mL) compared with patients without peritonitis (4.0 +/- 0.6 pg/mL, p < 0.05). Finally, both at baseline and after 1 year, there were significant correlations between plasma and dialysate IL-6 (rho = 0.46, p < 0.05, and rho = 0.40, p < 0.05) respectively. CONCLUSIONS: These findings indicate that, (1) intraperitoneal and systemic inflammation increase in PD patients during the first year of therapy; (2) intraperitoneal and systemic inflammation may be interrelated and the IL-6 system may be the link; (3) the IL-6 system (both intraperitoneal and systemic) is associated with PSTR, particularly in the early phase of PD treatment, in which small and large solute transport are linked. Signs of a transition between acute and chronic inflammation were observed in the follow-up evaluation. Inflammation may, at least in part, be responsible for the development of a high PSTR, and this could be one reason for the high mortality in patients with high PSTR. PMID: 16538876 [PubMed - indexed for MEDLIN

High peritoneal residual volume decreases the efficiency of peritoneal dialysis

High peritoneal residual volume decreases the efficiency of peritoneal dialysis.BackgroundWide variation in peritoneal residual volume (PRV) is a common clinical observation. High PRV has been used in both continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis to minimize the time of a dry peritoneal cavity and to achieve better dialysis. However, the impact of PRV on peritoneal transport is not well established. In this study, we investigated the effect of PRV on peritoneal transport characteristics.MethodsPeritoneal effluents were collected in 32 male Sprague-Dawley rats after a five-hour dwell with 1.36% glucose solution. Forty-eight hours later, a four hour dwell using 25ml of 3.86% glucose solution and frequent dialysate and blood sampling was done in each rat with 125I-albumin as a volume marker. Before the infusion of the 3.86% glucose solution, 0 (control), 3, 6, or 12ml (8 rats in each group) of autologous effluent (serving as PRV) was infused to the peritoneal cavity.ResultsAfter subtracting the PRV, the net ultrafiltration was significantly lower in the PRV groups as compared with the control group: 13.4 ± 0.5, 12.0 ± 1.0, 11.7 ± 1.7, and 8.9 ± 0.4ml for 0, 3, 6, and 12ml PRV groups, respectively (P < 0.001). The lower net ultrafiltration associated with higher PRV was due to (a) a significantly lower transcapillary ultrafiltration rate (Qu) caused by a lower osmotic gradient, and (b) a significantly higher peritoneal fluid absorption rate (KE) caused by an increased intraperitoneal hydrostatic pressure. No significant differences were found in the diffusive mass transport coefficient for small solutes (glucose, urea, sodium, and potassium) and total protein, although the dialysate over plasma concentration ratios values were higher in the high-PRV groups. The sodium removal was significantly lower in the PRV groups as compared with the control group (P < 0.01).ConclusionOur results suggest that a high PRV may decrease net ultrafiltration through decreasing the Qu, which is caused by a decreased dialysate osmolality, and increasing the KE caused by an increased intraperitoneal hydrostatic pressure. The high volume of PRV also decreased the solute diffusion gradient and decreased peritoneal small solute clearances, particularly for sodium. Therefore, a high PRV may compromise the efficiency of dialysis with a glucose solution

Hyaluronan prevents the decreased net ultrafiltration caused by increased peritoneal dialysate fill volume

Hyaluronan prevents the decreased net ultrafiltration caused by increased peritoneal dialysate fill volume. In the present study, we investigated (1) the effect of an increase in dialysate fill volume on peritoneal fluid and solute transport using a 1.36% glucose solution, and (2) the effect of intraperitoneal administration of hyaluronan on peritoneal transport characteristics when different fill volumes were used. A four-hour dwell study with frequent dialysate and blood sampling was performed in 26 male Sprague-Dawley rats with 131I albumin as the intraperitoneal volume marker. Each rat was injected intraperitoneally with 25ml (group Con25, N = 6) or 40ml (group Con40, N = 7) of 1.36% glucose dialysis solution alone or 25ml (group HA25, N = 6) or 40ml (Group HA40, N = 7) of 1.36% glucose dialysis solution with 0.01% hyaluronan. The peritoneal transport of fluid, glucose, urea, and total protein as well as the intraperitoneal hydrostatic pressure (IPP) with different fill volumes were evaluated. We found that IPP and peritoneal fluid absorption rate significantly increased with the increase in fill volume (P < 0.01), and therefore the net ultrafiltration volume was significantly lower in the Con40 group compared to the Con25 group despite a higher transcapillary ultrafiltration rate in the Con40 group. The addition of hyaluronan to dialysate significantly (P < 0.01) decreased the peritoneal fluid absorption rate (by 22% in HA25 vs. Con25 and by 29% in HA40 vs. Con40) and thus significantly increased the net peritoneal fluid removal. The diffusive mass transport coefficients for glucose, urea and total protein did not differ between the Con25 and Con40 groups or between the two hyaluronan groups as compared to their respective control groups. The peritoneal clearance of urea increased significantly in the high fill volume group (by 58% in Con40 vs. Con25) and in the two hyaluronan groups (by 21% in HA25 vs. Con25 and by 16% in HA40 vs. Con40). We conclude that: (1) An increase in dialysate fill volume using 1.36% glucose dialysis solution results in higher intraperitoneal hydrostatic pressure and higher peritoneal fluid absorption rate, and therefore lower net ultrafiltration. (2) Intraperitoneal addition of hyaluronan significantly decreases the peritoneal fluid absorption rate, and the decreasing effect is even more marked when a high fill volume is used. (3) Small solute clearances increase markedly with increases in fill volume, and then further increase by adding hyaluronan to the dialysate due to the increase in drainage volume. Thus, intraperitoneal administration of hyaluronan during a single peritoneal dialysis exchange may significantly increase the peritoneal fluid and solute removal by decreasing peritoneal fluid absorption, and may thereby prevent the decreased net ultrafiltration caused by an increase in dialysate fill volume

Differential effects on BAFF and APRIL levels in rituximab-treated patients with systemic lupus erythematosus and rheumatoid arthritis

The objective of this study was to investigate the interaction between levels of BAFF (B-cell activation factor of the tumour necrosis factor [TNF] family) and APRIL (a proliferation-inducing ligand) and B-cell frequencies in patients with systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) treated with the B-cell-depleting agent rituximab. Ten patients with SLE were treated with rituximab in combination with cyclophosphamide and corticosteroids. They were followed longitudinally up to 6 months after B-cell repopulation. Nine patients with RA, resistant or intolerant to anti-TNF therapy, treated with rituximab plus methotrexate were investigated up to 6 months after treatment. The B-cell frequency was determined by flow cytometry, and serum levels of BAFF and APRIL were measured by enzyme-linked immunosorbent assays. BAFF levels rose significantly during B-cell depletion in both patient groups, and in patients with SLE the BAFF levels declined close to pre-treatment levels upon B-cell repopulation. Patients with SLE had normal levels of APRIL at baseline, and during depletion there was a significant decrease. In contrast, patients with RA had APRIL levels 10-fold higher than normal, which did not change during depletion. At baseline, correlations between levels of B cells and APRIL, and DAS28 (disease activity score using 28 joint counts) and BAFF were observed in patients with RA. In summary, increased BAFF levels were observed during absence of circulating B cells in our SLE and RA patient cohorts. In spite of the limited number of patients, our data suggest that BAFF and APRIL are differentially regulated in different autoimmune diseases and, in addition, differently affected by rituximab treatment

Характеристика сили нервових процесів у плавців

OBJECTIVE: Higher levels of the novel inflammatory marker pentraxin 3 (PTX3) predict cardiovascular mortality in patients with chronic kidney disease (CKD). Yet, whether PTX3 predicts worsening of kidney function has been less well studied. We therefore investigated the associations between PTX3 levels, kidney disease measures and CKD incidence. METHODS: Cross-sectional associations between serum PTX3 levels, urinary albumin/creatinine ratio (ACR) and cystatin C-estimated glomerular filtration rate (GFR) were assessed in two independent community-based cohorts of elderly subjects: the Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS, n = 768, 51% women, mean age 75 years) and the Uppsala Longitudinal Study of Adult Men (ULSAM, n = 651, mean age 77 years). The longitudinal association between PTX3 level at baseline and incident CKD (GFR &lt;60 mL( ) min(-1)  1.73 m(-) ²) was also analysed (number of events/number at risk: PIVUS 229/746, ULSAM 206/315). RESULTS: PTX3 levels were inversely associated with GFR [PIVUS: B-coefficient per 1 SD increase -0.16, 95% confidence interval (CI) -0.23 to -0.10, P &lt; 0.001; ULSAM: B-coefficient per 1 SD increase -0.09, 95% CI -0.16 to -0.01, P &lt; 0.05], but not ACR, after adjusting for age, gender, C-reactive protein and prevalent cardiovascular disease in cross-sectional analyses. In longitudinal analyses, PTX3 levels predicted incident CKD after 5 years in both cohorts [PIVUS: multivariable odds ratio (OR) 1.21, 95% CI 1.01-1.45, P &lt; 0.05; ULSAM: multivariable OR 1.37, 95% CI 1.07-1.77, P &lt; 0.05]. CONCLUSIONS: Higher PTX3 levels are associated with lower GFR and independently predict incident CKD in elderly men and women. Our data confirm and extend previous evidence suggesting that inflammatory processes are activated in the early stages of CKD and drive impairment of kidney function. Circulating PTX3 appears to be a promising biomarker of kidney disease

Inflammation and outcome in end-stage renal failure: Does female gender constitute a survival advantage?

Inflammation and outcome in end-stage renal failure: Does female gender constitute a survival advantage?BackgroundElevated C-reactive protein (CRP) is a strong predictor of cardiovascular events and all-cause mortality in end-stage renal disease (ESRD) patients. However, although sex hormones may influence serum levels of inflammatory proteins, gender has not been taken into consideration in previous studies of inflammation and outcome in ESRD patients.MethodsWe included 663 (374 males) ESRD patients (59 ± 1 year) from three European renal centers (Sweden, Germany and Italy) in which CRP levels and outcome data (follow-up 33 ± 1 months) were available. The relation between outcome and serum levels of the soluble intercellular adhesion molecule (sICAM-1) was evaluated in 312 of the patients.ResultsThe present study shows that elevated CRP is a strong predictor of outcome, but whereas no difference in all-cause mortality was observed between non-inflamed (CRP ≤3.4 mg/L) males and females, inflamed males had a significantly (log rank 6.1; P = 0.01) higher mortality rate than inflamed females. A strong positive correlation between CRP and sICAM-1 was found in the combined patient material (ρ = 0.37; P < 0.0001) as well as in the male (ρ = 0.25; P < 0.01) and female (ρ = 0.52; P < 0.0001) subgroups. The Cox proportional hazard model showed that whereas both elevated sICAM-1 and log CRP predicted outcome in males, neither predicted outcome significantly in females.ConclusionsAs inflamed female patients have a better outcome that inflamed males the present observation suggests that sex hormones may have important cardioprotective effects that limit the effect of inflammation on vascular injury in female ESRD patients

High coral bycatch in bottom-set Gillnet Coastal fisheries reveals rich coral habitats in Southern Portugal

Bottom-contact fisheries are unquestionably one of the main threats to the ecological integrity and functioning of deep-sea and circalittoral ecosystems, notably cold-water corals (CWC) and coral gardens. Lessons from the destructive impact of bottom trawling highlight the urgent need to understand how fisheries affect these vulnerable marine ecosystems. At the same time, the impact of other fishing gear and small-scale fisheries remains sparsely known despite anecdotal evidence suggesting their impact may be significant. This study aims to provide baseline information on coral bycatch by bottom-set gillnets used by artisanal fisheries in Sagres (Algarve, southwestern Portugal), thereby contributing to understand the impact of the activity but also the diversity and abundance of corals in this region. Coral bycatch frequency and species composition were quantified over two fishing seasons (summer-autumn and spring) for 42 days. The relationship with fishing effort was characterized according to metiers (n = 6). The results showed that 85% of the gillnet deployments caught corals. The maximum number of coral specimens per net was observed in a deployment targeting Lophius budegassa (n = 144). In total, 4,326 coral fragments and colonies of 22 different species were captured (fishing depth range of 57-510 m, mean 139 +/- 8 m). The most affected species were Eunicella verrucosa (32%), Paramuricea grayi (29%), Dendrophyllia cornigera (12%), and Dendrophyllia ramea (6%). The variables found to significantly influence the amount of corals caught were the target species, net length, depth, and mesh size. The 22 species of corals caught as bycatch belong to Orders Alcyonacea (80%), Scleractinia (18%), Zoantharia (1%), and Antipatharia (1%), corresponding to around 13% of the coral species known for the Portuguese mainland coast. These results show that the impact of artisanal fisheries on circalittoral coral gardens and CWC is potentially greater than previously appreciated, which underscores the need for new conservation measures and alternative fishing practices. Measures such as closure of fishing areas, frequent monitoring onboard of fishing vessels, or the development of encounter protocols in national waters are a good course of action. This study highlights the rich coral gardens of Sagres and how artisanal fisheries can pose significant threat to corals habitats in certain areas.HABMAR (Grant No.MAR-01.04.02-FEAMP-0018) co-financed by the European Maritime and Fisheries Fund of the Operational Program MAR 2020 for Portugal (Portugal 2020), TECPESCA (Grant No. MAR2020 16-01-04-FMP-0010), and MARSW (Grant No. POSEUR/ICNF/LPN). FCT: UIDB/04326/2020/ SFRH/BSAB/150485/2019.info:eu-repo/semantics/publishedVersio