Gastrointestinal Tuberculosis Mimicking Crohn’s Disease

We present the case of a 24-year-old woman with complaints of abdominal pain, bloody diarrhea, and weight loss for 3 months. An outpatient colonoscopy revealed scattered ulcers, suggestive of Crohn's disease (CD). Histopathology also favored the diagnosis of CD. However, after admission to our hospital for further investigation, a chest radiograph revealed pulmonary cavitations. A computed tomography scan suggested the diagnosis of active pulmonary tuberculosis (TB). Therefore, a bronchofibroscopy, a total colonoscopy with ileoscopy, and an upper endoscopy were performed. Not only were acid-fast bacilli present in both bronchoalveolar lavage fluid and gastric juice, but also in colonic biopsies. A complete resolution of gastrointestinal symptoms was achieved 2 weeks after starting anti-TB drugs.info:eu-repo/semantics/publishedVersio

Doctor, how much weight will I lose? - a new individualized predictive model for weight loss

Bariatric surgery is an effective treatment for weight loss, but the patient’s ability to reach a sustained weight loss depends upon several technical and individual factors. Creating an easy model that adapts bariatric surgery’s weight loss goals for each patient is very important for pre-surgery and follow-up evaluations.info:eu-repo/semantics/publishedVersio

Durability of Mortar Incorporating Ferronickel Slag Aggregate and Supplementary Cementitious Materials Subjected to Wet–Dry Cycles

This paper presents the strength and durability of cement mortars using 0–100% ferronickel slag (FNS) as replacement of natural sand and 30% fly ash or ground granulated blast furnace slag (GGBFS) as cement replacement. The maximum mortar compressive strength was achieved with 50% sand replacement by FNS. Durability was evaluated by the changes in compressive strength and mass of mortar specimens after 28 cycles of alternate wetting at 23 °C and drying at 110 °C. Strength loss increased by the increase of FNS content with marginal increases in the mass loss. Though a maximum strength loss of up to 26% was observed, the values were only 3–9% for 25–100% FNS contents in the mixtures containing 30% fly ash. The XRD data showed that the pozzolanic reaction of fly ash helped to reduce the strength loss caused by wet–dry cycles. Overall, the volume of permeable voids (VPV) and performance in wet–dry cycles for 50% FNS and 30% fly ash were better than those for 100% OPC and natural sand

Canvi educatiu generat pels projectes d’ApS en els centres d’educació primària i secundària

Grup de treball “Canvi educatiu generat pels projectes d’ApS en els centres d’Educació Primària i Secundària.” Institut de Ciències de l’Educació de la Universitat de Barcelona. Coordinadors Mariona Graell i Josep PalosAquesta publicació és el resultat de la recerca realitzada pel Grup de Treball de l’ICE de la Universitat de Barcelona “Canvi educatiu generat pels projectes d’ApS en els centres d’educació primària i secundària” durant els cursos 2015-2017. Aquesta recerca s’ha realitzat en el marc de col·laboració de l’ICE amb el GREM (Grup d’Educació Moral) del Departament de Teoria i Història de la Facultat d’Educació de la Universitat de Barcelona, en un projecte de recerca més ampli del GREM sobre “Aprenentatge Servei. Canvi educatiu i transformació social”. Des de fa més d’una dècada el GREM ha participat i contribuït en la sistematització de l’ApS. Des de l’estudi de les experiències que ja existien en el nostre territori, fins la implantació i estudi de projectes nous. Posteriorment també es va treballar per avaluar i millorar els projectes mitjançant la rúbrica d’avaluació d’ApS. Ara, després de tots aquests estudis, ens preguntàvem a partir de l’observació d’aquestes experiències què és el que està passant en els centres que ho apliquen i quin impacte pedagògic i social tenen aquestes experiències. És per això que presentem aquest estudi posant focus d’atenció als centres d’educació primària i secundaria. El Grup de Treball de l’ICE està format per professorat d’Educació Primària i Secundària que ha participat de forma permanent en projectes d’Aprenentatge Servei en els seus centres. Son centres que representen una diversitat de tipologies de projectes d’ApS i que els han estat desenvolupant durant 2-3 anys o més

A silviculture-oriented spatio-temporal model for germination in Pinus pinea L. in the Spanish Northern Plateau based on a direct seeding experiment

Natural regeneration in Pinus pinea stands commonly fails throughout the Spanish Northern Plateau under current intensive regeneration treatments. As a result, extensive direct seeding is commonly conducted to guarantee regeneration occurrence. In a period of rationalization of the resources devoted to forest management, this kind of techniques may become unaffordable. Given that the climatic and stand factors driving germination remain unknown, tools are required to understand the process and temper the use of direct seeding. In this study, the spatio-temporal pattern of germination of P. pinea was modelled with those purposes. The resulting findings will allow us to (1) determine the main ecological variables involved in germination in the species and (2) infer adequate silvicultural alternatives. The modelling approach focuses on covariates which are readily available to forest managers. A two-step nonlinear mixed model was fitted to predict germination occurrence and abundance in P. pinea under varying climatic, environmental and stand conditions, based on a germination data set covering a 5-year period. The results obtained reveal that the process is primarily driven by climate variables. Favourable conditions for germination commonly occur in fall although the optimum window is often narrow and may not occur at all in some years. At spatial level, it would appear that germination is facilitated by high stand densities, suggesting that current felling intensity should be reduced. In accordance with other studies on P. pinea dispersal, it seems that denser stands during the regeneration period will reduce the present dependence on direct seeding

Serial analysis of circulating tumor cells in metastatic breast cancer receiving first-line chemotherapy

Background: We examined the prognostic significance of circulating tumor cell (CTC) dynamics during treatment in metastatic breast cancer (MBC) patients receiving first-line chemotherapy. Methods: Serial CTC data from 469 patients (2,202 samples) were used to build a novel latent mixture model to identify groups with similar CTC trajectory (tCTC) patterns during the course of treatment. Cox regression was used to estimate hazard ratios for progression-free survival (PFS) and overall survival (OS) in groups based on baseline CTCs (bCTC), combined CTC status at baseline to the end of cycle 1 (cCTC), and tCTC. Akaike Information Criterion (AIC) was used to select the model that best predicted PFS and OS. Results: Latent mixture modeling revealed 4 distinct tCTC patterns: undetectable CTCs (tCTCneg, 56.9% ), low (tCTClo, 23.7%), intermediate (tCTCmid, 14.5%), or high (tCTChi, 4.9%). Patients with tCTClo, tCTCmid and tCTChi patterns had statistically significant inferior PFS and OS compared to those with tCTCneg (P<.001). AIC indicated that the tCTC model best predicted PFS and OS when compared to bCTC and cCTC models. Validation studies in an independent cohort of 1,856 MBC patients confirmed these findings. Further validation using only a single pretreatment CTC measurement confirmed prognostic performance of the tCTC model. Conclusions: We identified four novel prognostic groups in MBC based on similarities in CTC trajectory patterns during chemotherapy. Prognostic groups included patients with very poor outcome (tCTCmid+tCTChi, 19.4%) who could benefit from more effective treatment. Our novel prognostic classification approach may be utilized for fine-tuning of CTC-based risk-stratification strategies to guide future prospective clinical trials in MBC

Critically short telomeres and toxicity of chemotherapy in early breast cancer

Cumulative toxicity from weekly paclitaxel (myalgia, peripheral neuropathy, fatigue) compromises long-term administration. Preclinical data suggest that the burden of critically short telomeres ( 21.9% CSTs) had 2-fold higher number of neuropathy (P = 0.04) or fatigue (P = 0.019) episodes and >3-fold higher number of myalgia episodes (P = 0.005). The average telomere length was unrelated to the incidence of side effects.The percentage of CSTs, but not the average telomere size, is associated with weekly paclitaxel-derived toxicity.This work was supported by the Fondo de Investigación Sanitaria [FIS PI10/00288 and FIS PI13/00430]; AECC Scientific Foundation [Beca de Retorno-2010, to MQF]; Spanish Ministry of Economy and Competitiveness Projects [SAF2013-45111-R]; Madrid Regional Government Projects [S2010/BMD- 2303]; AXA Research Found; Fundación Botin; AVON Spain; and Boehringer-Ingelheim Spain.S

Aromatic polyamides and acrylic polymers as solid sensory materials and smart coated fibres for high acidity colorimetric sensing

We synthesized a solid sensory material for the extraction, detection and quantification of iron(III) in aqueous media. The material is a film-shaped colorless polymer membrane that exhibits gel behavior. The Fe(III) extraction and sensing characteristics are imparted by a new monomer derived from a natural product (i.e., Kojic acid), which exhibits chelating properties toward Fe(III). The sorption of Fe(III) on the membrane in water has been thoroughly characterized, including the sorption kinetics, sorption isotherms and profiles as a function of the pH. Fe(III) sorption followed pseudo first-order kinetics and required approximately 30 min to reach equilibrium. The maximum sorption capacity was approximately 0.04 mmol/g, and the sorption isotherms are well modeled by the Langmuir equation. The complexes that were found in the solid phase are in good agreement with those previously identified in the aqueous phase. Moreover, the sorption is highly specific (i.e., a recognition process) and results from the formation of a colored complex (iron(III)-Kojic acid derivative moieties). Therefore, the colorless sensory membrane turns red upon immersion in aqueous solutions containing Fe(III). The color output allows for both the qualitative visual determination of the Fe(III) concentration as well as also titration of Fe(III) using a) a UV/vis technique (limit of detection of 3.6 × 10−5 M; dynamic range of five decades, lower concentration = 1.65 × 10−6 M) and b) a computer vision-based analytical chemistry approach via color definition of the sensory membrane (RGB parameters) obtained from an image recorded with a handy device (e.g., a smartphone) (limit of detection of 2.0 × 10−5 M).Spanish Ministerio de Economía y Competitividad-Feder (MAT2011-22544 and MAT2014-54137-R) and by the Consejería de Educación – Junta de Castilla y León (BU232U13

Effective Rheology of Bubbles Moving in a Capillary Tube

We calculate the average volumetric flux versus pressure drop of bubbles moving in a single capillary tube with varying diameter, finding a square-root relation from mapping the flow equations onto that of a driven overdamped pendulum. The calculation is based on a derivation of the equation of motion of a bubble train from considering the capillary forces and the entropy production associated with the viscous flow. We also calculate the configurational probability of the positions of the bubbles.Comment: 4 pages, 1 figur