321 research outputs found
Disorder and interactions in one-dimensional systems
Published versio
Tunneling edges at strong disorder
Scattering between edge states that bound one-dimensional domains of opposite
potential or flux is studied, in the presence of strong potential or flux
disorder. A mobility edge is found as a function of disorder and energy, and we
have characterized the extended phase. "paper_FINAL.tex" 439 lines, 20366
characters In the presence of flux and/or potential disorder, the localization
length scales exponentially with the width of the barrier. We discuss
implications for the random-flux problem.Comment: RevTeX, 4 page
Hematuria is associated with more severe acute tubulointerstitial nephritis
Acute tubulointerstitial nephritis (ATIN) is a common cause of acute kidney injury. Although
haematuria is a risk factor for the development of renal disease, no previous study has analyzed
the significance of haematuria in ATIN. Retrospective, observational analysis of 110 patients with
biopsy-proven ATIN was conducted. Results: Haematuria was present in 66 (60%) ATIN patients.
A higher percentage of ATIN patients with haematuria had proteinuria than patients without
haematuria (89.4% vs. 59.1%, p = 0.001) with significantly higher levels of proteinuria (median
(interquartile range) protein:creatinine ratio 902.70 (513–1492) vs. 341.00 (177–734) mg/g, p <0.001).
Moreover, those patients with more haematuria intensity had a higher urinary protein:creatinine
ratio (1352.65 (665–2292) vs. 849.60 (562–1155) mg/g, p = 0.02). Those patients with higher proteinuria
were more likely to need renal replacement therapy (22.7 vs. 0%, p = 0.03) and to su er relapse (4 vs.
0%, p = 0.03). At the end of follow up, haematuric ATIN patients had higher serum creatinine levels
(3.19 2.91 vs. 1.91 1.17 mg/dL, p = 0.007), and a trend towards a higher need for acute dialysis
(7 vs. 1%, p = 0.09) and renal replacement therapy (12.1 vs. 2.3%, p = 0.12). Haematuria is common in ATIN and it is associated with worse renal function outcomesSupported by FIS/FEDER PI17/00130 and PI19/00815, Spanish Ministry of Science and
Innovation (RYC-2017-22369 and DTS18/00032), Sociedad Española de Nefrología, Fundacion Renal Iñigo Álvarez de Toledo (FRIAT), ISCIII-RETIC REDinREN RD016/0009 Fondos FEDER, Comunidad de Madrid B2017/BMD-3686CIFRA2-CM, ERA-PerMed-JTC2018 (KIDNEY ATTACK AC18/00064 and PERSTIGAN AC18/00071)
Risk factors for bleeding complications after nephrologist-performed native renal biopsy
Background:
Bleeding is a recognized complication of native percutaneous renal biopsy. This study aimed to describe the incidence of major bleeding after biopsy in a single centre over a 15-year period and examine factors associated with major bleeding.
Methods:
We identified consecutive adult patients undergoing ultrasound-guided native renal biopsy in the Glasgow Renal and Transplant Unit from 2000 to 2014. From the electronic patient record, we collected data pertaining to biopsy indication, pre- and post-biopsy laboratory measurements, prescribed medication and diagnosis. Aspirin was routinely continued. We defined major bleeding post-biopsy as the need for blood transfusion, surgical or radiological intervention or death. Binary logistic regression analysis was used to assess factors associated with increased risk of major bleeding.
Results:
There were 2563 patients who underwent native renal biopsy (1499 elective, 1064 emergency). The average age of patients was 57 (SD 17) years and 57.4% were male. Overall, the rate of major bleeding was 2.2%. In all, 46 patients required transfusion (1.8%), 9 patients underwent embolization (0.4%), no patient required nephrectomy and 1 patient died as a result of a significant late retroperitoneal bleed. Major bleeding was more common in those undergoing emergency compared with elective renal biopsy (3.4 versus 1.1%; P < 0.001). Aspirin was being taken at the time of biopsy in 327 of 1509 patients, with no significant increase in the risk of major bleeding (P = 0.93). Body mass index (BMI) data were available for 546 patients, with no increased risk of major bleeding in 207 patients classified as obese (BMI >30).
Conclusions:
The risk of major bleeding following native renal biopsy in the modern era is low. Complications are more common when biopsy is conducted as an emergency, which has implications for obtaining informed consent. Our data support the strategy of not stopping aspirin before renal biopsy
Conductivity, temperature, depth and salinity data from the TBeam A1 mooring deployed in the Tasman Sea between January 10 and February 28, 2015
Dataset: T-Beam Mooring A1Conductivity, temperature, depth and salinity data from the TBeam A1 mooring deployed in 4768-m of water in the Tasman Sea between January 10 and February 28, 2015. Data is provided in both NetCDF and Matlab format.
For a complete list of measurements, refer to the full dataset description in the supplemental file 'Dataset_description.pdf'. The most current version of this dataset is available at: https://www.bco-dmo.org/dataset/818958NSF Division of Ocean Sciences (NSF OCE) OCE-1434722, NSF Division of Ocean Sciences (NSF OCE) OCE-1434327, NSF Division of Ocean Sciences (NSF OCE) OCE-143435
ADCP data from the TBeam A1 mooring deployed in the Tasman Sea between January 10 and February 28, 2015.
Dataset: T-Beam Mooring A1 - ADCPADCP data from the TBeam A1 mooring deployed in 4768-m of water in the Tasman Sea between January 10 and February 28, 2015. Data is provided in both NetCDF and Matlab format.
For a complete list of measurements, refer to the full dataset description in the supplemental file 'Dataset_description.pdf'. The most current version of this dataset is available at: https://www.bco-dmo.org/dataset/818953NSF Division of Ocean Sciences (NSF OCE) OCE-1434722, NSF Division of Ocean Sciences (NSF OCE) OCE-1434327, NSF Division of Ocean Sciences (NSF OCE) OCE-143435
Assessment of active tubulointerstitial nephritis in non-scarred renal cortex improves prediction of renal outcomes in patients with IgA nephropathy
Background:
The addition of tubulointerstitial inflammation to the existing pathological classification of IgA nephropathy (IgAN) is appealing but was previously precluded due to reportedly wide inter-observer variability. We report a novel method to score percentage of non-atrophic renal cortex containing active tubulointerstitial inflammation (ATIN) in patients with IgAN and assess its utility to predict clinical outcomes.
Methods:
All adult patients with a native renal biopsy diagnosis of IgAN between 2010 and 2015 in a unit serving 1.5 million people were identified. Baseline characteristics, biopsy reports and outcome data were collected. ATIN was calculated by subtracting the percentage of atrophic cortex from the percentage of total cortex with tubulointerstitial inflammation, with ≥10% representing significant ATIN. The primary outcome was a composite of requiring renal replacement therapy or doubling of serum creatinine.
Results:
In total 153 new cases of IgAN were identified, of which 111 were eligible for inclusion. Of these, 76 (68%) were male and 54 (49%) had ATIN on biopsy. During a median follow-up of 2.3 years, 34 (31%) reached the primary outcome. On univariable Cox regression analysis, ATIN was associated with a five-fold increase in the primary outcome [hazard ratio (HR) (95% confidence interval) 4.9 (95% confidence interval (CI) 2.1–11.3)]. On multivariable analysis, mesangial hypercellularity, tubular atrophy and interstitial fibrosis and ATIN independently associated with renal outcome (P = 0.02 for ATIN). Inter-observer reproducibility revealed fair agreement in the diagnosis of ATIN (κ=0.43, P = 0.05).
Conclusions:
Within our centre, ATIN was significantly associated with renal outcome in patients with IgAN, independently of established histological features and baseline clinical characteristics
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