Assessment of Canine Pancreas-Specific Lipase and Outcomes in Dogs with Hemodialysis-Dependent Acute Kidney Injury.

BackgroundRenal replacement therapies can be life-saving for dogs with severe acute kidney injury (AKI), however, comorbidities including pancreatitis might affect outcome.Hypothesis/objectivesTo investigate the prevalence of pancreas-specific lipase (Spec cPL) measurements consistent with pancreatitis (≥400 μg/L) in dogs undergoing intermittent hemodialysis (IHD) for treatment of AKI and to determine whether there were associations between 30-days outcomes and Spec cPL measurements.AnimalsFifty-three client-owned dogs presented to teaching hospitals between November 2008 and September 2016 that underwent IHD.MethodsRetrospective medical record review from dogs that received IHD for management of AKI and also had a Spec cPL measurement. Association between survival, dialysis-dependency, and Spec cPL measurements was assessed.ResultsForty of 53 (76%) dogs were alive at 30-days and 33/53(62%) had a Spec cPL result ≥400 μg/L. Spec cPL was not significantly different either between surviving (635.5 μg/L, range 29-1,001) and nonsurviving dogs (860 μg/L, range 56-1,001; P = 0.75) or between dialysis-dependent (1,001 μg/L, range 177-1,001) and nondialysis-dependent dogs (520 μg/L, range 29-1,001; P = 0.08). Spec cPL ≥400 μg/L was not significantly associated either with survival (P = 0.74) or dialysis-dependency (P = 0.33).Conclusions and clinical importanceResults revealed a high prevalence of Spec cPL ≥400 μg/L in dogs with AKI treated with IHD. No significant associations between Spec cPL and survival or dialysis-dependency in dogs with AKI at 30 days were identified in the current study, however, the latter could be due to lack of power in this study

Reducing the Fear of Falling through a Novel Fall Prevention Education Group

For older adults with fall risk or a history of falling, would novel fall prevention education reduce the fear of falling and enhance confidence in self to improve engagement in desired occupations? This capstone project was centered around answering that question. The setting this took place in is an inpatient rehabilitation hospital with the older adult patient population. Specifically, this includes stroke, traumatic brain injury, spinal cord injury, cardiac, orthopedic, and generally deconditioned patients. The proposed focus area being program development. A focus on program development was demonstrated through assessing a patient’s fear of falling (FOF) at evaluation via the Falls Self-Efficacy Scale (FES-1). If FOF was present, patients would join a fall prevention group that delivered education in a novel format. The fall prevention group provided education focused on fall risks, fall prevention strategies, and fall recovery all while keeping the participants engaged through the novel delivery. Following completion of the fall prevention group, participants FOF was assessed once more via the FES-1 to measure change. Program development is seen through the incorporation of the fall prevention group into the therapy schedule and through presenting the findings to the interdisciplinary team with the intent that the fall prevention group continues to be implemented into the site

Insight into the Thermodynamic Structure of Blowing Snow Layers in Antarctica from Dropsonde and CALIPSO Measurements

Blowing snow is a frequent and ubiquitous phenomenon over most over Antarctica. The transport and sublimation of blowing snow are important for the mass balance of the Antarctic ice sheet and the latter is a major contributor to the hydrological cycle in high latitude regions. While much is known about blowing snow from surface observations, our knowledge of the thermodynamic structure of deep blowing snow layers is lacking. Here dropsonde measurements are used to investigate the temperature, moisture and wind structure of deep blowing snow layers over Antarctica. The temperature lapse rate within the blowing snow layer is found to be at times close to dry adiabatic and on average between dry and moist adiabatic. Initiation of blowing snow causes the surface temperature to increase to a degree proportional to the depth of the blowing snow layer. The relative humidity is generally largest near the surface (but less than 100%) and decreases with height reaching a minimum near the top of the layer. These findings are at odds with accepted theory which assumes blowing snow sublimation will cool and eventually saturate the layer. The observations support the conclusion that high levels of wind shear induced turbulence causes mixing and entrainment of warmer and drier air from above the blowing snow layer which suppresses humidity and produces the observed well-mixed temperature structure within the layer. The results may have important consequences for Antarctic ice sheet mass balance and the moisture budget of the atmosphere in high latitudes

Urinary Neutrophil Gelatinase-associated Lipocalin as a Marker for Identification of Acute Kidney Injury and Recovery in Dogs with Gentamicin-induced Nephrotoxicity.

BackgroundAcute kidney injury (AKI) is associated with high mortality rates in dogs, which may be a consequence of late recognition using traditional diagnostic tests. Neutrophil gelatinase-associated lipocalin (NGAL) is a protein-induced during kidney injury that may identify AKI earlier than traditional tests.Objectives/hypothesisTo evaluate urinary NGAL (uNGAL) and uNGAL-to-urinary creatinine ratio (UNCR) as early markers of kidney injury and recovery in an AKI model in dogs. It was hypothesized that these markers would document AKI earlier than serum creatinine concentration.AnimalsFive purpose-bred dogs.MethodsProspective study. Acute kidney injury, defined as a > 50% increase in serum creatinine concentration above baseline, was induced in dogs by gentamicin administration (8-10 mg/kg SC q8h). Blood and urine collected for biochemical analyses and uNGAL and urinary creatinine concentrations, respectively, during AKI induction and recovery.ResultsAcute kidney injury was diagnosed significantly earlier based on a 7-fold increase in UNCR compared to a > 50% increase in serum creatinine concentration (day 8; range, 2-10 mg/dl vs day 16; range, 14-19 mg/dl; P = .009). During recovery, the initial decrease in UNCR preceded the decrease in serum creatinine concentration by a median of 2 days. The uNGAL changes paralleled UNCR changes, but the increase in uNGAL was triphasic; the initial peak occurred earlier than UNCR (median, day 11 versus median, day 19).Conclusions and clinical importanceThe UNCR was early marker of gentamicin-induced AKI and its decrease documented onset of renal recovery. Additional studies are needed to validate this marker in dogs with naturally occurring renal injury

Experimental Investigation of Phase Equilibria in the Ti—Al—Zr System at 1000–1300 °C

Four partial isothermal sections of the Ti—Al—Zr system up to 60 at. % Al and 30 at. % Zr were experimentally established between 1000–1300 °C. Six heat-treated alloys were analysed by scanning electron microscopy, transmission electron microscopy, electron probe microanalysis, conventional and high-energy X-ray diffraction, and differential thermal analysis. Phase equilibria were determined between B2-ordered (β0), βTi, Zr, αTi, Ti3Al, TiAl, and ZrAl2.This work is part of the ADVANCE project which has received funding from the Clean Sky 2 Joint Undertaking under the European Union's Horizon 2020 research and innovation programme under grant agreement No 820647

Molybdenum Disulfide Catalytic Coatings via Atomic Layer Deposition for Solar Hydrogen Production from Copper Gallium Diselenide Photocathodes

We demonstrate that applying atomic layer deposition-derived molybdenum disulfide (MoS2) catalytic coatings on copper gallium diselenide (CGSe) thin film absorbers can lead to efficient wide band gap photocathodes for photoelectrochemical hydrogen production. We have prepared a device that is free of precious metals, employing a CGSe absorber and a cadmium sulfide (CdS) buffer layer, a titanium dioxide (TiO2) interfacial layer, and a MoS2 catalytic layer. The resulting MoS2/TiO2/CdS/CGSe photocathode exhibits a photocurrent onset of +0.53 V vs RHE and a saturation photocurrent density of -10 mA cm-2, with stable operation for >5 h in acidic electrolyte. Spectroscopic investigations of this device architecture indicate that overlayer degradation occurs inhomogeneously, ultimately exposing the underlying CGSe absorber

Magnetic field induced lattice anomaly inside the superconducting state of CeCoIn5_5: evidence of the proposed Fulde-Ferrell-Larkin-Ovchinnikov state

We report high magnetic field linear magnetostriction experiments on CeCoIn$_5$ single crystals. Two features are remarkable: (i) a sharp discontinuity in all the crystallographic axes associated with the upper superconducting critical field $B_{c2}$ that becomes less pronounced as the temperature increases; (ii) a distinctive second order-like feature observed only along the c-axis in the high field (10 T $\lesssim B \leq B_{c2}$) low temperature ($T \lesssim$ 0.35 K) region. This second order transition is observed only when the magnetic field lies within 20$^o$ of the ab-planes and there is no signature of it above $B_{c2}$, which raises questions regarding its interpretation as a field induced magnetically ordered phase. Good agreement with previous results suggests that this anomaly is related to the transition to the Fulde-Ferrel-Larkin-Ovchinnikov superconducting state.Comment: 3 figures, 5 page

Secondary HIV Infection and Mitigation in Cure-Related HIV Trials During Analytical Treatment Interruptions

To the Editor—We are writing to express concerns regarding facts reported in 2 recent Journal of Infectious Diseases articles pertaining to the ANRSLIGHT study, conducted in 18 clinical sites in France between September 2013 and May 2015. Initially, we were delighted to see the authors implemented several inclusion criteria that we believe were likely to ensure safety of participants during the analytical treatment interruption (ATI) that occurred during the trial, for example a nadir of CD4+ T-cell count of ≥300 cells/mm3 and an initial CD4+ T-cell count of ≥600/mm3. However, other aspects are dismaying, including the detailed identifying information about the index participant and partner. We fear it is possible to identify both persons from the elaborate medical and nonmedical history provided. After contacting the study Principal Investigator, Dr Lelièvre, through a European colleague, it appears there were no consents to disclose this information. Thus, we feel strongly that it was inappropriate to include such comprehensive, potentially identifying details