Evolution after Anti-TNF Discontinuation in Patients with Inflammatory Bowel Disease: A Multicenter Long-Term Follow-Up Study

OBJECTIVES:The aims of this study were to assess the risk of relapse after discontinuation of anti-tumor necrosis factor (anti-TNF) drugs in patients with inflammatory bowel disease (IBD), to identify the factors associated with relapse, and to evaluate the overcome after retreatment with the same anti-TNF in those who relapsed.METHODS:This was a retrospective, observational, multicenter study. IBD patients who had been treated with anti-TNFs and in whom these drugs were discontinued after clinical remission was achieved were included.RESULTS:A total of 1, 055 patients were included. The incidence rate of relapse was 19% and 17% per patient-year in Crohn''s disease and ulcerative colitis patients, respectively. In both Crohn''s disease and ulcerative colitis patients in deep remission, the incidence rate of relapse was 19% per patient-year. The treatment with adalimumab vs. infliximab (hazard ratio (HR)=1.29; 95% confidence interval (CI)=1.01-1.66), elective discontinuation of anti-TNFs (HR=1.90; 95% CI=1.07-3.37) or discontinuation because of adverse events (HR=2.33; 95% CI=1.27-2.02) vs. a top-down strategy, colonic localization (HR=1.51; 95% CI=1.13-2.02) vs. ileal, and stricturing behavior (HR=1.5; 95% CI=1.09-2.05) vs. inflammatory were associated with a higher risk of relapse in Crohn''s disease patients, whereas treatment with immunomodulators after discontinuation (HR=0.67; 95% CI=0.51-0.87) and age (HR=0.98; 95% CI=0.97-0.99) were protective factors. None of the factors were predictive in ulcerative colitis patients. Retreatment of relapse with the same anti-TNF was effective (80% responded) and safe.CONCLUSIONS:The incidence rate of inflammatory bowel disease relapse after anti-TNF discontinuation is relevant. Some predictive factors of relapse after anti-TNF withdrawal have been identified. Retreatment with the same anti-TNF drug was effective and safe

Synthesis and characterization of Ta2O5-ZrO2 systems: structure, surface acidity, and catalytic properties

International audienceThe preparation of binary materials based on Ta2O5-ZrO2 by a sol-gel method and with a wide range of compositions is reported (Ta2O5 nominal content from 4 to 74% w/w). Materials were characterized by X-ray diffraction, and infrared and Raman spectroscopy. Their acidic characteristics were evaluated from the model reaction of 2-propanol dehydration and the adsorption of CO at 77 K and 2,6-dimethylpyridine at 373 K, both followed by infrared spectroscopy. Increasing tantalum content brings about a development of a surface TaOx phase followed by a progressive formation of aggregates of amorphous Ta2O5. Increased stabilization of tetragonal zirconia was also observed with increasing Ta loading. The surface area, number and strength of Bronsted acid sites, and the catalytic activity in the 2-propanol dehydration increase with the increase in tantalum content up to ca. 50% w/w Ta2O5. A surface area of 103 m2 g-1 was obtained for a solid with a Ta2O5 content of 53% w/w after calcination at 873 K. The abundance of Bro¨nsted acid sites, determined by lutidine adsorption, and their strength, determined by CO adsorption at 77 K, correlated with the catalytic activity in the 2-propanol dehydration

Ethanol dehydrogenating coupling to ethyl acetate in a flow through CMR

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Monitoring the insertion of Pt into Cu2-xSe nanocrystals : a combined structural and chemical approach for the analysis of new ternary phases

The tuning of the chemical composition in nanostructures is a key aspect to control for the preparation of new multifunctional and highly performing materials. The modification of Cu2-xSe nanocrystals with Pt could provide a good way to tune both optical and catalytic properties of the structure. Although the heterogeneous nucleation of metallic Pt domains on semiconductor chalcogenides has been frequently reported, the insertion of Pt into chalcogenide materials has not been conceived so far. In this work we have explored the experimental conditions to facilitate and enhance the insertion of Pt into the Cu2-xSe nanocrystalline lattice, forming novel ternary phases that show a high degree of miscibility and compositional variability. Our results show that Pt is mainly found as a pure metal or a CuPt alloy at high Pt loads (Pt\u2009:\u2009Cu atomic ratio in reaction medium >1). However, two main ternary CuPtSe phases with cubic and monoclinic symmetry can be identified when working at lower Pt\u2009:\u2009Cu atomic ratios. Their structure and chemical composition have been studied by local STEM-EDS and HRTEM analyses. The samples containing ternary domains have been loaded on graphite-like C3N4 (g-C3N4) semiconductor layers, and the resulting nanocomposite materials have been tested as promising photocatalysts for the production of H2 from aqueous ethanolic solutions

Insight toward the first-passage time in a bistable potential with highly colored noise

The exponential coefficient in the first-passage-time problem for a bistable potential with highly colored noise is predicted to be (8/27 by all existing theories. On the other hand, we show herein that all existing numerical evidence seems to indicate that the coefficient is actually larger by about (4/3, i.e., that the numerical factor in the exponent is approximately (32/81. Existing data cover values of ¿V0/D up to ~20, where V0 is the barrier height, ¿ the correlation time of the noise, and D the noise intensity. We provide an explanation for the modified coefficinet, the explanation also being based on existing numerical simulations. Whether the value (8/27 predicted by all large-¿ theories is achieved for even larger values of ¿V0/D is unknown but appears questionable (except perhaps for enormously large, experimentally inaccessible values of this factor) in view of currently available results

Escape over a potential barrier driven by colored noise: Large but finite correlation times

The recent theory of Tsironis and Grigolini for the mean first-passage time from one metastable state to another of a bistable potential for long correlation times of the noise is extended to large but finite correlation times