67 research outputs found

    Therapeutic strategies to slow chronic kidney disease progression

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    Childhood chronic kidney disease commonly progresses toward end-stage renal failure, largely independent of the underlying disorder, once a critical impairment of renal function has occurred. Hypertension and proteinuria are the most important independent risk factors for renal disease progression. Therefore, current therapeutic strategies to prevent progression aim at controlling blood pressure and reducing urinary protein excretion. Renin-angiotensin-system (RAS) antagonists preserve kidney function not only by lowering blood pressure but also by their antiproteinuric, antifibrotic, and anti-inflammatory properties. Intensified blood pressure control, probably aiming for a target blood pressure below the 75th percentile, may exert additional renoprotective effects. Other factors contributing in a multifactorial manner to renal disease progression include dyslipidemia, anemia, and disorders of mineral metabolism. Measures to preserve renal function should therefore also comprise the maintenance of hemoglobin, serum lipid, and calcium-phosphorus ion product levels in the normal range

    Metamorphosis of Subarachnoid Hemorrhage Research: from Delayed Vasospasm to Early Brain Injury

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    Delayed vasospasm that develops 3–7 days after aneurysmal subarachnoid hemorrhage (SAH) has traditionally been considered the most important determinant of delayed ischemic injury and poor outcome. Consequently, most therapies against delayed ischemic injury are directed towards reducing the incidence of vasospasm. The clinical trials based on this strategy, however, have so far claimed limited success; the incidence of vasospasm is reduced without reduction in delayed ischemic injury or improvement in the long-term outcome. This fact has shifted research interest to the early brain injury (first 72 h) evoked by SAH. In recent years, several pathological mechanisms that activate within minutes after the initial bleed and lead to early brain injury are identified. In addition, it is found that many of these mechanisms evolve with time and participate in the pathogenesis of delayed ischemic injury and poor outcome. Therefore, a therapy or therapies focused on these early mechanisms may not only prevent the early brain injury but may also help reduce the intensity of later developing neurological complications. This manuscript reviews the pathological mechanisms of early brain injury after SAH and summarizes the status of current therapies

    Photospheric flows around a quiescent filament and CALAS first results .

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    International audienceThe horizontal photospheric flows below and around a filament are one of the components in the formation and evolution of filaments. Few studies have been done so far because this requires multiwalength time sequences with high spatial resolution. We present observations obtained in 2004 during the international JOP 178 campaign in which eleven instruments were involved, from space and ground based observatories. Several supergranulation cells are crossing the Polarity Inversion Line (PIL) allowing the transport of magnetic flux through the PIL, in particular the parasitic polarities. Before the filament eruptive phase, parasitic and normal polarities are swept by a continuous diverging horizontal flow located in the filament gap where the disappearance of the filament starts. In the future, observations at high spatial resolution on a large field-of-view would be very useful to study filaments, as they are very large structures. We also present the first images obtained with the use of our new 14 MPixel camera CALAS (CAmera for the LArge Scales of the Solar Surface) (10 arcmin× 6.7 arcmin) . These are the first large-scale and high-resolution images of the solar surface ever made

    Photospheric flows around a quiescent filament

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    Context: The horizontal photospheric flows below and around a filament are one of the components in the formation and evolution of filaments. Few studies exist because they require multiwalength time sequences at high spatial resolution. Aims: Our objective is to measure the horizontal photospheric flows associated with the evolution and eruption of a filament. Methods: We present observations obtained in 2004 during the international JOP 178 campaign which involved eleven instruments both in space and at ground based observatories. We use TRACE WL, DOT and DST observation to derive flow maps which are then coaligned with intensity images and with the vector magnetic field map obtained with THEMIS/MTR. Results: Several supergranulation cells cross the Polarity Inversion Line (PIL) and can transport magnetic flux through the PIL, in particular parasitic polarities. We present a detailed example of the formation of a secondary magnetic dip at the location of a filament footpoint. Large-scale converging flows, which could exist along the filament channel and contribute to its formation, are not observed. Before the filament's eruptive phase, we observe both parasitic and normal polarities being swept by a continuously diverging horizontal flow located in the filament gap. The disappearance of the filament initiates in this gap. Such purely horizontal motions could lead to destabilization of the filament and could trigger the sudden filament disappearance

    Photospheric flows around a quiescent filament at Large and small scale and their effects on filament destabilization

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    International audienceWe study the influence of large and small scales photospheric motions on the destabilization of an eruptive filament, observed on October 6, 7, and 8, 2004 as part of an international observing campaign (JOP 178). Large-scale horizontal flows are invetigated from a series of MDI/SOHO full-disc Dopplergrams and magnetograms from THEMIS. Small-scale horizontal flows were derived using local correlation tracking on TRACE satellite, Dutch Open Telescope (DOT) and The Dunn Solar telescope (DST) data. The topology of the flow field changed significantly during the filament eruptive phase, suggesting a possible coupling between the surface flow field and the coronal magnetic field. We measured an increase of the shear below the point where the eruption starts and a decrease in shear after the eruption. We conclude that there is probably a link between changes in surface flow and the disappearance of the eruptive filament

    PHOTOSPHERIC FLOWS AROUND A QUIESCENT FILAMENT AT LARGE AND SMALL SCALE AND THEIR FFECTS ON FILAMENT DESTABILIZATION

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    Abstract. We study the influence of large and small scales photospheric motions on the destabilization of an eruptive filament, observed on October 6, 7, and 8, 2004 as part of an international observing campaign (JOP 178). Large-scale horizontal flows are invetigated from a series of MDI/SOHO full-disc Dopplergrams and magnetograms from THEMIS. Small-scale horizontal flows were derived using local correlation tracking on TRACE satellite, Dutch Open Telescope (DOT) and The Dunn Solar telescope (DST) data. The topology of the flow field changed significantly during the filament eruptive phase, suggesting a possible coupling between the surface flow field and the coronal magnetic field. We measured an increase of the shear below the point where the eruption starts and a decrease in shear after the eruption. We conclude that there is probably a link between changes in surface flow and the disappearance of the eruptive filament
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