Iron Deficiency and Iron Deficiency Anemia in Children

Iron deficiency anemia is considered the most common and widespread nutritional form of anemia in childhood. Red cells are hypochromic and microcytic with low mean corpuscular volume (MCV), low mean corpuscular hemoglobin (MCH) and low reticulocyte hemoglobin content (CHr). Red blood cell distribution width (RDW) is increased. Serum iron is reduced, transferrin is increased and serum ferritin is decreased. Prematurity, decreased dietary source, malabsorption and blood loss represent the most common causes of iron deficiency. Recommended oral dose of elemental iron is 2–6 mg/kg/day; when normal hemoglobin values are reached, treatment must be generally continued for 3 months in order to replenish iron stores. Rarely intravenous therapy is required. The pediatricians and other health care providers should strive to prevent and eliminate iron deficiency and iron-deficiency anemia

IEEE Software Defined Network Initiative

This paper outlines a proposal for setting up an IEEE initiative on software defined networks (SDNs) to facilitate professional and academic exchange of SDN-related ideas, research, and development. The proposal is a result of an intensive effort of a team consisting of the authors. After a comprehensive gap analysis, gaps and key opportunities were identified. Finally, a specific set of components along with schedule and financial consideration were proposed in the areas of publications, conferences, standards, education, certification, and publicity

Thermal analysis of the antineutrino 144Ce source calorimeter for the SOX experiment

The technical note describes the calorimeter which will be used to measure the activity of the antineutrino 144Ce source of the SOX experiment at the Gran Sasso Laboratories. The principle of the calorimeter is based on the measurement of both mass flow and temperature increase of the water circulating in the heat exchanger surrounding the source. The calorimeter is vacuum insulated in order to minimize the heat losses. The preliminary design and thermal Finite Element Analysis (FEA) are reported in the note

Quasar feedback in the early Universe: the case of SDSS J1148+5251

Galaxy-scale gas outflows triggered by active galactic nuclei have been proposed as a key physical process to regulate the co-evolution of nuclear black holes and their host galaxies. The recent detection of a massive gas outflow in one of the most distant quasar, SDSS J1148+5251 at z = 6.4, presented by Maiolino et al. (2012) strongly supports this idea and suggests that strong quasar feedback is already at work at very early times. In a previous work, Valiante et al. (2011), we have presented a hierarchical semi-analytical model, GAMETE/ QSOdust, for the formation and evolution of high-redshift quasars, and we have applied it to the quasar SDSS J1148+5251, with the aim of investigating the star formation history, the nature of the dominant stellar populations and the origin and properties of the large dust mass observed in the host galaxy. A robust prediction of the model is that the evolution of the nuclear black hole and of the host galaxy are tightly coupled by quasar feedback in the form of strong galaxy-scale winds. In the present letter, we show that the gas outflow rate predicted by GAMETE/QSOdust is in good agreement with the lower limit of 3500 Msun/yr inferred by the observations. According to the model, the observed outflow at z = 6.4 is dominated by quasar feedback, as the outflow rate has already considerably depleted the gas content of the host galaxy, leading to a down-turn in the star formation rate at z < 7 - 8. Hence, supernova explosions give a negligible contribution to the observed winds at z = 6.4.Comment: 5 pages, 4 figures, accepted for publication in MNRAS Letter

Digital Transformation

The amount of literature on Digital Transformation is staggering—and it keeps growing. Why, then, come out with yet another such document? Moreover, any text aiming at explaining the Digital Transformation by presenting a snapshot is going to become obsolete in a blink of an eye, most likely to be already obsolete at the time it is first published. The FDC Initiative on Digital Reality felt there is a need to look at the Digital Transformation from the point of view of a profound change that is pervading the entire society—a change made possible by technology and that keeps changing due to technology evolution opening new possibilities but is also a change happening because it has strong economic reasons. The direction of this change is not easy to predict because it is steered by a cultural evolution of society, an evolution that is happening in niches and that may expand rapidly to larger constituencies and as rapidly may fade away. This creation, selection by experimentation, adoption, and sudden disappearance, is what makes the whole scenario so unpredictable and continuously changing.The amount of literature on Digital Transformation is staggering—and it keeps growing. Why, then, come out with yet another such document? Moreover, any text aiming at explaining the Digital Transformation by presenting a snapshot is going to become obsolete in a blink of an eye, most likely to be already obsolete at the time it is first published. The FDC Initiative on Digital Reality felt there is a need to look at the Digital Transformation from the point of view of a profound change that is pervading the entire society—a change made possible by technology and that keeps changing due to technology evolution opening new possibilities but is also a change happening because it has strong economic reasons. The direction of this change is not easy to predict because it is steered by a cultural evolution of society, an evolution that is happening in niches and that may expand rapidly to larger constituencies and as rapidly may fade away. This creation, selection by experimentation, adoption, and sudden disappearance, is what makes the whole scenario so unpredictable and continuously changing

Impact of safety-related dose reductions or discontinuations on sustained virologic response in HCV-infected patients: Results from the GUARD-C Cohort

BACKGROUND: Despite the introduction of direct-acting antiviral agents for chronic hepatitis C virus (HCV) infection, peginterferon alfa/ribavirin remains relevant in many resource-constrained settings. The non-randomized GUARD-C cohort investigated baseline predictors of safety-related dose reductions or discontinuations (sr-RD) and their impact on sustained virologic response (SVR) in patients receiving peginterferon alfa/ribavirin in routine practice. METHODS: A total of 3181 HCV-mono-infected treatment-naive patients were assigned to 24 or 48 weeks of peginterferon alfa/ribavirin by their physician. Patients were categorized by time-to-first sr-RD (Week 4/12). Detailed analyses of the impact of sr-RD on SVR24 (HCV RNA <50 IU/mL) were conducted in 951 Caucasian, noncirrhotic genotype (G)1 patients assigned to peginterferon alfa-2a/ribavirin for 48 weeks. The probability of SVR24 was identified by a baseline scoring system (range: 0-9 points) on which scores of 5 to 9 and <5 represent high and low probability of SVR24, respectively. RESULTS: SVR24 rates were 46.1% (754/1634), 77.1% (279/362), 68.0% (514/756), and 51.3% (203/396), respectively, in G1, 2, 3, and 4 patients. Overall, 16.9% and 21.8% patients experienced 651 sr-RD for peginterferon alfa and ribavirin, respectively. Among Caucasian noncirrhotic G1 patients: female sex, lower body mass index, pre-existing cardiovascular/pulmonary disease, and low hematological indices were prognostic factors of sr-RD; SVR24 was lower in patients with 651 vs. no sr-RD by Week 4 (37.9% vs. 54.4%; P = 0.0046) and Week 12 (41.7% vs. 55.3%; P = 0.0016); sr-RD by Week 4/12 significantly reduced SVR24 in patients with scores <5 but not 655. CONCLUSIONS: In conclusion, sr-RD to peginterferon alfa-2a/ribavirin significantly impacts on SVR24 rates in treatment-naive G1 noncirrhotic Caucasian patients. Baseline characteristics can help select patients with a high probability of SVR24 and a low probability of sr-RD with peginterferon alfa-2a/ribavirin