Anaphylaxis in Association with Heparin-Induced Thrombocytopenia

Heparin is almost universally used as an anticoagulant during hemodialysis. Rare but serious side effects of heparin therapy include heparin‐induced thrombocytopenia (HIT) and anaphylaxis, and these may lead to significant mortality and morbidity if left unrecognized. We are reporting a patient who developed HIT followed by an anaphylactoid reaction. This 8‐year‐old girl with Joubert's syndrome developed end‐stage renal disease secondary to nephronophthisis. She had a Permacath double‐lumen hemodialysis catheter placed in the right internal jugular vein and was started on hemodialysis using an Asahi B10 65 Dialyzer on 1/28/03. The platelet count at that time was 246 × 10³/mL. Beef lung heparin was used for anticoagulation. She was admitted for living related donor renal transplant on 2/10/03 but was found to be thrombocytopenic with a platelet count of 49 × 10³/mL. The transplant was postponed, a sepsis work‐up was performed, and she was started on antibiotics pending culture results. Hemodialysis was continued with heparin anticoagulation, and despite an improvement in the platelet count she had an acute anaphylactoid reaction 2 days later. The reaction occurred 20 min after starting her hemodialysis treatment and presented as acute onset of bronchospasm, agitation, and chest discomfort. She improved with nebulized albuterol and subcutaneous epinephrine. A review of her records revealed that she had received 6 hemodialysis treatments. The platelet count on 2/3/03, after 3 hemodialysis treatments, had been 242 × 10³/mL and on 2/8/03 after 5 treatments the platelet count was 72 × 10³/mL. HIT with anaphylaxis was suspected. Heparin was discontinued and the platelet count had returned to normal within 2 days. The diagnosis was confirmed by a positive heparin‐associated antibody test. While HIT is recognized as a complication in 1–5% of patients treated with heparin and has been well described in the literature, we could only find 2 reported cases of heparin‐induced anaphylaxis and in both cases there was accompanying thrombocytopenia. This patient further illustrates a possible linkage between these two phenomena. HIT is an important cause of thrombocytopenia in a patient on hemodialysis and continued exposure to heparin may induce anaphylaxis.     

Temporal and Spatial Assessment of Supply and Demand of the Water-yield Ecosystem Service for Water Scarcity Management in Arid to Semi-arid Ecosystems

Water scarcity is one of the problems affecting people’s livelihoods in arid and semi-arid areas, requiring a sustainable balance between water demands and water resources. This study was carried out to assess temporal and spatial distribution of water supply and demand in order to help managers to overcome water scarcity in Jiroft basin, southeastern Iran. Spatial supply and demand of water were mapped and standardized rainfall index (SPI) was used to assess drought for a 20 years period (1994–2014). Supply and demand of water were matched in 23% of the basin area, mostly concentrated in the cold zones. Water supply was reduced up to 80% during dry years, declining water supply-demand matching to 5% of the basin area. Shrub-grass rangelands and deciduous woodlands were the most valuable land covers for conservation with $ 1,100 and $ 936 per hectare water prices respectively. Water value dropped more than 72% in mismanaged ecosystems (p?<?0.01). Our finding showed that water supply-demand ratio can be used as a proxy of ecosystem health and water-yield, which can provide a good information for water resources managers to reduce the threats of water scarcity in arid and semi-arid regions.

     

Synthesis and characterization of hydrophilic nanocomposite coating on glass substrate

Hydrophilic coatings based on 3‐glicidoxy propyl trimethoxy silane (GPTMS) and polyethylene glycol (PEG) were prepared with the incorporation of tetramethoxysilane (TMOS) and silica nanoparticle colloidal suspension by a sol–gel process. Characterization of the coatings has been performed by Fourier Transform Infrared (FTIR) and Attenuated Total Reflectance Infrared (ATR‐IR) techniques. Morphological properties were characterized by Scanning Electron Microscopy (SEM). The distribution of Si atoms in the hybrid system was obtained by Si mapping. The particle size in sol solution of the coating was measured by light scattering analyzer. Optical properties were characterized by using UV–vis spectrophotometer. The hydrophilicity of the coating was determined by contact angle measurements, and also the results have been confirmed by surface energy and water uptake investigations. The obtained results indicate that the surfactants affected the contact angles remarkably but did not change the transparency. It has been found that applying silica nano particles leads to coatings with different properties than those using TMOS, while siloxane contents were the same in these two set of coatings. © 2006 Wiley Periodicals, Inc. J Appl Polym Sci 102: 5322–5329, 2006     

DPV: a taxonomy for utilizing deep learning as a prediction technique for various types of cancers detection

Multimedia Tools and Applications - Deep learning (DL) is a type of machine learning capable of processing large quantities of data to provide analytic results based on a particular...     

A new hardening rule for metallic foam plasticity

Metallic foams are a class of porous materials widely used in the industry because of their advantages. In recent years, extensive studies on the behavior of these materials have been conducted. Several constitutive equations have also been presented and applied. This study proposes a new constitutive equation that predicts metallic foam behavior using the stress–strain curve in uniaxial compression. The proposed model offers a new functionality for work hardening and is evaluated for both isotropic and combined hardening. The constitutive equations are implemented in MATLAB and integrated using return mapping algorithm. The material parameters are identified using genetic algorithm and through a comparison of the experimental and numerical results. The aluminum foams discussed in this paper are the commercially available types, Foaminal and Alporas. The comparison of numerical and experimental results indicate that this new constitutive equation predicts foam behavior in a reasonable manner. Moreover, a good agreement is observed between the experimental and computational curves.     

Applicability of feed-forward and recurrent neural networks to Boolean function complexity modeling

In this paper, we present the feed-forward neural network (FFNN) and recurrent neural network (RNN) models for predicting Boolean function complexity (BFC). In order to acquire the training data for the neural networks (NNs), we conducted experiments for a large number of randomly generated single output Boolean functions (BFs) and derived the simulated graphs for number of min-terms against the BFC for different number of variables. For NN model (NNM) development, we looked at three data transformation techniques for pre-processing the NN-training and validation data. The trained NNMs are used for complexity estimation for the Boolean logic expressions with a given number of variables and sum of products (SOP) terms. Both FFNNs and RNNs were evaluated against the ISCAS benchmark results. Our FFNNs and RNNs were able to predict the BFC with correlations of 0.811 and 0.629 with the benchmark results, respectively.     

Transient analysis of diffusion least‐mean squares adaptive networks with noisy channels

In this paper, we study the effect of noisy channels on the transient performance of diffusion adaptive network with least‐mean squares (LMS) learning rule. We first drive the update equation of diffusion LMS which incorporates the effects of noisy channels. Then, using the framework of fundamental weighted energy conservation relation, we derive closed‐form expressions for learning curves in terms of mean‐square deviation and excess mean‐square error. We also find the mean and mean‐square stability bounds of step‐size for diffusion LMS with noisy channels. We show that although noisy channels affect the performance of the diffusion LMS network, the stability bounds of the step‐size are the same form as in the ideal channels case. The derived closed‐form expressions are shown to provide a good match with values found by simulation. Copyright © 2011 John Wiley & Sons, Ltd.     

Automating the sizing of transistors in CMOS gates for low‐power and high‐noise margin operation

This paper presents an automatic method for sizing the transistors in CMOS gates. The method utilizes a feedback control system to efficiently optimize the transistor sizes in small and large fan‐in gates, with the primary goal of enhancing noise robustness (as characterized by the static noise margin). The gates retain their robustness under threshold‐voltage variations over a range of supply voltages. The optimized gates not only expend reduced power and energy, but also take up less area than the conventional ones. These multi‐faceted gains, however, do incur some performance loss. Copyright © 2014 John Wiley & Sons, Ltd.     

Synthesis,Characterization, and Investigation of Inhibitor Release of the Anticorrosion Sol–Gel Hybrid Nanocomposite Coatings

Protection of Metals and Physical Chemistry of Surfaces - Corrosion protective coatings were developed on 1050 aluminum alloy through the sol–gel process using...