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.     

KINEMATIC VISCOSITY-TEMPERATURE BEHAVIOR OF HEAVY TBP-FRACTIONS (455°C+) OF ARABIAN CRUDE OILS

A generalized kinematic viscosity-temperature correlation for undefined liquid heavy petroleum fractions has been developed to represent the data for a wide range of temperature from 100°C to 200°C. The correlation is based on the experimental kinematic viscosity data of true boiling point fractions of four Arabian crude oils. The characterization property required for estimation is 50% boiling point. The proposed correlation fits the experimental data with an overall absolute error of 6.1%. Experimental measurements of kinematic viscosity of heavy true boiling point fractions of Arabian crude oils were also obtained in order to develop the proposed correlation.     

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.

     

Transference and retrieval of voice message over low signal strength in satellite communication

This paper presents a method of transferring voice using short messaging service in satellite communication system. The method is especially applicable in a situation where signal strength is low and voice call is not possible. In a tunnel, basement or environment with bad climate conditions, signal strength usually gets weak which make voice call difficult but SMS works in such situation. An application has been developed using J2ME language in order to test the proposed method. For experimentation, Thuraya SG-2520 satellite phone has been used.     

Aggregation Operators of Interval‐Valued 2‐Tuple Linguistic Information

The group decision‐making problem with linguistic information evaluation values of decision makers are used based on 2‐tuple interval‐valued. Operational laws on interval value 2‐tuple are introduced. On the basis of these laws, new aggregation operators are introduced by using the Choquet integral. A multiple attribute decision‐making method based on these aggregation operators is proposed. An example is given to illustrate the efficiency, practicality, and feasibility of our method.     

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     

Infrared spectroscopic investigation of tannins

Infrared spectroscopy is suggested as a diagnostic method for the characterisation and qualitative estimation of the two classes of tannins. Gallic acid, tannic acid and chebulinic acid have been taken as model compounds for the hydrolysable and catechin for the condensed tannins. The former class is marked by the presence of strong absorption maxima at 1710 – 35 cm^?1. The two classes have characteristic pattern of absorption, from which it is possible to characterise the particular type of tannin.     

Oxidation of Branched Chain Fatty Acids by Chromic Acid

The kinetics of oxidation of isobutyric and isovaleric acids by chromic acid in sulphuric acid medium have been studied. The end product acetic acid is supposed to be derived from the ketones which are the initial oxidation products of the corresponding branched chain fatty acids. The influence of acetic acid on the oxidation velocity has been examined and a marked effect on the rate constants with increasing acetic acid concentration has been observed. A mechanism involving the electrophilic attack of the oxidant on the tertiary carbon atom of the fatty acid to yield a carbonium ion has been postulated.