ABSTRACT
Anemia is an inevitable complication of hemodialysis, and the primary cause is erythropoietin deficiency. After diagnosis, treatment begins with an erythropoiesis-stimulating agent (ESA). However, some patients remain anemic even after receiving this medication. This study aimed to investigate the factors associated with resistance to recombinant human erythropoietin therapy with epoetin alfa (αEPO). We performed a prospective, longitudinal study of hemodialysis patients receiving treatment with αEPO at our reference hospital from July 2015 to June 2016. Clinical data was collected, and the response to αEPO treatment was evaluated using the erythropoietin resistance index (ERI). The ERI was defined as the weekly weight-adjusted αEPO dose (U/kg per week)/hemoglobin level (g/dL). A longitudinal linear regression model was fitted with random effects to verify the relationships between clinical and laboratory data and ERI. We enrolled 99 patients (average age, 45.7 (±17.6) years; male, 51.5%; 86.8% with hypertension). The ERI showed a significant positive association with serum ferritin and C-reactive protein, percentage interdialytic weight gain, and continuous usage of angiotensin receptor blocker (ARB) hypertension medication. The ERI was negatively associated with serum iron and albumin, age, urea reduction ratio, and body mass index. Our findings indicate that resistance to αEPO was related to a low serum iron reserve, an inflammatory state, poor nutritional status, and continuous usage of ARBs.
Subject(s)
Anemia/drug therapy , Anemia/etiology , Drug Resistance/drug effects , Epoetin Alfa/therapeutic use , Hematinics/therapeutic use , Renal Dialysis/adverse effects , Renal Insufficiency, Chronic/therapy , Adult , Body Mass Index , Erythropoiesis/drug effects , Erythropoietin/deficiency , Female , Hemoglobins/analysis , Humans , Iron/blood , Linear Models , Longitudinal Studies , Male , Middle Aged , Prospective Studies , Reference Values , Renal Insufficiency, Chronic/complications , Risk Factors , Time Factors , Treatment OutcomeABSTRACT
Hypovitaminosis D has been identified as a possible new cardiovascular risk factor. However, the results of studies correlating serum vitamin D levels with markers of subclinical atherosclerosis have been conflicting. The aim of this study was to correlate serum levels of 25-hydroxyvitamin D [25(OH)D] with carotid intima-media thickness (C-IMT) and conventional cardiovascular risk factors in Afro-descendants. A cross-sectional analysis was performed on a sample of 382 individuals from a cohort of descendants of African slaves, inhabitants of "Quilombola" communities, with a mean age of 57.79 ±15.3 years, 54.5% of whom were women. Socio-demographic and clinical data were collected and biochemical tests were performed, including serum levels of 25(OH)D by electrochemiluminescence and urinary albumin excretion, evaluated by the albumin/creatinine ratio (ACR) in a spot urine sample. All participants underwent high-resolution ultrasonography for C-IMT measurement. Hypovitaminosis D was defined as serum 25(OH)D levels <30 ng/mL. The mean serum 25(OH)D levels were 50.4±13.5 ng/mL, with a low prevalence of hypovitaminosis D (4.86%). By simple linear correlation, a significant inverse association between 25(OH)D levels and C-IMT (r=-0.174, P=0.001) was observed. However, after multiple linear regression analysis, the significance of the association between serum levels of 25(OH)D and C-IMT measurement was lost (ß=-0.039, P=0.318) and only male gender, age, smoking, systolic blood pressure, glucose and low density lipoprotein (LDL)-cholesterol remained significantly associated with C-IMT. Levels of 25(OH)D were independently and positively associated with HDL-cholesterol and inversely associated with age and ACR. In conclusion, no independent association between 25(OH)D levels and C-IMT was observed in this population. On the other hand, there was an inverse association with albuminuria, a marker of endothelial lesion.
Subject(s)
Atherosclerosis/blood , Black People , Carotid Intima-Media Thickness , Vitamin D Deficiency/epidemiology , Vitamin D/analogs & derivatives , Adolescent , Adult , Aged , Albuminuria , Atherosclerosis/etiology , Blood Pressure , Brazil/epidemiology , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Risk Factors , Socioeconomic Factors , Vitamin D/blood , Young AdultABSTRACT
We present numerical and analytical studies of a quantum computer proposed by the Yamamoto group in Phys. Rev. Lett. 89, 017901 (2002). The stable and quantum chaos regimes in the quantum computer hardware are identified as a function of magnetic field gradient and dipole-dipole couplings between qubits on a square lattice. It is shown that a strong magnetic field gradient leads to suppression of quantum chaos.
ABSTRACT
We numerically investigate decoherence of a two-spin system (central system) by a bath of many spins 1/2. By carefully adjusting parameters, the dynamical regime of the bath has been varied from quantum chaos to regular, while all other dynamical characteristics have been kept practically intact. We explicitly demonstrate that for a many-body quantum bath, the onset of quantum chaos leads to significantly faster and stronger decoherence compared to an equivalent non-chaotic bath. Moreover, the non-diagonal elements of the system's density matrix, the linear entropy, and the fidelity of the central system decay differently for chaotic and non-chaotic baths. Therefore, knowledge of the basic parameters of the bath (strength of the system-bath interaction, and the bath's spectral density of states) is not always sufficient, and much finer details of the bath's dynamics can strongly affect the decoherence process.
