Chronological Order of Appearance of Extraintestinal Manifestations Relative to the Time of IBD Diagnosis in the Swiss Inflammatory Bowel Disease Cohort.

BACKGROUND Data evaluating the chronological order of appearance of extraintestinal manifestations (EIMs) relative to the time of inflammatory bowel disease (IBD) diagnosis is currently lacking. We aimed to assess the type, frequency, and chronological order of appearance of EIMs in patients with IBD. METHODS Data from the Swiss Inflammatory Bowel Disease Cohort Study were analyzed. RESULTS The data on 1249 patients were analyzed (49.8% female, median age: 40 [interquartile range, 30-51 yr], 735 [58.8%] with Crohn's disease, 483 [38.7%] with ulcerative colitis, and 31 [2.5%] with indeterminate colitis). A total of 366 patients presented with EIMs (29.3%). Of those, 63.4% presented with 1, 26.5% with 2, 4.9% with 3, 2.5% with 4, and 2.7% with 5 EIMs during their lifetime. Patients presented with the following diseases as first EIMs: peripheral arthritis 70.0%, aphthous stomatitis 21.6%, axial arthropathy/ankylosing spondylitis 16.4%, uveitis 13.7%, erythema nodosum 12.6%, primary sclerosing cholangitis 6.6%, pyoderma gangrenosum 4.9%, and psoriasis 2.7%. In 25.8% of cases, patients presented with their first EIM before IBD was diagnosed (median time 5 mo before IBD diagnosis: range, 0-25 mo), and in 74.2% of cases, the first EIM manifested itself after IBD diagnosis (median: 92 mo; range, 29-183 mo). CONCLUSIONS In one quarter of patients with IBD, EIMs appeared before the time of IBD diagnosis. Occurrence of EIMs should prompt physicians to look for potential underlying IBD.

The role of London forces in defining noncentrosymmetric order of high dipole moment–high hyperpolarizability chromophores in electrically poled polymeric thin films

Graphs of second harmonic generation coefficients and electro-optic coefficients (measured by ellipsometry, attenuated total reflection, and two-slit interference modulation) as a function of chromophore number density (chromophore loading) are experimentally observed to exhibit maxima for polymers containing chromophores characterized by large dipole moments and polarizabilities. Modified London theory is used to demonstrated that this behavior can be attributed to the competition of chromophore-applied electric field and chromophore–chromophore electrostatic interactions. The comparison of theoretical and experimental data explains why the promise of exceptional macroscopic second-order optical nonlinearity predicted for organic materials has not been realized and suggests routes for circumventing current limitations to large optical nonlinearity. The results also suggest extensions of measurement and theoretical methods to achieve an improved understanding of intermolecular interactions in condensed phase materials including materials prepared by sequential synthesis and block copolymer methods.

Ptolemaiida, a new order of Mammalia--with description of the cranium of Ptolemaia grangeri.

All records of the exotic mammalian family Ptolemaiidae are known from 182 m of section in the lower to middle parts of the upper Eocene and lower Oligocene Jebel Qatrani Formation, Fayum Depression, Egypt. Previous tentative assignments of ptolemaiid affinity have suggested that these animals are allied with the primitive suborder Pantolesta (currently placed in the order Cimolesta). Though perhaps ultimately derived from an unknown member of that group, the likelihood that ptolemaiids constitute a distinct group is considered, and analysis of all known materials of Ptolemaia, Qarunavus, and Cleopatrodon demonstrates that these genera belong in their own order, the Ptolemaiida, described here. The morphologically unique dentition and only known ptolemaiid cranium, that of Ptolemaia grangeri, is described. Although Qarunavus and Cleopatrodon show some similarities in primitive characters to European merialine Paroxyclaenidae (suborder Pantolesta), their affinities clearly lie with Ptolemaia and the Ptolemaiida.

Illustrated catalogue of the Museum of Comparative Zoölogy, at Harvard College / published by order of the Legislature of Massachusetts.

no.4 (1871)

Iniopterygia : a new order of Chondrichthyan fishes from the Pennsylvanian of North America / Rainer Zangerl [and] Gerard R. Case.

v.6(1973)