Study of the morphologic variants of focal segmental glomerulosclerosis: a Brazilian report

INTRODUCTION: Focal segmental glomerulosclerosis (FSGS) is the most frequent primary glomerulopathy in Brazil and its incidence is increasing worldwide. Pathogenesis is related to podocyte injury, which may be due to several factors including viruses, drugs, genetics and immunological factors. In 2004, the Columbia classification of FSGS identified five histological variants of the disease: collapsing (COL), usual (NOS), tip lesion (TIP), perihilar (PHI) and cellular variant (CEL). The objective of this study was to classify the FSGS biopsies in these morphological variants. METHODS: One hundred thirty-one cases of renal biopsies with primary FSGS diagnosis, which had been performed at a Brazilian reference center from 1996 to 2006, were classified according to the Columbia criteria. RESULTS: FSGS cases were distributed as follows: 38.2% NOS variant, 36.6% COL, 14.5% TIP, 6.9% PHI and 3.8% CEL. CONCLUSION: COL variant of FSGS seems to be more prevalent in Brazil in comparison with other centers worldwide, which may be related to environmental and socioeconomic factors.

Collapsing glomerulopathy associated with proliferative lupus nephritis: reversible acute kidney injury

Collapsing glomerulopathy is a rare form of glomerular injury, characterized by segmental or global collapse of the glomerular capillaries, wrinkling and retraction of the glomerular basement membrane, and marked hypertrophy and hyperplasia of podocytes. Prognosis is usually poor, with most cases developing end-stage renal disease, in spite of treatment. The association of collapsing glomerulopathy and systemic lupus erythematosus is very unusual. In this report, we describe the first case of a simultaneous diagnosis of collapsing glomerulopathy and diffuse proliferative lupus nephritis. The case presented with acute kidney injury and nephrotic syndrome and evolved with partial remission of nephrotic syndrome and recovery of renal function after aggressive treatment with intravenous cyclophosphamide and methylprednisolone. Lupus (2011) 20, 98-101.

Tuberculosis-Associated Collapsing Glomerulopathy: Remission after Treatment

Collapsing glomerulopathy (CG) is a severe form of nephrotic syndrome and has been mostly associated with human immunodeficiency virus (HIV) infection. Treatment response is poor, and the disease frequently leads to end-stage renal disease. More recently, CG has been described in association with other conditions, such as drug exposure and other infections, but renal prognosis remains unfavorable. This paper reports an interesting case of an HIV-negative patient with tuberculosis-related CG who needed dialysis for five months but presented full renal recovery after tuberculosis (TB) treatment and corticotherapy.

Collapsing Glomerulopathy. A Treatable Disease?

Renal disease is a relatively common complication in human immunodeficiency virus (HIV) infected patients and has become the fourth leading cause of death in AIDS individuals, immediately following septicaemia, pneumonia and hepatic disease. HIV associated nephropathy, HIV associated immune complex renal disease and HIV associated thrombotic microangiopathy are the main causes of chronic renal failure in this population. The authors report a case of a 44 year-old black male, HIV 1 infected with low CD4 count, admitted to the nephrology department with non nephrotic proteinuria and renal failure. Renal biopsy revealed a focal segmental glomerulosclerosis collapsing variant. The patient was treated with highly active antiretroviral therapy and an ACE inhibitor and, at 3 months of follow-up, has recovered his renal function. This case illustrates the efficacy of highly active antiretroviral therapy (HAART) on HIV associated nephropathy. Prospective studies are needed to evaluate HAART in the treatment of HIV associated nephropathies.

Why is the Greek economy collapsing? A simple tale of high multipliers and low exports. CEPS Commentary, 21 December 2012

In an attempt to understand why the Greek economy is collapsing, this Commentary points out two key aspects that are often overlooked – the country’s large multiplier and a bad export performance. When combined with the need for a large fiscal adjustment, these factors help explain how fiscal consolidation in Greece has been associated with such a large drop in GDP.

Borderline cases and the collapsing principle

John Broome has argued that value incommensurability is vagueness, by appeal to a controversial ‘collapsing principle’ about comparative indeterminacy. I offer a new counterexample to the collapsing principle. That principle allows us to derive an outright contradiction from the claim that some object is a borderline case of some predicate. But if there are no borderline cases, then the principle is empty. The collapsing principle is either false or empty.

Evolution of a collapsing and exploding Bose-Einstein condensate in different trap symmetries

Based on the time-dependent Gross-Pitaevskii equation we study the evolution of a collapsing and exploding Bose-Einstein condensate in different trap symmetries to see the effect of confinement on collapse and subsequent explosion, which can be verified in future experiments. We make a prediction for the evolution of the shape of the condensate and the number of atoms in it for different trap symmetries (cigar to pancake) as well as in the presence of an optical lattice potential. We also make a prediction for the jet formation in different cases when the collapse is suddenly terminated by changing the scattering length to zero via a Feshbach resonance. In addition to the usual global collapse to the center of the condensate, in the presence of an optical-lattice potential one could also have in certain cases independent collapse of parts of the condensate to local centers, which could be verified in experiments.

Dynamics of collapsing and exploding Bose-Einstein condensate

Recently, Donley et al. performed an experiment on the dynamics of collapsing and exploding Bose-Einstein condensates by suddenly changing the scattering length of atomic interaction to a large negative value on a preformed repulsive condensate of Rb-85 atoms in an axially symmetric trap. Consequently, the condensate collapses and ejects atoms via explosions, We show that the accurate numerical solution of the time-dependent Gross-Pitaevskii equation with axial symmetry can explain some aspects of the dynamics of the collapsing condensate. (C) 2002 Published by Elsevier B.V. B.V.

Chaos in collapsing Bose-condensed gas

We reinvestigate the dynamics of the grow and collapse of Bose-Einstein condensates in a system of trapped ultracold atoms with negative scattering lengths, and found a new behavior in the long time scale evolution: the number of atoms can go far beyond the static stability limit. The condensed state is described by the solution of the time-dependent nonlinear Schrödinger equation, in a model that includes atomic feeding and three-body dissipation. Our results for the model show that, by changing the feeding parameter and when a substantial depletion of the ground-state exists, a chaotic behavior is found. We consider a criterion proposed by Deissler and Kaneko [Phys. Lett. A 119, 397 (1987)] to diagnose spatiotemporal chaos. ©2000 The American Physical Society.

Mean-field description of collapsing and exploding Bose-Einstein condensates

Numerical simulations based on the time-dependent mean-field Gross-Pitaevskii equation was performed to explain the dynamics of collapsing and exploding Bose-Einstein condensates (BEC) of 85Rb atoms. The atomic interaction was manipulated by an external magnetic field via a Feshbach resonance. On changing the scattering length of atomic interaction from a positive to a large negative value, the condensate collapsed and ejected atoms via explosion.

Dynamics of a collapsing and exploding Bose-Einstein condensed vortex state

The dynamics of small repulsive Bose-Einstein condensed vortex states of 85Rb atoms in a cylindrical traps with low angular momentum was studied. The time-dependent mean-field Gross-Pitaevskii equation was used for the study. The condensates collapsed and atoms ejected via explosion and a remnant condensate with a smaller number of atoms emerges that survived for a long time.