Evaluation of force pain thresholds to ensure collision safety in worker-robot collaborative operations

With the growing demand for robots in the industrial field, robot-related technologies with various functions have been introduced. One notable development is the implementation of robots that operate in collaboration with human workers to share tasks, without the need of any physical barriers such as safety fences. The realization of such collaborative operations in practice necessitates the assurance of safety if humans and robots collide. Thus, it is important to establish criteria for such collision scenarios to ensure robot safety and prevent injuries. Collision safety must be ensured in both pinching (quasi-static contact) and impact (transient contact) situations. To this end, we measured the force pain thresholds associated with impacts and evaluated the biomechanical limitations. This measurements were obtained through clinical trials involving physical collisions between human subjects and a device designed for generating impacts, and the force pain thresholds associated with transient collisions between humans and robots were analyzed. Specifically, the force pain threshold was measured at two different locations on the bodies of 37 adults aged 19-32 years, using two impactors with different shapes. The force pain threshold was compared with the results of other relevant studies. The results can help identify biomechanical limitations in a precise and reliable manner to ensure the safety of robots in collaborative applications.

A statistical model to predict the occurrence of blunt impact injuries on the human hand-arm system

Biomechanical limits based on pain thresholds ensure safety in workplaces where humans and cobots (collaborative robots) work together. Standardization bodies' decision to rely on pain thresholds stems from the assumption that such limits inherently protect humans from injury. This assumption has never been verified, though. This article reports on a study with 22 human subjects in which we studied injury onset in four locations of the hand-arm system using an impact pendulum. During the tests, the impact intensity was slowly increased over several weeks until a blunt injury, i.e., bruising or swelling, appeared in the body locations under load. A statistical model, which calculates injury limits for a given percentile, was developed based on the data. A comparison of our injury limits for the 25th percentile with existing pain limits confirms that pain limits provide suitable protection against impact injuries, albeit not for all body locations.

Robust engraftment of fetal nonhuman primate CD34-positive cells in immune-deficient mice

Nonhuman primates (NHPs) represent one of the most important models for preclinical studies of novel biomedical interventions. In contrast with small animal models, however, widespread utilization of NHPs is restricted by cost, logistics, and availability. Therefore, we sought to develop a translational primatized mouse model, akin to a humanized mouse, to allow for high-throughput in vivo experimentation leveraged to inform large animal immunology-based studies. We found that adult rhesus macaque mobilized blood (AMb) CD34+-enriched hematopoietic stem and progenitor cells (HSPCs) engrafted at low but persistent levels in immune-deficient mice harboring transgenes for human (NHP cross-reactive) GM-CSF and IL3, but did not in mice with wild-type murine cytokines lacking NHP cross-reactivity. To enhance engraftment, fetal liver-derived HSPCs were selected as the infusion product based on an increased CD34hi fraction compared with AMb and bone marrow. Coupled with cotransplantation of rhesus fetal thymic fragments beneath the mouse kidney capsule, fetal liver-derived HSPC infusion in cytokine-transgenic mice yielded robust multilineage lymphohematopoietic engraftment. The emergent immune system recapitulated that of the fetal monkey, with similar relative frequencies of lymphocyte, granulocyte, and monocyte subsets within the thymic, secondary lymphoid, and peripheral compartments. Importantly, while exhibiting a predominantly naïve phenotype, in vitro functional assays demonstrated robust cellular activation in response to nonspecific and allogenic stimuli. This primatized mouse represents a viable and translatable model for the study of hematopoietic stem cell physiology, immune development, and functional immunology in NHPs. Summary Sentence: Engraftment of rhesus macaque hematopoietic tissues in immune-deficient mice yields a robust BLT/NeoThy-type primatized mouse model for studying nonhuman primate hematopoiesis and immune function in vivo.

Impact of new operational dosimetric quantities on individual monitoring services

The new operational dosimetric quantities framework, proposed in the ICRU95 report, has stimulated the scientific community to start investigations that aim to assess its impact on radiation protection practices. As part of this effort, the present study describes an inter-comparison exercise among individual monitoring services (IMSs) on passive whole-body dosimetry. The inter-comparison is performed in terms of both the existing operational dose quantityHp(10)and its proposed replacementHp, to allow an evaluation of the actions that may be necessary to adapt dosimetry systems to the proposed quantity. For two of the tested IMSs, simple modifications to the detector response function, or the dose calculation algorithm, were sufficient to obtain results within acceptable limits. However, these approaches are not sufficient to give a level of performance comparable to that achieved in terms ofHp(10). This may require a modification to dosemeter design.

MEASUREMENT OF OPERATIONAL QUANTITIES Hp(0.07) AND Hp(3) FOR INDIGENOUSLY DEVELOPED 106Ru/106Rh SOURCE USING AN EXTRAPOLATION CHAMBER

In the present study, a prototype 106Ru/106Rh source was fabricated using high level liquid waste from reactor fuel, fixed in a stainless steel housing with a window and backing made of silver. The study involves measurement of the operational quantities Hp(0.07), Hp(3) and the percentage depth dose (PDD) using an extrapolation chamber. It also involves determination of necessary correction factors to arrive at Hp(0.07) and Hp(3) following International Organisation for Standardisation (ISO) and methods suggested in literature. The study facilitates incorporation of the 106Ru/106Rh source as a beta reference source for quality assurance programme in TLD personnel monitoring as per the guidelines of ISO.

BAYESIAN SPECTRUM DECONVOLUTION INCLUDING UNCERTAINTIES AND MODEL SELECTION: APPLICATION TO X-RAY EMISSION DATA USING WINBUGS

Spectrum deconvolution is an important task in ionizing radiation measurements, as the pulse height spectra, or, in general, the measured data from spectrometers or other measuring instruments are usually determined by the convolution of the response function with the fluence spectra. The method presented here for obtaining fluence spectra from the measurements is an application of Bayesian parameter estimation to the deconvolution of X-ray emission data. The problem of choosing the optimal model among several possible models is also considered, as well as an approach to include contributions from various sources of uncertainty, both correlated and uncorrelated. The application is carried out using the Bayesian software WinBUGS.

X-RAY EMISSION FROM MATERIALS PROCESSING LASERS

The emission of laser induced X-rays from materials processing ultra-short pulsed laser systems was measured. The absolute spectral photon fluence was determined using a thermoluminescence detector based few-channel spectrometer. The spectra at 10 cm from the laser focus were in the energy region between 2 and 25 keV with mean energies of ~4-6 keV (when weighted by fluence or directional dose equivalent) and up to 13 keV (when weighted by ambient dose equivalent). The operational quantities, H·'(0.07), H·'(3) and H·*(10), were determined to be in the order of 1600-7300, 16-71 and 1-4 mSv per hour processing time, respectively, depending on the material and condition of the workpiece. The dose contribution due to photons above 30 keV was for all quantities negligible, i.e. below 10-3.

EURADOS 2016 INTERCOMPARISON EXERCISE OF EYE LENS DOSEMETERS

In the context of a new annual eye lens dose limit for occupational exposure equal to 20 mSv, European Radiation Dosimetry Group (EURADOS) organized an intercomparison dedicated to eye lens dosemeters, including photon and beta radiations. The objective was to complete the first intercomparison recently organized by EURADOS for photons and to update the overview of eye lens dosemeters available in Europe. The dosemeters provided by the 22 participants coming from 12 countries were all composed of thermoluminescent detectors. The dosemeters were irradiated with photon and beta fields defined in relevant standards. The results, provided by participants in terms of Hp(3), were compared to the reference delivered doses. Results are globally satisfactory for photons since 90% of the data are in accordance to the ISO 14146 standard requirements. The respective values for betas stress the fact that dosemeters designed for Hp(0.07) are not suitable to monitor the eye lens dose in case of betas.

The ICRU Proposal for New Operational Quantities for External Radiation

Report Committee 26 of the ICRU proposes a set of operational quantities for radiation protection for external radiation, directly based on effective dose and for an extended range of particles and energies. It is accompanied by quantities for estimating deterministic effects to the eye lens and the local skin. The operational quantities are designed to overcome the conceptual and technical shortcomings of those presently in use. This paper describes the proposed operational quantities, and highlights the improvements with respect to the present, legal monitoring quantities.

Effect of X-ray High-voltage Variations on the Conversion Coefficients

Conversion coefficients (CCs) are an essential vehicle in radiation protection for the determination of the dose (rate) of a given radiation field. According to the current draft of the revision of international standard ISO 4037, an X-ray field is a reference field if the CCs of the field match the tabulated ISO values within 2%. Deviations of the high-voltage (HV) tube-potential from its nominal value influence the resulting spectra and change the corresponding CCs. This work investigates the maximum allowable deviation of the HV from its nominal value such that the requirements of ISO 4037 remain fulfilled. This is achieved using both synthetic spectra created by a software simulation program and spectra measured at one of the X-ray facilities of the Physikalisch-Technische Bundesanstalt. The results are summarised in form of a new proposal for upper limit values which are suggested to be used in the next version of ISO 4037.

COMPILATION OF CONVERSION COEFFICIENTS FOR THE DOSE TO THE LENS OF THE EYE

A compilation of fluence-to-absorbed dose conversion coefficients for the dose to the lens of the eye is presented. The compilation consists of both previously published data and newly calculated values: photon data (5 keV-50 MeV for both kerma approximation and full electron transport), electron data (10 keV-50 MeV), and positron data (1 keV-50 MeV) - neutron data will be published separately. Values are given for angles of incidence from 0° up to 90° in steps of 15° and for rotational irradiation. The data presented can be downloaded from this article's website and they are ready for use by Report Committee (RC) 26. This committee has been set up by the International Commission on Radiation Units and Measurements (ICRU) and is working on a 'proposal for a redefinition of the operational quantities for external radiation exposure'.

INTERCOMPARISON OF EYE LENS DOSEMETERS

An intercomparison of eye lens dosemeters has been conducted in terms of the quantity Hp(3). For the first time, besides photon radiation also beta radiation qualities were included. Three dosemeter types designed for the quantity Hp(3) and ten for Hp(0.07) took part in the intercomparison. As shown in a previous intercomparison for photon radiation only, the dosemeters designed for Hp(0.07) and calibrated in terms of Hp(3) performed well in photon radiation fields. But for beta radiation, it turned out that Hp(0.07) dosemeters over-responded up to a factor of 5 000 (with respect to the true Hp(3) dose) in the medium beta energy range (85Kr with a beta endpoint energy of 0.69 MeV), while some Hp(3) dosemeters performed quite well. For medium (57 keV) and high (662 keV) energy photon radiation, all dosemeter types showed response values well within the trumpet curve according to the current draft of ISO 14146.

MULTI-PARAMETER INTERPOLATION OF BETA RADIATION DOSE RATES USING RADIAL BASIS FUNCTIONS

In this study, the interpolation problem for a set of Monte Carlo simulations of dose rate per activity of beta-emitting radionuclides is considered. The simulations were carried out for various conditions: for circular areal sources of different diameters and radionuclides, and for various distances from the source. Calculations were done for both operational quantities as well as organ doses: H_p(0.07), H_p(3), H_p(10), H_skin and H_lens Interpolation is needed for practical applications because it is often necessary to evaluate the dose quantities at parameter values that do not correspond exactly to the ones that were used for the simulation. To solve this problem, the method of radial basis function thin-plate spline interpolation is used. The method used for the interpolation and a software application called BetaDosim, which allows users to get the interpolated values, are described. BetaDosim is freely available.

EVOLUTION OF THE IEC AND EN STANDARDS FOR INDIVIDUAL MONITORING OF IONISING RADIATION

This article presents the evolution of the International Electrotechnical Commission (IEC) and the European standards for individual monitoring of ionising radiation issued, respectively, from the committees IEC/Sub Committee 45B and European Committee for Electro-technical Standardization/Technical Committee 45B 'Radiation protection instrumentation'. Standards for passive individual photon and beta dosimetry systems as well as those for active individual monitors are discussed. A neutron ambient dose equivalent (rate) meter standard and a technical report concerning the determination of uncertainty in measurement are also covered.

Influence of the phantom shape (slab, cylinder or Alderson) on the performance of an Hp(3) eye dosemeter

In the past, the operational quantity Hp(3) was defined for calibration purposes in a slab phantom. Recently, an additional phantom in the form of a cylinder has been suggested for eye lens dosimetry, as a cylinder much better approximates the shape of a human head. Therefore, this work investigates which of the two phantoms, slab or cylinder, is more suitable for calibrations and type tests of eye dosemeters. For that purpose, a typical Hp(3) eye dosemeter was irradiated on a slab, a cylinder and on a human-like Alderson phantom. It turned out that the response on the three phantoms is nearly equal for angles of radiation incidence up to 45° and deviates only at larger angles of incidence. Thus, calibrations (usually performed at 0° radiation incidence) are practically equivalent on both the slab and the cylinder phantoms. However, type tests (up to 75° or even 90° radiation incidence) should be carried out on a cylinder phantom, as also for large angles of incidence the response on the cylinder and the Alderson phantoms is rather similar, whereas the response on the slab significantly deviates from the one on the Alderson phantom.

Simulation of the dose rate per activity of beta-emitting radionuclides

The dose rate per activity was simulated for 10 beta-emitting radionuclides and for different activity distributions (point source, areal sources and a semi-infinite volume source). The results are given for 7 different distances from the source (from 0.01 to 2 m) for both contributions: the beta- and electron-emission, and the X- and gamma-emission. Data are provided for both operational quantities and organ doses: Hp(0.07), Hp(3), Hp(10), Hskin and Hlens. Finally, a software applicaton to interpolate the dose rate per activity due to the beta-emission of arbitrary radionuclides is presented and a simple superposition of these data and of gamma-ray dose constants to calculate the total dose rate is described.

Monitoring the eye lens: how do the international organisations react?

The International Commission on Radiological Protection (ICRP) has recommended to lower the limit of the dose to the eye lens for occupationally exposed persons to a mean value of 20 mSv y(-1) (averaged over 5 y, with a maximum of 50 mSv y(-1)); already in the autumn of 2011, both the European Commission and the International Atomic Energy Agency : IAEA) took over this reduction in their respective draft basic safety standards. Even prior to this (and since then, increasingly so), several international activities were started (among other things, the following ones): (1) the ICRP adopted a stylised model of the eye to calculate dose conversion coefficients for its report ICRP 116; (2) the European Commission has funded the ORAMED project dealing with radiation protection in medicine; (3) in its standard IEC 62387 on passive dosimetry systems, the International Electrotechnical Commission (IEC) has laid down requirements for Hp(3) eye dosemeters; (4) the International Organization for Standardization (ISO) and the IAEA provide a range of practical advice in the standard ISO 15382 (still a draft) and in a technical document IAEA TecDoc on both radiation protection and on dosimetry; (5) for most cases, the International Commission on Radiation Units and Measurements (ICRU) recommends both phantoms (the slab and the cylinder). In short: most national procedures can orientate themselves on international ones; some questions, however, remain open.

[True and virtual risks of travellers]

Evidence-based information on travel associated mortality is scarce. Perception, intuition and the availability of interventions such as vaccinations and chemoprophylaxis often guide pre-travel advice. Important risks including accidents and cardiovascular events are not routinely included in pre-travel consultations although they cause more fatalities and costs than infectious diseases. The increased risk of sustaining a road accident in poor economy countries should always be mentioned. The general practitioner is further best placed to discuss possible problems of travellers with chronic diseases before travel.

[Ingestion of foreign bodies in the gastrointestinal tract of children and adolescents]

The diagnosis of foreign bodies in the gastrointestinal (G-I) tract can sometimes be difficult. Esophageal foreign bodies are dangerous and should be extracted as soon as possible whereas foreign bodies in the stomach usually pass through the GI-tract without complications. Exceptions are large, sharp or potentially toxic foreign bodies, such as button batteries or magnetic foreign bodies. Extraction by flexible endoscopy with the patient under deep sedation has proven to be effective, relatively minimally invasive and safe. Complications, such as ulcers, fistulas and perforations occur in 13% of patients and are strongly correlated to the localization in the esophagus.

On the operational quantity H(p)(3) for eye lens dosimetry

In the past the operational quantity H(p)(3) has been defined for calibration purposes in a slab phantom. Recently, an additional phantom in the form of a cylinder was suggested for eye lens dosimetry as a cylinder much better approximates the shape of a head than a slab. Therefore, this work investigates whether the quantity H(p)(3), when defined in the respective calibration phantom, adequately estimates the eye lens dose (or is at least conservative) depending on the phantom: it turns out that in most cases both calibration phantoms are similarly well suited. Finally, the definition of the eye lens dose is discussed together with possible consequences on the definition of H(p)(3): the consideration of only the radiation sensitive volume of the lens causes H(p)(3) not to be conservative in beta radiation fields.

Air kerma to Hp(3) conversion coefficients for a new cylinder phantom for photon reference radiation qualities

The International Organization for Standardization (ISO) has issued a standard series on photon reference radiation qualities (ISO 4037). In this series, no conversion coefficients are contained for the quantity personal dose equivalent at a 3 mm depth, H(p)(3). In the past, for this quantity, a slab phantom was recommended as a calibration phantom; however, a cylinder phantom much better approximates the shape of a human head than a slab phantom. Therefore, in this work, the conversion coefficients from air kerma to H(p)(3) for the cylinder phantom are supplied for X- and gamma radiation qualities defined in ISO 4037.

Hp(0.07) photon dosemeters for eye lens dosimetry: calibration on a rod vs. a slab phantom

In recent years, several papers dealing with eye lens dosimetry have been published as epidemiological studies are implying that the induction of cataracts occurs even at eye lens doses of less than 500 mGy. For that reason, the necessity to monitor the eye lens may become more important than it was before. However, only few dosemeters for the appropriate quantity H(p)(3) are available. Partial-body dosemeters are usually designed to measure the quantity H(p)(0.07) calibrated on a rod phantom representing a finger while a slab phantom much better represents the head. Therefore, in this work it was investigated whether dosemeters designed for the quantity H(p)(0.07) calibrated on a rod phantom can also be worn on the head (close to the eyes) and still deliver correct results (H(p)(0.07) on a head). For that purpose, different types of partial-body dosemeters from routine use were irradiated at different photon energies on both a rod and a slab phantom. It turned out that their response values are within ±5% independent of the phantom if the quantity value for the respective phantom is used. Thus, partial-body dosemeters designed for the quantity H(p)(0.07) calibrated on a rod phantom may be worn on the head and used to monitor the eye lens dose due to photon radiation via the measurement of H(p)(0.07) on the head.

IEC standards for individual monitoring of ionising radiation

This paper presents IEC/SC 45B 'Radiation protection instrumentation' and its standards for individual monitoring of ionising radiation: IEC 61526 Ed. 3 for active personal dosemeters and IEC 62387-1 for passive integrating dosimetry systems. The transposition of these standards as CENELEC (European) standards is also discussed together with the collaboration between IEC/SC 45B and ISO/TC 85/SC 2.

[Benefits and risks of tube feeding via gastrostoma in infants and children with peritoneal dialysis]

BACKGROUND

Nutrition of children with end-stage renal disease and peritoneal dialysis (PD) is often difficult. Tube feeding via a gastrostoma is discussed controversially, and some authors consider this as a contraindication because of the risk of peritonitis.

METHODS

In our centre 16 infants and children with end-stage renal disease were treated with PD and tube feeding over a gastrostoma in the last 12 years. The patients showed dystrophy (mean BMI -1.73 SDS) and were too small (mean body length -4.56 SDS). Seven of them (median age 11 months) received a gastrostoma before insertion of a Tenkhoff-catheter and start of PD. Nine children (median age 5 months) had PD primarily before insertion of the gastrostoma and start of tube feeding.

RESULTS

Patients with start of PD while a gastrostoma was already inserted had 15 events with peritonitis in the observation time of 91 months (1.98 per patient year). Patients with primary start of PD had 12 events with peritonitis in a total time of 43 month (3.34 per patient year), after insertion while PD was already running the number of events fell significantly to 25 peritonitis events in a total of 271 months (1.11 per patient year, p < 0.01). The children had a benefit from tube feeding via a gastrostoma in regard of body weight (BMI + 1.61 SDS, p < 0.01) as well as growth (body height + 2.29 SDS, p < 0.05).

CONCLUSION

Tube feeding via a gastrostoma is a good and safe option for alimentation, even under peritoneal dialysis. A decrease of PD-associated peritonitis under tube feeding was observed while physical development was positively influenced.

[Japanese encephalitis: risk for endemic populations and for travellers]

The importance of Japanese encephalitis (JE) in endemic populations and in travellers requires a balanced assessment. This disease represents an important public health problem in some endemic areas, which contrasts with the minimal risk for travellers to endemic areas. This is reflected by high numbers of infections mainly among children in endemic countries and by few case reports among tourists and even expatriates. The total number of case reports between 1978 and 2008 amounts to a risk of one to two cases per year. Nevertheless, some travelling groups may be at higher risk when visiting or working in high risk areas. A new vaccine against Japanese encephalitis will soon be registered in Switzerland. This paper contributes to the scarce data available for decision making whether or not to recommend the vaccination to tourists and expatriates.

Uncertainties in external dosimetry: analytical vs. Monte Carlo method

Over the years, the International Commission on Radiological Protection (ICRP) and other organisations have formulated recommendations regarding uncertainty in occupational dosimetry. The most practical and widely accepted recommendations are the trumpet curves. To check whether routine dosemeters comply with them, a Technical Report on uncertainties issued by the International Electrotechnical Commission (IEC) can be used. In this report, the analytical method is applied to assess the uncertainty of a dosemeter fulfilling an IEC standard. On the other hand, the Monte Carlo method can be used to assess the uncertainty. In this work, a direct comparison of the analytical and the Monte Carlo methods is performed using the same input data. It turns out that the analytical method generally overestimates the uncertainty by about 10-30 %. Therefore, the results often do not comply with the recommendations of the ICRP regarding uncertainty. The results of the more realistic uncertainty evaluation using the Monte Carlo method usually comply with the recommendations of the ICRP. This is confirmed by results seen in regular tests in Germany.

Secondary charged particle equilibrium in 137Cs and 60Co reference radiation fields

During the calibration or irradiation of dosemeters, typical irradiation geometries (collimated beams) and source-to-detector distances (1-5 m) lead to the fact that for photon energies above a few hundred keV, the secondary charged particle equilibrium is usually not ensured. The reason is that the effective beam radius at the detector position is smaller than the range of the secondary electrons produced in air whose maximum particle energy is as large as the maximum photon energy. Therefore, the International Organization for Standardization (ISO) recommends putting a build-up plate (BUP) made of polymethyl methacrylate in front of the dosemeter to be calibrated in ISO 4037-3. In this paper, the effect of the thickness of the BUP and its distance from the dosemeter at different source-to-dosemeter distances were investigated by means of measurement and calculation. It turned out that the geometrical arrangement of the source, dosemeter and BUP recommended by ISO mostly does not ensure secondary charged particle equilibrium. The consequence is to always place the BUP directly in front of the dosemeter to be calibrated or irradiated.

Characterisation of three high-energy photon and fast neutron reference radiation fields

Three reference radiation fields for the purpose of radiation protection were characterised: (1) radiation field R-F, consisting of photons in the energy range of about 6 and 7 MeV and a small neutron contamination; (2) radiation field R-C, consisting of photons with energies of about 4.4 MeV and neutrons with energies up to 2.65 MeV; (3) radiation field R-CF, consisting of photons in the energy range of about 1 and 7 MeV and neutrons with energies about 1.5 MeV. The radiation fields R-F and R-C have previously been defined in the ISO standard 4037. Their neutron components, however, have never been described accurately in the past. The new radiation field R-CF is proposed for the first time. This radiation field can, e.g., be used to calibrate tissue-equivalent proportional counters instruments for measurements at flight altitudes.

New concept of IEC standards for radiation protection dosemeters

The International Electrotechnical Commission (IEC) develops new standards for radiation protection dosemeters which follow a new concept. They are much more flexible in detail, but still ensure the same measurement quality. They are, for example, no longer specific for the detector type, but rather specific for the measurement task, e.g. for individual monitoring with active direct-reading instruments. Another example is that they are flexible with respect to the ranges of influence quantities. The conceptual changes are described in this paper, together with the advantages this new concept provides for manufacturers, users and legislators.

Chronisch-entzündliche Darmerkrankung und Nephritis

An 11 year old CD-patient developed an interstitial nephritis and acute kidney failure following treatment with Mesalazine (5-ASA) and Salazosulfapyridine (SASP). After removal of the medication and treatment with hemofiltration and prednisone there was only an incomplete recovery of the renal function (creatinine-clearance 34 ml/1,73 m2/min). It is thought that an hyperergic-allergic reaction due to SASP and 5-ASA causes interstitial nephritis in inflammatory bowel disease (IBD). This reaction can be induced by re-exposition too. On the other hand IBD can be associated with glomerulonephritis. This could be a not very well known extraintestinal manifestation in IBD caused by immune-complexes in serum and glomerula. A rapid histological verification of the renal disease is necessary for successful treatment. In both renal manifestations chronic courses are possible. These observations should not lead to avoid SASP/5-ASA in treatment of IBD, but renal function should be routinely investigated.