A consensus statement on the renal monitoring of Australian patients receiving tenofovir based antiviral therapy for HIV/HBV infection

A number of antiviral agents used against Human Immunodeficiency Virus (HIV) infection and hepatitis B virus (HBV) mono or co-infection have been associated with real nephrotoxicity (including tenofovir disoproxil fumarate (TDF), atazanavir, indinavir and lopinavir) or apparent changes in renal function (e.g. cobicistat, ritonavir, rilpivirine and dolutegravir). Patients with HIV are at higher risk of acute and chronic renal dysfunction, so baseline assessment and ongoing monitoring of renal function is an important part of routine management of patients with HIV. Given the paucity of evidence in this area, we sought to establish a consensus view on how routine monitoring could be performed in Australian patients on ART regimens, especially those involving TDF. A group of nephrologists and prescribers (an HIV physician and a hepatologist) were assembled by Gilead to discuss practical and reasonable renal management strategies for patients particularly those on TDF-based combination regimens (in the case of those with HIV-infection) or on TDF-monotherapy (in the case of HBV-mono infection). The group considered which investigations should be performed as part of routine practice, their frequency, and when specialist renal referral is warranted. The algorithm presented suggests testing for serum creatinine along with plasma phosphate and an assessment of urinary protein (rather than albumin) and glucose. Here we advocate baseline tests of renal function at initiation of therapy. If creatinine excretion inhibitors (e.g. cobicistat or rilpivirine) are used as part of the ART regimen, we suggest creatinine is rechecked at 4 weeks and this value used as the new baseline. Repeat testing is suggested at 3-monthly intervals for a year and then at least yearly thereafter if no abnormalities are detected. In patients with abnormal baseline results, renal function assessment should be performed at least 6 monthly. In HBV mono-infected patients advocate that a similar testing protocol may be logical.Stephen G Holt, David M Gracey, Miriam T Levy, David W Mudge, Ashley B Irish, Rowan G Walker, Richard Baer, Jacob Sevastos, Riaz Abbas and Mark A Boy

Rainfastness of agrochemical formulations based on N-vinyl pyrrolidone polymers and their interpolymer complexes with poly(acrylic acid)

In this study, poly(N-vinyl pyrrolidone) (PVP), a cheap, safe and non-toxic polymer, was explored using a range of analytical methods including fluorescence microscopy to gain insight into the role of polymer physicochemical properties on rainfastness, i.e. tenacity of foliar deposits against rain, of agrochemicals on plant surfaces. Three methods were approached to increase rainfastness of PVP, i.e. using high molecular weight grades of the polymer, pre- blending PVP with poly(acrylic acid) (PAA) and successively depositing drops of each polymer (PVP or PAA) on top of the other. Regarding the first method, from the different commercial grades of PVP studied, it was revealed that the polymer with highest molecular weight (1300 kDa) significantly improved the rainfastness of a model fungicide (azoxystrobin). The rainfastness results correlated with film dissolution in water. In the second method, rainfastness properties of PVP were improved by mixing it with PAA and it was shown that PVP-PAA mixtures at the 50:50 weight ratio retarded film dissolution by a factor of 2-3 compared to the PVP alone. In the third method, a novel approach was employed by placing drops of PAA solution on PVP drops on paraffin film and leaving to physically mix and dry down. In this proof-of-concept study, the washing-off profiles of the dry deposits revealed a striking rainfastness increase almost to the level of the insoluble controls. Methods employed in this study to increase rainfastness of agrochemical formulations can explain the previously reported effects of water-soluble polymers on rainfastness and allows the identification of improved rainfastness aids

Synthesis, characterization and assessment of hydrophilic oxidized carbon nanodiscs in bio-related applications

Oxidation of industrially prepared carbon nanodiscs using a simple, versatile, and reproducible approach based on the Staudenmaier method yields a new hydrophilic form of nanocarbon. As a result of the strong acid treatment, which also enables the separation of carbon nanodiscs from the mixed starting material, the graphene planes detach from the discs, while the surface of the carbon nanodiscs is decorated with various oxygen-containing functional polar groups. Thus, the completely insoluble carbon nanodiscs are converted to a hydrophilic derivative dispersable in many polar solvents, including water. The new carbon structure is expected to have a wide range of applications in several fields including bioapplications. To this end, the functionalized carbon nanodiscs exhibit very low cytotoxicity, while they achieve high drug loadings, enabling their application as an effective drug nanocarrier. Furthermore, the carbon disks were evaluated as supports in nanobiocatalytic applications, increasing significantly the stability of the systems, due to carbon disks' nano-sized dimensions

One year outcomes of a mentoring scheme for female academics: a pilot study at the Institute of Psychiatry, King's College London

<p>Abstract</p> <p>Background</p> <p>The professional development of under-represented faculty may be enhanced by mentorship, but we understand very little about the mechanisms by which mentoring brings about change. Our study posed the research question, what are the mechanisms by which mentoring may support professional development in under-represented groups?</p> <p>The study aims to: (i) to pilot a mentoring scheme for female academics; (ii) to compare various health-related and attitudinal measures in mentees at baseline, 6 months, and 1 year into the mentoring relationship and, (iii) to compare pre-mentoring expectations to outcomes at 6 months and 1 year follow-up for mentees and mentors.</p> <p>Methods</p> <p>Female academic mentees were matched 1:1 or 2:1 with more senior academic mentors. Online surveys were conducted to compare health-related and attitudinal measures and expectations of mentoring at baseline with outcomes at 6 months and 1 year using paired t-tests and McNemar's test for matched cohort data.</p> <p>Results</p> <p>N = 46 mentoring pairs, 44 (96%) mentees completed the pre-mentoring survey, 37 (80%) at 6 months and 30 (65%) at 1 year. Job-related well-being (anxiety-contentment), self-esteem and self-efficacy all improved significantly and work-family conflict diminished at 1 year. Highest expectations were career progression (39; 89%), increased confidence (38; 87%), development of networking skills (33; 75%), better time-management (29; 66%) and better work-life balance (28; 64%). For mentees, expectations at baseline were higher than perceived achievements at 6 months or 1 year follow-up.</p> <p>For mentors (N = 39), 36 (92%) completed the pre-mentoring survey, 32 (82%) at 6 months and 28 (72%) at 1 year. Mentors' highest expectations were of satisfaction in seeing people progress (26; 69%), seeing junior staff develop and grow (19; 53%), helping solve problems (18; 50%), helping women advance their careers (18; 50%) and helping remove career obstacles (13; 36%). Overall, gains at 6 months and 1 year exceeded pre-mentoring expectations.</p> <p>Conclusions</p> <p>This uncontrolled pilot study suggests that mentoring can improve aspects of job-related well-being, self-esteem and self-efficacy over 6 months, with further improvements seen after 1 year for female academics. Work-family conflict can also diminish. Despite these gains, mentees' prior expectations were shown to be unrealistically high, but mentors' expectations were exceeded.</p

Systemic versus localized coagulation activation contributing to organ failure in critically ill patients

In the pathogenesis of sepsis, inflammation and coagulation play a pivotal role. Increasing evidence points to an extensive cross-talk between these two systems, whereby inflammation not only leads to activation of coagulation but coagulation also considerably affects inflammatory activity. The intricate relationship between inflammation and coagulation may not only be relevant for vascular atherothrombotic disease in general but has in certain clinical settings considerable consequences, for example in the pathogenesis of microvascular failure and subsequent multiple organ failure, as a result of severe infection and the associated systemic inflammatory response. Molecular pathways that contribute to inflammation-induced activation of coagulation have been precisely identified. Pro-inflammatory cytokines and other mediators are capable of activating the coagulation system and downregulating important physiological anticoagulant pathways. Activation of the coagulation system and ensuing thrombin generation is dependent on an interleukin-6-induced expression of tissue factor on activated mononuclear cells and endothelial cells and is insufficiently counteracted by physiological anticoagulant mechanisms and endogenous fibrinolysis. Interestingly, apart from the overall systemic responses, a differential local response in various vascular beds related to specific organs may occur

Happy high-performing managers

Hosie, PJ ORCiD: 0000-0003-2585-024XThere has long been an adherence to the intuitively appealing notion that happy employees perform better. But decades of research have been unable to establish a strong link between job satisfaction and performance. In large part, this has resulted from researchers erroneously conceiving and operationalising job satisfaction as being identical to affective wellbeing. Belief in the ‘happy productive worker’ thesis has its roots in the human behaviour school of the 1950s. Similarly, the 1970s human relations movement had a significant influence on job redesign and quality-of-life initiatives and was credited with specifying the original satisfaction–performance relationship (Strauss, 1968). Despite mixed empirical evidence, there is support in the literature to suggest that a relationship exists between managers’ affective wellbeing, intrinsic job satisfaction and their performance. This study investigated the relationship between managers’ job-related affective wellbeing (‘affective wellbeing’), intrinsic job satisfaction and their contextual and task job performance (‘managers’ performance’). Specifically, the main goal was to establish which indicators of managers’ affective wellbeing and intrinsic job satisfaction might predict dimensions of their’ contextual and task performance

Fusarium graminearum 1H NMR metabolomics

Raw 1H NMR spectra of Fusarium graminearum hyphae can be found at the website of the pesticide metabolomics group (PMG) of the Agricultural University of Athens at the address: http://www.aua.gr/pesticide-metabolomicsgroup/Resources/Fusarium_graminearum_NMR_spectra.html, accession number PMG-01–17. The data set support the research article “Implication of Fusarium graminearum Primary Metabolism in its Resistance to Benzimidazole Fungicides as revealed by 1H NMR Metabolomics” [1]

Happy high-performing managers

There has long been an adherence to the intuitively appealing notion that happy employees perform better. But decades of research have been unable to establish a strong link between job satisfaction and performance. In large part, this has resulted from researchers erroneously conceiving and operationalising job satisfaction as being identical to affective wellbeing. Belief in the ‘happy productive worker’ thesis has its roots in the human behaviour school of the 1950s. Similarly, the 1970s human relations movement had a significant influence on job redesign and quality-of-life initiatives and was credited with specifying the original satisfaction–performance relationship (Strauss, 1968). Despite mixed empirical evidence, there is support in the literature to suggest that a relationship exists between managers’ affective wellbeing, intrinsic job satisfaction and their performance. This study investigated the relationship between managers’ job-related affective wellbeing (‘affective wellbeing’), intrinsic job satisfaction and their contextual and task job performance (‘managers’ performance’). Specifically, the main goal was to establish which indicators of managers’ affective wellbeing and intrinsic job satisfaction might predict dimensions of their’ contextual and task performance

Inhibition of hydroxyapatite formation in the presence of titanocene–aminoacid complexes: an experimental and computational study

Organometallic compounds have been used in various fields of chemistry, medicine and materials science. Central metal, stereochemical configuration and functional groups of the substitutes give to the organometallic compounds very special and selective properties. These properties have been used successfully in selective-antitumor-targeting, as well as anti-arthritic drugs. In the present investigation we study the influence of two organometallic compounds on the inhibition of crystallization of hydroxyapatite. These compounds are complexes of Ti(IV) with the general formula [Cp2Ti(aa)2]2+2Cl−, where Cp = η5-C5H5 cyclopentadienyl and aa the amino acid glycine or alanine. The experiments were conducted according to the constant composition technique in supersaturated solutions containing calcium and phosphate ions. The kinetic results indicate a surface diffusion controlled mechanism of the hydroxyapatite (HAP) crystals. The experiments prove that the presence of [Cp2Ti(Ala)2]2+2Cl− and [Cp2Ti(Gly)2]2+2Cl− complexes affects drastically the profile formation rate of the HAP crystals under biological conditions. The complex with the amino acid alanine provides a stronger inhibition of the formation rate comparing to the complex with glycine. The experimental observations are supported by computer calculations. © 2014, Springer Science+Business Media New York