The Impact of Vein Mechanical Compliance on Arteriovenous Fistula Outcomes

© 2016 Elsevier Inc. Background Arteriovenous fistulae (AVFs) are the preferred access for hemodialysis but suffer a high early failure rate. The aim of this study was to determine how venous distensibility, as measured in vitro, relates to early outcomes of AVF formed with the sampled vein. Methods Ethical approval was obtained for all aspects of this study. During AVF formation a circumferential segment of the target vein was sampled. Mechanical stress testing of the venous segments was undertaken using a dynamic mechanical analyzer, with progressive stress loading at 2 N/min to a maximum of 10 N or until sample disruption. Stress-strain curves were obtained for vein samples and Young's modulus (YM) calculated. Duplex assessment of the fistulae was undertaken at 30 days. Results Thirty patients consented to participate with 29 samples obtained for analysis. Statistical comparison of YM demonstrated no relationship with common cardiovascular risk factors or dialysis status. Subject age greater than 65 was the only patient factor which showed a significant difference in YM (P = 0.05). Furthermore, a negative correlation was confirmed between age and YM (Pearson's r = -0.465, P < 0.05). Nine of the 29 subjects suffered an early AVF failure. Mann-Whitney U testing for differences in distribution reported that YM was significantly higher in those fistulas which failed (P < 0.005). Conclusions Reduced venous compliance appears to result in higher failure rates of AVFs. With the advancement of clinical tools such as speckle tracing ultrasound identification of vessel compliance in vivo may produce valuable additional information for clinicians planning AVF surgery

An Effective Method for the Preparation of High Temperature Stable Anatase TiO2 Photocatalysts

An efficient, rapid and straightforward method for the preparation of nitrogen and fluorine (N, F) codoped high temperature stable anatase using a microwave pre-treatment is reported. Using a single source, ammonium fluoride (NH4F) for both nitrogen and fluorine, effective doping of the precursor titanium isopropoxide (TTIP) was possible. These samples were characterised for their structural and optical properties using X-ray diffraction (XRD), Fourier transform IR (FTIR), Raman spectroscopy and UV-vis spectroscopy. In terms of the anatase to rutile transition enhancement using a novel microwave assisted technique, the sample prepared in a composition of 1:8 TiO2: NH4F at 1200 °C was seen to be most effective, having stable anatase present at 57.1 % compared to undoped TiO2 being 100 % rutile from 900 °C. This method involves the production of ammonium oxofluorotitanates (NH4TiOF3) at low temperatures. The inclusion of these intermediates greatly reduces the particle size growth and delays the anatase to rutile transition. The photocatalytic activity of these materials was studied by analysing the degradation of an organic dye, rhodamine 6G as a model system and the rate constant was calculated by pseudo-first-order kinetics. These results showed that the doped sample (0.0225 min-1) was three times more active than the undoped sample (0.0076 min-1) and over seven times faster than the commercial TiO2 photocatalyst standard Degussa P-25 calcined at 1200 °C (0.0030 min-1). The formation of intermediate compounds, oxofluorotitanates, was identified as the major reason for a delay in the anatase to rutile transition

An Effective Method for the Preparation of High Temperature Stable Anatase TiO2 Photocatalysts

An efficient, rapid and straightforward method for the preparation of nitrogen and fluorine (N, F) codoped high temperature stable anatase using a microwave pre-treatment is reported. Using a single source, ammonium fluoride (NH4F) for both nitrogen and fluorine, effective doping of the precursor titanium isopropoxide (TTIP) was possible. These samples were characterised for their structural and optical properties using X-ray diffraction (XRD), Fourier transform IR (FTIR), Raman spectroscopy and UV-vis spectroscopy. In terms of the anatase to rutile transition enhancement using a novel microwave assisted technique, the sample prepared in a composition of 1:8 TiO2: NH4F at 1200 °C was seen to be most effective, having stable anatase present at 57.1 % compared to undoped TiO2 being 100 % rutile from 900 °C. This method involves the production of ammonium oxofluorotitanates (NH4TiOF3) at low temperatures. The inclusion of these intermediates greatly reduces the particle size growth and delays the anatase to rutile transition. The photocatalytic activity of these materials was studied by analysing the degradation of an organic dye, rhodamine 6G as a model system and the rate constant was calculated by pseudo-first-order kinetics. These results showed that the doped sample (0.0225 min-1) was three times more active than the undoped sample (0.0076 min-1) and over seven times faster than the commercial TiO2 photocatalyst standard Degussa P-25 calcined at 1200 °C (0.0030 min-1). The formation of intermediate compounds, oxofluorotitanates, was identified as the major reason for a delay in the anatase to rutile transition

New approach of modifying the anatase to rutile transition temperature in TiO2 photocatalysts

In pure synthetic titanium dioxide, the anatase to rutile phase transition usually occurs between the temperatures of 600 °C and 700 °C. The phase transition temperature can be altered by various methods, including modifying the precursor or by adding dopant or modifier to the TiO2 sample. In an attempt to investigate the phase transition using aromatic carboxylic acids, the current study examines the impact of increasing concentrations of benzoic acid (1 : 0, 1 : 1, 1 : 4 and 1 : 8 molar ratio TiO2 : benzoic acid) on anatase to rutile transition. The samples were characterised using Raman spectroscopy, X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR) and X-ray photoelectron spectroscopy (XPS) studies. At 500 °C, all samples contained only anatase. At 600 °C, the 1 : 1, 1 : 4 and 1 : 8 samples contain only anatase and the control (which contains no modifier) was a mixture of 27% anatase and 73% rutile. At 700 °C, the 1 : 1 molar ratio sample contained 50% anatase/rutile, 1 : 4 and 1 : 8 molar ratio samples were observed to have a majority of anatase, 76% and 71% respectively. When the temperature was increased to 800 °C, the sample with the 1 : 4 molar ratio contained 10% anatase and at the same temperature the 1 : 8 ratio sample contained 7% anatase; the remaining samples (1 : 0 and 1 : 1) at this temperature contained only rutile. These results show that there is a significant % anatase still present when the doped samples were calcined to 700 °C when compared with the control (100% rutile). There are small amounts of the anatase phase in the 1 : 4 and 1 : 8 samples at 800 °C. Therefore, benzoic acid has induced a delay in the rutile formation

A review of solar and visible light active TiO2 photocatalysis for treating bacteria, cyanotoxins and contaminants of emerging concern

Researchintothedevelopmentofsolarandvisiblelightactivephotocatalystshasbeensignificantlyincreased\ud inrecentyearsduetoitswiderangeofapplicationsintreatingcontaminantsofemergingconcern(CECs),\ud endocrine disruptingcompounds(EDCs), bacteriaandcyanotoxins.Solarphotocatalysisisfoundtobehighly\ud effectiveintreatingawiderangeofCECsfromsourcessuchaspharmaceuticals,steroids,antibiotics,phthalates,\ud disinfectants,pesticides,fragrances(musk),preservativesandadditives.Similarly,anumberofEDCsincluding\ud polycyclicaromatichydrocarbons(PAHs),alkylphenols(APs),bisphenolA(BPA),organotins(OTs),volatileor-\ud ganic compounds(VOCs),naturalandsyntheticestrogenicandandrogenicchemicals,pesticides,andheavy\ud metalscanberemovedfromcontaminatedwaterbyusingsolarphotocatalysis.Photocatalysiswasalsofound\ud effectiveintreatingawiderangeofbacteriasuchas Staphylococcusaureus,Bacillussubtilis,Escherichiacoli,\ud Salmonellatyphi and Micrococcuslylae. Thecurrentreviewalsocomparestheeffectivenessofvariousvisible\ud lightactivatedTiO2 photocatalystsfortreatingthesepollutants. Dopingorco-dopingofTiO2 usingnitrogen,\ud nitrogen–silver,sulphur,carbon,copperandalsoincorporation ofgraphenenano-sheetsarediscussed.Theuse\ud of immobilisedTiO2 for improvingthephotocatalyticactivityisalso presented.Decoratingtitaniaphotocatalyst\ud withgrapheneoxide(GO)isofparticularinterestduetoGO'sabilitytoincreasethephotocatalyticactivityof\ud TiO2. TheuseGOtoincreasethephotocatalyticactivityofTiO2 againstmicrocystin-LR(MC-LR)underUV-Aand\ud solarirciationisdiscussed.TheenhancedphotocatalyticactivityofGO–TiO2 comparedtothecontrolmaterialis\ud attributedtotheeffectiveinhibitionoftheelectron–holerecombinationbycontrollingtheinterfacialcharge\ud transferprocess.Itisconcludedthatthereisacriticalneedforfurtherimprovementoftheefficiencyofthese\ud materialsiftheyaretobeconsideredforbulkindustrialuse

Chapter Green Nanotechnology: Development of Nanomaterials for Environmental and Energy Applications

This book chapter discusses the syntheses of various nanomaterials, for green nanotechnology applications in detail. Special attention is given to the development of emerging areas, such as environmental as well as energy materials. Various approaches for preparing nanostructured photocatalysts, such as titanium dioxide, zinc oxide, iron oxide, and metal sulfides, different conventional methods and novel methods, including sol-gel methods, hydrothermal methods, microwave-assisted methods and sonochemical methods are introduced. The use of nanomaterials as photocatalysts, supporting materials for solar cells, and disinfectants is reported for environmental remediation and energy applications. Advanced applications of nanomaterials for water detoxification, air purification, and the inactivation of pathogenic microorganisms in water as well as dye-sensitized solar cells is also discussed. The enhancement of selectivity of photocatalysis, especially TiO2 systems, for the destruction of target contaminants in water is comprehensively presented. Finally, the role of reactive oxygen species (ROS), such as hydroxyl radical (•OH), superoxide anion radical (O2•-), singlet oxygen (1O2) and hydrogen peroxide (H2O2), in semiconductor photocatalysis is introduced and various experimental techniques to detect ROS are also discussed

Nemzeti érdekek az EU-ban. Az olasz európa-politika tanulságai, különös tekintettel az európai gazdasági kormányzásban betöltött szerepre = National Interests in the EU. Experiences of Italy’s European policy with special regard to its role in the European economic governance

A disszertáció a hazai és a nemzetközi szakirodalom elemzésén keresztül vizsgálja a nemzeti és az európai (közösségi) érdek viszonyát, ezek alakulását az integrációs folyamatban. Választ próbál találni arra, hogy mi a fő oka annak az utóbbi évtizedben egyre inkább erősödő jelenségnek, amely az EU nemzetek feletti jellegének visszaszorulásában, és ezzel párhuzamosan a közösségi szakpolitikák alakításakor a kormányközi logika érvényesülésének erősödésében összegezhető. Az elemzés során nem lehet eltekinteni az európai integráció társadalmi aspektusaitól, így ezek között kiemelten a projekttel való lakossági azonosulás, más szóval az egyébként sokdimenziós, tagállamonként és időben változó identitás problematikájától. A dolgozat kiemelten foglalkozik az olasz Európa-politika fejlődésével és érvényesülésével. Róma EU-politikájának elemzése már csak azért is érdekes feladat, mert Itália európai középhatalmi státuszából adódóan az a klasszikus közösségi-államközi, látszólag ellentétes „módszer” metszéspontjában található. Megnyilvánulási formái ennek megfelelően – a külső szemlélő számára akár bizonytalankodásnak hatóan - váltakozó hangsúllyal ötvözik a nemzetek feletti és a kormányközi stratégiát. Az olasz integrációs politika hagyományainak, általános geopolitikai-külpolitikai keretrendszerének, változásainak részletes elemzése elengedhetetlen az egyes szakpolitikák terén tanúsított olasz törekvések megértéséhez. (...

Cerebrospinal fluid biomarkers of Alzheimer\u27s disease in a cohort of adults with Down syndrome

Introduction: Virtually all individuals with Down syndrome (DS) will develop Alzheimer\u27s disease (AD) pathology by age 40. Cerebrospinal fluid (CSF) biomarkers have characterized AD pathology in cohorts of late-onset AD (LOAD) and autosomal-dominant AD (ADAD). Few studies have evaluated such biomarkers in adults with DS. Methods: CSF concentrations of amyloid beta (Aβ)40, Aβ42, tau, phospho-tau181 (p-tau), neurofilament light chain (NfL), soluble triggering receptor expressed on myeloid cells 2 (sTREM2), chitinase-3-like protein 1 (YKL-40), alpha synuclein (αSyn), neurogranin (Ng), synaptosomal-associated protein 25 (SNAP-25), and visinin-like protein 1 (VILIP-1) were assessed in CSF from 44 adults with DS from the Alzheimer\u27s Biomarker Consortium-Down Syndrome study. Biomarker levels were evaluated by cognitive status, age, and apolipoprotein E gene ( Results: Biomarker abnormalities indicative of amyloid deposition, tauopathy, neurodegeneration, synaptic dysfunction, and neuroinflammation were associated with increased cognitive impairment. Age and Discussion: The profile of many established and emerging CSF biomarkers of AD in a cohort of adults with DS was similar to that reported in LOAD and ADAD, while some differences were observed

Effect of race on prediction of brain amyloidosis by plasma Aβ42/Aβ40, phosphorylated tau, and neurofilament light

BACKGROUND AND OBJECTIVES: To evaluate whether plasma biomarkers of amyloid (Aβ42/Aβ40), tau (p-tau181 and p-tau231), and neuroaxonal injury (neurofilament light chain [NfL]) detect brain amyloidosis consistently across racial groups. METHODS: Individuals enrolled in studies of memory and aging who self-identified as African American (AA) were matched 1:1 to self-identified non-Hispanic White (NHW) individuals by age, RESULTS: There were 76 matched pairs of AA and NHW participants (n = 152 total). For both AA and NHW groups, the median age was 68.4 years, 42% were DISCUSSION: Models predicting brain amyloidosis using a high-performance plasma Aβ42/Aβ40 assay may provide an accurate and consistent measure of brain amyloidosis across AA and NHW groups, but models based on plasma p-tau181, p-tau231, and NfL may perform inconsistently and could result in disproportionate misdiagnosis of AA individuals

Comparison of plasma and CSF biomarkers in predicting cognitive decline

OBJECTIVES: Concentrations of amyloid-β peptides (Aβ42/Aβ40) and neurofilament light (NfL) can be measured in plasma or cerebrospinal fluid (CSF) and are associated with Alzheimer\u27s disease brain pathology and cognitive impairment. This study directly compared plasma and CSF measures of Aβ42/Aβ40 and NfL as predictors of cognitive decline. METHODS: Participants were 65 years or older and cognitively normal at baseline with at least one follow-up cognitive assessment. Analytes were measured with the following types of assays: plasma Aβ42/Aβ40, immunoprecipitation-mass spectrometry; plasma NfL, Simoa; CSF Aβ42/Aβ40, automated immunoassay; CSF NfL plate-based immunoassay. Mixed effects models evaluated the global cognitive composite score over a maximum of 6 years as predicted by the fluid biomarkers. RESULTS: Analyses included 371 cognitively normal participants, aged 72.7 ± 5.2 years (mean ± standard deviation) with an average length of follow-up of 3.9 ± 1.6 years. Standardized concentrations of biomarkers were associated with annualized cognitive change: plasma Aβ42/Aβ40, 0.014 standard deviations (95% confidence intervals 0.002 to 0.026); CSF Aβ42/Aβ40, 0.020 (0.008 to 0.032); plasma Nfl, -0.018 (-0.030 to -0.005); and CSF NfL, -0.024 (-0.036 to -0.012). Power analyses estimated that 266 individuals in each treatment arm would be needed to detect a 50% slowing of decline if identified by abnormal plasma measures versus 229 for CSF measures. INTERPRETATION: Both plasma and CSF measures of Aβ42/Aβ40 and NfL predicted cognitive decline. A clinical trial that enrolled individuals based on abnormal plasma Aβ42/Aβ40 and NfL levels would require only a marginally larger cohort than if CSF measures were used