International criteria for acute kidney injury: advantages and remaining challenges

• Acute Kidney Injury (AKI) is defined using widely accepted international criteria that are based on changes in serum creatinine concentration and degree of oliguria. • AKI, when defined in this way, has a strong association with poor patient outcomes, including high mortality rates and longer hospital admissions with increased resource utilisation and subsequent chronic kidney disease. • The detection of AKI using current criteria can assist with AKI diagnosis and stratification of individual patient risk. • The diagnosis of AKI requires clinical judgement to integrate the definition of AKI with the clinical situation, to determine underlying cause of AKI, and to take account of factors that may affect performance of current definitions

Representations of mental health and arts participation in the national and local British press, 2007-2015

We analysed news articles published in national and local British newspapers between 2007 and 2015 to understand 1) how mental health and arts participation were framed and 2) how the relationships between participants in arts initiatives were conceptualised. Using corpus-assisted qualitative frame analysis, we identified frames of recovery, stigma and economy. The recovery frame, which emphasised that mental illness can be treated similarly to physical illness, positioned arts participation as a form of therapy that can complement or substitute medication. The stigma frame presented arts participation as a mechanism for challenging social conceptions that mentally ill individuals are incapable of productive work. The economy frame discussed the economic burden of mentally ill individuals and portrayed arts participation as facilitating their return to employment. Using thematic analysis, which paid attention to the representation of social actors, we found that service users were identified as the prime beneficiaries of arts initiatives and arts participation was conceptualised as a way to bring people with mental health issues together. We discuss these findings against existing research on media representations of mental health and the concept of ‘mutual recovery’ and suggest what wider concurrent developments in the areas of mental health and the media may account for the uncovered frames and themes

Quantitative Assessment of Mammary Gland Density in Rodents Using Digital Image Analysis

<p>Abstract</p> <p>Background</p> <p>Rodent models have been used extensively to study mammary gland development and for studies of toxicology and carcinogenesis. Mammary gland gross morphology can visualized via the excision of intact mammary gland chains following fixation and staining with carmine using a tissue preparation referred to as a whole mount. Methods are described for the automated collection of digital images from an entire mammary gland whole mount and for the interrogation of digital data using a "masking" technique available with Image-Pro^®plus image analysis software (Mediacybernetics. Silver Spring, MD).</p> <p>Results</p> <p>Parallel to mammographic analysis in humans, measurements of rodent mammary gland density were derived from area-based or volume-based algorithms and included: total circumscribed mammary fat pad mass, mammary epithelial mass, and epithelium-free fat pad mass. These values permitted estimation of absolute mass of mammary epithelium as well as breast density. The biological plausibility of these measurements was evaluated in mammary whole mounts from rats and mice. During mammary gland development, absolute epithelial mass increased linearly without significant changes in mammographic density. Treatment of rodents with tamoxifen, 9-cis-retinoic acid, or ovariectomy, and occurrence of diet induced obesity decreased both absolute epithelial mass and mammographic density. The area and volumetric methods gave similar results.</p> <p>Conclusions</p> <p>Digital image analysis can be used for screening agents for potential impact on reproductive toxicity or carcinogenesis as well as for mechanistic studies, particularly for cumulative effects on mammary epithelial mass as well as translational studies of mechanisms that explain the relationship between epithelial mass and cancer risk.</p

Benefits of biomarker selection and clinico-pathological covariate inclusion in breast cancer prognostic models

Introduction: Multi-marker molecular assays have impacted management of early stage breast cancer, facilitating adjuvant chemotherapy decisions. We generated prognostic models that incorporate protein-based molecular markers and clinico-pathological variables to improve survival prediction. Methods: We used a quantitative immunofluorescence method to study protein expression of 14 markers included in the Oncotype DX™ assay on a 638 breast cancer patient cohort with 15-year follow-up. We performed cross-validation analyses to assess performance of multivariate Cox models consisting of these markers and standard clinico-pathological covariates, using an average time-dependent Area Under the Receiver Operating Characteristic curves and compared it to nested Cox models obtained by robust backward selection procedures. Results: A prognostic index derived from of a multivariate Cox regression model incorporating molecular and clinico-pathological covariates (nodal status, tumor size, nuclear grade, and age) is superior to models based on molecular studies alone or clinico-pathological covariates alone. Performance of this composite model can be further improved using feature selection techniques to prune variables. When stratifying patients by Nottingham Prognostic Index (NPI), the most prognostic markers in high and low NPI groups differed. Similarly, for the node-negative, hormone receptor-positive sub-population, we derived a compact model with three clinico-pathological variables and two protein markers that was superior to the full model. Conclusions: Prognostic models that include both molecular and clinico-pathological covariates can be more accurate than models based on either set of features alone. Furthermore, feature selection can decrease the number of molecular variables needed to predict outcome, potentially resulting in less expensive assays.This work was supported by a grant from the Susan G Komen Foundation (to YK)

The Smell of Age: Perception and Discrimination of Body Odors of Different Ages

Our natural body odor goes through several stages of age-dependent changes in chemical composition as we grow older. Similar changes have been reported for several animal species and are thought to facilitate age discrimination of an individual based on body odors, alone. We sought to determine whether humans are able to discriminate between body odor of humans of different ages. Body odors were sampled from three distinct age groups: Young (20–30 years old), Middle-age (45–55), and Old-age (75–95) individuals. Perceptual ratings and age discrimination performance were assessed in 41 young participants. There were significant differences in ratings of both intensity and pleasantness, where body odors from the Old-age group were rated as less intense and less unpleasant than body odors originating from Young and Middle-age donors. Participants were able to discriminate between age categories, with body odor from Old-age donors mediating the effect also after removing variance explained by intensity differences. Similarly, participants were able to correctly assign age labels to body odors originating from Old-age donors but not to body odors originating from other age groups. This experiment suggests that, akin to other animals, humans are able to discriminate age based on body odor alone and that this effect is mediated mainly by body odors emitted by individuals of old age

Time-trend of melanoma screening practice by primary care physicians: A meta-regression analysis

Objective. To assess whether the proportion of primary care physicians implementing full body skin examination (FBSE) to screen for melanoma changed over time. Methods. Meta-regression analyses of available data. Data Sources: MEDLINE, ISI, Cochrane Central Register of Controlled Trials. Results. Fifteen studies surveying 10,336 physicians were included in the analyses. Overall, 15%\u201382% of them reported to perform FBSE to screen for melanoma. The proportion of physicians using FBSE screening tended to decrease by 1.72% per year (P =0.086). Corresponding annual changes in European, North American, and Australian settings were 120.68% (P =0.494), 122.02% (P =0.044), and +2.59% (P =0.010), respectively. Changes were not influenced by national guide-lines. Conclusions. Considering the increasing incidence of melanoma and other skin malignancies, as well as their relative potential consequences, the FBSE implementation time-trend we retrieved should be considered a worrisome phenomenon

Another beauty of analytical chemistry: chemical analysis of inorganic pigments of art and archaeological objects

[EN] This lecture text shows what fascinating tasks analytical chemists face in Art Conservation and Archaeology, and it is hoped that students reading it will realize that passions for science, arts or history are by no means mutually exclusive. This study describes the main analytical techniques used since the eighteenth century, and in particular, the instrumental techniques developed throughout the last century for analyzing pigments and inorganic materials, in general, which are found in cultural artefacts, such as artworks and archaeological remains. The lecture starts with a historical review on the use of analytical methods for the analysis of pigments from archaeological and art objects. Three different periods can be distinguished in the history of the application of the Analytical Chemistry in Archaeometrical and Art Conservation studies: (a) the "Formation'' period (eighteenth century1930), (b) the "Maturing'' period (1930-1970), and (c) the "Expansion'' period (1970-nowadays). A classification of analytical methods specifically established in the fields of Archaeometry and Conservation Science is also provided. After this, some sections are devoted to the description of a number of analytical techniques, which are most commonly used in routine analysis of pigments from cultural heritage. Each instrumental section gives the fundamentals of the instrumental technique, together with relevant analytical data and examples of applications.Financial support is gratefully acknowledged from Spanish ‘‘I+D+I MINECO’’ projects CTQ2011-28079-CO3-01 and CTQ2014-53736-C3-1-P supported by ERDEF funds.Domenech Carbo, MT.; Osete Cortina, L. (2016). Another beauty of analytical chemistry: chemical analysis of inorganic pigments of art and archaeological objects. ChemTexts. 2:1-50. https://doi.org/10.1007/s40828-016-0033-5S1502Wilks H (ed) (1987) Science for conservators: a conservation science teaching series. The Conservation Unit Museums and Galleries Commission, LondonSan Andrés Moya M, Viña Ferrer S (2004) Fundamentos de química y física para la conservación y restauración. Síntesis, MadridDoménech-Carbó MT (2013) Principios físico-químicos de los materiales integrantes de los bienes culturales, Universitat Politècnica de ValènciaMills JS, White R (1987) The organic chemistry of museum objects. Butterworths, London, pp 141–159Matteini M, Moles A (1991) La Quimica nel Restauro. I materiali dell’arte pittorica. Nardini, FirenzeGomez MA (1998) La Restauración. Examen científico aplicado a la conservación de obras de arte. Cátedra, MadridTaft WS Jr, Mayer JW (2000) The science of paintings. Springer, New YorkAllen RO (ed) (1989) Archaeological chemistry IV; Advances in chemistry. American Chemical Society, Washington, DCAitken MJ (1990) Science-based dating in archaeology. Longman Archaeology Series, New YorkCiliberto E, Spoto G (eds) (2000) Modern analytical methods in art and archaeology. Wiley, New YorkMatteini M, Moles A (1986) Sciencia e Restauro. Metodi di Indagine, 2nd edn. Nardini, FirenzeOdegaard N, Carroll S, Zimmt W (2000) Material characterization tests for objects of art and archaeology. Archetype Publications, LondonDerrick MR, Stulik DC, Landry MJ (1999) Infrared spectroscopy in conservation science. Getty Conservation Institute, Los AngelesDoménech-Carbó A, Doménech-Carbó MT, Costa V (2009) Electrochemical methods in archaeometry, conservation and restoration. In: Scholz F (ed) Series: Monographs in electrochemistry. Springer, BerlinEdwards HGM, Chalmers JM (eds) (2005) Raman spectroscopy in archaeology and art history. The Royal Society of Chemistry, CambridgeLahanier C (1991) Scientific methods applied to the study of art objects. Mikrochim Acta II:245–254Bitossi G, Giorgi R, Salvadori BM, Dei L (2005) Spectroscopic techniques in cultural heritage conservation: a survey. Appl Spectrosc Rev 40:187–228Odlyha M (2000) Special feature: preservation of cultural heritage. The application of thermal analysis and other advanced analytical techniques to cultural objects. Thermochim Acta 365Feature Special (2003) Archaeometry. Meas Sci Technol 14:1487–1630Aitken MJ (1961) Physics and archaeology. Interscience, New YorkOlin JS (ed) (1982) Future directions in archaeometry. A round table. Smithsonian Institution Press, Washington, DCTownsend JH (2006) What is conservation science? Macromol Symp 238:1–10Nadolny J (2003) The first century of published scientific analyses of the materials of historical painting and polychromy, circa 1780–1880. Rev Conserv 4:39–51Montero Ruiz I, Garcia Heras M, López-Romero E (2007) Arqueometría: cambios y tendencias actuales. Trabajos de Prehistoria 64:23–40Fernandes Vieira G, Sias Coelho LJ (2011) Arqueometría: Mirada histórica de una ciencia en desarrollo. Revista CPC 13:107–133Rees-Jones SG (1990) Early experiments in pigment analysis. Stud Conserv 35:93–101Allen RO (1989) The role of the chemists in archaeological studies. In: Allen RO (ed) Archaeological chemistry IV. Advances in chemistry. American Chemical Society, Washington DC, pp 1–17Plesters J (1956) Cross-sections and chemical analysis of paint samples. Stud Conserv 2:110–157 and references thereinGilberg M (1987) Friedrich Rathgen: the father of modern archaeological conservation. J Am Inst Conserv 26:105–120Olin JS, Salmon ME, Olin CH (1969) Investigations of historical objects utilizing spectroscopy and other optical methods. Appl Optics 8:29–39Feller RL (1954) Dammar and mastic infrared analysis. Science 120:1069–1070Hall ET (1963) Methods of analysis (physical and microchemical) applied to paintings and antiquities. In: Thomson G (ed) Recent advances in conservation. Butterworths, London, pp 29–32Feigl F, Anger V (1972) Spot tests in inorganic analysis, 6th English edition, translated by Oesper RE. Elsevier, AmsterdamLocke DC, Riley OH (1970) Chemical analysis of paint samples using the Weisz ring oven technique. Stud Conserv 15:94–101Mairinger F, Schreiner M (1986) Analysis of supports, grounds and pigments. In: van Schoute R, Verougstracte-Marcq H (eds) PACT 13, Xth Anniversary Meeting of PACT Group. Louvain-la Neuve, pp 171–183 (and references therein)Vandenabeele P, Edwards HGM (2005) Overview: Raman spectrometry of artefacts. In: Edwards HGM, Chalmers JM (eds) Raman spectroscopy in archaeology and art history. The Royal Society of Chemistry, Cambridge, pp 169–178Tykot RH (2004) Scientific methods and applications to archaeological provenance studies. In: Proceedings of the International School of Physics “Enrico Fermi”. IOS Press, Amsterdam, pp 407–432Doménech-Carbó A, Doménech-Carbó MT, Valle-Algarra FM, Domine ME, Osete-Cortina L (2013) On the dehydroindigo contribution to Maya Blue. J Mat Sci 48:7171–7183Lovric M, Scholz F (1997) A model for the propagation of a redox reaction through microcrystals. J Solid State Electrochem 1:108–113Fitzgerald AG, Storey BE, Fabian D (1993) Quantitative microbeam analysis. Scottish Universities Sumer School in Physics and Institute of Physics Publishing, BristolDoménech-Carbó A (2015) Dating: an analytical task. ChemTexts 1:5Mairinger F, Schreiner M (1982) New methods of chemical analysis-a tool for the conservator. Science and Technology in the service of conservation, IIC, London, pp 5–13Malissa H, Benedetti-Pichler AA (1958) Anorganische qualitative Mikroanalyse. Springer, New YorkTertian R, Claisse F (1982) Principles of quantitative X-ray fluorescence analysis. Heyden, LondonMantler M, Schreiner M (2000) X-ray fluorescence spectrometry in art and archaeology. X-Ray Spectrom 29:3–17Scholz F (2015) Voltammetric techniques of analysis: the essentials. ChemTexts 1:17Inzelt G (2014) Crossing the bridge between thermodynamics and electrochemistry. From the potential of the cell reaction to the electrode potential. ChemTexts 1:2Milchev A (2016) Nucleation phenomena in electrochemical systems: thermodynamic concepts. ChemTexts 2:2Milchev A (2016) Nucleation phenomena in electrochemical systems: kinetic models. ChemTexts 2:4Seeber R, Zanardi C, Inzelt G (2015) Links between electrochemical thermodynamics and kinetics. ChemTexts 1:18Feist M (2015) Thermal analysis: basics, applications, and benefit. ChemTexts 1:8Stoiber RE, Morse SA (1994) Crystal identification with the polarizing microscope. Springer, BerlinGoldstein JI, Newbury DE, Echlin P, Joy DC, Lyman CE, Echlin P, Lifshin E, Sawyer L, Michael JR (2003) Scanning electron microscopy and X-ray microanalysis. Plenum Press, New YorkDoménech-Carbó A, Doménech-Carbó MT, Más-Barberá X (2007) Identification of lead pigments in nanosamples from ancient paintings and polychromed sculptures using voltammetry of nanoparticles/atomic force microscopy. Talanta 71:1569–1579Reedy TJ, Reedy ChL (1988) Statistical analysis in art conservation research. The Getty Conservation Institute, Los AngelesEastaugh N, Walsh V, Chaplin T, Siddall R (2004) Pigment compendium, optical microscopy of historical pigments. Elsevier, OxfordFeller RL, Bayard M (1986) Terminology and procedures used in the systematic examination of pigment particles with polarizing microscope. In: Feller RL (ed) Artists’ pigment. A handbook of their history and characteristics, vol 1. National Gallery of Art, Washington, pp 285–298Feller RL (ed) (1986) Artists’ pigment. A handbook of their history and characteristics, vol 1. National Gallery of Art, WashingtonRoy A (ed) (1993) Artists’ pigments. A handbook of their history and characteristics, vol 2. National Gallery of Art, WashingtonFitzHugh EW (ed) (1997) Artists’ pigments. A handbook of their history and characteristics, vol 3. National Gallery of Art, WashingtonBerrie BH (ed) (2007) Artists’ pigment. A handbook of their history and characteristics, vol 4. National Gallery of Art, WashingtonHaynes WN (ed) (2015) CRC handbook for physics and chemistry, 96th edn. Taylor and Francis Group, UKFiedler I, Bayard MA (1986) Cadmium yellows, oranges and reds. In: Feller RL (ed) Artists’ pigment. A handbook of their history and characteristics, vol 1. National Gallery of Art, Washington, pp 65–108Domenech-Carbó MT, de Agredos Vazquez, Pascual ML, Osete-Cortina L, Domenech A, Guasch-Ferré N, Manzanilla LR, Vidal C (2012) Characterization of Pre-hispanic cosmetics found in a burial of the ancient city of Teotihuacan (Mexico). J Archaeol Sci 39:1043–1062Mühlethaler B, Thissen J (1993) Smalt. In: Roy A (ed) Artists’ pigments. A handbook of their history and characteristics, vol 2. National Gallery of Art, Washington, pp 113–130Musumarra G, Fichera M (1998) Chemometrics and cultural heritage. Chemometr Intell Lab Syst 44:363–372Hochleitner B, Schreiner M, Drakopoulos M, Snigireva I, Snigirev A (2005) Analysis of paint layers by light microscopy, scanning electron microscopy and synchrotron induced X-ray micro-diffraction. In: Van Grieken R, Janssens K (eds) Cultural heritage conservation and environment impact assessment by non-destructive testing and micro-analysis. AA Balkema Publishers, London, pp 171–182Švarcová S, Kočí E, Bezdička P, Hradil D, Hradilová J (2010) Evaluation of laboratory powder X-ray micro-diffraction for applications in the fields of cultural heritage and forensic science. Anal Bioanal Chem 398:1061–1076Van de Voorde L, Vekemans B, Verhaeven E, Tack P, DeWolf R, Garrevoet J, Vandenabeele P, Vincze L (2015) Analytical characterization of a new mobile X-ray fluorescence and X-ray diffraction instrument combined with a pigment identification case study. Spectrochim Acta B 110:14–19Hochleitner B, Desnica V, Mantler M, Schreiner M (2003) Historical pigments: a collection analyzed with X-ray diffraction analysis and X-ray fluorescence analysis in order to create a database. Spectrochim Acta B 58:641–649Middleton PS, Ospitali F, Di Lonardo F (2005) Case study: painters and decorators: Raman spectroscopic studies of five Romano-British villas and the Domus Coiedii at Suasa, Italy. In: Edwards HGM, Chalmers JM (eds) Raman spectroscopy in archaeology and art history. The Royal Society of Chemistry, Cambridge, pp 97–120Helwig K (1993) Iron oxide pigments: natural and synthetic. In: Roy A (ed) Artists’ pigments. A handbook of their history and characteristics, vol 2. National Gallery of Art, Washington, pp 39–95Silva CE, Silva LP, Edwards HGM, de Oliveira LFC (2006) Diffuse reflection FTIR spectral database of dyes and pigments. Anal Bioanal Chem 386:2183–2191Hummel DO (ed) (1985) Atlas of polymer and plastic analysis, vol 1, Polymers, structures and spectra. Hanser VCH, Münichhttp://www.irug.org (consulted: 1 Feb 2016)http://www.ehu.es/udps/database/database.html (consulted: 1 Feb 2016)Burgio L, Clark RJH (2001) Library of FT-Raman spectra of pigments, minerals, pigment media and varnishes, and supplement to existing library of Raman spectra of pigments with visible excitation. Spectrochim Acta A 57:1491–1521http://www.chem.ucl.ac.uk/resources/raman/speclib.html (consulted: 1 Feb 2016)Madariaga JM, Bersani D (2012) Special feature: Raman spectroscopy in art and archaeology. J Raman Spectrosc 43(11):1523–1844http://minerals.gps.caltech.edu/ (consulted: 1 Feb 2016)http://www.rruff.info (consulted: 1 Feb 2016)Frost RL, Martens WN, Rintoul L, Mahmutagic E, Kloprogge JT (2002) J Raman Spectrosc 33:252–259Smith D (2005) Overwiew: jewellery and precious stones. In: Edwards HGM, Chalmers JM (eds) Raman spectroscopy in archaeology and art history. The Royal Society of Chemistry, Cambridge, pp 335–378Weiner S, Bar-Yosef O (1990) States of preservation of bones from prehistoric sites in the Near East: a survey. J Archaeol Sci 17:187–196Chu V, Regev L, Weiner S, Boaretto E (2008) Differentiating between anthropogenic calcite in plaster, ash and natural calcite using infrared spectroscopy: implications in archaeology. J Archaeol Sci 35:905–911Beniash E, Aizenberg J, Addadi L, Weiner S (1997) Amorphous calcium carbonate transforms into calcite during sea-urchin larval spicule growth. Proc R Soc Lond Ser B 264:461–465Regev L, Poduska KM, Addadi L, Weiner S, Boaretto E (2010) Distinguishing between calcites formed by different mechanisms using infrared spectrometry: archaeological applications. J Archaeol Sci 37:3022–3029Farmer C (ed) (1974) The infrared spectra of mineral, Monograph 4. Mineralogical Society, LondonMadejová J, Kečkéš J, Pálková H, Komadel P (2002) Identification of components in smectite/kaolinite mixtures. Clay Miner 37:377–388Šucha V, Środoń J, Clauer N, Elsass F, Eberl DD, Kraus I, Madejová J (2001) Weathering of smectite and illite–smectite under temperate climatic conditions. Clay Miner 36:403–419Doménech-Carbó A, Doménech-Carbó MT, López-López F, Valle-Algarra FM, Osete-Cortina L, Arcos-Von Haartman E (2013) Electrochemical characterization of egyptian blue pigment in wall paintings using the voltammetry of microparticles methodology. Electroanalysis 25:2621–2630Doménech-Carbó MT, Edwards HGM, Doménech-Carbó A, del Hoyo-Meléndez JM, de la Cruz-Cañizares J (2012) An authentication case study: Antonio Palomino vs. Vicente Guillo paintings in the vaulted ceiling of the Sant Joan del Mercat church (Valencia, Spain). J Raman Spectrosc 43:1250–1259Lovric M, Scholz F (1999) A model for the coupled transport of ions and electrons in redox conductive microcrystals. J Solid State Electrochem 3:172–175Oldham KB (1998) Voltammetry at a three phase junction. J Solid State Electrochem 2:367–377Doménech A, Doménech-Carbó MT, Gimeno-Adelantado JV, Bosch-Reig F, Saurí-Peris MC, Sánchez-Ramos S (2001) Electrochemical identification of iron oxide pigments (earths) from pictorial microsamples attached to graphite/polyester composite electrodes. Analyst 126:1764–1772Doménech A, Doménech-Carbó MT, Moya-Moreno MCM, Gimeno-Adelantado JV, Bosch-Reig F (2000) Identification of inorganic pigments from paintings and polychromed sculptures immobilized into polymer film electrodes by stripping differential pulse voltammetry. Anal Chim Acta 407:275–289Doménech-Carbó A, Doménech-Carbó MT, Valle-Algarra FM, Gimeno-Adelantado JV, Osete-Cortina L, Bosch-Reig F (2016) On-line database of voltammetric data of immobilized particles for identifying pigments and minerals in archaeometry, conservation and restoration (ELCHER database). Anal Chim Acta 927:1–12http://www.elcher.info (consulted: 1 July 2016)Scholz F, Doménech-Carbó A (2010) Special feature: electrochemistry for conservation science. J Solid State Electrochem 14Domenech-Carbó A, Domenech-Carbó MT, Edwards HGM (2007) Identification of earth pigment by hierarchical cluster applied to solid state voltammetry. Application to a severely damaged frescoes. Electroanalysis 19:1890–1900Domenech-Carbó A, Domenech-Carbó MT, Vázquez de Agredos-Pascual ML (2006) Dehydroindigo: a new piece into the Maya Blue puzzle from the voltammetry of microparticles approach. J Phys Chem B 110:6027–6039Doménech-Carbó A, Doménech-Carbó MT, Vázquez de Agredos-Pascual ML (2007) Chemometric study of Maya Blue from the voltammetry of microparticles approach. Anal Chem 79:2812–2821Doménech-Carbó A, Doménech-Carbó MT, Vázquez de Agredos-Pascual ML (2011) From Maya Blue to ‘Maya Yellow’: a connection between ancient nanostructured materials from the voltammetry of microparticles. Angew Chem Int Edit 50:5741–5744Doménech-Carbó A, Doménech-Carbó MT, Vidal-Lorenzo C, Vázquez de Agredos-Pascual ML (2012) Insights into the Maya Blue Technology: greenish pellets from the ancient city of La Blanca. Angew Chem Int Ed 51:700–703Doménech-Carbó A, Doménech-Carbó MT, Osete-Cortina L, Montoya N (2012) Application of solid-state electrochemistry techniques to polyfunctional organic-inorganic hybrid materials: the Maya Blue problem. Micropor Mesopor Mater 166:123–130Doménech-Carbó MT, Osete-Cortina L, Doménech-Carbó A, Vázquez de Agredos-Pascual ML, Vidal-Lorenzo C (2014) Identification of indigoid compounds present in archaeological Maya blue by pyrolysis-silylation-gas chromatography–mass spectrometry. J Anal Appl Pyrol 105:355–36

Current anti-doping policy: a critical appraisal

BACKGROUND: Current anti-doping in competitive sports is advocated for reasons of fair-play and concern for the athlete's health. With the inception of the World Anti Doping Agency (WADA), anti-doping effort has been considerably intensified. Resources invested in anti-doping are rising steeply and increasingly involve public funding. Most of the effort concerns elite athletes with much less impact on amateur sports and the general public. DISCUSSION: We review this recent development of increasingly severe anti-doping control measures and find them based on questionable ethical grounds. The ethical foundation of the war on doping consists of largely unsubstantiated assumptions about fairness in sports and the concept of a "level playing field". Moreover, it relies on dubious claims about the protection of an athlete's health and the value of the essentialist view that sports achievements reflect natural capacities. In addition, costly antidoping efforts in elite competitive sports concern only a small fraction of the population. From a public health perspective this is problematic since the high prevalence of uncontrolled, medically unsupervised doping practiced in amateur sports and doping-like behaviour in the general population (substance use for performance enhancement outside sport) exposes greater numbers of people to potential harm. In addition, anti-doping has pushed doping and doping-like behaviour underground, thus fostering dangerous practices such as sharing needles for injection. Finally, we argue that the involvement of the medical profession in doping and anti-doping challenges the principles of non-maleficience and of privacy protection. As such, current anti-doping measures potentially introduce problems of greater impact than are solved, and place physicians working with athletes or in anti-doping settings in an ethically difficult position. In response, we argue on behalf of enhancement practices in sports within a framework of medical supervision. SUMMARY: Current anti-doping strategy is aimed at eradication of doping in elite sports by means of all-out repression, buttressed by a war-like ideology similar to the public discourse sustaining international efforts against illicit drugs. Rather than striving for eradication of doping in sports, which appears to be an unattainable goal, a more pragmatic approach aimed at controlled use and harm reduction may be a viable alternative to cope with doping and doping-like behaviour