How the Environment Encourages the Natural Formation of Hydrated V2O5

Herein, we report the microscopic and spectroscopic signatures of the hydrated V2O5 phase, prepared from the alpha-V2O5 powder, which was kept in deionized water inside an airtight glass container for approximately 2.5 years. The experimental results show an evolution of the V4+ component in V 2p(3/2) core energy level spectra, and a peak corresponding to sigma-OH- bond appeared in the valence band spectra in the hydrated V2O5 powder sample due to the water intercalation. Vanadium metal oxide particles were found to be self-nucleated into micro/nanorods after a long period of exposure to an extremely humid environment. The distinct features in the spectra obtained with high-resolution transmission electron microscopy, micro-Raman scattering, and X-ray photoelectron spectroscopy confirmed the presence of structural water molecules for the first time in the long-aged naturally hydrated V2O5 phase

Steroids in kidney transplant patients

Any evaluation of steroids in kidney transplantation is hampered by individual variability in metabolism, the lack of clinically available steroid blood levels, and overall little attention to steroid exposure. Many feel that steroids were an essential part of chronic immunosuppression in past decades but may no longer be necessary in low-risk populations when our newer and more potent drugs are used. Potential differences in long-term outcome will be unapparent in short-term antibody induction studies in low-risk patients, particularly with low on steroid doses, as may have happened in the recent, well-done Astellas trial. In many studies, the evidence for the superiority of mycophenolate (MMF) and tacrolimus (TAC) was not as strong as the evidence for the benefit of steroids in the Canadian cyclosporine study. As the practice of steroid withdrawal has increased, we have not seen the improvement in long-term graft survival that many expected with our newer agents. Steroids have immunosuppressive effects even in doses that are low by historic standards, and side effects may not justify their abandonment