Continued monitoring of acute kidney injury survivors might not be necessary in those regaining an estimated glomerular filtration rate > 60 mL/min at 1 year

Background. Severe acute kidney injury (AKI) among hospitalized patients often necessitates initiation of short-term dialysis. Little is known about the long-term outcome of those who recover to normal renal function. The aim of this study was to determine the long-term renal outcome of patients experiencing AKI requiring dialysis secondary to hypoperfusion injury and/or sepsis who recovered to apparently normal renal function. Methods. All adult patients with AKI requiring dialysis in our centre between 1 January 1980 and 31 December 2010 were identified. We included patients who had estimated glomerular filtration rate (eGFR) >60 mL/min/1.73 m2 12 months or later after the episode of AKI. Patients were followed up until 3 March 2015. The primary outcome was time to chronic kidney disease (CKD) (defined as eGFR persistently <60 mL/min/1.73 m2) from first dialysis for AKI. Results. Among 2922 patients with a single episode of dialysis-requiring AKI, 396 patients met the study inclusion criteria. The mean age was 49.8 (standard deviation 16.5) years and median follow-up was 7.9 [interquartile range (IQR) 4.8–12.7] years. Thirty-five (8.8%) of the patients ultimately developed CKD after a median of 5.3 (IQR 2.8–8.0) years from first dialysis for AKI giving an incidence rate of 1 per 100 person-years. Increasing age, diabetes and vascular disease were associated with higher risk of progression to CKD [adjusted hazard ratios (95% confidence interval): 1.06 (1.03, 1.09), 3.05 (1.41, 6.57) and 3.56 (1.80, 7.03), respectively]. Conclusions. Recovery from AKI necessitating in-hospital dialysis was associated with a very low risk of progression to CKD. Most of the patients who progressed to CKD had concurrent medical conditions meriting monitoring of renal function. Therefore, it seems unlikely that regular follow-up of renal function is beneficial in patients who recover to eGFR >60 mL/min/1.73 m2 by 12 months after an episode of AKI

From bowls to capsules: assembly of hexanuclear NiII rings tailored by alkaline cations.

An anionic hexanuclear NiII metallamacrocycle with endo and exo linking sites has been employed as a building block to generate a series of capsules and bowls of nanometric size. The supramolecular arrangement of the {Ni6} rings was tailored by the size of the alkali cations, showing the transition from {Ni6-M2-Ni6} capsules (M = LiI and NaI) to {Ni6-M} bowls (M = KI and CsI). The alkyl co-cations are determinant to stabilize the assemblies by means of CHꞏꞏꞏ interactions on the exo side of the metallamacrocycles. The effect on the topology of the supramolecular assemblies of the cation size, cation charge, Et3NH+ or Me4N+ countercations has been analysed. Magnetic mesurements reveal the presence of ferromagnetic and antiferromagnetic interactions inside the rings that allow a S = 0 ground state

Obstetric and long-term kidney outcomes in renal transplant recipients: a 40 year single-centre study

Female renal transplant recipients of childbearing age may ask what the outcomes are for pregnancy and whether pregnancy will affect graft function. We analyzed obstetric and transplant outcomes among renal transplant recipients in our center who have been pregnant between 1973 and 2013. A case−cohort study was performed identifying 83 pairs of pregnant and non-pregnant controls matched for sex, age, transplant vintage, and creatinine. There were 138 pregnancies reported from 89 renal transplant recipients. There were live births in 74% of pregnancies with high prevalence of prematurity (61%), low birth weight (52%), and pre-eclampsia (14%). Lower eGFR (OR 0.98; p = 0.05) and higher uPCR (OR 1.86; p = 0.02) at conception were independent predictors for poor composite obstetric outcome. Lower eGFR (OR 0.98; p = 0.04), higher uPCR (OR 1.50; p = 0.04), and live organ donation (OR 0.35; p = 0.02) were predictors of ≥20% loss of eGFR between immediately pre-pregnancy and one yr after delivery. There was no difference in eGFR at one, five, and 10 yr in pregnant women compared with non-pregnant controls and a pregnancy was not associated with poorer 10-yr transplant or 20-yr patient survival. Despite high rates of obstetric complications, most women had successful pregnancies with good long-term transplant function

Lead‐Free Semiconductors: Soft Chemistry, Dimensionality Control, and Manganese‐Doping of Germanium Halide Perovskites

Lead halide perovskites have drawn enormous interest due to their exceptional photovoltaic and optoelectronic properties. However, the heavy metal lead is harmful to humans and the environment resulting in a need for strategies to replace this toxic element. Herein, we report a facile aqueous synthesis of CsGeX3 (X=I, Br) perovskite nanocrystals with size control achieved by varying the concentration of a cysteammonium halide ligand. We observe a variety of morphologies including pyramidal, hexagonal, and spheroidal. CsGeX3 nanocrystals undergo a lattice expansion due to partial replacement of Cs+ with larger cysteNH3+ cations into their lattice. We successfully dope Mn2+into the CsGeX3 lattice for the first time with incorporation of up to 29% in bulk and 16% in nano samples. XRD peak shifts and EPR hyperfine splitting strongly indicate that Mn2+ is doped into the lattice. Our results introduce a new member to the lead‐free halide perovskite family and set the fundamental stage for their use in optoelectronic devices

Cova de Can Sadurní, la transformació d’un jaciment. L’episodi sepulcral del neolític postcardial

The present study deals with the structural characterization and classification of the novel compounds <b>1</b>–<b>8</b> into perovskite subclasses and proceeds in extracting the structure–band gap relationships between them. The compounds were obtained from the employment of small, 3–5-atom-wide organic ammonium ions seeking to discover new perovskite-like compounds. The compounds reported here adopt unique or rare structure types akin to the prototype structure perovskite. When trimethylammonium (TMA) was employed, we obtained TMASnI₃ (<b>1</b>), which is our reference compound for a “perovskitoid” structure of face-sharing octahedra. The compounds EASnI₃ (<b>2b</b>), GASnI₃ (<b>3a</b>), ACASnI₃ (<b>4</b>), and IMSnI₃ (<b>5</b>) obtained from the use of ethylammonium (EA), guanidinium (GA), acetamidinium (ACA), and imidazolium (IM) cations, respectively, represent the first entries of the so-called “hexagonal perovskite polytypes” in the hybrid halide perovskite library. The hexagonal perovskites define a new family of hybrid halide perovskites with a crystal structure that emerges from a blend of corner- and face-sharing octahedral connections in various proportions. The small organic cations can also stabilize a second structural type characterized by a crystal lattice with reduced dimensionality. These compounds include the two-dimensional (2D) perovskites GA₂SnI₄ (<b>3b</b>) and IPA₃Sn₂I₇ (<b>6b</b>) and the one-dimensional (1D) perovskite IPA₃SnI₅ (<b>6a</b>). The known 2D perovskite BA₂MASn₂I₇ (<b>7</b>) and the related all-inorganic 1D perovskite “RbSnF₂I” (<b>8</b>) have also been synthesized. All compounds have been identified as medium-to-wide-band-gap semiconductors in the range of <i>E</i>_g = 1.90–2.40 eV, with the band gap progressively decreasing with increased corner-sharing functionality and increased torsion angle in the octahedral connectivity

The utility of anti-Müllerian hormone in women with chronic kidney disease, on haemodialysis and after kidney transplantation

Women with renal disease have menstrual and gonadal dysfunction manifesting as hormonal imbalance. Anti-Müllerian hormone (AMH) is a potential measure of ovarian reserve. We examined circulating AMH concentrations in young women with renal failure, determined associations with clinical characteristics, and compared AMH with age-matched healthy individuals. AMH was measured in 77 women: 26 had chronic kidney disease (CKD), 26 were on haemodialysis (HD), and 25 had a kidney transplant. Random AMH levels were highest in women on HD [HD 2.9 (1.1–5.2), CKD 1.6 (0.7–2.2), transplant 1.5 (1.0–4.2) ng/ml]. On multiple linear regression, AMH was 53% higher [95% CI 0.20–0.98, P = 0.002] in women on HD and decreased by 20% per 5-year increase in age (P &lt; 0.001). AMH was 43% lower in women with renal failure compared with 600 age-matched controls [1.7 (0.9–3.8) versus 3.0 (1.9–5.0) ng/ml, P &lt; 0.001]; however, we found no difference in AMH between those on HD and healthy individuals [2.9 (1.1–5.2) versus 3.0 (1.9–5.0) ng/ml]. AMH may be a useful biomarker in female renal patients with non-dialysis dependent renal disease pursuing pregnancy. In contrast, AMH levels are higher in HD but unlikely to reflect ovarian reserve

Subtle Roles of Sb and S in Regulating the Thermoelectric Properties of Nâ Type PbTe to High Performance

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138238/1/aenm201700099.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138238/2/aenm201700099-sup-0001-S1.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/138238/3/aenm201700099_am.pd

Spin noise of a halide perovskite

We report on first observation of spin noise in a strongly birefringent semiconductor -- halide perovskite single crystal MAPbI$_3$. The observed spin noise resonance is ascribed to free holes with a record spin dephasing time of 4 ns. The spin dynamics is found to be affected by the residual light absorption of the crystal providing renormalization of the Larmor frequency. Extended spin noise spectroscopy with rotating magnetic field allowed us not only to evaluate the $g$-factor anisotropy, but also to distinguish two different spin subsystems tentatively associated to twinning of the crystal.Comment: 14 pages, 11 figure