Baseline characteristics of patients in the reduction of events with darbepoetin alfa in heart failure trial (RED-HF)

<p>Aims: This report describes the baseline characteristics of patients in the Reduction of Events with Darbepoetin alfa in Heart Failure trial (RED-HF) which is testing the hypothesis that anaemia correction with darbepoetin alfa will reduce the composite endpoint of death from any cause or hospital admission for worsening heart failure, and improve other outcomes.</p> <p>Methods and results: Key demographic, clinical, and laboratory findings, along with baseline treatment, are reported and compared with those of patients in other recent clinical trials in heart failure. Compared with other recent trials, RED-HF enrolled more elderly [mean age 70 (SD 11.4) years], female (41%), and black (9%) patients. RED-HF patients more often had diabetes (46%) and renal impairment (72% had an estimated glomerular filtration rate <60 mL/min/1.73 m2). Patients in RED-HF had heart failure of longer duration [5.3 (5.4) years], worse NYHA class (35% II, 63% III, and 2% IV), and more signs of congestion. Mean EF was 30% (6.8%). RED-HF patients were well treated at randomization, and pharmacological therapy at baseline was broadly similar to that of other recent trials, taking account of study-specific inclusion/exclusion criteria. Median (interquartile range) haemoglobin at baseline was 112 (106–117) g/L.</p> <p>Conclusion: The anaemic patients enrolled in RED-HF were older, moderately to markedly symptomatic, and had extensive co-morbidity.</p&gt

Emerging drug delivery strategies for idiopathic pulmonary fibrosis treatment

Idiopathic pulmonary fibrosis (IPF) is a debilitating and fatal condition that causes severe scarring of the lungs. While the pathogenesis of IPF continues to be extensively studied and several factors have been considered, an exact cause has yet to be established. With inadequate treatment options and no cure available, overall disease prognosis is still poor. Existing oral therapies, pirfenidone and nintedanib, may attempt to improve the patients’ quality of life by mitigating symptoms and slowing disease progression, however chronic doses and systemic deliveries of these drugs can lead to severe side effects. The lack of effective treatment options calls for further investigation of restorative as well as additional palliative therapies for IPF. Nanoparticle-based sustained drug delivery strategies can be utilized to ensure targeted delivery for site-specific treatment as well as long-acting therapy, improving overall patient compliance. This review provides an update on promising strategies for the delivery of anti-fibrotic agents, along with an overview of key therapeutic targets as well as relevant emerging therapies currently being evaluated for IPF treatment

Degradable Slow-Release Fertilizer Composite Prepared by Ex Situ Mixing of Inverse Vulcanized Copolymer with Urea

To improve the crop yield and nitrogen uptake efficacy, a novel slow-release urea composite fertilizer (SUCF) was developed using inverse vulcanized copolymer with better biodegradation and nutrient release longevity. Copolymers were synthesized via inverse vulcanization of jatropha oil, and their properties were evaluated using thermogravimetric analysis (TGA), Fourier transform infrared spectroscopy (FTIR), powdered-X-ray diffractometry (p-XRD), and scanning electron microscopy (SEM). SUCFs were developed by ex situ mixing of inverse vulcanized copolymer with urea powder using mechanical mixer, and their properties were evaluated using Fourier transform infrared spectroscopy (FTIR) and scanning electron microscopy (SEM). FTIR spectra of developed fertilizer possesses the urea characteristics peaks along with the undisturbed peaks representing copolymer, confirming the mechanical mixing and that no reaction took place. SEM images of the SUCFs compared with images of copolymer revealed the appearance of new isolated particles with different morphology; EDX mapping showed that these particles represent the urea added to the copolymer. Nitrogen release longevity of developed fertilizers was evaluated in both soil and distilled water. The leaching test revealed that only 70% of the total nitrogen of SUCF prepared from 50 wt% sulfur copolymer was released after 16 days of incubation in distilled water, whereas it released only 35% nitrogen after 20 days in soil. The biodegradability of all copolymers developed was investigated by burying in soil and it revealed their biodegradable nature as weight loss was observed, which increased with the increase of incubation period

Eighteenth-Century renewal and reform in Islam

Donated by Klaus KreiserReprinted from in : Syracuse University Press, 1987