Self-Management Awareness in Patients on Maintenance Dialysis

The present study characterizes selfmanagement awareness in patients on maintenance dialysis. We conducted interviews with 9 patients on maintenance dialysis which were then analyzed by comparative content analysis. This was done in order to gather information to support future self-management. Seven categories emerged as a result of this analysis. Patients on maintenance dialysis were aware of a continuation and the need for dialysis treatment, perceived that they were handling self-management successfully, and were aware that they were proper managers able to carry out daily living. In addition, they sought support for their self-management through family and understanding people willing to assist them. Furthermore, these patients, now given the opportunity to reflect on their past selves, adopted the attitude, when I was not limited, and now that I am. Lastly, after comparing themselves to others, these patients perceived that each person's way of managing determined their future. We observed that patients on maintenance dialysis had unique self-management practices, and each was in search for their own “way of life, a way of being and dying in the future. The findings in this study suggest that in order for patients on maintenance dialysis to achieve selfmanagement and proper daily living, caregivers must provide support for the development of such self-management. This would allow relationships with other patients to develop, including relationships with family

Melanic mutation causes a fitness decline in bean beetles infected by Wolbachia

Wolbachia cannot live outside a host, which is thought to be the reason for host‐Wolbachia coevolution toward benign parasitism, especially because the fitness of Wolbachia is traded against its host\u27s fitness. Insect melanism has been reported to have a positive effect on pathogen resistance, but melanic mutants of Callosobruchus analis (Fabricius) and Callosobruchus chinensis (L.) (Coleoptera: Chrysomelidae) are infected with Wolbachia. Callosobruchus chinensis is infected with CI‐inducing Wolbachia, and melanic mutants exhibit fitness decline. Interestingly, this decline is not observed in C. analis melanic mutants that are infected with CI‐free Wolbachia. Our research question is whether the infection of CI‐inducing Wolbachia causes fitness decline of melanic hosts in C. analis. We examined fecundity, fertility, and longevity of C. analis melanic mutants and compared them between uninfected and infected hosts with CI‐inducing Wolbachia. Infected melanic mutants of C. analis exhibited fitness decline leading to reduced hatch rates even when parental combinations were compatible. Wolbachia can invade a host population by causing CI to decrease the fraction of uninfected hosts, but melanic mutant hosts decrease the number of infected hosts through fitness decline. Nevertheless, the melanism in hosts is not able to stop Wolbachia invasion in C. analis

Kinetic properties of sodium-ion transfer at the interface between graphitic materials and organic electrolyte solutions

Graphitic materials cannot be applied for the negative electrode of sodium-ion battery because the reversible capacities of graphite are anomalously small. To promote electrochemical sodium-ion intercalation into graphitic materials, the interfacial sodium-ion transfer reaction at the interface between graphitized carbon nanosphere (GCNS) electrode and organic electrolyte solutions was investigated. The interfacial lithium-ion transfer reaction was also evaluated for the comparison to the sodium-ion transfer. From the cyclic voltammograms, both lithium-ion and sodium-ion can reversibly intercalate into/from GCNS in all of the electrolytes used here. In the Nyquist plots, the semi-circles at the high frequency region derived from the Solid Electrolyte Interphase (SEI) resistance and the semi-circles at the middle frequency region owing to the charge-transfer resistance appeared. The activation energies of both lithium-ion and sodium-ion transfer resistances were measured. The values of activation energies of the interfacial lithium-ion transfer suggested that the interfacial lithium-ion transfer was influenced by the interaction between lithium-ion and solvents, anions or SEI. The activation energies of the interfacial sodium-ion transfer were larger than the expected values of interfacial sodium-ion transfer based on the week Lewis acidity of sodium-ion. In addition, the activation energies of interfacial sodium-ion transfer in dilute FEC-based electrolytes were smaller than those in concentrated electrolytes. The activation energies of the interfacial lithium/sodium-ion transfer of CNS-1100 in FEC-based electrolyte solutions were almost the same as those of CNS-2900, indicating that the mechanism of interfacial charge-transfer reaction seemed to be the same for highly graphitized materials and low-graphitized materials each other

Sodium/Lithium-Ion Transfer Reaction at the Interface between Low-Crystallized Carbon Nanosphere Electrodes and Organic Electrolytes

Carbon nanosphere (CNS) electrodes are the candidate of sodium-ion battery (SIB) negative electrodes with small internal resistances due to their small particle sizes. Electrochemical properties of low-crystallized CNS electrodes in dilute and concentrated sodium bis(trifluoromethanesulfonyl) amide/ethylene carbonate + dimethyl carbonate (NaTFSA/EC + DMC) were first investigated. From the cyclic voltammograms, both lithium ion and sodium ion can reversibly insert into/from CNSs in all of the electrolytes used here. The cycling stability of CNSs in concentrated electrolytes was better than that in dilute electrolytes for the SIB system. The interfacial charge-transfer resistances at the interface between CNSs and organic electrolytes were evaluated using electrochemical impedance spectroscopy. In the Nyquist plots, the semicircles at the middle-frequency region were assigned to the parallel circuits of charge-transfer resistances and capacitances. The interfacial sodium-ion transfer resistances in concentrated organic electrolytes were much smaller than those in dilute electrolytes, and the rate capability of CNS electrodes in sodium salt-concentrated electrolytes might be better than in dilute electrolytes, suggesting that CNSs with concentrated electrolytes are the candidate of SIB negative electrode materials with high rate capability. The calculated activation energies of interfacial sodium-ion transfer were dependent on electrolyte compositions and similar to those of interfacial lithium-ion transfer

Operando analysis of graphite intercalation compounds with fluoride-containing polyatomic anions in aqueous solutions

The formation of graphite intercalation compounds (GICs) in aqueous solutions has attracted much attention, but reversibility in the formation/deformation of GICs is a challenging issue to construct highly safe rechargeable batteries. In this study, we used an operando analysis (X-ray diffraction and Raman spectroscopy) to discuss the feasibility of using fluoride-containing polyatomic anions in the formation of GICs in aqueous highly concentrated solutions. We found that the intercalation of anions containing a C₂F₅ moiety (such as [N(SO₂CF₃)(SO₂CF₂CF₃)]⁻ or [N(SO₂CF₂CF₃)₂]⁻) does not occur in the bulk of graphite, but only in the surface region. In addition, anions containing a CF₃ moiety show different behaviors: SO₃CF₃⁻ shows greater reversibility and larger stage-number than N(SO₂CF₃)₂⁻ in the formation of GICs. These results provide design guidelines for the reversible intercalation and de-intercalation of anions and their application as a cathode material in aqueous rechargeable batteries

Process of parenting a child with RB

Background : Retinoblastoma（RB） occurs at a very young age. Since the disease is diagnosed at an early age, the family is responsible for the care of the childʼs disease acceptance. Objective : This study aims to explore the parenting process of children with RB toward disease acceptance. Methods : Parents of eleven children with RB living in Japan were interviewed, and the data were analyzed using the Modified Grounded Theory Approach of Kinoshita（M-GTA）. Results : There were twenty-one concepts representing the process of parenting a child with RB while guiding him or her toward disease acceptance, and nineteen of them were classified into ten categories based on semantic similarities. The two other concepts showed similar interpretability to categories. These categories and concepts were summarized into two core categories : “Helping the child develop a positive mindset to define the disease as a part of him/herself ” and “Paving the way in advance for the child to live comfortably when his or her living space expands”. Conclusions : In a cyclical framework of parenting, consisting of two core categories described in Results, the parents coordinated these two approaches while maintaining balance by “Avoiding saying anything that does not need to be said” and established their process of parenting a child with RB while guiding him or her toward disease acceptance, according to their household situation. The results suggest the necessity of recognizing that in childhood-onset cancers, such as RB, and diseases involving genetic issues, problems tend to occur not only during the treatment period but also at the time of life events and providing support from a comprehensive perspective

Participation in Sports Organizations and the Prevention of Functional Disability in Older Japanese: The AGES Cohort Study

Background: We sought to examine prospectively the difference in the association between incident functional disability and exercise with or without sports organization participation. Methods: The study was based on the Aichi Gerontological Evaluation Study (AGES) Cohort Study data. In October 2003, self-reported questionnaires were mailed to 29,374 non-disabled Japanese individuals aged 65 years or older. Of these, 13,310 individuals were introduced to the Study, and they were followed for 4 years. Analysis was carried out on 11,581 subjects who provided all necessary information for the analysis. Results: Analysis was carried out on incident functional disability by 4 groups of different combinations of performance of exercise and participation in a sports organization Active Participant (AP), Exercise Alone (EA), Passive Participant (PP) and Sedentary (S). Compared to the AP group, the EA group had a hazard ratio (HR) of 1.29 (1.02–1.64) for incident functional disability. No significant difference was seen with the PP group, with an HR of 1.16 (0.76–1.77). When a measure of social networks was added to the covariates, the HR of the EA group dropped to 1.27 (1.00–1.61), and significant differences disappeared. In contrast, it showed hardly any change when social support was added. Conclusion: The results suggested that, even with a regular exercise habit, incident functional disability may be better prevented when a person participates in a sports organization than when he/she does not. In addition, participation in a sports organization correlates positively with social networks, which may lead to a small decrease in incident functional disability

Immunohistochemical Analysis of CXCR4 Expression in Fibrohistiocytic Tumors

Functional chemokine receptors are expressed in many malignant tumors. These receptors promote tumor growth and metastasis in response to endogenous chemokines. We analyzed the expression of CXCR4, CCR6 and CCR7 in fibrohistiocytic tumors, including dermatofibrosarcoma protuberance (DFSP), malignant fibrous histiocytoma (MFH), dermatofibroma (DF) using immunohistochemistry. We also investigated the relationship between CXCR4 and CD34, the latter of which is an immunohistochemical marker for DFSP. We observed a higher expression of CXCR4 in DFSP and MFH as compared with DF. Interestingly, a significantly higher expression of CXCR4 was detected in relapsed DFSP than in non-relapsed DFSP, but no significant differences were detected between non-relapsed DFSP and DFSP with CD34 immunostaining. Moreover, MFH had strong immunoreactivity for CXCR4, CCR6 and CCR7. These findings suggest that the assessment of CXCR4 immunoreactivity in fibrohistiocytic tumors is a useful tool for predicting tumor aggressiveness