38 research outputs found

    Electrochemical methods for speciation of trace elements in marine waters. Dynamic aspects

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    The contribution of electrochemical methods to the knowledge of dynamic speciation of toxic trace elements in marine waters is critically reviewed. Due to the importance of dynamic considerations in the interpretation of the electrochemical signal, the principles and recent developments of kinetic features in the interconversion of metal complex species will be presented. As dynamic electrochemical methods, only stripping techniques (anodic stripping voltammetry and stripping chronopotentiometry) will be used because they are the most important for the determination of trace elements. Competitive ligand ex- change-adsorptive cathodic stripping voltammetry, which should be considered an equilibrium technique rather than a dynamic method, will be also discussed because the complexing parameters may be affected by some kinetic limitations if equilibrium before analysis is not attained and/or the flux of the adsorbed complex is in fluenced by the lability of the natural complexes in the water sample. For a correct data interpretation and system characterization the comparison of results obtained from different techniques seems essential in the articulation of a serious discussion of their meaning

    Impact of primary kidney disease on the effects of empagliflozin in patients with chronic kidney disease: secondary analyses of the EMPA-KIDNEY trial

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    Background: The EMPA KIDNEY trial showed that empagliflozin reduced the risk of the primary composite outcome of kidney disease progression or cardiovascular death in patients with chronic kidney disease mainly through slowing progression. We aimed to assess how effects of empagliflozin might differ by primary kidney disease across its broad population. Methods: EMPA-KIDNEY, a randomised, controlled, phase 3 trial, was conducted at 241 centres in eight countries (Canada, China, Germany, Italy, Japan, Malaysia, the UK, and the USA). Patients were eligible if their estimated glomerular filtration rate (eGFR) was 20 to less than 45 mL/min per 1·73 m2, or 45 to less than 90 mL/min per 1·73 m2 with a urinary albumin-to-creatinine ratio (uACR) of 200 mg/g or higher at screening. They were randomly assigned (1:1) to 10 mg oral empagliflozin once daily or matching placebo. Effects on kidney disease progression (defined as a sustained ≥40% eGFR decline from randomisation, end-stage kidney disease, a sustained eGFR below 10 mL/min per 1·73 m2, or death from kidney failure) were assessed using prespecified Cox models, and eGFR slope analyses used shared parameter models. Subgroup comparisons were performed by including relevant interaction terms in models. EMPA-KIDNEY is registered with ClinicalTrials.gov, NCT03594110. Findings: Between May 15, 2019, and April 16, 2021, 6609 participants were randomly assigned and followed up for a median of 2·0 years (IQR 1·5–2·4). Prespecified subgroupings by primary kidney disease included 2057 (31·1%) participants with diabetic kidney disease, 1669 (25·3%) with glomerular disease, 1445 (21·9%) with hypertensive or renovascular disease, and 1438 (21·8%) with other or unknown causes. Kidney disease progression occurred in 384 (11·6%) of 3304 patients in the empagliflozin group and 504 (15·2%) of 3305 patients in the placebo group (hazard ratio 0·71 [95% CI 0·62–0·81]), with no evidence that the relative effect size varied significantly by primary kidney disease (pheterogeneity=0·62). The between-group difference in chronic eGFR slopes (ie, from 2 months to final follow-up) was 1·37 mL/min per 1·73 m2 per year (95% CI 1·16–1·59), representing a 50% (42–58) reduction in the rate of chronic eGFR decline. This relative effect of empagliflozin on chronic eGFR slope was similar in analyses by different primary kidney diseases, including in explorations by type of glomerular disease and diabetes (p values for heterogeneity all >0·1). Interpretation: In a broad range of patients with chronic kidney disease at risk of progression, including a wide range of non-diabetic causes of chronic kidney disease, empagliflozin reduced risk of kidney disease progression. Relative effect sizes were broadly similar irrespective of the cause of primary kidney disease, suggesting that SGLT2 inhibitors should be part of a standard of care to minimise risk of kidney failure in chronic kidney disease. Funding: Boehringer Ingelheim, Eli Lilly, and UK Medical Research Council

    Chemistry, Toxicity, and Bioavailability of Copper and Its Relationship to Regulation in The Marine Environment

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    this report. The final report was prepared from this material, from individual notes, and from material in the open scientific literature. The workshop program was as follows: WORKSHOP AGENDA ONR Workshop on Chemistry, Toxicity, and Bioavailability of Copper and Its Relationship to Regulation in the Marine Environment 0800 Registration 0830 Welcome an

    Nitrogen to phosphorus ratio in the Venice (Italy) Lagoon (2001-2010) and its relation to macroalgae

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    Analysis of the annually-averaged 2001-2010 monthly nutrient data from 13 stations in the Venice Lagoon (Italy) shows that the concentrations of dissolved nitrogen (N) species, measured as total dissolved N (TDN), have increased over time while that of phosphorus (P) species, measured as total dissolved P (TDP) have decreased. During the study period, the TDN/TDP ratio in the lagoon rose from about 46:1 to 100:1 (by atoms), a level at which the growth of benthic macroalgae is favored over that of sea grasses. The increase of the TDN/TDP ratio appears to be caused by two factors: (1) a small, but increasing amount of N in river water entering the lagoon, and (2) low P input combined with adsorption and entrapment of orthophosphate on colloidal iron oxides and carbonates at the water-sediment interface. This second mechanism would explain the increase in the TDN/TDP ratio, principally in zones of low salinity, where hydrodynamic residence times are long enough to permit N enrichment and result in macroalgal growth preferentially in the central, landward, side of the lagoon. However, an examination of the algal coverage of the lagoon floor from 2002 to 2010, indicates that while macroalgal abundance may be influenced by the N/P ratio, the spatial and temporal distribution during this period cannot be explained solely by this one feature. Nonetheless, this work points to the importance of considering the contributions that sediments in shallow lagoons make to the over-all system productivity and ecology and may be applicable to other shallow environments
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