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Bhanu K. Patibandla Akshita Narra Ranil DeSilva Varun Chawla Yael Vin Robert S. Brown Alexander S. Goldfarb‐Rumyantzev 《Hemodialysis international. International Symposium on Home Hemodialysis》2014,18(1):118-126
The benefits of an arteriovenous fistula (AVF) as the preferred vascular access for hemodialysis have been clearly demonstrated. However, only about 20% of patients in the United States initiate hemodialysis with an AVF. In this study, we assessed whether disparities exist in the type of first hemodialysis access placed prior to dialysis start (rather than that used at dialysis initiation), to detect whether certain disadvantaged groups might have lower likelihood of AVF placement. Study cohort of 118,767 incident hemodialysis patients ≥67 years of age (1/2005–12/2008) derived from the United States Renal Data System was linked with Medicare claims data to identify the type of initial access placed predialysis. We used logistic regression model with outcome being the initial predialysis placement of an AVF as opposed to an arteriovenous graft or a central venous catheter. Increasing age, female sex, black race, lower body mass index, urban location, certain comorbidities, and shorter pre–end‐stage renal disease nephrology care are all associated with a significantly lower likelihood of AVF placement as initial access predialysis. Our study suggests the presence of significant disparities in the placement of an AVF as initial hemodialysis vascular access. We suggest that additional attention should be paid to these patient groups to improve disparities by patient education, earlier referral, and close follow‐up. 相似文献
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Haiming Zhang Jörn‐Holger Franke Dingyong Zhong Yan Li Alexander Timmer Oscar Díaz Arado Harry Mönig Hong Wang Lifeng Chi Zhaohui Wang Klaus Müllen Harald Fuchs 《Small (Weinheim an der Bergstrasse, Germany)》2014,10(7):1361-1368
The surface‐assisted synthesis of gold–organic hybrids on Au (111) and Au (100) surfaces is repotred by thermally initiated dehalogenation of chloro‐substituted perylene‐3,4,9,10‐tetracarboxylic acid bisimides (PBIs). Structures and surface‐directed alignment of the Au–PBI chains are investigated by scanning tunnelling microscopy in ultra high vacuum conditions. Using dichloro‐PBI as a model system, the mechanism for the formation of Au–PBI dimer is revealed with scanning tunnelling microscopy studies and density functional theory calculations. A PBI radical generated from the homolytic C‐Cl bond dissociation can covalently bind a surface gold atom and partially pull it out of the surface to form stable PBI‐Au hybrid species, which also gives rise to the surface‐directed alignment of the Au–PBI chains on reconstructed Au (100) surfaces. 相似文献
999.
Chao Hu Chang Yu Mingyu Li Xiuna Wang Junyu Yang Zongbin Zhao Alexander Eychmüller Y.‐P. Sun Jieshan Qiu 《Small (Weinheim an der Bergstrasse, Germany)》2014,10(23):4926-4933
The desired control of size, structure, and optical properties of fluorescent carbon dots (CDs) is critical for understanding the fluorescence mechanism and exploring their potential application. Herein, a top‐down strategy to chemically tailor the inexpensive coal to fluorescent CDs by a combined method of carbonization and acidic oxidation etching is reported. The size and optical properties of the as‐made CDs are tuned by controlling the structures of graphitic crystallites in the starting precursor. The coal‐derived CDs exhibit two different distinctive emission modes, where the intensity of the short‐wavelength emission is significantly enhanced by partial reduction treatment. The evolution of the electronic structure and the surface states analysis show that two different types of fluorescence centers, nano‐sized sp2 carbon domains and surface defects, are responsible for the observed emission characteristics. The reduced CDs are demonstrated as an effective fluorescent sensing material for label‐free and selective detection of Cu(II) ions with a detection limit as low as 2.0 nm , showing a great promise for real‐world sensor applications. 相似文献
1000.
Kirill Kavokin Nikita Chernetsov Alexander Pakhomov Julia Bojarinova Dmitry Kobylkov Barot Namozov 《Journal of the Royal Society Interface》2014,11(97)
We report on the experiments on orientation of a migratory songbird, the garden warbler (Sylvia borin), during the autumn migration period on the Courish Spit, Eastern Baltics. Birds in experimental cages, deprived of visual information, showed the seasonally appropriate direction of intended flight with respect to the magnetic meridian. Weak radiofrequency (RF) magnetic field (190 nT at 1.4 MHz) disrupted this orientation ability. These results may be considered as an independent replication of earlier experiments, performed by the group of R. and W. Wiltschko with European robins (Erithacus rubecula). Confirmed outstanding sensitivity of the birds'' magnetic compass to RF fields in the lower megahertz range demands for a revision of one of the mainstream theories of magnetoreception, the radical-pair model of birds'' magnetic compass. 相似文献