Thyroid function in end stage renal disease and effects of frequent hemodialysis

Introduction: End‐stage renal disease (ESRD) is associated with perturbations in thyroid hormone concentrations and an increased prevalence of hypothyroidism. Few studies have examined the effects of hemodialysis dose or frequency on endogenous thyroid function. Methods: Within the Frequent Hemodialysis Network (FHN) trials, we examined the prevalence of hypothyroidism in patients with ESRD. Among those with endogenous thyroid function (without overt hyper/hypothyroidism or thyroid hormone supplementation), we examined the association of thyroid hormone concentration with multiple parameters of self‐reported health status, and physical and cognitive performance, and the effects of hemodialysis frequency on serum thyroid stimulating hormone (TSH), free thyroxine (FT4), and free tri‐iodothyronine (FT3) levels. Conventional thrice‐weekly hemodialysis was compared to in‐center (6 d/wk) hemodialysis (Daily Trial) and Nocturnal (6 nights/wk) home hemodialysis (Nocturnal Trial) over 12 months. Findings: Among 226 FHN Trial participants, the prevalence of hypothyroidism was 11% based on thyroid hormone treatment and/or serum TSH ≥8 mIU/mL. Among the remaining 195 participants (147 Daily, 48 Nocturnal) with endogenous thyroid function, TSH concentrations were modestly (directly) correlated with age (r = 0.16, P = 0.03) but not dialysis vintage. Circulating thyroid hormone levels were not associated with parameters of health status or physical and cognitive performance. Furthermore, frequent in‐center and nocturnal hemodialysis did not significantly change (baseline to month 12) TSH, FT4, or FT3 concentrations in patients with endogenous thyroid function. Discussion: Among patients receiving hemodialysis without overt hyper/hypothyroidism or thyroid hormone treatment, thyroid indices were not associated with multiple measures of health status and were not significantly altered with increased dialysis frequency.     

On physical properties of aerosol at Ross Island, Antarctica

We report on the physical characteristics of Aitken nuclei and their relation to air mass type at Ross Island, Antarctica. The size distribution spectrum of the particles was derived with a diffusion battery and non-linear mathematical inversion and is considered to be quite accurate over the particle diameter range 0.01 < d < 0.2 μm.

The Aitken nuclei concentration, n_o, decreased at Ross Island by about an order of magnitude from summer (n_o = 600 cm⁻³) to winter (n_o = 100 cm⁻³). Particle size varied with air mass type: Maritime polar air masses had a geometric mean particle diameter d_g = 0.011 μm, while continental Antarctic, cA, air masses possessed somewhat smaller particles (i.e. d_g 0.005 μm). The anomalously small particles associated with cA air suggests the presence of an upper tropospheric or partly stratospheric origin of nuclei perhaps associated with mixing formed by breaking waves over the Ellsworth Range in Marie Byrd Land.     

Electrical resistivity and magnetoresistance of carbon/graphite fibers intercalated with nitric acid and arsenic pentafluoride

A series of high performance, experimental carbon/graphite fibers was intercalated and examined with respect to their metallic conductivity behavior by resistivity and magnetoresistance versus temperature measurements. One fiber was a polyacrylonitrile (PAN)-type precursor and three were pitch base precursors. All four types showed substantially similar behavior in the pristine state with respect to room temperature resistivity and the sign and magnitude of the temperature coefficient of resistivity. After intercalation with either nitric acid or nitric acid followed by AsF₅, the PAN-based fibers displayed a resistivity versus temperature behavior qualitatively similar to their pristine counterparts but displaced to lower resistivity. On the other hand, the pitch fibers with the same intercalation treatment exhibited metallic behavior (a positive temperature coefficient of electrical resistivity and a small magnetoresistance). These manifestations of metallic behavior are usually indicative of some three dimensional graphite structure in the carbon fibers.     

A rapid interview protocol supporting patient-centered quality improvement: hearing the parent's voice in a pediatric cancer unit

BACKGROUND: The Institute of Medicine's 2001 report on quality delimits six dimensions of optimal care: safety, effectiveness, efficiency, timeliness, patient centeredness, and equity. In fall 2001 parents of pediatric cancer patients were interviewed to determine how well they thought these dimensions were addressed with respect to medication administration. Immediate goals were to identify system weaknesses and devise strategies to prevent future errors. A higher-order goal was to develop and demonstrate a model protocol for rapid-cycle interview assessments. METHODS: Hematology/oncology directors worked with a research expert to develop a semistructured interview protocol. After training, which included directed reading, oral instruction, and role-playing, a convenience sample of 20 English- and Spanish-speaking parents of inpatients was recruited. Parents were asked to characterize current medication administration practices and to describe problems that they had experienced or witnessed. Rapid content analysis techniques were used to identify issues of importance to the parents. FINDINGS: Parents' medication concerns centered on their children's comfort. Parents called for communication improvements, standardization of all nursing procedures and techniques, and a guide or an outline providing a clear understanding of what to expect when and from whom. Viewing these concerns in relation to the Institute of Medicine's quality domains allowed the department to frame an improvement action plan aligned with organizational and national priorities. IMPLICATIONS: With good supervision and limited focused training, inexperienced staff can successfully administer semistructured qualitative interviews and help analyze findings for rapid cycle improvement purposes. The protocol can be adapted for use in organizations interested in rapid qualitative assessments of patient and parent preferences.     

Microstructural Features Leading to Enhanced Resistance to Grain Boundary Creep Cracking in ALLVAC 718Plus

This study focuses on the microstructural features that enhance the resistance of ALLVAC 718Plus to grain boundary creep cracking during testing of samples at 704 °C in both dry and moist air. Fully recrystallized structures were found to be susceptible to brittle grain boundary cracking in both environments. Detailed transmission electron microscopy (TEM) microstructural characterization reveals features that are believed to lead to resistance to grain boundary cracking in the resistant microstructures. It is suggested that dislocation substructures found within the grains of resistant structures compete with the high-angle grain boundaries for oxygen, thereby reducing the concentration of oxygen on the grain boundaries and subsequent embrittlement. In addition, electron backscatter diffraction (EBSD) misorientation maps reveal that special boundaries (i.e., Σ3 boundaries) resist cracking. This is in agreement with previous findings on the superalloy INCONEL 718. Furthermore, it is observed that cracks propagate along high-angle boundaries. This study also shows that in this case, the presence of delta phase at the grain boundaries does not by itself produce materials that are resistant to grain boundary cracking.     

Water absorbance and thermal properties of sulfated wheat gluten films

Wheat gluten films of various thicknesses formed at 30–70°C were treated with cold sulfuric acid to produce sulfated gluten films. Chemical, thermal, thermal stability, and water uptake properties were characterized for neat and sulfated films. The sulfated gluten films were able to absorb up to 30 times their weight in deionized water. However, this value dropped to 3.5 when the film was soaked in a 0.9% (w/w) NaCl solution. The films were also soaked 4 times in deionized water, and each soaking resulted in a reduced water uptake capacity. The temperature of film formation had no effect on the final water uptake properties. Also, thinner films had higher concentrations of sulfate groups than thicker films; this resulted in higher water uptake values. In addition, sulfated gluten films had comparable glass‐transition temperatures but lower thermal stabilities than the neat gluten films. © 2010 Wiley Periodicals, Inc. J Appl Polym Sci, 2010     

Modification of wheat gluten with citric acid to produce superabsorbent materials

Wheat gluten was reacted with citric acid to produce natural superabsorbent materials able to absorb up to 78 times its weight in water. The properties of the modified gluten samples were characterized using Fourier Transform Infra‐red (FTIR) spectroscopy, thermogravimetric analysis, and water uptake. The reaction between gluten and citric acid was examined for gluten : citric acid ratios of 0.38 : 1 to 0.75 : 1 at temperatures from 100 to 130°C. More citric acid reacted for samples containing higher citric acid concentrations and at higher temperatures. FTIR analyses indicated the presence of carboxylate groups on the modified gluten samples, which resulted in modified samples having higher water uptake values than neat gluten. The sample with a gluten:citric acid ratio of 0.5 : 1 and reaction temperature of 120°C had the largest water uptake value. Also, all modified gluten samples had lower thermal stability than neat gluten. © 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci., 2013     

High productivity methanol carbonylation catalysis using iridium: The Cativa™ process for the manufacture of acetic acid

Methanol carbonylation to acetic acid is catalysed with high rates at low water concentrations using an iridium/iodide based catalyst. The catalyst system exhibits high stability allowing a wide range of process conditions and compositions to be accessed without catalyst precipitation. Two distinct classes of promoters have been identified for the reaction: simple iodide complexes of zinc, cadmium, mercury, indium and gallium and carbonyl complexes of tungsten, rhenium, ruthenium and osmium. The promoters exhibit a unique synergy with iodide salts, such as lithium iodide, under low water conditions. A rate maximum exists at commercially attractive low water conditions, and optimisation of the process parameters gives acetic acid with a selectivity in excess of 99% based upon methanol. The levels of liquid by-products formed are a significant improvement over that achieved with the conventional high water rhodium based catalyst system used in the Monsanto process and the quality of the product obtained under low water concentrations is exceptional. The Cativa™ process has now been successfully commercialised on three world scale plants.     

Comparing the relative fit of categorical and dimensional latent variable models using consistency tests.

A number of recent studies have used Meehl’s (1995) taxometric method to determine empirically whether one should model assessment-related constructs as categories or dimensions. The taxometric method includes multiple data-analytic procedures designed to check the consistency of results. The goal is to differentiate between strong evidence of categorical structure, strong evidence of dimensional structure, and ambiguous evidence that suggests withholding judgment. Many taxometric consistency tests have been proposed, but their use has not been operationalized and studied rigorously. What tests should be performed, how should results be combined, and what thresholds should be applied? We present an approach to consistency testing that builds on prior work demonstrating that parallel analyses of categorical and dimensional comparison data provide an accurate index of the relative fit of competing structural models. Using a large simulation study spanning a wide range of data conditions, we examine many critical elements of this approach. The results provide empirical support for what marks the first rigorous operationalization of consistency testing. We discuss and empirically illustrate guidelines for implementing this approach and suggest avenues for future research to extend the practice of consistency testing to other techniques for modeling latent variables in the realm of psychological assessment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)