AIM To evaluate thresholds for serum 25(OH)D concentrations in relation to death, kidney progression and hospitalization in non-dialysis chronic kidney disease(CKD) population.METHODS Four hundred and seventy non-dial...AIM To evaluate thresholds for serum 25(OH)D concentrations in relation to death, kidney progression and hospitalization in non-dialysis chronic kidney disease(CKD) population.METHODS Four hundred and seventy non-dialysis 3-5 stage CKD patients participating in OSERCE-2 study, a prospective, multicenter, cohort study, were prospectively evaluated and categorized into 3 groups according to 25(OH)D levels at enrollment(less than 20 ng/mL, between 20 and 29 ng/mL, and at or above 30 ng/mL), considering 25(OH)D between 20 and 29 ng/mL as reference group. Association between 25(OH)D levels and death(primary outcome), and time to first hospitalization and renal progression(secondary outcomes) over a 3-year followup, were assessed by Kaplan-Meier survival curves and Cox-proportional hazard models. To identify 25(OH)D levels at highest risk for outcomes, receiver operating characteristic(ROC) curves were performed.RESULTS Over 29 ± 12 mo of follow-up, 46(10%) patients dead, 156(33%) showed kidney progression, and 126(27%) were hospitalized. After multivariate adjustment, 25(OH)D < 20 ng/mL was an independent predictor of all-cause mortality(HR = 2.33; 95%CI: 1.10-4.91; P = 0.027) and kidney progression(HR = 2.46; 95%CI: 1.63-3.71; P < 0.001), whereas the group with 25(OH)D at or above 30 ng/mL did not have a different hazard for outcomes from the reference group. Hospitalization outcomes were predicted by 25(OH) levels(HR = 0.98; 95%CI: 0.96-1.00; P = 0.027) in the unadjusted Cox proportional hazards model, but not after multivariate adjusting. ROC curves identified 25(OH)D levels at highest risk for death, kidney progression, and hospitalization, at 17.4 ng/mL [area under the curve(AUC) = 0.60; 95%CI: 0.685-0.69; P = 0.027], 18.6 ng/mL(AUC = 0.65; 95%CI: 0.60-0.71; P < 0.001), and 19.0 ng/m L(AUC = 0.56; 95%CI: 0.50-0.62; P = 0.048), respectively.CONCLUSION25(OH)D < 20 ng/mL was an independent predictor of death and progression in patients with stage 3-5 CKD, with no additional benefits when patients reached the levels展开更多
In this paper,the synthesis,structural evolution,and dielectric properties of BaTiO_(3)solid solutions codoped with rare earth elements(Gd^(3+)and Eu^(3+))prepared using the solid-state reaction method are presented.C...In this paper,the synthesis,structural evolution,and dielectric properties of BaTiO_(3)solid solutions codoped with rare earth elements(Gd^(3+)and Eu^(3+))prepared using the solid-state reaction method are presented.Chemically pure precursor powders of BaCl_3,TiO_(2),Gd_(2)O_(3),and Eu_(2)O_(3)were mixed in stoichiometric proportions,ground in an agate mortar before being uniaxially pressed at 250 MPa and sintered at 1300℃in air atmosphere for 6 h to obtain Ba_(1-3x)Gd_(2x)Ti_(1-3x)Eu_(4x)O_(3)(x=0,0.0015,0.01 and0.1).X-ray diffraction(XRD)and Rietveld's refinement results reveal the crystal phase ferroelectric tetragonal BaTiO_(3)for the samples with x=0,0.0015 and 0.01,as well as a consistent increment in the lattice parameters caused by the doping.The solubility limit of Gd^(3+)and Eu^(3+)in the BaTiO_(3)structure is reached for the sample with x>0.01,and the orthorhombic Eu_2TiO_(5)and monoclinic BaTi_(2)O_(5)secondary phases were identified.The Raman results show the characteristic peaks of ferroelectric tetragonal BaTiO_(3)around 716 cm^(-1)(LO of A1 symmetry),515 cm^(-1)(TO of A1 symmetry),and 305 cm^(-1)(B1).The maximum relative permittivity measured at 1 kHz was recorded to be 6151.8 for the sample with x=0.0015,and a decrease in the Curie temperature to 105℃with respect to the undoped sample was observed.The punctual microanalysis for the samples with x=0.0015,0.01,and 0.1 reveals grains composed of Ba,Ti,O,Gd,and Eu homogeneously distributed in the BaTiO_(3)structure.The Ba/Ti ratios for samples with x=0.0015,0.01 and 0.1 are 2.86,2.91,and 0.68,respectively,indicating substitution at the Ti site for samples with x=0.0015 and 0.01 and a substitution at the Ba site for the sample with x=0.1.展开更多
A microstructural analysis was performed to determine the presence of oxygen in a wire rod section of AISI 1008 steel with a surface mechanical failure produced during wire drawing.The failure zone was analyzed by com...A microstructural analysis was performed to determine the presence of oxygen in a wire rod section of AISI 1008 steel with a surface mechanical failure produced during wire drawing.The failure zone was analyzed by comparison using three different attack reagents:alkaline sodium chromate(ASC),ASC with hydrogen peroxide and amyl alcohol,and a solution of nitric acid in ethyl alcohol.The reagents were applied in samples in the failure zone,showing different types of zones in regions with internal and superficial defects such as carbides,pores,cracks,deformation,and detachment zones,indicating the possible presence of oxygen.The areas identified were observed by means of an optical microscope and were correlated with the content of elements that were present in the region using a scanning electron microscope and a scattered X-ray energy spectrometer,which determined that the areas identified by chromate sodium correspond to regions with a high concentration of oxygen and slag-forming elements such as silicon,aluminum,and iron;this is associated with the presence of oxygen in the oxide form.It was also observed that the ASC and the modified ASC solution with hydrogen peroxide and amyl alcohol could identify areas with a high presence of oxides,while the nitric acid solution only identified the steel microstructure.The modified ASC solution is an alternative to identify the presence of chemical variants of oxygen because the conventional formulation is unstable and has a too short shelf life,and therefore,its application must be carried out at the time of preparation.展开更多
基金Supported by Abbott and the Spanish Society of Nephrology
文摘AIM To evaluate thresholds for serum 25(OH)D concentrations in relation to death, kidney progression and hospitalization in non-dialysis chronic kidney disease(CKD) population.METHODS Four hundred and seventy non-dialysis 3-5 stage CKD patients participating in OSERCE-2 study, a prospective, multicenter, cohort study, were prospectively evaluated and categorized into 3 groups according to 25(OH)D levels at enrollment(less than 20 ng/mL, between 20 and 29 ng/mL, and at or above 30 ng/mL), considering 25(OH)D between 20 and 29 ng/mL as reference group. Association between 25(OH)D levels and death(primary outcome), and time to first hospitalization and renal progression(secondary outcomes) over a 3-year followup, were assessed by Kaplan-Meier survival curves and Cox-proportional hazard models. To identify 25(OH)D levels at highest risk for outcomes, receiver operating characteristic(ROC) curves were performed.RESULTS Over 29 ± 12 mo of follow-up, 46(10%) patients dead, 156(33%) showed kidney progression, and 126(27%) were hospitalized. After multivariate adjustment, 25(OH)D < 20 ng/mL was an independent predictor of all-cause mortality(HR = 2.33; 95%CI: 1.10-4.91; P = 0.027) and kidney progression(HR = 2.46; 95%CI: 1.63-3.71; P < 0.001), whereas the group with 25(OH)D at or above 30 ng/mL did not have a different hazard for outcomes from the reference group. Hospitalization outcomes were predicted by 25(OH) levels(HR = 0.98; 95%CI: 0.96-1.00; P = 0.027) in the unadjusted Cox proportional hazards model, but not after multivariate adjusting. ROC curves identified 25(OH)D levels at highest risk for death, kidney progression, and hospitalization, at 17.4 ng/mL [area under the curve(AUC) = 0.60; 95%CI: 0.685-0.69; P = 0.027], 18.6 ng/mL(AUC = 0.65; 95%CI: 0.60-0.71; P < 0.001), and 19.0 ng/m L(AUC = 0.56; 95%CI: 0.50-0.62; P = 0.048), respectively.CONCLUSION25(OH)D < 20 ng/mL was an independent predictor of death and progression in patients with stage 3-5 CKD, with no additional benefits when patients reached the levels
基金PRODEP and CONAHCyT-Mexico for the financial support。
文摘In this paper,the synthesis,structural evolution,and dielectric properties of BaTiO_(3)solid solutions codoped with rare earth elements(Gd^(3+)and Eu^(3+))prepared using the solid-state reaction method are presented.Chemically pure precursor powders of BaCl_3,TiO_(2),Gd_(2)O_(3),and Eu_(2)O_(3)were mixed in stoichiometric proportions,ground in an agate mortar before being uniaxially pressed at 250 MPa and sintered at 1300℃in air atmosphere for 6 h to obtain Ba_(1-3x)Gd_(2x)Ti_(1-3x)Eu_(4x)O_(3)(x=0,0.0015,0.01 and0.1).X-ray diffraction(XRD)and Rietveld's refinement results reveal the crystal phase ferroelectric tetragonal BaTiO_(3)for the samples with x=0,0.0015 and 0.01,as well as a consistent increment in the lattice parameters caused by the doping.The solubility limit of Gd^(3+)and Eu^(3+)in the BaTiO_(3)structure is reached for the sample with x>0.01,and the orthorhombic Eu_2TiO_(5)and monoclinic BaTi_(2)O_(5)secondary phases were identified.The Raman results show the characteristic peaks of ferroelectric tetragonal BaTiO_(3)around 716 cm^(-1)(LO of A1 symmetry),515 cm^(-1)(TO of A1 symmetry),and 305 cm^(-1)(B1).The maximum relative permittivity measured at 1 kHz was recorded to be 6151.8 for the sample with x=0.0015,and a decrease in the Curie temperature to 105℃with respect to the undoped sample was observed.The punctual microanalysis for the samples with x=0.0015,0.01,and 0.1 reveals grains composed of Ba,Ti,O,Gd,and Eu homogeneously distributed in the BaTiO_(3)structure.The Ba/Ti ratios for samples with x=0.0015,0.01 and 0.1 are 2.86,2.91,and 0.68,respectively,indicating substitution at the Ti site for samples with x=0.0015 and 0.01 and a substitution at the Ba site for the sample with x=0.1.
基金the National Council of Science and Technology of Mexico(CONACYT)for the Ph.D.scholarship(No.788678)receivedthe use of the equipment acquired with the support for projects Nos.235780,271878,and 282357 of the National Laboratory SEDEAM-CONACYT.
文摘A microstructural analysis was performed to determine the presence of oxygen in a wire rod section of AISI 1008 steel with a surface mechanical failure produced during wire drawing.The failure zone was analyzed by comparison using three different attack reagents:alkaline sodium chromate(ASC),ASC with hydrogen peroxide and amyl alcohol,and a solution of nitric acid in ethyl alcohol.The reagents were applied in samples in the failure zone,showing different types of zones in regions with internal and superficial defects such as carbides,pores,cracks,deformation,and detachment zones,indicating the possible presence of oxygen.The areas identified were observed by means of an optical microscope and were correlated with the content of elements that were present in the region using a scanning electron microscope and a scattered X-ray energy spectrometer,which determined that the areas identified by chromate sodium correspond to regions with a high concentration of oxygen and slag-forming elements such as silicon,aluminum,and iron;this is associated with the presence of oxygen in the oxide form.It was also observed that the ASC and the modified ASC solution with hydrogen peroxide and amyl alcohol could identify areas with a high presence of oxides,while the nitric acid solution only identified the steel microstructure.The modified ASC solution is an alternative to identify the presence of chemical variants of oxygen because the conventional formulation is unstable and has a too short shelf life,and therefore,its application must be carried out at the time of preparation.
