Knowledge and Attitudes of Dialysis Patients Toward Kidney Transplantation: Preliminary Report from a Pilot Study Preceding a Cross-Sectional Nationwide Evaluation.

BACKGROUND: The knowledge and attitudes of dialyzed patients toward the best method of renal replacement treatment (ie, kidney transplantation [KTx]) may be the main factor motivating them to apply and be put on the national kidney transplant waiting list, resulting in a better prognosis. OBJECTIVE: Assessment of the knowledge and attitudes of dialyzed patients toward KTx. METHODS: A pilot study is considered an introductory step before the nationwide project, which will cover dialysis centers in Poland from 2023 to 2024. The authorship 4-part questionnaire, including self-assessment knowledge, attitude dimension, pain and mental evaluation section, was made available to 30 patients with hemodialysis aged 30 to 75 years. RESULTS: The median age of the patients was 59 years. The primary cause of end-stage renal disease (ESRD) was glomerulonephritis (33%). Most of the patients stayed on hemodialysis for 2 years or less (57%); 43% of the patients declared insufficient knowledge in the field of KTx, 41% of the patients were not informed at the nephrology clinic that KTx remains one of the methods of renal replacement therapy, and 65% did not receive information about the possibility of preemptive or early transplantation from a relative donor. Only 34% of the patients considered KTx to be a much better treatment option than dialysis, but only 20% of those were on the national waiting list for KTx. CONCLUSIONS: The pilot study showed insufficient knowledge of patients with ESRD regarding kidney transplantation as a method of renal replacement therapy. There is a need to introduce an effective educational program.

Ion chromatography for the analysis of glyphosate and its selected metabolites. A review.

Among all known compounds with herbicide activity glyphosate, has been the most commercially successful one. Currently, it is under evaluation because of its possible cancerogenic properties. However, the question is-if it is possible to completely withdraw it from use. Before it can happen, it is important to be sure of all its benefits and limitations, and this requires further detailed research. Due to the extent and prevalence of its use, glyphosate ends up in the environment and then in food and our bodies. There are several methods used for their determination. One of them is ion chromatography. Taking into account its advantages and disadvantages, as well as its rapid development, their importance in this field can be expected to increase in the near future. This paper summarizes the literature data from the past 22 years. The applications of ion chromatography in the determination of glyphosate in various types of environmental, food, and other samples are described. Moreover, the methods used so far are compared with the possibilities offered by ion chromatography, which main advantages and benefits are easy availability, low operating costs, green chemistry aspects, and suitable validation parameters.

Determination of ammonium and biogenic amines by ion chromatography. A review.

The amount and type of chemical compounds found in food products and the environment, which are and should be controlled, is increasing. This is associated with toxicological knowledge, resulting regulations, rapid development of analytical methods and techniques, and sample preparation methods for analysis. These include, among others, ammonia derivatives such as ammonium, and amines, including biogenic amines. Their occurrence in the environment and food is related to their widespread use in many areas of life and their formation as a result of various physical and chemical changes. Analysts use various methods both classical and instrumental to theirs quantify in different matrices such as food, medicinal and environmental samples. Nevertheless, there is still a need for analytical methods with increased matrix-tolerance, selectivity, specificity, and higher sensitivity. While in the determination of ammonium, ion chromatography is a reference method. In the case of biogenic amines, its use for these purposes is not yet so common. However, given ion chromatography its advantages and rapid development, its importance can be expected to increase in the near future, especially at the expense of gas chromatography methods. This paper is a summary of the advantages and limitations of ion chromatography in this important analytical field and a literature review of the past 15 years.

Ion Chromatography and Related Techniques in Carboxylic Acids Analysis.

Ion chromatography (IC) is a variant of high-performance liquid chromatography. Its most important applications include the determination of inorganic and some organic ions in different types of liquid samples. The development of new types of stationary phases with various separation mechanisms, sample preparation methods, and detection modes has extended ion chromatography applications to practically all ionic and ionogenic substances, as well as extending sample types to include gaseous and solid matrices. Carboxylic acids and their derivatives are examples of compounds that are becoming more frequently analyzed using ion chromatography and related techniques. Their occurrence in the environment can be natural or anthropogenic in origin and are broadly used in various industries and daily life. This article discusses the applications of ion chromatography and related techniques for the determination of carboxylic acids in different types of liquid, solid, and gaseous matrices. It also presents detailed methodologies and literature data on this subject from the last 15 years.

Perchlorate - properties, toxicity and human health effects: an updated review.

Interest in perchlorate as environmental pollutant has increased since 1997, when high concentrations have been found in the waters of the Colorado River, USA. Perchlorate is very persistent in nature and it is slowly degraded. Although harmful effects of large doses of perchlorate on thyroid function have been proven, the environmental effects are still unclear. The primary objective of the present review is to collect prevailing data of perchlorate exposure and to discuss its impact on human health. The results show that more than 50% of reviewed works found significant associations of perchlorate exposure and human health. This review consists of the following sections: general information of perchlorate sources, its properties and determination methods, role and sources in human body including food and water intake, overview of the scientific literature on the research on the effect of perchlorate on human health from 2010 to 2020. Finally, conclusions and recommendations on future perchlorate studies concerning human exposure are presented.

Health risk assessment of selected metals through tap water consumption in Upper Silesia, Poland.

The research focused on assessing the risk to human health resulting from the content of selected Cr, Co, Mn, Cu, Ni, Pb, As, Zn and Sr metals in tap water supplied by Upper Silesia Water Plant to the inhabitants of the Upper Silesia region (Poland). It is the main supplier of drinking water to several million inhabitants of this agglomeration. Samples were taken and analyzed quarterly in 2019. The sampling points were chosen to help identify the source when an elevated level of a particular contaminant is observed. ICP-MS and ICP-OES have been used to measure the concentrations of those elements. The chronic daily intake (CDI), hazard quotient (HQ) and hazard index (HI) results for non-carcinogenic risk assessment of metals in tap water has been assessed. CDI values of non-carcinogenic metals were higher in children than in adults; the CDI values for adults and children were found in the order of: Zn > Sr > Cu > Mn > Ni > Pb > Cr > Co > As. All the studied metals had HQ values below 1, the risks caused by the non-carcinogenic metals decreased in the following order: Zn > Cu > Co > As > Sr > Pb > Cr > Ni > Mn. HI values were also less than 1, that meaning that the analyzed tap water is safe for human consumption. The concentration of As, Cr, Cu, Mn and Ni in analyzed tap water is in accordance with Polish and international requirements.

Time and spatial variability in concentrations of selected metals and their species in water and bottom sediments of Dzierzno Duze (Poland).

Poland is an industrialized country in which industries (especially the heavy ones) have had a tremendous influence on the environment. It is particularly visible in the Upper Silesia region, where the observed air, soil and water pollution levels are the most highest. The aim of this study was to determine the time and spatial variability in: concentrations of selected metals (Co, Ni, Zn, Cr, Mn, Pb, Cd), and, to a limited extent, of Cu, V, Al and Sr; concentrations of inorganic ions (Cl-, SO42-, Na+, K+, Ca2+ and Mg2+) and values of pH, conductivity and redox potential. The enlisted parameters were determined for the water and bottom sediments of Dzierzno Duze, a water reservoir located in Poland (Upper Silesia region). Additionally, fractions of a few characteristic metals were determined in the bottom sediments of the discussed reservoir with the BCR method. The investigation was carried out in 2017. It showed that the reservoir surface water was not polluted with the determined metal contents. However, it was highly polluted with the inorganic ions. The metal contents determined in the bottom sediments were high. If the conditions for releasing them from the bottom sediments had been favorable, this situation could have posed a potentially considerable environmental threat.

Time and spatial variability in the concentrations of selected metals in water and bottom sediments of Plawniowice and Dzierzno Male reservoirs (Poland).

The migration of metals and metalloids between bottom sediments and water and the other way round is a complex process. Understanding those mechanisms is essential for recognizing transformations taking place in water reservoir ecosystems. The objective behind the following study was to define time and spatial correlations in the changes in total concentrations of selected elements (Cr, Zn, Co, Mn, Cu, Ni, Pb, As, Ba, Sb, Sr and V) in waters and bottom sediments from two water reservoirs located in Upper Silesia (Poland), i.e., Plawniowice and Dzierzno Male. The research was carried out to demonstrate whether the bottom sediments deposited in the discussed reservoirs could pose an environmental threat due to the possible release of toxic metals and metalloids into the pelagic zone. The obtained results constitute material helping to describe the bioavailability of particular elements. They also expose the existing environmental threats for such water reservoirs and their users.

Variability in inorganic As, Sb and Tl species concentrations in waters and bottom sediments of the Klodnica River (Poland).

The study describes the application of new methodologies for the simultaneous determination of As(III)/As(V), Sb(III)/Sb(V) and Tl(I)/Tl(III) ions in waters and bottom sediments of the Klodnica River (Poland) with the hyphenated technique of high-performance liquid chromatography-inductively coupled plasma-mass spectrometry (HPLC-ICP-MS) . Time and spatial correlations were determined in the changes of total and speciation concentrations of the above-mentioned analytes in Klodnica river in 2012. The developed methodologies demonstrate high selectivity and limits of quantification at the level of 0.009-0.120 µg/L. Their repeatability, precision and recovery are appropriate for trace analyses of environmental samples. Time and spatial correlations, and concentrations of inorganic As, Sb and Tl ions demonstrated high variability both in water and bottom sediments.

Alterations of Hair and Nail Content of Selected Trace Elements in Nonoccupationally Exposed Patients with Chronic Depression from Different Geographical Regions.

The aim of this study was to determine if altered levels of selected trace elements manifest themselves during chronic depression. To identify elements strongly associated with chronic depression, relationships between the elemental contents of hair and nails and the interelement correlations were checked. Inductively coupled plasma mass spectrometry and ion chromatography were used to evaluate the contents of Zn, Cu, Co, Pb, Mn, and Fe in hair and nail samples from a total of 415 subjects (295 patients and 120 healthy volunteers). The study included logistic regression models to predict the probability of chronic depression. To investigate possible intercorrelations among the studied elements, the scaled principal component analysis was used. The research has revealed differences in TE levels in the group of depressed men and women in comparison to the healthy subjects. Statistically significant differences in both hair and nails contents of several elements were observed. Our study also provides strong evidence that the intermediary metabolism of certain elements is age- and gender-dependent. Zn, Mn, Pb, and Fe contents in hair/nails seem to be strongly associated with chronic depression. We found no statistically significant residence-related differences in the contents of studied elements in nonoccupationally exposed patients and healthy subjects.

Chemometric and environmental assessment of arsenic, antimony, and chromium speciation form occurrence in a water reservoir subjected to thermal anthropopressure.

In the study, arsenic, antimony, and chromium concentrations and selected physicochemical parameters in water and sediment samples from the thermal anthroporessure subjected Rybnik Reservoir (Poland) were determined. As(III), As(V), Sb(III), and Sb(V) ions were successfully separated on Dionex IonPac AS7 column, and Cr(III) and Cr(VI) on Dionex IonPac AG7 column. The obtained limits of detection were 0.18, 0.22, 0.009, 0.012, 0.11, and 0.17 µg/L, respectively. Water and bottom sediment samples were collected monthly at three-point transect between January and November 2013. The As(III) and Sb(III) speciation forms dominated in the bottom water, and Cr(VI) concentration in the bottom water was twice as high as the value measured for the surface water. The oxidized arsenic, antimony, and chromium forms dominated in the bottom sediments in the heated water discharge zone of the Rybnik Power Plant. The location of sampling point had a significant influence on the observed transformations and contents of the analyzed speciation forms. The chemometric analysis coupled with the dissimilarity analysis and principal component analysis helped to visualize the variability in the concentrations of the element speciation forms within the researched period and analyzing correlations.

Application of ion chromatography in clinical studies and pharmaceutical industry.

Ion chromatography is a well-established regulatory method for analyzing anions and cations in environmental, food and many other samples. It offers an enormous range of possibilities for selecting stationary and mobile phases. Additionally, it usually helps to solve various separation problems, particularly when it is combined with different detection techniques. Ion chromatography can also be used to determine many ions and substances in clinical and pharmaceutical samples. It provides: availability of high capacity stationary phases and sensitive detectors; simple sample preparation; avoidance of hazardous chemicals; decreased sample volumes; flexible reaction options on a changing sample matrix to be analyzed; or the option to operate a fully-automated system. This paper provides a short review of the ion chromatography applications for determining different inorganic and organic substances in clinical and pharmaceutical samples.

Development and validation of HPLC-ICP-MS method for the determination inorganic Cr, As and Sb speciation forms and its application for Plawniowice reservoir (Poland) water and bottom sediments variability study.

The optimization of methodology for determination and extraction of inorganic ionic As(III)/As(V), Cr(III)/Cr(VI) and Sb(III)/Sb(V) forms in water and easily-leached fractions of bottom sediments by HPLC-ICP-MS were studied. In paper total concentration of As, Cr, Sb, pH and redox potential were determined. Ions were successfully separated on Dionex IonPac AS7: As(III), As(V), Sb(III), Sb(V) and Dionex IonPac AG7: Cr(III), Cr(VI) with LOD 0.18 µg/L, 0.22 µg/L, 0.009 µg/L, 0.012 µg/L 0.11 µg/L, 0.17 µg/L, respectively. Water and bottom sediments samples were collected monthly from Plawniowice Reservoir, in three-point transects between March and December 2012. In the bottom water predominated As(III) and Cr(III) forms and the highest content of Cr(III) was in the water flowing into the Plawniowice Reservoir. Concentration of Cr(VI) increased in the bottom water in the spring and summer (April-July), while decreasing of the Cr(III) content was associated with the release of Cr(VI) from sediment into the water. Studies have shown that antimony accumulates in reservoir sediments and its reduced form was predominated except May and October-November period when high concentrations of Sb(V) was present. In contrast As(V) was the predominant arsenic form in bottom sediments.

Application of hyphenated techniques in speciation analysis of arsenic, antimony, and thallium.

Due to the fact that metals and metalloids have a strong impact on the environment, the methods of their determination and speciation have received special attention in recent years. Arsenic, antimony, and thallium are important examples of such toxic elements. Their speciation is especially important in the environmental and biomedical fields because of their toxicity, bioavailability, and reactivity. Recently, speciation analytics has been playing a unique role in the studies of biogeochemical cycles of chemical compounds, determination of toxicity and ecotoxicity of selected elements, quality control of food products, control of medicines and pharmaceutical products, technological process control, research on the impact of technological installation on the environment, examination of occupational exposure, and clinical analysis. Conventional methods are usually labor intensive, time consuming, and susceptible to interferences. The hyphenated techniques, in which separation method is coupled with multidimensional detectors, have become useful alternatives. The main advantages of those techniques consist in extremely low detection and quantification limits, insignificant interference, influence as well as high precision and repeatability of the determinations. In view of their importance, the present work overviews and discusses different hyphenated techniques used for arsenic, antimony, and thallium species analysis, in different clinical, environmental and food matrices.

Matrix influences on the determination of common ions by using ion chromatography part 1--determination of inorganic anions.

Ion chromatography is the most popular instrumental analytical method used for the determination of anions and cations in water and wastewater. Isocratic ion chromatography with suppressed conductivity detection is frequently used in laboratories carrying out routine analyses of inorganic anions. The paper presents the results of the research into the influence of selected inorganic anions dominant in environmental samples (Cl(-), NO(3)(-), SO(4)(2-)) on the possibility of simultaneous determination of F(-), Cl(-), NO(2)(-), NO(3)(-), PO(4)(3-) and SO(4)(2-) with the application of this most popular ion chromatography type in standard separation conditions. Four Dionex and four Metrohm anion-exchange columns were tested in standard separation conditions recommended by their manufacturers with both standard solutions and environmental samples with complex matrix.

Environmental applications of ion chromatography in Eastern and Central Europe.

Environmental analytics is one of the most important applications of ion chromatography. It includes determination of ions in water and wastewater as well as in gaseous and solid ones. Nowadays, ion chromatography has almost completely displaced the classical methods of ion determination in these areas. In spite of the fact that the ion chromatography has been officially present in the scientific world for 36 years, its role and popularity is highly diversified in various countries and regions of the world. In highly industrialized countries, it has been a reference method of water and wastewater analysis for years. In other parts of the world, it is not used and appreciated sufficiently despite its undeniable advantages. The following paper is a short overview of the most highly cited scientific and research institutions that conduct research in terms of environmental applications of ion chromatography in Eastern and Central Europe. Furthermore, the paper presents a list of a number of scientific papers referring to the discussed area, published in the years 1996-2009 in some of the most highly cited international scientific journals, and concerning publications of scientists from Eastern and Central Europe seen against the background of Europe and the world.

Determination of bromate in water samples using post column derivatization method with triiodide.

This paper describes the application of the method of post-column derivatization with triiodide and UV detection at 352 nm for the determination of bromate in drinking water, mineral water and swimming pool water samples. Optimized analytical conditions were further validated in terms of accuracy, precision, linearity, limit of detection and limit of quantification. The method detection limit was at the level of 0.4 µg/L, and the spiked recovery for bromate was in the range of 92% - 104%. The method did not need a special sample treatment and was successfully applied to the analysis of bromate at the required value that is below 2.5 µg/L.