Differences in Practitioner Experience, Practice Type, and Profession in Attitudes Toward Growing Contact Lens Practice.

OBJECTIVE: To investigate eye care practitioners' attitudes and perceptions toward potential interventions that can enhance contact lens (CL) practice across the world, and how this is influenced by their practice setting. METHODS: A self-administered, anonymized survey was constructed in English and then forward and backward translated into six more languages. The survey was distributed online via social media platforms and mailing lists involving reputed international professional bodies. RESULTS: In total, 2,222 responses from 27 countries with sufficient responses were analyzed (53% females, median age- 37 years). Most of the respondents were optometrists (81.9%) and 47.6% were from stand-alone/independent practices. Median working experience in CL prescribing was 11.0 years (IQR: 18.0, 4-22 years). Over two-third of them declared themselves to be very hopeful (22.9%) or hopeful (45.1%) about the future of their CL practice. Among the potential interventions proposed, continuous update of knowledge and skills and competently managing CL-related complications were rated the most important (median score: 9/10 for each). Practitioners working in national/regional retail chains expressed higher proactivity in recommending CLs (9/10) than those in local chains, hospitals, and universities (for all 8/10, P <0.05). National differences were also identified in eye care practitioner attitudes and perceptions ( P <0.05). CONCLUSIONS: The study provided important information to delineate a variety of elements characterizing CL practice across the world. These insights can serve as a basis to design strategies at national and international levels.

An advanced modeling study on the impacts and atmospheric implications of multiphase dimethyl sulfide chemistry.

Oceans dominate emissions of dimethyl sulfide (DMS), the major natural sulfur source. DMS is important for the formation of non-sea salt sulfate (nss-SO42-) aerosols and secondary particulate matter over oceans and thus, significantly influence global climate. The mechanism of DMS oxidation has accordingly been investigated in several different model studies in the past. However, these studies had restricted oxidation mechanisms that mostly underrepresented important aqueous-phase chemical processes. These neglected but highly effective processes strongly impact direct product yields of DMS oxidation, thereby affecting the climatic influence of aerosols. To address these shortfalls, an extensive multiphase DMS chemistry mechanism, the Chemical Aqueous Phase Radical Mechanism DMS Module 1.0, was developed and used in detailed model investigations of multiphase DMS chemistry in the marine boundary layer. The performed model studies confirmed the importance of aqueous-phase chemistry for the fate of DMS and its oxidation products. Aqueous-phase processes significantly reduce the yield of sulfur dioxide and increase that of methyl sulfonic acid (MSA), which is needed to close the gap between modeled and measured MSA concentrations. Finally, the simulations imply that multiphase DMS oxidation produces equal amounts of MSA and sulfate, a result that has significant implications for nss-SO42- aerosol formation, cloud condensation nuclei concentration, and cloud albedo over oceans. Our findings show the deficiencies of parameterizations currently used in higher-scale models, which only treat gas-phase chemistry. Overall, this study shows that treatment of DMS chemistry in both gas and aqueous phases is essential to improve the accuracy of model predictions.

Modeling the impact of iron-carboxylate photochemistry on radical budget and carboxylate degradation in cloud droplets and particles.

To quantify the effects of an advanced iron photochemistry scheme, the chemical aqueous-phase radical mechanism (CAPRAM 3.0i) has been updated with several new Fe(III)-carboxylate complex photolysis reactions. Newly introduced ligands are malonate, succinate, tartrate, tartronate, pyruvate, and glyoxalate. Model simulations show that more than 50% of the total Fe(III) is coordinated by oxalate and up to 20% of total Fe(III) is bound in the newly implemented 1:1 complexes with tartronate, malonate, and pyruvate. Up to 20% of the total Fe(III) is found in hydroxo and sulfato complexes. The fraction of [Fe(oxalate)2](-) and [Fe(pyruvate)](2+) is significantly higher during nighttime than during daytime, which points toward a strong influence of photochemistry on these species. Fe(III) complex photolysis is an important additional sink for tartronate, pyruvate, and oxalate, with a complex photolysis contribution to overall degradation of 46, 40, and 99%, respectively, compared to all possible sink reactions with atmospheric aqueous-phase radicals, such as (•)OH, NO3(•), and SO4(•) (-). Simulated aerosol particles have a much lower liquid water content than cloud droplets, thus leading to high concentrations of species and, consequently, an enhancement of the photolysis sink reactions in the aerosol particles. The simulations showed that Fe(III) photochemistry should not be neglected when considering the fate of carboxylic acids, which constitute a major part of aqueous secondary organic aerosol (aqSOA) in tropospheric cloud droplets and aqueous particles. Failure to consider this loss pathway has the potential to result in a significant overestimate of aqSOA production.

The Psyche Magnetometry Investigation.

The objective of the Psyche Magnetometry Investigation is to test the hypothesis that asteroid (16) Psyche formed from the core of a differentiated planetesimal. To address this, the Psyche Magnetometer will measure the magnetic field around the asteroid to search for evidence of remanent magnetization. Paleomagnetic measurements of meteorites and dynamo theory indicate that a diversity of planetesimals once generated dynamo magnetic fields in their metallic cores. Likewise, the detection of a strong magnetic moment ( > 2 × 10 14 Am 2 ) at Psyche would likely indicate that the body once generated a core dynamo, implying that it formed by igneous differentiation. The Psyche Magnetometer consists of two three-axis fluxgate Sensor Units (SUs) mounted 0.7 m apart along a 2.15-m long boom and connected to two Electronics Units (EUs) located within the spacecraft bus. The Magnetometer samples at up to 50 Hz, has a range of ± 80 , 000 nT , and an instrument noise of 39 pT axis - 1 3 σ integrated over 0.1 to 1 Hz. The two pairs of SUs and EUs provide redundancy and enable gradiometry measurements to suppress noise from flight system magnetic fields. The Magnetometer will be powered on soon after launch and acquire data for the full duration of the mission. The ground data system processes the Magnetometer measurements to obtain an estimate of Psyche's dipole moment.

Opportunities and threats to contact lens practice: A global survey perspective.

AIM: To understand the views of contact lens (CL) practitioners across the globe regarding what they perceive as opportunities and threats in CL practice. METHODS: A self-administered anonymised questionnaire, constructed in English and translated in six more languages, was distributed through reputed international professional bodies and academic institutions worldwide. The questionnaire included items on demographic characteristics, type of practice, and questions designed to explore practitioners' perspective on the future of their CL practice over the next five years. RESULTS: A total of 2408 valid responses were analysed. Multifocal CLs for presbyopia, CLs for myopia control, use of daily disposable (DD) CLs for occasional wear, and biocompatible materials to improve comfort were identified as promising areas of opportunities by practitioners (all 8/10). Respondents from North America, and Europe valued DDCLs for occasional wear moderately more favourable (Median: 9/10 for all) as compared to colleagues in Asia (Median: 8/10, p < 0.001), South America (Median: 8/10, p < 0.01), and Africa (Median: 8/10p < 0.01). Multifocal CLs for presbyopia was perceived as a better opportunity by practitioners in North America and Europe (Median: 9/10 for both), as well as in Australasia (Median: 8/10), in comparison to Asia, Africa, and Middle East (for all Median: 6/10, p < 0.001). Practitioners expressed concerns about the availability of CLs and CL prescriptions online without direct professional involvement (both 9/10). CONCLUSIONS: Overall, the most appealing opportunities for CL practice growth were identified in occasional use of DD CLs, biocompatible materials to reduce CL discomfort, multifocal CLs for presbyopia correction and management of myopia control with CLs. Lack of regulation in CL sales, especially online, seemed to be a constant threat. The insights from this study can be used to design targeted strategies to enhance CL practice across the globe and in specific geographical areas.

Tropospheric aqueous-phase free-radical chemistry: radical sources, spectra, reaction kinetics and prediction tools.

The most important radicals which need to be considered for the description of chemical conversion processes in tropospheric aqueous systems are the hydroxyl radical (OH), the nitrate radical (NO(3)) and sulphur-containing radicals such as the sulphate radical (SO(4)(-)). For each of the three radicals their generation and their properties are discussed first in the corresponding sections. The main focus herein is to summarize newly published aqueous-phase kinetic data on OH, NO(3) and SO(4)(-) radical reactions relevant for the description of multiphase tropospheric chemistry. The data compilation builds up on earlier datasets published in the literature. Since the last review in 2003 (H. Herrmann, Chem. Rev. 2003, 103, 4691-4716) more than hundred new rate constants are available from literature. In case of larger discrepancies between novel and already published rate constants the available kinetic data for these reactions are discussed and recommendations are provided when possible. As many OH kinetic data are obtained by means of the thiocyanate (SCN(-)) system in competition kinetic measurements of OH radical reactions this system is reviewed in a subchapter of this review. Available rate constants for the reaction sequence following the reaction of OH+SCN(-) are summarized. Newly published data since 2003 have been considered and averaged rate constants are calculated. Applying competition kinetics measurements usually the formation of the radical anion (SCN)(2)(-) is monitored directly by absorption measurements. Within this subchapter available absorption spectra of the (SCN)(2)(-) radical anion from the last five decades are presented. Based on these spectra an averaged (SCN)(2)(-) spectrum was calculated. In the last years different estimation methods for aqueous phase kinetic data of radical reactions have been developed and published. Such methods are often essential to estimate kinetic data which are not accessible from the literature. Approaches for rate constant prediction include empirical correlations as well as structure activity relationships (SAR) either with or without the usage of quantum chemical descriptors. Recently published estimation methods for OH, NO(3) and SO(4)(-) radical reactions in aqueous solution are finally summarized, compared and discussed.

Simultaneous adsorption at the liquid/solid and liquid/gas interfaces.

Physical adsorption from binary or higher-order liquid mixtures on solids is often accompanied by adsorption phenomena at the liquid/gas interface. As long as the adsorption effects are comparable, both interfaces have to be included in the respective thermodynamic equations. A purely phenomenological thermodynamic description in terms of excess quantities is given of the simultaneous adsorption from multicomponent liquid mixtures at the liquid/solid and liquid/gas interfaces. In order to illustrate the thermodynamic procedure, the individual and simultaneous adsorption excess isotherms of three binary liquid mixtures at the liquid/Teflon and liquid/vapor interfaces are calculated from experimental surface-tension and contact-angle data taken from the literature. Special attention is focused on the estimation of error in calculated adsorption isotherms. A line of approach is given to find the confidence limits of adsorption isotherms that cover the entire mole fraction scale. The isotherms as well as their confidence limits are presented and discussed.

High-resolution DOSY NMR with spins in different chemical surroundings: influence of particle exchange.

The effect of chemical exchange in the diffusion-ordered (DOSY) spectra of a two-site system in the slow-exchange limit with respect to the chemical shift is studied. The problem is addressed both theoretically and experimentally. The relationship between diffusion time (t) and mean lifetimes (tau) is studied by the simulation of the magnetization attenuations as a function of the gradient strength, under PFG conditions. The influence of the difference in populations and diffusion coefficients of the two sites is also considered. In analogy to the limiting cases of fast- and slow-exchange with respect to the chemical shift, limiting cases with respect to the diffusion dimension are defined. The slow-exchange limit in diffusion corresponds to the relation of t and tau that allows us to observe the two spins in exchange associated with the individual diffusion coefficients of the two sites when no exchange is present. The fast-exchange limit in diffusion is reached when the relation of t and tau is such that the two spins present the same apparent diffusion coefficient. By using a model system consisting of water/t-butanol it is shown that by recording several DOSY experiments with increasing diffusion times it is possible to estimate the value of the exchange rate.

Prediction of multicomponent liquid adsorption using excess quantities. II. Calculations for the liquid/solid interface.

The utilization of excess quantities as the basis for a thermodynamic approach can simplify the prediction of multicomponent liquid adsorption from binary data. A new method for predicting liquid adsorption on solids is suggested, which is different from the existing equations with respect to the theoretical background and formulation. The applicability of the new model is tested with three ternary adsorption systems. The predicted surface excesses are discussed and compared with experimental ones and with those of other prediction models in the literature. The accordance between measured and predicted ternary data is convincing.

Prediction of multicomponent liquid adsorption using excess quantities I. Statistical thermodynamic derivation of the basic equation of excess formalism.

The utilization of excess quantities as the basis of a thermodynamic approach can simplify the prediction of multicomponent liquid adsorption from binary data. From statistical thermodynamics, the fundamental equation is derived for the prediction of ternary or higher order data from adsorption data for the constituent binary mixtures. An additive expression is obtained for the double Gibbs free excess energies, valid for adsorption on liquid mixture/air interfaces as well as liquid mixture/solid interfaces.

Calculation and prediction of adsorption excesses on the ternary liquid mixture/air interface from surface tension measurements.

The surface tensions of the n-propanol/ethylene glycol/water ternary mixture and its binary mixtures are measured at 293 K and described by mathematical functions. The experimental data and their descriptions are shown in the three-dimensional space by means of coordinate transformation. A thermodynamic model to calculate and predict ternary adsorption excess data on the ternary liquid mixture/air interface from surface tensions is presented. The calculated adsorption excess data in the ternary triangle are discussed.

Anticancer effects of the nitric oxide-modified saquinavir derivative saquinavir-NO against multidrug-resistant cancer cells.

The human immunodeficiency virus (HIV) protease inhibitor saquinavir shows anticancer activity. Although its nitric oxide-modified derivative saquinavir-NO (saq-NO) was less toxic to normal cells, it exerted stronger inhibition of B16 melanoma growth in syngeneic C57BL/6 mice than saquinavir did. Saq-NO has been shown to block proliferation, upregulate p53 expression, and promote differentiation of C6 glioma and B16 cells. The anticancer activity of substances is frequently hampered by cancer cell chemoresistance mechanisms. Therefore, we here investigated the roles of p53 and the ATP-binding cassette (ABC) transporters P-glycoprotein (P-gp), multidrug resistance-associated protein 1 (MRP1), and breast cancer resistance protein 1 (BCRP1) in cancer cell sensitivity to saq-NO to get more information about the potential of saq-NO as anticancer drug. Saq-NO exerted anticancer effects in lower concentrations than saquinavir in a panel of human cancer cell lines. Neither p53 mutation or depletion nor expression of P-gp, MRP1, or BCRP1 affected anticancer activity of saq-NO or saquinavir. Moreover, saq-NO sensitized P-gp-, MRP1-, or BCRP1-expressing cancer cells to chemotherapy. Saq-NO induced enhanced sensitization of P-gp- or MRP1-expressing cancer cells to chemotherapy compared with saquinavir, whereas both substances similarly sensitized BCRP1-expressing cells. Washout kinetics and ABC transporter ATPase activities demonstrated that saq-NO is a substrate of P-gp as well as of MRP1. These data support the further investigation of saq-NO as an anticancer drug, especially in multidrug-resistant tumors.

Design of liquid/solid adsorption isotherms by energy distribution functions.

Adsorption excess isotherms of binary liquid mixtures have been calculated from synthetic adsorption energy distribution functions characterizing energetic heterogeneity at the liquid/solid interface. In order to see consequences for the adsorption isotherms, the distribution functions were varied systematically. In this way, the sensitivity or the lack of sensitivity of liquid-phase adsorption isotherms over the whole concentration range for changes in energy distribution functions became evident. The question of to what extent it makes sense to use liquid adsorption measurements to obtain relevant information on a solid's energetic heterogeneity is answered.

Two-component desorption from anisotropic pore networks.

Dynamic Monte Carlo simulations are performed to explore molecular desorption of a two-component mixture from a mode adsorbent of adsorbate-related anisotropy. The intrinsic dynamics of the adsorbent-adsorbate host-guest system is described by assuming a situation typical of a "molecular-traffic-control" system, where the hopping rates of the two components in two directions, perpendicular to each other, are identical, while for each component, perpendicular to that direction of preferential propagation, the hopping rates are reduced. The resulting desorption patterns are discussed in terms of the jump probabilities and are shown to approach the corresponding analytical solutions in the limiting cases of isotropic and unidirectional diffusions.