Nephrology referral slows the progression of chronic kidney disease, especially among patients with anaemia, diabetes mellitus, or hypoalbuminemia: A single-centre, retrospective cohort study.

BACKGROUND: The Kidney Disease Improving Global Outcomes guidelines recommend nephrology referral for patients with chronic kidney disease (CKD) stages 4 to 5, significant proteinuria and persistent microscopic haematuria. However, the recommendations are opinion-based and which patients with CKD benefit more from nephrology referral has not been elucidated. METHODS: In this retrospective cohort study, patients referred to our nephrology outpatient clinic from April 2017 to March 2019 were included. We excluded patients considered to have an acute decline in kidney function (annual decline in estimated glomerular filtration rate [eGFR] >10 mL/min/1.73 m2). The slopes of eGFR before and after nephrology referral were estimated and compared by linear mixed effects models. Interaction between time and referral status (before or after referral) was assessed and effect modifications by the presence of diabetes, proteinuria (defined by urine dipstick protein 2+ or more), urine occult blood, hypoalbuminemia (defined by albumin levels less than 3.5 g/dL) and anaemia (defined by haemoglobin levels less than 11.0 g/dL) were evaluated. RESULTS: The eGFR slope significantly improved from -2.05 (-2.39 to -1.72) to -0.96 (-1.36 to -0.56) mL/min/1.73 m2/year after nephrology referral (p < .001). The improvement in eGFR slope was more prominent among those with diabetes mellitus, anaemia, and hypoalbuminemia (all p-values for three-way interaction <.001 after adjustment for covariates). Further adjustments for time-dependent haemoglobin levels, the use of erythropoiesis-stimulating agents, iron supplementation, anti-hypertensives and anti-diabetic medications did not change the significance of the interactions. CONCLUSIONS: Nephrology referral slows CKD progression, especially among those with hypoalbuminemia, diabetes or anaemia. Patients with hypoalbuminemia, diabetes or anaemia might benefit more from specialized care and lifestyle modifications by nephrologists. The inclusion of anaemia and hypoalbuminemia in nephrology referral criteria should be considered.

Thermally Tunable Structural Coloration of Water/Surfactant/Oil Emulsions.

Stimuli-responsive structural color in nature has fascinated scientists, directing them to develop artificial coloration materials that adjust colors in response to external stimuli. Many stimuli-responsive structural color materials have been realized. However, only a few have reported on all-liquid-type materials, which have a particularly desirable feature because they impart their function to the device of any shape. We have previously reported the development of a consistent structural color within a narrow temperature range for all-liquid-type emulsions comprising a long-chain amidoamine derivative (C18AA) and tetraoctylammonium bromide (TOAB). In the present study, we demonstrate that introducing NaCl as an electrolyte affords a highly thermo-sensitive color-changing ability to the emulsions. The structural color of the emulsions can be controlled from red to blue by tuning the temperature. Furthermore, the C18AA and TOAB concentrations can independently regulate the color and coloring-temperature, respectively, realizing that the desired color can develop at a given temperature.

Hole, Convex, and Silver Nanoparticle Patterning on Polystyrene Nanosheets by Colloidal Photolithography at Air-Water Interfaces.

Colloidal photolithography is a versatile advanced technique for fabricating periodic nanopatterned arrays, with patterns carved exclusively on photoresist films deposited on solid substrates in a typical photolithographic process. In this study, we apply colloidal photolithography to polystyrene (PS) films half-covered with poly(methyl methacrylate) (PMMA) colloids at the air-water interface and demonstrate that periodic hole structures can be carved in PS films by two processes: photodecomposing PS films with ultraviolet (UV) light and removing PMMA colloids with a fluorinated solvent. Nonspherical holes, such as C-shaped and chiral comma-shaped holes, are also fabricated by regulating the UV illumination conditions. Furthermore, in addition to holes, convex patterns on PS films are realized by combining weak UV illumination with solvent treatment. We also demonstrate that actively using the water surface as the UV illumination field enables periodic silver nanoparticle spots to be deposited on PS films simply by dissolving silver ions in the water phase.

Assessing nickel oxide electrocatalysts incorporating diamines and having improved oxygen evolution activity using operando UV/visible and X-ray absorption spectroscopy.

The electrolysis of water using renewable energy is a promising approach to developing a sustainable hydrogen-based economy. To improve the efficiency of this process, it will be necessary to develop highly active electrocatalysts that promote the oxygen evolution reaction (OER). In the present study, the OER activity of a nickel oxide electrocatalyst was dramatically improved following the addition of a diamine to the electrolyte solution during electrodeposition. Operando UV/vis absorption spectroscopy was used to assess a number of nickel catalysts containing various diamines and other organic compounds. The data indicate that Ni(II) complexes were formed with the diamines during electrodeposition. Consequently, the catalytic activity of these materials was enhanced based on increased concentrations of active reaction sites for the OER process. Ni K-edge X-ray absorption spectra showed that these catalysts were composed of γ-NiOOH with a Ni3.6+ valence state. The coordination of the diamine molecules to the γ-NiOOH produced structural distortion that contributed to improved OER activity. This structural distortion is likely the most important factor in enhancing the OER activity of inorganic-organic composite catalysts.

Fabrication of Flexible and Transparent Conductive Nanosheets by the UV-Irradiation of Gold Nanoparticle Monolayers.

Conductive films that are highly transparent and flexible are extremely attractive for emerging optoelectronic applications. Currently, indium-doped tin oxide films are the most widely used transparent conductive films and much research effort is devoted to developing alternative transparent conductive materials to overcome their drawbacks. In this work, a novel and facile approach for fabricating transparent conductive Au nanosheets from Au nanoparticles (AuNPs) is proposed. Irradiating an AuNP monolayer at the air-water interface with UV light results in a nanosheet with ≈3.5 nm thickness and ≈80% transparency in the UV-visible region. Further, the so-fabricated nanosheets are highly flexible and can maintain their electrical conductivity even when they are bent to a radius of curvature of 0.6 mm. Fourier-transform infrared and X-ray photoelectron spectroscopy characterizations reveal that the transformation of the monolayer of AuNPs into the nanosheet is induced by the photodecomposition and/or photodetachment of the dodecanethiol ligands capping the AuNPs. Further, the UV-irradiation of a hybrid monolayer consisting of AuNPs and silica particles affords the patterning of Au nanosheets with periodic hole arrays.

Chirality-Controlled Syntheses of Double-Helical Au Nanowires.

The selective large-scale syntheses of noble metal nanocrystals with complex shapes using wet-chemical approaches remain exciting challenges. Here we report the chirality-controllable syntheses of double-helical Au nanowires (NWs) using chiral soft-templates composed of two organogelators with their own active functions; one organogelator serves to introduce helicity into the template and the other acts as a capping agent to control the Au shape. One-dimensional twisted-nanoribbon templates are prepared simply by mixing the two organogelators in water containing a small amount of toluene, followed by the addition of LiCl; template chirality is controlled through the selection of the handedness of the helicity-inducing organogelator. Double-helical Au NWs synthesized on these chiral templates have the same helical structure as the template because the Au NWs grow along both edges of the twisted nanoribbons with right- or left-handed helicities. Dispersions of the right- and left-handed double-helical Au NWs exhibit opposite CD signals.

Highly Stable Silica-Coated Gold Nanoflowers Supported on Alumina.

Shape-controlled nanocrystals, such as nanowires and nanoflowers, are attractive because of their potential novel optical and catalytic properties. However, the dispersion and morphological stabilities of shape-controlled nanocrystals are easily destroyed by changing the dispersion solvent and temperature. Methods of support and the silica coating are known to improve the dispersion and morphological stabilities of metal nanocrystals. The silica-coating method often causes morphological changes in shape-controlled nanocrystals because the silica coating is formed in mixed solutions of water and organic solvents such as ethanol, and this results in aggregation due to changes in the dispersion solvent. Furthermore, ligand exchange, designed to improve the dispersion stability in the solvent, often causes morphological changes. This article introduces a method for the preparation of highly stable silica-coated Au nanoflowers (AuNFs) supported on Al2O3. The method of support prevents the aggregation and precipitation of AuNFs when the solvent is changed from water to water/ethanol. Through stability improvement, silica coating of AuNFs/Al2O3 was conducted in water/ethanol without ligand exchange that causes morphological changes. Furthermore, silica-coated AuNFs/Al2O3 exhibit high morphological stability under high-temperature conditions compared to uncoated AuNFs/Al2O3. These results are very useful when preparing highly morphologically stable, silica-coated, shape-controlled nanocrystals without ligand exchange.

Stimuli-Responsive Extraction and Ambidextrous Redispersion of Zwitterionic Amphiphile-Capped Silver Nanoparticles.

Citrate-stabilized silver nanoparticles (AgNPs) were functionalized with a pH-responsive amphiphile, 3-[(2-carboxy-ethyl)-hexadecyl-amino]-propionic acid (C16CA). At pH ∼ 4, the zwitterionic C16CA assembled into lamellar structures due to the protonation of the amine groups of the amphiphile that neutralized the anionic charge of the carboxylate groups. The lamellar supramolecules incorporated the AgNPs into their 3D network and extracted them from water. C16CA supramolecules dissolved into water (at pH > 6) and organic solvents; consequently, the recovered C16CA-AgNPs were redispersed not only to water but also to chloroform and tetrahydrofuran without any additional functionalization. C16CA acted as a pH-responsive stabilizer of AgNPs and formed a solvent-switchable molecular layer such as a bilayered structure in water and densely packed monolayer in chloroform and tetrahydrofuran. Redispersion of the AgNPs was achieved in different solvents by changing the solvent affinity of the adsorbed C16CA molecular layer based on the protonation of the amine groups of the pH-responsive amphiphile. The morphology of redispersed AgNPs did not change during the recovery and redispersion procedure, due to the high steric effect of the network structure of C16CA supramolecules. These observations can lead to a novel solvent-exchange method for nanocrystals without aggregation and loss of nanocrystals, and they enable effective preparations of stimuli-responsive plasmonic nanomaterials.

Identification of functionally important residues of the silkmoth pheromone biosynthesis-activating neuropeptide receptor, an insect ortholog of the vertebrate neuromedin U receptor.

The biosynthesis of sex pheromone components in many lepidopteran insects is regulated by the interaction between pheromone biosynthesis-activating neuropeptide (PBAN) and the PBAN receptor (PBANR), a class A G-protein-coupled receptor. To identify functionally important amino acid residues in the silkmoth PBANR, a series of 27 alanine substitutions was generated using a PBANR chimera C-terminally fused with enhanced GFP. The PBANR mutants were expressed in Sf9 insect cells, and their ability to bind and be activated by a core PBAN fragment (C10PBAN(R2K)) was monitored. Among the 27 mutants, 23 localized to the cell surface of transfected Sf9 cells, whereas the other four remained intracellular. Reduced binding relative to wild type was observed with 17 mutants, and decreased Ca(2+) mobilization responses were observed with 12 mutants. Ala substitution of Glu-95, Glu-120, Asn-124, Val-195, Phe-276, Trp-280, Phe-283, Arg-287, Tyr-307, Thr-311, and Phe-319 affected both binding and Ca(2+) mobilization. The most pronounced effects were observed with the E120A mutation. A molecular model of PBANR indicated that the functionally important PBANR residues map to the 2nd, 3rd, 6th, and 7th transmembrane helices, implying that the same general region of class A G-protein-coupled receptors recognizes both peptidic and nonpeptidic ligands. Docking simulations suggest similar ligand-receptor recognition interactions for PBAN-PBANR and the orthologous vertebrate pair, neuromedin U (NMU) and NMU receptor (NMUR). The simulations highlight the importance of two glutamate residues, Glu-95 and Glu-120, in silkmoth PBANR and Glu-117 and Glu-142 in human NMUR1, in the recognition of the most functionally critical region of the ligands, the C-terminal residue and amide.

Preparation of silica-coated ultrathin gold nanowires with high morphological stability.

We demonstrated a preparation method of silica-coated straight ultrathin Au nanowires (NWs). Water-dispersive ultrathin Au NWs capped with a long-chain amidoamine derivative (C18AA) were used for silica coating. The Au NWs were partially covered with 3-mercaptopropanoic acid by the ligand exchange method, and silica coating of the Au NWs was carried out by the hydrolysis of tetraethoxysilane (TEOS) at pH > 6.7 because the shape of the Au NWs was changed under acidic conditions. The thickness of the silica layer depended on the concentration of TEOS, and the layer was able to decrease to 6-10 nm thick. We also demonstrated that the silica-coated Au NWs had high morphological stabilities against external stimuli such as a TEM electron beam, heat, and pH compared with the bare Au NWs.

Preparation and catalytic activity of Pd and bimetallic Pd-Ni nanowires.

This article describes the preparation and catalytic property of Pd and Pd-Ni nanowires with network structure. A soft template with network structure formed by long-chain amidoamine derivative (C18AA) was essential to preparing Pd and Pd-Ni nanowires because of the preparation of only spherical nanoparticles using octadecylamine, which does not form a network structure as a soft template, instead of C18AA. Furthermore, this soft-template method demands a slow reduction rate for the metal ion, the same as the general preparation method for novel metal nanowires. The distinguishing features of the present method is that the nanowires are a few nanometers in diameter and there are no byproducts such as nanoparticles. In addition, the bimetallic Pd-Ni nanowires show very high catalytic activity for the hydrogenation of p-nitrophenol as compared to Pd nanowires, Pd nanoparticles, and Pd-Ni nanoparticles.

Sodium dodecylsulfate bilayer formation under a cationic surfactant Langmuir monolayer at the air-water interface.

An aqueous solution of sodium dodecylsulfate (SDS) was injected into a Langmuir monolayer of dioctadecyldimethylammonium chloride (DODAC) at the air-water interface. Infrared external spectra, atomic force microscopy (AFM), and quartz crystal microbalance (QCM) measurements revealed that the resulting surface monolayer was a multilayer structure consisting of a DODAC monolayer as the upper layer and an SDS bilayer as the underlayer. Furthermore, the SDS alkyl chain was in the all-trans conformation, and the molecular packing of the DODAC alkyl chains was hexagonal with the trans-zigzag plane of the methylene chain oriented randomly around the chain axis. We also discuss the structure of the multilayer obtained by injecting SDS into a mixed Langmuir monolayer of DODAC + SDS.

Conductive Nanosheets Fabricated from Au Nanoparticles on Aqueous Metal Solutions under UV Irradiation.

Highly transparent, conductive nanosheets are extremely attractive for advanced opto-electronic applications. Previously, we have demonstrated that transparent, conductive Au nanosheets can be prepared by UV irradiation of Au nanoparticle (AuNP) monolayers spread on water, which serves as the subphase. However, thick Au nanosheets cannot be fabricated because the method is not applicable to large Au NPs. Further, in order to fabricate nanosheets with different thicknesses and compositions, it is necessary to prepare the appropriate NPs. A strategy is needed to produce nanosheets with different thicknesses and compositions from a single type of metal NP monolayer. In this study, we show that this UV irradiation technique can easily be extended as a nanosheet modification method by using subphases containing metal ions. UV irradiation of 4.7 nm AuNP monolayers on 480 µM HAuCl4 solution increased the thickness of Au nanosheets from 3.5 nm to 36.5 nm, which improved conductivity, but reduced transparency. On the other hand, the use of aqueous AgNO3 and CH3COOAg solutions yielded Au-Ag hybrid nanosheets; however, their morphologies depended on the electrolytes used. In Au-Ag nanosheets prepared on aqueous 500 µM AgNO3, Au and Ag metals are homogeneously distributed throughout the nanosheet. On the other hand, in Au-Ag nanosheets prepared on aqueous 500 µM CH3COOAg, AuNPs still remained and these AuNPs were covered with a Ag nanosheet. Further, these Au-Ag hybrid nanosheets had high conductivity without reduced transparency. Therefore, this UV irradiation method, modified by adding metal ions, is quite effective at improving and diversifying properties of Au nanosheets.

Uniform, convex structuring of polymeric colloids via site-selected swelling.

Non-spherical, polymeric colloids serve as building blocks for advanced functional materials. We propose a novel method to produce morphologically controlled, non-spherical particles by generating site-selected, convex structures on polystyrene (PS) particles. It consists of two simple procedures: a monolayer of PS particles is illuminated with UV light and is subsequently immersed in a fluorinated solvent (HFIP). UV irradiation generates site-selected, oxidized domains on PS particles with a different solvent affinity than unoxidized PS, and HFIP immersion preferentially swells the oxidized domains. Such swelling gives rise to site-selected, convex structures on PS particles. By adjusting UV irradiation conditions, including incident and azimuth angles, the oxidized sites, i.e., the swelled portions, can be accurately situated, allowing us to produce various convex shapes, including chiral shapes at desired positions on PS particles.

Fabrication and functionalization of periodically aligned metallic nanocup arrays using colloidal lithography with a sinusoidally wrinkled substrate.

We propose a general strategy for fabricating ultrasmall attoliter-sized (10(-18) L) one-dimensional (1D) aligned nanocup arrays embedded in poly(dimethylsiloxane) (PDMS) films based on a combination of colloidal soft-lithography and wrinkle processing. The nanocup consists of a metallic shell (silver-single or double-layer silver/gold type) with a thickness of several tens of nanometers and whose diameter was ca. 500 nm and cavity depth was ca. 250 nm. First, monodisperse polystyrene (PS) colloids (d = 500 nm) were arranged onto a sinusoidally wrinkled PDMS substrate. Then, the colloid particle arrays were transferred onto another flat PDMS substrate, and a metal film was vacuum deposited over the array to form a nanostructured surface consisting of half-shell metal-coated colloid particle arrays. After the metal-coated PS array was gently transferred onto another soft PDMS substrate prepared by nonthermal curing, the attached films were thermally cured. After that, both films were carefully separated to selectively transfer the metal-coated PS particle arrays, since the metallic shell on the PS surface can adhere to the soft PDMS. Finally, the PS colloids were removed by plasma etching, leaving behind the 1D hemispherical metallic shells, called here the "metallic nanocup array structure". This structure was evaluated by performing atomic force microscopy, scanning electron microscopy, and X-ray photoelectron spectroscopy measurements. We further demonstrate chemical modification of the inner nanocup surface through construction of a self-assembled monolayer, and we also fill them with nanomaterials (silica nanoparticles) to demonstrate their application to size-selecting devices. The obtained metallic nanocup arrays could be components in a new class of chemical and/or biological nanoreactors with small reaction vessels, surface-enhanced Raman scattering (SERS)-based sensors, and size separators for nanoparticles.

Room-temperature synthesis of two-dimensional ultrathin gold nanowire parallel array with tunable spacing.

A series of long-chain amidoamine derivatives with different alkyl chain lengths (CnAA where n is 12, 14, 16, or 18) were synthesized and studied with regard to their ability to form organogels and to act as soft templates for the production of Au nanomaterials. These compounds were found to self-assemble into lamellar structures and exhibited gelation ability in some apolar solvents. The gelation concentration, gel-sol phase transition temperature, and lattice spacing of the lamellar structures in organic solvent all varied on the basis of the alkyl chain length of the particular CnAA compound employed. The potential for these molecules to function as templates was evaluated through the synthesis of Au nanowires (NWs) in their organogels. Ultrathin Au NWs were obtained from all CnAA/toluene gel systems, each within an optimal temperature range. Interestingly, in the case of C12AA and C14AA, it was possible to fabricate ultrathin Au NWs at room temperature. In addition, two-dimensional parallel arrays of ultrathin Au NWs were self-assembled onto TEM copper grids as a result of the drying of dispersion solutions of these NWs. The use of CnAA compounds with differing alkyl chain lengths enabled precise tuning of the distance between the Au NWs in these arrays.

Thermal-sensitive viscosity transition of elongated micelles induced by breaking intermolecular hydrogen bonding of amide groups.

A heat-induced viscosity transition of novel worm-like micelles of a long alkyl-chain amidoamine derivative (C18AA) bearing intermolecular hydrogen-bonding group was investigated by cryo-TEM, FT-IR, and rheological measurements. At lower temperature, C18AA forms straight elongated micelles with a length on the order of micrometers due to strong intermolecular hydrogen-bonded packing of the amide groups, although the micelles rarely entangle and have low value of zero-shear viscosity. The straight elongated micelles likely became flexible and underwent a morphological transition from straight structure to worm-like structure at a certain temperature, which caused a drastic increase in viscosity due to entanglement of the micelles. This morphological transition was caused by a defect of intermolecular hydrogen bonding between the amide groups on heating. Furthermore, addition of LiCl, which acts as hydrogen-bond breaker, also promoted the viscosity transition, leading to a lowering of the transition temperature.

Nanoarchitectonics and Catalytic Performance of Au-Pd Nanoflowers Supported on Fe2O3.

Supported anisotropic bimetallic nanocrystals are attractive owing to their potential for novel catalytic applications. Au-Pd nanocrystals are expected to have higher catalytic activity for alcohol oxidation than Au nanocrystals. However, only a few studies have reported the application of anisotropic Au-Pd nanocrystals as alcohol-oxidation nanocatalysts. Support materials such as Al2O3 and Fe2O3 influence the catalytic activity of spherical Au nanoparticles. Thus, optimization of the support is expected to improve the catalytic activity of anisotropic Au-Pd nanocrystals. Herein, we report the synthesis and catalytic performances of Al2O3- and Fe2O3-supported Au and Au-Pd nanoflowers. Au99-Pd1 NFs supported on Fe2O3 exhibited the highest catalytic activity for 1-phenylethyl alcohol oxidation.

Experimental demonstration of arrayed optical amplifiers with a shared pump laser for realizing colorless, directionless, contentionless ROADM.

We propose arrayed optical amplifiers that share a single pump laser with the aim of realizing full-add/drop colorless, directionless, contentionless ROADM nodes and demonstrate its feasibility in experiments. The experimental results show that the fabricated arrayed optical amplifiers can be made to correspond properly to wavelength path reconfigurations by adjusting a splitting ratio of the variable splitter between the pump laser and eight EDFAs, and cause no significant penalty for 128-Gbit/s PDM-QPSK signal transmission.

Neuron-shaped gold nanocrystals and two-dimensional dendritic gold nanowires fabricated by use of a long-chain amidoamine derivative.

We report the synthesis of two-dimensional (2D) dendritic Au nanowires (DNWs) with diameters of 100-200 nm in an aqueous solution of long-chain amidoamine derivative (C18AA), which acted as both capping and reducing agent, and the preparation of large 2D DNWs with diameters of 400-700 nm by seeded growth of the original DNWs. The seeded growth method in the presence of C18AA enables the fabrication of novel neuron-shaped Au nanostructures consisting of two DNWs dangling from both ends of an ultrathin Au nanowire.