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.

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.

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.

Water-phase synthesis of Au and Au-Ag nanowires and their SERS activity.

Metal nanowires (NWs) with a diameter of a few nanometers have attracted considerable attention as a promising one-dimensional nanomaterial due to their inherent flexibility and conductive properties and their weak plasmon absorption in the visible region. In a previous paper, we reported the synthesis of ultrathin 1.8 nm-diameter Au NWs using toluene-solubilized aqueous solutions of a long-chain amidoamine derivative (C18AA). This study investigates the effect of different organic solvents solubilized in C18AA aqueous solutions on the morphology of the Au products and demonstrates that solubilizing methylcyclohexane yields thick 2.7 nm-diameter Au NWs and 3.3 nm-diameter Au-Ag alloy NWs. Further, the surface-enhanced Raman scattering sensitivity of ultrathin Au NWs, thick Au NWs, and thick Au-Ag alloy NWs were assessed using 4-mercaptopyridine and found that their enhancement factors are 104-105 and the order is Au-Ag NWs > thick Au NWs > ultrathin Au NWs.

How do soldier crabs behave when seeing vibrating robots?

Metaheuristic algorithms are a method of searching for a suboptimal solution and are implemented by a large number of agents, such as a swarm of animals. In this method, it is very important to adjust the relationships and/or interplay between individual freedoms and constraints as a group. The phenomena related to this interplay are strongly relevant for self-organized criticality showing a power law distribution. Since individuals' independent behavior and translation as a group coexist in a swarm of soldier crabs, we conducted an experiment involving soldier crabs to estimate whether a power law distribution results from that interplay. The engine of translation was implemented by the directed movement of robot crabs. Soldier crabs confronting moving robot crabs were observed in the experiment. Here, we show that the interaction between robots and soldier crabs entails a Lévy walk characterized by a power law distribution of step length as well as the real swarm. This result suggests that soldier crabs could be attracted by the directed motion of robots and that combining a random walk with ballistic movement can realize a Lévy walk.

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.

Detection of Fe3+ and Hg2+ ions through photoluminescence quenching of carbon dots derived from urea and bitter tea oil residue.

In this study, we prepared nitrogen-doped carbon dots (xNCDs) using hydrothermally-treated bitter tea oil residue with urea for the detection of metal ions by monitoring the photoluminescence quenching. The quantum yields of the xNCDs increased from approximately 3.85% (CDs) to 5.5% (3NCDs) and 7.2% (1NCDs), revealing that nitrogen doping effectively increases the fluorescence emission. The increased emission of the xNCDs can be attributed to radiative recombination resulting from the π-π* transition of the C=C or the n-π* transition between the C=O or N=O of sp3 units. Moreover, the CDs have abundant surface-attached phenolic and hydroxyl groups that coordinate with Fe3+ ions and quench the fluorescence. Conversely, Hg2+ ions preferentially adsorb on nitrogen-containing groups, such as amide-carbonyl groups (O=C-NH2) and pyridinic and pyrrolic functionalities, on the surface of the NCDs owing to their strong affinity, quenching the substantial photoluminescence emissions. Our results suggest that bitter tea oil residue-derived carbon dots can be used to selectively detect metal ions, such as Fe3+ and Hg2+, by doping with nitrogen using urea as a nitrogen precursor.

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.

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.

Preparing Alumina-Supported Gold Nanowires for Alcohol Oxidation.

The development of shape-controlled noble metal nanocrystals such as nanowires (NWs) is progressing steadily owing to their potentially novel catalytic properties and the ease with which they can be prepared by reducing the metal ions in a particular solution as capping agents. Recently, many reports have been presented on the preparation of shape-controlled Au nanocrystals, such as nanostars and nanoflowers, by a one-pot method using 2-[4-(2-hydroxyethyl)-1-piperazinyl] ethanesulfonic acid (HEPES) as capping and reducing agents. The catalytic activity is depressed due to the adsorption of the capping agent onto a Au surface. Since HEPES has low binding affinities on the Au surface, shape-controlled nanocrystals obtained using HEPES are effective for application as nanocatalysts because HEPES was easily removed from the Au surface. In this study, we report the preparation of AuNWs, with an average diameter of 7.7 nm and lengths of a few hundred nanometers, in an aqueous solution containing HEPES and sodium borohydride. A γ-Al2O3-supported AuNW (AuNW/γ-Al2O3) catalyst was obtained using catalytic supporters and a water extraction method that removed HEPES from the Au surface without morphological changes. AuNW/γ-Al2O3 was then utilized to catalyze the oxidation of 1-phenylethyl alcohol to acetophenone. The formation rate of acetophenone over AuNW/γ-Al2O3 was 3.2 times that over γ-Al2O3-supported spherical Au nanoparticles (AuNP/γ-Al2O3) with almost the same diameter.

Lévy Walk in Swarm Models Based on Bayesian and Inverse Bayesian Inference.

While swarming behavior is regarded as a critical phenomenon in phase transition and frequently shows the properties of a critical state such as Lévy walk, a general mechanism to explain the critical property in swarming behavior has not yet been found. Here, we address this problem with a simple swarm model, the Self-Propelled Particle (SPP) model, and propose a way to explain this critical behavior by introducing agents making decisions via the data-hypothesis interaction in Bayesian inference, namely, Bayesian and inverse Bayesian inference (BIB). We compare three SPP models, namely, the simple SPP, the SPP with Bayesian-only inference (BO) and the SPP with BIB models. We show that only the BIB model entails coexisting tornado, splash and translation behaviors, and the Lévy walk pattern.

Conductive nanosheets produced by UV irradiation of a Ag nanoparticle monolayer at the air-water interface.

In a previous study, we demonstrated that conductive Au nanosheets can be prepared by UV irradiation of an Au nanoparticle monolayer spreading on water. In this study, we applied this UV irradiation technique to inexpensive Ag nanoparticles (NPs) to expand their versatility. UV irradiation of Ag NPs on water resulted in the formation of large Ag NPs and was ineffective for preparing conductive Ag films. The solubilization of additives in the water phase, however, resulted in the conversion of the large Ag NPs into a nanosheet, and the solubilization method was highly effective for preparing transparent conductive Ag films with an optical transmittance of above 70%.

Magnetic Fe3O4-Supported Gold Nanoflowers with Lattice-Selected Surfaces: Preparation and Catalytic Performance.

Nanoflowers (NFs)-shape-controlled noble metal nanocrystals-have garnered significant attention because of their novel catalytic properties and applicability. In this paper, we report the preparation and catalytic performance of a magnetic Fe3O4-supported AuNF catalyst with a clean surface. The magnetically supported AuNFs were obtained by using magnetic Fe3O4 as the support. However, when nonmagnetic γ-Al2O3 was utilized as the support, the AuNFs did not exhibit a magnetic response. These supported AuNFs were utilized to catalyze the oxidation of 1-phenylethyl alcohol to acetophenone using air (1 atm) as the oxidant. The rate of formation of acetophenone using supported AuNFs was 8-fold higher than that of acetophenone using supported spherical Au nanoparticles of comparable size. In addition, the Fe3O4-supported AuNFs exhibited a higher rate of formation of acetophenone than the Al2O3-supported AuNFs. The Fe3O4-supported AuNFs were recovered using a magnet, and the recovered catalyst was reused under identical catalytic reaction conditions. The rate of formation of acetophenone using recovered Fe3O4-supported AuNFs remained unchanged, demonstrating no loss of catalytic activity.

Synthesis of water-dispersible, plate-like perovskites and their core-shell nanocrystals.

Shape-controlled halide perovskite nanocrystals are attractive as an emerging functional material; however, these nanocrystals are prepared using organic solvents containing alkylamines and there are few reports on the synthesis of water-dispersible halide perovskite nanocrystals. We report a simple method to prepare water-dispersible, plate-like perovskite nanocrystals by mixing a long-chain amidoamine derivative (C18AA) and potassium tetrachloropalladate (K2PdCl4) in water. The obtained nanocrystals have a 2D layered perovskite structure represented by the chemical formula (C18AAH2)PdCl4. Furthermore, because seed-mediated growth is useful for preparing shape-controlled nanocrystals, such as rods, plates, wires and cubes, we used the water-dispersible (C18AAH2)PdCl4 nanocrystals as seeds to grow (C18AAH2)PdCl4@Pt core-shell nanocrystals. The core-shell nanocrystals have rough surfaces due to the deposition of Pt on the (C18AAH2)PdCl4 seeds. In addition, plate-like (C18AAH2)PdCl4@Au core-shell nanocrystals were easily obtained using this seed-mediated growth method.

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.

Improvement in Cobalt Phosphate Electrocatalyst Activity toward Oxygen Evolution from Water by Glycine Molecule Addition and Functional Details.

Electrochemical water splitting using renewable energy shows promise for the development of sustainable hydrogen production methods. The process requires a highly active electrocatalyst for oxygen evolution to improve the overall water splitting efficiency. The present study showed that oxygen evolution improved dramatically upon the addition of glycine to cobalt phosphate, when the glycine was added to the electrolyte solution during electrodeposition. The functionality of the organic molecules was investigated using in situ UV-vis absorption, in situ X-ray absorption fine structure, and in situ infrared (IR) absorption spectroscopy in the attenuated total reflection mode. The results demonstrated that the glycine molecules assembled cobalt oxide clusters composed of CoO6 (CoOOH) octahedrons a few nanometers in diameter upon the electrodeposition of cobalt catalysts. This suggests that the cobalt-glycine catalyst can decompose water to oxygen gas efficiently, because the number of cobalt oxide clusters increased as active reaction sites upon the addition of glycine molecules.

Iron Oxyhydroxide Hierarchical Micro/Nanostructured Film as Catalyst for Electrochemical Oxygen Evolution Reaction.

A key requirement in developing oxygen evolution reaction (OER) electrocatalysts is increasing their surface area. Herein, we report the design of a hierarchical micro/nanostructured catalyst. Based on polystyrene colloidal template electrodeposition, an ordered microcup array surrounded by nanoflakes was fabricated. The effect of the deposition time on the formation of the catalyst and the corresponding OER performance of the catalyst were investigated using scanning electron microscopy, in situ X-ray absorption fine structure (XAFS) spectroscopy, and electrochemical analysis. The in situ XAFS measurements indicate that the structure of the hierarchical structured catalyst is similar to that of γ-FeOOH. The electrochemical analysis indicates that the hierarchical catalyst has a large surface area and a low charge transfer resistance, which lead to its excellent catalytic performance for the OER. Our study provides new insights in designing high-performance OER catalysts. Moreover, the synthesized hierarchical micro/nanostructured catalyst could be used as a platform for further studies on low-cost iron-based electrocatalysts.

Au-Ag Nanoflower Catalysts with Clean Surfaces for Alcohol Oxidation.

Shape-controlled metal nanocrystals, such as nanowires and nanoflowers, are attractive owing to their potentially novel catalytic properties and bimetallic nanocrystals composed of two distinct metals are expected to act as highly active catalysts. However, their catalytic activities are limited because of the capping agents adsorbed on the metal surfaces, which are necessary for the preparation and dispersion of these nanocrystals in solvents. Therefore, the preparation of bimetallic shape-controlled noble metal nanocrystals with clean surfaces, devoid of almost all capping agents, are expected to have high catalytic activity. Herein, we report the preparation of bimetallic Au-Ag nanoflowers using melamine as the capping agent. The bimetallic Au-Ag nanoflowers with a clean surface were subsequently obtained by a support and extraction method. The bimetallic nanoflowers with a clean surface were then used for the aerobic oxidation of 1-phenylethyl alcohol and they exhibited high rates for the formation of acetophenone compared to Au nanoflowers and spherical nanoparticles with almost the same size and Au/Ag ratio. We also show that Au-Ag nanoflowers containing only 1 % Ag (Au99 -Ag1 NFs) exhibit the highest rate of acetophenone formation among Au-Ag nanoflowers with different Au/Ag ratios owing to an increase in the electron density of the Au atoms that act as active sites for the oxidation of 1-phenylethyl alcohol.

Tuning the Electronic Properties and Acid-Response Behavior of N-Heteroacene-Based π-Conjugated Liquids by Changing the Number of π-Conjugated Substituents.

We have designed and synthesized two room-temperature-fluorescent π-conjugated liquids based on the N-heteroacene framework (1 and 2). These two π-conjugated liquids, which contained one and two thiophene rings, respectively, exhibited different electronic properties and rheology behaviors. Single-crystal X-ray analysis of dithiophene-appended compound 4 revealed that two thiophene rings hindered the interactions of the imino N atoms with acids through the formation of interactions between the S atoms of the thiophene rings and the imino N atoms of the pyrazine group. On the other hand, monothiophene-appended molecules 1 and 3 each contained an unhindered imino N atom on the opposite site to the thiophene ring. Upon dissolving various acids with different pKa values in compounds 1 and 2, these slight structural differences gave rise to marked differences in their acid-response behaviors, thereby resulting in the emission of variously colored fluorescence in the liquid state. Furthermore, when acids with lower pKa values was dissolved in compounds 1 and 2, phase transition occurred from an isotropic liquid state to a self-organized liquid-crystalline phase.