Critical to the development of organic electronics is the design and synthesis of new organic semiconductors with improved electrical performance and enhanced environmental stability. We present in this communication the synthesis of a series of simple oligothiophene derivatives that bear the styryl unit as terminal substituent. Thin film field-effect transistors incorporating these compounds show high electrical performance, such as mobilities as high as 0.1 cm2/Vs, along with exceptional stability under ambient conditions. Especially, the longer oligomer, DS-4T, containing the quaterthiophene core gives rise to devices that show no decrease in performance after more than 17 months of storage and under continuous operation. Such stability features are unprecedented in the oligothiophene series.
We developed the first nomogram that can accurately predict postoperative hypertension cure in patients with primary aldosteronism. This nomogram can help clinicians calculate the probability of postoperative hypertension cure in patients with primary aldosteronism and objectively inform them of their hypertension outcome before laparoscopic adrenalectomy.
Abbreviations & Acronyms APA = aldosterone-producing adenoma BMI = body mass index BP = blood pressure CKD = chronic kidney disease eGFR = estimated glomerular filtration rate EH = essential hypertension FBGL = fasting blood glucose level GFR = glomerular filtration rate IHA = idiopathic hyperaldosteronism mo = months PA = primary aldosteronism PAC = plasma aldosterone concentration PRA = plasma renin activity Postop. = postoperative Preop. = preoperative SD = standard deviation TC = total cholesterol TG = triglycerides Objective: Correct interpretation of renal function in patients with primary aldosteronism is difficult before adrenalectomy, because subtle kidney impairment is often masked by glomerular hyperfiltration peculiar to primary aldosteronism. The aim of this study was to investigate postoperative changes in renal function for patients with primary aldosteronism and to identify clinical predictors of chronic kidney disease manifested postoperatively in the patients without pre-existing chronic kidney disease. Methods: Records of 78 Japanese patients who underwent unilateral adrenalectomy for primary aldosteronism were retrospectively surveyed. Patients who had been followed up for <6 months were excluded. Preoperative and postoperative estimated glomerular filtration rate were compared. Furthermore, uni-and multivariate analyses were carried out to identify clinical predictors for chronic kidney disease manifested postoperatively. Results: Patients with preoperative estimated glomerular filtration rate Ն60 mL/min/ 1.73 m 2 showed a significant decrease after surgery. Of the 66 patients without preexisting chronic kidney disease, 24 developed chronic kidney disease postoperatively. Multivariate logistic regression analysis identified a medical history of dyslipidemia as an independent predictor for chronic kidney disease manifested postoperatively. According to univariate analyses, additional factors associated with postoperative manifestation of chronic kidney disease included older age, lower diastolic blood pressure and lower estimated glomerular filtration rate. Conclusions: The interpretation of normal or abnormal renal functions by examining estimated glomerular filtration rate heightened by hyperfiltration alone can mislead clinicians before adrenalectomy. Clinicians should pay attention to patients at greater risk of a significant decline in postoperative renal function.
Risk factors for BSI in the pre-engraftment period were the interval between diagnosis and transplantation (261 days or more), engraftment failure, and high-risk disease status at HSCT in a multivariate analysis. No significant risk factor for BSI in the post-engraftment period was identified by a univariate analysis. These findings may be useful for deciding upon empiric antibacterial treatment for HSCT recipients.
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