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2. Impact of primary kidney disease on the effects of empagliflozin in patients with chronic kidney disease: secondary analyses of the EMPA-KIDNEY trial

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Judge, PK, Staplin, N, Mayne, KJ, Wanner, C, Green, JB, Hauske, SJ, Emberson, JR, Preiss, D, Ng, SYA, Roddick, AJ, Sammons, E, Zhu, D, Hill, M, Stevens, W, Wallendszus, K, Brenner, S, Cheung, AK, Liu, ZH, Li, J, Hooi, LS, Liu, WJ, Kadowaki, T, Nangaku, M, Levin, A, Cherney, D, Maggioni, AP, Pontremoli, R, Deo, R, Goto, S, Rossello, X, Tuttle, KR, Steubl, D, Massey, D, Landray, MJ, Baigent, C, Haynes, R, Herrington, WG, Abat, S, Abd Rahman, R, Abdul Cader, R, Abdul Hafidz, MI, Abdul Wahab, MZ, Abdullah, NK, Abdul-Samad, T, Abe, M, Abraham, N, Acheampong, S, Achiri, P, Acosta, JA, Adeleke, A, Adell, V, Adewuyi-Dalton, R, Adnan, N, Africano, A, Agharazii, M, Aguilar, F, Aguilera, A, Ahmad, M, Ahmad, MK, Ahmad, NA, Ahmad, NH, Ahmad, NI, Ahmad Miswan, N, Ahmad Rosdi, H, Ahmed, I, Ahmed, S, Aiello, J, Aitken, A, AitSadi, R, Aker, S, Akimoto, S, Akinfolarin, A, Akram, S, Alberici, F, Albert, C, Aldrich, L, Alegata, M, Alexander, L, Alfaress, S, Alhadj Ali, M, Ali, A, Alicic, R, Aliu, A, Almaraz, R, Almasarwah, R, Almeida, J, Aloisi, A, Al-Rabadi, L, Alscher, D, Alvarez, P, Al-Zeer, B, Amat, M, Ambrose, C, Ammar, H, An, Y, Andriaccio, L, Ansu, K, Apostolidi, A, Arai, N, Araki, H, Araki, S, Arbi, A, Arechiga, O, Armstrong, S, Arnold, T, Aronoff, S, Arriaga, W, Arroyo, J, Arteaga, D, Asahara, S, Asai, A, Asai, N, Asano, S, Asawa, M, Asmee, MF, Aucella, F, Augustin, M, Avery, A, Awad, A, Awang, IY, Awazawa, M, Axler, A, Ayub, W, Azhari, Z, Baccaro, R, Badin, C, Bagwell, B, Bahlmann-Kroll, E, Bahtar, AZ, Bains, D, Bajaj, H, Baker, R, Baldini, E, Banas, B, Banerjee, D, Banno, S, Bansal, S, Barberi, S, Barnes, S, Barnini, C, Barot, C, Barrett, K, Barrios, R, Bartolomei Mecatti, B, Barton, I, Barton, J, Basily, W, Bavanandan, S, Baxter, A, Becker, L, Beddhu, S, Beige, J, Beigh, S, Bell, S, Benck, U, Beneat, A, Bennett, A, Bennett, D, Benyon, S, Berdeprado, J, Bergler, T, Bergner, A, Berry, M, Bevilacqua, M, Bhairoo, J, Bhandari, S, Bhandary, N, Bhatt, A, Bhattarai, M, Bhavsar, M, Bian, W, Bianchini, F, Bianco, S, Bilous, R, Bilton, J, Bilucaglia, D, Bird, C, Birudaraju, D, Biscoveanu, M, Blake, C, Bleakley, N, Bocchicchia, K, Bodine, S, Bodington, R, Boedecker, S, Bolduc, M, Bolton, S, Bond, C, Boreky, F, Boren, K, Bouchi, R, Bough, L, Bovan, D, Bowler, C, Bowman, L, Brar, N, Braun, C, Breach, A, Breitenfeldt, M, Brettschneider, B, Brewer, A, Brewer, G, Brindle, V, Brioni, E, Brown, C, Brown, H, Brown, L, Brown, R, Brown, S, Browne, D, Bruce, K, Brueckmann, M, Brunskill, N, Bryant, M, Brzoska, M, Bu, Y, Buckman, C, Budoff, M, Bullen, M, Burke, A, Burnette, S, Burston, C, Busch, M, Bushnell, J, Butler, S, Büttner, C, Byrne, C, Caamano, A, Cadorna, J, Cafiero, C, Cagle, M, Cai, J, Calabrese, K, Calvi, C, Camilleri, B, Camp, S, Campbell, D, Campbell, R, Cao, H, Capelli, I, Caple, M, Caplin, B, Cardone, A, Carle, J, Carnall, V, Caroppo, M, Carr, S, Carraro, G, Carson, M, Casares, P, Castillo, C, Castro, C, Caudill, B, Cejka, V, Ceseri, M, Cham, L, Chamberlain, A, Chambers, J, Chan, CBT, Chan, JYM, Chan, YC, Chang, E, Chant, T, Chavagnon, T, Chellamuthu, P, Chen, F, Chen, J, Chen, P, Chen, TM, Chen, Y, Cheng, C, Cheng, H, Cheng, MC, Ching, CH, Chitalia, N, Choksi, R, Chukwu, C, Chung, K, Cianciolo, G, Cipressa, L, Clark, S, Clarke, H, Clarke, R, Clarke, S, Cleveland, B, Cole, E, Coles, H, Condurache, L, Connor, A, Convery, K, Cooper, A, Cooper, N, Cooper, Z, Cooperman, L, Cosgrove, L, Coutts, P, Cowley, A, Craik, R, Cui, G, Cummins, T, Dahl, N, Dai, H, Dajani, L, D'Amelio, A, Damian, E, Damianik, K, Danel, L, Daniels, C, Daniels, T, Darbeau, S, Darius, H, Dasgupta, T, Davies, J, Davies, L, Davis, A, Davis, J, Davis, L, Dayanandan, R, Dayi, S, Dayrell, R, De Nicola, L, Debnath, S, Deeb, W, Degenhardt, S, DeGoursey, K, Delaney, M, DeRaad, R, Derebail, V, Dev, D, Devaux, M, Dhall, P, Dhillon, G, Dienes, J, Dobre, M, Doctolero, E, Dodds, V, Domingo, D, Donaldson, D, Donaldson, P, Donhauser, C, Donley, V, Dorestin, S, Dorey, S, Doulton, T, Draganova, D, Draxlbauer, K, Driver, F, Du, H, Dube, F, Duck, T, Dugal, T, Dugas, J, Dukka, H, Dumann, H, Durham, W, Dursch, M, Dykas, R, Easow, R, Eckrich, E, Eden, G, Edmerson, E, Edwards, H, Ee, LW, Eguchi, J, Ehrl, Y, Eichstadt, K, Eid, W, Eilerman, B, Ejima, Y, Eldon, H, Ellam, T, Elliott, L, Ellison, R, Emberson, J, Epp, R, Er, A, Espino-Obrero, M, Estcourt, S, Estienne, L, Evans, G, Evans, J, Evans, S, Fabbri, G, Fajardo-Moser, M, Falcone, C, Fani, F, Faria-Shayler, P, Farnia, F, Farrugia, D, Fechter, M, Fellowes, D, Feng, F, Fernandez, J, Ferraro, P, Field, A, Fikry, S, Finch, J, Finn, H, Fioretto, P, Fish, R, Fleischer, A, Fleming-Brown, D, Fletcher, L, Flora, R, Foellinger, C, Foligno, N, Forest, S, Forghani, Z, Forsyth, K, Fottrell-Gould, D, Fox, P, Frankel, A, Fraser, D, Frazier, R, Frederick, K, Freking, N, French, H, Froment, A, Fuchs, B, Fuessl, L, Fujii, H, Fujimoto, A, Fujita, A, Fujita, K, Fujita, Y, Fukagawa, M, Fukao, Y, Fukasawa, A, Fuller, T, Funayama, T, Fung, E, Furukawa, M, Furukawa, Y, Furusho, M, Gabel, S, Gaidu, J, Gaiser, S, Gallo, K, Galloway, C, Gambaro, G, Gan, CC, Gangemi, C, Gao, M, Garcia, K, Garcia, M, Garofalo, C, Garrity, M, Garza, A, Gasko, S, Gavrila, M, Gebeyehu, B, Geddes, A, Gentile, G, George, A, George, J, Gesualdo, L, Ghalli, F, Ghanem, A, Ghate, T, Ghavampour, S, Ghazi, A, Gherman, A, Giebeln-Hudnell, U, Gill, B, Gillham, S, Girakossyan, I, Girndt, M, Giuffrida, A, Glenwright, M, Glider, T, Gloria, R, Glowski, D, Goh, BL, Goh, CB, Gohda, T, Goldenberg, R, Goldfaden, R, Goldsmith, C, Golson, B, Gonce, V, Gong, Q, Goodenough, B, Goodwin, N, Goonasekera, M, Gordon, A, Gordon, J, Gore, A, Goto, H, Gowen, D, Grace, A, Graham, J, Grandaliano, G, Gray, M, Greene, T, Greenwood, G, Grewal, B, Grifa, R, Griffin, D, Griffin, S, Grimmer, P, Grobovaite, E, Grotjahn, S, Guerini, A, Guest, C, Gunda, S, Guo, B, Guo, Q, Haack, S, Haase, M, Haaser, K, Habuki, K, Hadley, A, Hagan, S, Hagge, S, Haller, H, Ham, S, Hamal, S, Hamamoto, Y, Hamano, N, Hamm, M, Hanburry, A, Haneda, M, Hanf, C, Hanif, W, Hansen, J, Hanson, L, Hantel, S, Haraguchi, T, Harding, E, Harding, T, Hardy, C, Hartner, C, Harun, Z, Harvill, L, Hasan, A, Hase, H, Hasegawa, F, Hasegawa, T, Hashimoto, A, Hashimoto, C, Hashimoto, M, Hashimoto, S, Haskett, S, Hawfield, A, Hayami, T, Hayashi, M, Hayashi, S, Hazara, A, Healy, C, Hecktman, J, Heine, G, Henderson, H, Henschel, R, Hepditch, A, Herfurth, K, Hernandez, G, Hernandez Pena, A, Hernandez-Cassis, C, Herzog, C, Hewins, S, Hewitt, D, Hichkad, L, Higashi, S, Higuchi, C, Hill, C, Hill, L, Himeno, T, Hing, A, Hirakawa, Y, Hirata, K, Hirota, Y, Hisatake, T, Hitchcock, S, Hodakowski, A, Hodge, W, Hogan, R, Hohenstatt, U, Hohenstein, B, Hooi, L, Hope, S, Hopley, M, Horikawa, S, Hosein, D, Hosooka, T, Hou, L, Hou, W, Howie, L, Howson, A, Hozak, M, Htet, Z, Hu, X, Hu, Y, Huang, J, Huda, N, Hudig, L, Hudson, A, Hugo, C, Hull, R, Hume, L, Hundei, W, Hunt, N, Hunter, A, Hurley, S, Hurst, A, Hutchinson, C, Hyo, T, Ibrahim, FH, Ibrahim, S, Ihana, N, Ikeda, T, Imai, A, Imamine, R, Inamori, A, Inazawa, H, Ingell, J, Inomata, K, Inukai, Y, Ioka, M, Irtiza-Ali, A, Isakova, T, Isari, W, Iselt, M, Ishiguro, A, Ishihara, K, Ishikawa, T, Ishimoto, T, Ishizuka, K, Ismail, R, Itano, S, Ito, H, Ito, K, Ito, M, Ito, Y, Iwagaitsu, S, Iwaita, Y, Iwakura, T, Iwamoto, M, Iwasa, M, Iwasaki, H, Iwasaki, S, Izumi, K, Izumi, T, Jaafar, SM, Jackson, C, Jackson, Y, Jafari, G, Jahangiriesmaili, M, Jain, N, Jansson, K, Jasim, H, Jeffers, L, Jenkins, A, Jesky, M, Jesus-Silva, J, Jeyarajah, D, Jiang, Y, Jiao, X, Jimenez, G, Jin, B, Jin, Q, Jochims, J, Johns, B, Johnson, C, Johnson, T, Jolly, S, Jones, L, Jones, S, Jones, T, Jones, V, Joseph, M, Joshi, S, Judge, P, Junejo, N, Junus, S, Kachele, M, Kadoya, H, Kaga, H, Kai, H, Kajio, H, Kaluza-Schilling, W, Kamaruzaman, L, Kamarzarian, A, Kamimura, Y, Kamiya, H, Kamundi, C, Kan, T, Kanaguchi, Y, Kanazawa, A, Kanda, E, Kanegae, S, Kaneko, K, Kang, HY, Kano, T, Karim, M, Karounos, D, Karsan, W, Kasagi, R, Kashihara, N, Katagiri, H, Katanosaka, A, Katayama, A, Katayama, M, Katiman, E, Kato, K, Kato, M, Kato, N, Kato, S, Kato, T, Kato, Y, Katsuda, Y, Katsuno, T, Kaufeld, J, Kavak, Y, Kawai, I, Kawai, M, Kawase, A, Kawashima, S, Kazory, A, Kearney, J, Keith, B, Kellett, J, Kelley, S, Kershaw, M, Ketteler, M, Khai, Q, Khairullah, Q, Khandwala, H, Khoo, KKL, Khwaja, A, Kidokoro, K, Kielstein, J, Kihara, M, Kimber, C, Kimura, S, Kinashi, H, Kingston, H, Kinomura, M, Kinsella-Perks, E, Kitagawa, M, Kitajima, M, Kitamura, S, Kiyosue, A, Kiyota, M, Klauser, F, Klausmann, G, Kmietschak, W, Knapp, K, Knight, C, Knoppe, A, Knott, C, Kobayashi, M, Kobayashi, R, Kobayashi, T, Koch, M, Kodama, S, Kodani, N, Kogure, E, Koizumi, M, Kojima, H, Kojo, T, Kolhe, N, Komaba, H, Komiya, T, Komori, H, Kon, SP, Kondo, M, Kong, W, Konishi, M, Kono, K, Koshino, M, Kosugi, T, Kothapalli, B, Kozlowski, T, Kraemer, B, Kraemer-Guth, A, Krappe, J, Kraus, D, Kriatselis, C, Krieger, C, Krish, P, Kruger, B, Ku Md Razi, KR, Kuan, Y, Kubota, S, Kuhn, S, Kumar, P, Kume, S, Kummer, I, Kumuji, R, Küpper, A, Kuramae, T, Kurian, L, Kuribayashi, C, Kurien, R, Kuroda, E, Kurose, T, Kutschat, A, Kuwabara, N, Kuwata, H, La Manna, G, Lacey, M, Lafferty, K, LaFleur, P, Lai, V, Laity, E, Lambert, A, Langlois, M, Latif, F, Latore, E, Laundy, E, Laurienti, D, Lawson, A, Lay, M, Leal, I, Lee, AK, Lee, J, Lee, KQ, Lee, R, Lee, SA, Lee, YY, Lee-Barkey, Y, Leonard, N, Leoncini, G, Leong, CM, Lerario, S, Leslie, A, Lewington, A, Li, N, Li, X, Li, Y, Liberti, L, Liberti, ME, Liew, A, Liew, YF, Lilavivat, U, Lim, SK, Lim, YS, Limon, E, Lin, H, Lioudaki, E, Liu, H, Liu, J, Liu, L, Liu, Q, Liu, X, Liu, Z, Loader, D, Lochhead, H, Loh, CL, Lorimer, A, Loudermilk, L, Loutan, J, Low, CK, Low, CL, Low, YM, Lozon, Z, Lu, Y, Lucci, D, Ludwig, U, Luker, N, Lund, D, Lustig, R, Lyle, S, Macdonald, C, MacDougall, I, Machicado, R, MacLean, D, Macleod, P, Madera, A, Madore, F, Maeda, K, Maegawa, H, Maeno, S, Mafham, M, Magee, J, Mah, DY, Mahabadi, V, Maiguma, M, Makita, Y, Makos, G, Manco, L, Mangiacapra, R, Manley, J, Mann, P, Mano, S, Marcotte, G, Maris, J, Mark, P, Markau, S, Markovic, M, Marshall, C, Martin, M, Martinez, C, Martinez, S, Martins, G, Maruyama, K, Maruyama, S, Marx, K, Maselli, A, Masengu, A, Maskill, A, Masumoto, S, Masutani, K, Matsumoto, M, Matsunaga, T, Matsuoka, N, Matsushita, M, Matthews, M, Matthias, S, Matvienko, E, Maurer, M, Maxwell, P, Mazlan, N, Mazlan, SA, Mbuyisa, A, McCafferty, K, McCarroll, F, McCarthy, T, McClary-Wright, C, McCray, K, McDermott, P, McDonald, C, McDougall, R, McHaffie, E, McIntosh, K, McKinley, T, McLaughlin, S, McLean, N, McNeil, L, Measor, A, Meek, J, Mehta, A, Mehta, R, Melandri, M, Mené, P, Meng, T, Menne, J, Merritt, K, Merscher, S, Meshykhi, C, Messa, P, Messinger, L, Miftari, N, Miller, R, Miller, Y, Miller-Hodges, E, Minatoguchi, M, Miners, M, Minutolo, R, Mita, T, Miura, Y, Miyaji, M, Miyamoto, S, Miyatsuka, T, Miyazaki, M, Miyazawa, I, Mizumachi, R, Mizuno, M, Moffat, S, Mohamad Nor, FS, Mohamad Zaini, SN, Mohamed Affandi, FA, Mohandas, C, Mohd, R, Mohd Fauzi, NA, Mohd Sharif, NH, Mohd Yusoff, Y, Moist, L, Moncada, A, Montasser, M, Moon, A, Moran, C, Morgan, N, Moriarty, J, Morig, G, Morinaga, H, Morino, K, Morisaki, T, Morishita, Y, Morlok, S, Morris, A, Morris, F, Mostafa, S, Mostefai, Y, Motegi, M, Motherwell, N, Motta, D, Mottl, A, Moys, R, Mozaffari, S, Muir, J, Mulhern, J, Mulligan, S, Munakata, Y, Murakami, C, Murakoshi, M, Murawska, A, Murphy, K, Murphy, L, Murray, S, Murtagh, H, Musa, MA, Mushahar, L, Mustafa, R, Mustafar, R, Muto, M, Nadar, E, Nagano, R, Nagasawa, T, Nagashima, E, Nagasu, H, Nagelberg, S, Nair, H, Nakagawa, Y, Nakahara, M, Nakamura, J, Nakamura, R, Nakamura, T, Nakaoka, M, Nakashima, E, Nakata, J, Nakata, M, Nakatani, S, Nakatsuka, A, Nakayama, Y, Nakhoul, G, Naverrete, G, Navivala, A, Nazeer, I, Negrea, L, Nethaji, C, Newman, E, Ng, TJ, Ngu, LLS, Nimbkar, T, Nishi, H, Nishi, M, Nishi, S, Nishida, Y, Nishiyama, A, Niu, J, Niu, P, Nobili, G, Nohara, N, Nojima, I, Nolan, J, Nosseir, H, Nozawa, M, Nunn, M, Nunokawa, S, Oda, M, Oe, M, Oe, Y, Ogane, K, Ogawa, W, Ogihara, T, Oguchi, G, Ohsugi, M, Oishi, K, Okada, Y, Okajyo, J, Okamoto, S, Okamura, K, Olufuwa, O, Oluyombo, R, Omata, A, Omori, Y, Ong, LM, Ong, YC, Onyema, J, Oomatia, A, Oommen, A, Oremus, R, Orimo, Y, Ortalda, V, Osaki, Y, Osawa, Y, Osmond Foster, J, O'Sullivan, A, Otani, T, Othman, N, Otomo, S, O'Toole, J, Owen, L, Ozawa, T, Padiyar, A, Page, N, Pajak, S, Paliege, A, Pandey, A, Pandey, R, Pariani, H, Park, J, Parrigon, M, Passauer, J, Patecki, M, Patel, M, Patel, R, Patel, T, Patel, Z, Paul, R, Paulsen, L, Pavone, L, Peixoto, A, Peji, J, Peng, BC, Peng, K, Pennino, L, Pereira, E, Perez, E, Pergola, P, Pesce, F, Pessolano, G, Petchey, W, Petr, EJ, Pfab, T, Phelan, P, Phillips, R, Phillips, T, Phipps, M, Piccinni, G, Pickett, T, Pickworth, S, Piemontese, M, Pinto, D, Piper, J, Plummer-Morgan, J, Poehler, D, Polese, L, Poma, V, Postal, A, Pötz, C, Power, A, Pradhan, N, Pradhan, R, Preiss, E, Preston, K, Prib, N, Price, L, Provenzano, C, Pugay, C, Pulido, R, Putz, F, Qiao, Y, Quartagno, R, Quashie-Akponeware, M, Rabara, R, Rabasa-Lhoret, R, Radhakrishnan, D, Radley, M, Raff, R, Raguwaran, S, Rahbari-Oskoui, F, Rahman, M, Rahmat, K, Ramadoss, S, Ramanaidu, S, Ramasamy, S, Ramli, R, Ramli, S, Ramsey, T, Rankin, A, Rashidi, A, Raymond, L, Razali, WAFA, Read, K, Reiner, H, Reisler, A, Reith, C, Renner, J, Rettenmaier, B, Richmond, L, Rijos, D, Rivera, R, Rivers, V, Robinson, H, Rocco, M, Rodriguez-Bachiller, I, Rodriquez, R, Roesch, C, Roesch, J, Rogers, J, Rohnstock, M, Rolfsmeier, S, Roman, M, Romo, A, Rosati, A, Rosenberg, S, Ross, T, Roura, M, Roussel, M, Rovner, S, Roy, S, Rucker, S, Rump, L, Ruocco, M, Ruse, S, Russo, F, Russo, M, Ryder, M, Sabarai, A, Saccà, C, Sachson, R, Sadler, E, Safiee, NS, Sahani, M, Saillant, A, Saini, J, Saito, C, Saito, S, Sakaguchi, K, Sakai, M, Salim, H, Salviani, C, Sampson, A, Samson, F, Sandercock, P, Sanguila, S, Santorelli, G, Santoro, D, Sarabu, N, Saram, T, Sardell, R, Sasajima, H, Sasaki, T, Satko, S, Sato, A, Sato, D, Sato, H, Sato, J, Sato, T, Sato, Y, Satoh, M, Sawada, K, Schanz, M, Scheidemantel, F, Schemmelmann, M, Schettler, E, Schettler, V, Schlieper, GR, Schmidt, C, Schmidt, G, Schmidt, U, Schmidt-Gurtler, H, Schmude, M, Schneider, A, Schneider, I, Schneider-Danwitz, C, Schomig, M, Schramm, T, Schreiber, A, Schricker, S, Schroppel, B, Schulte-Kemna, L, Schulz, E, Schumacher, B, Schuster, A, Schwab, A, Scolari, F, Scott, A, Seeger, W, Segal, M, Seifert, L, Seifert, M, Sekiya, M, Sellars, R, Seman, MR, Shah, S, Shainberg, L, Shanmuganathan, M, Shao, F, Sharma, K, Sharpe, C, Sheikh-Ali, M, Sheldon, J, Shenton, C, Shepherd, A, Shepperd, M, Sheridan, R, Sheriff, Z, Shibata, Y, Shigehara, T, Shikata, K, Shimamura, K, Shimano, H, Shimizu, Y, Shimoda, H, Shin, K, Shivashankar, G, Shojima, N, Silva, R, Sim, CSB, Simmons, K, Sinha, S, Sitter, T, Sivanandam, S, Skipper, M, Sloan, K, Sloan, L, Smith, R, Smyth, J, Sobande, T, Sobata, M, Somalanka, S, Song, X, Sonntag, F, Sood, B, Sor, SY, Soufer, J, Sparks, H, Spatoliatore, G, Spinola, T, Squyres, S, Srivastava, A, Stanfield, J, Staylor, K, Steele, A, Steen, O, Steffl, D, Stegbauer, J, Stellbrink, C, Stellbrink, E, Stevenson, A, Stewart-Ray, V, Stickley, J, Stoffler, D, Stratmann, B, Streitenberger, S, Strutz, F, Stubbs, J, Stumpf, J, Suazo, N, Suchinda, P, Suckling, R, Sudin, A, Sugamori, K, Sugawara, H, Sugawara, K, Sugimoto, D, Sugiyama, H, Sugiyama, T, Sullivan, M, Sumi, M, Suresh, N, Sutton, D, Suzuki, H, Suzuki, R, Suzuki, Y, Swanson, E, Swift, P, Syed, S, Szerlip, H, Taal, M, Taddeo, M, Tailor, C, Tajima, K, Takagi, M, Takahashi, K, Takahashi, M, Takahashi, T, Takahira, E, Takai, T, Takaoka, M, Takeoka, J, Takesada, A, Takezawa, M, Talbot, M, Taliercio, J, Talsania, T, Tamori, Y, Tamura, R, Tamura, Y, Tan, CHH, Tan, EZZ, Tanabe, A, Tanabe, K, Tanaka, A, Tanaka, N, Tang, S, Tang, Z, Tanigaki, K, Tarlac, M, Tatsuzawa, A, Tay, JF, Tay, LL, Taylor, J, Taylor, K, Te, A, Tenbusch, L, Teng, KS, Terakawa, A, Terry, J, Tham, ZD, Tholl, S, Thomas, G, Thong, KM, Tietjen, D, Timadjer, A, Tindall, H, Tipper, S, Tobin, K, Toda, N, Tokuyama, A, Tolibas, M, Tomita, A, Tomita, T, Tomlinson, J, Tonks, L, Topf, J, Topping, S, Torp, A, Torres, A, Totaro, F, Toth, P, Toyonaga, Y, Tripodi, F, Trivedi, K, Tropman, E, Tschope, D, Tse, J, Tsuji, K, Tsunekawa, S, Tsunoda, R, Tucky, B, Tufail, S, Tuffaha, A, Turan, E, Turner, H, Turner, J, Turner, M, Tye, YL, Tyler, A, Tyler, J, Uchi, H, Uchida, H, Uchida, T, Udagawa, T, Ueda, S, Ueda, Y, Ueki, K, Ugni, S, Ugwu, E, Umeno, R, Unekawa, C, Uozumi, K, Urquia, K, Valleteau, A, Valletta, C, van Erp, R, Vanhoy, C, Varad, V, Varma, R, Varughese, A, Vasquez, P, Vasseur, A, Veelken, R, Velagapudi, C, Verdel, K, Vettoretti, S, Vezzoli, G, Vielhauer, V, Viera, R, Vilar, E, Villaruel, S, 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2024
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3. Effects of empagliflozin on progression of chronic kidney disease: a prespecified secondary analysis from the empa-kidney trial

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Staplin, N, Haynes, R, Judge, PK, Wanner, C, Green, JB, Emberson, J, Preiss, D, Mayne, KJ, Ng, SYA, Sammons, E, Zhu, D, Hill, M, Stevens, W, Wallendszus, K, Brenner, S, Cheung, AK, Liu, ZH, Li, J, Hooi, LS, Liu, WJ, Kadowaki, T, Nangaku, M, Levin, A, Cherney, D, Maggioni, AP, Pontremoli, R, Deo, R, Goto, S, Rossello, X, Tuttle, KR, Steubl, D, Petrini, M, Seidi, S, Landray, MJ, Baigent, C, Herrington, WG, Abat, S, Abd Rahman, R, Abdul Cader, R, Abdul Hafidz, MI, Abdul Wahab, MZ, Abdullah, NK, Abdul-Samad, T, Abe, M, Abraham, N, Acheampong, S, Achiri, P, Acosta, JA, Adeleke, A, Adell, V, Adewuyi-Dalton, R, Adnan, N, Africano, A, Agharazii, M, Aguilar, F, Aguilera, A, Ahmad, M, Ahmad, MK, Ahmad, NA, Ahmad, NH, Ahmad, NI, Ahmad Miswan, N, Ahmad Rosdi, H, Ahmed, I, Ahmed, S, Aiello, J, Aitken, A, AitSadi, R, Aker, S, Akimoto, S, Akinfolarin, A, Akram, S, Alberici, F, Albert, C, Aldrich, L, Alegata, M, Alexander, L, Alfaress, S, Alhadj Ali, M, Ali, A, Alicic, R, Aliu, A, Almaraz, R, 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Miyazawa, I, Mizumachi, R, Mizuno, M, Moffat, S, Mohamad Nor, FS, Mohamad Zaini, SN, Mohamed Affandi, FA, Mohandas, C, Mohd, R, Mohd Fauzi, NA, Mohd Sharif, NH, Mohd Yusoff, Y, Moist, L, Moncada, A, Montasser, M, Moon, A, Moran, C, Morgan, N, Moriarty, J, Morig, G, Morinaga, H, Morino, K, Morisaki, T, Morishita, Y, Morlok, S, Morris, A, Morris, F, Mostafa, S, Mostefai, Y, Motegi, M, Motherwell, N, Motta, D, Mottl, A, Moys, R, Mozaffari, S, Muir, J, Mulhern, J, Mulligan, S, Munakata, Y, Murakami, C, Murakoshi, M, Murawska, A, Murphy, K, Murphy, L, Murray, S, Murtagh, H, Musa, MA, Mushahar, L, Mustafa, R, Mustafar, R, Muto, M, Nadar, E, Nagano, R, Nagasawa, T, Nagashima, E, Nagasu, H, Nagelberg, S, Nair, H, Nakagawa, Y, Nakahara, M, Nakamura, J, Nakamura, R, Nakamura, T, Nakaoka, M, Nakashima, E, Nakata, J, Nakata, M, Nakatani, S, Nakatsuka, A, Nakayama, Y, Nakhoul, G, Naverrete, G, Navivala, A, Nazeer, I, Negrea, L, Nethaji, C, Newman, E, Ng, TJ, Ngu, LLS, Nimbkar, T, Nishi, H, Nishi, 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Poehler, D, Polese, L, Poma, V, Postal, A, Pötz, C, Power, A, Pradhan, N, Pradhan, R, Preiss, E, Preston, K, Prib, N, Price, L, Provenzano, C, Pugay, C, Pulido, R, Putz, F, Qiao, Y, Quartagno, R, Quashie-Akponeware, M, Rabara, R, Rabasa-Lhoret, R, Radhakrishnan, D, Radley, M, Raff, R, Raguwaran, S, Rahbari-Oskoui, F, Rahman, M, Rahmat, K, Ramadoss, S, Ramanaidu, S, Ramasamy, S, Ramli, R, Ramli, S, Ramsey, T, Rankin, A, Rashidi, A, Raymond, L, Razali, WAFA, Read, K, Reiner, H, Reisler, A, Reith, C, Renner, J, Rettenmaier, B, Richmond, L, Rijos, D, Rivera, R, Rivers, V, Robinson, H, Rocco, M, Rodriguez-Bachiller, I, Rodriquez, R, Roesch, C, Roesch, J, Rogers, J, Rohnstock, M, Rolfsmeier, S, Roman, M, Romo, A, Rosati, A, Rosenberg, S, Ross, T, Roura, M, Roussel, M, Rovner, S, Roy, S, Rucker, S, Rump, L, Ruocco, M, Ruse, S, Russo, F, Russo, M, Ryder, M, Sabarai, A, Saccà, C, Sachson, R, Sadler, E, Safiee, NS, Sahani, M, Saillant, A, Saini, J, Saito, C, Saito, S, Sakaguchi, K, Sakai, M, Salim, H, Salviani, C, Sampson, A, Samson, F, Sandercock, P, Sanguila, S, Santorelli, G, Santoro, D, Sarabu, N, Saram, T, Sardell, R, Sasajima, H, Sasaki, T, Satko, S, Sato, A, Sato, D, Sato, H, Sato, J, Sato, T, Sato, Y, Satoh, M, Sawada, K, Schanz, M, Scheidemantel, F, Schemmelmann, M, Schettler, E, Schettler, V, Schlieper, GR, Schmidt, C, Schmidt, G, Schmidt, U, Schmidt-Gurtler, H, Schmude, M, Schneider, A, Schneider, I, Schneider-Danwitz, C, Schomig, M, Schramm, T, Schreiber, A, Schricker, S, Schroppel, B, Schulte-Kemna, L, Schulz, E, Schumacher, B, Schuster, A, Schwab, A, Scolari, F, Scott, A, Seeger, W, Segal, M, Seifert, L, Seifert, M, Sekiya, M, Sellars, R, Seman, MR, Shah, S, Shainberg, L, Shanmuganathan, M, Shao, F, Sharma, K, Sharpe, C, Sheikh-Ali, M, Sheldon, J, Shenton, C, Shepherd, A, Shepperd, M, Sheridan, R, Sheriff, Z, Shibata, Y, Shigehara, T, Shikata, K, Shimamura, K, Shimano, H, Shimizu, Y, Shimoda, H, Shin, K, Shivashankar, G, Shojima, N, Silva, R, Sim, CSB, Simmons, K, Sinha, S, Sitter, T, Sivanandam, S, Skipper, M, Sloan, K, Sloan, L, Smith, R, Smyth, J, Sobande, T, Sobata, M, Somalanka, S, Song, X, Sonntag, F, Sood, B, Sor, SY, Soufer, J, Sparks, H, Spatoliatore, G, Spinola, T, Squyres, S, Srivastava, A, Stanfield, J, Staylor, K, Steele, A, Steen, O, Steffl, D, Stegbauer, J, Stellbrink, C, Stellbrink, E, Stevenson, A, Stewart-Ray, V, Stickley, J, Stoffler, D, Stratmann, B, Streitenberger, S, Strutz, F, Stubbs, J, Stumpf, J, Suazo, N, Suchinda, P, Suckling, R, Sudin, A, Sugamori, K, Sugawara, H, Sugawara, K, Sugimoto, D, Sugiyama, H, Sugiyama, T, Sullivan, M, Sumi, M, Suresh, N, Sutton, D, Suzuki, H, Suzuki, R, Suzuki, Y, Swanson, E, Swift, P, Syed, S, Szerlip, H, Taal, M, Taddeo, M, Tailor, C, Tajima, K, Takagi, M, Takahashi, K, Takahashi, M, Takahashi, T, Takahira, E, Takai, T, Takaoka, M, Takeoka, J, Takesada, A, Takezawa, M, Talbot, M, Taliercio, J, Talsania, T, Tamori, Y, Tamura, R, Tamura, Y, Tan, CHH, Tan, EZZ, Tanabe, A, Tanabe, K, Tanaka, A, Tanaka, N, Tang, S, Tang, Z, Tanigaki, K, Tarlac, M, Tatsuzawa, A, Tay, JF, Tay, LL, Taylor, J, Taylor, K, Te, A, Tenbusch, L, Teng, KS, Terakawa, A, Terry, J, Tham, ZD, Tholl, S, Thomas, G, Thong, KM, Tietjen, D, Timadjer, A, Tindall, H, Tipper, S, Tobin, K, Toda, N, Tokuyama, A, Tolibas, M, Tomita, A, Tomita, T, Tomlinson, J, Tonks, L, Topf, J, Topping, S, Torp, A, Torres, A, Totaro, F, Toth, P, Toyonaga, Y, Tripodi, F, Trivedi, K, Tropman, E, Tschope, D, Tse, J, Tsuji, K, Tsunekawa, S, Tsunoda, R, Tucky, B, Tufail, S, Tuffaha, A, Turan, E, Turner, H, Turner, J, Turner, M, Tye, YL, Tyler, A, Tyler, J, Uchi, H, Uchida, H, Uchida, T, Udagawa, T, Ueda, S, Ueda, Y, Ueki, K, Ugni, S, Ugwu, E, Umeno, R, Unekawa, C, Uozumi, K, Urquia, K, Valleteau, A, Valletta, C, van Erp, R, Vanhoy, C, Varad, V, Varma, R, Varughese, A, Vasquez, P, Vasseur, A, Veelken, R, Velagapudi, C, Verdel, K, Vettoretti, S, Vezzoli, G, Vielhauer, V, Viera, R, Vilar, E, Villaruel, S, Vinall, L, Vinathan, J, Visnjic, M, Voigt, E, von-Eynatten, M, Vourvou, M, Wada, J, Wada, T, Wada, Y, Wakayama, K, Wakita, Y, Walters, T, Wan Mohamad, WH, Wang, L, Wang, W, Wang, X, Wang, Y, Wanninayake, S, Watada, H, Watanabe, K, Watanabe, M, Waterfall, H, Watkins, D, Watson, S, Weaving, L, Weber, B, Webley, Y, Webster, A, Webster, M, Weetman, M, Wei, W, Weihprecht, H, Weiland, L, Weinmann-Menke, J, Weinreich, T, Wendt, R, Weng, Y, Whalen, M, Whalley, G, Wheatley, R, Wheeler, A, Wheeler, J, Whelton, P, White, K, Whitmore, B, Whittaker, S, Wiebel, J, Wiley, J, Wilkinson, L, Willett, M, Williams, A, Williams, E, Williams, K, Williams, T, Wilson, A, Wilson, P, Wincott, L, Wines, E, Winkelmann, B, Winkler, M, Winter-Goodwin, B, Witczak, J, Wittes, J, Wittmann, M, Wolf, G, Wolf, L, Wolfling, R, Wong, C, Wong, E, Wong, HS, Wong, LW, Wong, YH, Wonnacott, A, Wood, A, Wood, L, Woodhouse, H, Wooding, N, Woodman, A, Wren, K, Wu, J, Wu, P, Xia, S, Xiao, H, Xiao, X, Xie, Y, Xu, C, Xu, Y, Xue, H, Yahaya, H, Yalamanchili, H, Yamada, A, Yamada, N, Yamagata, K, Yamaguchi, M, Yamaji, Y, Yamamoto, A, Yamamoto, S, Yamamoto, T, Yamanaka, A, Yamano, T, Yamanouchi, Y, Yamasaki, N, Yamasaki, Y, Yamashita, C, Yamauchi, T, Yan, Q, Yanagisawa, E, Yang, F, Yang, L, Yano, S, Yao, S, Yao, Y, Yarlagadda, S, Yasuda, Y, Yiu, V, Yokoyama, T, Yoshida, S, Yoshidome, E, Yoshikawa, H, Young, A, Young, T, Yousif, V, Yu, H, Yu, Y, Yuasa, K, Yusof, N, Zalunardo, N, Zander, B, Zani, R, Zappulo, F, Zayed, M, Zemann, B, Zettergren, P, Zhang, H, Zhang, L, Zhang, N, Zhang, X, Zhao, J, Zhao, L, Zhao, S, Zhao, Z, Zhong, H, Zhou, N, Zhou, S, Zhu, L, Zhu, S, Zietz, M, Zippo, M, Zirino, F, and Zulkipli, FH

Published
2024
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8. Significance of Acid Washing after Biooxidation of Sulfides in Sequential Biotreatment of Double Refractory Gold Ore from the Syama Mine, Mali

Author

Cindy, Ryotaro Sakai, Diego M. Mendoza, Kojo T. Konadu, and Keiko Sasaki

Subjects
double refractory gold ore, biooxidation of sulfides, enzymatic degradation of carbonaceous matter, Acidianus brierleyi, Phanerochaete chrysosporium, HCl washing, Mineralogy, QE351-399.2
Abstract

Environmentally friendly pretreatment of double refractory gold ores (DRGO) to improve gold recovery without emitting pollutant gas is challenging. Sequential biotreatment, including iron-oxidizing microorganisms to decompose sulfides, followed by the enzymatic decomposition of carbonaceous matter, was recently developed. The effect of acid washing by 1 M HCl for 24 h between two bioprocesses was evaluated using a real double refractory gold ore from the Syama mines, Mali, which includes 24 g/t of Au and 5.27 wt% of carbon with a relatively higher graphitic degree. The addition of the acid washing process significantly improved gold recovery by cyanidation to yield to 84.9 ± 0.7% from 64.4 ± 9.2% (n = 2). The positive effects of acid washing can be explained by chemical alteration of carbonaceous matter to facilitate the accessibility for lignin peroxidase (LiP) and manganese peroxidase (MnP) in cell-free spent medium (CFSM), although the agglomeration was enhanced by an acid attack to structural Fe(III) in clay minerals. Sequential treatment of DRGO basically consists of the oxidative dissolution of sulfides and the degradation of carbonaceous matter prior to the extraction of gold; however, the details should be modified depending on the elemental and mineralogical compositions and the graphitic degree of carbonaceous matter.

Published
2021
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13. Significance of Acid Washing after Biooxidation of Sulfides in Sequential Biotreatment of Double Refractory Gold Ore from the Syama Mine, Mali

Author

Diego M. Mendoza, Kojo T. Konadu, Keiko Sasaki, Cindy, and Ryotaro Sakai

Subjects
Phanerochaete chrysosporium, Gold cyanidation, Chemistry, enzymatic degradation of carbonaceous matter, Extraction (chemistry), chemistry.chemical_element, Geology, Lignin peroxidase, Mineralogy, Geotechnical Engineering and Engineering Geology, Decomposition, Acidianus brierleyi, biooxidation of sulfides, Manganese peroxidase, double refractory gold ore, HCl washing, Clay minerals, Carbon, Dissolution, QE351-399.2, Nuclear chemistry
Abstract

Environmentally friendly pretreatment of double refractory gold ores (DRGO) to improve gold recovery without emitting pollutant gas is challenging. Sequential biotreatment, including iron-oxidizing microorganisms to decompose sulfides, followed by the enzymatic decomposition of carbonaceous matter, was recently developed. The effect of acid washing by 1 M HCl for 24 h between two bioprocesses was evaluated using a real double refractory gold ore from the Syama mines, Mali, which includes 24 g/t of Au and 5.27 wt% of carbon with a relatively higher graphitic degree. The addition of the acid washing process significantly improved gold recovery by cyanidation to yield to 84.9 ± 0.7% from 64.4 ± 9.2% (n = 2). The positive effects of acid washing can be explained by chemical alteration of carbonaceous matter to facilitate the accessibility for lignin peroxidase (LiP) and manganese peroxidase (MnP) in cell-free spent medium (CFSM), although the agglomeration was enhanced by an acid attack to structural Fe(III) in clay minerals. Sequential treatment of DRGO basically consists of the oxidative dissolution of sulfides and the degradation of carbonaceous matter prior to the extraction of gold; however, the details should be modified depending on the elemental and mineralogical compositions and the graphitic degree of carbonaceous matter.

Published
2021
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14. Sequential pretreatment of double refractory gold ore (DRGO) with a thermophilic iron oxidizing archeaon and fungal crude enzymes

Author

Kwadwo Asare Osseo-Asare, Kojo T. Konadu, Keiko Sasaki, Robert J. Huddy, and Susan T.L. Harrison

Subjects
chemistry.chemical_classification, Thermogravimetric analysis, biology, Chemistry, Scanning electron microscope, Mechanical Engineering, Thermophile, 02 engineering and technology, General Chemistry, 010501 environmental sciences, Geotechnical Engineering and Engineering Geology, biology.organism_classification, 01 natural sciences, 020501 mining & metallurgy, Enzyme, 0205 materials engineering, Control and Systems Engineering, Aluminosilicate, Oxidizing agent, Phanerochaete, Clay minerals, 0105 earth and related environmental sciences, Nuclear chemistry
Abstract

Double refractory gold ore was sequentially pretreated to oxidize sulfides by thermophilic archaeon Acidianus brierleyi and then to decompose carbonaceous matters using the cell-free spent medium (CFSM) from white-rot fungus Phanerochaete chrysosporium. The pretreatment by A. brierleyi significantly improved the gold recovery from 25% to 77%. Additionally, the crude lignin-degrading enzymes in the CFSM converted the carbonaceous matters into more easily degradable substances, which were removed by alkaline washing, leading to a final gold recovery of 92%. These mineralogical alterations were confirmed by differential thermogravimetric analysis and quantitative evaluation of minerals with scanning electron microscopy. Based on the results, gold grains were mostly liberated after bio-oxidation of sulfides, and in following CFSM treatment, large particles of carbonaceous aluminosilicate were formed from the aggregation of clay minerals, gold grains and with partially decomposed carbonaceous matters acting as binders.

Published
2019

16. Kinetics of thermal degradation of a Japanese oil sand

Author

Kojo T. Konadu, Eric O. Ansah, Yuichi Sugai, Olalekan S. Alade, Kyuro Sasaki, Bayo Ademodi, and Ryo Ueda

Subjects
chemistry.chemical_classification, Volatilisation, Renewable Energy, Sustainability and the Environment, 020209 energy, Process Chemistry and Technology, Organic Chemistry, Analytical chemistry, Mineralogy, 02 engineering and technology, Activation energy, Kinetic energy, Combustion, Decomposition, Catalysis, Fuel Technology, Hydrocarbon, 020401 chemical engineering, chemistry, Geochemistry and Petrology, lcsh:TP690-692.5, 0202 electrical engineering, electronic engineering, information engineering, Organic matter, 0204 chemical engineering, Water content, lcsh:Petroleum refining. Petroleum products
Abstract

Thermal degradation characteristics of a Japanese oil sand at different heating rates (10, 20, and 30 °C/min), and 30 ml/min air flow rate have been investigated. The kinetic parameters have been calculated based on three stages of weight loss and/or the conversion of the sample. These include, stage 1 (SI): volatilization of moisture content and the light hydrocarbon (20–227 °C), stage 2 (SII): combustion of heavy hydrocarbon (227–527 °C), and stage 3 (SIII): oxidative decomposition of carbonaceous organic matter (502–877 °C). The results showed that the rate of change of the oil sand conversion with time dαdt was affected by the heating rate. The time taken by the system to reach 0.99 conversion was observed as 85, 50, and 35 min at the heating rates of 10, 20, and 30 °C/min, respectively. The frequency factor, A, at SI was between 0.09 and 0.54 min−1, while the activation energy, Ea, was 11.2–12.5 KJmol−1 (the percentage weight loss, Wt, was 0–3.6 %w/w; and the conversion, α, was 0–0.2.). At SII, the values of A and Ea were 2.1–5.5 min−1 and 17.6–19 KJmol−1, respectively (Wt = 3.1–15.88 %w/w; α = 0.17–0.86.). The value of A at SIII was 5.5E11–1.1E13 min−1, while Ea was 160–200 KJmol−1 (Wt = 15.33–17.99 %w/w; and α = 0.84–0.99). Keywords: Thermogravimetric and differential thermal analysis (TG-DTA), Thermal degradation, Heating rates, Kinetics parameters

Published
2018

17. Carbonaceous matter degradation by fungal enzyme treatment to improve Ag recovery from an Au-Ag-bearing concentrate

Author

Misato Kameya, Yuji Aoki, Kojo T. Konadu, Diego M. Mendoza, and Keiko Sasaki

Subjects
Microorganism, Sequential biotreatment, 02 engineering and technology, 010501 environmental sciences, engineering.material, 01 natural sciences, 020501 mining & metallurgy, Adsorption, Enzymatic degradation of carbonaceous matter, 0105 earth and related environmental sciences, Oxide minerals, Gold cyanidation, biology, Chemistry, Mechanical Engineering, Hessite, Ore concentrate, General Chemistry, Recovery loss, Geotechnical Engineering and Engineering Geology, biology.organism_classification, 0205 materials engineering, Control and Systems Engineering, engineering, Carbonaceous gold -silver ore, Phanerochaete, Degradation (geology), Mineral liberation analysis (MLA), Nuclear chemistry
Abstract

Sequential treatment was applied to carbonaceous Au-Ag-bearing ore concentrate to maximize the Au and Ag recovery. In the preliminary test, the present carbonaceous ore had well liberated and exposed type of gold grains, which are not refractory, but included mainly three types of Ag presented as electrum, hessite (Ag2Te) and Ag-bearing other minerals. Au recovery was ∼100% without any treatment, meanwhile Ag recovery was only 33.3%. The sequential treatment comprises two oxidation steps: (a) mixed culture of iron- and sulfur-oxidizing microorganisms at pH 1.2, followed by (b) cell-free spent medium (CFSM) at pH 4.0 from a white rot-fungus, Phanerochaete chrysosporium, which includes lignin-degrading enzymes. As a result, Ag recovery was 55.5% after the first step and greatly improved to ∼100%, including the dissolved Ag+ concentration in the first step of acid treatment. Although the acidophilic iron-oxidizing microorganisms were inhibited by dissolved Ag+ and Cd2+ ions, the strong acidic conditions dissolved hessite and Ag-bearing oxide minerals. However, the remaining carbonaceous matter acted to sorb Ag(CN)2− in cyanidation, causing the recovery loss. In the next step the lignin-degrading enzymes degraded carbonaceous matter in the ore. This step is necessary to avoid the adsorption of Ag(CN)2− on graphitic carbonaceous matter, leading a mostly perfect recovery of the remaining Ag in the solid residues, without necessity of alkaline washing. The sequential treatment including enzymatic lignin-degrading process was also effective in carbonaceous silver ore avoiding the emission of air pollutants.

Published
2021

19. Biotechnological Approaches to Facilitate Gold Recovery from Double Refractory Gold Ores

Author

Keiko Sasaki and Kojo T. Konadu

Subjects
Chemistry, InformationSystems_INFORMATIONSTORAGEANDRETRIEVAL, 0211 other engineering and technologies, Nanotechnology, 02 engineering and technology, 021001 nanoscience & nanotechnology, 0210 nano-technology, GeneralLiterature_REFERENCE(e.g.,dictionaries,encyclopedias,glossaries), Refractory (planetary science), 021102 mining & metallurgy
Abstract

Double refractory gold ore (DRGO) not only include ppt levels of gold grains locked in sulfide minerals but also a problematic amount of carbonaceous matter. This causes a significant recovery loss of gold during cyanidation because of the strong affinity of the Au(CN)2− with the carbonaceous matter. Combustion decreases the carbonaceous matter content, but also emits pollutant gases like CO2, SO2 and As2O3. Therefore, environmentally-friendly solutions have been explored by using biotechnology. Due to the very small amount of the above targets in the ore, it is challenging to show evidential changes in solid-phase before and after the biomineral processing of DRGO. This chapter introduces the mineralogical and chemical changes in the various solid residues produced during a sequential biotreatment, consisting of the liberation of gold from sulfides by an iron-oxidizer and decomposition of carbonaceous matter by lignin-degrading enzymes (lignin peroxidase, manganese peroxidase, laccase) secreted from a white rot-fungus, which successfully improved of gold recovery to over 90%. In addition, further development of biotechnology in the recovery of gold from DRGO is addressed.

Published
2020

20. Biological pretreatment of carbonaceous matter in double refractory gold ores: A review and some future considerations

Author

Diego M. Mendoza, Kojo T. Konadu, Takashi Kaneta, Susan T.L. Harrison, Keiko Sasaki, and Robert J. Huddy

Subjects
chemistry.chemical_classification, Laccase, Sulfide, 0211 other engineering and technologies, Metals and Alloys, 02 engineering and technology, Lignin peroxidase, Decomposition, Preg-robbing, Industrial and Manufacturing Engineering, Sulfide minerals, 020401 chemical engineering, chemistry, Chemical engineering, Manganese peroxidase, Reagent, Carbonaceous matter, Materials Chemistry, Bioreactor, 0204 chemical engineering, Lignin-degrading enzymes, Double refractory gold ore, Pretreatment, 021102 mining & metallurgy
Abstract

The pretreatment of carbonaceous material in double refractory gold ores (DRGO) is necessary to decrease preg-robbing of gold and maximize gold recovery. DRGO contains of carbonaceous matter and gold grains encapsulated in sulfide minerals, which typically results in very poor gold recovery. However, there is growing interest in DRGO because some estimates show that it makes up about a third of the total available gold for production by mining. This can be achieved by chemical and biological techniques, however, the chemical techniques like flotation, surface passivation and chemical oxidation have received more extensive study and either have to be retooled or modified to be applied to the carbonaceous matter in the DRGO. In comparison, the biological techniques are relatively unknown with significant gaps in the knowledge about the bio-treatment mechanism, byproducts and avenues for scaling up like bioreactor design. This study reviews the enzymatic pretreatment of DRGO to facilitate gold recovery and minimize reagent consumption. It focuses on the potential for application of oxidative enzymes like lignin peroxidase, manganese peroxidase and laccase to pretreat carbonaceous matter in DRGO with or without an additional step of sulfide oxidation and addresses characterization of byproducts of the enzymatic decomposition. Further, potential bioreactor configurations for the enzymatic decomposition without direct contact of ore with microorganisms are considered, both in terms of understanding the mechanisms within the pretreatment and in terms of application.

Published
2020

21. Degradation of powder activated carbon by laccase-mediator system: Model experiments for the improvement of gold recovery from carbonaceous gold ore

Author

Hirofumi Ichinose, Keiko Sasaki, Kojo T. Konadu, and Diego M. Mendoza

Subjects
Powdered activated carbon treatment, Gold cyanidation, Process Chemistry and Technology, chemistry.chemical_element, Pollution, Adsorption, chemistry, Specific surface area, medicine, Chemical Engineering (miscellaneous), Degradation (geology), Waste Management and Disposal, Carbon, Mineral processing, Activated carbon, medicine.drug, Nuclear chemistry
Abstract

Several efforts are made to find various green alternatives for carbonaceous matter (CM) degradation in carbonaceous gold ores. The deleterious effect of CM is observed during cyanidation, where CM adsorbs Au(CN)2- behaving like activated carbon, an effect called pre-robbing. Thus, biotechnological approaches like enzyme degradation of CM to reduce Au(CN)2- adsorption are currently being studied. In the present work, the potential of CM degradation and gold preg-robbing reduction by laccase-mediator system (LMS) oxidation was evaluated using powder activated carbon (PAC) as CM surrogate material through model experiments. Based upon gas chromatography-mass spectrometry (GC-MS) analysis of extracted by-products from bio-treated PAC, LMS treatment after seven days physically and chemically altered the surface of PAC by the reduction of specific surface area and pore volume, the disruption of aromatic moieties into aliphatic compounds, and the formation of oxygen-containing functional groups. Subsequently, under the studied condition, the adsorption capacity of Au(CN)2- on the surface-degraded PAC was dramatically decreased from 46 μmol/g to 7.36 μmol/g. The present findings provide a new outlook of an alternative pre-treatment process of carbonaceous gold ore in mineral processing.

Published
2021

24. Enzymatic Pre-Treatment of Carbonaceous Matter in Preg-Robbing Gold Ores: Effect of Ferrous Ion Additives

Author

Keiko Sasaki, Kwadwo Asare Osseo-Asare, Kojo T. Konadu, and Takashi Kaneta

Subjects
Pre treatment, Chemistry, Metallurgy, 02 engineering and technology, Condensed Matter Physics, Atomic and Molecular Physics, and Optics, 020501 mining & metallurgy, Ion, Ferrous, 0205 materials engineering, Robbing, General Materials Science, Gold ore, Carbonaceous matter
Abstract

The bio-treatment of double refractory gold ores (DRGO) to reduce preg-robbing needs to account for the heterogeneity of the ore so as to acquire a much more complete picture of the system. To this end, the effects of ferrous ion additives on the degradation of powdered activated carbon (PAC) by cell-free spent medium (CFSM) was studied. Au(CN)2- adsorption and Raman spectrometric results suggest that the ferrous salt could have possibly reacted with some biogenic hydrogen peroxide to aid in the degradation of PAC. The bio-treatment produced mixed solid residues containing some partially degraded aromatic compounds which were soluble in alkaline solutions. Ultimately, biodegradation of PAC using CFSM in the presence of 50 µM FeSO4.7H2O for 7 days followed by washing with 3 mM NaOH reduced Au(CN)2- uptake by 80%.

Published
2017

25. Bio-modification of carbonaceous matter in gold ores: Model experiments using powdered activated carbon and cell-free spent medium of Phanerochaete chrysosporium

Author

Kojo T. Konadu, Kwadwo Asare Osseo-Asare, Takashi Kaneta, Keiko Sasaki, and G. Ofori-Sarpong

Subjects
Powdered activated carbon treatment, Gold cyanidation, biology, Chemistry, Metals and Alloys, Mineralogy, 02 engineering and technology, Lignin peroxidase, Carbon-13 NMR, 021001 nanoscience & nanotechnology, biology.organism_classification, Industrial and Manufacturing Engineering, 020501 mining & metallurgy, Adsorption, 0205 materials engineering, Manganese peroxidase, Specific surface area, Materials Chemistry, Phanerochaete, 0210 nano-technology, Nuclear chemistry
Abstract

Carbonaceous matter in refractory gold ore is known to be one of the primary causes of gold recovery loss. Model experiments were conducted to simulate the bio-modification of carbonaceous matter using powdered activated carbon (PAC) as a surrogate and cell-free spent medium (CFSM) of Phanerochaete chrysosporium. The CFSM was used because of the lignin peroxidase and manganese peroxidase secreted by the microbe during its incubation. In the present work, an investigation was conducted to determine the physical and chemical alterations in PAC after enzymatic treatment and its effect on Au(CN)2− uptake. Characterization of the solid residues of PAC by 13C NMR and N2 adsorption after bio-modification revealed that the treatment had decomposed poly-aromatic carbons into aliphatic carbons and also reduced the specific surface area from 1430 m2/g to 697 m2/g in 14 days. As a result, Au(CN)2− uptake decreased from 100% (0.048 mmol/g) to 43% within 12 h primarily due to the enzyme treatment and adsorption of CFSM components. It further decreased to 26% due to surface passivation by bio-chemicals derived from CFSM and/or decomposed aliphatic hydrocarbons from aromatic carbons between 7 days and 14 days. These findings may contribute to efforts to decrease preg-robbing in hydrometallurgical processing of refractory gold ores.

Published
2017

26. Bio-Modification of Carbonaceous Matters in Gold Ore: Model Experiments Using Powdered Activated Charcoal and Cell-Free Extracts of Phanerochaete chrysosporium

Author

Keiko Sasaki, Kojo T. Konadu, Takashi Kaneta, G. Ofori-Sarpong, and Kwadwo Osseo-Asare

Subjects
Materials science, biology, Gold cyanidation, General Engineering, biology.organism_classification, Decomposition, Activated charcoal, Biotransformation, medicine, Organic chemistry, Phanerochaete, Bond cleavage, Chrysosporium, Nuclear chemistry, Activated carbon, medicine.drug
Abstract

The detailed mechanism behind the bio-decomposition of carbonaceous matter in refractroy goold ore byPhanerocheate chrysosporiumto facilitate improved cyanidation of gold is as yet undersdtood. To gain a better understanding of this mechanism, the present work model experiments using powdery activated carbon (PAC) and cell-free extracts ofP.chrysosporiumto simulate and focus on the biotransformation of carbonaceous matters in refractory gold ores. The results of solid characterization using SEM and XRD indicated a more non-uniform surface and smaller crystal sizes for PAC treaded with cell-free extracts for 72 hours. The significant decomposition of aromatic compounds into aliphatic compounds were observed in13C-NMR and FTIR results for the high ratio of cell-free extract volume to mass of PAC. This results support the theory that one of the fundamental mechanisms behind the bio-decomposition process is aromatic bond cleavage by biomolecules produced byP.chrysosporium.

Published
2015

27. Effect of carbonaceous matter on bioleaching of Cu from chalcopyrite ore

Author

Ryotaro Sakai, Diego M. Mendoza, Chitiphon Chuaicham, Kojo T. Konadu, Hajime Miki, and Keiko Sasaki

Subjects
Chalcopyrite, 0211 other engineering and technologies, chemistry.chemical_element, 02 engineering and technology, Conductivity, Redox, Industrial and Manufacturing Engineering, 020401 chemical engineering, Bioleaching, Materials Chemistry, Galvanic cell, Galvanic effect, 0204 chemical engineering, Dissolution, 021102 mining & metallurgy, Graphiticity, Chemistry, Metals and Alloys, Anthracite, Impedance, Copper, Chemical engineering, visual_art, Carbonaceous matter, visual_art.visual_art_medium
Abstract

Natural carbonaceous matter aided the bioleaching of Cu from chalcopyrite concentrates. The oxidative dissolution of chalcopyrite was enhanced more significantly by anthracite than carbonaceous matter in double refractory gold ore (DRGO). This was achieved through Galvanic interactions between the chalcopyrite and natural carbonaceous matter. Measurement of impedance verified that the electro-resistance is smaller in anthracite, which has a greater graphitic degree than carbonaceous matter in DRGO. The electron shuttle between chalcopyrite and the Fe3+ /Fe2+ redox couple was facilitated not only by the amounts of carbonaceous matter but also the degree of graphitization of carbonaceous matter. A higher graphitization degree increased the electron conductivity of the carbonaceous matter to help mediate Cu bioleaching while avoiding direct contact of thermophile cells with refractory copper sulfides.

Published
2020

31. Transformation of the carbonaceous matter in double refractory gold ore by crude lignin peroxidase released from the white-rot fungus

Author

Kojo T. Konadu, Kwadwo Asare Osseo-Asare, Susan T.L. Harrison, and Keiko Sasaki

Subjects
0301 basic medicine, chemistry.chemical_classification, biology, Sulfide, 030106 microbiology, Fluorescence spectrometry, chemistry.chemical_element, Lignin peroxidase, 010501 environmental sciences, biology.organism_classification, complex mixtures, 01 natural sciences, Microbiology, Biomaterials, 03 medical and health sciences, chemistry.chemical_compound, chemistry, Aluminosilicate, Phanerochaete, Lignin, Waste Management and Disposal, Dissolution, Arsenic, 0105 earth and related environmental sciences, Nuclear chemistry
Abstract

Sulfides and carbonaceous matter in double refractory gold ore (DRGO) were bio-treated sequentially using an iron-oxidizing archaeon Acidianus brierleyi followed by lignin peroxidase-dominating crude enzymes released from the white-rot fungus Phanerochaete chrysosporium to significantly improve gold recovery from 24% to 92%. Transformation of the carbonaceous matter in the sequential bio-treatment was interpreted with Quantitative Evaluation of Materials by Scanning Electron Microscopy (QEMSCAN), Raman spectroscopy and three-dimensional fluorescence spectrometry. Firstly, microbiological sulfide oxidation did not affect carbonaceous matter but decreased the arsenic content in the solid residue, facilitating the following enzymatic reaction. Next, the crude enzymes predominantly decomposed the defect-bearing graphitic carbon into humic-like substances. The humic-like substances were not completely soluble under pH 4 but were instead retained in the solid residue as a part of a newly formed carbonaceous aluminosilicate (C–Si–Al) phase. Due to a wide pKa range of humic-like substances, it is proposed that at pH 4, electrostatic interaction between humic substances and illite, with and without heavy metals, might have enabled the agglomeration of fine aluminosilicate particles. Some gold grains trapped in C–Si–Al agglomerates were released by the dissolution of humic-like substances in 1 M NaOH, resulting in a further increase in gold recovery of approximately 15%.

Published
2019

39. Laccase-mediator system for enzymatic degradation of carbonaceous matter in the sequential pretreatment of double refractory gold ore from Syama mine, Mali.

Author

Sakai, Ryotaro, Mendoza, Diego M., Konadu, Kojo T., Cindy, Aoki, Yuji, Hirajima, Tsuyoshi, Ichinose, Hirofumi, and Sasaki, Keiko

Subjects
*GOLD ores, *MANGANESE peroxidase, *ENZYME stability, *FERRIC chloride, *FLUORESCENCE spectroscopy, *PHANEROCHAETE chrysosporium
Abstract

The sequential bio-treatment of refractory carbonaceous gold ore is a promising solution to recover gold effectively by environmentally friendly technology, which includes bio-oxidation of sulfide and biodegradation of carbonaceous matter by lignin-degrading enzymes. There are several drawbacks in enzyme treatment using cell-free spent medium (CFSM), including lignin peroxidase and manganese peroxidase from Phanerochaete chrysosporium, in particular the poor stability of enzyme activities. In the present work, laccase-mediator system (LMS) was applied for the degradation of carbonaceous matter in real gold ore to improve the efficiency of gold extraction as well as handling. The LMS was intended to be a great alternative process of CFSM with utilizing purified laccase in the presence of 1-hydroxybenzotriazole as a mediator. The application of LMS provided several advantages including not only greater stability, greater efficiency to degrade carbonaceous matter, better handling, much saving the treatment time, but also wider availability in laccase. In addition, replacing bio-oxidation with ferric chloride leaching as the dissolution path of sulfides facilitated avoiding the formation of jarosite and saving the required time. The gold recovery by cyanidation was improved from 41.5 ± 0.3% for the starting material to 81.3 ± 3.9% (n = 2) for the solid residues after the modified sequential pretreatment. This is correspondent to 86.3% of gold recovery for the extractable maximum gold excluding the enclosed gold in acid-insoluble silicates. The improved process involving LMS can be proposed with valuable advantages to fit a sustainable metallurgical technology of gold ores. [Display omitted] • Laccase-mediator system (LMS) was applied to real DRGO at the first time. • TG-DTA, Raman, and 3D fluorescence spectrometry supported the efficiency in LMS. • Gold recovery was improved to 86% after LMS treatment. • LMS could be established as an alternative of degradation of carbonaceous matters. • Ferric chloride leaching reduced sulfides without formation of jarosite. [ABSTRACT FROM AUTHOR]

Published
2022
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40. Significance of Fe contents on the surface of the gold ores in gold leaching by thiourea and ethylene thiourea.

Author

Sasaki, Keiko, Suyama, Ikumi, Aoki, Yuji, Konadu, Kojo T., Cindy, Chuaicham, Chitiphon, Miki, Hajime, and Hirajima, Tsuyoshi

Subjects
*GOLD ores, *LEACHING, *ETHYLENE, *GOLD compounds, *THIOUREA, *HYDROMETALLURGY
Abstract

[Display omitted] • Three gold ores with 2.70, 7.08 and 14.09 wt% Fe were leached with TU and ETU. • TU performed better than ETU for gold leaching from ore with the lowest Fe content. • ETU had a comparable gold extraction to cyanide for the most sulfidic gold ore. • Dissolved Au(TU) 2 + complex began decomposing after 12 hrs of leaching the sulfidic gold ores. • The addition of reductant improved Au extraction by TU from the most sulfidic gold ore. Environmentally friendly ligands, alternatives to cyanide, are desired to extract gold for the sustainable hydrometallurgy of gold. Leaching characteristics of gold were examined using thiourea (TU) and ethylene thiourea (ETU) as ligands from three types of gold ores with different Fe contents from 2.70 to 14.09 wt% under the acidic condition. The Au recovery by TU leaching reached the extractable maximum with the lowest Fe-bearing gold ore. This type of gold ore is suitable for TU/ETU leaching. The highest Fe-bearing gold ore was the most difficult to extract Au in ETU/TU leaching. There are at least two detrimental factors in TU leaching of Fe-rich gold ores, that is (i) the oxidative decomposition of TU, and (ii) complexation of TU with Fe3+, which both cause to deduce the complexation of TU with Au+. However, adding Na 2 SO 3 improved the Au extraction from such an ore to reduce Fe3+ to Fe2+. ETU facilitated the formation of more stable complexes with Au than TU against the coexisting Fe3+. This finding is useful when considering the cyanide-free leaching of different types of gold ores. [ABSTRACT FROM AUTHOR]

Published
2023
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41. Sequential biotreatment of extremely refractory gold ores using laccase

Author

International Symposium on Earth Science and Technology Fukuoka, Japan 25-27 November 2021, Sakai, Ryotaro, Cindy, Konadu, Kojo T, Mendoza, Diego M, Asamoah, Richmond, and Sasaki, Keiko

Subjects
gold ores, DRGO treatment, gold recovery
Abstract

In carbonaceous gold ores, gold particles are mainly locked on sulfides, moreover, Au(CN)2- ions are easily adsorbed on coexisting carbonaceous matter during gold cyanidation causing the unignorable loss of gold recovery, therefore, such ores are called as double refractory gold ores (DRGO). In the previous study we reported that the sequential bio-treatments with bio-oxidation of sulfides followed by enzymatic biodegradation of carbonaceous matter much improved gold recovery. In the present work, DRGO with more highly graphitic carbon than previous study was challenged by beneficial changes of the sequential biotreatment including ferric leaching of sulfides, acid washing and degradation of carbonaceous matter by laccase. Gold recovery was totally improved from 42% to 81%, where acid washing avoided the agglomeration through Fe3+ adsorbed on different minerals and altered carbonaceous matter to facilitate the access of laccase. Compared with the performance of the conventional process using cell free spent medium derived from Phanerochaete chrysosporium instead of laccase,laccase treatment improved gold recovery and saved the required time. The present process can be proposed for DRGO treatment with valuable advantages from several aspects of time and energy as well as recovery of gold.

Published
2021

42. Biotechnological Approaches to Facilitate Gold Recovery from Double Refractory Gold Ores

Author

Sasaki, Keiko and Konadu, Kojo T.

Subjects
Science / Chemistry
Abstract

Double refractory gold ore (DRGO) not only include ppt levels of gold grains locked in sulfide minerals but also a problematic amount of carbonaceous matter. This causes a significant recovery loss of gold during cyanidation because of the strong affinity of the Au(CN)2‚àí with the carbonaceous matter. Combustion decreases the carbonaceous matter content, but also emits pollutant gases like CO2, SO2 and As2O3. Therefore, environmentally-friendly solutions have been explored by using biotechnology. Due to the very small amount of the above targets in the ore, it is challenging to show evidential changes in solid-phase before and after the biomineral processing of DRGO. This chapter introduces the mineralogical and chemical changes in the various solid residues produced during a sequential biotreatment, consisting of the liberation of gold from sulfides by an iron-oxidizer and decomposition of carbonaceous matter by lignin-degrading enzymes (lignin peroxidase, manganese peroxidase, laccase) secreted from a white rot-fungus, which successfully improved of gold recovery to over 90%. In addition, further development of biotechnology in the recovery of gold from DRGO is addressed.

Published
2020

43. Momentum Shell in Quarkyonic Matter from Explicit Duality: A Dual Model for Cold, Dense QCD.

Author

Fujimoto Y, Kojo T, and McLerran LD

Abstract

We present a model of cold QCD matter that bridges nuclear and quark matter through the duality relation between quarks and baryons. The baryon number and energy densities are expressed as functionals of either the baryon momentum distribution, f_{B}, or the quark distribution, f_{Q}, which are subject to the constraints on fermions, 0≤f_{B,Q}≤1. The theory is ideal in the sense that the confinement of quarks into baryons is reflected in the duality relation between f_{Q} and f_{B}, while other possible interactions among quarks and baryons are all neglected. The variational problem with the duality constraints is formulated and we explicitly construct analytic solutions, finding two distinct regimes: a nuclear matter regime at low density and a quarkyonic regime at high density. In the quarkyonic regime, baryons underoccupy states at low momenta but form a momentum shell with f_{B}=1 on top of a quark Fermi sea. Such a theory describes a rapid transition from a soft nuclear equation of state to a stiff quarkyonic equation of state. At this transition, there is a rapid increase in the pressure.

Published
2024
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44. Merger and Postmerger of Binary Neutron Stars with a Quark-Hadron Crossover Equation of State.

Author

Huang YJ, Baiotti L, Kojo T, Takami K, Sotani H, Togashi H, Hatsuda T, Nagataki S, and Fan YZ

Abstract

Fully general-relativistic binary-neutron-star (BNS) merger simulations with quark-hadron crossover (QHC) equations of state (EOS) are studied for the first time. In contrast to EOS with purely hadronic matter or with a first-order quark-hadron phase transition (1PT), in the transition region QHC EOS show a peak in sound speed and thus a stiffening. We study the effects of such stiffening in the merger and postmerger gravitational (GW) signals. Through simulations in the binary-mass range 2.5

Published
2022
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45. Prevention paradox between stroke and multiple potential risk factors using data from a population-based cohort study.

Author

Kojo T, Ae R, Kosami K, Ishikawa S, and Innami I

Subjects
Adult, Aged, Aged, 80 and over, Child, Preschool, Cohort Studies, Female, Humans, Incidence, Male, Middle Aged, Risk Factors, Hypertension complications, Hypertension epidemiology, Stroke epidemiology, Stroke prevention & control
Abstract

Previous studies have found the prevention paradox in the association between stroke events and a single specific risk factor, indicating that a population-based strategy may be more effective than a high-risk-based strategy for prevention. We tested the hypothesis that the prevention paradox does not apply when focusing on multiple potential risk factors simultaneously. The study cohort included 9051 individuals from Japan aged 40-89 years. The time-dependent Cox proportional-hazards models were used to identify the primary risk factor associated with stroke onset. We classified participants based on risk factors in two distinct ways: 1) classifying the high-risk group participants according to a single specific risk factor that had a large association with stroke in both sexes and all ages and 2) classifying the high-risk group participants according to 1-3 risk factor(s) including hypertension, hyperglycemia, and/or dyslipidemia. Then, we compared the proportions of the total number of participants who developed stroke in both groups to assess the prevention paradox. We found that hypertension was a primary risk factor for stroke incidence, regardless of sex and age. The percentage of patients with a single specific risk of and developed stroke was 46%-63%, while the percentage of patients with 1-3 risk factor(s) was 71-83%. This finding leads to the conclusion that the prevention paradox does not hold when multiple stroke risk factors were associated, suggesting that a high-risk-based strategy that focuses on patients with multiple risk factors may be more effective in preventing strokes., (Copyright © 2021 Elsevier Inc. All rights reserved.)

Published
2021
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46. Prenatal expectations and other psycho-social factors as risk factors of postnatal bonding disturbance.

Author

Rusanen E, Vierikko E, Kojo T, Lahikainen AR, Pölkki P, and Paavonen EJ

Subjects
Adult, Child, Female, Humans, Infant, Male, Mother-Child Relations, Object Attachment, Pregnancy, Risk Factors, Motivation, Social Factors
Abstract

The mother's bond to her baby starts to develop during pregnancy, and it is related to the baby's attachment. We study how the mother's prenatal expectations of her unborn baby, the mother's adult relationships, and postnatal psycho-social factors (stress, depression, and anxiety) are related to the risk of bonding disturbance. The study comprised 1398 mothers and their unborn babies assessed both during pregnancy and when the babies were 3 months old (47.7% girls). The mother's risk of bonding disturbance was investigated using Brockington's Postpartum Bonding Questionnaire. According to the results, 71 (5.1%) of all the mothers in the study had a risk of a bonding disturbance. In a final adjusted logistic regression model, the most important risk factors were the mother's inability to form positive expectations about relationships with the baby during the third trimester of pregnancy (AOR = 7.78, p ≤ .001), maternal postnatal stress (AOR = 4.95, p ≤ .001) and maternal postnatal depression (AOR = 3.46, p ≤ .01). The results challenge healthcare professionals to screen pregnant mothers to identify at-risk groups for post-partum bonding disturbances. Intervention programs to prevent the development of bonding disturbances, and thus their possible serious consequences for children's development, should be considered., (© 2021 The Authors. Infant Mental Health Journal published by Wiley Periodicals LLC on behalf of Michigan Association for Infant Mental Health.)

Published
2021
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48. A Nationwide Survey of Obstetric Care Status on Japan's Islands, with Special Reference to Maternal Transport to the Mainland.

Author

Sumikawa S, Kotani K, Kojo T, Matsubara S, and Haruyama S

Subjects
Female, Humans, Japan, Middle Aged, Population Density, Pregnancy, Islands, Obstetrics statistics & numerical data, Surveys and Questionnaires, Transportation
Abstract

Safe obstetric care is a worldwide requirement. In Japan, a reduced number of obstetricians has prompted the centralization of obstetric facilities, and Japan's islands are expected to experience problems in handling deliveries. Although many pregnant women "move" to the mainland at later gestational weeks, "transport" from the island to the mainland may be occasionally needed when disorders manifest before the "move." Other women plan within-island deliveries; however, transport is required when complications arise. Managing delivery- or pregnancy-related problems may differ in transport by the population size of islands. We investigated the following issues in relation to the population size of Japan's islands: 1) How were deliveries handled on islands? 2) How many pregnant women were transported to the mainland? 3) What was the reason for and what affected transport? A total of 142 municipalities were selected to participate in a questionnaire survey, and 108 institutions from 106 municipalities responded. A comparative analysis by island size was performed using 2014 data: small-sized (population < 1,000), mid-sized (1,000 to 5,000), and large-sized (≥ 5,000). The percentage of women transported to the mainland from small-sized islands was significantly higher than that from large-sized islands (6.8 vs. 2.6% of all births in a year, respectively, P < 0.01). Transport was mainly in response to threatened preterm labor. Adverse weather was the most frequent factor affecting transport reliability. Our findings may contribute to a more detailed understanding of the state of obstetric care on Japan's islands.

Published
2020
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49. Perceptions of Residents among Rural Communities with Medical Group Practice in Japan.

Author

Manabe T, Sawada T, Kojo T, Iguchi S, Haruyama S, Maeda T, and Kotani K

Subjects
Adult, Aged, Community Health Services organization & administration, Female, Humans, Japan, Male, Middle Aged, Perception, Rural Health, Surveys and Questionnaires, Young Adult, Group Practice, Rural Health Services organization & administration, Rural Population
Abstract

Elucidating the perceptions of residents regarding medical group practice (GP) among rural communities (GP-R) in Japan will be useful for establishing this system in such communities. A survey by questionnaire, as made by experts in rural health, was conducted in 2017. The self-administered questionnaire inquired about the perceptions of residents for accepting the GP-R into the community's healthcare using seven major elements of GP-R. The questionnaire was randomly distributed to 400 adult residents who lived in rural communities with a recently launched GP and had access to clinics within the communities. Among the 321 respondents, comparisons were made between younger (≤sixties) and older (≥seventies) residents, and a stepwise multiple regression analysis was performed to extract the factors influencing acceptance of the GP-R system. The results showed that older residents had a greater disapprove of being treated by different physicians daily or weekly in clinics ( p < 0.001) and the use of telemedicine ( p < 0.001) compared with younger residents. Younger residents showed a greater disapproval of clinics closing on weekdays than older residents ( p = 0.007). Among all respondents, regardless of age groups, over half of residents approved of the involvement of nurse practitioners in the GP-R. Living with family and children was also extracted as an independent factor influencing a positive perception of the GP-R. These data suggest that the promotion of GP-R should consider generation gaps in the approach to medical practice as well as the family structures of residents. The involvement of nurse practitioners can also encourage the acceptance of GP-R in Japan.

Published
2019
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50. An 18-Year Follow-up Survey of Dioxin Levels in Human Milk in Japan.

Author

Ae R, Nakamura Y, Tada H, Kono Y, Matsui E, Itabashi K, Ogawa M, Sasahara T, Matsubara Y, Kojo T, Kotani K, Makino N, Aoyama Y, Sano T, Kosami K, Yamashita M, and Oka A

Subjects
Adult, Female, Follow-Up Studies, Humans, Japan, Young Adult, Dioxins analysis, Milk, Human chemistry
Abstract

Background: Globally, few published studies have tracked the temporal trend of dioxin levels in the human body since 2000. This study describes the annual trend of dioxin levels in human breast milk in Japanese mothers from 1998 through 2015., Methods: An observational study was conducted from 1998 through 2015. Participants were 1,194 healthy mothers following their first delivery who were recruited annually in Japan. Breast milk samples obtained from participants were analyzed using gas chromatography and mass spectrometry for dioxins, including polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), and coplanar polychlorinated biphenyls (PCBs)., Results: Mean age was 29.5 years, and 53% of participants were 20-25 years old. A declining trend in total dioxin levels was found, from a peak of 20.8 pg toxic equivalence (TEQ)/g fat in 1998 to 7.2 pg TEQ/g fat in 2014. Data from the last 5 years of the study indicated a plateau at minimal levels. In contrast, an increasing trend was found in the mean age of participants during the last 5 years. Although significantly higher dioxin levels were observed in samples from older participants, an upward trend in dioxin levels was not observed, indicating that dietary and environmental exposure to dioxins had greatly diminished in recent years., Conclusions: Dioxin levels in human breast milk may be approaching a minimum in recent years in Japan. The findings may contribute to global reference levels for environmental pollution of dioxins, which remains a problem for many developing countries.

Published
2018
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