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BackgroundFederal meaningful use standards are promoting adoption of online portals to personal health records (PHRs). However, relatively little is known regarding barriers and facilitators for vulnerable groups such as persons living with human immunodeficiency virus (PLWH). ObjectiveThe objective of this study was to assess barriers and facilitators to use of online PHRs among PLWH. MethodsWe conducted formative research using a written waiting room survey among 120 PLWH regarding barriers and facilitators of portal PHR use. We supplemented findings with data collected from a PLWH focus group, where some members had personal experience with use of a portal. ResultsThe survey had 90 respondents. Eight PLWH participated in the focus group. Most patients (77/90, 86%) reported having at least some experience using the Internet and most expressed interest in features offered by the portal. Notably, 70% (63/90) expressed some interest in being taught how to use it to communicate with their provider. Focus group themes reinforced these findings, but also voiced concern regarding access to private computers. ConclusionsMany PLWH in our sample have experience using computers and most are interested in PHR features. However, computer or broadband access and privacy are important barriers.

Background: Limited data are available on the outcome of inflammatory bowel disease (IBD) in patients with solid organ transplantation (SOT). We describe the natural history of pre-existing IBD and de novo IBD after SOT., Methods: This was a retrospective, multicenter study that included patients with pre-existing IBD at the time of SOT and patients with de novo IBD after SOT. The primary outcome was IBD progression, defined by escalation of medical treatment, surgical therapy, or hospitalization due to refractory IBD. Risk factors were identified using multivariate Cox proportional hazard analysis., Results: A total of 177 patients (106 pre-existing IBD and 71 de novo IBD) were included. Most patients with pre-existing IBD (92.5%) were in remission before SOT. During follow-up, 32% of patients with pre-existing IBD had disease progression, with a median time between SOT and IBD progression of 2.2 (interquartile range, 1.3-4.6) years. In the de novo cohort, 55% of patients had disease progression with a median time to flare of 1.9 (interquartile range, 0.8-3.9) years after diagnosis. In the pre-existing IBD cohort, active IBD at the time of SOT (hazard ratio, 1.80; 95% confidence interval, 1.14-2.84; P = .012) and the presence of extraintestinal manifestations (hazard ratio, 3.10; 95% confidence interval, 1.47-6.54; P = .003) were predictive factors for IBD progression., Conclusions: One-third of patients with pre-existing IBD and about half of patients with de novo IBD have disease progression after SOT. Active IBD at the time of SOT and the presence of extraintestinal manifestations were identified as risk factors for IBD progression., (© The Author(s) 2024. Published by Oxford University Press on behalf of Crohn’s & Colitis Foundation. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.)

Theory for interfacial proton transfer voltammetry of a molecular film containing any acid/base loading has been developed under equilibrium conditions. Diagnostic criteria to disentangle the interplay between diffuse layer and ionization effects are outlined. Easy-to-use analytical expressions for the voltammetric features are derived for the particular case of an invariant diffuse layer effect, which turn out to be entirely analogous to those for a surface redox conversion with Frumkin interactions. It is demonstrated that, regardless of the electrolyte concentration, significant ionization of the external acid groups located nearby the diffuse layer is sufficient for the fulfillment of this relevant particular case. A strategy is outlined to determine the amount, the intrinsic pKa, and the burial depth of the voltammetrically active groups from the surface concentration dependence of the main voltammetric features. Self-assembled monolayers of 11-mercaptoundecanoic acid deposited on Au(111), containing higher amounts of buried carboxylic groups than previously reported, have been studied to assess more critically the influence of electrostatic effects on the ionization process. Preliminary evidence suggests that the protonation/deprotonation voltammetric wave involves physisorbed rather than chemisorbed thiol molecules. Application of the present theoretical approach to this system reveals that the voltammetrically active carboxylic groups are located close to the electrode surface and become more acidic upon increasing their surface concentration.

By combining a description of the potential profile at electrodes coated with acid thiol monolayers with a quadratic relationship between activation energy and electrode potential, a rather simple expression for proton transfer voltammograms is derived. Our electrostatic analysis shows that proton transfer can only produce narrow voltammetric peaks when the immobilized acid groups lie close to the metal substrate. Quantitative fits of experimental voltammograms obtained with an Au(111) electrode modified with a 11-mercaptoundecanoic monolayer at pH 8.5 reveal that less than 1% of the carboxylic groups in the monolayer participate in the potential induced proton transfer process and that these groups lay close to the metal surface. A preliminary analysis of the kinetic parameters suggests that the interfacial electric field facilitates an intrinsically slow proton exchange between a proton donor and acceptor pair that are not in close contact with each other at the interface.

Direct determination of the adsorption free energy for extremely low surface coverages (Henry limit) requires the use of a technique that must be highly sensitive to both the amount and the energetics of adsorbed molecules. Herein, we demonstrate that diffusional surface voltammetry (DSV), which embodies film and stripping voltammetries as two limiting cases, can be used to achieve this goal for electroactive adsorbates. To this end, a general analytical expression for the surface voltammetric peak potential of DSV is derived, which covers the full range of scan rates, bulk concentrations, and adsorptivity of the freely diffusing form of the redox couple, so that the surface redox conversion can be either equilibrated with or transport-isolated from the solution bulk. Strategies to get a quantitative insight into the energetics of electrosorption are outlined, and diagnostic criteria for their application are developed. In particular, it is demonstrated that DSV can be used in its stripping mode to determine group contributions to the adsorption free energy, avoiding possible interferences from intermolecular interactions or formation of oligomeric species. Application of this protocol to the reductive desorption of distinct homologous series of alkylthiolates adsorbed at mercury electrodes has allowed us to determine the contributions of the CH(n) groups (n = 0-3) to the free energy of adsorption of these molecules. These estimates are shown to correlate linearly with the corresponding group contributions to the octanol-water partition coefficient, revealing that adsorption of individual hydrocarbon groups at the mercury/solution interface scales with their hydrophobicity. Overall, the present work enlarges the capability of surface voltammetry to probe adsorption energetics down to the micromolar level, and it represents a first step toward the development of a unified treatment of stripping and film voltammetries.