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Biomedical subjects

L Nett

Publications and source records attributed to L Nett.

6 recordsLinked to original sources

Quasi-elastic light scattering determination of the size distribution of extruded vesicles.

The size distribution of phospholipid vesicles prepared by the freeze thaw-extrusion method were determined by the non-perturbing technique of quasi-elastic light scattering (QELS) and compared to latex particles of known size. Multiangle QELS experiments were performed to avoid errors due to the angular dependence of the scattering function of the particles. The experimentally determined autocorrelation function was analyzed by multiple mathematical procedures, i.e. single exponential, CUMULANT, exponential sampling, non-negatively constrained least square and CONTIN, in order to select suitable models for vesicle characterization. The most consistent results were obtained with CUMULANT, non-negatively constrained least square and CONTIN. In many instances single exponential analysis gave comparable results to these procedures, which indicates the vesicles have a narrow distribution of sizes. The influence of filter pore size, extrusion pressure and lipid concentration on the size and size distribution of extruded vesicles was determined. Extrusion through 100-, 200- and 400-nm pore size filters produced a unimodal distribution of vesicles, with somewhat smaller diameters as the extrusion pressure increased. The larger the filter pore size, the more dependent the vesicle size was on applied pressure. The observed vesicle size was independent of the lipid concentration between 0.1 and 10 mg ml-1.

Chemical Phenomena↗

Transdermal clonidine reduced some withdrawal symptoms but did not increase smoking cessation.

BACKGROUND: Clonidine may be useful in controlling tobacco withdrawal and in facilitating smoking cessation. This study was developed to test the efficacy of transdermal clonidine in promoting smoking cessation. METHODS: We conducted a five-center, double-blind, placebo-controlled, randomized controlled trial of transdermal clonidine in conjunction with a minimal behavioral intervention for smoking cessation. The intervention was based on the American Lung Association's Freedom From Smoking program. Self report of not smoking was validated with exhaled air carbon monoxide of less than 8 ppm and salivary cotinine of less than 20 ng/mL. Transdermal clonidine therapy began 1 week before the target quit date: 0.1 mg/24 h for the first 4 days increasing to 0.2 mg/24 h for the next 3 days, if the lower dose was tolerated. The highest tolerated dose was then continued for 6 weeks after target quit day. Withdrawal symptoms were measured daily for the first 7 days after target quit day. RESULTS: A total of 213 patients were enrolled (106 active drug and 107 placebo). During the study, 15.5% of patients had drug therapy discontinued due to adverse effects, 24.5% (26/106) taking active drug vs 8.4% (9/107) receiving placebo. There was a significant reduction in anxiety score from 3.0 to 2.4 (placebo vs active) and irritability score from 2.2 to 1.7 (placebo vs active) during the first week after cessation. There was no reduction in other withdrawal symptoms. The overall 12-week abstinence rate was 33.0% (35/106) in the active drug group vs 34.5% (37/107) in the placebo group (not significant). CONCLUSION: This study demonstrated some reduction in early withdrawal symptoms with the use of a clonidine transdermal patch, but no increase in cessation rate, 6 weeks after medication had been discontinued.

Administration, Cutaneous↗

Oxygen toxicity.

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Humans↗

Clinical evaluation of a new ear oximeter.

Ear oximetry offers a noninvasive method of determining and monitoring oxygen saturation in arterialized capillary blood. A new apparatus has recently been developed which provides improved accuracy as well as increased ease of use. We have found it to be at least as accurate as the American Optical oximeter which measures oxygen saturation directly from arterial blood. It has proved to be of value in clinical situations such as monitoring critically ill patients (particularly those being mechanically ventilated) and patients undergoing treadmill exercise or fiberoptic bronchoscopy and in the diagnosis of disorders characterized by periodic hypoxia.

Ear↗