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A kinetic study of Am(III)/humic colloid interactions.

The interaction kinetics of the Am(III) ion with aquatic humic colloids is investigated under near-natural conditions by column experiments with a sandy aquifer sample rich in humic substancesforthe appraisal of the migration behavior of Am. The association and dissociation kinetics of the Am ion onto and from humic colloids control the migration of colloid-borne Am. As the contact time between Am and humic colloids prior to introduction into a column is increased, the mobility of colloid-borne Am is enhanced and hence the recovery of Am in the effluent increases. On the other hand, an increase of the migration time and residence time in column, respectively, reduces the Am recovery. Considering these experimental results a refined version of the kinetic model KICAM (Kinetically Controlled Availability Model), which suggests different Am binding modes with humic colloids, was developed. Applying KICAM it is possible to predict static and dynamic experiments affected by the kinetically controlled Am/humic colloid interactions over the range of 1 h up to several months. However, to apply these experimental results to long-term conditions, the Am binding scheme as proposed in KICAM needs to be verified. This paper provides, therefore, a basis for a better understanding of the colloid-borne Am migration in porous aquifer systems.

Americium↗

Colloid-facilitated Cs transport through water-saturated Hanford sediment and Ottawa sand.

In this study, a series of saturated column experiments were conducted to investigate effects of colloids on Cs transport in two types of porous media (Hanford sediment characteristic of 2:1 clay minerals and silica Ottawa sand). The colloids used were obtained by reacting Hanford sediment with simulated tank waste solutions. Because of the highly nonlinear nature of Cs sorption found in batch experiments, we used two different concentrations of Cs (7.5 x 10(-5) M and 1.4 x 10(-8) M) for the transport experiments. The presence of colloids facilitated the transport of Cs through both Hanford sediment and Ottawa sand via association of Cs with mobile colloidal particles. Due to the nonlinearity of the Cs sorption, the colloid-facilitated Cs transportwas more pronounced atthe low Cs concentration (1.4 x 10(-8) M) than at the high concentration (7.5 x 10(-5) M) when expressed relative to the inflow Cs concentration. In the absence of colloids, no Cs moved through the 10-cm long columns during the experiment within about 20 pore volumes, exceptfor the high Cs concentration in the Ottawa sand where a complete Cs breakthrough was obtained. Also, it was found that colloid-associated Cs could be partially stripped off from colloids during the transport. The stripping effect was controlled by both Cs concentration and sorption capacity of the transport matrix.

Cesium↗

Estimation of diffusion coefficient of chromium in colloidal silica using digital photography.

In order to study the effectiveness of using colloidal silica, NYACOL DP5110, to stabilize chromium-contaminated soil, the diffusion of chromium in colloidal silica gel was estimated from laboratory experiments. To measure diffusion coefficients of chromium in the colloidal silica gel, a new measurement method based on digital photography was introduced. A series of experiments were designed and conducted to validate this new method and to estimate the diffusion coefficients of chromium in the colloidal silica gel. Accuracy of the proposed method was evaluated by several differentways. It was found that the apparent diffusion coefficient of chromium in colloidal silica gel ranged from 1.76 to 8.48 x 10(-10) m2/s depending mainly on the concentration of silica in the gel with chromium concentration less than 10(-2) M. Higher silica concentrations yielded lower diffusion coefficients due to the obstruction to the free movement of chromium. The adsorption isotherm of chromate to colloidal silica gel was found to be linear at pH 7; the partition coefficient was calculated to be 0.549 L/g. Mass balance calculations were performed to evaluate the accuracy of the proposed method and found that the measuring error was less than 6.5%. Based on the test data, the estimation of diffusion coefficients for chromium in colloidal silica gel using digital photography seems to be accurate and precise. This method is suitable for analyzing colored chemicals inside clear/white gels. From the results, it can be concluded that the gel behaves as a porous material with silica network forming continuous solid phase and its pore space saturated with water. The chromium ions diffuse in porous silica gel on a tortuous path. Therefore, the bulk diffusion dominates. Thus, the silica can be represented as a fix and impenetrable immersion in the solution. The presence of these motionless silica chains leads to an increase in the mean path of the diffusing molecules between two points in the system. On the basis of the test results, it can also be concluded that colloidal silica, NYACOL DP5110, for in-situ treatment of chromium-contaminated soils seems to be ineffective. Further research of more realistic simulation of diffusion and refined gel formulation with the capacity to convert the chromium to an immobile form is recommended.

Chromium↗

Influence of natural organic matter and ionic composition on the kinetics and structure of hematite colloid aggregation: implications to iron depletion in estuaries.

The stability and aggregation behavior of iron oxide colloids in natural waters play an important role in controlling the fate, transport, and bioavailability of trace metals. Time-resolved dynamic light scattering experiments were carried out in a study of the aggregation kinetics and aggregate structure of natural organic matter (NOM) coated hematite colloids and bare hematite colloids. The aggregation behavior was examined over a range of solution chemistries, by adjusting the concentration of the supporting electrolyte-NaCl, CaCl2, or simulated seawater. With the solution pH adjusted so that NOM-coated and bare hematite colloids were at the same zeta potential, we observed a significant difference in colloid stability which results from the stability imparted to the colloids by the adsorbed NOM macromolecules. This enhanced stability of NOM-coated hematite colloids was not observed with CaCl2. Aggregate form expressed as fractal dimension was determined for both NOM-coated and bare hematite aggregates in both NaCl and CaCl2. The fractal dimensions of aggregates formed in the diffusion-limited regime indicate slightly more loosely packed aggregates for bare hematite than theory predicts. For NOM-coated hematite, a small decrease in fractal dimension was observed when the solution composition changed from NaCl to CaCl2. For systems in the reaction-limited regime, the measured fractal dimensions agreed with those in the literature. Colloid aggregation was also studied in synthetic seawater, a mixed cation system to simulate estuarine mixing. Those results describe the important phenomena of iron oxide aggregation and sedimentation in estuaries. When compared to field data from the Mullica Estuary, U.S.A., it is shown that collision efficiency is a good predictor of the iron removal in this natural system.

Calcium Chloride↗

Modeling of gel barrier formation by using colloidal silica in saturated media.

The applicability of constructing a subsurface barrier by injecting a Colloidal Silica solution directly into the saturated medium was examined through numerical experiments. Investigations ascertain that the construction of this Colloidal Silica-based subsurface barrier in the saturated medium might be a promising containment technology. According to the results of numerical studies, gel formation takes place in the region were more than 90% of introductory concentration of the Colloidal Silica solution is maintained at a time equal to the gel-point. By using a point injection method, the radius of the solidified Colloidal Silica mass increases proportional to the respective ratios of the gel-points and the injection pressure heads. With higher injection pressures and longer gel-points, a larger volume of injected Colloidal Silica solution is diluted. The effect of subsurface water flow is significant when the solution has a slower gelation rate and the spherical shape of the solidified mass is less distorted with increasing injection rate. The degree of distoration of the solidified Colloidal Silica mass is much less than that of the rest of the Colloidal Silica solution surrounding the solidified Colloidal Silica mass

Colloids↗

Estimation of number of follicles, volume of colloid and inner follicular surface area in the thyroid gland of rats.

Volume is an important variable in assessing the growth and involution of the thyroid gland. The functional unit in the thyroid is the follicle, which consists of thyrocytes surrounding colloid. The size of a follicle depends on the number of cells and the amount of colloid. These are interchangeable and vary according to biological activity. Direct measurements of these variables provide information on structures involved in thyroid hormone synthesis, storage and secretion, and also on changes at the morphological and functional levels. Stereological methods are developed to obtain information on three-dimensional structures from two-dimensional sections and to achieve information on an entire organ by examining a minor part of it. Full-grown male Sprague-Dawley rats were used to develop a set of methods relying on unbiased stereological principles to determine the number of follicles, the total volume of colloid and the inner follicular surface area in the thyroid gland. The total volume of colloid was positively correlated (P < 0.021) with the number of follicles and the inner follicular surface area (P < 0.002) but not to the mean volume of colloid in each follicle. Thus under physiological conditions an increase in the total volume of colloid is associated with an increased number of follicles with a constant size distribution rather than a larger volume of colloid in each follicle. This implies that under physiological conditions there is equilibrium in the size distribution of the volume of colloid in each follicle.

Animals↗

Potential artifacts in interpretation of differential breakthrough of colloids and dissolved tracers in the context of transport in a zero-valent iron permeable reactive barrier.

Many published studies have used visual comparison of the timing of peak breakthrough of colloids versus conservative dissolved tracers (hereafter referred to as dissolved tracers or tracers) in subsurface media to determine whether they are advected differently, and to elucidate the mechanisms of differential advection. This purely visual approach of determining differential advection may have artifacts, however, due to the attachment of colloids to subsurface media. The attachment of colloids to subsurface media may shift the colloidal peak breakthrough to earlier times, causing an apparent "faster" peak breakthrough of colloids relative to dissolve tracers even though the transport velocities for the colloids and the dissolved tracers may actually be equivalent. In this paper, a peak shift analysis was presented to illustrate the artifacts associated with the purely visual approach in determining differential advection, and to quantify the peak shift due to colloid attachment. This peak shift analysis was described within the context of microsphere and bromide transport within a zero-valent iron (ZVI) permeable reactive barrier (PRB) located in Fry Canyon, Utah. Application of the peak shift analysis to the field microsphere and bromide breakthrough data indicated that differential advection of the microspheres relative to the bromide occurred in the monitoring wells closest to the injection well in the PRB. It was hypothesized that the physical heterogeneity at the grain scale, presumably arising from differences in inter- versus intra-particle porosity, contributed to the differential advection of the microspheres versus the bromide in the PRB. The relative breakthrough (RB) of microspheres at different wells was inversely related to the ionic strength of ground water at these wells, in agreement with numerous studies showing that colloid attachment is directly related to solution ionic strength.

Artifacts↗

Comparative efficacy of amphotericin B colloidal dispersion and amphotericin B deoxycholate suspension in treatment of murine coccidioidomycosis.

The efficacy of a novel sterol-complexed preparation of amphotericin B, amphotericin B colloidal dispersion, was compared with that of deoxycholate-complexed amphotericin B in an acute murine model of systemic coccidioidomycosis. Mice (CD-1, female) were infected intravenously with 180 or 200 arthroconidia of Coccidioides immitis, and intravenous therapy was begun 3 days later. Six doses in various regimens of either preparation were given over 14 days, and deaths were tallied for an additional 35 days. All regimens that were not acutely lethal prolonged the survival of mice over that of controls (P less than 0.001). Quantitative determination of residual burdens of C. immitis in the spleen, liver, and lungs of survivors revealed that the colloidal dispersion was not as effective as the deoxycholate suspension on a milligram-per-kilogram basis. Deoxycholate suspension at 1.3 mg/kg cleared the organs in all mice, whereas colloidal dispersion at 5.0 mg/kg was the lowest dose that cleared organisms from all animals. Lower doses cleared organisms from fewer animals or cleared only selected organs. Deoxycholate suspension was more efficacious than colloidal dispersion in clearing C. immitis from the liver or lungs (P less than 0.05 to 0.01, dose and organ dependent) at identical doses. No overt toxicity was observed in mice treated with colloidal dispersion at 10 mg/kg. In contrast, deoxycholate suspension at 2.0 mg/kg was acutely toxic; 50% of the treated mice died after treatment. The two complexes were not equivalent on a milligram-per-kilogram basis; the deoxycholate suspension was three to four times more efficacious and also greater than 5- to greater than or equal to 8-fold more toxic. Thus, the therapeutic index of the colloidal dispersion complex is greater than that of the deoxycholate complex. The amount of amphotericin B per dose could also be increased when given as a colloidal dispersion to an optimally level. Amphotericin B colloidal dispersion shows promise for the therapy of disseminated coccidioidomycosis and should be tested in other animal models and in humans.

Amphotericin B↗

Fluid resuscitation with colloid or crystalloid solutions in critically ill patients: a systematic review of randomised trials.

OBJECTIVE: To determine the effect on mortality of rescuscitation with colloid solutions compared with resuscitation with crystalloids. DESIGN: Systematic review of randomised controlled trials of resuscitation with colloids compared with crystalloids for volume replacement of critically ill patients; analysis stratified according to patient type and quality of allocation concealment. SUBJECTS: 37 randomised controlled trials were eligible, of which 26 unconfounded trials compared colloids with crystalloids (n = 1622). (The 10 trials that compared colloid in hypertonic crystalloid with isotonic crystalloid (n = 1422) and one trial that compared colloid in isotonic crystalloid with hypertonic crystalloid (n = 38) are described in the longer version on our website www.bmj.com). MAIN OUTCOME MEASURES: Mortality from all causes at end of follow up for each trial. RESULTS: Resuscitation with colloids was associated with an increased absolute risk of mortality of 4% (95% confidence interval 0% to 8%), or four extra deaths for every 100 patients resuscitated. The summary effect measure shifted towards increased mortality with colloids when only trials with adequate concealment of allocation were included. There was no evidence for differences in effect among patients with different types of injury that required fluid resuscitation. CONCLUSIONS: This systematic review does not support the continued use of colloids for volume replacement in critically ill patients.

Colloids↗

Transformation of normal thyroids into colloid goiters in rats and mice by diphenylthiohydantoin.

Some years ago, we reported that colloid goiters could be produced experimentally in mice and rats by injection of TSH over a few days in the presence of ample iodine supply. This clearly showed that colloid accumulation and intense TSH stimulation are not mutually exclusive. In the present study, large colloid goiters, sharing many morphological and biochemical characteristics with human colloid goiters, were induced in rats and mice by treatment with 5,5-diphenyl-2-thiohydantoin (DPTH). This drug increases fecal loss of thyroid hormone and inhibits conversion of T4 to T3. Thus, DPTH raises TSH and induces macrofollicular colloid-rich goiters. In contrast to this, goiters induced by combined treatment with methimazole (MMI) or sodium perchlorate and DPTH are microfollicular, although serum TSH is increased to the same level as in rats treated with DPTH alone. The degree of iodine organification obviously determines if the follicle will sprout and form daughter follicles or if it will expand its hull. Thyroglobulin content of DPTH goiters is lower than that of normal glands but considerably higher than after MMI treatment, whereas total iodine content of DPTH goiters is only slightly lower than in normal glands, but also much higher than in MMI goiters. In DPTH goiters, a high proportion of total iodine is in the particulate fraction which probably contains the periodic acid Schiff-positive bodies floating in the colloid of DPTH treated glands. Acute DPTH administration does not inhibit iodide organification, but after treatment with DPTH for 1 day, chromatography suggests some inhibition of iodine organification and hormone synthesis by DPTH, but much less than by MMI. DPTH treatment causes considerable tissue damage and repair, such as follicular cell necrosis and invasion of the colloid by macrophages and granulation tissue. Therefore, DPTH goiters might well be a useful model not only for colloid goiter formation but also for inflammatory processes in the thyroid gland.

Animals↗

Studies on the promoting effect of lipid-surfactant mixed micelles (MM) on intestinal absorption of colloidal particles. Dependence on particle size and administration site.

The effect of oleic acid-HCO60 mixed micelles (MM) on the absorption of colloidal particles by the large intestine was investigated using the in situ closed loops of rats. Two species of colloidal particles with different sizes, colloidal inks (Platinum ink 2.4-10 nm, Rotring ink 100-800 nm) and colloidal gold particles (mean particle size 5, 20, 40 nm) were chosen. Macroscopic observation showed that in the case of Platinum ink the staining of the mucus of the whole large intestine was promoted by MM and the staining of the rectum remained even after removing the mucus layer. The regional lymph nodes and the thoracic lymph was also stained. On the other hand, in the case of Rotring ink, the stain in the large intestine after removing the mucus layer, in lymph nodes and in the thoracic duct lymph was not observed. The results of quantitative experiments using colloidal gold particles indicated: 1) the upper size limit of colloidal particles absorbed by the large intestine, under the influence of MM was approximately 40 nm, 2) colloidal gold particles were transported from the intestine selectively into the lymphatics and accumulated in the regional lymph nodes, 3) the absorption of colloidal gold particles was largely promoted by MM in the rectum area.

Animals↗

Measurement of hepatic blood flow using 111In colloid.

The reduced hepatic blood flow calculated from hepatic scintigram with 198Au colloid was elucidated as the primary responsible factor for postoperative hepatic insufficiency. However 198Au colloid is no longer in use because of the high levels of radiation. Although 99mTc-phytate behaves similarly to 198Au on imaging, there were discrepancies between the hepatic blood flow index (KL) value and the severity of cirrhosis determined by laboratory data or by histology. In the measurement of hepatic blood flow using a radioactive colloid, factors like organ distribution, stability and uniformity of the colloid particles influence the values. In the present study, a 111In colloid was prepared and administered to rats to investigate the usefulness: as much as 95.4 (0.8) [Mean (+/- SD)]% of the colloid accumulated in the liver at pH 6.8. The distribution of particle diameter was within a relatively narrow range with the peak at 0.2 to 0.4 microns. Moreover, the KL values were not affected by condition of the reticuloendothelial system. The values showed a significant correlation with the measurements of the hepatic tissue blood flow obtained by the hydrogen gas clearance method (gamma = 0.83, P < 0.001). Thus, the 111In colloid can be clinically used as a substitute for 198Au colloid in the preoperative examination for estimation of the limit of resection.

Animals↗

Colloidal phosphorus in surface runoff and water extracts from semiarid soils of the western United States.

Colloidal particles in runoff may have an important role in P transfer from soils to waterbodies, but remain poorly understood. We investigated colloidal molybdate-reactive phosphorus (MRP) in surface runoff and water extracts of calcareous arable soils from the semiarid western United States. Colloidal MRP was determined by ultrafiltration and operationally defined as MRP associated with particles between 1 microm and 1 nm diameter, although a smaller pore-size filter (0.3 nm) was used to define the lower size limit of colloids in water extracts. In surface runoff from three calcareous soils generated by simulated sprinkler irrigation, colloidal MRP concentrations ranged between 0.16 and 3.07 microM, constituting between 11 and 56% of the MRP in the <1-microm fraction. Concentrations were strongly correlated with agronomic and environmental soil-test P concentrations for individual soils. Water extracts of a range of similar soils contained two size fractions of colloidal MRP: a larger fraction (1.0-0.2 microm) probably associated with fine clays, and a smaller fraction (3-0.3 nm) probably associated with Ca-phosphate minerals. Colloidal MRP was solubilized in the acidic medium of the colorimetric detection procedure, suggesting that a fraction of the filterable MRP in runoff from calcareous soils may not be as readily bioavailable as free phosphate in waterbodies. Our results suggest that colloidal MRP is an important but poorly understood component of P transfer in runoff from calcareous western U.S. soils and should be given greater consideration in mechanistic studies of the P transfer process.

Biological Availability↗

Disturbance of water-extractable phosphorus determination by colloidal particles in a heavy clay soil from the Netherlands.

Water extraction methods are widely used to extract phosphorus (P) from soils for both agronomic and environmental purposes. Both the presence of soil colloids in soil water filtrates, and the contribution of colloidal P to the molybdate-reactive phosphorus (MRP) concentration measured in these filtrates, are well documented. However, relatively little attention has been given to the direct disturbance by colloids of MRP measurement. The objective of this paper is to show this influence found for water extracts with a soil to solution ratio of 1:60 (v/v) (P(w)), obtained from a heavy clay soil in the Netherlands. Colloidal particles, which passed a 0.45-mum filter, caused a large overestimation of MRP. The low ionic strength of the P(w) filtrates (on average 0.64 mmol(c) L(-1)) probably caused soil dispersion and increased detachment of colloids from soil during extraction. After NaCl addition, followed by 0.45-mum filtration, MRP was on average 93% lower. This can be ascribed to flocculation of colloids and removal by filtration. A low ionic strength can thus lead to the direct disturbance by colloidal particles of MRP measurement in waters from soils sensitive to release of colloids.

Aluminum Silicates↗

A review of the potential and versatility of colloidal gold cytochemical labeling for molecular morphology.

In the present article we review several postembedding cytochemical techniques using the colloidal gold marker. Owing to the high atomic number of gold, the colloidal gold particles are electron dense. They are spherical in shape and can be prepared in sizes from 1 to 25 nm, which renders this marker among the best for electron microscopy. In addition, because it can be bound to several molecules, this marker has the advantage of being extremely versatile. Combined to immunoglobulins or immunoglobulin-binding proteins (protein A), it has been applied successfully in immunocytochemistry. Colloidal gold particles 5-15 nm in size are excellent for postembedding cytochemistry. Particles of smaller size, such as 1 nm, must be silver enhanced to be visualized by transmission electron microscopy. We have elected to review the superiority of indirect immunocytochemical approaches using IgG-gold or protein A-gold (protein G-gold and protein AG-gold). Lectins or enzymes can be tagged with colloidal gold particles, and the corresponding lectin-gold and enzyme-gold techniques have specific advantages and great potential. Using an indirect digoxigenin-tagged nucleotide and an antidigoxigenin probe, colloidal gold technology can also be used for in situ hybridization at the electron microscope level. Affinity characteristics lie behind all cytochemical techniques and several molecules displaying high affinity properties can also be beneficial for colloidal gold electron microscopy cytochemistry. All of these techniques can be combined in various ways to produce multiple labelings of several binding sites on the same tissue section. Colloidal gold is particulate and can easily be counted; thus the cytochemical signal can be evaluated quantitatively, introducing further advantages to the use of the colloidal gold marker. Finally, several combinations and multiple step procedures have been designed to amplify the final signal which renders the techniques more sensitive. The approaches reviewed here have been applied successfully in different fields of cell and molecular biology, cell pathology, plant biology and pathology, microbiology and virology. The potential of the approaches is emphasized in addition to different ways to assess specificity, sensitivity and accuracy of results.

Animals↗

Technetium-99m antimony colloid for bone-marrow imaging.

Technetium-99m antimony colloid was prepared in our laboratory for bone-marrow imaging. Optimal production of colloid particles of size range 1-13 nm was achieved by the use of polyvinylpyrrolidone of mol. wt. 44,000. Electron microscopy was used to size the particles. Studies in rabbits showed exclusive concentration in the subendothelial dendritic phagocytes of the bone marrow. Pseudopods from these cells were found to traverse interendothelial junctions and concentrate colloid from the sinusoids. Imaging studies of bone marrow in rabbits showed the superiority of the Tc-99m antimony colloid over the much larger colloidal particles of Tc-99m sulfur colloid. Tissue distribution studies in the rat confirmed that bone-marrow uptake of Tc-99m antimony colloid was greater than that of Tc-99m sulfur colloid, although blood clearance was much slower.

Animals↗

Reperfusion injury in skeletal muscle: interaction of osmotic and colloid-osmotic pressure in the initial reperfusate for oedema prevention.

Previous studies from the authors' laboratory have shown that controlled limb perfusion after prolonged, acute ischaemia minimizes reperfusion injury. The present study was performed to investigate the role of osmotic and colloid-osmotic pressure in the initial reperfusate in order to reduce postischaemic limb oedema and subsequent reperfusion injury. A total of 96 isolated rat hindlimbs were used: 18 were perfused immediately after amputation (no ischaemia; untreated) and 78 limbs were subjected to 4 h of warm ischaemia in a moist chamber. Thereafter eight limbs were used to investigate the effects of the addition of mannitol to the initial reperfusate. The remaining 70 limbs received controlled reperfusion (modified reperfusate with various osmotic (315-580 mosmol/l) and colloid-osmotic pressure (0-50 mmHg. perfusion pressure 50 mmHg) during the first 30 min after ischaemia. Controlled reperfusion was always followed by uncontrolled reperfusion (30 min. perfusion pressure 100 mmHg) to simulate the clinical condition where normal blood perfusion at systemic pressure will follow controlled reperfusion. Functional recovery, limb weight, water content of the soleus muscle, limb flow and tissue high-energy phosphates were assessed at the end of the experiment. Results show that a reperfusate without colloid-osmotic pressure (i.e. without macromolecules) produces severe limb oedema (84.6(2.0)% water content) and allows no functional recovery after prolonged warm ischaemia. Addition of mannitol to the initial reperfusate does not prevent severe reperfusion injury. In contrast, a hyperosmotic reperfusate with a colloid-osmotic pressure of 26 mmHg effectively prevents limb oedema (78.6(0.9)% water content, 110.8(2.4)% of control weight). Physiological osmotic pressure (315 mosmol/l), however, will not reduce oedema formation (82.7(0.4)% water content). Furthermore, colloid-osmotic pressure > 26 mmHg increases the viscosity of the reperfusate (flow decreases to < 50% of control) and does not allow an optimal functional recovery. Macromolecules used to create the colloid-osmotic pressure should be of similar molecular weight to albumin (69,000 Da); those with a smaller molecular weight (e.g. hydroxyethyl starch40,000/0.5) produce excessive limb oedema (184.9(13.5)% control weight; 85.7(1.4)% water content) without functional recovery (0% control contractions). The present data suggest that after prolonged limb ischaemia: (1) addition of mannitol to a crystalloid solution does not prevent oedema; (2) hyperosmotic reperfusates (380-480 mosmol/l) with a colloid-osmotic pressure of 26 mmHg are most effective in preventing limb oedema; and (3) macromolecules used to achieve colloid-osmotic pressure should have a molecular weight similar to albumin.

Animals↗

Colloid carcinoma of the colon and rectum.

To determine the clinicopathologic significance of colloid carcinoma in carcinoma of the colon and rectosigmoid/rectum, a retrospective review of 462 patients who underwent potentially curative surgery at the New England Deaconess Hospital was performed. Seventy-seven patients (17%) were identified who had tumors with some component of colloid present. Colloid carcinoma occurred in 49 (11%). The remaining 28 (6%) had adenocarcinoma with colloid features. Compared to patients with pure adenocarcinoma, the 5-year actuarial survival of patients with colloid carcinoma was lower in the colon, rectosigmoid/rectum, and colorectum. Patterns of failure, expressed as the actuarial incidence of failure at 5 years, were examined by histologic condition and stage. Patients with Dukes' Stage B colloid carcinoma had a higher incidence of total failure, and patients with Dukes' Stage C colloid carcinoma had a higher incidence of local, abdominal, and total failure. None of the differences reached statistical significance. The presence of colloid carcinoma may have a real but small impact on the patterns of failure and survival in colorectal cancer.

Adenocarcinoma↗