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[Comparative study on the volume effect of a 2/3 electrolyte solution and of a 4 per cent dextran solution during the 1st stage of anesthesia].

In 224 orthopedic patients the volume effect of a 2/3 strength electrolyte solution was compared to a 4% dextran solution of low molecular weight during the early period of anesthesia. Basic circulatory parameters like medium arterial pressure, pressure amplitude and heart beats per minute were measured. It was supposed that a different volume effect could be expected according to the difference in composition of the two solutions. However no statistically significant difference of the determined circulatory parameters could be demonstrated after comparison of both populations. It was concluded that both intravenous solutions have the same effect on the circulatory volume within the time period under investigation i.e. 20 minutes before until 15 minutes after intubation.

Acid-Base Equilibrium↗

[Ionic bases of cardioplegic solutions. II. Influence of the ionic composition of a cardioplegic solution on the metabolic and functional preservation of ischemic myocardium. Experimental evaluation with phosphorus 31 nuclear magnetic resonance and applications to cardiac surgery].

The object of this study was to establish whether the protective effects of a cardioplegic solution could be improved by ionic or pharmacological intervention aimed at reducing cellular Ca++ overload resulting from myocardial ischaemia. The experimental model was the isolated perfused working heart of the rat submitted to 60 or 120 minutes of hypothermic ischaemia (15 degrees C) followed by 30 minutes of reperfusion at 37 degrees C. The high energy phosphates were measured every 2,5 or 5 minutes by Phosphorus 31 (P31) nuclear magnetic resonance and correlated with haemodynamic data. Our results showed that the best metabolic (75,5 +/- 9,7 p. 100 preservation of ATP after 60 minutes ischaemia) and functional protection (91,8 +/- 4,7 p. 100 recovery of aortic output after 30 minutes reperfusion) was obtained with a solution with the following ionic properties: 1) high Mg++ concentration (13 mM); 2) low Ca++ concentration (0,25 mM); 3) high Na+ concentration (100 mM). The protective effects of this solution were further improved by the addition of a calcium blocking agent (nifedipine 0,2 micrograms/ml). This preserved 85,5 +/- 3,2 p. 100 of basal ATP values after 120 minutes of ischaemia and was associated with a 92,9 +/- 2,8 p. 100 recovery of aortic output at the end of reperfusion. We conclude that: 1) limitation of cellular Ca++ overload is one of the major objectives to be considered when making up cardioplegic solutions; 2) the use of P 31 nuclear magnetic resonance on the isolated working heart is the technique of choice for comparing methods of myocardial protection because it provides a non-invasive, sequential and simultaneous assessment of the parameters of metabolic and haemodynamic function.

Adenosine Triphosphate↗

A systematic study of hypothermic lung preservation solutions: Euro-Collins solution.

BACKGROUND: Testing lung function after preservation is difficult because a suitable model is still lacking; thus, the effectiveness of different solutions for lung preservation has not been confirmed. This study tested the effectiveness of Euro-Collins solution alone for hypothermic preservation of rat lungs. METHODS: A living rat perfusion model was used, which allowed more than 5 hours of continuous perfusion for isolated lung function studies. Group 1 lungs (control, n = 8) were tested without preservation. In groups 2 through 6 (n = 8 lungs each), the lungs were flushed with 4 degrees C Euro-Collins solution and preserved for 4, 6, 8, 12, and 24 hours, respectively. Lung function studies were carried out after preservation. RESULTS: In groups 1 and 2, pulmonary arterial blood flow and pulmonary venous oxygen tension were higher and pulmonary resistance was lower than in the other groups. Airway pressure and resistance were lowest in group 1. Lungs in groups 5 and 6 demonstrated the worst function, but the lung tissue wet to dry ratio was higher only in group 6. CONCLUSIONS: At 4 degrees C, Euro-Collins solution can effectively preserve rat lungs for 4 hours. Six to 8 hours of preservation resulted in depressed lung function. More than 12 hours of preservation resulted in uniformly deficient lung function, rendering the lungs unsuitable for transplantation.

Airway Resistance↗

Prolonged myocardial protection with St. Thomas' Hospital solution and University of Wisconsin solution. The importance of preservation techniques.

The effectiveness of University of Wisconsin solution (UWS) and oxygenated St. Thomas' Hospital solution (STS) for prolonged myocardial protection was evaluated in isolated working rat hearts preserved for 12 h at 4 degrees C using three different preservation techniques: induction of cardiac arrest and subsequent hypothermic storage with STS (group 1, n = 9) or UWS (group 4, n = 9), intermittent coronary flush (every 90 min) with STS (group 2, n = 9) or UWS (group 5, n = 9), or continuous coronary perfusion with STS (group 2, n = 7) or UWS (group 6, n = 7) before 60 min of reperfusion. In the UWS preserved hearts, recovery of aortic flow was greater when the simple storage technique was employed compared to intermittent or continuous coronary perfusion (groups 5 and 6). In the STS preserved hearts, aortic flow recovery was superior when the intermittent perfusion technique was applied. The same pattern was observed with regard to recovery of left ventricular pressure. Lactate dehydrogenase release during reperfusion was significantly less pronounced in group 4 (UWS, single flush, simple storage) as compared to group 1 (STS, single flush and simple storage), whereas best preservation of myocardial high energy phosphates was observed when hearts were preserved with multiple dose cardioplegia using STS. Simple hypothermic storage with UWS affords the best functional recovery after prolonged myocardial ischemia in all groups. Repetitive or continuous application of this solution is detrimental, possibly due to potassium overloading. In STS treated groups, multiple dose application of oxygenated STS enhances functional and metabolic recovery compared to its single dose application.(ABSTRACT TRUNCATED AT 250 WORDS)

Adenosine↗

The dynamics of vascular volume and fluid shifts of lactated Ringer's solution and hypertonic-saline-dextran solutions infused in normovolemic sheep.

UNLABELLED: Infusions of hyperosmotic-hyperoncotic solutions such as hypertonic saline dextran (HSD) are used in Europe for resuscitation of traumatic shock and perioperative volume support as an adjunct to conventional isotonic crystalloids. Whereas plasma volume expansion of HSD has been measured at single time points after the intravascular volume expansion, the detailed time course of fluid shifts during and after infusions have not been reported. We compared the time course of volume expansion during and after 30-min infusions of 4 mL/kg HSD and 25 mL/kg lactated Ringer's solution (LR) in normovolemic conscious splenectomized sheep. Peak plasma volume (Evans blue and hemoglobin dilution) expansion was similar for HSD (7.8 +/- 0.9 mL/kg) and the larger sixfold volume of LR (7.2 +/- 0.5 mL/kg). However, 30 min after the 30-min infusion (T60), plasma expansion remained larger after HSD (5.1 +/- 0.9 mL/kg) than after LR (1.7 +/- 0.6 mL/kg). Both solutions caused an equivalent diuresis. Intravascular volume expansion efficiency (VEE), defined as milliliter plasma expansion/milliliter fluid infused at 0 (T30), 30 (T60), and 60 (T90) min after infusion ended was 1.8, 1.3, and 0.8, respectively for HSD, whereas LR provided a VEE of only 0.27, 0.07, and 0.07. The relative expansion efficiency of HSD versus LR, calculated as the ratio (VEE(HSD)/VEE(LR)), was 7-fold that of LR at the end of infusion T30, and 20-fold at T60, but decreased to 9-fold by T120. Intravascular volume dynamic studies of different volume expanders in animals and patients may provide anesthesiologists with a new tool for monitoring the effectiveness of fluid therapy. IMPLICATIONS: Hypertonic saline dextran (HSD) is a new plasma expander recently approved for clinical use in Europe. We compared the plasma volume expansion of HSD versus lactated Ringers (LR) in normovolemic sheep. After a 30 min infusion, HSD was 7 times as effective at expanding volume as an equal volume of LR, but for the next 90 minutes the relative effectiveness of HSD increased to 10-20 times.

Algorithms↗

Fungal colonization in neutropenic patients: a randomized study comparing itraconazole solution and amphotericin B solution.

We assessed the impact of prophylaxis with the oral itraconazole solution and amphotericin B solution on fungal colonization and infection in a randomized study among patients with hematological malignancies and neutropenia. Infecting and colonizing Candida strains of patients suffering from candidiasis were genotyped by random amplification of polymorphic DNA (RAPD) analysis. A total of 106 patients were evaluated in this study: 52 patients in the itraconazole and 54 in the amphotericin B arm. During neutropenia fungal colonization in the oropharynx occurred in 11 (19.6%) and 24 (40.6%) and in the rectum in 11 (19.6%) and 23 (38.9%) courses in the itraconazole and amphotericin B groups ( P<0.05), respectively. Candida albicans was the most prevalent species in both study groups. Mixed fungal colonization with Candida krusei and Candida glabrata was increased in the amphotericin B group, yet without clinical importance since infections were due to C. albicans. The occurrence of invasive candidiasis was significantly increased in multicolonized compared to monocolonized patients. In the amphotericin B group 20 and in the itraconazole group 2 neutropenic patients showed multicolonization with Candida spp. ( P<0.05). Overall fungal infections were 3.8% in the itraconazole and 14.8% in the amphotericin B group ( P<0.05). RAPD typing showed oropharynx strains involved in superficial infections in four of five patients. In all four patients with deep fungal infections, it appears that the colonizing rectum strains were identical to infecting strains of Candida spp. Itraconazole solution significantly reduced Candida colonization and infection compared to amphotericin B solution. Most patients remained infected with the colonized strains for the entire study period, irrespective of antifungal prophylaxis.

Amphotericin B↗

The solute permeability of thylakoid membranes is reduced by low concentrations of trehalose as a co-solute.

The different efficiencies of sucrose and trehalose in protecting isolated spinach (Spinacia oleracea L.) thylakoids against freeze-thaw damage is quantitatively related to their ability to reduce the solute loading of the vesicles during freezing. In the present paper we show that this effect is based on a reduction of the solute permeability of the membranes. Permeability was measured with 14C-labeled glucose at temperatures between 0 and 10 degrees C. Glucose permeability was reduced by both sucrose and trehalose, with trehalose effective at much lower concentrations than sucrose. An analysis of the temperature dependence of glucose permeability in the presence and absence of trehalose revealed that a 50% reduction in permeability resulted from a 10% increase in activation energy and a 30% decrease in activation entropy. Using the fluorescence probe 1,6-diphenyl-1,3,5-hexatriene (DPH), we found that the reduced permeability of the membranes in the presence of trehalose was unaccompanied by a reduction in lipid fluidity. This also excluded the possibility of a solute-induced liquid crystalline to gel phase transition. A reduced partitioning of the hydrophobicity-sensitive dye merocyanine 540 into thylakoids and into membranes containing 50% digalactosyldiacylglycerol in the presence of trehalose as compared to sucrose and glucose showed that the lipid headgroup region of these membranes became less accessible for solutes. No significant difference in merocyanine partitioning in the presence of trehalose as compared to sucrose or glucose was apparent when monogalactosyldiacylglycerol dispersions or phosphatidylcholine vesicles were investigated.

Cell Membrane Permeability↗

Interfacial thermodynamics of protein adsorption, ion co-adsorption and ion binding in solution. I. Phenomenological linkage relations for ion exchange in lysozyme chromatography and titration in solution.

In this paper we discuss the thermodynamics of ion binding in solution, protein adsorption and ion co-adsorption. The emphasis is on charge regulation effects. To this end, we introduce phenomenological linkage relations from which the ion binding can be calculated from the electrolyte dependency of proton titration curves and the co-adsorption from the electrolyte dependency of protein adsorption isotherms. The linkage relations are derived from classical interfacial thermodynamics, and thus offer an alternative approach as compared to the mass balance equations which are currently used in biotechnology, and Record et al.'s 1978 analysis of Wyman's Binding Polynomial for protein interactions. The co-adsorption theory is an extension of our previous analysis of ion binding in solution, which we include here for comparison of the ion co-adsorption with the ion binding in solution. The theory is applied to the chromatography of lysozyme on the strong cation exchanger 'mono S' and to the proton titration of lysozyme in solution. In the accompanying Part 2 of this paper the results are interpreted with a simple model.

Journal Article↗

Small angle neutron scattering from lysozyme solutions in unsaturated and supersaturated states (SANS from lysozyme solutions).

Small angle neutron scattering (SANS) method was used to study lysozyme solutions, with particular interest in an understanding of the crystallization process at the initial stage. It is found that (1) in the unsaturated solution, the protein molecules aggregate with a continuous increase in size when NaCl concentration is increased, and (2) in the supersaturated solution, an irreversible change, superimposed on the former process, occurs when the supersaturation is realized. These facts indicate the usefulness of SANS in detecting changes of protein molecules in solution on the nanometer scale. The reliability of the SANS results are indicated by (1) comparing them with those of small angle X-ray scattering (SAXS), and (2) comparing the effect of D(2)O and H(2)O as solvent. Since the interparticle interaction is essential in the crystallization process and a simple Guinier plot analysis is not allowed, a more rigorous framework of analyzing data with interference function is developed, through which both average interparticle distance and particle size are estimated.

Journal Article↗

Influence of membrane-solvent-solute interactions on solute permeation in model membranes.

The interaction of the components of topical formulations with the skin is an important consideration for effective drug delivery and efficacy. The relative importance of solubility parameters and other solvent properties on membrane diffusion processes has not been fully elucidated in the literature. In this paper, the effect of different vehicles on the permeation of caffeine, salicylic acid and benzoic acid through silicone membranes was evaluated. Polydimethylsiloxane membranes were used as model membranes for comparing the release characteristics of saturated solutions of model permeants because of their homogeneity and uniformity. Log P (octanol-water partition coefficient) and solubility parameter values were calculated for the compounds under study. In vitro diffusion studies indicated that the permeation profiles of all solutes showed a similar pattern. The permeation rates of benzoic acid and salicylic acid through silicone membrane from saturated solutions were higher than those for caffeine reflecting the more lipophilic nature of these compounds in comparison with caffeine. Solvent uptake studies confirmed that the vehicles that were highly sorbed by the membrane altered its properties and hence the flux. Vehicles that were not sorbed by the membrane showed similar steady-state fluxes for the model drugs. This suggests that the diffusion process is mainly influenced by the interactions between the vehicles and the membrane. Solubility parameter alone cannot explain the interactions between the membrane and the vehicles in all cases. Rather, it is likely that membrane flux reflects a combination of different solvent and solute characteristics, such as size, shape and charge distribution.

Administration, Cutaneous↗

A new and simpler approach for the solution of the electrostatic potential differential equation. Enhanced solution for planar, cylindrical and annular geometries.

The motivation of the study performed in this project is focused on deriving a more effective, accurate, and mathematically friendly solution for the prediction of the electrostatic potential, commonly used on electrokinetic research and its related applications. In this contribution, based on the Debye-Hückel approximation, a new solution strategy for the differential equations of the electrostatic potential is proposed. In fact, a simple predictor-corrector calculation is developed to achieve more accurate predictions of electrostatic potential profiles. Furthermore, in this study the authors introduce the correction function f(AO) to the inverse Debye length, lambda. The f(AO) function improves the Debye-Hückel approximation and it is a recursive function of the electrical potential. Once the inverse Debye length, lambda, has been corrected by the f(AO) function and introduced in the simplified solution of the Poisson-Boltzmann equation (i.e., the linear approximation, due to Debye and Hückel), the electrostatic potential outcome little differs from the numerical solution of the complete (nonlinear) differential equation. This new approach embraces different geometries of interest, such as planar, cylindrical, and annular, with excellent results in all the cases and for a wide range of electrostatic potential values. This new predicting semi-analytical technique can be a useful tool on electrical field applications such as the separation of a mixture of macromolecules and the removal of contaminants in soil cleaning processes. Illustrative results are presented for the geometries identified above.

Journal Article↗

Photosensitive liposomes as 'cages' for laser-triggered solute delivery: the effect of bilayer cholesterol on kinetics of solute release.

Liposomes containing acyl chains incorporating azobenzene chromophores have been investigated as potential 'caging' agents for fast solute release. On photolysis, trapped marker dye can be released from gel-phase liposomes within milliseconds. Solute release is markedly sensitive to the presence of cholesterol in the bilayer. Phospholipids bearing one saturated acyl chain and an azobenzene-substituted chain are ineffective as sensitisers unless cholesterol is present, while doubly substituted phospholipids sensitise release in its absence. Cholesterol markedly affects the temperature profile of solute release depending on the host phospholipid chain length. Solute release is not seen for lipid hosts with unsaturated acyl chains.

Azo Compounds↗

Reactive solute transport in macroscopically homogeneous porous media: analytical solutions for the temporal moments.

In this work, we investigate one-dimensional solute transport affected by rate-limited sorption, first-order mass transfer, and first-order transformation. Analytical expressions are obtained for the temporal moments of the solute in the solution phase. The effect of various rate coefficients on the temporal moments is examined. It was found that, in the presence of transformation reactions, the mean arrival time, and the spread and skewness of the breakthrough curves, are not monotonic functions of the rate coefficients. These solutions will be useful as a preliminary analysis tool for ascertaining the relative importance of various processes under given conditions. They may also be used to analyze the accuracy of various numerical techniques used for simulation of reactive transport.

Environmental Pollutants↗

Sonolysis of surfactants in aqueous solutions: an accumulation of solute in the interfacial region of the cavitation bubbles.

The sonolysis of surfactants (such as sodium dodecylbenzenesulfonate (DBS), sodium dodecylsulfate (SDS), and polyethylene glycol monostearate), sodium 4-toluenesulfonate (STS), and 1-hexanol in aqueous solutions was investigated under an argon atmosphere with ultrasound of 200 kHz in order to compare the scavenging efficiency of the hydroxyl radical and the accumulation in the gas-liquid interfacial region of the cavitation bubbles. The degradation rate of the solute follows the order 1-hexanol > DBS and SDS > STS. The scavenging efficiency of the hydroxyl radical by non-volatile surfactants was much greater than that of the non-volatile and hydrophilic solute (e.g., STS). The surfactant was accumulated in a relatively high ratio in the interfacial region. The degradation of surfactants occurred by reaction with the hydroxyl radical and also by pyrolysis at high temperature. On the other hand, STS, due to its non-volatile and hydrophilic properties, was principally present in the bulk solution and the degradation by pyrolysis was not observed at the investigated concentration ranges.

Journal Article↗

Use of attenuated total reflection infrared spectroscopy for analysis of partitioning of solutes between thin films and solution.

The paper examines attenuated total reflection (ATR) spectroscopy as a tool for quantifying the partitioning of small molecular species between a solution and a thin film, while the film is directly exposed to the solution for equilibration. For the case of a thin film having a thickness substantially smaller than the decay length of the evanescent wave, we developed suitable linear relationships that relate the measured absorption of the characteristic band to the concentration of the species under study in the film and in solution. In the application of ATR-Fourier transform infrared spectroscopy, the method is particularly suitable for films a few tens to hundreds of nanometers thick and for solutes that preferentially partition into the film. As an example, the partitioning isotherm of 1-pentanol between water and a thin polyamide film separated from a reverse osmosis membrane was determined experimentally, and the limitations of the method are discussed.

Journal Article↗

Sequence specificity of quinoxaline antibiotics. 1. Solution structure of a 1:1 complex between triostin A and [d(GACGTC)]2 and comparison with the solution structure of the [N-MeCys3,N-MeCys7]TANDEM-[d(GATATC)]2 complex.

Triostin A, a naturally occurring quinoxaline antibiotic that contains N-methyl groups on the valine and cysteine residues, binds sequence specifically to DNA at NCGN sites. [N-MeCys3,N-MeCys7]-TANDEM (CysMeTANDEM), a synthetic quinoxaline antibiotic, differs in its chemical structure from triostin A only at the valine residues, which contain no N-methyl substituents. CysMeTANDEM has a sequence specificity different from triostin A, binding specifically to DNA at NTAN sites. To understand the factors that determine the sequence specificity of these quinoxaline antibiotics, the solution structure of a 1:1 complex of triostin A with the DNA hexamer [d(GACGTC)]2 has been determined using NMR-derived distance and dihedral angle restraints. The solution structure of the triostin A-[d(GACGTC)]2 complex is compared directly to the solution structure of a 1:1 complex of CysMeTANDEM with [d(GATATC)]2 and is also compared to the crystal structure of 2:1 complex of triostin A with [d(CGTACG)]2. Triostin A binds to [d(GACGTC)]2 as a bis-intercalator around the CpG step, and the peptide ring of the drug binds in the minor groove of the DNA. The central C.G base pairs of the complex are underwound with an average helical twist angle of approximately -9.0 degrees and buckle inward by about 25 degrees. There are intermolecular hydrogen bonds between each of the Ala NH and the GN3 protons of the CpG binding site. Similar structural features are observed in the solution structure of the CysMeTANDEM-[d(GATATC)]2 complex. However, in the structure of the triostin A-[d(GACGTC)]2 complex, two intermolecular hydrogen bonds between each of the Ala CO oxygens of the drug and the 2-amino protons of guanine are observed. These hydrogen bonds do not form in the CysMeTANDEM-DNA complex. Instead, CysMeTANDEM contains two intramolecular hydrogen bonds between the Ala CO atoms and the Val amide protons, making the Ala CO atoms unavailable to form two intermolecular hydrogen bonds. The role of these intermolecular hydrogen bonds in the CpG specificity of triostin A is discussed.

Anti-Bacterial Agents↗

Albert's solution versus potassium hydroxide solution in the diagnosis of tinea versicolor.

BACKGROUND: The diagnosis of tinea versicolor can usually be made by clinical examination. Either potassium hydroxide (KOH) or Wood's light fluorescence are used to corroborate the diagnosis. Albert's solution has been reported as a method of visualizing dermatophytes. We compared Albert's solution to KOH in the diagnostic evaluation of tinea versicolor. METHODS: Twenty patients with clinical tinea versicolor were examined for the presence of hyphae and/or spores utilizing Albert's solution or KOH (20%) with dimethyl sulfoxide. RESULTS: All patients were positive for hyphae and/or spores by both methods. Preparations with Alberts' stains were faster and easier to read. CONCLUSIONS: Albert's solution is an alternate method to stain for fungal elements in patients with tinea versicolor.

Acetates↗

In search of a super solution: controlled trial of glycine-glucose oral rehydration solution in infantile diarrhoea.

In a double blind trial a glycine fortified oral glucose electrolyte solution was evaluated in a group of infants and small children (n=25) with moderate to severe dehydration due to acute diarrhoea, and was compared with a matched control group (n=26) receiving only glucose based oral rehydration solution. It is seen that the diarrhoea stool output, duration of diarrhoea, and volume of oral rehydration fluid required to achieve and maintain hydration are significantly lower in the group receiving glycine fortified glucose electrolyte solution. The possibility of developing an oral rehydration solution which could also act as an absorption promoting drug is discussed.

Administration, Oral↗