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The effects of added nanoparticles on aqueous kaolinite suspensions II. Rheological effects.

This series examines the effects of added silica nanoparticles on the properties and behavior of an aqueous suspension of kaolinite particles. Part I focused on the structural changes induced by the nanoparticles, primarily through scanning electron microscopy images. In this manuscript, we describe the changes in the rheological behavior of the kaolinite suspensions upon addition of the nanoparticles. In the absence of any additives, kaolinite platelets quickly aggregate and settle. When nanoparticles and salt (NaCl in these experiments) are added together, however, the suspensions begin to stabilize. When the salt and nanoparticle concentrations each exceed specific lower limits, the suspensions undergo a transition to a gel and develop a finite yield stress. Increasing the nanoparticle concentration or added salt concentration substantially increases the measured yield values, such that for the strongest samples, the yield stress exceeds the maximum for the rheometer to shear (3500 Pa). Plots of the complex viscosity, absolute value|eta *, versus time suggest two different time scales for the gelation process-a short, initial time (e.g., less than 2 h) in which absolute value eta * increases rapidly, followed by a gradual rise over a much longer period. Measurement of the phase lag, delta, between the applied stress and response strain indicates that the long-term state of the suspension is either completely viscous (delta = pi/2) or completely elastic (delta = 0). Values of delta between 0 and pi/2 were only seen with suspensions that were transitioning from a liquid to a gel state.

Journal Article↗

Isolation of microprotoplasts from a partially synchronized suspension culture of Citrus unshiu.

The effect of hydroxyurea (HU) and amiprophos-methyl (APM) on the synchronization of suspension cultures of Satsuma mandarin (Citrus unshiu) and micronucleation of the suspension cells sequentially treated with both, HU and APM, were investigated. When suspension cultures in early-log phase were treated with 4 or 10mM HU for 24h, the number of cells in the S-phase and the mitotic index (MI) increased significantly. Exposure of the early-log phase suspension culture to 32microM APM led to a marked increase in the MI 12 and 24h after treatment, while higher as well as lower concentrations (16, 24 and 48microM) had no effect. Suspension cultures subjected to sequential treatment, e.g. pretreatment with 10mM HU for 24h followed by treatment with 32microM APM for 24h, also showed a considerably increased MI. Furthermore, 61.5% of the protoplasts isolated from the sequentially treated suspension cells were micronucleated, whereas only 3.6% of the control protoplasts, isolated from untreated cells, showed micronucleation. Ultra-centrifugation of the micronucleated protoplasts generated microprotoplasts of different sizes, most of them below 5microM in diameter, with 1 or few chromosomes. The potential application of microprotoplasts in citrus genetic improvement is discussed.

Cell Culture Techniques↗

The effect of hyoid suspension in a multilevel surgery concept for obstructive sleep apnea.

OBJECTIVE: This study investigated the outcome of the hyoid suspension as a part of a multilevel surgery protocol. STUDY DESIGN AND SETTING: Eighty-three patients with obstructive sleep apnea (OSA) underwent a multilevel surgical treatment because of continuous positive-airway pressure intolerance, 67 with the hyoid suspension and 16 without the hyoid suspension. All patients underwent a pre- and postoperative polysomnography in the sleep laboratory. RESULTS: The mean preoperative apnea hypopnea index (AHI) was 36.4+/-21.2 and 19.4+/-19.7 postoperatively for all patients (P<0.0001). Further statistically significant changes were found for the arousal index, the oxygen saturation, and the daytime sleepiness. No statistically significant change was found for body mass index. In the group of patients treated without the hyoid suspension, the AHI did not decrease statistically significant. After surgery, 59.7% of the subjects with the hyoid suspension were regarded as cured. CONCLUSION: Multilevel surgery including the hyoid suspension is an effective treatment in subgroup of OSA patients. EBM RATING: C-4.

Adult↗

Determination of the content of nonfilterable cells in erythrocyte suspensions as a function of the medium osmolality.

The results of most filtration assays for deformability of erythrocytes do not distinguish whether the entire population or only its small fraction exhibits abnormal rheological properties. We developed a simple filtration method for determination of the percentage of nonfilterable cells in erythrocyte suspension using membrane filters with mean pore diameter of 3.1 microns. This method makes it possible to detect even minor abnormal subpopulations in erythrocyte suspensions. The flow rate of buffer depends on the number of free pores of a filter. The plot of the number of pores clogged by nonfilterable cells vs the total number of erythrocytes that were allowed to pass through the filter had a linear portion, with a slope representing the relative content, Z%, of nonfilterable cells in the suspension. We determined Z% for various medium osmolalities u and used the data to derive the distribution of erythrocytes in ucr (ucr is the maximum value of u at which an erythrocyte cannot pass through a pore of a given filter because of geometric limitations). The distribution of ucr in suspension of normal erythrocytes has a maximum of about 200 mOsm/kg and a half-width of about 20 mOsm/kg. The distributions of ucr are altered in normal erythrocyte suspensions at decreased pH values, in cryopreserved and ATP-depleted erythrocyte suspensions and in erythrocytes from a xerocytosis patient.

Cell Separation↗

Effect of solvent composition on dispersing ability of reaction sialon suspensions.

This work focuses on the optimization of the rheological behavior of suspensions considering different solvent compositions. The effects of methyl ethyl ketone (MEK)/ethanol (E) solvent mixtures on reaction sialon suspensions were investigated by measuring sedimentation behavior, adsorption of dispersant, and flow behavior. It was shown that both the flow behavior and the sedimentation behavior strongly depended on selection of solvent composition. Using 3 wt% KD1 as dispersant, well-dispersed colloidal suspensions could be obtained in MEK-rich solvents. The suspensions with 60 vol% MEK/40 vol% E as solvent could be fitted to the Bingham model with very low yield stress, while suspensions with pure MEK or ethanol-rich mixtures as solvent showed pseudo plastic behavior with relatively high yield stress values. A model was proposed to explain the different flow behaviors of suspensions considering the different configurations of dispersant at particles' surfaces.

Journal Article↗

Viscosity of concentrated colloidal suspensions: comparison of bidisperse models.

In this paper, recent advances in the study of rheological behavior of concentrated bimodal suspensions are briefly reviewed. The predictive models are divided into two categories, namely, the effective volume fraction (or hard sphere scaling) approach and the separation of contributions approach. Predictions of both approaches are compared with experimental data of electrostatically and sterically stabilized suspensions. It is shown that the predictions of both hard sphere scaling and the scaling method of Zaman and Moudgil (J. Colloid Interface Sci. 212 (1999) 167) to separate the contributions of fine and coarse particles are in good agreement with the experimentally observed results. The approach by Dames, Morrison, Wilenbacher (Rheol. Acta 40 (2001) 434) to separate the hard-sphere and non-hard-sphere contributions is investigated using the aqueous silica and polystyrene suspensions respectively. A good agreement is shown for aqueous silica suspensions. However, significant differences between the predictions and experimental data are found for the sterically stabilized polystyrene suspensions, suggesting a more generalized expression is needed. As an attempt to classify the models on the viscosity of colloidal suspensions, the present study will provide guidelines for interpretation of experimental results and for the development of more comprehensive predictive methodologies for polydispersed colloidal dispersions.

Journal Article↗

Laparoscopic bladder neck suspension fails the test of time.

PURPOSE: Initial reports on laparoscopic bladder neck suspension have suggested success rates similar to those of traditional bladder neck suspension. We compare long-term success rates of laparoscopic and transvaginal Raz bladder neck suspension. MATERIALS AND METHODS: A total of 100 patients with anatomical stress urinary incontinence underwent extraperitoneal laparoscopic bladder neck suspension with securing of the endopelvic fascia to Cooper's ligament (58, laparoscopy group) or transvaginal Raz bladder neck suspension (42, transvaginal group). Patients were evaluated by chart review and telephone questionnaire to determine whether they had urinary incontinence. RESULTS: The 2 groups were similar in terms of age, mean body mass index, preoperative bladder capacity and post-void residual. Mean followup was 45 months (range 14 to 71) in 50 laparoscopy group (86%) and 59 months (range 35 to 72) in 29 transvaginal group (70%) patients. Only 15 of 50 laparoscopy group (30%) and 10 of 29 transvaginal group (35%) patients were completely continent at followup. There was no statistically significant difference in the success rates for the 2 groups. Mean time to failure for both groups was 18 to 24 months. CONCLUSIONS: With long-term followup laparoscopic bladder neck suspension demonstrated poor success rates similar to other minimally invasive surgical therapies for stress urinary incontinence. Any new surgical technique for treatment of stress urinary incontinence should have a mean followup of more than 2 years to determine true clinical efficacy.

Adult↗

Success rate of modified Pereyra bladder neck suspension determined by outcomes analysis.

The reported success rates of the modified Pereyra bladder neck suspension vary from 51 to 90%. Retrospective chart review studies have reported cure rates of 77 to 90%. In contrast, a questionnaire based outcomes analysis, using a strict definition of cure, reported 51% of the patients to be cured of stress urinary incontinence after modified Pereyra bladder neck suspension. We conducted a questionnaire based outcomes analysis of the modified Pereyra bladder neck suspension at our institution. The objectives of the study were to determine the success rates of this procedure using strict criteria in an outcomes analysis format, assess the overall satisfaction of patients postoperatively and identify historical factors that may be predictive of outcome. Between September 1988 and December 1991, 151 patients underwent a modified Pereyra bladder neck suspension for urodynamically documented genuine stress urinary incontinence. Mean patient age was 56 years (range 19 to 82 years) and mean followup was 25 months (range 9 to 45). All patients had type 2 incontinence (anatomical) based on history (severity of symptoms), physical examination, and fluoroscopic assessment of the bladder neck and urethra. Preoperative pad use, and irritative and obstructive symptoms were retrospectively assessed, and a preoperative Stamey incontinence score was assigned. A standardized questionnaire was used to compare preoperative and postoperative voiding symptoms, perception of urinary control and satisfaction with the decision to undergo an operation. Followup telephone calls were made by a trained registered nurse not associated with the original procedure. Postoperative pad use also was quantified and a postoperative Stamey score was assigned. A total of 106 patients (70%) returned the questionnaires. Cure was strictly defined as no urine leakage under any circumstance. While 78% of the patients required no to minimal protection postoperatively, 50 (47%) reported cure of the stress urinary incontinence, 68 (64%) reported subjective improvement, 27 (26%) were the same and 11 (10%) were subjectively worse after modified Pereyra bladder neck suspension. Of the patients 77% were satisfied with the decision to undergo the operation. Patients subjectively worse were significantly older than those subjectively improved (66 versus 54 years, p = 0.05). Postoperative failures had significantly higher obstructive and irritative symptom scores. Questionnaire based outcomes analysis has consistently demonstrated success rates less than those reported in retrospective chart review studies. Outcomes analysis, based on patient assessment of satisfaction, may more accurately reflect the expected surgical outcome after a modified Pereyra bladder neck suspension. We emphasize the need for standardized questionnaires and outcomes analysis to evaluate patient satisfaction with surgery designed to improve quality of life.

Adolescent↗

The chlorofluorocarbon to hydrofluoroalkane transition: the effect on pressurized metered dose inhaler suspension stability.

The phase out of chlorofluorocarbon (CFC) propellants has necessitated the reformulation of pressurized metered dose inhalers (pMDIs) with hydrofluoroalkane (HFA) propellants. One of the main challenges has been that conventional surfactants used for CFC-based pMDIs were not soluble in HFAs. Since one of the main aims of a pMDI is to deliver a reproducible dose of medication to the patient, it is vital that, for suspension-type pMDI formulations, the suspension is stabilized sufficiently for a reproducible dose to be delivered. A new technique has been developed that measures suspension stability more objectively than before. This technique, optical suspension characterization, was used to compare the performance of different formulations of respiratory drugs in HFAs. The optical suspension characterization data were correlated with conventional analytic techniques for the determination of the stability of the suspension formulation.

Aerosol Propellants↗

Rheological characteristics of microbial suspensions of Pseudomonas aeruginosa and Bacillus cereus.

The rheological properties of the bacteria Pseudomonas aeruginosa and Bacillus cereus have been investigated. The apparent viscosity of the bacterial suspensions has been measured at different conditions. The results showed that the bacterial suspensions' apparent viscosity increased with increasing biomass concentration of each of these strains. The P. aeruginosa suspension followed shear thinning behavior while B. cereus suspension followed shear thickening behavior. The shear stress versus shear rate experimental data were best represented by the Herschel-Bulkley model. The apparent viscosity of the P. aeruginosa and B. cereus suspensions decreased with increasing temperature. The relationship between the apparent viscosity and the shearing time highlighted the rheopectic behavior of the suspensions used in this work.

Bacillus cereus↗

Once-daily budesonide inhalation suspension in infants and children < 4 and > or = 4 years of age with persistent asthma.

BACKGROUND: Budesonide inhalation suspension (Pulmicort Respules; AstraZeneca LP, Wilmington, DE), a nebulized corticosteroid, was developed for use in infants and young children with persistent asthma. OBJECTIVE: To compare the efficacy and safety of once-daily budesonide inhalation suspension in children < 4 years of age and in those > or = 4 years of age with persistent asthma. METHODS: A retrospective analysis stratified by age group was performed on data from two randomized, double-blind, placebo-controlled, parallel-group studies that evaluated the efficacy and safety of budesonide inhalation suspension 0.25 mg, 0.5 mg, or 1.0 mg once daily for 12 weeks in children 6 months to 8 years of age with persistent asthma. Clinical assessments included nighttime and daytime asthma symptoms, breakthrough medication use, adverse events, and hypothalamic-pituitary-adrenal-axis function. RESULTS: In both randomized studies, budesonide inhalation suspension demonstrated statistically significant improvement in nighttime and daytime asthma symptom scores compared with placebo. In the retrospective analysis of pooled data from these studies, the efficacy of budesonide was maintained when children were stratified by age group. Clinical improvements from baseline in nighttime and daytime asthma symptom scores were observed in both age groups at all budesonide inhalation suspension dose levels. No significant differences were observed between age groups in breakthrough medication use in any of the treatment groups. No differences were observed in the incidence of adverse events between the two age groups, and significant (P < 0.01) effect on hypothalamic-pituitary-adrenal-axis function was apparent only in children < 4 years of age at the 0.25-mg dose level. CONCLUSIONS: Once-daily budesonide inhalation suspension is effective in the treatment of persistent asthma in children aged < 4 and > or = 4 years of age.

Administration, Inhalation↗

The growth of bioconvection patterns in a uniform suspension of gyrotactic micro-organisms.

'Bioconvection' is the name given to pattern-forming convective motions set up in suspensions of swimming micro-organisms. 'Gyrotaxis' describes the way the swimming is guided through a balance between the physical torques generated by viscous drag and by gravity operating on an asymmetric distribution of mass within the organism. When the organisms are heavier towards the rear, gyrotaxis turns them so that they swim towards regions of most rapid downflow. The presence of gyrotaxis means that bioconvective instability can develop from an initially uniform suspension, without an unstable density stratification. In this paper a continuum model for suspensions of gyrotactic micro-organisms is proposed and discussed; in particular, account is taken of the fact that the organisms of interest are non-spherical, so that their orientation is influenced by the strain rate in the ambient flow as well as the vorticity. This model is used to analyse the linear instability of a uniform suspension. It is shown that the suspension is unstable if the disturbance wavenumber is less than a critical value which, together with the wavenumber of the most rapidly growing disturbance, is calculated explicitly. The subsequent convection pattern is predicted to be three-dimensional (i.e. with variation in the vertical as well as the horizontal direction) if the cells are sufficiently elongated. Numerical results are given for suspensions of a particular algal species (Chlamydomonas nivalis); the predicted wavelength of the most rapidly growing disturbance is 5-6 times larger than the wavelength of steady-state patterns observed in experiments. The main reasons for the difference are probably that the analysis describes the onset of convection, not the final, nonlinear steady state, and that the experimental fluid layer has finite depth.

Animals↗

Morphological study of hydroxyapatite nanocrystal suspension.

Nanometer size hydroxyapatite (HA) crystals are prepared by a wet chemical precipitation method at different synthesis temperatures and with various reactant addition rates. The resulting aqueous suspensions are studied in terms of morphology (transmission electron microscope, specific surface area), phase (X-ray diffraction, electron diffraction and infrared spectroscopy) and rheological properties. This work shows that shape, size and specific surface area of the HA nanoparticles are very sensitive to the reaction temperature and also to the reactant addition rate. The measured pH at the end of synthesis, which is strongly linked with the reactant addition rate, is a key parameter which can be used to determine the purity of the synthesized HA nanocrystal and also for the stabilization (dispersion) of the suspension. HA nanoparticles synthesized at low temperature (T < 60 degrees C) are monocrystalline. A transition temperature (T=60 degrees C) can be defined as a limit for the synthesis of monocrystalline HA nanocrystals, above this critical temperature nanocrystals become polycrystalline. HA monocrystals adopt a needle shape and are oriented following the c-axis of the hexagonal HA structure. The as-synthesized suspension is then concentrated and the effect of a dispersing agent addition, which is needed to get a high solid/liquid ratio coupled with good flowability of the suspension, is also shown, because this suspension is used in the suspension plasma spraying process.

Journal Article↗

Stereoselective disposition of suspensions of conventional and wax-matrix sustained release ibuprofen microspheres in rats.

PURPOSE: The aim of the study is to evaluate stereoselective in vivo disposition of suspensions of conventional and wax-matrix sustained release ibuprofen microspheres in rats. METHODS: Male wistar rats were dosed i.v. with 20 mg/kg, or orally with conventional suspension, and three suspension formulations of sustained release microspheres (having three different particle sizes) of racemic ibuprofen. Blood samples were analyzed stereoselectively by reverse phase HPLC. RESULTS: The mean Cmax for (S)- and (R)-ibuprofen decreased with increased particle size of the drug or microspheres in the suspension dosage forms, while the Tmax increased with increased particle size. The mean S/R ratio (AUC0-48) of the suspensions decreased with increase in particle size of the drug or microspheres and these ratios (for both conventional and sustained formulations) were higher than that of the i.v., an indication of presystemic inversion. Decrease in the ratios with increased particle size is suggestive of formulation dependent inversion. The plasma concentration-time data of the sustained release formulations showed bimodal profiles, irrespective of the particle size of the microspheres. The second peak observed after 8 hours is indicative of colonic absorption. CONCLUSIONS: Stereoselective disposition of ibuprofen microspheres showed higher bioavailability compared to the conventional suspension. Bimodal disposition is influenced by dosage form while presystemic inversion is both site-specific, and dosage form dependent.

Administration, Oral↗

Suspensions and detentions in an urban, low-income school: punishment or reward?

Disciplinary records for 3rd through 8th grade students (n = 314) in an inner-city, public school were examined for one school year to assess students' variation in response to discipline. Rates of disciplinary referrals were compared for students who received no detentions or suspensions throughout the year ("never group" n = 117), students who received one or more detention or suspension in the fall but not in the spring ("fall group" n = 62), and students who received one or more detention or suspension in the fall and one or more detention or suspension in the spring ("fall + spring group" n = 75). Results indicated that during the fall, the "fall group" had nearly equivalent rates of referrals to the "fall + spring group"; however, the "fall group" exhibited significantly lower rates of referrals during winter and spring that were nearly equivalent to the "never group," as would be expected for a punishment procedure. In contrast, the "fall + spring group" evidenced increases in referrals across the year, suggesting the possibility that detentions and suspensions were functioning as rewards for this group. The "fall + spring group" was rated by teachers and peers at mid-year as highly aggressive, lacking social skills, and high on hyperactivity, whereas the "fall group" and the "never group" were statistically equivalent on teacher and peer ratings. Implications for mental health programs for urban schools are discussed, especially the need for alternatives to detention and suspension for the subset of students who account for the majority of school discipline.

Behavior Therapy↗

Intra- and inter-subject variabilities of CGP 33101 after replicate single oral doses of two 200-mg tablets and 400-mg suspension.

PURPOSE: The purpose of this study was to use a replicate designed trial to assess the overall, intra- and inter-subject variabilities in pharmacokinetic parameters of CGP 33101 after oral administration of tablets relative to that of powder suspended in water, and to determine the relative proportion of the intra-subject variance to the overall variability. METHODS: Sixteen healthy subjects were randomly assigned to four groups to receive tablets and suspension twice in four different treatment sequences. The plasma concentration-time profile of CGP 33101 was characterized in terms of Cmax, Tmax, and AUC. Bioavailability of tablets relative to suspension and intra- and inter-subject variability were assessed by statistical analysis. RESULTS AND CONCLUSIONS: The overall variabilities in absorption kinetics of CGP 33101 in healthy subjects were small with CV's of the population mean values for AUC and Cmax less than 26% for both tablets and suspension. Contribution of intra-subject variability to the overall variability was also small (approximately 20%). Both the overall and intra-subject variabilities of AUC and Cmax after suspension were larger than after the tablets. However, the differences in variability between tablets and suspension were not statistically significant (p > 0.05). The tablet formulation was bioequivalent to suspension in terms of rate and extent of absorption based on 90% conventional confidence intervals (for AUC and Cmax) and Wilcoxon rank-sum test (for Tmax).

Administration, Oral↗

Thoracic suspension: quantitative effects upon seating pressure and posture.

Seating pressure in 10 subjects using a thoracic suspension orthosis was studied quantitatively. Anterior, posterior, and ischial pressures were measured bilaterally both unsuspended and during a 90 to 120 minute interval while suspended. Significant decreases in seating pressure were noted following suspension, with a mean decrease of 59.8%. Significant changes in lateral support were noted with suspension, as was a reduction in both the absolute pressure and relative distribution of pressure to the ischial areas. Relative redistribution of pressure in the anterior-posterior direction was related to leg support condition. All subjects who presented with pressure sores healed subsequent to thoracic suspension. Those with spinal curvature showed a 10 to 20 degree correction immediately following suspension. This correction generally was not maintained, however, in a temporal analysis. The data indicates that thoracic suspension can effectively reduce seating pressure and alter lateral posture, while leg support condition has a greater effect upon anterior-posterior pressure distribution. The use of a seat cushion to prevent subject swinging while suspended did not adversely affect the overall suspended pressures in this study, although the subjects without seat cushions showed lower overall suspended pressures.

Adolescent↗

[Dosage problems in suspension eyedrops].

PURPOSE: In opthalmic suspensions, the mean dose and the uniformity of amounts administered in single drops depend upon the redispersibility of drug particles by shaking. The present article is a contribution to the development of the experimental and theoretical basis for a reproducible test, by which the dose uniformity of suspension eyedrops can be assessed under therapeutically relevant conditions. The requirement that suspension eyedrops and similar dosage forms should be redispersable after sedimentation upon storage is stated in the monographs on eyedrops of the German Pharmacopoeia and can be found in similar contexts in other pharmacopoeias. Until now, however, no corresponding test method has been specified. METHODS: Shaking profiles were recorded in 31 subjects and 27 patients using an acceleration sensor. They were compared with the acceleration profile of a computer-controlled pneumatic shaker and sampler. Both frequency and intensity of the shaking action were quantified by Fourier analysis of the acceleration profiles. The drug content of single drops of Isopto-dex (0.1% dexamethasone), Chibro-Amuno 3 (1% indomethacin), and Inflanefran-forte (1% prednisolone acetate) was assessed exhaustively in four 5-ml specimens of each ophthalmic suspension using the apparatus. The dose uniformity of single drops of suspension eyedrops was measured by UV-spectrophotometry for the entire contents of bottles. Four samples per day were drawn after six shaking cycles for approximately 4 weeks with three intervals of 4 h during daytime and 1 interval of 12 h during the night. RESULTS: The shaking intensity of patients was lower than that of healthy subjects, while the frequency was similar for both groups. The intensity of the apparatus corresponds to the 67th percentile of the patients and to the 18th percentile of the healthy subjects. It was sufficiently close to the central values of both distributions to allow comparisons. for Isopto-dex, the mean drug content of 9.5 microns per drop amounted to only 25% of the value expected after complete redispersion, with a coefficient of variation (CV) of 23%. The mean value for Chibro-Amuno 3 was 93% of the expected quantity of indomethacin with a CV of 34%, while the mean content of Inflanefran-forte drops was 95% of the labelled dose with a CV as low as 9%. CONCLUSION: The drug content of single drops of ophthalmic suspensions can be studied under well-defined and reproducible conditions by means of a computer-controlled pneumatic shaking and sampling apparatus. Under the conditions prevailing in this study, the solidified sediment of Isopto-dex was incompletely redispersed, so that doses were significantly too low. A variable dosing pattern with acceptable mean was observed for Chibro-Amuno 3, while the results for Inflanefran-forte were fully satisfactory.

Adult↗