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Retinal haemorrhage as a complication of gas encephalography and gas myelography. Prospective study using oxgen gas with a discussion of pathogenetic mechanisms.

Seventy patients, submitted to oxygen encephalography and oxygen myelography, were examined by retinal funduscopy to establish the incidence of intraocular haemorrhages, a complication reported to be frequent by other investigators. We did not discover any retinal haemorrhages. Pathogenetic factors influencing intracranial or intraocular venous pressure or both are discussed, particularly the effect due to different technical procedures during the examination, and the type of anaesthesia used.

Adolescent↗

The effect of oral alpha-galactosidase on intestinal gas production and gas-related symptoms.

Bloating, abdominal distention, and flatulence represent very frequent complaints in functional disorders but their pathophysiology and treatment are largely unknown. Patients frequently associate these symptoms with excessive intestinal gas and the reduction of gas production may represent an effective strategy. The aim was to evaluate the effect of alpha-galactosidase administration, in a randomized double-blind placebo-controlled protocol, on intestinal gas production and gas-related symptoms after a challenge test meal in healthy volunteers. Eight healthy volunteers ingested 300 or 1200 GalU of alpha-galactosidase or placebo during a test meal containing 420 g of cooked beans. Breath hydrogen excretion and occurrence of bloating, abdominal pain, discomfort, flatulence, and diarrhea were measured for 8 hr. The administration of 1200 GalU of alpha-galactosidase induced a significant reduction of both breath hydrogen excretion and severity of flatulence. A reduction in severity was apparent for all considered symptoms, but both 300 and 1200 GalU induced a significant reduction in the total symptom score. Alpha-galactosidase reduced gas production following a meal rich in fermentable carbohydrates and may be helpful in patients with gas-related symptoms.

Adult↗

Diffusion in the gas phase: the effects of ambient pressure and gas composition.

Gas transport across the pores of a hen's egg shell occurs by a process of diffusion in the gas phase and for any particular gas depends upon its diffusion coefficient and the pore geometry. The egg shell is thus a convenient model for measuring the diffusive permeability of the shell to a given gas species when its diffusion coefficient is altered by either a change in ambient pressure or by changing the second gas in the diffusion pathway. In this study the permeability of the shell to water vapor and O2 was inversely proportional to ambient pressures over the range of .06 to 8 atmospheres' absolute (ata). The permeability of the shell to water vapor in a He environment (KH20, He) was 2.4 times KH20, air. If KO2, N2 is taken as unity, the permeabilities of the shell to O2 in He, Ar, CO2 and SF6 are 3.38, 0.95, 0.88, and 0.52, respectively. The results are interpreted in terms of the Chapman-Enskog equation, from which binary diffusion coefficients can be predicted for given gas pairs and ambient pressures. These results also provide explantations for the structural modification of egg shells in altitude-adapted chickens, and for the reduced insensible water loss in man at high ambient pressure.

Animals↗

Gas exchange in air sacs: contribution to respiratory gas exchange in ducks.

Air sac gas exchange was studied in ducks by measuring the rates of inert gas uptake and of O2 and CO2 equilibration in caudal thoracic air sac whose ventilation was prevented by surgival sealing of the ostia. The data were analyzed on a model incorporating three possible routes by which air sac gas could be exchanged with the surrounding tissue: (1) into the blood perfusing the air sac walls; (2) into the adjoining air sac via tissue membranes; (3) into the bronchial system of the lung via diffusion through lung tissue bordering upon the caudal thoracic air sac. Exchange rates of gases via the two latter paths were found to be small as compared with the first route. From application of model parameters to O2 and CO2 exchange in air sacs under physiological conditions the following conclusions were drawn: (1) the caudal thoracic air sac makes the major contribution to total gas exchange between air sacs and blood; (2) this exchange can account for less than 5% of total respiratory gas exchange; (3) the exchange is too small to account for the O2 and CO2 partial pressures in caudal thoracic air sacs of ducks. Other mechanisms like gas exchange in neopulmonic parabronchi, which conduct air to the caudal air sacs during inspiration or re-inspiration of dead space appear to play a more significant role in the deviation of O2 and CO2 partial pressures in the caudal air sacs from those in inspired air.

Air Sacs↗

Effect of gas velocity and influent concentration on biofiltration of gasoline off-gas from soil vapor extraction.

This study was conducted to evaluate the effects of gas inlet concentration and velocity on the biofiltration of gasoline vapor. Gasoline vapor was treated using a compost biofilter operated in an upflow mode for about 3 months. The inlet concentration of gasoline total petroleum hydrocarbon (TPH) ranged from about 300 to 7000 mgm(-3) and gas was injected at velocities of 6 and 15 mh(-1) (empty bed residence time (EBRT)=10 and 4 min, respectively). The maximum elimination capacities of TPH at 6 and 15 mh(-1) found in this research were over 24 and 19 gm(-3) of filling material h(-1), respectively. TPH removal data was fit using a first-order kinetic relationship. In the low concentration range of 300-3000 mg m(-3), the first-order kinetic constants varied between about 0.10 and 0.29 min(-1) regardless of gas velocities. At TPH concentrations greater than 3000 mgm(-3), the first-order kinetic constants were about 0.09 and 0.07 min(-1) at gas velocities of 6 mh(-1) and 15 mh(-1), respectively. To evaluate microbial dynamics, dehydrogenase activity, CO2 generation and microbial species diversity were analyzed. Dehydrogenase activity could be used as an indicator of microbial activity. TPH removal corresponded well with CO2 evolution. The average CO2 recovery efficiency for the entire biofilter ranged between 60% and 70%. When the gas velocity was 6 mh(-1), most of the microbial activity and TPH removal occurred in the first quarter of the biofilter. However, when the gas velocity was 15 mh(-1), the entire column contributed to removal. Spatial and temporal variations in the biofilter microbial population were also observed. Nearly 60% of the colonies isolated from the compost media prior to biofiltration were Bacillus. After 90 days of biofiltration, the predominant species in the lower portion (0-50 cm) of the filter were Rhodococcus, while Pseudomonas and Acinetobacter dominated the upper portion (75-100 cm).

Bacteria↗

New research avenues in toxicology: 7-gas N-Gas Model, toxicant suppressants, and genetic toxicology.

Three research areas -- a 7-gas N-Gas Model, toxicant suppressants, and genetic toxicology -- are presented as new research approaches in toxicology. The current 6-gas N-Gas Model predicts the toxic potency of the combustion products of materials based on the toxicological interactions of the fire gases carbon monoxide (CO), carbon dioxide (CO2), low oxygen (O2) concentrations, hydrogen cyanide (HCN), hydrogen chloride, and hydrogen bromide. The present research includes nitrogen dioxide (NO2) in a new 7-gas model which incorporates the synergistic effects of NO2 and CO2, the antagonistic effects of NO2 and HCN, and the additive effects of NO2 with CO and low O2. The area of toxicant suppressants concerns chemicals, which when added to a material, will inhibit or reduce the concentration of a specific toxic gas normally generated during thermal decomposition of that material. The effectiveness of this approach was demonstrated at the US National Institute of Standards and Technology when HCN generation was reduced by 90% and the resultant toxicity of the combustion products was lowered by 50% when a flexible polyurethane (FPU) foam was treated with 0.1% (by weight) cuprous oxide (Cu2O). Although melamine-treated FPU foams are being promoted as more fire safe than standard foams, a melamine-treated foam generated 10 times more HCN than a foam without melamine. The addition of Cu2O to this melamine foam also reduced the HCN generation by 90%. The genetic toxicology research entails the examination of DNA damage that results from the exposure of human cells to various environmental toxicants and gases.

Animals↗

Modeling aerosol formation from alpha-pinene + NOx in the presence of natural sunlight using gas-phase kinetics and gas-particle partitioning theory.

A kinetic mechanism was used to link and model the gas-phase reactions and aerosol accumulation resulting from alpha-pinene reactions in the presence of sunlight, ozone (O3), and oxides of nitrogen (NOx). Reaction products and aerosol formation from the kinetic model were compared to outdoor smog chamber experiments conducted under natural sunlight in the presence of NOx and in the dark in the presence of O3. The gas-particle partitioning of semivolatile organics generated in the gas phase was treated as an equilibrium process between particle absorption and desorption. Models vs experimental aerosol yields illustrate that reasonable predictions of secondary aerosol formation are possible from both dark ozone and light NOx/alpha-pinene systems over a variety of different outdoor conditions. On average, measured gas- and particle-phase products accounted for approximately 54-72% of the reacted alpha-pinene carbon. Model predictions suggest that organic nitrates account for another approximately 25% of the reacted carbon, and most of this is in the gas phase. Measured particle-phase products accounted for 60-100% of the particle filter mass, with pinic acid and pinonic acid being the primary aerosol-phase products. In the gas phase, pinonaldehyde and pinonic acid are major products. Model simulations of these and other products show generally reasonable fits to the experimental data from the perspective of timing and concentrations. These results are very encouraging for a compound such as pinonaldehyde, since it is being formed from OH attack on alpha-pinene and is also simultaneously photolyzed and reacted with OH.

Aerosols↗

A new gas chromatographic methodology for the estimation of the composition of binary gas mixtures.

The relatively new technique of reversed-flow gas chromatography (RFGC) is used to determine the diffusion coefficients of pure gases into gas mixtures (D(mix)(exp)). The pure gases are CO and CO(2), and the mixtures consist of H(2) and He in various volume percentage compositions. A linear regression analysis of D(mix)(exp) of CO and CO(2) in various mixtures of H(2) and He against the percentage composition (X(H2) or X(He)) of the mixtures at different temperatures results in an empirical equation relating D(mix)(exp) to the corresponding theoretical values of the diffusion coefficients of CO and CO(2) in the pure gases H(2) and He, as they are calculated from the Fuller-Schettler-Giddings equation. The empirical equation shows that the diffusion coefficient of an analyte gas in a gas mixture is the partial sum of its diffusion coefficients in the component gases, therefore making possible the determination of the mole fractions of the components of the mixture. The found percentage volume compositions are very close to those determined independently by routine gas chromatography, indicating that the proposed RFGC methodology could be successfully applied to the accurate determination of the volume composition of binary gas mixtures.

Journal Article↗

Vitrectomy and gas for inferior break retinal detachments: are the results comparable to vitrectomy, gas, and scleral buckle?

AIMS: To compare the success rates of vitrectomy and gas with vitrectomy, gas, and buckle in the treatment of inferior break retinal detachments. METHODS: A retrospective case note review of 86 patients who presented with inferior break retinal detachments was carried out. An inferior break was defined as a horseshoe tear present between 4 and 8 o'clock. Patients were analysed in two groups; group A consisted of 41 patients who underwent a vitrectomy and gas, group B consisted of 45 patients who underwent a vitrectomy, gas, and scleral buckle. The features of the retinal detachment, peroperative and postoperative complications, and outcomes of treatment were recorded for each patient. RESULTS: The primary anatomical success rate at 3 months was 89% in group A versus 73% in group B (p = 0.11). There was no statistical difference in the complication rate between the two groups (p = 0.819). The most common cause of treatment failure was proliferative vitreoretinopathy, 20% (n = 9) in group B compared with 5% (n = 2) in group A and this reached statistical significance (p = 0.0159). There was a higher rate of epiretinal membrane development in group B (p = 0.0004). The final attachment rate was not statistically different between the two groups, 95% (39) in group A and 93% (42) in group B (p = 1.0). CONCLUSION: Vitrectomy and gas without the application of a scleral buckle may be used to safely treat inferior break retinal detachments. It may be used as an alternative to vitrectomy, gas, and buckle which has an increased risk of choroidal haemorrhage, requires a longer operating time, and has all the associated complications of a scleral buckle.

Humans↗

Effects of gas properties and waveform asymmetry on gas transport in a branching tube network.

Local gas transport coefficients, quantifying longitudinal dispersion through a symmetrical constant-diameter tube network, have been measured during oscillation with both symmetrical and nonsymmetrical waveforms. Experiments were carried out over a range of conditions that would prevail in the central to lower airways during high-frequency ventilation at moderate frequency (5 Hz) and tidal volume (15-80 ml). Gas transport coefficients resulting from oscillation of three different resident-trace gas pairs were measured using a new analytic technique. This technique allowed rapid determination of the transport coefficient distribution along the entire network. Results demonstrate a small but significant influence attributable to changes in gas properties that is similar to that found in a straight tube and indicate that augmented dispersion is an important mechanism of axial transport. Gas transport coefficients were found to be unaffected by changes in flow waveform symmetry, suggesting that previously reported improvements in gas exchange associated with decreasing inspiratory to expiratory time ratios are not due to a change in local conditions such as asymmetry in the velocity profile.

Air↗

The balloon-gas procedure: a technique for repair of retinal detachments requiring large volumes of gas.

This report describes the balloon-gas procedure, a technique for obtaining large volumes of intraocular gas. With the balloon-gas procedure a kind of "external fluid-gas exchange" allows for the safe injection of up to 1.0 ml of gas without previous pars plana vitrectomy or surgical drainage of subretinal fluid. From April 1985 to October 1988, in Tübingen, this procedure was utilized in 36 retinal detachments with breaks not suited for scleral buckling: giant tears (nine eyes), large dialyses (seven eyes), posterior breaks (16 eyes), and multiple breaks at different latitudes (four eyes). Follow-up ranged from six to 28 months (average 16 months). Initial retinal reattachment was achieved in 28 eyes (77.8%). Reasons for initial failure were proliferative vitreoretinopathy in six eyes, and a missed break in two. Redetachment occurred in three eyes. All 11 failures were reoperated using segmental sponges (eight eyes) and gas injection (three eyes). Final reattachment was achieved in 29 of the 36 eyes (80.6%), and final failure was due to proliferative vitreoretinopathy in all seven detachments.

Adolescent↗

[Study on galactorrhea-amenorrhea syndrome (GAS) with special reference to normoprolactinemic GAS].

In order to clarify the mechanism(s) which causes galactorrhea and amenorrhea in patients with Galactorrhea-Amenorrhea Syndrome (GAS) (Group A, n = 20), composed of Chiari-Frommel Syndrome (CFS) (Subgroup I, n = 3), Argonz-del Castillo Syndrome (ADCS) (Subgroup II, n = 5) and Drug-induced Galactorrhea-Amenorrhea (DIG) (Subgroup III, n = 12), we analysed basal plasma prolactin (PRL) and gonadotropin levels and their responsiveness to TRH and LH-RH, respectively in GAS patients. In addition, another group of galactorrhea patients without amenorrhea (Group B, n = 29) was selected, and further divided into three subgroups; subgroup I (n = 7) with persisting postpartum lactation, subgroup II (n = 7) of idiopathic galactorrhea, and subgroup III (n = 15) induced by drug administration. There were found unexpectedly high frequencies of normoprolactinemic patients (less than 23.7 ng/ml) in 40% of GAS (66.7% in CFS, 40% in ADCS, and 33.3% in DIG). The PRL responsiveness to TRH, evaluated by % delta PRL (peak PRL - basal PRL/basal PRL X 100), tended to be high in ADCS and DIG (group after discontinuation of drugs) compared with those of normal subjects (n = 12) and patients with primary hypothyroidism (n = 21). PRL response was almost normal in CFS or DIG (group during drug administration). Basal level of plasma gonadotropin in GAS was comparable to that of normal subjects. However, responsiveness of gonadotropin to LH-RH in GAS tended to be high compared with that of normal subjects. The patients in group B (subgroup I-III) demonstrated almost parallel responses of PRL and gonadotropin, respectively, to those of corresponded subgroups in group A. From the present results, we concluded that; 1) It seems likely that frequency of normoprolactinemic patients in GAS (Group A) is surprisingly high. 2) A still unclarified mechanism(s) for the occurrence of galactorrhea, not explained solely by plasma radioimmunoassayable PRL level and/or hyperresponsiveness of PRL to stimuli, may operate on a considerably large number of group A patients. 3) Decreased gonadotropin secretion at pituitary level seems not to be a main cause of menstrual abnormality in group A patients. 4) The same mechanism(s) as in group A patients may cause galactorrhea in group B patients.

Adolescent↗

Gas phase transport in gravity sewers--A methodology for determination of horizontal gas transport and ventilation.

A method was developed for determination of horizontal gas transport and ventilation in gravity sewers. This was achieved by changing the composition of the sewer atmosphere by pulse injection of oxygen gas and subsequently measuring the oxygen concentration in a downstream manhole. Conventional tracer techniques may require sampling and may also affect the environment. The method developed is simple, based on direct monitoring and without environmental or toxic effects. The method was developed based on measurements in an intercepting gravity sewer. The horizontal gas transport processes were quantified by measuring the velocity and dispersion of the gas in the sewer atmosphere. Based on 54 measurements, the gas velocity was found to vary between 0.05 and 0.22 m/s. The coefficients of dispersion were calculated to be in the range 0.05 to 1.1 m2/s. Climatic conditions did not significantly influence the gas phase transport.

Air Movements↗

Pulmonary hemodynamics, extravascular lung water and residual gas bubbles following low dose venous gas embolism in dogs.

Pulmonary hemodynamic responses, extravascular lung water and bubble longevity times were studied in halothane anesthetized dogs receiving low dose venous gas infusions. Dogs in one group (23.3 +/- 4.3 kg, n = 6) were embolized with air (0.05 ml.kg-1.min -1) for 60 min followed by a recovery period lasting 70 min. During the recovery the ventilatory gases were intermittently switched from nitrogen (68-69%)/oxygen (30%) to nitrous oxide (68-69%)/oxygen (30%) to expand any residual pulmonary vascular bubbles. Subsequent changes in pulmonary artery pressure, pulmonary vascular resistance, end-tidal carbon dioxide and arterial carbon dioxide tensions were used to indicate the presence of remaining bubbles that would have expanded in volume with the nitrous oxide ventilation. This embolization sequence was repeated three times to simulate repetitive exposure of the pulmonary circulation to venous gas emboli. In a second group of dogs (20.2 +/- 2.7 kg, n = 8) the venous gas infusions (0.05 ml.kg-1.min-1) were continuous for 180 min, followed by recovery with intermittent nitrous oxide/oxygen challenges to determine bubble longevity. Pulmonary hemodynamic and carbon dioxide data were significantly changed from baseline following each embolization. These differences as well as the development of extravascular lung water (edema formulation) were not significant when comparisons were made between the Repetitive gas embolism group after 180 min. Residual pulmonary vascular bubbles were indicated (mean +/- S.E.M.) 26.9 +/- 2.3 min following the 180 min Continuous venous gas infusion and 39.5 +/- 5.3, 46.4 +/- 5.0 and 55.5 +/- 4.4 min, respectively, following the three 60 min Repetitive venous gas infusions.

Animals↗

Influence of tidal volume and positive end-expiratory pressure on inspiratory gas distribution and gas exchange during mechanical ventilation in horses positioned in lateral recumbency.

OBJECTIVE: To study effects of intermittent positive-pressure ventilation (IPPV) with large tidal volumes and addition of positive end-expiratory pressure (PEEP) on maldistribution of ventilation in anesthetized horses positioned in lateral recumbency. ANIMALS: 6 healthy adult horses. PROCEDURE: Anesthesia was induced by i.v. infusion of thiopental sodium and guiafenesin and was maintained with supplemental doses of thiopental and i.v. infusion of chloral hydrate. Functional separation of the lungs was achieved, using a tube-in-tube intubation technique. Intermittent positive-pressure ventilation of both lungs with air was done by use of an anesthetic circle system and a ventilator. Data were collected during spontaneous respiration and during IPPV, using increasing tidal volumes with and without PEEP of 10 and 20 cm of H2O. RESULTS: Uneven distribution of inspired gas between the lungs that existed during spontaneous respiration was not altered by IPPV and large tidal volumes. Addition of PEEP caused a significant and reversible shift of inspired gas to the dependent lung and preferentially increased functional residual capacity of the nondependent lung. This was accompanied by significant increase in PaO2. With IPPV, the combined effects of PEEP and large tidal volume caused an increase of the fractional distribution of inspired gas to the dependent lung from 34% to 50%, accompanied by an increase in PaO2 and alveolar dead space of both lungs. CONCLUSIONS AND CLINICAL RELEVANCE: Use of PEEP during IPPV changes distribution of inspired gas. Increased in PaO2 can be attributed to improved ventilation-perfusion, especially in the dependent lung, in which previously collapsed lung units might have been reopened and participated again in gas exchange after redistribution of inspired gas. The most pronounced effects of IPPV and PEEP were associated with high airway pressures, which are likely to offset the beneficial effects of the increase of PaO2 on total oxygen availability to the tissues because of the expected negative effects on cardiac output.

Anesthesia, General↗