[Extracorporeal hemadsorption of fat-soluble poisons using a lanolin-paraffin film].
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The viscoelastic properties of dispersions of powdered zinc oxide in anhydrous lanolin and colloidal sulfur in anhydrous lanolin were characterized by dynamic mechanical testing. The elastic shear modulus, G', viscous shear modulus, G", and loss tangent (damping), tan delta, were determined as a function of shear frequency, v, temperature, T, and volume fraction of powder, phi 2. A priori, it might be expected that zinc oxide and colloidal sulfur would elicit different viscoelastic properties due to their contrasting surface characteristics; zinc oxide has a hydrophilic surface and colloidal sulfur has a hydrophobic surface. Even though constitutive mathematical models, derived to predict the mechanical behavior of solid-filled polymeric materials, were not designed to account for differences in surface characteristics of the filler, the findings of these experiments show that these models are useful in explaining the differences in viscoelastic behavior of powder-filled semisolids due to surface characteristics of the filler. One model of particular value was the Kerner equation. With it, mechanisms were postulated for zinc oxide-zinc oxide interactions, sulfur-sulfur interactions, zinc oxide-anhydrous lanolin interactions, and sulfur-anhydrous lanolin interactions, within dispersions as a function of nu, T, and phi 2. In addition, damping was used to further identify the influence of temperature. Data obtained from three temperatures, where anhydrous lanolin exists in three different structural states, shows that the influence of the powder on damping is not only determined by the surface characteristics of the powder but also the structural state of anhydrous lanolin.
BACKGROUND: Sore nipples in breast-feeding mothers are a common cause of premature weaning, and are difficult to treat owing to recurrent trauma and exposure to the infant's oral flora. OBJECTIVE: To compare the safety and efficacy of a hydrogel moist wound dressing (Elasto-gel, Southwest Technologies Inc, Baltimore, Md) with the use of breast shells and lanolin cream in the treatment of maternal sore nipples associated with breast-feeding. DESIGN: Randomized controlled trial comparing the above treatments for sore nipples. Patients were seen for a maximum of 3 follow-up visits within 10 days, or until the resolution of symptoms. SETTING: The Maternal-Infant Lactation Center at the Mercy Hospital of Pittsburgh, Pittsburgh, Pa, a tertiary care teaching hospital in inner-city Pittsburgh. PATIENTS: A referred sample of 42 breast-feeding women who presented to the Maternal-Infant Lactation Center for the treatment of sore nipples. All patients with breast infection or chronic unrelated pain conditions were excluded from the study. INTERVENTION: After informed consent, patients were randomized to receive either a hydrogel wound dressing or breast shells and lanolin. All patients underwent a history, physical examination of the infant and the mother's breasts, assessment of breast-feeding technique, and breast-feeding instruction. MAIN OUTCOME MEASURES: The degree of pain on self-report questionnaires and the change in scores for physical examination, breast-feeding technique, and pain behaviors during breast-feeding. RESULTS: Although both treatments, in association with instruction in breast-feeding technique, were effective, greater improvement was seen in the group using breast shells and lanolin. This reached statistical significance for physician-rated healing (P<.01) and self-reported pain (P<.05). There were significantly more infections in the dressing group (P<.05), which resulted in early discontinuation of the study. CONCLUSIONS: Prevention of sore nipples by teaching proper technique on the initiation of breast-feeding should be instituted. For those cases in which sore nipples do develop, breast shells and lanolin in association with instruction in breast-feeding technique are more effective than moist wound dressings. Lanolin and shells should remain first-line therapy.
We investigated the interaction between indole-3-acetic acid (IAA) and ethylene in the regulation of the seasonal periodicity of tracheid production in 1-year-old balsam fir (Abies balsamea (L.) Mill.) cuttings collected at different times during the dormant period. The cuttings were left with their buds intact or were debudded and treated either apically with IAA or 2-chloroethylphosphonic acid (Ethrel) in lanolin, laterally with IAA or Ethrel in lanolin, or basally with Ethrel, Co(2+) or Ag(+) in deionized water. The treated cuttings were then cultured for up to 5 weeks under controlled environment conditions favorable for cambial growth. No change in ethylene evolution was detected during the rest-quiescence transition, when IAA-induced tracheid production increased. The induction of cambial reactivation by IAA was associated with a rise in ethylene evolution, but there was no consistent relationship among IAA concentration, tracheid number and ethylene emission. Neither Ethrel, Co(2+) nor Ag(+) affected tracheid production when applied basally, except for 10 and 100 micro M Ethrel and 100 micro M Co(2+), which were inhibitory. In contrast, ethylene evolution was promoted by Ethrel and inhibited by Co(2+), whereas Ag(+) had no effect. Similarly, applying Ethrel apically or laterally increased ethylene evolution, but did not promote tracheid production except in the treatment in which 1 mg Ethrel g(-1) lanolin was applied laterally to cuttings treated apically with 0.1 mg IAA g(-1) lanolin, and in the treatment in which 10 mg Ethrel g(-1) lanolin was applied laterally to budded cuttings. We conclude that (1) ethylene evolution is not specifically associated with IAA-induced tracheid production, (2) ethylene does not mimic the promoting effect of IAA on tracheid production, and (3) ethylene can promote tracheid production, but only when its application results in a localized unphysiologically high concentration in the cambial region, which, in turn, induces an accumulation of IAA.
A nondestructive technique, dynamic mechanical testing, was used to characterize the viscoelastic properties of dispersions of powdered starch in anhydrous lanolin. The elastic shear modulus (G'), viscous shear modulus (G"), and loss tangent (damping; tan delta) were determined as a function of shear frequency, temperature, and the volume fraction of starch. The results of these studies show that constitutive mathematical models, derived to predict the mechanical behavior of solid-filled polymeric materials, can be applied to solid-filled semisolid pharmaceuticals. In particular, the Kerner equation was useful in describing the influence of starch on the G' of the dispersions. Even though the Kerner equation was unable to predict viscoelastic behavior at all shear frequencies, temperatures, and starch volume fractions, it proved beneficial in postulating mechanisms for starch-starch and starch-anhydrous lanolin interactions within the dispersions. In addition, damping was able to differentiate the influence of temperature. Data obtained from three temperature ranges, where anhydrous lanolin exists in three different structural states, shows that the influence of starch on damping is dictated by the structural state of anhydrous lanolin.
BACKGROUND: Sensitization to topical treatments used in leg ulcers is common. Questioning and patch testing are used to identify causative drugs or dressings. OBJECTIVES: To study the current frequency of sensitization in our centre, to analyse previously published studies, and to compare sensitization in recent years with studies published before 1990. METHODS: A retrospective study was undertaken of all patients admitted with leg ulcers in 2001 and 2002. Of the files of 235 patients with leg ulcers reviewed, we identified 106 patients (group A) who had been patch tested in our institution between 2001 and 2002 with the European standard series and an additional series. The frequency of sensitization was compared with an earlier unpublished retrospective study in our centre of 36 leg ulcer patients tested in 1988 (group B), with a group of unselected contact dermatitis patients tested between 1 January 1997 and 31 December 2000 in our centre (group C), and with results published in the literature. We performed a computerized database search of MEDLINE and compared results obtained in recent years with those obtained before 1990 to obtain evidence of changing trends. RESULTS: Seventy-five per cent of the 106 patients had at least one positive reaction, and 57% had two or more positive reactions. Balsam of Peru was positive in 40% of cases, followed by lanolin (21%), fragrance mix (18%), trichlocarban (13%), colophony (11%), Cetavlon (cetrimide cream) (9%) and neomycin (9%). Thirty-five of the 36 group B patients had at least one positive reaction. Lanolin was the most frequent (31%), followed by balsam of Peru (22%), Cetavlon (19%), colophony (14%), terebenthene (14%), quinoline mix (11%) and benzocaine (8%). Two hundred and eighty-six of 526 patients of group C were positive in at least one test (54.4%). Three allergens gave a sensitization rate >10%: balsam of Peru (12.5%), fragrance mix (15.2%) and nickel sulphate (21.1%). Review of the literature and calculation of sensitization rates in a pool of 3043 patients extracted from 24 series, plus our own, showed persistence of high sensitization rates and a significant (8.5%) increase in sensitization between the two periods compared. There was a decrease in sensitivity to lanolin, constant sensitization to aminoglycosides, a slight increase in sensitivity to thiuram mix and glucocorticoids, and a marked increase in sensitivity to balsam of Peru in France. Newer topical treatments and dressings showed very low rates of sensitivity with the exception of hydrogels. CONCLUSIONS: Despite warnings, sensitization to topical treatments for leg ulcers is still frequent and, moreover, continues to increase, some variations reflecting local nursing practices and variations in topical treatment available. Although a decrease in sensitization rate with lanolin has been observed throughout the world, no decrease in sensitization rate has been demonstrated with aminoglycosides, and sensitization to glucocorticoids, thiuram mix and new products (hydrogels) is now increasingly being reported.
Nickel contact sensitivity was successfully induced in guinea pigs using an open epicutaneous application method. Immediately after pretreatment with 1% aqueous sodium lauryl sulfate, upper back skin was treated daily for 4 weeks with 0.3%-3% nickel sulfate in either a 1% lanolin cream (Vaseline, pH 5 SAD crème) or hydroxypropyl cellulose. Weekly intradermal injections with aluminium potassium sulfate were used as adjuvant. The animals were challenged twice with a one week interval, with nickel sulfate 2% in water and 1% in petrolatum, respectively. The response rates in the test groups treated with nickel sulfate 1% or 3% in the lanolin cream or 1% in hydroxypropyl cellulose were significantly different from the response rate in the control group. Considering both readings at both challenges, the frequency of sensitization was 57-93% (8 of 14 to 13 of 14 animals) in the group treated with 1% in the lanolin cream, 60-100% (9/15 to 15/15 animals) in the group treated with 3% in the lanolin cream, and 67-75% (8/12 to 9/12 animals) in the group treated with 1% in hydroxypropyl cellulose. Rechallenge of initially sensitized animals 10 weeks later confirmed that a lasting contact allergy had been obtained.
A mixture of OK-432 powder and an ointment base, lanolin, was applied to mouse abdominal skin. After application of the mixture of 5 KE OK-432 and 0.2g lanolin, the leucocyte count and IL-b content in the abdominal cavity increases to up to 3.6 x 10(6) cells and 1.4 ng, respectively. INF-gamma content in the cavity after application of a mixture of 10 KE OK-432 and 0.2 g lanolin also increases, although not after application of the 5 KE OH-432 mixture of dorsum subcutaneous injection of a saline solution of 5 KE OK-432. These results indicate that an application of OK-432 mixed in lanolin to the mouse abdomen is able to exert an influence on the immunomodulatory effect in the abdominal cavity. The concentrations of IL-6 in serum after applying the ointment mixture, and subcutaneous of intraperitoneal injection of the saline solution of 5 KE OK-432, were <20, 370, and 430 pg/ml, respectively. After application of the ointment mixture of 5 KE OK-432, serum IL-6 did not increase. IL-6 levels in the abdominal cavity after 5 KE OK-432 ointment of subcutaneous injection increases to up to 1.4 and 2.1 ng/cavity. From these results, the immunomodulatory systemic response of OK-432 brought about by applying OK-432 ointment to the abdominal skin is lower than that brought about by injecting OK-432 subcutaneously. Therefore, it is thought that application of OK-432 ointment might be most suitable for potentiating local immune response.
AIM: Alveolitis is considered a disturbance of the alveolar healing process that is characterized by blood clot disintegration, alveolar wall infection and extreme pain. Several substances have been investigated to improve healing and guarantee postoperative comfort to patients. The aim of this study was to evaluate, microscopically, in rats, the healing process in non-infected tooth sockets, after application of a 10% metronidazole and 2% lidocaine dressing, using lanolin as vehicle and mint as flavoring. METHODS: Forty-five rats (Rattus norvegicus albinus, Wistar) had their right incisor extracted and were randomly assigned to 3 groups (n=15): Group I (control): the sockets were filled with blood clot; Group II: application of adrenaline solution at 1:1 000 with an absorbent paper point during 1 min plus filling of the socket with a 10% metronidazole and 2% lidocaine dressing, with lanolin as vehicle, and mint as flavoring; Group III: filling of the socket with the 10% metronidazole and 2% lidocaine dressing, with lanolin as vehicle and mint as flavoring. After 6, 15 and 28 days postoperatively, 5 animals per group were euthanized with an injectable anesthetic overdose. Histological and statistical analyses were performed. RESULTS: The results showed that the 10% metronidazole and 2% lidocaine dressing with lanolin as vehicle and mint as flavoring yielded similar response as that of the normal repair group and may be used to prevent the onset of alveolitis in those cases in which any predisposing factor is present. CONCLUSIONS: The use of this dressing has shown a good postoperative patient's comfort and does not cause a significant delay in the alveolar healing process.