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Bacterial and viral removal efficiency, heat and moisture exchange properties of four filtration devices.

Four devices used for filtration of microorganisms and/or for heating and moistening the ventilated air during mechanical ventilation were evaluated. This evaluation included measurement of bacterial and viral removal efficiency, heat and moisture exchange properties, dead space and air flow resistance. The devices included: Pall BB50T and DAR Sterivent (filtration devices); DAR Hygrobac and Gibeck Humid-vent [heat and moisture exchangers (HMEs)]. The two devices which are primarily conceived as filters, had the highest bacterial and viral removal efficiency (titre reduction of 10(5)-10(6) for bacteria and of 10(4)-10(5) for viruses), while removal efficiencies of the HME devices were lower: titre reduction of 10(4) for bacteria and 10(1)-10(3) for viruses. As expected, heat and moisture output of HMEs was better than that of filters. In mechanical ventilation, dead space and air flow resistance are important properties of devices, which might disturb efficient ventilation. There were only minor differences in dead space and air flow resistance. Resistance to airflow in the HMEs was increased by nebulization of medication (mesna) unlike that of the filters.

Airway Resistance↗

A convenient and reproducible filtration technique for the determination of erythrocyte deformability.

A simple method for the determination of red cell filterability (deformability) in leucocyte-free suspensions of washed erythrocytes is described. All equipment used is inexpensive and readily available. Polycarbonate membranes of 5 microns porosity are regenerated after each filtration. Consecutive filtration measurements allow for very good precision. The proposed method has high sensitivity for suspensions of overall slightly stiffened red cells or mixtures of normal and small numbers of greatly abnormal erythrocytes. In the latter case the method also fractionates. The method has been tested in vitro. Both human albumin solution and acetyl salicylic acid increased erythrocyte filterability. Chlorhexidine and silver sulphadiazine on the other hand adversely affected filterability. The technique is very suitable for the investigation of the effect of pharmacologically active materials on red cell filterability (deformability).

Burns↗

Effect of crude extract of roots of Bredemeyera floribunda Willd. II. Effect on glomerular filtration rate and renal tubular function of rats.

The effect of crude extract of roots of Bredemeyera floribunda Willd., Polygalaceae used by Brazilian popular medicine as a potent diuretic, on renal function in antidiuresis or water diuresis in rats, was studied. During intravenous infusion of the extract (0.05 mg/min/100 g), mean arterial pressure did not change significantly but urine flow, glomerular filtration rate, fractional water and sodium excretion and solute clearance increased significantly, in both groups of animals. In antidiuresis rats the extract significantly increased reabsorption of water by the collecting duct and in water diuresis animals the extract significantly increased free water clearance. Our findings indicate a direct effect of extract on glomerular filtration rate, possibly by detergent like interactions with structural components of glomerular membranes and/or by decreasing renal perfusion pressure. The study on the concentrating and diluting mechanisms suggests preferential action of extract in the proximal tubular cells, possibly on the (Na(+)-K+)-ATPase countertransport system and/or on other proteins components of tubular cell membranes involved with salt transport mechanisms.

Animals↗

Induction of an experimental Fanconi syndrome in mice: its effect on the glomerular filtration function studied by 99mTc-DTPA.

An experimental mice model of maleate (MAL)-induced Fanconi syndrome has been used to test 99mTc-DTPA ability to detect hampered glomerular filtration rate (GFR) early in drug-induced Fanconi syndrome. In fact, declining GFR has been reported both in idiopathic and acquired Fanconi syndrome. The above MAL model shows urine biochemistry changes similar to those reported in patients suffering from Fanconi syndrome. Moreover, biodistribution study and whole-body autoradiographies performed after IV injection of 99mTc-DTPA in MAL and control mice show significantly delayed pharmacokinetics of the above radiopharmaceutical in a MAL dose-dependent effect. After administration of a MAL dose of 6 mM/kg BW, the 5-min biodistribution of 99mTc-DTPA, a radiopharmaceutical freely excreted by glomerular filtration, is significantly changed in all organs. In blood of MAL mice, 27.62 +/- 2.86% of the injected dose is still circulating compared to 13.67 +/- 1.22% of the injected dose in control mice, and only 1.37 +/- 0.31% of the injected dose has been excreted in urine of MAL mice compared to 24.66 +/- 4.12% of the injected dose in urine of control mice. The obtained results suggest that 99mTc-DTPA may be efficient both in the early detection of abnormal GFR in acquired Fanconi syndrome after application of a nephrotoxic treatment, and in the follow-up of patients in recovery phase after discontinuation of the therapy.

Animals↗

Characterization of [3H]apafant binding to PAF receptor on rabbit platelet membranes: a comparison of a microplate filtration system and a standard method.

This article describes the application of a Microplate Filtration System (MFS) to a binding assay, with the results being compared to those obtained with a conventional 24-Well Filtration Manifold (24WFM). The data reported here characterize the PAF receptor on rabbit platelet membranes using [3H]apafant. The results showed that [3H]apafant labelled a homogenous population of high-affinity binding sites in a concentration-dependent manner. Binding was very specific, saturable, reversible, and proportional to receptor concentration. [3H]Apafant interacted with membranes in an apparently competitive manner, with pseudo-Hill coefficients not significantly different from unity, thus indicating that apafant did not interact cooperatively at these binding sites. A number of PAF antagonists (apafant, lexipafant, BN-52021, SCH-37370, SR-27417, UR-12670) inhibited [3H]apafant binding with slopes near unity and with a rank order of potency in good agreement with their ability to inhibit PAF-induced rabbit platelet aggregation, suggesting that the sites labelled are functional PAF receptors. C18-PAF also competed with [3H]apafant for the receptor, but yielded biphasic inhibition curves which could be resolved into high- and low-affinity components. No significant differences were found either in the equilibrium binding parameters or in the PAF antagonists affinities obtained with the 24WFM and the MFS. The use of the latter system improved sample handling efficiency and shortened overall labor time, thus representing a more suitable way to perform receptor binding assays.

Animals↗

Triamcinolone acetonide concentration after filtration of the solvent agent.

PURPOSE: To determine the amount of triamcinolone acetonide and the preservative benzyl alcohol after filtration. DESIGN: Laboratory investigation. METHODS: The probes were prepared by two different hospital pharmacies. The probes of the first pharmacy included 20 probes with 25-mg triamcinolone acetonide, unfiltered (n = 5 probes) or filtered (n = 5), or with 4-mg triamcinolone acetonide, filtered (n = 5) or unfiltered (n = 5). The probes for the second pharmacy were filtered (n = 3) probes of 25-mg triamcinolone acetonide. RESULTS: For the probes of the first pharmacy, triamcinolone acetonide dosages were 2.4 +/- 0.8 mg, 3.1 +/- 0.6 mg, 12.8 +/- 0.7 mg, and 23.4 +/- 2.3 mg, respectively, for the filtered 4-mg probes, unfiltered 4-mg probes, filtered 25-mg probes, and unfiltered 25-mg probes, respectively. For the second pharmacy, mean triamcinolone acetonide dosage was 23.8 +/- 0.6 mg for the 25-mg filtered probes and contained benzyl alcohol in a mean concentration of 0.0013 +/- 0.0001 mg/0.1 ml. CONCLUSIONS: Depending on the method employed and the pharmacy, preparation of triamcinolone acetonide including filtration of the solvent agent leads to a marked inter-pharmacy variation and a relatively low intra-pharmacy variation in the reduction of triamcinolone acetonide dosage.

Benzyl Alcohol↗

Impact of manufacturing, irradiation and filtration steps to bacterial contamination of autologous fibrin sealant.

BACKGROUND: Preoperative production of autologous fibrin sealant has become a routine procedure during the last years. As a certain percentage of blood products is contaminated with bacteria, contamination of plasma used for the production of fibrin sealant cannot be excluded. Especially in the orthopaedic setting, application of contaminated fibrin sealant can cause severe infections. MATERIALS AND METHODS: We contaminated plasma with Staphylococcus epidermidis, Corynebacterium striatum, Bacillus subtilis or Escherichia coli and produced fibrin sealant by cryoprecipitation and alcohol precipitation. Additionally, the products were gamma-irradiated at a dose of 30 Gy, frozen at -55 degrees C and filtered through a 0.2 microm filter after thawing. After each preparation step, samples were drawn and numbers of colony forming units were counted after incubation on agar plates. RESULTS: Cryoprecipitation, irradiation, freezing at -55 degrees C, and alcohol precipitation have only little impact on numbers of colony forming units. Filtration through a bacterial filter results in a sterile product. CONCLUSION: Bacteria in plasma as a starting material for production of fibrin sealant survive all routine steps of production, including gamma irradiation and freezing. Filtration of the product through a qualified bacterial filter is the only safe means to provide a sterile product.

Bacteria↗

Rice husk filtrate as a nutrient medium for the growth of Desulfotomaculum nigrificans: characterisation and sulfate reduction studies.

The filtrate obtained by interacting a known amount of rice husk with deionised, Milli-Q water was assessed as a carbon source and nutrient medium for the growth of Desulfotomaculum nigrificans, a typical sulfate-reducing bacterium. The filtrate contained essential growth constituents such as magnesium, potassium, phosphorous apart from calcium, sodium, chloride and sulfate ions. Based on the 1H and 13C NMR characterization studies, the organic composition of the components dissolved from the rice husk, was found to be: (i) 66% lignocellulosic material, (ii) 24% xylose+arabinose and (iii) 10% galactose. The growth studies indicated a 15-fold increase in the bacterial cell number in about 20 days. Nearly 81% and 66% reduction in sulfate concentration could be achieved in about 28 days, from the solutions containing initial sulfate concentrations of 550 mg/l and 1200 mg/l respectively. In both the cases studied, the iron concentration could be reduced by over 85%.

Carbohydrate Metabolism↗

Prevalence of decreased glomerular filtration rate in patients seeking non-nephrological medical care--an evaluation using IDMS-traceable creatinine based MDRD as well as Mayo Clinic quadratic equation estimates.

BACKGROUND: Data on the prevalence of decreased glomerular filtration rate in Europe are limited. Most of the available studies did not employ laboratory methods providing creatinine concentrations traceable to the reference method, i.e. isotope dilution mass spectrometry (IDMS). METHODS: We therefore conducted a cross-sectional study in the principality of Liechtenstein consecutively enrolling adult patients seeking non-nephrological medical care from whom serum samples were referred for renal function assessment. All measurements were done in one central laboratory. The estimated glomerular filtration rate (eGFR) was calculated based on the determination of IDMS-traceable creatinine by a kinetic Jaffe method (Roche Diagnostics, Switzerland) by means of the MDRD and Mayo Clinic quadratic equations. We further estimated the incidence of end stage renal disease during the next 5 years. RESULTS: For 43% (n=9378) of the entire population>or=25 years renal function assessment was available. An eGFR indicating chronic kidney disease (CKD) stages 3-5 was found in 4.93% when using the MDRD equation and in 3.98 % when using the Mayo Clinic quadratic equation. The two equations had a very good agreement in classifying patients to have an eGFR consistent with CKD stages 3-5 (Cohen's kappa 0.887). Further calculations suggested that among patients aged 80 or younger, annually 42 per 100,000 are going to develop an eGFR<15 ml/min/1.73 m2 over the next 5 years. CONCLUSIONS: 4-5% of patients seeking non-nephrological medical advice have an eGFR consistent with CKD stages 3-5, and a considerable number of subjects is expected to develop end stage renal disease over a 5 year period. In order to obtain comparable kidney function estimates among different institutions it is not only important to use standardized methods to measure creatinine but rather to employ standardized methods to calculate a GFR estimate.

Adult↗

Rapid determination of chlorinated pesticides in fish by freezing-lipid filtration, solid-phase extraction and gas chromatography-mass spectrometry.

An analytical method has been developed for measuring 24 chlorinated pesticides in fish tissue samples. Extraction of chlorinated pesticides was carried out by ultrasonication using an acetone-n-hexane (5:2, v/v) mixture. Most of the lipids in the extract were eliminated by freezing-lipid filtration, prior to solid-phase extraction (SPE) cleanup. During freezing-lipid filtration, about 90% of the lipids extracted from the fish samples were easily removed without any significant losses of chlorinated pesticides. For purification, SPE using Florisil was shown to be more effective than silica. Quantification was performed using gas chromatography-mass spectrometry in the selected ion monitoring mode. Spiking experiments were carried out to determine the recovery, precision, and limits of detection (LODs) of the method. The overall recovery was above 80% in the spiked fish tissue sample at 100 ng/g level. The detection limits for chlorinated pesticides were ranged from 0.5 to 5 ppb, except for endosulfan I and II which was 20 ppb. The newly developed method is demonstrated to give efficient recoveries and LODs for detecting chlorinated pesticides spiked into fish tissue with high lipid content.

Animals↗

Simultaneous determination of anabolic steroids and synthetic hormones in meat by freezing-lipid filtration, solid-phase extraction and gas chromatography-mass spectrometry.

Estradiol, testosterone, progesterone, zeranol and diethylstilbestrol including estradiol metabolites were determined simultaneously in meat. Extraction of growth hormones was carried out by ultasonication using a methanol-water mixture. The growth hormones in the meat extract can be effectively separated from lipids by freezing-lipid filtration, followed by C8-solid phase extraction (SPE). During freezing-lipid filtration, about 90% of lipids are removed without any significant loss of growth hormones. For further clean-up, silica- and aminopropyl-SPE were used. To enhance detection sensitivity, the growth hormones are derivatized with trimethylsilyl reagents. Quantitation using isotope-labelled internal standards was performed by gas chromatography-mass spectrometry in the selected ion monitoring mode. The method detection limits were 0.1-0.4 microg/kg for all growth hormones. Overall recoveries of synthetic and natural growth hormones were 68-106% with coefficients of variation of 5-16% for the complete procedure.

Anabolic Agents↗

Monte Carlo simulation of colloidal membrane filtration: principal issues for modeling.

The principal issues involved in developing a Monte Carlo simulation model of colloidal membrane filtration are investigated in this study. An important object for modeling is the physical dynamics responsible for causing particle deposition and accumulation when encountering an open system with continuous outflow. A periodic boundary condition offers a solution to the problem by recirculating continuous flow back through the system. Scaling to full physical dimensions will allow for release of the model from flawed assumptions such as constant cake layer volume fraction and thickness throughout the system. Furthermore, rigorous modeling on a precise scale extends the model to account for random particle collisions with acute accuracy. A major finding of this study proves that forces within the colloidal filtration system are summed and transferred cumulatively through the inter-particle interactions. The force summation and transfer phenomenon only realizes its true value when the model is scaled to full dimensions. The overall strategy for model development, therefore, entails three stages: first, rigorous modeling on a microscopic scale; next, comprehensive inclusion of relevant physical dynamics; and finally, scaling to full physical dimensions.

Colloids↗

The effect of ash and filter media characteristics on particle filtration efficiency in fluidized bed.

The phenomenon of filtering particles by a fluidized bed is complex and the parameters that affect the control efficiency of filtration have not yet been clarified. The major objective of the study focuses on the effect of characteristics of ash and filter media on filtration efficiency in a fluidized bed. The performance of the fluidized bed for removal of particles in flue gas at various fluidized operating conditions, and then the mechanisms of collecting particles were studied. The evaluated parameters included (1) various ashes (coal ash and incinerator ash); (2) bed material size; (3) operating gas velocity; and (4) bed temperature. The results indicate that the removal efficiency of coal ash increases initially with gas velocity, then decreases gradually as velocity exceeds some specific value. Furthermore, the removal of coal ash enhance with silica sand size decreasing. When the fluidized bed is operated at high temperature, diffusion is a more important mechanism than at room temperature especially for small particles. Although the inertial impaction is the main collection mechanism, the "bounce off" effect when the particles collide with the bed material could reduce the removal efficiency significantly. Because of layer inversion in fluidized bed, the removal efficiency of incinerator ash is decreased with increasing of gas velocity.

Carbon↗

Evaluation of microleakage of roots filled with different techniques with a computerized fluid filtration technique.

The aim of this study was to compare the apical leakage of roots filled with different materials using a computerized fluid filtration technique. There were 36 freshly extracted human maxillary central incisors selected. After preparation and irrigation, 3 experimental groups of 10 roots were constituted. Ten roots were filled with AH Plus and gutta-percha, 10 roots were filled with Sealapex and gutta-percha, and 10 roots were filled with Epiphany sealer and Resilon cone using a single cone technique. Three roots were used as a positive control and three roots were used as a negative control group. Evaluation of the apical leakages was performed with a computerized fluid filtration technique. According to the results, the difference between group 3 and 1 and group 3 and 2 was statistically significant (p<0.05). Although group 2 leaked the most, there was no significant difference between group 1 and 2.

Dental Leakage↗

Development of dot-immunogold filtration assay to detect white spot syndrome virus of shrimp.

The dot-immunogold filtration assay (DIGFA) detects white spot syndrome virus (WSSV) by using a nitrocellulose membrane (NCM) as a support of WSSV and anti-WSSV monoclonal antibodies (MAbs) 1D5 and 6A4 labelled with red color colloidal gold. The principle of filtration for the rapid reaction of antigen and antibody is adopted in order for the test process to be completed within 3min without incubation or any equipment. A reddish dot indicative of a positive result is present visibly. In comparison with dot-blot nitrocellulose enzyme immunoassay (DB-NC-EIA), the sensitivity of DIGFA is similar. However, DIGFA is a method that can be performed conveniently pond side providing a faster result without the production of false positive results.

Animals↗

The filtration-acclimatization method for isolation of an important fraction of the not readily cultivable bacteria.

We developed a novel method, the filtration-acclimatization method (FAM), which enables the isolation and cultivation of an important fraction of the bacterial diversity, which is not cultivable by standard methods. The method consists of a filtration step, which removes most of the readily cultivable bacteria able to overgrow slowly growing bacteria, and an acclimatization procedure that provides a slow transition from the low environmental substrate concentrations to the high concentration of standard microbial media. So far, we isolated in total 65 strains from surface freshwater habitats by utilizing FAM. The isolates are affiliated with Actinobacteria, Alpha-, Betaproteobacteria, Bacteroidetes, and Spirochaeta. All isolates are pure cultures and form visible colonies on agar plates with high substrate concentrations. For further analysis, strains sharing more than a 97% 16S rRNA gene sequence similarity were grouped into one taxon. Based on sequence similarities, 88% of the obtained taxa can be considered to be undescribed species (<97% similarity to closest species). The highest similarity value of the taxa to the respective closest related species ranged from 87.7% to 99.8%, and was on average 94.5%. For comparison we isolated, by direct plating of water samples on a rich agar medium, a similar number of taxa. Amongst these taxa the percentage of taxa, which can be considered to be undescribed species, was only half of the percentage found for the taxa isolated by FAM. More importantly, it was amongst the taxa obtained by the standard method no taxon that was closer related to an uncultured bacterium than to an isolate, while 56% of the taxa isolated by FAM were closely related to uncultured bacteria.

Bacteria↗

MRI as a key tool for understanding and modeling the filtration kinetics of fibrous media.

Applying MRI techniques to low-density fibrous filter media provides us with unique information about the initial structure and deposited mass within the same filter sample. This now enables us to obtain the necessary link between structure and deposition for validation and further enhancement of modeling filtration kinetics. However, additional work is needed before achieving a realistic understanding of filtration kinetics.

Filtration↗

Filtration of respired gases: theoretical aspects.

The filtration of aerosols and the behavior of aerosolized particles are less intuitive and more complex than commonly indicated in the medical literature, but once the basic principles are presented, they are not difficult to understand or apply. Particles with diameters close to the most penetrating particle size are clearly the particles of greatest concern, interest, and value in considering the performance of different filtration devices, and this size has been identified as the standard particle size for testing respirators and breathing system filters. Although almost every level of health care now mandates the N95 (NIOSH rating) as the minimum rating for medical respirators, there is no such mandate regarding minimum efficiencies of breathing system filters. At least in North America, it still falls to each individual purchaser to ensure that these standardized tests are performed, because manufacturers adhere to these standards only on a voluntary basis. Government regulations similar to NIOSH 42 CFR 84 are needed for breathing system filters and should include a rating system such as N95, N99, or N100. For breathing system filters, the BFE and VFE tests are misleading and should be abandoned (or even better, banned) in favor of internationally recognized sodium chloride tests. Until then, manufacturers will be hesitant to abandon their BFE and VFE data, which give the appearance of vastly better performance than does the sodium chloride test.

Aerosols↗