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PubMed1994

Analysis of factors affecting gas exchange in intravascular blood gas exchanger.

A mathematical model of an intravascular hollow-fiber gas-exchange device, called IVOX, has been developed using a Krogh cylinder-like approach with a repeating unit structure comprised of a single fiber with gas flowing through its lumen surrounded by a coaxial cylinder of blood flowing in the opposite direction. Species mass balances on O2 and CO2 result in a nonlinear coupled set of convective-diffusion parabolic partial differential equations that are solved numerically using an alternating-direction implicit finite-difference method. Computed results indicated the presence of a large resistance to gas transport on the external (blood) side of the hollow-fiber exchanger. Increasing gas flow through the device favored CO2 removal from but not O2 addition to blood. Increasing blood flow over the device favored both CO2 removal as well as O2 addition. The rate of CO2 removal increased linearly with the transmural PCO2 gradient imposed across the device. The effect of fiber crimping on blood phase mass transfer resistance was evaluated indirectly by varying species blood diffusivity. Computed results indicated that CO2 excretion by IVOX can be significantly enhanced with improved bulk mixing of vena caval blood around the IVOX fibers.

Blood Gas Analysis↗

PubMed1991

Evidence for entry of plasma insulin into cerebrospinal fluid through an intermediate compartment in dogs. Quantitative aspects and implications for transport.

To study the route by which plasma insulin enters cerebrospinal fluid (CSF), the kinetics of uptake from plasma into cisternal CSF of both insulin and [14C]inulin were analyzed during intravenous infusion in anesthetized dogs. Four different mathematical models were used: three based on a two-compartment system (transport directly across the blood-CSF barrier by nonsaturable, saturable, or a combination of both mechanisms) and a fourth based on three compartments (uptake via an intermediate compartment). The kinetics of CSF uptake of [14C]inulin infused according to an "impulse" protocol were accurately accounted for only by the nonsaturable two-compartment model (determination coefficient [R2] = 0.879 +/- 0.044; mean +/- SEM; n = 5), consistent with uptake via diffusion across the blood-CSF barrier. When the same infusion protocol and model were used to analyze the kinetics of insulin uptake, the data fit (R2 = 0.671 +/- 0.037; n = 10) was significantly worse than that obtained with [14C]inulin (P = 0.02). Addition of a saturable component of uptake to the two-compartment model improved this fit, but was clearly inadequate for a subset of insulin infusion studies. In contrast, the three-compartment model accurately accounted for CSF insulin uptake in each study, regardless of infusion protocol (impulse infusion R2 = 0.947 +/- 0.026; n = 10; P less than 0.0001 vs. each two-compartment model; sustained infusion R2 = 0.981 +/- 0.003; n = 5). Thus, a model in which insulin passes through an intermediate compartment en route from plasma to CSF, as a part of a specialized transport system for the delivery of insulin to the brain, best accounts for the dynamics of this uptake process. This intermediate compartment could reside within the blood-CSF barrier or it may represent brain interstitial fluid, if CNS insulin uptake occurs preferentially across the blood-brain barrier.

Animals↗

PubMed2004

Simulations of the cardiac action potential based on the Hodgkin-Huxley kinetics with the use of Microsoft Excel spreadsheets.

The purpose of this study was to develop a method to simulate the cardiac action potential using a Microsoft Excel spreadsheet. The mathematical model contained voltage-gated ionic currents that were modeled using either Beeler-Reuter (B-R) or Luo-Rudy (L-R) phase 1 kinetics. The simulation protocol involves the use of in-cell formulas directly typed into a spreadsheet. The capability of spreadsheet iteration was used in these simulations. It does not require any prior knowledge of computer programming, although the use of the macro language can speed up the calculation. The normal configuration of the cardiac ventricular action potential can be well simulated in the B-R model that is defined by four individual ionic currents, each representing the diffusion of ions through channels in the membrane. The contribution of Na+ inward current to the rate of depolarization is reproduced in this model. After removal of Na+ current from the model, a constant current stimulus elicits an oscillatory change in membrane potential. In the L-R phase 1 model where six types of ionic currents were defined, the effect of extracellular K+ concentration on changes both in the time course of repolarization and in the time-independent K+ current can be demonstrated, when the solutions are implemented in Excel. Using the simulation protocols described here, the users can readily study and graphically display the underlying properties of ionic currents to see how changes in these properties determine the behavior of the heart cell. The method employed in these simulation protocols may also be extended or modified to other biological simulation programs.

Action Potentials↗

PubMed1996

Total aortic arch reconstruction for multiple great vessel occlusive disease.

There were no differences in mortality or morbidity rates in the intrathoracic and extrathoracic groups treated at the Texas Heart Institute. Extrathoracic bypass did not seem to decrease morbidity. Early occlusion rates were similar for both groups. In cases of extrathoracic bypass, early and long-term patency depend on the diffuse nature of the disease, especially in the inflow artery. Surgical risk is not increased by intrathoracic direct revascularization, and the use of the aorta for proximal inflow may prolong patency. Results of revascularization of diffuse lesions of the great vessels produce results similar to those for revascularization of simple lesions of the internal carotid artery with regard to both intraoperative cerebral protection and excellent long-term patency. We have recently developed and refined minimally invasive techniques for exposure of the aorta and great vessels. These methods have allowed successful, simultaneous direct revascularization of multiple great vessels in cadaver and animal models. In selected patients with anatomically suited lesions, we plan to use these methods with goals of decreasing hospital stay and surgical risk while maintaining excellent long-term graft patency.

Aorta, Thoracic↗

PubMed1996

What mechanisms drive cell migration and cell interactions in Pleurodeles?

Embryogenesis implies a strict control of cell interaction and cell migration. The spatial and temporal regulation of morphogenetic movements occurring during gastrulation is directly dependent on the early cell interactions that take place in the blastula. The newt Pleurodeles waltl is a favorable model for the study of these early morphogenetic events. The combination of orthotopic grafting and fluorescent lineage tracers has led to precise early gastrula mesoderm fate maps. It is now clear that there are no sharp boundaries between germ layers at the onset of gastrulation but rather diffuse transition zones. The coordination of cell movements during gastrulation is closely related to the establishment of dorsoventral polarity. Ventralization by U.V. irradiation or dorsalization by lithium treatment modifies the capacity for autonomous migration on the fibronectin coated substratum of marginal zone cells accordingly. It is now firmly established that mesodermal cells need to adhere to a fibrillar extracellular matrix (ECM) to undergo migration during gastrulation. Extracellular fibrils contain laminin and fibronectin (FN). Interaction of cells with ECM involves receptors of the beta 1 integrin family. A Pleurodeles homolog of the alpha v integrin subunit has been recently identified. Protein alpha v expression is restricted to the surface of mesodermal cells during gastrulation. Integrin-mediated interactions of cells with FN are essential for ECM assembly and mesodermal cell migration. Intracellular injection of antibodies to the cytoplasmic domain of beta 1 into early cleavage embryos causes inhibition of FN fibril formation. Intrablastocoelic injections of several probes including antibodies to FN or integrin alpha 5 beta 1, competitive peptides to the major cell binding site of FN or the antiadhesive protein tenascin all block mesodermal cell migration. This results in a complete arrest of gastrulation indicating that mesodermal cell migration is a major driving force in urodele gastrulation. It is now possible to approach the role of fibroblast growth factor (FGF) during cell interactions taking place in urodele embryos. Four different FGF receptors (FGFR) have been cloned in Pleurodeles. Each of them has a unique mRNA expression pattern. FGFR-1, FGFR-3, and the variant of FGFR-2 containing the IIIb exon are maternally expressed and might be involved in mesodermal induction. During gastrulation, FGFR-3 and FGFR-4 have a restricted pattern of expression, whereas FGFR-1 mRNA is nearly uniformly distributed. Splicing variants FGFR-2IIIb and FGFR-2IIIc have exclusive expression patterns during neurulation. IIIb is expressed in epidermis and IIIc in neural tissue, suggesting a function in the differentiation of ectodermal derivatives.

Animals↗

PubMed1983

A model for differentiation.

A model is proposed, in which differentiation is attributed to colinearity between polymerase states and promotors. The promotors are considered the equal of ordinal numbers, and the state of a polymerase molecule is changed by the activity of the products of the gene it has transcribed. Introns are assumed to be involved in this possibility. Repeated sequences function as labels of chromosomes and chromosome regions, and interact with the diffusing RNA polymerase molecules aimed at a given class of promotors, increasing the speed of specific interactions. The possibility that a quantitative code, with a form of scansion, exists to order promotors as well as repeated sequences, is discussed. A correlation between the base sequence of repeats and promotors is predicted.

Base Sequence↗

PubMed1990

Membrane electrostatics.

In conclusion, charged membrane together with their adjacent electrolyte solution form a thermodynamic and physico-chemical entity. Their surfaces represent an exceptionally complicated interfacial system owing to intrinsic membrane complexity, as well as to the polarity and often large thickness of the interfacial region. Despite this, charged membranes can be described reasonably accurately within the framework of available theoretical models, provided that the latter are chosen on the basis of suitable criteria, which are briefly discussed in Section A. Interion correlations are likely to be important for the regular and/or rigid, thin membrane-solution interfaces. Lateral distribution of the structural membrane charge is seldom and charge distribution perpendicular to the membranes is nearly always electrostatically important. So is the interfacial hydration, which to a large extent determines the properties of the innermost part of the interfacial region, with a thickness of 2-3 nm. Fine structure of the ion double-layer and the interfacial smearing of the structural membrane charge decrease whilst the surface hydration increases the calculated value of the electrostatic membrane potential relative to the result of common Gouy-Chapman approximation. In some cases these effects partly cancel-out; simple electrostatic models are then fairly accurate. Notwithstanding this, it is at present difficult to draw detailed molecular conclusions from a large part of the published data, mainly owing to the lack of really stringent controls or calibrations. Ion binding to the membrane surface is a complicated process which involves charge-charge as well as charge-solvent interactions. Its efficiency normally increases with the ion valency and with the membrane charge density, but it is also strongly dependent on the physico-chemical and thermodynamic state of the membrane. Except in the case of the stereospecific ion binding to a membrane, the relatively easily accessible phosphate and carboxylic groups on lipids and integral membrane proteins are the main cation binding sites. Anions bind preferentially to the amine groups, even on zwitterionic molecules. Membrane structure is apt to change upon ion binding but not always in the same direction: membranes with bound ions can either expand or become more condensed, depending on the final hydrophilicity (polarity) of the membrane surface. The more polar membranes, as a rule, are less tightly packed and more fluid. Diffusive ion flow across a membrane depends on the transmembrane potential and concentration gradients, but also on the coulombic and hydration potentials at the membrane surface.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

PubMed2005

Nonrandom larval dispersal can steepen marine clines.

Sharp and stable clinal variation is enigmatic when found in species with high gene flow. Classical population genetic models treat gene flow as a random homogenizing force countering local adaptation across habitat discontinuities. Under this view, dispersal over large spatial scales will lower the effectiveness of adaptation by natural selection at finer spatial scales. Thus, random gene flow will create a shallow phenotypic cline across an ecotone in response to a steep selection gradient. In sedentary marine species that disperse primarily as larvae, nonrandom dispersal patterns are expected due to coastal hydrodynamics. Surprisingly sharp phenotypic and genotypic clines have been documented in marine species with high gene flow. We are interested in the extent to which nonrandom dispersal could accentuate such clines. We model a linear species range in which populations have stable and uniform densities along a selection gradient; in contrast to random dispersal, convergent advection of larvae can amplify phenotypic differentiation if coupled with a semipermeable dispersal barrier in the convergence zone. The migration load caused by directional dispersal pushes the phenotypic mean away from the local trait optimum in downstream populations, that is, near the convergence zone. A dispersal barrier is possible as a result of colliding currents if the water and larvae are mostly displaced offshore, away from suitable settlement habitat. Disjunctions in a quantitative trait were enlarged in the convergence zone by faster current flows or a more complete dispersal barrier. With advection of larvae per generation one-third as far as the average dispersal distance by diffusion, convergence on a dispersal barrier with 40% permeability generated a trait disjunction across the convergence zone of two phenotypic standard deviations. Without directional dispersal, similar clines also developed across a habitat gap, where population density was low, or across dispersal barriers with less than 1% permeability. These findings suggest that the types of hydrographic phenomena often associated with marine transition zones can strongly affect the balance between gene flow and selection and generate surprisingly steep clines given the large-scale gene flow expected from larvae.

Animal Migration↗

PubMed2004

Neutrino telescopes as a direct probe of supersymmetry breaking.

We consider models where the scale of supersymmetry breaking lies between 5 x 10(6) and 5 x 10(8) GeV. In this class of theories, which includes models of mediated supersymmetry breaking, the lightest supersymmetric particle is the gravitino, and the next to lightest is typically a long-lived charged slepton with a lifetime between a microsecond and a second, depending on its mass. We investigate the production of these particles by the diffuse flux of high energy neutrinos colliding with nucleons in the Earth, and the potential for their observation in large ice or water Cerenkov detectors. The small production cross section is partially compensated by the very long range of sleptons. The signal, two well-separated parallel tracks, has very little background. Using the Waxman-Bahcall limit for the neutrino flux results in up to four events a year in km3 experiments.

Journal Article↗

PubMed1999

Modeling the individual determinants of research utilization.

Despite more than two decades of investigation, our accumulated knowledge about what influences nurses' use of research is underdeveloped. This study's objectives were to develop and test a series of structural equation models that included individual factors believed to influence research utilization. Estimates of the models were obtained using maximum likelihood estimation. Model fit was assessed by examining chi-square, the adjusted goodness of fit index, and the standardized residuals. Within a simple model that permitted only direct effects and controlled for instrumental, conceptual, and persuasive research utilization, 3 of 26 concepts exerted significant effects on research utilization. These were a positive attitude toward research, belief suspension, and in-services attended. These results support the assertion that our descriptive body of research on the determinants of research utilization is underdeveloped, limiting our ability to design and test effective strategies to increase the use of research findings in nursing practice.

Attitude of Health Personnel↗

PubMed2005

Noise removal in magnetic resonance diffusion tensor imaging.

Although promising for visualizing the structure of ordered tissues, MR diffusion tensor imaging (DTI) has been hampered by long acquisition time and low spatial resolution associated with its inherently low signal-to-noise ratio (SNR). Moreover, the uncertainty in the DTI measurements has a direct impact on the accuracy of structural renderings such as fiber streamline tracking. Noise removal techniques can be used to improve the SNR of DTI without requiring additional acquisitions, albeit most low-pass filtering methods are accompanied by undesirable image blurring. In the present study, a modified vector-based partial-differential-equation (PDE) filtering formalism was implemented for smoothing DTI vector fields. Using an image residual-energy criterion to equate the degree of smoothing and error metrics empirically derived from DTI data to quantify the relative performances, the effectiveness in denoising DTI data is compared among image-based and vector-based PDE and fixed and adaptive low-pass k-space filtering. The results demonstrate that the edge-preservation feature of the PDE approach can be highly advantageous in enhancing DTI measurements, particularly for vector-based PDE filtering in applications relying on DTI directional information. These findings suggest a potential role for the postprocessing enhancement technique to improve the practical utility of DTI.

Analysis of Variance↗

PubMed2005

1,2-diacyl-phosphatidylcholine flip-flop measured directly by sum-frequency vibrational spectroscopy.

Sum-frequency vibrational spectroscopy (SFVS) is used to measure the intrinsic rate of lipid flip-flop for 1,2-dimyristoyl-sn-glycero-3-phosphocholine (DMPC), 1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC), and 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC) in planar-supported lipid bilayers (PSs). Asymmetric PSLBs were prepared using the Langmuir-Blodgett/Langmuir-Schaefer method by placing a perdeuterated lipid analog in one leaflet of the PSLB. SFVS was used to directly measure the asymmetric distribution of the native lipid within the membrane by measuring the decay in the CH3 v(s) intensity at 2875 cm(-1) with time and as a function of temperature. An average activation energy of 220 kJ/mol for the translocation of DMPC, DPPC, and DSPC was determined. A decrease in alkyl chain length resulted in a substantial increase in the rate of flip-flop manifested as an increase in the Arrhenius preexponential factor. The effect of lipid labeling was investigated by measuring the exchange of 1,2-dipalmitoyl-sn-glycero-3-phosphoethanolamine-n,n-Dimethyl-n-(2',2',6',6'-tetramethyl-4'-piperidyl) (TEMPO-DPPC). The rate of TEMPO-DPPC flip-flop was an order-of-magnitude slower compared to DPPC. An activation energy of 79 kJ/mol was measured which is comparable to that previously measured by electron spin resonance. The results of this study illustrate how SFVS can be used to directly measure lipid flip-flop without the need for a fluorescent or spin-labeled lipid probe, which can significantly alter the rate of lipid translocation.

Algorithms↗

PubMed2000

Synchronous oscillation in the cerebral cortex and object coherence: simulation of basic electrophysiological findings.

A lumped continuum model for electrocortical activity was used to simulate several established experimental findings of synchronous oscillation which have not all been previously embodied in a single explanatory model. Moving-bar visual stimuli of different extension, stimuli moving in different directions, the impact of non-specific cortical activation upon synchronous oscillation, and the frequency content of EEG associated with synchrony were considered. The magnitude of zero lag synchrony was primarily accounted for by the properties of the eigenmodes of the travelling local field potential superposition waves generated by inputs to the cortex, largely independent of the oscillation properties and associated spectral content. Approximation of the differences in cross-correlation observed with differently moving bar stimuli, and of the impact of cortical activation, required added assumptions on (a) spatial coherence of afferent volleys arising from parts of a single stimulus object and (b) the presence of low-amplitude diffuse field noise, with enhancement of cortical signal/noise ratio with respect to the spatially coherent inputs, at higher levels of cortical activation. Synchrony appears to be a ubiquitous property of cortex-like delay networks. Precision in the modelling of synchronous oscillation findings will require detailed description of input pathways, cortical connectivity, cortical stability, and aspects of cortical/subcortical interactions.

Artifacts↗

PubMed2003

Pattern selection in a cooperative biochemical in vitro amplification system: the role of parasites.

Previously, numerical simulations have shown that evolving systems can be stabilized against emerging parasites by pattern formation in spatially extended flow reactors. Hence, it can be argued that pattern formation is a prerequisite for any experimental investigation of the biochemical evolution of cooperative function. Here, we study a model of an experimental biochemical system for the cooperative in vitro amplification of DNA strands and show that emerging parasites can induce a complex pattern formation even when no pattern formation occurs without parasites. In an adiabatic approximation where the cooperative amplification reaction is assumed to adapt fast to slowly emerging parasites, the parasite concentration itself acts as a Steuer parameter for the selection of various complex patterns. Without such an adiabatic approximation only transient patterns emerge. As any species can grow for very low concentrations, the parasite is able to infect the entire reactor and the system is finally diluted out. In the experimental biochemical system, however, the species are individual molecules and the growth of spatially separated, non-infected regions becomes feasible. Hence a cutoff threshold for the minimal concentration is applied. In these simulations the otherwise lethal infection by parasites induces the formation of spatiotemporal spirals, and this spatial structure help the host and parasitoid species to survive together. These theoretical results describe an inherent property of cooperative reactions and have an important impact on experimental investigations on the molecular evolution and complex function in spatially extended reactors. Since the formation of the complex pattern is restricted either to a rather large cutoff value or a special choice of the kinetic parameters, we, however, conclude that the persistence of evolving cooperative amplification is not possible in a simple reaction-diffusion reactor. Experimental set-ups with patchy environments, e.g. biomolecular amplification in coupled microstructured flow chambers or in microemulsion, are eligible candidates for the observation of such a self-organized pattern selection.

Animals↗

PubMed1996

Gradient model describes the spatial-temporal expression pattern of Hoxa genes in the developing vertebrate limb.

Pattern formation of the developing vertebrate limb is mainly controlled by the zone of polarizing activity (ZPA) and the apical ectodermal ridge (AER) which may act as sources of diffusing morphogens. These sources are tightly interconnected and maintained by positive feedback and, together with the established role of Wnt7 a on the dorsal side of the bud, they constitute a cartesian reference frame for the processes of patterning and growth of the limb bud. As an input to our model we have used the local extent and temporal activity of the AER source as it is reflected by Fgf-4 expression in the ridge. We have assumed that this source produces a morphogen which diffuses in the three-dimensional limb field and degradates by first-order kinetics. When in a cell the morphogen concentration exceeds a particular threshold value, a gene is switched on. To every threshold corresponds a specific gene. In the following we introduce an order of increasing concentration thresholds corresponding to the sequence of Hoxa-10, 11, and 13 genes (threshold collinearity). With this simple rule of correspondence we can reproduce both spatial and temporal collinearities of Hoxa gene expression. This outcome may be the first direct observable effect of a putative morphogen in the developing limb. The expression patterns are essentially transient, and they are followed by sequential refinements which lead to the final limb structures. Furthermore, the continuous flow of the morphogen through the progress zone guarantees the coherent course of patterning and limb growth. Several experiments are proposed for additional tests of the validity of the model and the eventual reversibility of Hoxa gene expression.

Aging↗

PubMedDate not supplied

A numerical analysis of factor X activation in the presence of tissue factor--factor VIIa complex in a flow reactor.

A mathematical model has been developed to investigate previously obtained experimental findings relating to the activation of factor X by surface-bound tissue factor--factor VIIa (TF:VIIa) in a tubular flow reactor. In those experiments, factor X was perfused through a microcapillary tube over a range of flow (shear) conditions and the activated product, factor Xa, was measured at the outlet of the tube using a chromogenic assay. In the present study, the steady-state convection-diffusion equation with Michaelis-Menten kinetics used to describe the reaction at the wall was numerically integrated using an implicit method based on linear systems of ordinary differential equations. The results from the numerical analysis indicated that shear rate directly affects both Km and Vmax. Values of Km decreased from 151 to 16 nM as the shear rate increased from 25 to 2400 sec-1. Additionally, there was a twofold increase in Vmax from 1.4 to 3.0 pmol/cm2/min as the shear rate increased from 25 to 300 sec-1. These findings are in contrast with classical enzyme behavior and imply a direct effect of fluid flow on the kinetics of factor X activation.

Factor VIIa↗

PubMed1995

Evolutionary dynamics of enzymes.

This paper codifies and rationalizes the large diversity in reaction rates and substrate specificity of enzymes in terms of a model which postulates that the kinetic properties of present-day enzymes are the consequence of the evolutionary force of mutation and selection acting on a class of primordial enzymes with poor catalytic activity and broad substrate specificity. Enzymes are classified in terms of their thermodynamic parameters, activation enthalpy delta H* and activation entropy delta S*, in their kinetically significant transition states as follows: type 1, delta H* > 0, delta S* < 0; type 2, delta H* < or = 0, delta S* < or = 0; type 3, delta H* > 0, delta S* > 0. We study the evolutionary dynamics of these three classes of enzymes subject to mutation, which acts at the level of the gene which codes for the enzyme and selection, which acts on the organism that contains the enzyme. Our model predicts the following evolutionary trends in the reaction rate and binding specificity for the three classes of molecules. In type 1 enzymes, evolution results in random, non-directional changes in the reaction rate and binding specificity. In type 2 and 3 enzymes, evolution results in a unidirectional increase in both the reaction rate and binding specificity. We exploit these results in order to codify the diversity in functional properties of present-day enzymes. Type 1 molecules will be described by intermediate reaction rates and broad substrate specificity. Type 2 enzymes will be characterized by diffusion-controlled rates and absolute substrate specificity. The type 3 catalysts can be further subdivided in terms of their activation enthalpy into two classes: type 3a (delta H* small) and type 3b (delta H* large). We show that type 3a will be represented by the same functional properties that identify type 2, namely, diffusion-controlled rates and absolute substrate specificity, whereas type 3b will be characterized by non-diffusion-controlled rates and absolute substrate specificity. We infer from this depiction of the three classes of enzymes, a general relation between the two functional properties, reaction rate and substrate specificity, namely, enzymes with diffusion-controlled rates have absolute substrate specificity. By appealing to energetic considerations, we furthermore show that enzymes with diffusion-controlled rates (types 2 and 3a) form a small subset of the class of all enzymes. This codification of present-day enzymes derived from an evolutionary model, essentially relates the structural properties of enzymes, as described by their thermodynamic parameters, to their functional properties, as represented by the reaction rate and substrate specificity.

Animals↗

PubMed1989

Model of mercury vapor transport from amalgam restorations in the oral cavity.

A model of the oral cavity was used as the basis for a discussion of the conditions prevalent during the transport of mercury vapor from amalgam restorations via the saliva to the gas phase of the oral cavity during respiration or during pumping of air through the mouth. It was found that the mercury diffusion rate through the saliva layer is independent of the air flow rate through the oral cavity. Mercury appears to be transported as atoms both in the aqueous phase of saliva and in the gas phase. The majority of the mercury atoms reaching the gas phase appears to originate directly from the surface of the amalgam restorations, passing through the saliva layer, while only a minority originates from mercury dissolved in the aqueous phase. The amount of mercury released per unit of time to the gas phase was shown to be independent of the air flow rate during respiration and pumping. Furthermore, the released mercury atoms are distributed partly to the gas phase, from which they are respired to the lungs and the environment, and partly to the saliva and the gastro-intestinal tract, by swallowing.

Dental Amalgam↗