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 10,007 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Dihydroergotamine (DHE) is used in our recently introduced therapy of post-traumatic brain oedema and is suggested to reduce ICP through reduction in both cerebral blood volume and brain water content. This study aims at increasing our knowledge of the mechanisms behind the ICP reducing effect of DHE by analysing cerebrovascular effects of a bolus dose of DHE in severely head injured patients (GCS < 8). Mean hemispheric cerebral blood flow (CBF) calculated from the clearance of i.v. 133Xenon, ICP, and cerebral arterio-venous difference in oxygen content (AVDO2), were measured before and after hyperventilation and after a bolus dose of DHE (4 micrograms/kg). The patients were divided into two groups, one with preserved and one with impaired cerebrovascular CO2-reactivity to hyperventilation, the latter being predictive of poor outcome. The haemodynamic effects of DHE were compared to those of hyperventilation. Regional CBF and brain volume SPECT measurements were performed in two patients. DHE increased cerebrovascular resistance (CVR) by about 20% and significantly reduced ICP in both groups of patients, resulting in unchanged AVDO2. Hyperventilation with preserved CO2-reactivity caused a similar decrease in ICP as by DHE but with a much larger increase in CVR (by 70%) and a substantial increase in AVDO2. Hyperventilation with impaired CO2-reactivity reduced ICP but otherwise had no significant cerebrovascular effects. The study supports the concept that the ICP reducing effect of DHE results more from constriction of the large veins than from arterial vasoconstriction, also implying a relatively smaller risk of ischaemia with DHE than with hyperventilation.
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PMID:Cerebral haemodynamic effects of dihydroergotamine in patients with severe traumatic brain lesions. 884 93

Though dental composite materials leach filler elements when stored in distilled water, it is not known whether similar leaching occurs in saliva. The hypothesis to be tested was that due to ion exchange occurring at the filler surfaces, more filler elements leach from composites stored in a salt solution simulating saliva than from composites stored in distilled water. Another aim was to determine how matrix selection, filler composition, and filler silanization affect filler leachability of composites after storage in the simulated saliva and water media. We made 128 batches of experimental composites. Half of these used a bis-GMA/TEGDMA matrix and the other a UEDMA/TEGDMA matrix. Either silica or barium glass filler particles were incorporated into these matrices. Filler silanization was followed by a filler drying at 60 degrees C for 24 h. Half of the silanized particles received an additional heat treatment for 1 h at 110 degrees C in vacuum. One specimen per batch was stored in distilled water and the other in artificial saliva at 37 degrees C. After each 30-day interval for one year, the specimens were transferred to either freshly distilled water or newly mixed artificial saliva. The "old" solutions were analyzed by ICP for determination of the Si, Ba, and Al concentrations. Analysis of variance revealed that storage solution, filler composition, and total time in the storage solution had strong effects on the leachability (p < 0.0001 in all cases). The average monthly leakage of Si for quartz-filled composites was 0.22 +/- 0.20 microgram/mL (distilled water) and 2.80 +/- 1.20 microgram/mL (artificial saliva). For barium-glass-filled composites, the corresponding Si leaching values were 0.73 +/- 0.48 microgram/mL and 5.00 +/- 2.20 microgram/mL. The monthly means of the barium leaching values were 2.00 +/- 1.00 microgram/mL (distilled water) and 3.10 +/- 1.80 microgram/mL (artificial saliva). The large difference between leaching in artificial saliva and in distilled water, as well as the interaction between storage medium and filler, cast doubt on the clinical relevance of in vitro studies using distilled water.
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PMID:Filler leachability of composites stored in distilled water or artificial saliva. 895 23

The concentrations of Cd, Co, Cu, Mn, Ni, Pb, and Zn in natural and sea waters are too low to be directly determined with by flame atomic absorption spectrometry (FAAS) or graphite furnace atomic absorption spectrometry (GFAAS). Specific sample preparations are requested that make possible the determination of these analytes by preconcentration or extraction. These techniques are affected by severe problems of sample contamination. In this work Cd, Co, Cu, Mn, Ni, Pb, and Zn were determined by inductively coupled plasma mass spectroscopy (ICP-MS) or by atomic absorption spectrometry, in fresh and seawater samples, after on-line preconcentration and following solvent elution with a flow injection system. Bonded silica with octadecyl functional group C18, packed in a microcolumn of 100-&mu;l capacity, was used to collect diethyldithiocarbamate complexes of the heavy metals in aqueous solutions. The metals are complexed with a chelating agent, adsorbed on the C18 column, and eluted with methanol directly in the flow injection system. The methanolic stream can be addressed to FAAS for direct determination of Cu, Ni, and Zn, or collected in a vial for successive analysis by GFAAS. The eluted samples can be also dried in a vacuum container and restored to a little volume with concentrated HNO3 and Milli-Q water for analysis by ICP-MS or GFAAS.
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PMID:Determination of Cd, Co, Cu, Mn, Ni, Pb, and Zn by Inductively Coupled Plasma Mass Spectroscopy or Flame Atomic Absorption Spectrometry after On-line Preconcentration and Solvent Extraction by Flow Injection System 897 55

Desmopressin is used for the treatment of nocturnal enuresis. Side effects reported with intranasal desmopressin are transient headache, nausea, abdominal cramps and water intoxication with hyponatremia and grand mal seizure. We report a case of water intoxication with low serum sodium and grand mal seizure in a healthy child treated for enuresis with desmopressin. The child experienced abdominal cramps and nausea prior to the convulsions. A computerised tomography scan of the brain gave the suspicion of increased intracranial pressure ICP. The child recovered fully. We therefore recommend that parents and child are fully informed about the administration and the risk of desmopressin. If a child on desmopressin treatment experiences abdominal cramps, nausea or headache the drug should be discontinued and a physician contacted for control of serum sodium. Temporary withdrawal of desmopressin should also be considered in cases of acute illness influencing water balance.
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PMID:[Acute water intoxication caused by intranasal desmopression--Minirin]. 919 Jul 22

A survey of 32 paper and board materials intended for food contact has been undertaken. Sample composition was analysed to identify chemicals with a potential to migrate to foods. Representative materials covering a range of uses such as aqueous and fatty foods, and use at ambient and elevated temperatures, were obtained from industry. The samples were examined in their unfinished state, even where the final form would have included lamination to plastics, printing, or other treatments. A comprehensive and systematic analytical approach was applied which included determination of volatiles by headspace GC-MS, extraction using water, ethanol and chloroform with subsequent analysis by GC-MS and HPLC, and multi-element screening by ICP-MS. The solvent extracts were also weighed to determine the total amount of material available for migration. A large number of volatile substances were identified with alkyl and aryl aldehydes predominating in the majority of samples. Substances identified in solvent extracts included 2,6-di-tert-butyl-4-hydroxytoluene (BHT), di-tert-butylphenol, benzophenone, 4,4'-bis(dimethyl amino) benzophenone (Michler's ketone), triphenyl methane, bicyclohexylphenylphenanthrene carboxylic acid (and its methyl ester) and abietic acid. Levels of these substances were however generally below 1 mg/kg paper. Of the inorganic elements, arsenic and mercury were not detected above the limits of determination of 1.8 and 0.4 mg/kg respectively in any of the 10 samples examined. Cadmium was detected in teabag tissue and in unbleached Kraft paper at 0.3 mg/kg. Chromium was present in seven samples at 1.1-7.8 mg/kg, whilst lead was present in nine of the 10 samples at levels ranging from 0.3 to 5.9 mg/kg.
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PMID:Migration studies from paper and board food packaging materials. 1. Compositional analysis. 905 81

Basically, Norway has an ample supply of water. The quality of Norwegian drinking water, however, is threatened, not the least because of pollution of surface water reservoirs. Ground water is better protected against pollution, and sub-surface water sources are being exploited more than before. At present, less than 15% of the Norwegian population uses ground water for household purposes, but the percentage is increasing rapidly Ground water is (normally) clean and has a good taste. A large number of elements can be traced in ground water; some of them in concentrations of significance for human health. The present paper reports elemental analyses of 150 water samples from ground water reservoirs in rock, collected in Vestfold (Eastern Norway) and Hordaland (Western Norway). Sixty-four elements were assessed using modern equipment such as ICP-MS. In most cases the chemical composition of the water was well within the limits set for good quality drinking water. For some of the elements one or more of the results exceeded the "highest acceptable concentrations" as defined by the Norwegian health authorities. This was the case for Al, As, Ba, Ca, Cd, F, Fe, Hg, K, Mg, Mn, Na, P, Pb, Rn and Zn. No drinking water standards have been established for Be, Mo, Th and U, which are of clear significance to the health. More research is needed to assess the relationship between drinking water chemistry and human health. The authors call for a systematic analysis of all Norwegian ground water wells, and emphasise the need for regular quality control, even of small, private water supplies.
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PMID:[Ground water and health. Reflections based on analysis of water specimens from Hordaland and Vestfold]. 906 13

As part of a prospective study to evaluate maternal and neonatal scalp hair mineral profiles in normal and pathological pregnancy cases, the suitability of inductively coupled plasma-mass spectrometry (ICP-MS) was evaluated for the quantitation of mercury and selenium as part of a multi-element determination procedure. Treatment of hair samples included a closed-system microwave-assisted digestion in screw-capped PTFE vials of 10-mL capacity with concentrated nitric acid (2 mL) as the matrix solubilization medium. A digestion time of 10 min at 40% microwave power yielded limpid digestates, which, after appropriate dilution with deionized water to give a final acid concentration of 20% (v/v), were used for direct ICP-MS measurements within a rectilinear calibration range from 0 to 10 micrograms/L. Analytical recovery results for mercury ranged from 97 to 102%, whereas those for selenium ranged from 96 to 101%. Results from concurrent analyses of a human hair reference material showed a high degree of concordance with certified values. The results obtained suggest that the closed-system microwave-assisted digestion procedure described was effective in minimizing the risk of volatility-associated losses that can be encountered in the assays of both metals. The results also indicated that the ICP-MS system used in this study was suitable for including both metals as part of a multi-element quantitation procedure. Using this method, analytical results were obtained for mercury and selenium levels from 100 pairs of maternal and neonatal scalp hair samples collected at the postnatal ward of Hull Maternity Hospital, Hull, United Kingdom.
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PMID:The determination of mercury and selenium in maternal and neonatal scalp hair by inductively coupled plasma-mass spectrometry. 908 33

Absorption, CD, fluorescence, and ICP(AES) methods were used to evaluate the interaction of [Rh2(OAc)2(bpy)2(H2O)2](OAc)2 with human serum albumin (HSA). The rhodium complex reacts easily with HSA; the Rh atoms are coordinated to protein via the imidazole rings of His residues. When the protein was incubated for 24 h at 37 degrees C, the amount of rhodium was found to be approximately 7 mol per mol of HSA. Analysis of CD spectra showed the decreasing helix content to be about 15% in the metal-bound HSA. The relative fluorescence intensity of HSA bound with rhodium decreased to 20% of that of the native state, suggesting that perturbation around the Trp-214 residue took place. This was confirmed by the destruction of the warfarin binding site. The rhodium binding weakens the interaction of HSA with other molecules like heme or bilirubin.
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PMID:Studies on the interaction between human serum albumin and [Rh2(OAc)2(bpy)2(H2O)2](OAc)2. 913 Mar 93

The present work aimed to investigate the feasibility of using stable isotopes and inductively-coupled plasma mass spectrometry (ICP/MS) to study Mg absorption in rats. Male Wistar rats, aged 7 weeks and weighing 180 g, were used. They were fed on a semi-purified diet containing 1070 mg Mg/kg, and had free access to feed and distilled water. In the first experiment, after a 16 d adaptation period, two doses of enriched 25Mg (6 and 12 mg) were administered by oral intubation, faeces and urine were collected daily and blood was sampled. Isotope ratios were determined by ICP/MS. 'True' absorption values, using the faecal isotope data, were 0.63 and 0.56 in rats receiving 6 and 12 mg 25Mg respectively, while apparent absorption was 0.50 for two successive periods of metabolic balance studies. Moreover, the oral isotope administration resulted in a measurable isotopic enrichment in plasma within hours which was still detectable on the third day following the isotope administration. In the second experiment, investigating the double labelling technique, similar rats were dosed simultaneously with 5 mg 26Mg orally (premixed with diet) and 0.29 mg 25Mg intravenously. The calculated Mg true absorption values were very similar when calculated from blood or urine data (0.38) but were lower than that obtained from faecal data (0.50). The possible causes of such an unexpected difference and limits of the double labelling technique for Mg absorption are discussed here. Together these results indicate that although 25Mg and 26Mg isotopes have high natural abundance, the described methodology permits meaningful investigations of Mg bioavailability and metabolism.
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PMID:Study of magnesium bioavailability using stable isotopes and the inductively-coupled plasma mass spectrometry technique in the rat: single and double labelling approaches. 922 92

The purpose of this study was to investigate reliability, handling characteristics and complication rate of the CAMINO-ICP-monitor-system in clinical routine. In a case controlled study 82 patients with intracranial pathology necessitating ICP-monitoring received either a ventricular or a parenchymal CAMINO-device. Clinical assessment of curve shape and apparent reliability of the measurement was documented. Probe position and presence of hematoma was evaluated in all patients with a CT after probe insertion. Handling complications, i.e. dislocation were recorded. At the end of the measuring period the drift of the probe was checked ex vivo and a two point calibration was performed using a water column. During one year 82 patients received 95 probes (parench, 73. ventric. 22). The average measuring period was 91.3 +/- 70.6 hrs. Catheter position was verified by CCT for 67 (70.5%) probes. 92.5% of the devices were placed correctly. Clinically 88.4% of the measurements were assessed plausible, in 8.2% the displayed ICP-values were judged to be too high, in 2.1% too low. Probe drift after explanation was -0.21 mmHg/24 hrs. The mean value of the recalibrated probes in the water column corresponding to 15.8 mmHg was 14.7 +/- 1.9 mmHg. There was no correlation between neither drift nor function in the water column and the duration of the measurement. Technical complications exclusively related to the construction of the CAMINO-system like kinking of the cable, dislocation (probe pulled out) or dislocated fixation screw were too high (25.3%).
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PMID:Assessment of the CAMINO intracranial pressure device in clinical practice. 941 52


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