Pharmacokinetic and pharmacodynamic study of intranasal and intravenous dexmedetomidine

Background: Intranasal dexmedetomidine produces safe, effective sedation in children and adults. It may be administered by drops from a syringe or by nasal mucosal atomization (MAD NasalTM). / Methods: This prospective, three-period, crossover, double-blind study compared the pharmacokinetic (PK) and pharmacodynamic (PD) profile of i.v. administration with these two different modes of administration. In each session each subject received 1 μg kg−1 dexmedetomidine, either i.v., intranasal with the atomizer or intranasal by drops. Dexmedetomidine plasma concentration and Ramsay sedation score were used for PK/PD modelling by NONMEM. / Results: The i.v. route had a significantly faster onset (15 min, 95% CI 15–20 min) compared to intranasal routes by atomizer (47.5 min, 95% CI 25–135 min), and by drops (60 min, 95%CI 30–75 min), (P<0.001). There was no significant difference in sedation duration across the three treatment groups (P=0.88) nor in the median onset time between the two modes of intranasal administration (P=0.94). A 2-compartment disposition model, with transit intranasal absorption and clearance driven by cardiac output using the well-stirred liver model, was the final PK model. Intranasal bioavailability was estimated to be 40.6% (95% CI 34.7–54.4%) and 40.7% (95% CI 36.5–53.2%) for atomization and drops respectively. Sedation score was modelled via a sigmoidal Emax model driven by an effect compartment. The effect compartment had an equilibration half time 3.3 (95% CI 1.8–4.7) min−1, and the EC50 was estimated to be 903 (95% CI 450–2344) pg ml−1. / Conclusions: There is no difference in bioavailability with atomization or nasal drops. A similar degree of sedation can be achieved by either method. / Clinical trial registration: HKUCTR-1617

Hyperon polarization and single spin left-right asymmetry in inclusive production processes at high energies

It is shown that the polarization of hyperons observed in high energy collisions using unpolarized hadron beams and unpolarized nucleon or nuclear targets is closely related to the left-right asymmetries observed in single spin inclusive hadron production processes. The relationship is most obvious for the production of the hyperons which have only one common valence quark with the projectile. Examples of this kind are given. Further implications of the existence of large polarization for hyperon which has two valence quarks in common with the projectile and their consequences are discussed. A comparison with the available data is made. Further tests are suggested.Comment: REVTeX, 12 pages, 2 figures embedde

Product branching fractions of the CH + propene reaction from synchrotron photoionization mass spectrometry

The CH(X2Π) + propene reaction is studied in the gas phase at 298 K and 4 Torr (533.3 Pa) using VUV synchrotron photoionization mass spectrometry. The dominant product channel is the formation of C4H6 (m/z 54) + H. By fitting experimental photoionization spectra to measured spectra of known C4H6 isomers, the following relative branching fractions are obtained: 1,3-butadiene (0.63 ± 0.13), 1,2-butadiene (0.25 ± 0.05), and 1-butyne (0.12 ± 0.03) with no detectable contribution from 2-butyne. The CD + propene reaction is also studied and two product channels are observed that correspond to C4H6 (m/z 54) + D and C4H5D (m/z 55) + H, formed at a ratio of 0.4 (m/z 54) to 1.0 (m/z 55). The D elimination channel forms almost exclusively 1,2-butadiene (0.97 ± 0.20) whereas the H elimination channel leads to the formation of deuterated 1,3-butadiene (0.89 ± 0.18) and 1-butyne (0.11 ± 0.02); photoionization spectra of undeuterated species are used in the fitting of the measured m/z 55 (C4H5D) spectrum. The results are generally consistent with a CH cycloaddition mechanism to the C═C bond of propene, forming 1-methylallyl followed by elimination of a H atom via several competing processes. The direct detection of 1,3-butadiene as a reaction product is an important validation of molecular weight growth schemes implicating the CH + propene reaction, for example, those reported recently for the formation of benzene in the interstellar medium (Jones, B. M. Proc. Natl. Acad. Sci. U.S.A. 2011, 108, 452−457)