44 research outputs found
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Flow of pH-responsive microcapsules in porous media
This article investigates the use micro-capsules, containing a gelling agent hydroxypropyl cellulose (HPC), to alter flow paths in porous media. The aim is to preferentially block-off high permeability regions, thereby diverting the flow into adjacent un-swept low permeability regions. Micro-capsules with 2 â 7 ”m in diameter, were made by polymer precipitation through solvent evaporation usingpoly(4-vinyl pyridine) (PVP) as the shell material. A customized flow tank was constructed to facilitate porous media flow and both single and dual permeability experiments were conducted. Even without gelling agent, the micro-capsules gradually blocked the pore throats of the glass beads network. Following acidification a drop in permeability was observed. This was because swelling of the PVP shell constricted the pore throats. The permeability drop was observed to be more significant for low permeability regions. Flowing micro-capsules through the tank with two permeability regions in parallel, allowed the high permeability region to be selectively blocked.Financial support from BP and Mr. Yousef Jameel is gratefully acknowledged.This is the accepted manuscript. The final version is available from Elsevier at http://www.sciencedirect.com/science/article/pii/S0009250914006332
The clubfoot assessment protocol (CAP); description and reliability of a structured multi-level instrument for follow-up
BACKGROUND: In most clubfoot studies, the outcome instruments used are designed to evaluate classification or long-term cross-sectional results. Variables deal mainly with factors on body function/structure level. Wide scorings intervals and total sum scores increase the risk that important changes and information are not detected. Studies of the reliability, validity and responsiveness of these instruments are sparse. The lack of an instrument for longitudinal follow-up led the investigators to develop the Clubfoot Assessment Protocol (CAP). The aim of this article is to introduce and describe the CAP and evaluate the items inter- and intra reliability in relation to patient age. METHODS: The CAP was created from 22 items divided between body function/structure (three subgroups) and activity (one subgroup) levels according to the International Classification of Function, Disability and Health (ICF). The focus is on item and subgroup development. Two experienced examiners assessed 69 clubfeet in 48 children who had a median age of 2.1 years (range, 0 to 6.7 years). Both treated and untreated feet with different grades of severity were included. Three age groups were constructed for studying the influence of age on reliability. The intra- rater study included 32 feet in 20 children who had a median age of 2.5 years (range, 4 months to 6.8 years). The Unweighted Kappa statistics, percentage observer agreement, and amount of categories defined how reliability was to be interpreted. RESULTS: The inter-rater reliability was assessed as moderate to good for all but one item. Eighteen items had kappa values > 0.40. Three items varied from 0.35 to 0.38. The mean percentage observed agreement was 82% (range, 62 to 95%). Different age groups showed sufficient agreement. Intra- rater; all items had kappa values > 0.40 [range, 0.54 to 1.00] and a mean percentage agreement of 89.5%. Categories varied from 3 to 5. CONCLUSION: The CAP contains more detailed information than previous protocols. It is a multi-dimensional observer administered standardized measurement instrument with the focus on item and subgroup level. It can be used with sufficient reliability, independent of age, during the first seven years of childhood by examiners with good clinical experience. A few items showed low reliability, partly dependent on the child's age and /or varying professional backgrounds between the examiners. These items should be interpreted with caution, until further studies have confirmed the validity and sensitivity of the instrument
Analysis of EpCAM positive cells isolated from sentinel lymph nodes of breast cancer patients identifies subpopulations of cells with distinct transcription profiles
Systematic Review of Potential Health Risks Posed by Pharmaceutical, Occupational and Consumer Exposures to Metallic and Nanoscale Aluminum, Aluminum Oxides, Aluminum Hydroxide and Its Soluble Salts
Aluminum (Al) is a ubiquitous substance encountered both naturally (as the third most abundant element) and intentionally (used in water, foods, pharmaceuticals, and vaccines); it is also present in ambient and occupational airborne particulates. Existing data underscore the importance of Al physical and chemical forms in relation to its uptake, accumulation, and systemic bioavailability. The present review represents a systematic examination of the peer-reviewed literature on the adverse health effects of Al materials published since a previous critical evaluation compiled by Krewski et al. (2007).
Challenges encountered in carrying out the present review reflected the experimental use of different physical and chemical Al forms, different routes of administration, and different target organs in relation to the magnitude, frequency, and duration of exposure. Wide variations in diet can result in Al intakes that are often higher than the World Health Organization provisional tolerable weekly intake (PTWI), which is based on studies with Al citrate. Comparing daily dietary Al exposures on the basis of âtotal Alâassumes that gastrointestinal bioavailability for all dietary Al forms is equivalent to that for Al citrate, an approach that requires validation. Current occupational exposure limits (OELs) for identical Al substances vary as much as 15-fold.
The toxicity of different Al forms depends in large measure on their physical behavior and relative solubility in water. The toxicity of soluble Al forms depends upon the delivered dose of Al+ 3 to target tissues. Trivalent Al reacts with water to produce bidentate superoxide coordination spheres [Al(O2)(H2O4)+ 2 and Al(H2O)6 + 3] that after complexation with O2âąâ, generate Al superoxides [Al(O2âą)](H2O5)]+ 2. Semireduced AlO2âą radicals deplete mitochondrial Fe and promote generation of H2O2, O2 âą â and OHâą. Thus, it is the Al+ 3-induced formation of oxygen radicals that accounts for the oxidative damage that leads to intrinsic apoptosis. In contrast, the toxicity of the insoluble Al oxides depends primarily on their behavior as particulates.
Aluminum has been held responsible for human morbidity and mortality, but there is no consistent and convincing evidence to associate the Al found in food and drinking water at the doses and chemical forms presently consumed by people living in North America and Western Europe with increased risk for Alzheimer\u27s disease (AD). Neither is there clear evidence to show use of Al-containing underarm antiperspirants or cosmetics increases the risk of AD or breast cancer. Metallic Al, its oxides, and common Al salts have not been shown to be either genotoxic or carcinogenic. Aluminum exposures during neonatal and pediatric parenteral nutrition (PN) can impair bone mineralization and delay neurological development. Adverse effects to vaccines with Al adjuvants have occurred; however, recent controlled trials found that the immunologic response to certain vaccines with Al adjuvants was no greater, and in some cases less than, that after identical vaccination without Al adjuvants.
The scientific literature on the adverse health effects of Al is extensive. Health risk assessments for Al must take into account individual co-factors (e.g., age, renal function, diet, gastric pH). Conclusions from the current review point to the need for refinement of the PTWI, reduction of Al contamination in PN solutions, justification for routine addition of Al to vaccines, and harmonization of OELs for Al substances
Serum galactomannan index for early prediction of mortality in immunocompromised children with invasive pulmonary aspergillosis
Causal Relationship between Exposure to Chemicals and Malignant Melanoma? A Review and a Study Proposal
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Post-coring entrapment of modern air in polar ice: Evidence from CFC-12 measurements in Antarctic firn air and shallow ice cores
This study is a comparison of CFC-12 (CCl2F2) measurements in firn air and ice core samples from three Antarctic sites: South Pole, West Antarctic Ice Sheet Divide (79.46°S, 112.13°W), and Siple Dome (81.65°S, 148.81°W). CFC-12 is a synthetic chlorofluorocarbon manufactured during the mid-late 20th century for use as a refrigerant and an aerosol spray propellant. Its atmospheric history is well established with agreement among instrumental time series measurements and industry-reported production data [Walker et al., 2000], the distribution of dissolved CFC-12 in the oceans [e.g. Weiss et al., 1985], and firn air measurements [Butler et al., 1999]. The atmospheric history indicates that there was no measureable CFC-12 in the atmosphere prior to the 1940âs. The firn air CFC-12 profiles are consistent with the known atmospheric history of this gas. In contrast, the air in ice core samples collected near the close-off depth exhibit anomalously high CFC-12 levels. We propose that this is due to entrapment of modern air in open pores that close after drilling, resulting in elevated CFC-12 mixing ratios. These results demonstrate how the composition of air trapped in shallow ice cores can be altered during the post-drilling period through purely physical processes. Comparison of firn air and ice core bubble composition is one of the commonly used tools for studying the bubble close-off process. The post-drilling entrapment process detected in this study represents a potential complication for such investigations
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Post-coring entrapment of modern air in polar ice: Evidence from CFC-12 measurements in Antarctic firn air and shallow ice cores
This study is a comparison of CFC-12 (CCl2F2) measurements in firn air and ice core samples from three Antarctic sites: South Pole, West Antarctic Ice Sheet Divide (79.46°S, 112.13°W), and Siple Dome (81.65°S, 148.81°W). CFC-12 is a synthetic chlorofluorocarbon manufactured during the mid-late 20th century for use as a refrigerant and an aerosol spray propellant. Its atmospheric history is well established with agreement among instrumental time series measurements and industry-reported production data [Walker et al., 2000], the distribution of dissolved CFC-12 in the oceans [e.g. Weiss et al., 1985], and firn air measurements [Butler et al., 1999]. The atmospheric history indicates that there was no measureable CFC-12 in the atmosphere prior to the 1940âs. The firn air CFC-12 profiles are consistent with the known atmospheric history of this gas. In contrast, the air in ice core samples collected near the close-off depth exhibit anomalously high CFC-12 levels. We propose that this is due to entrapment of modern air in open pores that close after drilling, resulting in elevated CFC-12 mixing ratios. These results demonstrate how the composition of air trapped in shallow ice cores can be altered during the post-drilling period through purely physical processes. Comparison of firn air and ice core bubble composition is one of the commonly used tools for studying the bubble close-off process. The post-drilling entrapment process detected in this study represents a potential complication for such investigations