RESUMEN
Marinas have been shown to contribute elevated concentrations of copper (Cu) to marine waters. The Cu can come primarily from antifouling paints which are designed to discourage biofouling of boat hulls. Legislation in Washington State, USA is being developed to limit or regulate the amount and rate of diffusion of Cu from antifouling paints. This study provides baseline data for Cu in five marinas of different configuration and size within Puget Sound, a large fjord estuary. Samples were collected over a year from multiple environmental media. We find strong evidence that Cu accumulates inside marinas to higher concentrations than outside marinas. Marinas that are more enclosed accumulated higher concentrations of Cu than more open marinas. Using a power analysis, we assessed the adequacy of the baseline dataset to measure progress as a result of future legislation towards the reduction of Cu to Puget Sound from marinas.
Asunto(s)
Incrustaciones Biológicas , Contaminantes Químicos del Agua , Incrustaciones Biológicas/prevención & control , Cobre/análisis , Estuarios , Pintura , Contaminantes Químicos del Agua/análisisRESUMEN
BACKGROUND: The oculocardiac reflex (OCR), bradycardia that occurs during strabismus surgery is a type of trigemino-cardiac reflex (TCR) is blocked by anticholinergics and enhanced by opioids and dexmedetomidine. Two recent studies suggest that deeper inhalational anesthesia monitored by BIS protects against OCR; we wondered if our data correlated similarly. METHODS: In an ongoing, prospective study of OCR/TCR elicited by 10-s, 200 g square-wave traction on extraocular muscles (EOM) from 2009 to 2013, anesthetic depth was estimated in cohorts using either BIS or Narcotrend monitors. The depth of anesthesia was deliberately varied between first and second EOM tested. RESULTS: From 1992 through 2013, 2833 cases of OCR during strabismus surgery were monitored. Excluding re-operations and cases with anticholinergic, OCR from first EOM traction averaged - 20.2 ± 21.8% (S.D.) with a range from - 95 to + 25% in patients aged 0.2 to 90 (median 6.5) years. We did not find correlation between %OCR and brain wave for 97 patients with BIS monitoring and 91 with Narcotrend. With intra-patient controls between first and second muscle, the difference in brain wave did not correlate with difference in %OCR for BIS (r = 0.0002, 95% C. I -0.0002, 0.002, p = 0.30) or for Narcotrend (r = - 0.001, 95% C. I -0.004, 0.001, p = 0.32). Secondary multi-variable analysis demonstrated significant association on %OCR particularly with BIS monitor, opioid, propofol and nitrous oxide concentration in the second EOM tensioned. Sevoflurane concentration correlated better with BIS monitor in second and third EOM tension. %OCR correlated with younger age (p < 0.01). OCR with rapid onset was more profound than those with gradual onset (difference in means 18, 95% C. I 10, 26%). CONCLUSIONS: We were unable to confirm a direct correlation between brain wave monitor and OCR when using multifactorial anesthetic agents. The discrepency with other studies probably reflects direct impact of inhalational agent concentration and less deliberate quantification of EOM tension. We found no level of BIS or Entropy EEG monitoring that uniformly prevents OCR. TRIAL REGISTRY: NCT03663413. DATA: http://www.abcd-vision.org/OCR/OCR%20Brainwave%20de-identified.pdf .
Asunto(s)
Anestésicos por Inhalación/administración & dosificación , Ondas Encefálicas/efectos de los fármacos , Reflejo Oculocardíaco/efectos de los fármacos , Estrabismo/cirugía , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Anestésicos por Inhalación/farmacología , Bradicardia/epidemiología , Bradicardia/etiología , Niño , Preescolar , Monitores de Conciencia , Femenino , Humanos , Lactante , Masculino , Persona de Mediana Edad , Músculos Oculomotores/efectos de los fármacos , Estudios Prospectivos , Sevoflurano/administración & dosificación , Sevoflurano/farmacología , Adulto JovenRESUMEN
In this study, the ability of nanocarriers containing protein transduction domains (PTDs) of various classes to improve cutaneous paclitaxel delivery and efficacy in skin tumor models was evaluated. Microemulsions (MEs) were prepared by mixing a surfactant blend (polyoxyethylene 10 oleoyl ether, ethanol and propylene glycol), monocaprylin, and water. The PTD transportan (ME-T), penetratin (ME-P), or TAT (ME-TAT) was added at a concentration of 1 mM to the plain ME. All MEs displayed nanometric size (32.3-40.7 nm) and slight positive zeta potential (+4.1 mV to +6.8 mV). Skin penetration of paclitaxel from the MEs was assessed for 1-12 hours using porcine skin and Franz diffusion cells. Among the PTD-containing formulations, paclitaxel skin (stratum corneum + epidermis and dermis) penetration at 12 hours was maximized with ME-T, whereas ME-TAT provided the lowest penetration (1.6-fold less). This is consistent with the stronger ability of ME-T to increase transepidermal water loss (2.4-fold compared to water) and tissue permeability. The influence of PTD addition on the ME irritation potential was assessed by measuring interleukin-1α expression and viability of bioengineered skin equivalents. A 1.5- to 1.8-fold increase in interleukin-1α expression was induced by ME-T compared to the other formulations, but this effect was less pronounced (5.8-fold) than that mediated by the moderate irritant Triton. Because ME-T maximized paclitaxel cutaneous localization while being safer than Triton, its efficacy was assessed against basal cell carcinoma cells and a bioengineered three-dimensional melanoma model. Paclitaxel-containing ME-T reduced cells and tissue viability by twofold compared to drug solutions, suggesting the potential clinical usefulness of the formulation for the treatment of cutaneous tumors.
Asunto(s)
Antineoplásicos/farmacología , Portadores de Fármacos/química , Galanina/farmacología , Nanopartículas/química , Paclitaxel/farmacología , Proteínas Recombinantes de Fusión/farmacología , Absorción Cutánea/efectos de los fármacos , Piel/efectos de los fármacos , Venenos de Avispas/farmacología , Administración Cutánea , Animales , Línea Celular Tumoral , Supervivencia Celular/efectos de los fármacos , Química Farmacéutica , Emulsiones/química , Humanos , Microscopía Fluorescente , Modelos Biológicos , Permeabilidad , Piel/metabolismo , Sus scrofaRESUMEN
To assess the contribution of five toxic metals from new roofing materials to stormwater, runoff was collected from 14 types of roofing materials and controls during 20 rain events and analyzed for metals. Many of the new roofing materials evaluated did not show elevated metals concentrations in the runoff. Runoff from several other roofing materials was significantly higher than the controls for arsenic, copper, and zinc. Notably, treated wood shakes released arsenic and copper, copper roofing released copper, PVC roofing released arsenic, and Zincalume® and EPDM roofing released zinc. For the runoff from some of the roofing materials, metals concentrations decreased significantly over an approximately one-year period of aging. Metals concentrations in runoff were demonstrated to depend on a number of factors, such as roofing materials, age of the materials, and climatic conditions. Thus, application of runoff concentrations from roofing materials to estimate basin-wide releases should be undertaken cautiously.
Asunto(s)
Arsénico/análisis , Materiales de Construcción/análisis , Metales Pesados/análisis , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente , Vivienda , Lluvia , Movimientos del Agua , Madera/análisisRESUMEN
In this study, we developed cationic microemulsions containing a protein transduction domain (penetratin) for optimizing paclitaxel localization within the skin. Microemulsions were prepared by mixing a surfactant blend (BRIJ:ethanol:propylene glycol 2:1:1, w/w/w) with monocaprylin (oil phase) at 1.3:1 ratio, and adding water at 30% (ME-30), 43% (ME-43), and 50% (ME-50). Electrical conductivity and viscosity measurements indicated that ME-30 is most likely a bicontinuous system, whereas ME-43 and ME-50 are water continuous. Their irritation potential, studied in bioengineered skin equivalents, decreased as aqueous content increased. Because ME-50 was not stable in the presence of paclitaxel (0.5%), ME-43 was selected for penetratin incorporation (0.4%). The microemulsion containing penetratin (ME-P) displayed zeta potential of +5.2 mV, and promoted a 1.8-fold increase in paclitaxel cutaneous (but not transdermal) delivery compared with the plain ME-43, whereas the enhancement promoted by another cationic microemulsion containing phytosphingosine was 1.3-fold. Compared with myvacet oil, ME-P promoted a larger increase on transepidermal water loss (twofold) than the plain or the phytosphingosine-containing microemulsions (1.5-fold), suggesting that penetratin addition increases the barrier-disrupting and penetration-enhancing effects of microemulsions. The ratio Δcutaneous/Δtransdermal delivery promoted by ME-P was the highest among the formulations, suggesting its potential for drug localization within cutaneous tumor lesions.