Misplaced pulmonary arteries in an adult patient with pulmonary hypertension.

Misalignment of pulmonary vessels, with or without alveolar capillary dysplasia, is a rare cause of persistent pulmonary hypertension in the newborn. The prognosis is poor, with virtually all patients succumbing to unremitting hypoxaemic respiratory failure and death during the newborn period. We report the CT and histological findings of misplaced pulmonary arteries in a previously healthy young adult patient who presented with pulmonary arterial hypertension. Contiguous high-resolution spiral CT angiography showed small pulmonary arteries coursing within the interlobular septa and enlarged central pulmonary arteries. Surgical lung biopsy demonstrated anomalous muscularised pulmonary arteries in the interlobular septa. This is, to our knowledge, the first report of misplaced pulmonary arteries presenting in an adult patient and may represent a forme fruste of the neonatal vascular anomaly. A possible association with pulmonary arterial hypertension is also suggested in this case.

Magnetic resonance diffusion weighted imaging in cerebral fat embolism.

The use of diffusion weighted imaging with apparent diffusion coefficient mapping in the diagnosis of cerebral fat embolism is shown here to demonstrate infarcts secondary to fat emboli more intensely than T2 weighted sequences 24 hours after the onset of symptoms. Embolic foci are hypointense on apparent diffusion coefficient mapping consistent with cytotoxic edema associated with cell death and restricted water diffusion. This technique increases the sensitivity for detecting cerebral fat embolism and offers a potentially important tool in its diagnosis.

Association of cell and substrate adhesion molecules with connexin43 during intramembranous bone formation.

Prior studies in our laboratory have demonstrated an association of specific gap junction proteins with intramembranous bone formation in the avian mandible. The purpose of the present study was to extend these observations by determining if there was a relationship between the expression of one of the gap junction proteins examined previously (connexin43) and the expression of specific cell adhesion (CAM) and/or substrate adhesion (SAM) molecules [i.e. NCAM, A-CAM (N-cadherin) and tenascin (tenascin-C)] that have previously been shown to be associated with bone formation. Immunohistochemical localization of connexin43, tenascin, NCAM and N-cadherin was performed on serial sections of mandibles of chick embryos from 6 to 12 days of incubation. Analysis of adjacent serial sections revealed that the NCAM and tenascin immunostaining that appeared initially on the lateral aspect of Meckel's cartilage preceded the overt expression of trabecular bone. At subsequent stages, NCAM and tenascin staining gradually overlapped the region of connexin43 expression. In contrast, the expression of N-cadherin was found to colocalize with that of connexin43 from the first appearance of connexin43 expression. Most significantly, although the domains of NCAM and tenascin expression were initially separate from that of connexin43, bone formation originated only in the region where these domains intersected. These findings suggest that, of the CAMs and SAMs examined, N-cadherin appears to be associated with the establishment of cell contacts responsible for the presence and/or maintenance of connexin43-mediated gap junctional communication, while tenascin and NCAM appear to be associated, in a more specific manner, with processes that accompany the overt expression of the osteogenic phenotype.

Localization of drug release sites from an oral sustained-release formulation of 5-ASA (Pentasa) in the gastrointestinal tract using gamma scintigraphy.

Release of 5-ASA from a sustained release formulation (Pentasa, Ferring A/S, Copenhagen, Denmark) was monitored with plasma sampling for up to 24 hours in nine volunteers under both fasted and fed conditions. Drug absorption was correlated with location of the sustained-release microgranules in the gastrointestinal tract by gamma scintigraphy. Disintegration of the labeled tablet preparation occurred in the stomach within 20 minutes and acetylated 5-ASA was detectable in the plasma less than 60 minutes after ingestion. No significant differences were detected in either transit times through the small intestine, peak plasma acetylated 5-ASA concentration or lag time to absorption between fasted and fed individuals. Peak plasma concentration of acetylated 5-ASA usually occurred when the microgranules were present in the small intestine or ascending colon. The pharmacoscintigraphic study confirmed that 5-ASA release from the formulation occurred throughout the gastrointestinal tract, and that food effects on the in vivo behavior of the preparation were minimal.

Determination of nitric acid in ambient air using diffusion denuder tubes.

A method has been developed for the determination of gaseous nitric acid in air based on its separation from particulate nitrate aerosol using diffusion denuder tubes. An integrated value of nitric acid concentration in air is obtained. The experimentally derived absorption efficiencies of the diffusion denuder tubes ranged from 87.6 to 96.9%. The standard deviation of the method was calculated as 0.10 mug/m(3) for nitric acid concentrations in the range 0.54-1.72 mug/m(3). A correction procedure, using two diffusion denuders in series, should be applied if measurements are made in the presence of high levels of nitrogen oxides.

Determination of traces of calcium, magnesium, iron and nickel in aluminium salts by atomic-absorption spectrophotometry with a microwave-excited source and hollow-cathode lamps.

The determination of trace amounts of calcium and magnesium in solutions containing large concentrations of aluminium salts may be accomplished by co-precipitating their hydroxides on iron(III) hydroxide, dissolving the precipitate, and extracting the 8-hydroxyquinolates of calcium and magnesium into methyl isobutyl ketone at about pH 11. The extract may be sprayed into the airpropane flame of a simple unmodulated spectrophotometer and atomic-absorption measurements for calcium and magnesium made at 4227 and 2852 A respectively. The limits of determination correspond to 10 and 1 ppm of calcium and magnesium in solid alumina. Iron and nickel may be co-precipitated on hydrated manganese(IV) oxide and their 8-hydroxyquinolates extracted at pH 4.5. Measurements of atomic absorption for these elements at 2483 and 2320 A respectively yield limits of determination corresponding to 10 ppm in alumina. Hollow-cathode lamps may be used for calcium, magnesium and nickel, but a simple microwave-excited discharge tube gives much better sensitivity than a hollow-cathode lamp for iron.