RESUMO
The compound "marennine" is a blue-green pigment produced by the benthic microalgae Haslea ostrearia, with pathogenicity reduction activities against some bacteria and promising potential as a natural pigment in seafood industries. After decades of research, the chemical family of this compound still remains unclear, mainly because structural studies were impaired by the presence of co-extracted compounds in marennine isolates. To improve the purity of marennine extract, we developed a novel extraction method using a graphitic stationary phase, which provides various advantages over the previous procedure using tandem ultrafiltration. Our method is faster, more versatile, provides a better crude yield (66%, compared to 57% for ultrafiltration) and is amenable to upscaling with continuous photobioreactor cultivation. Our goal was to take advantage of the modulable surface properties of the graphitic matrix by optimizing its interactions with marennine. As such, the effects of organic modifiers, pH and reducing agents were studied. With this improvement on marennine purification, we achieved altogether the isolation of a fucoidan-related, sulfated polysaccharide from blue water. Characterization of the polysaccharides fraction suggests that roughly half of UV-absorbing compounds could be isolated from the marennine crude extracts. The identification of sulfated polysaccharides could be a major breakthrough for marennine purification, providing targeted isolation techniques. Likewise, the added value of Haslea ostrearia and the role of polysaccharides in previous marennine chemical characterization and bioactivity studies remain to be determined.
Assuntos
Diatomáceas/química , Grafite/química , Fenóis/análise , Microextração em Fase Sólida/métodos , Espectroscopia de Ressonância Magnética/métodos , Espectroscopia de Ressonância Magnética/normas , Microalgas/química , Concentração Osmolar , Pigmentação/fisiologia , Pigmentos Biológicos/análise , Microextração em Fase Sólida/normas , Espectrofotometria Ultravioleta/métodos , Espectrofotometria Ultravioleta/normas , Ultrafiltração/métodos , Ultrafiltração/normasRESUMO
OBJECTIVE: Measurement of monoclonal immunoglobulins is a reliable estimate of the plasma cell tumor mass. About 15% of plasma cell myelomas secrete light chains only. The concentration of serum free light chains is insufficient evidence of the monoclonal light chain burden. A sensitive quantitative estimate of serum free monoclonal light chains could be useful for monitoring patients with light chain myeloma. We describe such an assay that does not require mass-spectrometry equipment or expertise. METHODS: Serum specimens from patients with known light chain myelomas and controls were subjected to ultrafiltration through a membrane with pore size of 50 kDa. The filtrate was concentrated and tested by immunofixation electrophoresis. The relative area under the monoclonal peak, compared to that of the total involved light chain composition, was estimated by densitometric scanning of immunofixation gels. The proportion of the area occupied by the monoclonal peak in representative densitometric scans was used to arrive at the total serum concentration of the monoclonal serum free light chains. RESULTS: Using an ultracentrifugation and concentration process, monoclonal serum free light chains were detectable, along with polyclonal light chains, in all 10 patients with active light chain myelomas. Monoclonal light chains were identified in serum specimens that did not reveal monoclonal light chains by conventional immunofixation electrophoresis. The limit of detection by this method was 1.0 mg/L of monoclonal serum free light chains. CONCLUSION: The method described here is simple enough to be implemented in academic medical center clinical laboratories and does not require special reagents, equipment, or expertise. Even though urine examination is the preferred method for the diagnosis of light chain plasma cell myelomas, measurement of the concentration of serum free light chains provides a convenient, albeit inadequate, way to monitor the course of disease. The method described here allows effective electrophoretic differentiation of monoclonal serum free light chain from polyclonal serum free light chains and provides a quantitation of the monoclonal serum free light chains in monitoring light chain monoclonal gammopathies.
Assuntos
Anticorpos Monoclonais/sangue , Imunoeletroforese , Cadeias Leves de Imunoglobulina/sangue , Ultrafiltração , Biomarcadores , Humanos , Imunoeletroforese/métodos , Imunoeletroforese/normas , Cadeias kappa de Imunoglobulina/sangue , Cadeias lambda de Imunoglobulina/sangue , Mieloma Múltiplo/sangue , Mieloma Múltiplo/diagnóstico , Sensibilidade e Especificidade , Ultrafiltração/métodos , Ultrafiltração/normasRESUMO
Polysulfone ultrafiltration (UF) and polypiperazine-amide nanofiltration (NF) membranes were first fabricated by phase inversion and interfacial polymerization, and then modified by the commonly used TiO2 on the membrane surface, respectively. Compared with the pristine UF and NF membranes, pure water flux decreased by 40.66% for modified UF membrane and 12.92% for modified NF membrane, while the contact angle of the modified membranes decreased from 66.5° to 35.3° for UF membrane and from 48.2° to37.7° for NF membrane. However, the membrane modified by TiO2 nanoparticles for both UF and NF membranes exhibited much better anti-fouling and separation performance for two types of oil-in-water emulsions with different droplet size (i.e., prepared oil-in-water emulsion with low salinity and oil produced water in Shengli oilfield, China). It was obvious that water flux of modified UF only slightly decreased and the stable water flux was 2.2 times and 15.6% higher than that of pristine membranes for the prepared oil-in-water emulsion and produced water, respectively. According to the five fouling models for UF, the TiO2 modified UF membrane could alleviate the fouling on membrane surface and greatly increase water flux by reducing the adsorption, deposition, blockage of membrane pores and formation of cake layer for two types of oil-in-water emulsion. For NF, water flux of the modified membrane increased by 66.1% and 22.8% for prepared oil-in-water emulsion and produced water, respectively. TiO2 coating effectively alleviated the oil adhesion and cake layer formation on the membrane surface.
Assuntos
Emulsões/química , Membranas Artificiais , Poluição por Petróleo , Piperazina/química , Polímeros/química , Sulfonas/química , Purificação da Água/métodos , China , Emulsões/isolamento & purificação , Óleos Industriais , Nanopartículas , Campos de Petróleo e Gás , Ultrafiltração/métodos , Ultrafiltração/normasRESUMO
BACKGROUND: Although net ultrafiltration (UFNET) is frequently used for treatment of fluid overload in critically ill patients with acute kidney injury, the optimal intensity of UFNET is unclear. Among critically ill patients with fluid overload receiving renal replacement therapy (RRT), we examined the association between UFNET intensity and risk-adjusted 1-year mortality. METHODS: We selected patients with fluid overload ≥ 5% of body weight prior to initiation of RRT from a large academic medical center ICU dataset. UFNET intensity was calculated as the net volume of fluid ultrafiltered per day from initiation of either continuous or intermittent RRT until the end of ICU stay adjusted for patient hospital admission body weight. We stratified UFNET as low (≤ 20 ml/kg/day), moderate (> 20 to ≤ 25 ml/kg/day) or high (> 25 ml/kg/day) intensity. We adjusted for age, sex, body mass index, race, surgery, baseline estimated glomerular filtration rate, oliguria, first RRT modality, pre-RRT fluid balance, duration of RRT, time to RRT initiation from ICU admission, APACHE III score, mechanical ventilation use, suspected sepsis, mean arterial pressure on day 1 of RRT, cumulative fluid balance during RRT and cumulative vasopressor dose during RRT. We fitted logistic regression for 1-year mortality, Gray's survival model and propensity matching to account for indication bias. RESULTS: Of 1075 patients, the distribution of high, moderate and low-intensity UFNET groups was 40.4%, 15.2% and 44.2% and 1-year mortality was 59.4% vs 60.2% vs 69.7%, respectively (p = 0.003). Using logistic regression, high-intensity compared with low-intensity UFNET was associated with lower mortality (adjusted odds ratio 0.61, 95% CI 0.41-0.93, p = 0.02). Using Gray's model, high UFNET was associated with decreased mortality up to 39 days after ICU admission (adjusted hazard ratio range 0.50-0.73). After combining low and moderate-intensity UFNET groups (n = 258) and propensity matching with the high-intensity group (n = 258), UFNET intensity > 25 ml/kg/day compared with ≤ 25 ml/kg/day was associated with lower mortality (57% vs 67.8%, p = 0.01). Findings were robust to several sensitivity analyses. CONCLUSIONS: Among critically ill patients with ≥ 5% fluid overload and receiving RRT, UFNET intensity > 25 ml/kg/day compared with ≤ 20 ml/kg/day was associated with lower 1-year risk-adjusted mortality. Whether tolerating intensive UFNET is just a marker for recovery or a mediator requires further research.
Assuntos
Estado Terminal/terapia , Ultrafiltração/normas , Equilíbrio Hidroeletrolítico/fisiologia , APACHE , Injúria Renal Aguda/mortalidade , Injúria Renal Aguda/fisiopatologia , Injúria Renal Aguda/terapia , Idoso , Peso Corporal/fisiologia , Estado Terminal/mortalidade , Feminino , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Mortalidade/tendências , Estudos Prospectivos , Terapia de Substituição Renal/métodos , Terapia de Substituição Renal/normas , Estudos Retrospectivos , Ultrafiltração/métodosRESUMO
This study investigated membrane fouling in a coagulation/ultrafiltration (C-UF) process by comparing the floc properties and humic acid (HA) removal efficiency of three hydrous Al(III) species (Ala, Alb, and Alc). The results indicated that the coagulation and membrane mechanisms were different for all three Al species because of the differences in floc properties. The HA removal efficiency increased with increasing Al dosage until an equilibrium was reached at the optimal dosage of 6â¯mgâ¯L-1. In addition, membrane fouling gradually decreased as the Al dosages increased. Regardless of coagulant type, the OH and COOH functional groups of HA reacted with the Al species. Both external and internal membrane fouling were strongly dependent on the porosity of the cake layer and on the size distribution of the floc particulates, respectively. The pore area of the cake layer formed by the Ala-coagulated effluent was large because of the strong charge neutralization. Moreover, Ala generated large and loose flocs with a porous cake layer that mitigated external fouling. However, the internal fouling with the Alc coagulant was significant because the concentration of residual aggregates in the membrane pores was high.
Assuntos
Alumínio/química , Substâncias Húmicas/análise , Membranas Artificiais , Ultrafiltração/normas , Floculação , Ultrafiltração/métodos , Purificação da Água/métodosRESUMO
BACKGROUND: Higher ultrafiltration (UF) rates and extracellular hypo- and hypervolemia are associated with adverse outcomes among maintenance hemodialysis patients. The Centers for Medicare and Medicaid Services recently considered UF rate and target weight achievement measures for ESRD Quality Incentive Program inclusion. The dual measures were intended to promote balance between too aggressive and too conservative fluid removal. The National Quality Forum endorsed the UF rate measure but not the target weight measure. We examined the proposed target weight measure and quantified weight gains if UF rate thresholds were applied without treatment time (TT) extension or interdialytic weight gain (IDWG) reduction. METHODS: Data were taken from the 2012 database of a large dialysis organization. Analyses considered 152,196 United States hemodialysis patients. We described monthly patient and dialysis facility target weight achievement patterns and examined differences in patient characteristics across target weight achievement status and differences in facilities across target weight measure scores. We computed the cumulative, theoretical 1-month fluid-related weight gain that would occur if UF rates were capped at 13 mL/h/kg without concurrent TT extension or IDWG reduction. RESULTS: Target weight achievement patterns were stable over the year. Patients who did not achieve target weight (post-dialysis weight ≥ 1 kg above or below target weight) tended to be younger, black and dialyze via catheter, and had shorter dialysis vintage, greater body weight, higher UF rate and more missed treatments compared with patients who achieved target weight. Facilities had, on average, 27.1 ± 9.7% of patients with average post-dialysis weight ≥ 1 kg above or below the prescribed target weight. In adjusted analyses, facilities located in the midwest and south and facilities with higher proportions of black and Hispanic patients and higher proportions of patients with shorter TTs were more likely to have unfavorable facility target weight measure scores. Without TT extension or IDWG reduction, UF rate threshold (13 mL/h/kg) implementation led to an average theoretical 1-month, fluid-related weight gain of 1.4 ± 3.0 kg. CONCLUSIONS: Target weight achievement patterns vary across clinical subgroups. Implementation of a maximum UF rate threshold without adequate attention to extracellular volume status may lead to fluid-related weight gain.
Assuntos
Peso Corporal/fisiologia , Líquido Extracelular/fisiologia , Diálise Renal/tendências , Idoso , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Diálise Renal/efeitos adversos , Ultrafiltração/métodos , Ultrafiltração/normas , Aumento de Peso/fisiologiaRESUMO
Membrane fouling has been a main obstacle to the success of ultrafiltration (UF) technology. Recently, fluorescent natural organic matter (FNOM), including humic-like substances (HS) and protein-like substances, has been recognized as substances responsible for membrane fouling. In this study, the matrix of FNOM in natural river water was substantially modified by combined coagulation and powdered activated carbon adsorption to enhance the diversity of the FNOM matrix. Fluorescence excitation emission matrix spectroscopy was employed to characterize FNOM components during the UF process. The correlations between FNOM components of the feedwater and membrane fouling were evaluated for the initial period and long-term operation. Reliable correlations of the maximum fluorescence intensity of HS with initial membrane fouling indicated that HS were major foulants in the initial period. Furthermore, the protein-like component exhibited significant correlation with the concentration effect fouling (R2 = 0.6131) and with irreversible fouling (R2 = 0.8711). We found that the fouling mechanism changed from pore obstruction to a protein concentration polarization layer followed by protein cake layer filtration. Total fouling of the UF membrane over long-term operation was alleviated with powdered activated carbon (PAC) adsorption; however, the mitigation of irreversible fouling was dependent on whether PAC adsorbed protein-like substances.
Assuntos
Substâncias Húmicas , Membranas Artificiais , Ultrafiltração/normas , Adsorção , Carvão Vegetal/química , Corantes , Água Doce/química , Purificação da Água/métodosRESUMO
The need for high-concentration formulations for subcutaneous delivery of therapeutic monoclonal antibodies (mAbs) can present manufacturability challenges for the final ultrafiltration/diafiltration (UF/DF) step. Viscosity levels and the propensity to aggregate are key considerations for high-concentration formulations. This work presents novel frameworks for deriving a set of manufacturability indices related to viscosity and thermostability to rank high-concentration mAb formulation conditions in terms of their ease of manufacture. This is illustrated by analyzing published high-throughput biophysical screening data that explores the influence of different formulation conditions (pH, ions, and excipients) on the solution viscosity and product thermostability. A decision tree classification method, CART (Classification and Regression Tree) is used to identify the critical formulation conditions that influence the viscosity and thermostability. In this work, three different multi-criteria data analysis frameworks were investigated to derive manufacturability indices from analysis of the stress maps and the process conditions experienced in the final UF/DF step. Polynomial regression techniques were used to transform the experimental data into a set of stress maps that show viscosity and thermostability as functions of the formulation conditions. A mathematical filtrate flux model was used to capture the time profiles of protein concentration and flux decay behavior during UF/DF. Multi-criteria decision-making analysis was used to identify the optimal formulation conditions that minimize the potential for both viscosity and aggregation issues during UF/DF. Biotechnol. Bioeng. 2017;114: 2043-2056. © 2017 The Authors. Biotechnology and Bioengineering Published by Wiley Perodicals, Inc.
Assuntos
Anticorpos Monoclonais/química , Anticorpos Monoclonais/isolamento & purificação , Composição de Medicamentos/métodos , Composição de Medicamentos/normas , Ultrafiltração/métodos , Ultrafiltração/normas , Estabilidade de Medicamentos , Guias como Assunto , Temperatura , ViscosidadeRESUMO
Minimization and management of membrane fouling is a formidable challenge in diverse industrial processes and other practices that utilize membrane technology. Understanding the fouling process could lead to optimization and higher efficiency of membrane based filtration. Here we show the design and fabrication of an automated three-dimensionally (3-D) printed microfluidic cross-flow filtration system that can test up to 4 membranes in parallel. The microfluidic cells were printed using multi-material photopolymer 3-D printing technology, which used a transparent hard polymer for the microfluidic cell body and incorporated a thin rubber-like polymer layer, which prevents leakages during operation. The performance of ultrafiltration (UF), and nanofiltration (NF) membranes were tested and membrane fouling could be observed with a model foulant bovine serum albumin (BSA). Feed solutions containing BSA showed flux decline of the membrane. This protocol may be extended to measure fouling or biofouling with many other organic, inorganic or microbial containing solutions. The microfluidic design is especially advantageous for testing materials that are costly or only available in small quantities, for example polysaccharides, proteins, or lipids due to the small surface area of the membrane being tested. This modular system may also be easily expanded for high throughput testing of membranes.
Assuntos
Incrustação Biológica/prevenção & controle , Contaminação de Equipamentos/prevenção & controle , Membranas Artificiais , Microfluídica/métodos , Nanotecnologia/métodos , Ultrafiltração/métodos , Teste de Materiais/métodos , Impressão Tridimensional , Soroalbumina Bovina/análise , Ultrafiltração/normasRESUMO
Hookworm infection contributes around 700 million infections worldwide especially in developing nations due to increased use of wastewater for crop production. The effective recovery of hookworm ova from wastewater matrices is difficult due to their low concentrations and heterogeneous distribution. In this study, we compared the recovery rates of (i) four rapid hookworm ova concentration methods from municipal wastewater, and (ii) two concentration methods from sludge samples. Ancylostoma caninum ova were used as surrogate for human hookworm (Ancylostoma duodenale and Necator americanus). Known concentration of A. caninum hookworm ova were seeded into wastewater (treated and raw) and sludge samples collected from two wastewater treatment plants (WWTPs) in Brisbane and Perth, Australia. The A. caninum ova were concentrated from treated and raw wastewater samples using centrifugation (Method A), hollow fiber ultrafiltration (HFUF) (Method B), filtration (Method C) and flotation (Method D) methods. For sludge samples, flotation (Method E) and direct DNA extraction (Method F) methods were used. Among the four methods tested, filtration (Method C) method was able to recover higher concentrations of A. caninum ova consistently from treated wastewater (39-50%) and raw wastewater (7.1-12%) samples collected from both WWTPs. The remaining methods (Methods A, B and D) yielded variable recovery rate ranging from 0.2 to 40% for treated and raw wastewater samples. The recovery rates for sludge samples were poor (0.02-4.7), although, Method F (direct DNA extraction) provided 1-2 orders of magnitude higher recovery rate than Method E (flotation). Based on our results it can be concluded that the recovery rates of hookworm ova from wastewater matrices, especially sludge samples, can be poor and highly variable. Therefore, choice of concentration method is vital for the sensitive detection of hookworm ova in wastewater matrices.
Assuntos
Ancylostoma/isolamento & purificação , Águas Residuárias/parasitologia , Purificação da Água/normas , Ancylostoma/genética , Animais , Centrifugação/normas , DNA de Helmintos/isolamento & purificação , DNA Espaçador Ribossômico/análise , Cães , Fezes/parasitologia , Filtração/normas , Humanos , Óvulo , Queensland , RNA Ribossômico 5,8S/genética , Reação em Cadeia da Polimerase em Tempo Real/normas , Padrões de Referência , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Esgotos/parasitologia , Ultrafiltração/métodos , Ultrafiltração/normas , Purificação da Água/métodos , Austrália OcidentalRESUMO
The U.S. Environmental Protection Agency's (EPA) Water Laboratory Alliance (WLA) currently uses ultrafiltration (UF) for concentration of biosafety level 3 (BSL-3) agents from large volumes (up to 100-L) of drinking water prior to analysis. Most UF procedures require comprehensive training and practice to achieve and maintain proficiency. As a result, there was a critical need to develop quality control (QC) criteria. Because select agents are difficult to work with and pose a significant safety hazard, QC criteria were developed using surrogates, including Enterococcus faecalis and Bacillus atrophaeus. This article presents the results from the QC criteria development study and results from a subsequent demonstration exercise in which E. faecalis was used to evaluate proficiency using UF to concentrate large volume drinking water samples. Based on preliminary testing EPA Method 1600 and Standard Methods 9218, for E. faecalis and B. atrophaeus respectively, were selected for use during the QC criteria development study. The QC criteria established for Method 1600 were used to assess laboratory performance during the demonstration exercise. Based on the results of the QC criteria study E. faecalis and B. atrophaeus can be used effectively to demonstrate and maintain proficiency using ultrafiltration.
Assuntos
Bacillus/isolamento & purificação , Biomarcadores , Água Potável/microbiologia , Enterococcus faecalis/isolamento & purificação , Ensaio de Proficiência Laboratorial/métodos , Ultrafiltração/normas , Poluição da Água , Controle de QualidadeRESUMO
BACKGROUND: Multipass hemodialysis (MPHD) is a recently described dialysis modality, involving the use of small volumes of dialysate which are repetitively recycled. Dialysis regimes of 8 hours for six days a week using this device result in an increased removal of small water soluble solutes and middle molecules compared to standard hemodialysis (SHD). Since protein-bound solutes (PBS) exert important pathophysiological effects, we investigated whether MPHD results in improved removal of PBS as well. METHODS: A cross-over study (Clinical Trial NCT01267760) was performed in nine stable HD patients. At midweek a single dialysis session was performed with either 4 hours SHD using a dialysate flow of 500 mL/min or 8 hours MPHD with a dialysate volume of 50% of estimated body water volume. Blood and dialysate samples were taken every hour to determine concentrations of p-cresylglucuronide (PCG), hippuric acid (HA), indole acetic acid (IAA), indoxyl sulfate (IS), and p-cresylsulfate (PCS). Dialyser extraction ratio, reduction ratio, and solute removal were calculated for these solutes. RESULTS: Already at 60 min after dialysis start, the extraction ratio in the hemodialyser was a factor 1.4-4 lower with MPHD versus SHD, resulting in significantly smaller reduction ratios and lower solute removal within a single session. Even when extrapolating our findings to 3 times 4 h SHD and 6 times 8 h MPHD per week, the latter modality was at best similar in terms of total solute removal for most protein-bound solutes, and worse for the highly protein-bound solutes IS and PCS. When efficiency was calculated as solute removal/litre of dialysate used, MPHD was found superior to SHD. CONCLUSION: When high water consumption is a concern, a treatment regimen of 6 times/week 8 h MPHD might be an alternative for 3 times/week 4 h SHD, but at the expense of a lower total solute removal of highly protein-bound solutes.
Assuntos
Agendamento de Consultas , Soluções para Hemodiálise , Falência Renal Crônica/terapia , Proteínas , Diálise Renal/normas , Idoso , Estudos Cross-Over , Feminino , Humanos , Falência Renal Crônica/diagnóstico , Masculino , Pessoa de Meia-Idade , Prognóstico , Diálise Renal/métodos , Fatores de Tempo , Resultado do Tratamento , Ultrafiltração/métodos , Ultrafiltração/normas , Ureia/análise , Ácido Úrico/análiseRESUMO
Increasing the temperature of microfiltration (MF) to >50°C may allow for operation at higher fluxes and reduce the bacterial growth during MF. However, there is a concern that operating at higher temperatures could cause calcium phosphate precipitation that would lead to membrane fouling. Our objective was to determine the effect of operating a 0.1-µm ceramic uniform transmembrane pressure MF unit at temperatures of 50, 55, 60, and 65°C on membrane fouling and serum protein (SP) removal from skim milk with and without removal of low-molecular-weight soluble milk components by ultrafiltration (UF) before MF at a flux of 54kg/m(2) per hour. For each replicate, 1,000kg of pasteurized skim milk was split into 2 batches. One batch was ultrafiltered (with diafiltration) to remove an average of 89±2% of the lactose and a percentage of the soluble calcium and phosphorus. The retentate from UF was diluted back to the protein concentration of skim milk, creating the diluted UF retentate (DUR). On subsequent days, both the DUR and skim milk were run on the MF unit with the flux maintained at 54kg/m(2) per hour and a concentration factor of 3× and the system run in recycle mode. The temperature of MF was increased in 5°C steps from 50 to 65°C, with a 1-h stabilization period after each increase. During the run, transmembrane pressure was monitored and permeate and retentate samples were taken and analyzed to determine if any changes in SP, calcium, or phosphorus passage through the membrane occurred. Increasing temperature of MF from 50 to 65°C at a flux of 54kg/m(2) per hour did not produce a large increase in membrane fouling when using either skim milk or a DUR as the MF feed type as measured by changes in transmembrane pressure. Increasing the temperature to 65°C only caused a slight reduction in calcium concentration in the permeate (11±3%) that was similar between the 2MF feed types. Increasing processing temperature reduced the percentage of SP removal by the process, but the increased temperature also caused a decrease in casein contamination in the permeate with no evidence of membrane fouling.
Assuntos
Manipulação de Alimentos , Temperatura Alta , Leite/química , Ultrafiltração/métodos , Análise de Variância , Animais , Proteínas Sanguíneas/análise , Cálcio/análise , Caseínas/análise , Cerâmica , Feminino , Membranas Artificiais , Filtros Microporos/normas , Modelos Biológicos , Nitrogênio/análise , Pasteurização , Permeabilidade , Fósforo/análise , Pressão , Ultrafiltração/instrumentação , Ultrafiltração/normasRESUMO
The interaction forces between effluent organic matter (EfOM) fractions and membrane were measured by atomic force microscopy in conjunction with self-made membrane material colloidal probes. The inter-EfOM-fraction and intra-EfOM-fraction interactions were investigated using corresponding EfOM-fraction-coated colloidal probe. We combined this analysis with corresponding fouling experiments to identify the EfOM fractions responsible for polyvinylidene fluoride (PVDF) ultrafiltration membrane fouling. Results show that hydrophilic and hydrophobic fractions were the dominant fractions responsible for membrane fouling and flux decline in the initial and later filtration stages, respectively, which was mainly attributed to the stronger PVDF-hydrophilic fraction and intra-hydrophobic-fraction interaction forces. This phenomenon, in conjunction with the fact that each interaction force of PVDF-EfOM fraction was stronger than corresponding intra-EfOM-fraction force, suggests that the elimination of the PVDF-hydrophilic fraction interaction force is the best strategy for controlling EfOM fouling. Moreover, the inter-EfOM-fraction interaction force was mainly controlled by the corresponding intra-EfOM-fraction interaction forces. And, while the membrane-EfOM fraction and intra-EfOM-fraction interactions for each type of EfOM fraction are equivalent, the EfOM fractions with the molecular weight smaller than the molecular weight cutoff of the membranes used were mainly responsible for membrane fouling rather than the relatively high-molecular-weight fractions.
Assuntos
Membranas Artificiais , Polivinil/química , Ultrafiltração/normas , Purificação da Água/métodos , Compostos Orgânicos/isolamento & purificaçãoRESUMO
In this study, the virus-removal capacity of nanofiltration was assessed using validated laboratory scale models on a wide range of viruses (pseudorabies virus; human immunodeficiency virus; bovine viral diarrhea virus; West Nile virus; hepatitis A virus; murine encephalomyocarditis virus; and porcine parvovirus) with sizes from 18 nm to 200 nm and applying the different process conditions existing in a number of Grifols' plasma-derived manufacturing processes (thrombin, α1-proteinase inhibitor, Factor IX, antithrombin, plasmin, intravenous immunoglobulin, and fibrinogen). Spiking experiments (n = 133) were performed in process intermediate products, and removal was subsequently determined by infectivity titration. Reduction Factor (RF) was calculated by comparing the virus load before and after nanofiltration under each product purification condition. In all experiments, the RFs were close to or greater than 4 log10 (>99.99% of virus elimination). RF values were not significantly affected by the process conditions within the limits assayed (pH, ionic strength, temperature, filtration ratio, and protein concentration). The virus-removal capacity of nanofiltration correlated only with the size of the removed agent. In conclusion, nanofiltration, as used in the manufacturing of several Grifols' products, is consistent, robust, and not significantly affected by process conditions.
Assuntos
Produtos Biológicos/efeitos adversos , Segurança , Ultrafiltração/normas , Vírus/isolamento & purificação , Ultrafiltração/métodosRESUMO
Renal failure is common in patients with severe heart failure. This complex pathophysiological interaction has been classified as cardio-renal syndrome. In these patients hydropic decompensation is the main cause of hospitalization. In patients with refractory heart failure, characterized by diuretic resistance and congestion due to volume overload, ultrafiltration has to be considered. In acute decompensated heart failure with worsening of renal function, extracorporeal ultrafiltration is the preferred treatment modality. On the other hand, patients suffering from chronic decompensated heart failure, particularly patients with ascites, will profit from the treatment specific advantages of peritoneal ultrafiltration. Prerequisite for an optimized care of patients with cardio-renal syndrome is the close collaboration among intensive care doctors, cardiologists and nephrologists.
Assuntos
Síndrome Cardiorrenal/reabilitação , Cardiologia/normas , Hemodiafiltração/normas , Nefrologia/normas , Guias de Prática Clínica como Assunto , Alemanha , Humanos , Ultrafiltração/normasRESUMO
OBJECTIVES: Few studies mention how to objectively adjust peritoneal dialysis (PD) dwell volume for adult continuous ambulatory peritoneal dialysis (CAPD) patients. We proposed a reference equation composed of parameters from the peritoneal equilibrium test (PET) for adjusting daily dialysate dwell volume to obtain more ultrafiltration volume. Better fluid control could reduce more fluid overload-related complications. DESIGN: We used body mass index, waist circumference, intraperitoneal pressure, and other parameters from peritoneal equilibrium test to compose a reference equation for fine-tuning daily dwell volume. PATIENTS AND SETTING: Eighty-eight PD patients in one center with laboratory data collected during half-yearly PET evaluations were enrolled. Instilled dialysate was composed of 2.57% glucose PD fluid, either 1500 ml or 2000 ml in volume. In addition to other demographic data, intraperitoneal pressure (IPP) was also measured twice in the supine position four hours apart. We applied statistical multivariate techniques of discrimination analysis and logistic regression to verify the most feasible and optimal formula to determine infill volumes for patients. RESULTS: We determined a novel formula for calculating daily dialysate dwell volume, Z: Z = (0.523 x waist circumference) + (0.852 x body mass index), derived from rotating axes to obtain an accurate prediction rate of 80.68% using the multivariate approach. CONCLUSION: The novel formula used objective, real-time parameters for determining appropriate dwell volumes for PD patients to optimize maximal ultrafiltration volumes and reduce subjective abdominal discomfort. The novel formula makes frequent adjustment of daily dwell volume by physicians or patients easy to calculate.
Assuntos
Soluções para Hemodiálise/administração & dosagem , Diálise Peritoneal Ambulatorial Contínua/normas , Ultrafiltração/normas , Adolescente , Adulto , Idoso , Índice de Massa Corporal , Estudos Transversais , Análise Discriminante , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Pressão , Valores de Referência , Decúbito Dorsal , Taiwan , Circunferência da CinturaAssuntos
Indústria Farmacêutica/organização & administração , Microbiologia Industrial/normas , Microbiologia Industrial/tendências , Infusões Parenterais/normas , Mycoplasma/isolamento & purificação , Animais , Técnicas de Cultura de Células/normas , Congressos como Assunto , Contaminação de Medicamentos/prevenção & controle , Indústria Farmacêutica/métodos , Indústria Farmacêutica/normas , Indústria Farmacêutica/tendências , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/microbiologia , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/prevenção & controle , Humanos , Microbiologia Industrial/métodos , Infusões Parenterais/efeitos adversos , Infusões Parenterais/métodos , Técnicas Microbiológicas/normas , Mycoplasma/crescimento & desenvolvimento , Mycoplasma/fisiologia , Ultrafiltração/métodos , Ultrafiltração/normasRESUMO
BACKGROUND: A recent study by Jeloka et al. (Perit Dial Int 2006; 26:336-40) highlighted the high variability in maximum ultrafiltered volume (UF(max)) and the corresponding dwell time (t(max)) obtained using 7.5% icodextrin solution. We aimed to pinpoint the possible sources of this phenomenon by simulating the icodextrin ultrafiltration (UF) profiles according to the three-pore model of peritoneal transport. METHOD: The individual UF time courses observed in the study by Jeloka et al. (n = 29) were first characterized by linear and quadratic regression. We were then able to identify four main patterns. These were then adapted to UF profiles generated by the three-pore model by systematically altering the values of some model parameters, namely, the mass transfer area coefficient (MTAC or PS) for icodextrin/glucose, the peritoneal UF coefficient (LpS), the plasma colloid osmotic pressure gradient (DeltaPi), and the macromolecular clearance out of the peritoneal cavity (Cl(LF)). RESULTS: Modifications in the PS values caused only marginal variations in UF(max) and t(max), while more significant changes were produced by altering LpS and Cl(LF). However, far more evident was the importance of changes in DeltaPi. In fact, lowering DeltaPi to 14 mmHg caused a steady increase in UF with 10 - 14 hour dwells. On the contrary, the UF profiles became nearly "flat" when DeltaPi was increased to 30 mmHg. The parallel shifts induced by altering icodextrin metabolite concentrations did not markedly influence UF(max) or t(max). CONCLUSION: The UF pattern in icodextrin dwells seem to be mainly determined by the plasma colloid osmotic pressure, while only moderate changes can be seen with alterations in LpS and Cl(LF). The result is not completely unexpected considering that icodextrin acts by inducing a strong colloid osmotic gradient. A number of clinical studies would be needed, however, in order to prove this hypothesis.
Assuntos
Soluções para Diálise/farmacocinética , Glucanos/farmacocinética , Glucose/farmacocinética , Diálise Peritoneal/métodos , Peritônio/metabolismo , Ultrafiltração/normas , Seguimentos , Humanos , Icodextrina , Falência Renal Crônica/metabolismo , Falência Renal Crônica/terapia , Modelos Teóricos , Pressão Osmótica , Peritônio/efeitos dos fármacosRESUMO
Characterization of molecular size of natural organic matter (NOM) is a valuable tool when assessing its effect on the performance of water treatment systems as well as its geochemical origin. Size fractionation can be accomplished by ultrafiltration (UF). Unfortunately, membrane manufacturing generates a range of pore sizes. Many membrane manufacturers use molecular weight cutoff (MWCO) metric based on a 90% retention of given solute after specified duration of filtration. The objective of this study was to characterize the ability of different commercially available UF membranes to separate different size fractions of NOM. The UF membranes characterized were YM (regenerated cellulose, negatively charged) and PB (polyethersulfone, negatively charged) product lines by Millipore. The probes used to represent the size, shape and charge of NOM were polymers (polyethylene glycols (PEGs), dextrans, polystyrene sulfonates (PSSs)), dyes (bromocresol green, congo red, methyl red, methyl orange) and biological molecules (vitamin B-12 and bacitracin). The results show that MWCO definition does not hold for membranes of 5kDa and 10kDa pore openings using most polymers and dyes. The MWCO definition holds for 1kDa membrane for all tested probes. Under natural water conditions PSSs assume random coil configurations that are nearly identical to Suwannee fulvic acid. The results show that PSS agrees with stated MWCOs. The study demonstrates that ultrafiltration is not a simple mechanical sieving process, but that charges on the membrane and the constituent play a significant role in the rejection process. Effective probe size was increased seven- to fourteen-fold by charge interactions between the negative probes and negatively charged membrane. Uncharged molecules larger than specified MWCOs are able to pass through pores (PEGs), while small charged molecules (dyes) do not pass. For probes with low or neutral charges, shape becomes an important factor, with globular being favored over linear structure. Thus, MWCOs cannot be trusted for purposes of NOM size characterization. The study recommends the use of YM 1K, PB 5K and YM 10kDa membranes for comparative-only NOM size ultrafiltration characterization within the 1-10kDa size range.