Spinodal decomposition of chemically reactive binary mixtures.

We simulate the influence of a reversible isomerization reaction on the phase segregation process occurring after spinodal decomposition of a deeply quenched regular binary mixture, restricting attention to systems wherein material transport occurs solely by diffusion. Our theoretical approach follows a diffuse-interface model of partially miscible binary mixtures wherein the coupling between reaction and diffusion is addressed within the frame of nonequilibrium thermodynamics, leading to a linear dependence of the reaction rate on the chemical affinity. Ultimately, the rate for an elementary reaction depends on the local part of the chemical potential difference since reaction is an inherently local phenomenon. Based on two-dimensional simulation results, we express the competition between segregation and reaction as a function of the Damköhler number. For a phase-separating mixture with components having different physical properties, a skewed phase diagram leads, at large times, to a system converging to a single-phase equilibrium state, corresponding to the absolute minimum of the Gibbs free energy. This conclusion continues to hold for the critical phase separation of an ideally perfectly symmetric binary mixture, where the choice of final equilibrium state at large times depends on the initial mean concentration being slightly larger or less than the critical concentration.

Buoyancy-driven detachment of a wall-bound pendant drop: interface shape at pinchoff and nonequilibrium surface tension.

We present numerical results from phase-field simulations of the buoyancy-driven detachment of an isolated, wall-bound pendant emulsion droplet acted upon by surface tension and wall-normal buoyancy forces alone. Our theoretical approach follows a diffuse-interface model for partially miscible binary mixtures which has been extended to include the influence of static contact angles other than 90^{∘}, based on a Hermite interpolation formulation of the Cahn boundary condition as first proposed by Jacqmin [J. Fluid Mech. 402, 57 (2000)JFLSA70022-112010.1017/S0022112099006874]. In a previous work, this model has been successfully employed for simulating triphase contact line problems in stable emulsions with nearly immiscible components, and, in particular, applied to the determination of critical Bond numbers for buoyancy-driven detachment as a function of static contact angle. Herein, the shapes of interfaces at pinchoff are investigated as a function of static contact angle and distance to the critical condition. Furthermore, we show numerical results on the nonequilibrium surface tension that help to explain the discrepancy between our numerically determined static contact angle dependence of the critical Bond number and its sharp-interface counterpart based on a static stability analysis of equilibrium shapes after numerical integration of the Young-Laplace equation. Finally, we show the influence of static contact angle and distance to the critical condition on the temporal evolution of the minimum neck radius in the necking regime of drop detachment.

[EMG and forces during manoeuvring of ceiling-based and floor-based patient transfer devices]. / EMG e forze applicate durante l'utilizzo dei sollevatori per pazienti di tipo carrellato e a soffitto.

A laboratory and on-the-field study was conducted to compare Floor-Based (FB) and Ceiling-Based (CB) patients transfer devices. Pushing and pulling forces were measured by means of computer assisted dynamometer. EMG signals were measured. Standardized patient transfers were setup in the room (bed-chair-door-return). FB devices showed pushing and pulling forces higher than CB ones. CB paths were the smoothest and EMG data related to upper arms and trunk muscles showed stable lower loads for CB. The study suggests that CB patient transfer devices reduced the load. CBs seem the best tools for patient handling.

Continuous veno-venous hemofiltration with regional citrate anticoagulation: a four-year single-center experience.

BACKGROUND: Hemofiltration protocols using a citrate-buffered replacement solution offer the advantage of regional anticoagulation and a buffer effect. The role played by such fluids in clinical practice is not yet well established. The risk of electrolytic disorders, acid-base imbalance, or citrate accumulation should be clarified. We report on a renal therapy protocol based on a citrate isonatremic replacement solution. METHOD: We considered all patients needing renal replacement therapy admitted to our cardiovascular intensive care unit between January 2003 and June 2007. A citrate-buffered fluid was delivered in predilution mode to a post-filter ionized calcium target < or = 0.25 mmol/L. Extracorporeal blood flow was set at a constant of 140+/-10 ml/min. Blood calcemia was maintained by a 5% calcium-chloride solution infused into the patient. We recorded the patients' acid-base variables, ionized calcium, daily electrolytes, albumin, urea and filter life-span. RESULTS: We observed 101 consecutive patients out of 2,523; incidence 4%, overall mortality was 57% at ICU discharge. Mean replacement rate was 2,554+/-475 ml/h corresponding to 34+/-5 ml/kg/h. Mean patient ionized calcium level was 1.07+/-0.04 mmo/L, maintained by 13+/-2 ml/h of infused calcium-chloride. All other electrolytes remained in the normal range. The Stewart biophysical approach confirmed a strong anion gap of 3.1+/- 3 meq/L. Acid-base balance showed a buffer effect. Mean filter life-span was 52+/-11 h. CONCLUSION: Renal replacement therapy based on citrate-buffered fluid may be useful in clinical practice. This methodology presented an adequate metabolic control and allowed regional anticoagulation. A sufficient calcium supply was mandatory to avoid hypocalcemia. The small strong ion gap suggested a modest citrate accumulation.

Effects of quenching rate and viscosity on spinodal decomposition.

Spinodal decomposition of deeply quenched mixtures is studied experimentally, with particular emphasis on the domain growth rate during the late stage of coarsening. We provide some experimental evidence that at high Péclet number, the process is isotropic and the domain growth is linear in time, even at finite quenching rates. In fact, the quenching rate appears to influence the magnitude of the growth rate, but not its scaling law. In the second part of the work we analyze the effect of viscosity on the growth rate. As predicted by the diffuse interface model, we do not find any effect of viscosity on the growth rate of the nucleating drops, although, as expected, the viscosity of the continuous phase does influence the settling speed and thus the total separation time.

Transport properties of EVAl-starch-alpha amylase membranes.

We investigated the influence of various physicochemical parameters on the morphology and time-porosity formation of membranes composed of ethylene-vinyl alcohol, starch, and alpha-amylase. In particular, we determined that (1) it is possible to obtain a membrane with desired porosity by phase inversion in an appropriate water-ethanol mixture and (2) the enzymatic bioerosion is controlled by the amount of alpha-amylase present in the blend. Although no experiments involving drugs were carried out, the delivery properties of the film were determined by measuring the Darcy permeability, the effective diffusivity, and the mean reaction rate of the membranes, relating them to the modality of membrane preparation, the amount of enzyme present within the membrane, and the incubation time of the samples in a buffer solution. Simple theoretical models of the delivery properties of the membranes were developed, leading to predictions that were in good agreement with the experimental results.

Diffusiophoresis of two-dimensional liquid droplets in a phase-separating system.

The motion of phase-separating liquid drops was simulated in two dimensions following the model H, where convection and diffusion are coupled via a body force, expressing the tendency of demixing systems to minimize their free energy. This driving force depends on the capillary number, i.e., the ratio of viscous to thermal forces, which in a typical case is of order 10(-4), inducing a convective material flux much larger than its diffusive counterpart. Three problems were considered. In the first, we studied the motion of a single drop immersed in a continuum field with constant concentration gradient, finding that the drop speed is proportional to the concentration gradient and inversely proportional to the capillary number. In the second problem, we found that the motion of a single drop immersed in a homogeneous concentration field depends on the difference (Delta(phi))(0) between the initial concentration of the continuum phase and its equilibrium value. In fact, when (Delta(phi))(0)<0, the drop shrinks without moving, while when (Delta(phi))(0)>0, the drop consumes material from the surrounding field and moves randomly, propelled by the induced capillary driving force. During its movement, the drop grows linearly in time, with a growth rate proportional to the ratio between molecular diffusivity and interface thickness. In addition, during its random motion, the drop mean square displacement grows linearly with time, with an effective diffusion coefficient which is of the same magnitude as the molecular diffusivity. The predicted drop growth rate and mean velocity are in good agreement with experimental observations. Finally, the motion of two drops is studied, showing that the capillary forces induce a mutual attraction between the two drops. When (Delta(phi))(0)<0, the attractive force is unchallenged, thus leading always to coalescence, while when (Delta(phi))(0)>0 a screening effect arises which may keep the two drops apart from each other.

Two-dimensional model of phase segregation in liquid binary mixtures.

The hydrodynamic effects on the late stage kinetics of phase separation in liquid mixtures is studied using the model H. Mass and momentum transport are coupled via a nonequilibrium body force, which is proportional to the Peclet number alpha, i.e., the ratio between convective and diffusive molar fluxes. Numerical simulations based on this theoretical model show that phase separation in low viscosity, liquid binary mixtures is mostly driven by convection, thereby explaining the experimental findings that the process is fast, with the typical size of single-phase domains increasing linearly with time. However, as soon as sharp interfaces form, the linear growth regime reaches an end, and the process appears to be driven by diffusion, although the condition of local equilibrium is not reached. During this stage, the typical size of the nucleating drops increases like t(n), where 1/3< n <1/2, depending on the value of the Peclet number. As the Peclet number increases, the transition between convection- and diffusion-driven regimes occurs at larger times, and therefore for larger sizes of the nucleating drops.

Molecules and morphology: conflicts and congruence within the fern genus Trichomanes (Hymenophyllaceae).

The interaction between three independent data sets (anatomy/morphology, cytology, molecules) has been evaluated within the controversial genus Trichomanes (Hymenophyllaceae). Anatomy/morphology, cytology, and rbcL sequences, despite their high and significant level of incongruence, were thus empirically combined with differential weighting in a cladistic analysis within Trichomanes in order to give an appreciation of the contribution of each data set in the resulting topologies and to study more precisely the nature of potential conflicts. Results show that any standard statistics values (such as bootstrap) do not appear to be objectively useful for the choice of the "best" topology or the "good" clades provided by the combination. This weighting approach reveals three cases: (i) some clades (such as subgenus Didymoglossum) are always retrieved and correspond to the absence of conflicts between the different data, (ii) some new clades (such as subgenus Achomanes) are either provided or reenforced as a "synergetic" result of the combination of the data and (iii) that remaining conflicting clades reflect the persistence of incongruence between data whatever the weighting.

[Invaginating colonic lipoma as a cause of intestinal occlusion]. / Lipomi del colon invaginanti causa di occlusione intestinale.

The authors describe three cases of single invaginating colon lipoma, causing ileus. They review the literature and make some remarks.

[Serology study for HBV and HIV-1 in a cohort of parenteral drug addicts]. / Studio della sierologia per HBV e HIV1 in una coorte di tossicodipendenti per via parenterale.

We studied 335 subjects, all drug addicts for the presence of the following serological markers: HIV1 antibody, HBsAg, HBsAb, HBcAb totals. We conclude that subjects HIV1 positive (n. 149) present HBsAb in a significantly lower number (p greater than 0.001) than HIV1 negative subjects (n. 95). The presence of HBcAb isolated is significantly higher (p greater than 0.001) in subjects HIV1 positive. They show an altered serological response to HBV compared to subjects HIV1 negative.

The pineal gland-opioid system relation: melatonin-naloxone interactions in regulating GH and LH releases in man.

Several observations have demonstrated that the opioid system can modulate melatonin secretion from the pineal gland and that the effects of opioids may require a pineal participation. In contrast, the role played by the pineal gland in regulating the synthesis and secretion of endorphins and enkephalins in still obscure. To establish whether the neuroendocrine activity of melatonin are mediated by endogenous opioids and to demonstrate a possible action exerted by the pineal gland on opioid peptides, GH and LH serum mean levels were evaluated by RIA in 12 healthy subjects of both sexes after melatonin injection alone (0.4 mg/kg bw im at 09:00 h) and on a separate occasion after a simultaneous administration of melatonin and naloxone (1.2 mg iv as a bolus, followed by an iv infusion of 1.6 mg/h for 3h). On an other occasion, the study was performed during saline or naloxone infusion alone. In each test, venous blood samples were collected at -20, 0, 30, 60, 90, 120 and 180 min. A significant rise of GH was observed after melatonin injection alone. The simultaneous infusion of naloxone blocked melatonin-induced GH rise. Melatonin did not affected LH serum levels, while it was able to reduce LH increase induced by naloxone. These preliminary results suggest that some neuroendocrine effects of melatonin might be mediated by a modulation on the opioid tone.

The clinical significance of melatonin serum determination in oncological patients and its correlations with GH and PRL blood levels.

In order to investigate the pineal function and its relation with the hypophysis in human neoplasms, melatonin and GH serum levels were determined in 63 patients, 42 affected by solid tumours and 21 by lymphoma or leukaemia. In women with breast cancer PRL was also measured. Melatonin, GH and PRL were evaluated in 52 healthy subjects acting as controls. The oncological patients showed significantly higher mean melatonin serum levels than the control subjects. Mean melatonin values were lower in patients with solid tumours who had metastases, than in cases without metastases. Chemotherapy caused an evident decrease in melatonin levels. Surgery was followed by a fall in melatonin in patients without metastases. Mean GH serum levels observed in oncological patients were similar to those in control subjects and were not influenced by therapy. PRL levels were within the normal range in women suffering from breast cancer.

Growth hormone and somatomedin-C response to synthetic human pancreatic tumor GH-releasing factor in hypopituitary and constitutionally short children.

GH and somatomedin-C response to acute hpGRF-44 iv administration (1 microgram/Kg bw) was studied in 16 patients with hypopituitarism (GHD) and in 7 constitutionally short subjects. GH-deficient patients evidenced a significant GH increase peaking between 15 and 60 min. (4.95 +/- 0.88 ng/ml, mean +/- SE) (p less than 0.01 vs placebo). In non GH-deficient subjects GH increase was more pronounced (peak 18.00 +/- 3.01 ng/ml; p less than 0.01 vs both placebo and GHD group). Acid-extractable somatomedin-C was slightly, but significantly higher than baseline at 12th h (p less than 0.01) in both patients with hypopituitarism (basal value: 0.067 +/- 0.021 U/ml; 12 h: 0.096 +/- 0.024 U/ml) and constitutionally short subjects (basal value 0.62 +/- 0.13; 12h 0.72 +/- 0.16 U/ml). In 3 subjects with hypopituitarism multiple iv administrations (1 microgram/kg bw at 09:30 and 21:30 h for 4 days) produced on the average a modest increase of the GH responsiveness, were more effective to enhance somatomedin-C concentration, but not sufficient to reach normal levels. Sc administration of the same dose at 4-h intervals by a programmable portable pump - performed on 6 GHD subjects - produced an increase of GH peak response on the 4th day of treatment (1.38 +/- 0.31 ng/ml) with respect to the one observed on the first day (0.42 +/- 0.09 ng/ml). Somatomedin-C increase was low and inconstant. These data support the use of a 4-5-day pulsatile treatment in the differentiation between hypothalamic and pituitary deficiency, and the possibility of therapeutical use of GRF with the same protocol when a response is evidenced.

Ultradian chronomodulation by melatonin of a Placebo effect upon human killer cell activity.

The effect of melatonin injection evaluated earlier with respect to placebo-treated controls is reevaluated, also with reference to spontaneous changes in natural killer cell activity. This effect consists, first, of stimulation of natural killer cell activity over and above any changes brought about by placebo (saline). After 6 h, the melatonin effect appears to be an inhibition as compared to values from placebo-treated subjects, or no effect as compared to values from untreated subjects. In this case, amplification and attenuation of the placebo effect by melatonin are found within the relatively short span of 1/4 of a day, rather than within a day or a week. An ultradian 'feed-sideward' by melatonin may be aligned with the corresponding previously reported circadian and infradian chronomodulation.

Effect of an acute injection of melatonin on the basal secretion of hypophyseal hormones in prepubertal and pubertal healthy subjects.

It is well known that the pineal gland can modulate the secretion of pituitary hormones. Melatonin, the main hormone produced by the pineal gland, acts at the hypothalamic site, whereas hypophyseal sensitivity to melatonin seems to change with age. To investigate the influence of pubertal development on the role of the pineal gland in the regulation of the secretion of pituitary hormones, FSH, LH, Prl, TSH and GH responses to melatonin were evaluated in a group of 9 prepubertal and 10 pubertal healthy subjects of both sexes. Melatonin was given im at a dose of 0.2 mg/kg body weight at 3 p.m. Venous blood samples were drawn -20, 0, 20, 40, 60, 90, 120, 180 and 240 min, after melatonin injection. According to the same experimental protocol, venous blood samples were collected during a saline infusion on a separate occasion. FSH, LH, Prl, TSH and GH plasma levels were measured with RIA. In pubertal subjects, a significant rise in the mean Prl levels was seen 90 min after melatonin as compared with those during saline infusion. The Prl melatonin response area was significantly lower in prepubertal treated subjects and significantly higher in pubertal ones compared with the respective controls. The mean GH values showed a significant decrease 120 min after melatonin only in prepubertal subjects; no significant variations were seen in 8 of 10 pubertal subjects, whereas in the last 2 a marked increase was observed.(ABSTRACT TRUNCATED AT 250 WORDS)

A clinical study of the pineal gland activity in oncologic patients.

It has been known for many years that the pineal gland is involved in regulating tumor growth. In order to evaluate the functional activity of the pineal gland in neoplastic diseases, melatonin serum levels and its light/dark rhythm have been determined with the RIA method in patients affected by various forms of tumor. Irrespectively of the type of the tumor and of its localization, existence of two subpopulations has been observed within the oncologic patients, the former with normal levels of melatonin, and the latter with high ones. The light/dark rhythm of melatonin was anomalous in some cases. An evident decrease of serum melatonin values was seen after chemotherapy. It might be interesting to establish whether melatonin levels may conditionate the prognosis of patients with cancer.

A clinical study on the relationship between the pineal gland and the opioid system.

Recent reports point to a link between the pineal gland and the opioid system. In order to investigate this relationship, two separate studies were performed on humans. Beta-endorphin plasma levels were determined after melatonin administration (0.2 mg/kg b.w. i.m. at 2 p.m.). Melatonin serum values were evaluated after administration of FK 33-824, a met-enkephalin analogue (0.3 mg i.v. infusion at 9 a.m.). A significant decrease of beta-endorphin plasma levels was observed 120 minutes after melatonin injection. Melatonin release was stimulated by FK 33-824, with a peak at 30 minutes. The present results provide evidence of the inhibitory effect of melatonin on beta-endorphin secretion and the stimulatory action of the opioid peptides on the pineal gland. However, further studies will be required to clarify the relationship between the opioid system and the pineal gland.