Proteinuria due to suboptimal hydration with high-dose methotrexate therapy

One of the major complications after high-dose methotrexate (HDMTX) infusions is renal damage. We investigated the occurrence of proteinuria after HDMTX administration in children with pediatric malignancies (acute lymphoid leukaemia, osteosarcoma Burkitt's lymphoma). In the period 1989-1990 we gave 52 HDMTX courses to 24 children. During this period, prehydration and extra urinary alkalisation were performed only if the urinary specific gravity was over 1010 or if the urinary pH fell below 7. Using this schedule the mean values obtained for protein extraction were: before the therapy, 0.12 +/- 0.03 g/m2; on day 1 after MTX treatment, 0.38 +/- 0.06 g/m2; and on day 2 after the MTX infusion, 0.39 +/- 0.11 g/m2 (P < 0.01). A significant increase in proteinuria (> 0.2 g/m2 post- vs pretreatment) was detectable in 54% of the patients. In the period 1991-1992 we modified the hydration-alkalisation schedule to include i.v. prehydration for 18-24 h at 3 l/m2/day with a 0.45% NaCl-5% glucose solution along with sodium bicarbonate and posthydration for 72 h with the same solution. On this protocol the mean values determined for the urinary protein content were all in the normal range (pretreatment, 0.03 g/m2/day; day 1, 0.05 g/m2/day; and day 2, 0.08 g/m2/day). These findings were significantly different from the previous results (P < 0.05).     

Oscillating superleak transducer of second sound: Amplitude and linewidth

Two oscillating superleak transducers, one serving as generator, the other as detector, of first and second sound, situated at opposite ends of a one-dimensional resonance cavity, are considered. Included in the analysis are the dissipative effects of normal viscous slip and thermal diffusion through the porous membrane. The calculated amplitude and linewidth of the receiver response, both close to and away from the membrane resonance, show good agreement with available experimental data.     

Developmental Outcome of Drug-Exposed Children Through 30 Months: A Comparison of Bayley and Bayley-II.

This study examined the effects of the Bayley Scales of Infant Development (BSID) version on developmental outcomes among drug-exposed children, some of whom received an intervention. Developmental outcome was evaluated with the BSID at 12 and 18 months and with the BSID-II at 24 and 30 months. In the repeated measures analyses, children scored higher on the BSID Mental Developmental Index (MDI; p     

Time-dependent toxicity of fluoranthene to freshwater invertebrates and the role of biotransformation on lethal body residues

The time-dependent toxicity of fluoranthene was examined for Hyalella azteca, Chironomus tentans, and Diporeia spp. C. tentans appeared to be the most sensitive species, and Diporeia was the least sensitive. Incipient LC50 values, the concentration at which the LC50 reaches an asymptote and does not change with increasing duration of exposure, for H. azteca and C. tentans were approximately 60 and 40 microg x L(-1), respectively. Incipient levels were not reached for Diporeia; however, the 28-d LC50 concentration was 95.5 microg x L(-1). There was a temporal relationship with respect to lethal body residues for each of the test species. For H. azteca, the LR50, the median lethal residue at an identified exposure time required to cause 50% mortality, based on total fluoranthene equivalents (parent + metabolite compounds) decreased from 3.19 micromol x g(-1) at 5 d to 0.80 micromol x g(-1) at 28 d. For C. tentans, the LR50 decreased from 0.43 to 0.17 micromol x g(-1) from 2 to 10 d. The 10-d LR50 for Diporeia was 9.97 micromol x g(-1), and the 28-d value was 3.67 micromol x g(-1). The toxicokinetics are not sufficient to address the temporal changes in LR50 values. Thus, the data were fit to a Damage Assessment Model that also accounts for toxicodynamic processes. This analysis provides estimates of the incipient lethal residues for H. azteca, C. tentans, and Diporeia: 0.84, 0.21, and 3.00 micromol x g(-1), respectively. When comparing the relative sensitivity among species using lethal body residues, special attention should be given to ensure that comparisons are made at a common point in relation to exposure duration (i.e., time to steady state, Tss). When the LR50(lipid) values among the three species were compared at steady state, C. tentans is more sensitive than H. azteca and Diporeia spp.; however, there are no significant differences between the amphipod species. The greater sensitivity of C. tentans to fluoranthene as compared to the amphipods may be due, in part, to a potential toxic metabolite.     

Reaktorstabilität und sichere Reaktionsführung

Reactor stability and safe reaction engineering . Stable operating behaviour of chemical reactors and stability in the sense of stability theory of chemical processes are by no means synonymous concepts. Thus, appropriate control can permit reliable operation at a unstable operating point, while even global stability will not necessarily rule out a runaway reaction. The latter is the case when strongly exothermal reactions are characterized by a pronounced parametric sensitivity. In order to delineate the concepts, ?stability”? and ?parametric sensitivity”? are explained first for stirred tank and tubular reactors with strongly exothermal reaction. Both the conventional view of reaction engineering and the theory of heat explosion commonly used in reaction engineering are considered in detail. Practical problems of safe reaction engineering are subsequently discussed for the control of batch reactors, the control of semibatch reactors, and the behaviour of bundled-tube reactors.     

Simulatoren zur Unterstützung der Prozeß- und Betriebsführung

Simulators for support of process and plant management. Process simulators are increasingly used for plant and process operation purposes. These simulators differ from those used in process design in the user interface, which is identical to the usual operator interface of distributed control systems. The progress of the numerical solution parallels the dynamic behaviour of the real process, and not that of the numerical procedure. The simulation-supported tasks of plant and process operation are: education of operators, training and instruction of operators, support of plant operation by interpretion of plant states and transitions and by helping to formulate operating instructions. These tasks, the available simulation concepts and examples are discussed in detail.     

Effect of boundary conditions and workpiece geometry on residual stresses and microstructure in quenching process

In this study, the internal and residual stress states in quenched C60 steel cylinders are analyzed both numerically and experimentally in order to investigate the effects of boundary conditions (such as quench severity and temperature of quench bath) and specimen geometry. Specimen geometry has been analyzed by introducing a hole in a cylinder and varying hole diameter and its eccentricity. In the numerical analysis, the finite element method is applied and both temperature gradients and phase transformations are considered. Experiments include microstructural examination and X-ray measurements of residual stresses of the first kind. It has been found that the value of the convective heat transfer coefficient is very critical to obtain simulation results close to real ones. For instance, when a constant value obtained as the mean of a temperature dependent distribution is used for this parameter, residual stresses are seriously underestimated (up to 40%). The temperature of the quench bath affects directly the convective heat transfer coefficient. The lower the bath temperature, the higher are the resulting residual stresses. Under the same quenching conditions, if the diameter of the hole is greater than a critical value, a transition occurs from the shallow hardening case to the through hardening case, i.e., the residual stress distribution is reversed. On the other hand, for a constant hole diameter, if the eccentricity ratio reaches a critial value, a complex residual stress state results, i.e., compressive/tensile stress transition regions along the circumference are observed.     

Determination of free and conjugated oestrogens in peripheral blood plasma, feces and urine of cattle throughout pregnancy

In order to further characterize oestrogen production and metabolism during bovine pregnancy, free (f) and conjugated (c) estrone (E1), total free and conjugated oestrogens (tfcOe) and total free oestrogens (tfOe) were determined as marker oestrogens in blood plasma respectively in urine and feces of 10 pregnant cows. For the determination of individual oestrogens blood, urine and feces samples of days 240, 200, 160, 100, 60, 30, 10 and 5 prior to parturition were pooled and the free, sulfo (sc)- and glucuconjugated (gc) forms of E1, 17 beta-estradiol (E2 beta) and 17 alpha-estradiol (E2 alpha) were obtained following differential enzyme hydrolysis and separation by HPLC; hormone assay was by established RIA-procedures. FE1 and cE1 concentration in blood plasma, tfOe in feces and tfcOe in urine showed a similar pattern. A first rise occurred between days 110 and 120 of pregnancy, an additional overproportional rise commenced at around days 230-250. Highest concentrations were measured in feces (tfOe ca. 500 ng/g 1 day a. p.), followed by urine (tfcOe ca. 3.5 ng/mosmol 2 days a. p.) and blood plasma (fE1 ca. 8 nmol/l and cE1 ca. 20 nmol/l 2 days a. p.). Determination of individual oestrogens in blood plasma revealed that fE2 beta and fE2 alpha could only be found 10 days a. p. while the conjugated forms could already be detected on days 100 and 160 a. p. With 62% E1 was the dominant oestrogen, followed by E2 alpha (37%) and E2 beta (1.0%); E1 occurred predominantly as sulfate, E2 alpha and E2 beta predominantly as glucuronide. Main metabloite in feces was fE2 alpha (56.7%), followed by fE2 beta (32%) and fE1 (11.3%); conjugated oestrogens were not detected. Main metabolite in urine was scE1 followed by gcE2 alpha and gcE2 beta. ScE2 alpha and scE2 beta were not detected or were present in small quantities only. Hormonal changes over time were highly significant. Main product of placental oestrogen synthesis is scE1, the concentrations of f and c E2 beta and E2 alpha in plasma largely result from oestrogen metabolism and enterohepatic circulation.     

Genetic and physical localization of the acetyl-coenzyme A synthetase gene ACS1 on chromosome I of Saccharomyces cerevisiae

The ACS1 gene, encoding acetyl-coenzyme A synthetase, was mapped genetically at the left arm of chromosome I between pURA3 and PYK1 at 19 and 28 cM respectively. Comparison with the physical map defined a recombinational ‘hot-spot’ in this region in addition to the one between CDC24 and PYK1.