Separating the wheat from the chaff: does discriminating between diagnostic and nondiagnostic information eliminate the dilution effect?

2004 ◽  
Vol 17 (3) ◽  
pp. 231-243 ◽  
Author(s):  
Markus Kemmelmeier
Keyword(s):  
Dilution Effect ◽  
Nondiagnostic Information

HES 200/0.5 Is not HES 200/0.5

1995 ◽  
Vol 74 (06) ◽  
pp. 1452-1456 ◽  
Author(s):  
Johannes Treib ◽  
Anton Haass ◽  
Gerhard Pindur ◽  
Ulrich T Seyfert ◽  
Wolfgang Treib ◽  
...  
Keyword(s):  
Molecular Weight ◽  
Hydroxyethyl Starch ◽  
Clinical Relevance ◽  
Dilution Effect ◽  
Repeated Administration ◽  
Plasma Viscosity ◽  
Degree Of Substitution ◽  
Pronounced Increase ◽  
Large Molecules ◽  
Mean Molecular Weight

SummaryThe plasma clearance of hydroxyethyl starch (HES) depends on the initial molecular weight and the degree of substitution. So far, little attention has been paid to the clinical relevance of the C2/C6 substitution ratio of hydroxyethyl starch.10 patients with cerebrovascular circulatory disturbance received hemodilution therapy for 10 days, consisting of 10% HES 200/0.5 (mean molecular weight 200 kD, degree of substitution 0.5) with a C2/C6 ratio of 13.4. A second group of 10 patients received a starch solution with identical initial molecular weight and degree of substitution but with a C2/C6 ratio of 5.7.After the administration of a single dose, no significant differences between the two groups were observed. After repeated administration, significant differences could be detected in hemorheology, coagulation and elimination (p<0.01). The larger C2/C6 ratio led to a higher intravascular mean molecular weight (95 vs. 84 kD), which in turn led to a higher increase in serum concentration during the therapy (14.7 vs.8.6 mg/ml). Hematocrit was lowered more (-30,5 vs. -23,5%) and plasma viscosity was increased more. There was also a more pronounced increase in partial thromboplastin time (+30% vs. +13%) and a factor of 2 larger decrease of factor VIII/von Willebrand factor-complex (p <0.01), which exceeded the dilution effect.The higher C2/C6 ratio of HES 200/0.5/13.4 slows down enzymatic degradation. After repeated administration of this starch, large molecules accumulate which are inefficiently degraded. The same effect has been observed after therapy with highly-substituted HES. This accumulation of large molecules leads to a beneficial longer lasting volume effect. The disadvantages include an increase in plasma viscosity and coagulation disturbances, which cannot be explained with the respective dilution effect alone. For these reasons, the C2/C6 ratio is of clinical relevance and should be included in the product labeling in the future.

scholarly journals Improved Processing and Properties for Polyphenylene Oxide Modified by Diallyl Orthophthalate Prepolymer

Polymers ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2016
Author(s):  
Honghua Wang ◽  
Qilin Mei ◽  
Yujie Ding ◽  
Zhixiong Huang ◽  
Minxian Shi
Keyword(s):  
Differential Scanning Calorimetry ◽  
Thermal Properties ◽  
Phase Separation ◽  
Dilution Effect ◽  
Gradual Decrease ◽  
Gel Point ◽  
Dynamic Mode ◽  
Curing Process ◽  
Scanning Calorimetry ◽  
Polyphenylene Oxide

Diallyl orthophthalate (DAOP) prepolymer was investigated as a reactive plasticizer to improve the processability of thermoplastics. The rheology of blends of DAOP prepolymer initiated by 2,3-dimethyl-2,3-diphenylbutane (DMDPB) and polyphenylene oxide (PPO) was monitored during the curing process, and their thermal properties and morphology in separated phases were also studied. Differential scanning calorimetry (DSC) results showed that the cure degree of the reactively plasticized DAOP prepolymer was reduced with increasing PPO due to the dilution effect. The increasing amount of the DAOP prepolymer led to a gradual decrease in the viscosity of the blends and the rheology behavior was consistent with the chemical gelation of DAOP prepolymer in blends. This indicated that the addition of the DAOP prepolymer effectively improved processability. The phase separation occurring during curing of the blend and the transition from the static to dynamic mode significantly influences the development of the morphology of the blend corresponding to limited evolution of the conversion around the gel point.

Analysis of Ascites-Challenged Blood in Patients with Liver Cirrhosis Using Rotational Thromboelastometry: How Robust Is the Evidence on Ascites-Attributed Fibrinolysis?

Digestion ◽  
2021 ◽  
pp. 1-6
Author(s):  
Sotiria Bedreli ◽  
Dimitrios Eleftheriadis ◽  
Michael Jahn ◽  
Ali Canbay ◽  
Fuat Saner ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Dilution Effect ◽  
Negative Control Group ◽  
Fresh Frozen Plasma ◽  
Negative Control ◽  
Control Group ◽  
Rotational Thromboelastometry ◽  
Antifibrinolytic Drugs ◽  
Fresh Frozen ◽  
Cirrhotic Patients

Introduction: For over 30 years, ascites has been postulated to facilitate fibrinolysis in patients with liver cirrhosis. In contrast to previous research employing conventional coagulation tests, this study aimed to characterize hemostatic interactions between blood and ascites using the rotational thromboelastometry (ROTEM). Methods: Blood samples – pure or mixed with ascites in a ratio of 1:1 – from cirrhotic patients (n = 10) were subjected to ROTEM analysis. In addition, a negative control group was built with cirrhotic patients (n = 10) whose blood was mixed with physiologic sodium chloride (0.9% NaCl) solution in a ratio of 1:1. Subsequently, ROTEM measurements were subjected to statistical analysis. Results: During ascites challenge, clotting time (CT, measured in seconds) was significantly prolonged in EXTEM (blood: 70.40 ± 20.40 vs. ascites/blood: 109.8 ± 47.7) and APTEM (blood: 66.50 ± 14.55 vs. ascites/blood: 138.7 ± 105.8), likely reflecting a dilution effect. However, CT in INTEM remained unchanged, suggesting a sustained intrinsic pathway function. Maximal clot firmness (measured in millimeters) in FIBTEM decreased significantly (blood: 14.70 ± 9.55 vs. ascites/blood: 6.00 ± 5.66), thus indicating depletion of fibrinogen in ascites. Strikingly, maximum lysis (measured in %) significantly decreased in EXTEM (blood: 9.30 ± 2.79 vs. ascites/blood: 5.50 ± 2.84), APTEM (blood: 8.50 ± 3.10 vs. ascites/blood: 5.60 ± 2.88), and INTEM (blood: 7.50 ± 2.27 vs. ascites/blood: 5.10 ± 3.48). Conclusions: ROTEM provided new evidence that ascites may not primarily induce fibrinolysis in cirrhotic patients. This finding seems to be of significant importance for the clinical management of cirrhotic patients experiencing complications, for example, abdominal hemorrhage after liver biopsy or paracentesis; here, replacement of prothrombin complex concentrates and/or fibrinogen concentrates may prove more beneficial than the use of fresh frozen plasma or antifibrinolytic drugs.

scholarly journals Invasive Burmese pythons alter host use and virus infection in the vector of a zoonotic virus

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Nathan D. Burkett-Cadena ◽  
Erik M. Blosser ◽  
Anne A. Loggins ◽  
Monica C. Valente ◽  
Maureen T. Long ◽  
...  
Keyword(s):  
Biological Diversity ◽  
Dilution Effect ◽  
Transmission Risk ◽  
Infection Prevalence ◽  
Host Use ◽  
Invasive Predator ◽  
Cotton Rats ◽  
Generalized Linear Mixed Effects ◽  
Python Bivittatus ◽  
Southern Florida

AbstractThe composition of wildlife communities can have strong effects on transmission of zoonotic vector-borne pathogens, with more diverse communities often supporting lower infection prevalence in vectors (dilution effect). The introduced Burmese python, Python bivittatus, is eliminating large and medium-sized mammals throughout southern Florida, USA, impacting local communities and the ecology of zoonotic pathogens. We investigated invasive predator-mediated impacts on ecology of Everglades virus (EVEV), a zoonotic pathogen endemic to Florida that circulates in mosquito-rodent cycle. Using binomial generalized linear mixed effects models of field data at areas of high and low python densities, we show that increasing diversity of dilution host (non-rodent mammals) is associated with decreasing blood meals on amplifying hosts (cotton rats), and that increasing cotton rat host use is associated with increasing EVEV infection in vector mosquitoes. The Burmese python has caused a dramatic decrease in mammal diversity in southern Florida, which has shifted vector host use towards EVEV amplifying hosts (rodents), resulting in an indirect increase in EVEV infection prevalence in vector mosquitoes, putatively elevating human transmission risk. Our results indicate that an invasive predator can impact wildlife communities in ways that indirectly affect human health, highlighting the need for conserving biological diversity and natural communities.

Comparison of fire extinguishing performance of four halon substitutes and Halon 1301

2021 ◽  
pp. 073490412110301
Author(s):  
Yawei Wang ◽  
Gaowan Zou ◽  
Conglin Liu ◽  
Y Gao
Keyword(s):  
Dilution Effect ◽  
Pool Fire ◽  
Design Standards ◽  
Ignition Probability ◽  
Fire Extinguishing ◽  
Halon 1301 ◽  
Efficient Alternative ◽  
Oil Pool ◽  
The Difference ◽  
Effect Of Oxygen

The Halon 1301 fixed gas fire extinguishing system used in ship engine rooms has been banned from production all over the world, because halon destroys the ozone layer. Therefore, it is necessary to find an environmentally friendly, compatible and efficient alternative firefighting system. In this study, we performed fire extinguishing tests in an ISO9705 standard room for four alternative fire extinguishing agents, as well as Halon 1301. The fire extinguishing efficiency of each agent was determined based on its cooling effect, dilution effect of oxygen concentration, the extinguishing time of the oil pool fire and the re-ignition probability of the wood stack. The test results provide data support for the selection of alternatives of Halon 1301 from the aspect of fire extinguishing efficiency. Among these results, Novec 1230 had the best ability to put out the oil pool fire, and HFC-227ea suppressed the wood stack fire the best. The difference between the cooling ability of each fire extinguishing agent was small, and the inert gas (IG-541) displayed the best ability to dilute oxygen. Hot aerosol required the longest time to extinguish fire. Consequently, under the existing design standards, HFC-227ea had the better firefighting efficiency, more suitable to replace Halon 1301.

Studies on soil reaction: III. The determination of the hydrogenion concentration of soil suspensions by means of the hydrogen electrode

1925 ◽  
Vol 15 (2) ◽  
pp. 201-221 ◽  
Author(s):  
Edward M. Crowther
Keyword(s):  
Dilution Effect ◽  
Ion Concentration ◽  
Soil Reaction ◽  
Neutral Salt ◽  
Alkaline Soils ◽  
Hydrogen Electrode ◽  
Hydrogen Ion Concentration ◽  
Base Exchange ◽  
Buffer Action ◽  
Hydrogenion Concentration

A hydrogen electrode apparatus for soils is described. Similar or adjacent soils may show considerable differences inpH value, with no changes in their degrees of buffer action, as shown in titration curves with lime water. In such cases the conventional “lime requirements” are correlated with thepH values, but no such relation holds in dissimilar soils. ThepH value of a soil suspension is intimately connected with the nature and amount of the cations present. Neutral salts markedly increase the hydrogen ion concentration of both acid and slightly alkaline soils. Sodium salts, including the hydroxide, give lower hydrogenion concentrations than the corresponding potassium or calcium salts, and chlorides give lowerpH values than sulphates. The degree of buffer action (slope of titration curve) is unaffected by the addition of a neutral salt. Previous extraction of a soil with water causes a considerable increase i n thepH value of its suspensions. A number of soils showed a regular increase of about 0·1 inpH. value for twofold dilution. The “salt effect” and “dilution” effect appear to be of the same type. It is recommended that the soil-water ratio of 1:5 be generally adopted. The indicator methyl red gives erroneouspH values in turbid soil suspensions owing to the absorption of the red form, which is apparently a cation capable of undergoing “base exchange” with the soil.

Sign in / Sign up

Export Citation Format

Share Document