Elasticity Properties of Lung Parenchyma Derived from Experimental Distortion Data

Distortion data for dog lungs obtained experimentally by Hoppin et al. (1975) are used to arrive at a general mathematical model (strain energy function) which describes finite deformation of lung parenchyma. The strain energy function is correlated with average alveolus model proposed by Frankus and Lee (1974). The latter predicts parenchyma distortion properties from uniformly ventilated pressure-volume data only.     

Pulmonary Endogenous Fluorescence Allows the Distinction of Primary Lung Cancer from the Perilesional Lung Parenchyma

Background

Pre-therapeutic pathological diagnosis is a crucial step of the management of pulmonary nodules suspected of being non small cell lung cancer (NSCLC), especially in the frame of currently implemented lung cancer screening programs in high-risk patients. Based on a human ex vivo model, we hypothesized that an embedded device measuring endogenous fluorescence would be able to distinguish pulmonary malignant lesions from the perilesional lung tissue.

Methods

Consecutive patients who underwent surgical resection of pulmonary lesions were included in this prospective and observational study over an 8-month period. Measurements were performed back table on surgical specimens in the operative room, both on suspicious lesions and the perilesional healthy parenchyma. Endogenous fluorescence signal was characterized according to three criteria: maximal intensity (Imax), wavelength, and shape of the signal (missing, stable, instable, photobleaching).

Results

Ninety-six patients with 111 suspicious lesions were included. Final pathological diagnoses were: primary lung cancers (n = 60), lung metastases of extra-thoracic malignancies (n = 27) and non-tumoral lesions (n = 24). Mean Imax was significantly higher in NSCLC targeted lesions when compared to the perilesional lung parenchyma (p<0,0001) or non-tumoral lesions (p<0,0001). Similarly, photobleaching was more frequently found in NSCLC than in perilesional lung (p<0,0001), or in non-tumoral lesions (p<0,001). Respective associated wavelengths were not statistically different between perilesional lung and either primary lung cancers or non-tumoral lesions. Considering lung metastases, both mean Imax and wavelength of the targeted lesions were not different from those of the perilesional lung tissue. In contrast, photobleaching was significantly more frequently observed in the targeted lesions than in the perilesional lung (p≤0,01).

Conclusion

Our results demonstrate that endogenous fluorescence applied to the diagnosis of lung nodules allows distinguishing NSCLC from the surrounding healthy parenchyma and from non-tumoral lesions. Inconclusive results were found for lung metastases due to the heterogeneity of this population.     

Effects of Different Moisture Contents on Physical Properties of PVA-Gelatin Films

In this work, it was investigated the effect of different moisture contents on PVA-gelatin films by means of dielectric properties, infrared spectroscopy, microwave response and gravimetric method. The films were elaborated from a blend of gelatin and PVA, with 0 and 25?% glycerol. The sorption isotherms were determined by gravimetric methods, at 25?°C. A capacimeter was used for dielectric measurements, and a device called SOLFAN setup was used for microwave measurements. The sorption isotherms were markedly affected by the glycerol content and relative humidity, due to the hygroscopic nature of the films. The dielectric constant and the microwave response signal were also strongly affected by the moisture and glycerol content in the films. Finally, Infrared spectra showed some changes in the amide peak positions, attributed to the modifications in the interactions between the macromolecules. The behaviors obtained in this work were explained on the basis the way the water enters in the film matrix.     

Effects of Light Crude Oil Contamination on the Physical and Mechanical Properties of Fine Sand

The use of oil-contaminated sand in building and construction is now being considered as an alternative and cost-effective way to minimize its adverse effect on the environment. To achieve this, the effect of oil contamination on the important mechanical properties of sand should be investigated first. This study investigated the effect of petroleum-derived contaminants on the water absorption, permeability, cohesion, friction angle, and shear strength of fine sand. Contaminated samples were prepared by mixing fine sand with different percentages of light crude oil (0 to 20%). The results indicated that the water absorption of fine sand decreases with an increase in crude oil. An increase in the cohesion was observed for sand with up to 1% of oil contamination, after which the cohesion began to decrease, which also results in the reduction in the permeability. A slight reduction in the friction angle was found for oil-contaminated fine sand. At a low normal stress of 50 kPa, as the percentage of light crude oil increased, the shear strength increased up to 1% of oil contamination and then it decreased. These results provided useful information on how oil-contaminated sand can be used safely and effectively in building and construction.     

Effects of Salbutamol and Isoprenaline Phenylephrine in Reversible Airways Obstruction

Ventolin (salbutamol) and Medihaler-Duo (isoprenaline/phenylephrine combination) standard pressurized inhalers were used to administer doses of two or six “puffs” to 16 patients with known reversible airways obstruction. The doses were administered in random order over two days. Both the Ventolin and Medihaler-Duo inhalers substantially increased FEV₁, but in the doses used salbutamol was more effective than isoprenaline/phenylephrine (P < 0·01). There was no significant difference between two and six puffs of salbutamol, though there seemed to be an advantage of six puffs of isoprenaline/phenylephrine over two puffs (P < 0·05). Adrenaline (1/1,000) 0·5 ml and atropine 0·6 mg produced similar increases in FEV₁ to those produced by salbutamol.The Pao₂ fell more than 5 mm Hg in three patients after salbutamol and in three after isoprenaline/phenylephrine. There was no significant fall in mean Pao₂ in any of the treatment groups. It is concluded that the Ventolin inhalant, administered in the conventional dose of two puffs, is as effective a bronchodilator as subcutaneous adrenaline and atropine, is more effective than the Medihaler-Duo, and is without detectable side effects.     

The Effects of Melatonin on the Physical Properties of Bones and Egg Shells in the Laying Hen

Laying hens often experience unbalanced calcium utilization which can cause deficiencies in bone and egg mineralization. Because melatonin has been shown to affect bone mineralization in other animals, we examined whether treating hens with melatonin would affect eggshell thickness and improve skeletal performance, thereby reducing skeletal and egg shell defects. Birds were given a diet containing either low (30 µg/kg), medium (300 µg/kg), or high (3 mg/kg) concentrations of melatonin, or control feed through approximately one laying cycle. We examined the weight, length, and strength of egg, femur, tibia, and keel. Hens treated with a high concentration of melatonin showed significant strengthening in their femur and tibia, as measured by maximum force sustained and breaking force, compared to controls. Egg weights from hens treated with melatonin were significantly greater than those from hens that were not treated with melatonin. Conversely, egg shell mass of hens treated with melatonin was significantly lower than those of hens not treated with melatonin. Our data suggest that melatonin may affect the allocation of calcium to bone at the expense of egg shell mineralization.     

Photosynthetic Carbon Metabolism in the Palisade Parenchyma and Spongy Parenchyma of Vicia faba L

Palisade parenchyma cells and spongy parenchyma cells were isolated separately from Vicia faba L. leaflets. Extracts of the cell isolates were assayed for several enzymes involved in CO₂ fixation and photorespiration. When compared on a chlorophyll basis, the levels of enzyme activities either were equal in the different cell types or were greater in the spongy parenchyma; this difference is a reflection, perhaps, of the higher protein-chlorophyll ratio in the latter tissue. The distribution of radioactivity in the products of photosynthesis by each cell type was the same at various times after exposure to NaH¹⁴CO₃, and the kinetics of ¹⁴C incorporation into these compounds was similar. However, a larger percentage of radioactivity was incorporated by the cell isolates into the 80% ethanol-insoluble fraction and correspondingly less into the neutral fraction as compared to whole leaf. It was concluded that photosynthetic CO₂ fixation is similar in the different mesophyll tissues from which these cells were derived.     

Repeated Intratracheal Instillation of PM10 Induces Lipid Reshaping in Lung Parenchyma and in Extra-Pulmonary Tissues

Adverse health effects of air pollution attributed mainly to airborne particulate matter have been well documented in the last couple of decades. Short term exposure, referring to a few hours exposure, to high ambient PM10 concentration is linked to increased hospitalization rates for cardiovascular events, typically 24 h after air pollution peaks. Particulate matter exposure is related to pulmonary and cardiovascular diseases, with increased oxidative stress and inflammatory status. Previously, we have demonstrated that repeated intratracheal instillation of PM10sum in BALB/c mice leads to respiratory tract inflammation, creating in lung a condition which could potentially evolve in a systemic toxic reaction. Additionally, plasma membrane and tissue lipids are easily affected by oxidative stress and directly correlated with inflammatory products. With this aim, in the present investigation using the same model, we analyzed the toxic potential of PM10sum exposure on lipid plasma membrane composition, lipid peroxidation and the mechanisms of cells protection in multiple organs such as lung, heart, liver and brain. Obtained results indicated that PM10 exposure led to lung lipid reshaping, in particular phospholipid and cholesterol content increases; concomitantly, the generation of oxidative stress caused lipid peroxidation. In liver we found significant changes in lipid content, mainly due to an increase of phosphatidylcholine, and in total fatty acid composition with a more pronounced level of docosahexaenoic acid; these changes were statistically correlated to lung molecular markers. Heart and brain were similarly affected; heart was significantly enriched in triglycerides in half of the PM10sum treated mice. These results demonstrated a direct involvement of PM10sum in affecting lipid metabolism and oxidative stress in peripheral tissues that might be related to the serious systemic air-pollution effects on human health.     

Plasticizer Effects on Physical–Mechanical Properties of Solvent Cast Soluplus® Films

Soluplus® is a novel amphiphilic polymer that has been shown to enhance the solubility and drug dissolution rate of poorly soluble drugs. However, there still is a lack of information regarding the physical mechanical properties of Soluplus® with addition of the plasticizers. This study characterized the mechanical properties of Soluplus® with four different plasticizers. The plasticizers selected were polyethylene glycol 6, triethyl citrate, propylene glycol, and glycerin; they were studied at three different levels (15%, 20%, and 25% w/w). The effects of these plasticizers on the glass transition temperature, tensile strength, percent elongation, and Young’s modulus of free films made from Soluplus® were measured and the toughness and ratio of tensile strength to Young’s modulus were calculated. These results showed these four plasticizers are capable to plasticizing Soluplus® as indicated by the glass transition temperature lowering, tensile strength, and Young’s modulus while increasing the percent elongation and film toughness. Among the plasticizers tested, polyethylene glycol 6 showed greatest changed in the mechanical properties studied.     

Effects of Cellulose Nanofibers Filling and Palmitic Acid Emulsions Coating on the Physical Properties of Fish Gelatin Films

In this preliminary study, fish gelatin films with improved strength and water resistance were prepared from a dispersion of fish gelatin and carboxylated cellulose nanofibrils (CNF) by using the casting method, followed by subsequent coating with palmitic acid emulsion. The surface topography displayed a uniform distribution of the CNF particles in the gelatin films, but aggregation occurred at a CNF dosage of 4 wt% or higher. Due to the reinforcing effect of CNF, a dosage-dependent increase in the Young’s modulus and tensile strength was observed for the CNF-reinforced films. The addition of CNF also led to an obvious increase in thermal stability. Via surface coating, the emulsion at the 60:40 (w/w) ratio of palmitic acid to water showed excellent layer-forming and high adhesion properties, contributing to the significant improvement of water resistance. The enhanced properties of these fish gelatin films would promote their practical applications in edible packaging.     

Hemoglobin Regeneration Efficiency in Anemic Rats: Effects on Bone Mineral Composition and Biomechanical Properties

This study reports the effects of dietary iron (Fe) deficiency and recovery on bone mineral composition and strength in anemic rats submitted to a hemoglobin (Hb) repletion assay. Weanling male Wistar rats were fed a low-Fe diet (12 mg/kg) for 15 days followed by 2 weeks of Fe repletion with diets providing 35 mg Fe/kg as either ferrous sulfate (n = 8) or ferric pyrophosphate (FP; n = 12). At final day of each period (depletion and repletion), Fe-adequate animals were also euthanized. Iron status (blood Hb, Hb Fe pool, Hb regeneration efficiency), tibia mineral concentrations (Ca, Mg, Fe, Cu, and Zn) and biomechanical properties were evaluated. Iron-deficient rats had lower tibia Fe and Mg levels and bone strength when compared to controls. Yield load and resilience were positively related to tibia Mg levels (r = 0.47, P = 0.02 and r = 0.56, P = 0.004, respectively). Iron repletion did not recover tibia Mg concentrations impaired by Fe deficiency. Moreover, bone elastic properties were negatively affected by FP consumption. In conclusion, bone mineral composition and strength were affected by Fe deficiency, whereas dietary Fe source influenced tibia Mg and resistance in the period during which rats were recovering from anemia.     

肺炎支原体抗体阳性对咳嗽变异性哮喘患儿肺功能的影响研究

目的:通过探讨肺炎支原体(MP)抗体阳性感染对咳嗽变异性哮喘(CVA)患儿肺功能的影响,为临床治疗提供依据。方法:选择2012年6月~2014年6月本院收治的CVA患儿共60例,依据支原体抗体检查和肺功能检测结果,分为CVA合并MP组(合并组)和CVA组,检测两组患儿初诊时肺通气功能、支气管激发试验阳性率,分析初诊时、治疗1、3个月后MP抗体对肺功能第一秒用力呼吸容积/用力肺活量(FEV1%)的影响。结果:初诊时两组患儿肺活量(FVC)、最大呼气峰流速(PEF)、FEV1%、最大中段呼气流速(MMEF75/25)实测值均低于预测值(P0.05),合并组MMEF75/25预测值/实测值的比值较CVA组高(P0.05)。支气管激发试验阳性患儿中,合并组以轻度和极轻度为主,CVA组以重度和中度为主(P0.05)。MP抗体滴度持续阳性和阴性患儿FEV1%无统计学差异(P0.05)。结论:合并MP抗体阳性CVA患儿气道高反应性程度较低,小气道阻塞加重,对肺通气功能无影响。     

Effects of Irradiation on Lung Function

With refinements in radiotherapeutic techniques in recent years, the incidence of pulmonary damage attributable to irradiation has decreased. A significant number of patients, however, still show radiographic evidence of irradiation pneumonitis, with or without associated symptoms. Although these appearances are usually transitory, in some patients they may persist and be associated with varying degrees of pulmonary insufficiency.This report presents an evaluation of the radiographic changes, symptoms, and pulmonary function following irradiation of the chest wall (as for cancer of the breast) in one group of patients, and following deep irradiation of the chest (as for cancer of the lung) in a second group. Forty patients were studied, of whom 32 are available for assessment (20 with carcinoma of the breast and 12 with bronchogenic carcinoma). These patients were studied preoperatively, and from three to 15 months following irradiation. The findings with respect to radiographic appearance, pulmonary function, and symptoms of these patients are presented.     

HPLC法测定复方止咳清肺胶囊中有效成分含量的研究

首次采用高效液相色谱法对中药复方止咳清肺胶囊中的有效成分—芥子碱硫氰酸盐进行了含量测定研究,由此建立了该复方的HPLC法质量分析方法。     

In Vitro Surfactant and Perfluorocarbon Aerosol Deposition in a Neonatal Physical Model of the Upper Conducting Airways

Objective

Aerosol delivery holds potential to release surfactant or perfluorocarbon (PFC) to the lungs of neonates with respiratory distress syndrome with minimal airway manipulation. Nevertheless, lung deposition in neonates tends to be very low due to extremely low lung volumes, narrow airways and high respiratory rates. In the present study, the feasibility of enhancing lung deposition by intracorporeal delivery of aerosols was investigated using a physical model of neonatal conducting airways.

Methods

The main characteristics of the surfactant and PFC aerosols produced by a nebulization system, including the distal air pressure and air flow rate, liquid flow rate and mass median aerodynamic diameter (MMAD), were measured at different driving pressures (4–7 bar). Then, a three-dimensional model of the upper conducting airways of a neonate was manufactured by rapid prototyping and a deposition study was conducted.

Results

The nebulization system produced relatively large amounts of aerosol ranging between 0.3±0.0 ml/min for surfactant at a driving pressure of 4 bar, and 2.0±0.1 ml/min for distilled water (H₂Od) at 6 bar, with MMADs between 2.61±0.1 µm for PFD at 7 bar and 10.18±0.4 µm for FC-75 at 6 bar. The deposition study showed that for surfactant and H₂Od aerosols, the highest percentage of the aerosolized mass (∼65%) was collected beyond the third generation of branching in the airway model. The use of this delivery system in combination with continuous positive airway pressure set at 5 cmH₂O only increased total airway pressure by 1.59 cmH₂O at the highest driving pressure (7 bar).

Conclusion

This aerosol generating system has the potential to deliver relatively large amounts of surfactant and PFC beyond the third generation of branching in a neonatal airway model with minimal alteration of pre-set respiratory support.