Short-Term Hemodynamic and Electrophysiological Effects of Cardiac Resynchronization by Left Ventricular Septal Pacing.

BACKGROUND: Cardiac resynchronization therapy (CRT) is usually performed by biventricular (BiV) pacing. Previously, feasibility of transvenous implantation of a lead at the left ventricular (LV) endocardial side of the interventricular septum, referred to as LV septal (LVs) pacing, was demonstrated. OBJECTIVES: The authors sought to compare the acute electrophysiological and hemodynamic effects of LVs with BiV and His bundle (HB) pacing in CRT patients. METHODS: Temporary LVs pacing (transaortic approach) alone or in combination with right ventricular (RV) (LVs+RV), BiV, and HB pacing was performed in 27 patients undergoing CRT implantation. Electrophysiological changes were assessed using electrocardiography (QRS duration), vectorcardiography (QRS area), and multielectrode body surface mapping (standard deviation of activation times [SDAT]). Hemodynamic changes were assessed as the first derivative of LV pressure (LVdP/dtmax). RESULTS: As compared with baseline, LVs pacing resulted in a larger reduction in QRS area (to 73 ± 22 µVs) and SDAT (to 26 ± 7 ms) than BiV (to 93 ± 26 µVs and 31 ± 7 ms; both p < 0.05) and LVs+RV pacing (to 108 ± 37 µVs; p < 0.05; and 29 ± 8 ms; p = 0.05). The increase in LVdP/dtmax was similar during LVs and BiV pacing (17 ± 10% vs. 17 ± 9%, respectively) and larger than during LVs+RV pacing (11 ± 9%; p < 0.05). There were no significant differences between basal, mid-, or apical LVs levels in LVdP/dtmax and SDAT. In a subgroup of 16 patients, changes in QRS area, SDAT, and LVdP/dtmax were comparable between LVs and HB pacing. CONCLUSIONS: LVs pacing provides short-term hemodynamic improvement and electrical resynchronization that is at least as good as during BiV and possibly HB pacing. These results indicate that LVs pacing may serve as a valuable alternative for CRT.

A Population of Radio-Resistant Macrophages in the Deep Myenteric Plexus Contributes to Postoperative Ileus Via Toll-Like Receptor 3 Signaling.

Postoperative ileus (POI) is triggered by an innate immune response in the muscularis externa (ME) and is accompanied by bacterial translocation. Bacteria can trigger an innate immune response via toll-like receptor (TLR) activation, but the latter's contribution to POI has been disproved for several TLRs, including TLR2 and TLR4. Herein we investigated the role of double-stranded RNA detection via TLR3 and TIR-domain-containing adapter-inducing interferon-ß (TRIF) signaling pathway in POI. POI was induced by small bowel intestinal manipulation in wt, TRIF-/-, TLR3-/-, type I interferon receptor-/- and interferon-ß reporter mice, all on C57BL/6 background, and POI severity was quantified by gene expression analysis, gastrointestinal transit and leukocyte extravasation into the ME. TRIF/TLR3 deficiency reduced postoperative ME inflammation and prevented POI. With bone marrow transplantation, RNA-sequencing, flow cytometry and immunohistochemistry we revealed a distinct TLR3-expressing radio-resistant MHCIIhiCX3CR1- IBA-1+ resident macrophage population within the deep myenteric plexus. TLR3 deficiency in these cells, but not in MHCIIhiCX3CR1+ macrophages, reduced cytokine expression in POI. While this might not be an exclusive macrophage-privileged pathway, the TLR3/TRIF axis contributes to proinflammatory cytokine production in MHCIIhiCX3CR1- IBA-1+ macrophages during POI. Deficiency in TLR3/TRIF protects mice from POI. These data suggest that TLR3 antagonism may prevent POI in humans.

Propafenone for supraventricular arrhythmias in septic shock-Comparison to amiodarone and metoprolol.

PURPOSE: The occurence of supraventricular arrhythmias associate with an unfavourable prognosis in septic shock. Propafenone could be a feasible antiarrhythmic. MATERIALS AND METHODS: Patients collected over a period of 24months were divided into the three groups based on antiarrhythmic: Group1(amiodarone), Group2(propafenone), Group3(metoprolol). Type of arrhythmia, cardioversion rates, demographic, haemodynamic, laboratory parameters were recorded in the first 24h. The outcome data were compared between the groups. RESULTS: 234 patients (99.1% ventilated) were included, the prevailing arrhythmia was acute onset atrial fibrillation (AF,69.7%). Except for the dosage of noradrenaline (0.35(0.14-0.78) in Group1(n=142)vs 0.25(0.10-0.50),p<0.01 in Group2(n=78)vs 0.14(0.07-0.25)µg/kg·min,p<0.05 in Group3(n=14)) the ejection fraction of left ventricle, rates of renal replacement therapy, arterial lactate and procalcitonin levels were not different between the groups. The cardioversion rate in Group1(74%) was lower than in Group2(89%) and Group3(92%). ICU and 28-day mortalities of Group1 were not significantly higher than in Group2 and Group3. Multivariate analysis demonstrated higher 12-month mortality in Group1 than in Group2 (HR1.58(1.04;2.38),p=0.03). CONCLUSIONS: Propafenone demonstrated a higher cardioversion rate than amiodarone with a similar impact on the outcome. Patients remaining in acute onset arrhythmia did not demonstrate significantly higher ICU, 28-day and 12-month mortalities compared to those successfully cardioverted or to those having chronic AF.

Relating tribological stimuli to somatosensory electroencephalographic responses.

The present study deals with the extraction of neural correlates evoked by tactile stimulation of the human fingertip. A reciprocal sliding procedure was performed using a home-built tribometer while simultaneously electroencephalographic (EEG) data from the somatosensory cortex was recorded. The tactile stimuli were delivered by a sliding block with equidistant, perpendicular ridges. The experiments were designed and performed in a fully passive way to prevent attentional locked influences from the subjects. In order to improve the signal-to-noise ratio (SNR) of event related single-trials (ERPs), nonlocal means in addition to 2D-anisotropic denoising schemes based on tight Gabor frames were applied. This novel approach allowed for an easier extraction of ERP alternations. A negative correlation between the latency of the P100 component of the resulting brain responses and the intensity of the underlying lateral forces was found. These findings lead to the conclusion that an increasing stimulus intensity results in a decreasing latency of the brain responses.

Formation of ZSM-22 zeolite catalytic particles by fusion of elementary nanorods.

An ZSM-22 aluminosilicate zeolite was synthesized using the hydrothermal gel method at 150 degrees C. Products obtained after different synthesis times were characterized using various techniques and catalytic testing. Massive formation of ZSM-22 nanocrystals occurs after only a short synthesis time, appearing as isolated rods with a cross section of 12+/-4 nm. Nanorods have aluminum enriched at their external surface. Later in the crystallization process nanorods align and fuse sideways, whereby the external surface is systematically converted into an internal micropore surface. The formation of aluminum bearing micropores by the joining of nanorod surfaces is responsible for the enhanced catalytic activity. For this, the zeolite synthesis of nanoscale crystallites is ineffective for enhancing catalytic activity.

Modification of kaolinite surfaces through mechanochemical treatment--a mid-IR and near-IR spectroscopic study.

The modification of kaolinite surfaces through mechanochemical treatment has been studied using a combination of mid-IR and near-IR spectroscopy. Kaolinite hydroxyls were lost after 10 h of grinding as evidenced by the decrease in intensity of the OH stretching vibrations at 3695 and 3619 cm(-1) and the deformation modes at 937 and 915 cm(-1). Concomitantly an increase in the hydroxyl-stretching vibrations of water is observed. The mechanochemical activation (dry grinding) causes destruction in the crystal structure of kaolinite by the rupture of the O-H, Al-OH, Al-O-Si and Si-O bonds. Evidence of this destruction may be followed using near-IR spectroscopy. Two intense bands are observed in the spectral region of the first overtone of the hydroxyl-stretching vibration at 7065 and 7163 cm(-1). These two bands decrease in intensity with mechanochemical treatment and two new bands are observed at 6842 and 6978 cm(-1) assigned to the first overtone of the hydroxyl-stretching band of water. Concomitantly the water combination bands observed at 5238 and 5161 cm(-1) increase in intensity with mechanochemical treatment. The destruction of the kaolinite surface may be also followed by the loss of intensity of the two hydroxyl combination bands at 4526 and 4623 cm(-1). Infrared spectroscopy shows that the kaolinite surface has been modified by the removal of the kaolinite hydroxyls and their replacement with water adsorbed on the kaolinite surface. NIR spectroscopy enables the determination of the optimum time for grinding of the kaolinite. Further NIR allows the possibility of continual on-line analysis of the mechanochemical treatment of kaolinite.

[Myocardial revascularization via a median sternotomy without cardiopulmonary bypass in 250 patients--midterm results and study of graft patency]. / Revaskularizace myokardu ze strední sternotomie bez pouzití mimotelního obehu u 250 nemocných--strednedobé výsledky a studie pruchodnosti stepu.

OBJECTIVES: To evaluate mid-term results and one-year graft patency of less invasive coronary artery bypass grafting through a median sternotomy. METHODS: From January 1, 1998, to December 31, 1999, 250 patients had coronary artery bypass grafting (CABG) without cardiopulmonary bypass (CPB) through a median sternotomy. The patient base of 188 men and 62 women averaged 61.7 years, mean ejection fraction (EF) was 55.1%. An average of 2.7 (range 1 to 5) distal anastomoses per patient was achieved. Results are compared with a CPB subgroup of patients operated on through a median sternotomy in the same time (N = 1126). In a random subgroup of 100 patients (50 per group) an angiographic control of graft patency was done. RESULTS: A non-CPB group showed lesser occurrence of postoperative acute myocardial infarction (p = 0.038), atrial fibrillation (p = 0.029) and lower incidence of renal (p = 0.033) complications. We observed lower operative mortality (p = 0.019), as well as the occurrence of low cardiac output syndrome (p < 0.001) in the off pump group. The follow-up is 36 +/- 12 months and the number of patients with recurrent angina (5.4%), late AMI (0%) and late death (0.4%) is acceptable. We did not find an inordinate number of vein grafts occlusions (2.2%) and stenoses (7.8%) at anastomotic sites. None of the arterial grafts in both groups were occluded. CONCLUSIONS: We detected lower incidence of postoperative complications and decreased operative mortality in a non-CPB group. Angiographic assessment displayed an excellent run-off in both groups of patients. Off-pump coronary bypass grafting is associated with sufficient short-term graft patency and mid-term clinical outcomes.

Off-pump coronary artery bypass grafting. The 1st Medical Faculty of Charles University study.

OBJECTIVES: To explore the surgical technique, anaesthesiological management, immediate and mid-term results, graft patency and effectiveness of less invasive coronary artery bypass grafting through a median sternotomy. METHODS: From January 1998 through December 1999, 144 patients had coronary artery bypass grafting (CABG) without cardiopulmonary bypass (CPB) done by one surgeon through a median sternotomy. The cohort of 107 men and 37 women averaged 60.8 years, mean ejection fraction (EF) was 51.8%. An average of 2.7 (range 1 to 5) grafts/patients was achieved. Results are compared with a CPB subgroup of patients operated on through a median sternotomy in the same time (N = 234). In a random subgroup of 100 patients (50 per group) an angiographic control of graft patency was done. RESULTS: A non-CPB group showed less postoperative acute myocardial infarction (0.7% vs. 3.8%, p < 0.05) and atrial fibrillation (14.6% vs. 26%, p < 0.05), lower incidence of renal (2.8% vs. 5.1%, p < 0.05) and respiratory complications (2.0% vs. 3.8%, NS). We observed lower operative mortality (0.7% vs. 3.4%, p < 0.05), as well as the occurrence of low cardiac output syndrome (0.7% vs. 5.6%, p < 0.05) in the off-pump group. The follow-up is 36 +/- 12 months and the number of patients with recurrent angina, late AMI and late death is acceptable. We did not find an inordinate number of vein grafts occlusions (0.7% vs. 1.8%, NS) and stenoses (6.6% vs. 6.7%, NS) at anastomotic sites. None of the arterial grafts in both groups were occluded. CONCLUSIONS: There was little known about the efficacy of the less invasive coronary artery bypass grafting at the beginning of our study. Starting with pioneering the operative technique, we have discovered and proposed three types of a heart verticalization and a reusable stabilizing device. We detected lower incidence of postoperative complications and decreased operative mortality in a non-CPB group. Angiographic assessment displayed an excellent run-off in both groups of patients. Off-pump coronary bypass grafting is associated with sufficient short-term graft patency and mid-term clinical outcomes.

Raman spectroscopy of potassium acetate-intercalated kaolinites at liquid nitrogen temperature.

Raman microscopy has been used to study low and high defect kaolinites and their potassium acetate intercalated complexes at 298 and 77 K. Raman spectroscopy shows significant differences in the spectra of the hydroxyl-stretching region of the two types of kaolinites, which is also reflected in the spectroscopy of the hydroxyl-stretching region of the intercalation complexes. Additional bands to the normally observed kaolinite hydroxyl stretching frequencies are observed for the low and high defect kaolinites at 3605 and 3602 cm(-1) at 298 K. Upon cooling to liquid nitrogen temperature, these bands are observed at 3607 and 3604 cm(-1), thus indicating a weakening of the hydrogen bond formed between the inner surface hydroxyls and the acetate ion. Upon cooling to liquid nitrogen temperature, the frequency of the inner hydroxyls shifted to lower frequencies. Collection of Raman spectra at liquid nitrogen temperature did not give better band separation compared to the room temperature spectra as the bands increased in width and shifted closer together.

Investigation of mandelic acid bonding on Pirkle type chromatographic stationary phases by Raman spectroscopy.

The bonding of mandelic acid enantiomers has been studied on benzene-leucine, dinitrobenzene-leucine and dinitrobenzene-phenylalanine type chiral stationary phases connected to zeolite A supports. The pi-donor, pi-acceptor and H-bonding interactions responsible for diastereomer pair formations can be studied under quasi in situ chromatographic conditions by Fourier transform Raman and surface enhanced Raman spectroscopic techniques. Structural differences between diastereomer pairs result in observable spectral differences at a phase load of approx. 50%. It was shown that the decreasing pi-acceptor character of the phase is associated with its increasing capability of H-bond formation. Correlating spectral data to chromatographic results it can be concluded that, in addition to H-bonding as well as to pi-donor-pi-acceptor interactions, steric hindrances due to bulky moieties of either the stationary phase or the analyte molecules are of importance in successful separations.

Raman spectroscopy of urea and urea-intercalated kaolinites at 77 K.

The Raman spectra of urea and urea-intercalated kaolinites have been recorded at 77 K using a Renishaw Raman microprobe equipped with liquid nitrogen cooled microscope stage. The NH2 stretching modes of urea were observed as four bands at 3250, 3321, 3355 and 3425 cm(-1) at 77 K. These four bands are attributed to a change in conformation upon cooling to liquid nitrogen temperature. Upon intercalation of urea into both low and high defect kaolinites, only two bands were observed near 3390 and 3410 cm(-1). This is explained by hydrogen bonding between the amine groups of urea and oxygen atoms of the siloxane layer of kaolinite with only one urea conformation. When the intercalated low defect kaolinite was cooled to 77 K, the bands near 3700 cm(-1) attributed to the stretching modes of the inner surface hydroxyls disappeared and a new band was observed at 3615 cm(-1). This is explained by the breaking of hydrogen bonds involving OH groups of the gibbsite-like layer and formation of new bonds to the C=O group of the intercalated urea. Thus it is suggested that at low temperatures two kinds of hydrogen bonds are formed by urea molecules in urea-intercalated kaolinite.

Effect of water on the formamide-intercalation of kaolinite.

The molecular structures of low defect kaolinite completely intercalated with formamide and formamide-water mixtures have been determined using a combination of X-ray diffraction, thermoanalytical techniques, DRIFT and Raman spectroscopy. Expansion of the kaolinite to 10.09 A was observed with subtle differences whether the kaolinite was expanded with formamide or formamide-water mixtures. Thermal analysis showed that greater amounts of formamide could be intercalated into the kaolinite in the presence of water. New infrared bands were observed for the formamide intercalated kaolinites at 3648, 3630 and 3606 cm(-1). These bands are attributed to the hydroxyl stretching frequencies of the inner surface hydroxyls hydrogen bonded to formamide with water, formamide and interlamellar water. Bands were observed at similar positions in the Raman spectrum. At liquid nitrogen temperature, the 3630 cm(-1) Raman band separated into two bands at 3633 and 3625 cm(-1). DRIFT spectra showed the hydroxyl deformation mode at 905 cm(-1). Changes in the molecular structure of the formamide are observed through both the NH stretching vibrations and the amide 1 and 2 bands. Upon intercalation of kaolinite with formamide, bands are observed at 3460, 3344, 3248 and 3167 cm(-1) attributed to the NH stretching vibration of the NH involved with hydrogen bonded to the oxygens of the kaolinite siloxane surface. In the DRIFT spectra of the formamide intercalated kaolinites bands are observed at 1700 and 1671 cm(-1) and are attributed to the amide 1 and amide 2 vibrations.

Vibrational spectroscopy of formamide-intercalated kaolinites.

The vibrational spectroscopy of low and high defect kaolinites fully and partially intercalated with formamide have been determined using a combination of X-ray diffraction, DRIFT and Raman spectroscopy. Expansion of the high defect kaolinite to 10.09 A resulted in a decrease in the peak width of the d(001) peak attributed to a decrease in defect structures upon intercalation. Changes in the defect structures of the low defect kaolinite were observed. Additional infrared bands were observed for the formamide intercalated kaolinites at 3629 and 3606 cm(-1). The 3629 cm(-1) band is attributed to the hydroxyl stretching frequency of the inner surface hydroxyl group hydrogen bonded to the carboxyl group of the formamide. The 3606 cm(-1) band is ascribed to water in the interlayer. Concomitant changes are observed in both the hydroxyl deformation modes and in the carboxyl bands.

Modification of Kaolinite Surfaces through Intercalation with Potassium Acetate, II.

The modification of kaolinite hydroxyl surfaces of both ordered and disordered kaolinites has been studied under a range of conditions and intercalating agents. This has been achieved by the study of the kaolinite hydroxyl deformation vibrations by the application of diffuse reflectance Fourier transform infrared (DRIFT) spectroscopy. Kaolinites showed resolved bands at 940 and 915 cm-1 with an additional band at 923 cm-1. The bands at 940 and 923 cm-1 are assigned to the hydroxyl deformation modes of the inner surface hydroxyl groups, and the 915 cm-1 band is assigned to that of the inner hydroxyl group. When the kaolinite is intercalated with potassium acetate additional bands were found at 909 and 897 cm-1 for the ordered kaolinites. An additional band at 877 cm-1 is observed for the disordered kaolinite and is attributed to the hydroxyl deformation mode of non-hydrogen-bonded hydroxyl groups. The bands at 909 and 897 cm-1 range are attributed to inner surface hydroxyl groups hydrogen bonded to water or acetate groups. The intensity of these bands reflects the degree of disorder introduced into the kaolinite through intercalation. The intensities of the kaolinite hydroxyl deformation modes are a function of the starting kaolinite order and the method of preparation. Copyright 1999 Academic Press.

Modification of the Kaolinite Hydroxyl Surfaces through the Application of Pressure and Temperature, Part III.

Kaolinite hydroxyl surfaces have been modified by the combined application of heat and pressure in the presence of water at 120 degrees C and 2 bars and at 220 degrees C and 20 bars. X-ray diffraction shows that some of the layers are expanded. It is hypothesized that this expansion occurs at the edges of the crystals due to the intercalation of water. The X-ray diffraction data is supported by diffuse reflectance infrared spectroscopy, with additional hydroxyl stretching bands observed around 3550 and 3590 cm-1. These bands are attributed to adsorbed water and to edge-intercalated water. Additional bands are observed in the hydroxyl deformation region around 895 and 877 cm-1. The position of these bands depends on the defect structure of the kaolinite and the conditions under which the kaolinite was thermally treated. Additional water bending vibrations were observed at 1651 and 1623 cm-1 for the thermally treated high-defect kaolinite and at 1682 and 1610 cm-1 for the low-defect kaolinite. The bands at 1651 and 1682 cm-1 are attributed to the bending modes of water coordinated to the kaolinite surface. The role of water in the edge intercalation of water in the high- and low-defect kaolinites is apparently different. Copyright 1999 Academic Press.

The Role of Water in the Intercalation of Kaolinite with Potassium Acetate.

Water in intercalated kaolinites is observed first as bands inthe hydroxyl-stretching region at 3300 to 3550 cm-1 and bythe water H-O-H bending vibrations in the 1560 to 1680-cm-1 region. For potassium-acetate-intercalated kaolinite, hydroxyl-stretching bands attributed to water are observed at approximately 3540, approximately 3475, approximately 3430, and approximately 3380 cm-1. Water bending modes areobserved at 1560, 1586, 1610, and 1679 cm-1. These bands are attributed to (a) water molecules adsorbed on the kaolinite surface, (b) zeolitic water, (c) molecular first layer water, and (d) orderedwater on the hydroxyl surface, respectively. The intensities ofthe bands are a function of the method of preparation of the intercalated kaolinite. As the kaolinite was washed for varying time intervals, the 1560 cm-1 band decreased in intensity more rapidly than the 1610 cm-1 band. Even after washing for 24 h significant concentrations of water remained on the kaolinite and only heating removed the water. The 1560, 1586, and 1610 cm-1 bands are attributed (a) to free or non-hydrogen-bonded water held in the interlayer spaces of the kaolinite, (b) to water in the hydration sphere of the potassium ion, and (c) to surface-adsorbed water on the kaolinite layers. In kaolinites intercalated under pressure, an additional band was observed at 1679 cm-1. It is proposed that this band is due to water coordinated to the kaolinite surface. Copyright 1998 Academic Press.

Modification of the Kaolinite Hydroxyl Surfaces through Intercalation with Potassium Acetate under Pressure.

Kaolinite hydroxyl surfaces have been modified upon intercalation with potassium acetate under a range of conditions. Modification is observed by changes in the hydroxyl stretching region using Raman and infrared spectroscopy. Upon the intercalation of low defect kaolinite with potassium acetate under a pressure of 20 bars and 220 degreesC, the Raman spectra showed additional bands at 3590, 3603, and 3609 cm-1. The DRIFT spectra of this intercalate showed new bands at 3595 and 3605 cm-1. These bands are attributed to the inner surface hydroxyls hydrogen bonded to the acetate anion. Intercalation under 20 bars pressure at 220 degreesC caused the differentiation of the inner surface hydroxyl groups, resulting in these additional bands. By using milder conditions of 2 bars and at 120 degreesC, additional Raman bands were found at 3592, 3600, and 3606 cm-1. If the kaolinite was intercalated at 1 bar and 100 degreesC, a new broad Raman band was found at 3605 cm-1. It is proposed that the effect of intercalation of the low defect kaolinite under pressure caused the kaolinite to become disordered and this disordering was dependent upon the temperature of intercalation. Copyright 1998 Academic Press.

Role of Water in the Intercalation of Kaolinite with Hydrazine.

A low-defect kaolinite of 7.18-Å basal spacing was expanded upon intercalation with hydrazine. The 001 d-spacing was broad and the peak resolved into components at 10.28, 9.48, and 8.80 Å. It was found that the ordered kaolinite predominantly expanded to 9.48 Å with 31.2% and 10.28 Å with 38.0% of the total peak area. A high-defect kaolinite showed expansion by hydrazine in identical steps with d-spacings of 10.27, 9.53, and 8.75 Å. It is proposed that the intercalation of the kaolinite by hydrazine occurs according to the orientation of the hydrazine molecule and that water plays an integral part in the process of kaolinite expansion. For the hydrazine-intercalated kaolinite, hydroxyl stretching bands attributed to water are observed at 3413, 3469, and 3599 cm-1 for the low-defect kaolinite and at 3600 and 3555 cm-1 for the high-defect kaolinite. Upon the exposure of the low-defect hydrazine-intercalated kaolinite to air, an additional water band is observed at 3555 cm-1. Water bending modes are observed at 1578, 1598, 1612, 1627, 1650, and 1679 cm-1 for the hydrazine-intercalated low-defect kaolinite and at 1578, 1598, 1613, 1627, 1652, and 1678 cm-1 for the hydrazine-intercalated high-defect kaolinite. The intensities of these bands are a function of the exposure to air and measurement time. The 1650- and 1679 cm-1 bands increased in intensity as the intensity of the 1612 cm-1 band decreased. Even after exposure to air for 24 h, water remained in the kaolinite interlayer space and only after heating was the water removed. The 1578, 1598, and 1612 cm-1 bands as well as the 1627 cm-1 band are attributed to (a) free or non-hydrogen-bonded water held in the interlayer spaces of the kaolinite, (b) water in the hydration spheres of the hydrazine, and (c) adsorbed water on the kaolinite surface. In kaolinites additional bands at 1650 and 1679 cm-1 are attributed to water coordinated to the siloxane surface. Copyright 1998 Academic Press.

A Piezoelectric crystal detector for continuous monitoring of water evolved during thermal decomposition reactions.

A method for the continuous monitoring of water vapour evolved during thermal decomposition reactions is developed based on the reversible adsorption of water on a bare piezoelectric crystal with nickel electrodes. Gaseous decomposition products formed in the furnace chamber of the thermoanalytical equipment are collected and transported to the detector cell by the carrier gas. A linear relationship exists between the decrease in vibrational frequency of the crystal and the concentration of water in the carrier gas up to 900 mug/l. H(2)O [1200 ppm (v/v)]. The signal curve of the piezoelectric water monitor can be recorded simultaneously along with the TG, DTG and DTA curves and used to identify the decomposition step(s) in which water was formed. CO, CO(2) and low molecular weight hydrocarbons do not interfere. Condensable organic crack products can be removed by a suitable pretrap.

Prospective study of alcoholism treatment in Kuwait: a 5-year follow-up report.

The outcome of a 5-year prospective follow-up study of 100 patients treated in the Kuwait Hospital for alcohol-related problems is reported using two parameters computed from weighted follow-up variables, i.e., Offset Score measuring patients' initial follow-up status and Direction of Slope summarizing consequent follow-up scores. Nineteen patients had died representing 14 times the age-corrected national rate. Univariate and multivariate analyses of outcome measures against prefollow-up patients' characteristics revealed that variables indicating heavy alcohol use independent of each other predicted negative outcome and mortality. The tendency of the group score distribution towards normalization uninfluenced by treatment is demonstrated. The pertinence of these findings to the medical profession in Kuwait is stressed.