Physical factors affecting chloroquine binding to melanin.

Chloroquine is an antimalarial drug but is also prescribed for conditions such as rheumatoid arthritis. Long-term users risk toxic side effects, including retinopathy, thought to be caused by chloroquine accumulation on ocular melanin. Although the binding potential of chloroquine to melanin has been investigated previously, our study is the first to demonstrate clear links between chloroquine adsorption by melanin and system factors including temperature, pH, melanin type, and particle size. In the current work, two Sepia melanins were compared with bovine eye as a representative mammalian melanin. Increasing the surface anionic character due to a pH change from 4.7 to 7.4 increased each melanin's affinity for chloroquine. Although the chloroquine isotherms exhibited an apparently strong interaction with each melanin, isosteric heat analysis indicated a competitive interaction. Buffer solution cations competed effectively at low surface coverage; chloroquine adsorption occurs via buffer cation displacement and is promoted by temperature-influenced secondary structure swelling.

A short-term biomarker modulation study of simvastatin in women at increased risk of a new breast cancer.

Observational studies have demonstrated a decreased incidence of cancers among users of HMG CoA reductase inhibitors (statins) and a reduced risk of recurrence among statin users diagnosed with early stage breast cancer. We initiated a prospective study to identify potential biomarkers of simvastatin chemopreventive activity that can be validated in future trials. The contralateral breast of women with a previous history of breast cancer was used as a high-risk model. Eligible women who had completed all planned treatment of a prior stage 0-III breast cancer received simvastatin 40 mg orally daily for 24-28 weeks. At baseline and end-of-study, we measured circulating concentrations of high-sensitivity C-reactive protein (hsCRP), estrogens, and fasting lipids; breast density on contralateral breast mammogram; and quality of life by Rand Short Form 36-Item health survey. Fifty women were enrolled with a median age of 53 years. Total cholesterol, LDL cholesterol, triglyceride, and hsCRP fell significantly during the study (P values < 0.001, <0.001, 0.003, and 0.05, respectively). Estrone sulfate concentrations decreased with simvastatin treatment (P = 0.01 overall), particularly among post-menopausal participants (P = 0.006). We did not observe a significant change in circulating estradiol or estrone concentrations, contralateral mammographic breast density, or reported physical functioning or pain scores. This study demonstrates the feasibility of short-term biomarker modulation studies using the contralateral breast of high-risk women. Simvastatin appears to modulate estrone sulfate concentrations and its potential chemopreventive activity in breast cancer warrants further investigation.

Changes in breast density and circulating estrogens in postmenopausal women receiving adjuvant anastrozole.

Factors associated with an increased risk of breast cancer include prior breast cancer, high circulating estrogens, and increased breast density. Adjuvant aromatase inhibitors are associated with a reduction in incidence of contralateral breast cancer. We conducted a prospective, single-arm, single-institution study to determine whether use of anastrozole is associated with changes in contralateral breast density and circulating estrogens. Eligible patients included postmenopausal women with hormone receptor-positive early-stage breast cancer who had completed local therapy, had an intact contralateral breast, and were recommended an aromatase inhibitor as their only systemic therapy. Participants received anastrozole 1 mg daily for 12 months on study. We assessed contralateral breast density and serum estrogens at baseline, 6, and 12 months. The primary endpoint was change in contralateral percent breast density from baseline to 12 months. Secondary endpoints included change in serum estrone sulfate from baseline to 12 months. Fifty-four patients were accrued. At 12 months, compared with baseline, there was a nonstatistically significant reduction in breast density (mean change: -16%, 95% CI: -30 to 2, P = 0.08) and a significant reduction in estrone sulfate (mean change: -93%, 95% CI: -94 to -91, P < 0.001). Eighteen women achieved 20% or greater relative reduction in contralateral percent density at 12 months compared with baseline; however, no measured patient or disease characteristics distinguished these women from the overall population. Large trials are required to provide additional data on the relationship between aromatase inhibitors and breast density and, more importantly, whether observed changes in breast density correlate with meaningful disease-specific outcomes.

Analysis of uncertainties in manometric gas-adsorption measurements: II. Uncertainty in alpha(S)-analyses and pore volumes.

We describe procedures to propagate the uncertainty in adsorption data and alpha(S)-values to generate uncertainty in apparent primary, secondary, and total micropore volumes for porous activated carbons exhibiting Type I and IV character. The alpha(S)-data are interpolated from selected non-porous reference material (NPRM) adsorption isotherm data with some adsorbents exhibiting surface chemistry quite different from and some similar to that of the porous adsorbents (PA). We show that a statistically constant apparent total micropore volume can be determined independent of the NPRM surface chemistry. In contrast, NPRM surface chemistry appears to influence our ability to identify unequivocally the filling and condensation ranges of micropore filling, leading to statistically different apparent primary and secondary micropore volumes.

Temperature Influence of Benzene Adsorption by a Microporous Silica.

The theory for volume filling of micropores is used to describe benzene adsorption isotherms measured over a 25 K temperature range. The adsorption potential or molar work of adsorption for the isotherm at 298 K is derived and compared with Weibull, Gaussian, and gamma potential distribution functions. The Weibull function is fitted via a two-term Dubinin-Radushkevich (D-R) equation. The closest data fit occurs for the gamma distribution. The two-term D-R potentials are interpreted as indicating adsorption by primary micropores followed sequentially by secondary micropores. Analysis of the distribution of adsorption enthalpy for the porous solid compared with a nonporous standard suggests that the predominant pore width is 1.2 nm. The interpretation of the differential molar adsorption entropy at 298 K suggests that strongly localized adsorption occurs in the primary micropores and two-dimensional translational motion with rotation in the plane of the ring occurs in the secondary micropores. Copyright 2000 Academic Press.

Determination of geosmin and 2-methylisoborneol in water using solid-phase microextraction and gas chromatography-chemical ionisation/electron impact ionisation-ion-trap mass spectrometry.

A method for the determination of geosmin and 2-methylisoborneol (MIB) in water by solid-phase microextraction (SPME) is presented. Various SPME fibre chemistries have been compared for their efficiency in extracting MIB from water. Extraction conditions including the extraction time and temperature have been optimised. A 30 ml water sample is extracted for 20 min at 60 degrees C using a divinylbenzene fibre, and the extract analysed by gas chromatography with ion-trap mass spectrometry detection. d5-Geosmin and d3-MIB are added as internal standards to compensate for any variability in the SPME process which is not carried out to equilibrium. Chemical ionisation, using acetonitrile as the reagent gas, was found to give superior sensitivity to electron impact ionisation (EI) for the detection of MIB. EI was used as the ionisation mode for detection of geosmin. The method shows good linearity over the concentration range 5-40 ng l-1 and gives detection limits of 1 ng l-1 for both geosmin and MIB. Recovery (93-110%) and precision (3-12%) over this concentration range, for both raw and treated drinking waters, are comparable to currently employed methods such as closed-loop stripping analysis (CLSA). The method offers the advantage of being simple to use, with much shorter analysis times in comparison to CLSA.

Orienting a new graduate nurse to home healthcare.

As the amount of hospital positions dwindles for the graduating nurse, more are looking for initial employment in home health care. A rural home healthcare agency in Virginia developed a preceptor program that effectively helps new graduates to make the transition to the home care nursing role by use of a 13-week orientation program using preceptors and clinical time in the hospital.