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https://www.readbyqxmd.com/read/28078858/use-of-lactated-ringer%C3%A2-s-solution-does-not-eliminate-the-risk-of-strong-ion-difference-related-metabolic-acidosis-following-on-pump-cardiac-surgery
#1
T Jovaisa, V Vicka, G Linkaitė, J Guseinovaitė, D Ringaitienė, I Norkienė
There is a growing interest in the effects of plasma sodium levels on postoperative outcomes. A trend of using balanced crystalloid solutions is based on the extensive data on chloride and the strong ion difference-related acidosis. However, effects of sodium are often overlooked in this context. The aim of the study was to establish the effects of the routine use of Lactated Ringer’s Solution (RL) on postoperative changes in sodium concentrations and whether these changes result in metabolic acidosis. We performed database analysis of 358 consecutive elective on-pump cardiac surgery cases in a tertiary referral university hospital...
October 2016: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/28034505/high-performance-thin-layer-chromatography-mass-spectrometry-of-japanese-knotweed-flavan-3-ols-and-proanthocyanidins-on-silica-gel-plates
#2
Vesna Glavnik, Irena Vovk, Alen Albreht
On-line elution based TLC-MS is now a well-established technique, but the quality of the data obtained can sometimes be hampered by a severe spectral background or by strong ion suppression, especially when silica gel plates are used in combination with an acidic modifier in the developing solvent. We solved this issue simply and efficiently using two pre-developments of the plates, firstly with methanol-formic acid (10:1, v/v) and secondly with acetonitrile-methanol (2:1, v/v). This solution resulted in significant improvement in the sensitivity of HPTLC-MS methods...
December 21, 2016: Journal of Chromatography. A
https://www.readbyqxmd.com/read/28028530/acid-base-and-hemodynamic-status-of-patients-with-intraoperative-hemorrhage-using-two-solution-types-crystalloid-ringer-lactate-and-1-3-sodium-bicarbonate-in-half-normal-saline-solution
#3
Sayed Jalal Hashemi, Sayed Morteza Heidari, Ahmad Yaraghi, Reza Seirafi
BACKGROUND: Intraoperative hemorrhage is one of the problems during surgery and, if it happens in a high volume without an immediate action to control, it can be fatal. Nowadays, various injectable solutions are used. The aim of this study was to compare the acid-base and hemodynamic status of the patient using two solutions, Ringer lactate and 1.3% sodium bicarbonate, in half saline solution. MATERIALS AND METHODS: This clinical trial was performed at the Al-Zahra Hospital in 2013 on 66 patients who were randomly selected and put in two studied groups at the onset of hemorrhage...
2016: Advanced Biomedical Research
https://www.readbyqxmd.com/read/27990831/-clinical-evaluation-of-acid-base-status-henderson-hasselbalch-or-stewart-fencl-approach
#4
Karel Matoušovic, Jan Havlín, Otto Schück
Two approaches have been used in clinical evaluation the acid-base status: traditional (bicarbonate-centered) is based on the Henderson-Hasselbalch equation complemented by calculation of the anion gap, and more recent quantitative approach proposed by Stewart and Fencl. The latter method defines the three independent variables, which regulate pH. These include: the difference between the sum of charges carried by strong plasma cations and anions termed the strong ion difference - SID (decrease causes acidosis, and vice versa); the total concentration of the weak non-volatile acids [Atot] (inorganic phosphate and albumin, decrease causes alkalosis and vice versa), and pCO2...
2016: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/27990824/surface-tension-of-acid-solutions-fluctuations-beyond-the-nonlinear-poisson-boltzmann-theory
#5
Tomer Markovich, David Andelman, Rudi Podgornik
We extend our previous study of surface tension of ionic solutions and apply it to acids (and salts) with strong ion-surface interactions, as described by a single adhesivity parameter for the ionic species interacting with the interface. We derive the appropriate nonlinear boundary condition with an effective surface charge due to the adsorption of ions from the bulk onto the interface. The calculation is done using the loop-expansion technique, where the zero loop (mean field) corresponds of the full nonlinear Poisson-Boltzmann equation...
December 19, 2016: Langmuir: the ACS Journal of Surfaces and Colloids
https://www.readbyqxmd.com/read/27975665/one-step-preparative-isolation-of-aristolochic-acids-by-strong-ion-exchange-centrifugal-partition-chromatography
#6
A A Abdelgadir, L Boudesocque-Delaye, I Thery-Koné, A Gueiffier, E M Ahmed, C Enguehard-Gueiffier
No abstract text is available yet for this article.
December 2016: Planta Medica
https://www.readbyqxmd.com/read/27894793/a-quick-reference-on-anion-gap-and-strong-ion-gap
#7
REVIEW
Carlos Torrente Artero
Metabolic acid-base disorders are common in emergency and critically ill patients. Clinicians may have difficulty recognizing their presence when multiple acid-base derangements are present in a single patient simultaneously. The anion gap and the strong ion gap concepts are useful calculations to identify the components of complex metabolic acid-base associated to the presence of unmeasured anions. This article presents their definition, normal values, indications, limitations, and guidelines for interpretation of changes in the clinical setting...
November 25, 2016: Veterinary Clinics of North America. Small Animal Practice
https://www.readbyqxmd.com/read/27849077/encumbrance-in-desilylation-triggered-fluorogenic-detection-of-the-fluoride-ion-a-kinetic-approach
#8
Raghupathy Suresh, Senthil Kumar Thiyagarajan, Perumal Ramamurthy
Highly selective fluorogenic detection of the fluoride ion becomes viable due to its propensity towards cleaving Si-O and Si-C bonds, the key reactive elements in fluoride selective chemodosimeters. Herein, acridinedione derived, two novel fluorescent probes bearing tertiarybutyldiphenylsilyloxy (TBDPS) and tertiarybutyldimethylsilyloxy (TBDMS) groups were synthesized and their fluoride selective dosimetric action in organic solvents and in mixed aqueous medium was established through steady state and time resolved fluorescence techniques...
November 30, 2016: Physical Chemistry Chemical Physics: PCCP
https://www.readbyqxmd.com/read/27760042/use-of-elements-of-the-stewart-model-strong-ion-approach-sid3-sid4-atot-a-side-and-sig-for-the-diagnostics-of-respiratory-acidosis-in-brachycephalic-dogs
#9
P Sławuta, G Sapikowski, B Sobieraj
: Buffer systems of blood and tissues, which have the ability to bind with and give up hydrogen ions, participate in maintaining the acid-base balance (ABB) of the organism. According to the classic model, the system of carbonic acid and bicarbonates, where the first component serves the role of an acid and the second a base, determines plasma pH. The so-called Stewart model, which assumes that ions in blood serum can be separated into completely dissociated - nonbuffer and not dissociated - buffer ions which may give up or accept H+ions, also describes the ABB of the organism...
September 1, 2016: Polish Journal of Veterinary Sciences
https://www.readbyqxmd.com/read/27746547/a-comparative-study-of-sterofundin-and-ringer-lactate-based-infusion-protocol-in-scoliosis-correction-surgery
#10
Ashima Sharma, Monu Yadav, B Rajesh Kumar, P Sai Lakshman, Raju Iyenger, Gopinath Ramchandran
BACKGROUND: A major change in anesthesia practice as regards to intraoperative infusion therapy is the present requirement. Switching over to balanced fluids can substantially decrease the incidence of lactic acidosis and hyperchloremic acidosis. The deleterious effects of unbalanced fluids are more recognizable during major surgeries. We prospectively studied the influence of Sterofundin (SF) and Ringer lactate (RL) on acid-base changes, hemodynamics, and readiness for extubation during scoliosis surgery...
September 2016: Anesthesia, Essays and Researches
https://www.readbyqxmd.com/read/27726329/chemical-state-evolution-in-ferroelectric-films-during-tip-induced-polarization-and-electroresistive-switching
#11
Anton V Ievlev, Petro Maksymovych, Morgan Trassin, Jan Seidel, Ramamoorthy Ramesh, Sergei V Kalinin, Olga S Ovchinnikova
Domain formation and ferroelectric switching is fundamentally inseparable from polarization screening, which on free surfaces can be realized via band bending and ionic adsorption. In the latter case, polarization switching is intrinsically coupled to the surface electrochemical phenomena, and the electrochemical stage can control kinetics and induce long-range interactions. However, despite extensive evidence towards the critical role of surface electrochemistry, little is known about the nature of the associated processes...
October 11, 2016: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/27723336/intraparticulate-metal-speciation-analysis-of-soft-complexing-nanoparticles-the-intrinsic-chemical-heterogeneity-of-metal-humic-acid-complexes
#12
Raewyn M Town, Herman P Van Leeuwen
The Counterion Condensation-Donnan (CCD) model for the electrostatic features of soft, charged nanoparticles (NPs) is applied to the determination of the intrinsic stability constants, <i>K</i><sub>int</sub>, for inner-sphere Cd(II) and Cu(II) complexes with humic acid NPs. The novel CCD model accounts for the strong ion condensation potential for higher valency counterions within the intraparticulate double layer zone of the soft NP. The approach offers new insights into the intrinsic heterogeneity of the HA complexes, as revealed by the intraparticulate speciation as a function of the true degree of inner-sphere complexation, <i>θ<sub></i>M<i></sub></i>...
October 10, 2016: Journal of Physical Chemistry. A
https://www.readbyqxmd.com/read/27715059/supramolecularly-assisted-modulation-of-optical-properties-of-bodipy-benzimidazole-conjugates
#13
Shrikant S Thakare, Goutam Chakraborty, Parvathi Krishnakumar, Alok K Ray, Dilip Kumar Maity, Haridas Pal, Nagaiyan Sekar
Supramolecular host-guest interaction of neutral and cationic (protonated) forms of two BODIPY-benzimidazole (mono-benzimidazole and di-benzimidazole) conjugate dyes with the macrocyclic host Cucurbit[7]uril (CB7) has been investigated using photophysical and DFT studies. Expectedly, cationic forms of the dyes show exceptionally stronger binding than that of the neutral forms with CB7, which can be ascribed to strong ion-dipole interaction between the positive charge of the dye and highly polarizable carbonyl portals of the host...
October 7, 2016: Journal of Physical Chemistry. B
https://www.readbyqxmd.com/read/27681085/development-of-versatile-metal-organic-framework-functionalized-magnetic-graphene-core-shell-biocomposite-for-highly-specific-recognition-of-glycopeptides
#14
Jiaxi Wang, Jie Li, Yanan Wang, Mingxia Gao, Xiangmin Zhang, Pengyuan Yang
Protein N-glycosylation is a ubiquitous and important post-translational modification that has been involved in the development and progression of a series of human-related diseases. Until recently, the highly selective capturing of glycopeptides from complex biosamples was still significant and challenging work due to their changeable structures, ultralow abundance, and strong ion-suppressing effect. Here we first report the preparation and characterization of a novel, hydrophilic, porous biocomposite composed of magnetic graphene functionalized with metal-organic frameworks (MOFs) (MG@Zn-MOFs) able to recognize glycopeptides...
October 6, 2016: ACS Applied Materials & Interfaces
https://www.readbyqxmd.com/read/27639981/impact-of-chloride-and-strong-ion-difference-on-icu-and-hospital-mortality-in-a-mixed-intensive-care-population
#15
Niels Van Regenmortel, Walter Verbrugghe, Tim Van den Wyngaert, Philippe G Jorens
BACKGROUND: Abnormal chloride levels are commonly observed in critically ill patients, but their clinical relevance remains a matter of debate. We examined the association between abnormal chloremia and ICU and hospital mortality. To further refine findings and integrate them into the ongoing discussion on the detrimental effects of chloride-rich solutions, the impact of strong ion difference (SID) on the same end points was assessed. METHODS: Retrospective cohort study in an academic tertiary intensive care unit on 8830 adult patients who stayed at least 24 h in the ICU was carried out...
December 2016: Annals of Intensive Care
https://www.readbyqxmd.com/read/27631369/strong-relationships-in-acid-base-chemistry-modeling-protons-based-on-predictable-concentrations-of-strong-ions-total-weak-acid-concentrations-and-pco2
#16
Troels Ring, John A Kellum
Understanding acid-base regulation is often reduced to pigeonholing clinical states into categories of disorders based on arterial blood sampling. An earlier ambition to quantitatively explain disorders by measuring production and elimination of acid has not become standard clinical practice. Seeking back to classical physical chemistry we propose that in any compartment, the requirement of electroneutrality leads to a strong relationship between charged moieties. This relationship is derived in the form of a general equation stating charge balance, making it possible to calculate [H+] and pH based on all other charged moieties...
2016: PloS One
https://www.readbyqxmd.com/read/27626935/asymmetric-synthesis-of-chiral-bimetallic-ag28cu12-sr-24-4-nanoclusters-via-ion-pairing
#17
Juanzhu Yan, Haifeng Su, Huayan Yang, Chengyi Hu, Sami Malola, Shuichao Lin, Boon K Teo, Hannu Häkkinen, Nanfeng Zheng
In this work, a facile ion-pairing strategy for asymmetric synthesis of optically active negatively charged chiral metal nanoparticles using chiral ammonium cations is demonstrated. A new thiolated chiral three-concentric-shell cluster, [Ag28Cu12(SR)24](4-), was first synthesized as a racemic mixture and characterized by single-crystal X-ray structure determination. Mass spectrometric measurements revealed relatively strong ion-pairing interactions between the anionic nanocluster and ammonium cations. Inspired by this observation, the as-prepared racemic mixture was separated into enantiomers by employing chiral quaternary ammonium salts as chiral resolution agents...
October 5, 2016: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/27590096/assessing-acid-base-status-physiologic-versus-physicochemical-approach
#18
Horacio J Adrogué, Nicolaos E Madias
The physiologic approach has long been used in assessing acid-base status. This approach considers acids as hydrogen ion donors and bases as hydrogen ion acceptors and the acid-base status of the organism as reflecting the interaction of net hydrogen ion balance with body buffers. In the physiologic approach, the carbonic acid/bicarbonate buffer pair is used for assessing acid-base status and blood pH is determined by carbonic acid (ie, Paco2) and serum bicarbonate levels. More recently, the physicochemical approach was introduced, which has gained popularity, particularly among intensivists and anesthesiologists...
November 2016: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/27562561/chloride-content-of-solutions-used-for-regional-citrate-anticoagulation-might-be-responsible-for-blunting-correction-of-metabolic-acidosis-during-continuous-veno-venous-hemofiltration
#19
Rita Jacobs, Patrick M Honore, Marc Diltoer, Herbert D Spapen
BACKGROUND: Citrate, the currently preferred anticoagulant for continuous veno-venous hemofiltration (CVVH), may influence acid-base equilibrium. METHODS: The effect of 2 different citrate solutions on acid-base status was assessed according to the Stewart-Figge approach in two consecutive cohorts of critically ill adult patients. The first group received Prismocitrate 10/2 (PC10/2; 10 mmol citrate/L). The next group was treated with Prismocitrate 18/0 (PC18; 18 mmol citrate/L)...
August 26, 2016: BMC Nephrology
https://www.readbyqxmd.com/read/27546763/the-prognostic-value-of-the-strong-ion-gap-in-acute-pancreatitis
#20
Xiao Shen, Lu Ke, Dongliang Yang, Jing Sun, Zhihui Tong, Baiqiang Li, Gang Li, Weiqin Li, Jieshou Li, Rinaldo Bellomo
PURPOSE: In this study, we aimed to evaluate the predictive value of Stewart-derived parameters for the development of severe type of acute pancreatitis (AP) and for AP-related mortality. METHODS: We studied 186 patients admitted to the hospital with AP. We performed blood gas and biochemical analysis for each patient on admission. We calculated multiple metrics according to the Stewart's acid-base theory and assessed their accuracy as predictors of AP severity and mortality...
July 9, 2016: Journal of Critical Care
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