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Biomedical subjects

J Garric

Publications and source records attributed to J Garric.

11 recordsLinked to original sources
PubMed1998

Impact assessment of a wastewater treatment plant effluent using the fish biomarker ethoxyresorufin-O-deethylase: field and on-site experiments.

The impact of a wastewater treatment plant (WWTP) effluent was assessed with the fish biomarker ethoxyresorufin-O-deethylase (EROD) using field and on-site laboratory experiments. EROD activity was measured in chub (Leuciscus cephalus) and stone loach (Noemacheilus barbatulus) caught at three sites of the Chalaronne River (southeast France). Liver somatic index (LSI) and organochloride bioaccumulation in muscle were estimated for chub only. In September, EROD activity and LSI of chub increased significantly between the sites above and below the WWTP effluent discharge. EROD induction detected in chub was confirmed by on-site tank experiments. EROD levels were determined in juvenile rainbow trout (Oncorhynchus mykiss) and mirror carp (Cyprinus carpio) exposed to different concentrations of the WWTP effluent and river water for 16 days. After a 4-day exposure, EROD activities of the carp exposed to the effluent increased significantly compared with the control. The response was linked to the effluent concentration and was stable with exposure time. WWTP effluent induced EROD activity, whereas organic and metal analyses, performed on fish muscle and sediment, did not indicate any difference between upstream and downstream of the discharge.

Animals↗
PubMed1997

Is endotoxin and cytokine release related to a decrease in gastric intramucosal pH after hemorrhagic shock?

OBJECTIVES: (a) To investigate the relationship between gut ischemia parameters (gastric intramucosal pH [pHi], mucosal-arterial carbon dioxide difference [PCO2-gap]), and endotoxin or cytokine release during hemorrhagic shock; (b) to compare the predictive value of pHi, PCO2-gap and arterial lactate concentrations. DESIGN: Prospective study. SETTING: Surgical intensive care unit of a university hospital. PATIENTS: 20 multiple trauma patients with severe hemorrhagic shock. INTERVENTIONS: Intramucosal measurements and blood samples were obtained on admission to the emergency room and repeatedly over 48 h. MEASUREMENTS AND RESULTS: Endotoxin was measured using a chromogenic limulus amoebocyte assay. Cytokine [tumor necrosis factor-alpha (TNF alpha) and interleukin-6 (IL-6)] values were evaluated by immunoradiometric assays. Only 3 patients had positive blood cultures but endotoxins were detected at least once in all patients. Endotoxin levels were similar in survivors and non-survivors over the study period and were not related to pHi or PCO2-gap. Initially, high levels of IL-6 were observed in both nonsurvivors and survivors [median 1778 pg/ml (range 435-44,540) vs 2068 pg/ml (range 996-92,300)]. IL-6 levels progressively decreased in the survivors but not significantly. On admission, TNF alpha concentrations were similar in nonsurvivors and survivors (42 +/- 35 vs 46 +/- 27 pg/ml). From the 24th h, TNF alpha values were higher in the nonsurvivors than in the survivors (24 h: 72 +/- 38 vs 34 +/- 17 pg/ml, p < 0.05). The greatest IL-6 levels were found for a pHi < 7.20 (28.5 +/- 36.5 vs 1.8 +/- 1.3 ng/ml, p < 0.05) or a PCO2-gap > 7.5 mmHg (1 kPa) (32.5 +/- 37.5 vs 1.7 +/- 1.3 ng/ml, p < 0.01). With the same pHi threshold, no difference was found in endotoxin levels. The lactate concentrations were predictive for outcome from the 12th h (9.5 +/- 5.9 vs 3.6 +/- 2.3 mmol/l, p < 0.05). CONCLUSIONS: During severe hemorrhagic shock, endotoxin translocation from the gut was a common phenomenon that seemed independent of both pHi values and outcome. It could not explain IL-6 and TNF alpha release. In severe hemorrhagic shock, neither pHi nor PCO2-gap provides additional information to the lactate measurements.

Adult↗
PubMed1997

Differential quantitative blood cultures in the diagnosis of catheter-related sepsis in intensive care units.

The aim of this prospective study was to compare differential blood cultures and quantitative catheter tip cultures for the diagnosis of catheter-related sepsis. Over a period of 2 years, 283 central venous catheters were inserted in 190 adult patients. Catheters were removed when they were no longer needed or when infection was suspected. Immediately before removal of the central venous catheters, blood cultures were performed, with blood drawn simultaneously from the catheter and the peripheral vein. After removal, quantitative catheter culture was performed according to the Brun-Buisson modified Cleri technique. Fifty-five quantitative catheter cultures were positive. They were classified as contaminated (n = 18), colonized (n = 23), or infected (n = 14). Differential blood cultures correctly identified 13 infections. With a catheter/peripheral cfu ratio of 8, differential blood cultures had a sensitivity of 92.8% and a specificity of 98.8%. When the catheters were removed because of suspected infection, differential blood cultures had a sensitivity of 92.8% and a specificity of 100%. Differential blood culture, a technique that does not necessitate catheter removal, seems effective in the diagnosis of catheter-related sepsis in patients in the intensive care unit.

Adult↗
PubMed1995

Influence of the sample preservation mode to assess the chronic toxicity of an industrial effluent.

To improve the preservation of effluent samples, the contribution of refrigeration, freezing, and freeze-drying techniques to maintain the toxic characteristics of the samples was evaluated. To achieve this evaluation one acute test, three long-term toxicity tests, a biochemical test (P450 induction), and a mutagenicity test (Ames test) were used on the same industrial effluent. Refrigeration and freezing demonstrated a similar capacity of preservation. However, freezing should be recommended when the delay between sampling and the start of the bioassay exceeds 48 hr. Freeze-drying did not prove to be useful in that case but this could be due to methodological problems. Nevertheless, this technique allowed the detection of mutagenic compounds because of its aptitude to concentrate effluent samples. For the toxic evaluation of the samples the advantages of the use of a battery of biotests were confirmed and it was noted that the cladoceran (Ceriodaphnia dubia) reproduction test and the algal (Selenastrum capricornutum) growth test had a higher sensitivity within the three tests used.

Animals↗
PubMed1992

[Clonidine premedication and isoflurane anesthesia to reduce bleeding in otologic surgery].

Seventy-seven ASA 1 patients scheduled for ear surgery were premedicated orally, 90 min before anaesthesia. They were randomly assigned to two groups, according to the drug used: hydroxyzine alone (group T, n = 39) or combined with clonidine (4.9 +/- 0.3 micrograms.kg-1) (group C, n = 38). Anaesthesia was induced with midazolam (0.3 mg.kg-1) and alfentanil (30 micrograms.kg-1). Ventilation was controlled with a 50/50 v/v mixture of oxygen and nitrous oxide (FETCO2 = 4 to 4.5%), and anaesthesia was maintained with repeated injections of alfentanil (15 micrograms.kg-1 at the start of surgery, and then every 15 min) and with isoflurane (mean end-expiratory concentration 0.6 +/- 0.3 vol %). Surgical bleeding was assessed every ten minutes on a numerical scale with four values. A bloodless surgical field was obtained by adjusting the isoflurane concentration up to 2 MAC, and by using a trinitrine infusion as required. Cardiovascular monitoring included an electrocardioscope and automatic blood pressure measurements. Before induction of anaesthesia, the blood pressure was lower in group C (84.7 +/- 11.2 vs. 95.9 +/- 106 mmHg) (p less than 0.001); the difference in heart rate was not significant (65 +/- 15 vs. 70.6 +/- 14 b.min-1). Moderate stable intraoperative hypotension was obtained in both groups. However, mean arterial blood pressure (C:65.8 +/- 7.8 mmHg; T: 73 +/- 9.4 mmHg) and heart rate (C: 53.4 +/- 6.8 b.min-1; T: 60.4 +/- 8 b.min-1) were significantly lower in the patients premedicated with clonidine (p less than 0.001). There were more periods of sinus bradycardia (heart rate less than or equal to 50 b.min-1), mostly seen before the beginning of surgery, in group C patients (p less than 0.01); atropine was also required more often (when the heart rate was less than or equal to 40 b.min-1) in this group of patients (NS). The comparative assessment of surgical field quality was in favour of group C (no troublesome bleeding) as opposed to the control group (16% troublesome bleeding); there were also more bloodless surgical fields in the former group (73.7% vs. 48.7% in group T, p less than 0.05). This study therefore demonstrated that clonidine premedication before anaesthesia with isoflurane was helpful in decreasing bleeding during ear surgery.

Adult↗
PubMed1989

Freshwater fish cytochrome P450-dependent enzymatic activities: a chemical pollution indicator.

Fish mixed function oxidase activities were measured during four sampling campaigns in the river Durance in the southeast of France. Six hundred fish belonging to four species were caught for this study; the use of factorial analysis emphasizes the strong pollution dependence of the P450-dependent enzymatic activities which vary with the season, the species, and the sex of the fish. Regression analysis of the data allowed prediction of the type of location from which the fish came (polluted or unpolluted) for 80% of the fish. This supports use of such activities as chemical pollution indicators.

Animals↗
PubMed1988

[Calculation of the blood volume to be removed for intentional normovolemic hemodilution].

Intentional haemodilution is more and more frequently used. Although it is a simple technique, it can only be carried out with a maximum of safety if the operator has an idea of the amount of blood that needs to be removed to obtain the required haematocrit value. Several methods have been suggested, using more or less complex calculations, or nomogrammes. A new simple rule is presented here which gives an estimation of the amount of blood to be removed in three steps: 1) the theoretical total blood volume (VS), according to weight, height and sex of the patient, 2) the ratio (R) between the initial and required final haematocrit, and 3) the volume of blood to be removed (Vp) according to VS and R. A mono-compartment model with identical inflow and outflow was used. A multicentre trial with 229 haemodilutions showed that the volume removed (mean = 1,325 ml; SD = 642 ml) was 15% less than the calculated volume (mean = 1,526 ml; SD = 561 ml). No one factor was found to explain this difference. The haematocrit values obtained by microcentrifuge were compared with those obtained by a laboratory automatic counter. The mean of the differences was 0.002 (SD = 0.029). Because of the possible errors involved in estimating the total blood volume and the haematocrit before dilution, it is essential that the haematocrit be checked at least once during the haemodilution.

Blood Volume↗
PubMedDate not supplied

Statistical analysis of cyprinid ethoxyresorufin-O-deethylase data in a large French watershed.

A comparison of ethoxyresorufin-O-deethylase (EROD) data collected in 1995 in various sites in the Rhône watershed (France) was carried out to quantify the influence of factors such as contamination and biological parameters on EROD levels and within-group variabilities. Three species of cyprinids were collected and fish chemical contamination was measured. A log transformation of EROD data provided both normalization and homogeneity of variances. The influence of female sexual maturation on the variability and EROD dimorphism was quantified. A relationship with contaminant bioaccumulation was observed. A comparison with EROD data collected during previous studies by the same laboratory was made to validate the results.

Animals↗