Biomedical subjects

S Rauch

Publications and source records attributed to S Rauch.

At least 19 recordsLinked to original sources

PubMed2006

Ultrasound-guided arterial cannulation in infants improves success rate.

BACKGROUND AND OBJECTIVE: In small children, the placement of arterial catheters can be technically challenging for even the most experienced anaesthetist. We investigated whether ultrasound imaging would improve the success rate and reduce time demand and complications of radial artery cannulation. METHOD: In this prospective randomized study, we performed radial artery cannulation in 30 small children (age 40 +/- 33 months) using two different techniques for localization of the vessel. In Group 1 (n = 15), the traditional palpation method was used, while in Group 2 (n = 15) cannulation was directed by vascular ultrasound imaging. In addition, we used ultrasound to determine the cross-sectional area of the radial artery with and without dorsiflexion. For statistical analysis, the non-parametric U-test for non-paired data and the Wilcoxon signed rank sum test for paired data were used. Differences were considered significant, when P < 0.05. RESULTS: Ultrasound-guided puncture was successful in all children of Group 2 compared to only 12 of 15 (80%) children in Group 1. Fewer attempts with the imaging technique were required than with the traditional technique (20 vs. 34, P < 0.05). Dorsiflexion significantly reduced the mean cross-sectional area of the artery by 19%. CONCLUSION: The current pilot study suggests that ultrasound guidance is appropriate for radial artery catheter insertion, sharing many of the benefits of ultrasound-guided central vein catheter insertion.

Catheterization, Peripheral↗

PubMed2006

[Cerebrospinal nematodosis in sheep in Switzerland].

In December 2005 three sheep, originating from Canton Tessin, were presented with cerebrospinal nematodosis. The animals had a history of progressive pelvic limb ataxia and recumbency. The most important clinical findings were an abnormal gait (wide stance, pelvic limb paresis) and decreased sensitivity of the pelvic limbs. The general condition was slightly or moderately disturbed, appetite was normal. Examination of the cerebrospinal fluid revealed mononuclear cells and eosinophils, suggesting a helminthic infection of the central nervous system. Postmortem findings confirmed the clinical diagnosis in one animal as parts of a nematode were found in the thoracic spinal cord. Even though the nematode could not be identified, infection with Elaphostrongylus cervi seems very likely, as the sheep are in close contact with deer on the pastures and the parasite is known to infect goats in Switzerland. This is the first description of cerebrospinal nematodosis in sheep in Switzerland.

Animals↗

PubMed2005

Obsessive-compulsive disorder phenotypes: implications for genetic studies.

Obsessive-compulsive disorder (OCD) clinical presentation is remarkably diverse, and can vary both within and across patients over time. This variability in the phenotypic expression has led to the hypothesis that OCD is a heterogeneous disorder and that this heterogeneity obscures the findings of clinical, natural history and treatment response studies and complicates the search for vulnerability genes. A complete understanding of what comprises OCD and the underlying etiological mechanisms will require a dramatic change in how the disorder is conceptualized. In this review, several different approaches that may represent the first steps in this reconceptualization are discussed. These approaches include (1) narrowing the phenotype to identify categorically defined more homogeneous and mutually exclusive subtypes of OCD, (2) considering OC symptom dimensions as quantitative components of the more complex OCD phenotype and (3) broadening the phenotype to include other etiologically related conditions. A combined dimensional approach within distinctive subgroups is proposed as probably the most effective in helping to identify the heritable components of OCD. By identifying heritable components of OCD, it should be possible to find genes for these separate components. The review continues with the illustration of the possible role of some epigenetic risk and protective factors in the OCD presentation and the relevance of examining associated traits and/or endophenotypes to enhance our ability to understand the genetic basis of OCD. To conclude, we discuss the variability in treatment outcome and the significance of the development of specific pharmacological and/or behavioral based therapies tailored to each of these phenotypes.

Epigenesis, Genetic↗

PubMed2004

Glass forming banana-shaped compounds: vitrified liquid crystal states.

The synthesis and physical properties, in particular electro-optic switching behavior, of 3-chloro-biphenyl-3',4-bis[4-[4-(3,7-dimethyloctyloxy)-phenyliminomethyl]] benzoate are reported. The compound exhibits an antiferroelectric tilted smectic liquid crystalline phase (Sm-CP) in a broad temperature range. Below 20 degrees C the sample goes over to a glassy state and no crystallization appears down to -50 degrees C. It is observed that below the glass transition temperature both achiral and chiral structures of the Sm-CP phase can be frozen. Each of them can have three polarization states (two ferroelectric and one antiferroelectric), thus giving six different vitrified textures. This enables atomic force microscopy studies of the different liquid crystalline states and suggests possibilities for electro-optical storage devices.

Journal Article↗

PubMed2004

Short-term toxicity and binding of platinum to freshwater periphyton communities.

The release of platinum (Pt) from automobiles equipped with exhaust catalysts has resulted in increasing concentrations of this normally rare metal in the urban and roadside environment. Although concentrations are increasing, little is known about the environmental effects of Pt and its potential toxicity. This study was an investigation of Pt toxicity to naturally grown periphyton communities. Periphyton communities were exposed to Pt(II) and Pt(IV) in reference and stream waters. Uptake increased linearly with Pt concentration for both reference- and stream-water exposure. However, decreased photosynthetic activity was observed only for reference-water exposure. This difference was related to uptake by biotic components in reference water and binding to abiotic components in stream water.

Eukaryota↗

PubMed2002

Levels and risk assessment for humans and ecosystems of platinum-group elements in the airborne particles and road dust of some European cities.

Traffic is the main source of platinum-group element (PGE) contamination in populated urban areas. There is increasing concern about the hazardous effects of these new pollutants for people and for other living organisms in these areas. Airborne and road dusts, as well as tree bark and grass samples were collected at locations in the European cities of Göteborg (Sweden), Madrid (Spain), Rome (Italy), Munich (Germany), Sheffield and London (UK). Today, in spite of the large number of parameters that can influence the airborne PGE content, the results obtained so far indicate significantly higher PGE levels at traffic sites compared with the rural or non-polluted zones that have been investigated (background levels). The average Pt content in airborne particles found in downtown Madrid, Göteborg and Rome is in the range 7.3-13.1 pg m(-3). The ring roads of these cities have values in the range 4.1-17.7 pg m(-3). In Munich, a lower Pt content was found in airborne particles (4.1 pg m(-3)). The same tendency has been noted for downtown Rh, with contents in the range 2.2-2.8 pg m(-3), and in the range 0.8-3.0 and 0.3 pg m(-3) for motorway margins in Munich. The combined results obtained using a wide-range airborne classifier (WRAC) collector and a PM-10 or virtual impactor show that Pt is associated with particles for a wide range of diameters. The smaller the particle size, the lower the Pt concentration. However, in particles <PM-10, some of the highest values correspond to the fraction <0.39 microm. Considering an average Pt content in all particles of approximately 15 pg m(-3), which is representative for all countries and environmental conditions, the tracheobronchial fraction represents approximately 10% and the alveolar fraction approximately 8% of the total particles suspended in air. However, from the environmental risk point of view, an exposure to PGEs in traffic-related ambient air is at least three orders of magnitude below the levels for which adverse health effects might theoretically occur (of approx. 100 ng m(-3)). Therefore, today inhalation exposure to PGEs from automotive catalysts does not seem to pose a direct health risk to the general population. Even though the data available today indicate no obvious health effects, there are still a number of aspects related to PGEs and catalysts that justify further research. First, continual monitoring of changes in PGE levels in air and road dust is warranted, to make sure that there is no dramatic increase from today's levels. Secondly, more detailed information on the chemical composition of the PGE-containing substances or complexes leaving the catalyst surface and the size distribution of the PGE-containing particles released during driving will facilitate a more in-depth human risk assessment.

Air Pollutants↗

PubMed2002

Environmental risk of particulate and soluble platinum group elements released from gasoline and diesel engine catalytic converters.

A comparison of platinum-group element (PGE) emission between gasoline and diesel engine catalytic converters is reported within this work. Whole raw exhaust fumes from four catalysts of three different types were examined during their useful lifetime, from fresh to 80,000 km. Two were gasoline engine catalysts (Pt-Pd-Rh and Pd-Rh), while the other two were diesel engine catalysts (Pt). Samples were collected following the 91441 EUDC driving cycle for light-duty vehicle testing, and the sample collection device used allowed differentiation between the particulate and soluble fractions, the latter being the most relevant from an environmental point of view. Analyses were performed by inductively coupled plasma-mass spectrometry (ICP-MS) (quadrupole and high resolution), and special attention was paid to the control of spectral interference, especially in the case of Pd and Rh. The results obtained show that, for fresh catalysts, the release of particulate PGE through car exhaust fumes does not follow any particular trend, with a wide range (one-two orders of magnitude) for the content of noble metals emitted. The samples collected from 30,000-80,000 km present a more homogeneous PGE release for all catalysts studied. A decrease of approximately one order of magnitude is observed with respect to the release from fresh catalysts, except in the case of the diesel engine catalyst, for which PGE emission continued to be higher than in the case of gasoline engines. The fraction of soluble PGE was found to represent less than 10% of the total amount released from fresh catalysts. For aged catalysts, the figures are significantly higher, especially for Pd and Rh. Particulate PGE can be considered as virtually biologically inert, while soluble PGE forms can represent an environmental risk due to their bioavailability, which leads them to accumulate in the environment.

Air Pollutants↗

PubMed2002

Ferroelectric-chiral-antiferroelectric-racemic liquid crystal phase transition of bent-shape molecules.

Detailed dielectric, polarization current, electro-optical, and textural observations are reported on an asymmetric banana-shaped compound 1,3-biphenylene-bis[4-(3-fluoro-4-octyloxyphenyliminomethyl)benzoate]. The material possesses a chiral-ferroelectric-racemic-antiferroelectric phase transition. Our studies reveal that the higher temperature ferroelectric phase has a polar double-tilted smectic structure, where both the molecular plane and the long axis are tilted with respect to the layer normal. Accordingly, it has a chiral triclinic structure with an out-of-plane polarization component. The lower temperature phase has a monoclinic symmetry, which is higher than that of the higher temperature phase. To our knowledge, among liquid crystals such situations were previously observed only in reentrant phases.

Journal Article↗

PubMed2002

Platinum group elements in the feathers of raptors and their prey.

Platinum (Pt), palladium (Pd), and rhodium (Rh) concentrations were determined in the feathers of three raptor species in Sweden, the sparrowhawk ( Accipiter nisus), the peregrine falcon ( Falco peregrinus), and the gyrfalcon ( Falco rusticolus), as well as the main prey of the sparrowhawk (the house sparrow, Passer domesticus) and the gyrfalcon (the willow grouse, Lagopus lagopus). The analysis of feathers from 1917-1999 revealed a clear temporal trend, with significantly higher Rh concentrations in sparrowhawk and peregrine falcon after 1986. There is evidence for increasing platinum group element (PGE) concentrations from 1917 to 1999 in peregrine falcon and sparrowhawk. This suggests that feathers reflect increased PGE concentrations in the environment over this time period. Mean concentrations of PGE in feathers of raptors after 1986 ranged from 0.3 to 1.8 ng x g(-1) for Pt, 0.6 to 2.1 ng x g(-1) for Pd (indicative values), and 0.1 to 0.6 ng x g(-1) for Rh. House sparrows in urban areas had significantly higher Pt and Pd concentrations than urban sparrowhawks. The higher Pd concentrations in relation to Pt and Rh may indicate the greater mobility of Pd in the environment. Although PGE concentrations are generally higher in birds living in urban areas, no significant spatial trend could be established. This is partly due to the widespread distribution of automobiles and partly because birds forage and integrate PGE exposure over large areas. Laser ablation analysis demonstrates that PGE contamination of feathers is predominantly external, consisting of small particles in the nanometer size range. Other indications of external contamination are that Pt and Pd levels are significantly higher in the vane than in the shaft and that PGE relative ratios (except Pd) reflect urban particles.

Animals↗

PubMed2002

Volatile anaesthetics may be the main cause of early but not delayed postoperative vomiting: a randomized controlled trial of factorial design.

BACKGROUND: Despite intensive research, the main causes of postoperative nausea and vomiting (PONV) remain unclear. We sought to quantify the relative importance of operative, anaesthetic and patient-specific risk factors to the development of PONV. METHODS: We conducted a randomized controlled trial of 1180 children and adults at high risk for PONV scheduled for elective surgery. Using a five-way factorial design, we randomly assigned subjects by gender who were undergoing specific operative procedures, to receive various combinations of anaesthetics, opioids, and prophylactic antiemetics. RESULTS: Of the 1180 patients, 355 (30.1% 95% CI (27.5-32.7%)) had at least one episode of postoperative vomiting (PV) within 24 h post-anaesthesia. In the early postoperative period (0-2 h), the leading risk factor for vomiting was the use of volatile anaesthetics, with similar odds ratios (OR (95% CI)) being found for isoflurane (19.8 (7.7-51.2)), enflurane (16.1 (6.2-41.8)) and sevoflurane (14.5 (5.6-37.4)). A dose-response relationship was present for the use of volatile anaesthetics. In contrast, no dose response existed for propofol anaesthesia. In the delayed postoperative period (2-24 h), the main predictors were being a child (5.7 (3.0-10.9)), PONV in the early period (3.4 (2.4-4.7)) and the use of postoperative opioids (2.5 (1.7-3.7)). The influence of the antiemetics was considerably smaller and did not interact with anaesthetic or surgical variables. CONCLUSION: Volatile anaesthetics were the leading cause of early postoperative vomiting. The pro-emetic effect was larger than other risk factors. In patients at high risk for PONV, it would therefore make better sense to avoid inhalational anaesthesia rather than simply to add an antiemetic, which may still be needed to prevent or treat delayed vomiting.

Adolescent↗

PubMed2001

Heterogeneity of platinum group metals in airborne particles.

The emission of three of the platinum group metals (PGMs), Pd, Pt, and Rh, from automobile catalysts and into the urban environment is a potential concern for human health. The analysis of low concentrations of PGMs in air particles is an analytical challenge, and it is demonstrated that interferences in inductively coupled plasma-mass spectrometry (ICP-MS) can be corrected mathematically for Pt and Rh and, at higher concentrations, for Pd. The PM10 concentrations of PGMs in urban air collected in Göteborg are 0.1-10 pg m-3 (Pd), 0.9-19 pg m-3 (Pt), and 0.3-4 pg m-3 (Rh), with higher values for greater traffic intensity. These concentrations provide a general background for the urban atmospheric environment, and the Pt:Rh ratio (4.2:1) agrees with known automobile catalyst composition. The analysis of filters from 10 parallel samplers indicated the significant heterogeneity of PGMs in samples of urban air particles. Scanning laser ablation ICP-MS provided the micron spatial resolution required to identify individual particles. Ablation across the filter surface demonstrated the presence of relatively few particles with a high concentration of PGMs. These occasional high concentration particles, which might be overlooked in conventional air sampling with total analysis, have a high Pt:Rh ratio (12.3:1), which can be attributed to catalyst aging during vehicle operation.

Air Pollutants↗

PubMed2001

Bioaccumulation of palladium, platinum and rhodium from urban particulates and sediments by the freshwater isopod Asellus aquaticus.

The three-way catalytic converters introduced to oxidize and reduce gaseous automobile emissions represent a source of platinum group elements (PGEs), in particular platinum, palladium and rhodium, to the urban environment. Abrasion of automobile exhausts leads to an increase of the concentration of PGEs in environmental matrices such as vegetation, soil and water bodies. The bioaccumulation of Pd, Pt and Rh by the freshwater isopod Asellus aquaticus was studied in natural ecosystems and under laboratory conditions. Owing to the low concentration level (ng g(-1)) of PGEs in the animals studied. analyses were performed with a quadrupole inductively coupled plasma mass spectrometry (ICP-MS) and hafnium, copper, yttrium, rubidium, strontium and lead were monitored for spectral interference correction. Asellus aquaticus collected in an urban river showed a content (mean +/- s) of 155.4 +/- 73.4, 38.0 +/- 34.6, and 17.9 +/- 12.2 ng g(-1) (dry weight) for Pd, Pt and Rh, respectively. The exposure of Asellus aquaticus to PGE standard solutions for a period of 24h give bioaccumulation factors of Bf: 150, 85, and 7 for Pd, Pt and Rh, respectively. Exposure of Asellus aquaticus to environmental samples for different exposure periods demonstrated that PGE bioaccumulation is time dependent. and shows a higher accumulation for the materials with a higher PGE content. While all three elements have the same uptake rate for exposure to catalyst materials, for exposure to environmental materials they havc a different uptake rate which can be attributed to transformations of the PGE species in the environment.

Animals↗

PubMed2001

An increased body mass index is no risk factor for postoperative nausea and vomiting. A systematic review and results of original data.

BACKGROUND: An increased Body Mass Index (BMI) is almost always mentioned as a fundamental risk factor for postoperative nausea (PN), vomiting (PV) or both (PONV). However, multivariate analyses were unable to detect any correlation. Therefore, we asked whether an increased BMI is really a risk factor for PONV. METHODS: For the systematic review, a search of electronic databases and a detailed manual search of reviews were carried out. For the analysis of the original data, 587 adult patients from a randomised controlled antiemetic trial (RCT) who underwent general anaesthesia were allocated to four weight groups: Underweight (BMI < 20), Normal Weight (BMI 20-25), Overweight (BMI 25-30) and Obesity (BMI > or = 30). RESULTS: Four publications with original data were found. Two described a positive relationship, although not clearly supported by the data. Despite this, most narrative reviews claimed a positive correlation between obesity and PONV by quoting again narrative reviews or misquoting originals. In the RCT, the calculated underlying risk profile for PONV was comparable between all groups. Incidences (95% confidence intervals) of PONV were 45.8% (34.0; 57.6), 41.7 (36.5; 46.9), 47.8 (38.4; 57.1) and 44.1 (31.0; 57.1), for the groups Underweight, Normal Weight, Overweight and Obesity, respectively (P=0.69). The incidences of PN and PV also did not differ with P=0.76 and P=0.36, respectively. CONCLUSION: Systematic search of the literature provides no evidence for a positive relationship. Furthermore, our data confirm that an increased BMI is not a risk factor for PONV. This negative finding is important as focussing on the relevant risk factors is needed to allow for an objective risk assessment of PONV.

Body Mass Index↗

PubMed2000

Platinum-group elements: quantification in collected exhaust fumes and studies of catalyst surfaces.

Automotive catalytic converters, in which Pt, Pd and Rh (platinum-group elements; PGEs) are the active components for eliminating several noxious components from exhaust fumes, have become the main source of environmental urban pollution by PGEs. This work reports on the catalyst morphology through changes in catalyst surface by scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM/EDX) and laser-induced breakdown spectrometry (LIBS) from fresh to aged catalytic converters. The distribution of these elements in the fresh catalysts analysed (Pt-Pd-Rh gasoline catalyst) is not uniform and occurs mainly in a longitudinal direction. This heterogeneity seems to be greater for Pt and Pd. PGEs released by the catalysts, fresh and aged 30,000 km, were studied in parallel. Whole raw exhaust fumes from four catalysts of three different types were also examined. Two of these were gasoline catalysts (Pt-Pd Rh and Pd-Rh) and the other two were diesel catalysts (Pt). Samples were collected following the 91,441 EUDC driving cycle for light-duty vehicle testing. The results show that at 0 km the samples collected first have the highest content of particulate PGEs and although the general tendency is for the release to decrease with increasing number of samples taken, exceptions are frequent. At 30,000 km the released PGEs in gasoline and diesel catalysts decreased significantly. For fresh gasoline catalysts the mean of the total amount released was approximately 100, 250 and 50 ng km(-1) for Pt, Pd and Rh, respectively. In diesel catalysts the Pt release varied in the range 400-800 ng km-1. After ageing the catalysts up to 30,000 km, the gasoline catalysts released amounts of Pt between 6 and 8 ng km(-1), Pd between 12 and 16 ng km(-1) and Rh between 3 and 12 ng km(-1). In diesel catalysts the Pt release varied in the range 108-150 ng km(-1). The soluble portion of PGEs in the HNO3 collector solution represented less than 5% of the total amount for fresh catalysts. For 30,000 km the total amount of soluble PGEs released was similar or slightly higher than for 0 km.

Electrochemistry↗

PubMed2000

[Comparison of hydroxyethyl starch solutions derived from potato and corn starch] .

OBJECTIVE: The study was designed to investigate the effects of hydroxyethyl starch (HES) solutions derived from potato (p) compared to HES derived from corn (c) starch on the colloidosmotic pressure, plasma viscosity, and to measure the plasma and urine concentration. METHODS: After approval by the Ethics Committee, and having obtained informed consent, we recruited 20 patients undergoing lumbar disc surgery who received either 1000 ml of p-HES or c-HES (MW 200,000 DS 0.5) in a randomized, single-blind way. Colloidosmotic pressure, plasma viscosity and the plasma concentration were measured before and 30, 90, 240 min and one day after the infusion. Statistical analysis was performed using chi-square and Mann-Whitney test. There were no differences between the two groups in regard to demographics and anesthesia. RESULTS: Plasma viscosity and colloidosmotic pressure did not change significantly during that time. There were no differences in plasma concentration and excretion of both solutions. The peak plasma concentration was reached after 30 min in both groups (8.57 +/- 3.92 g/l c-group and 7.67 +/- 4.68 g/l p-group) and declined thereafter. Within 6 h 38% (c-group 23.0 +/- 3.2 g HES) and 28% (p-group 16.8 +/- 1.6 g HES) of the infused HES were found in the urine. 12 h later about 50% was excreted. CONCLUSION: The present study demonstrated that there was no clinically apparent effect on hematorheology and pharmacokinetics between these two solutions.

Adult↗

PubMed1999

Platinum uptake by the freshwater isopod Asellus aquaticus in urban rivers.

Platinum has been increasing in the environment as a result of emissions from catalytic converters. The platinum emitted is principally located in the vicinity of roads but might be transported to urban rivers through highway and urban run-off water. Platinum concentrations in the freshwater isopod Asellus aquaticus were measured for two urban rivers and a stormwater detention pond. Concentrations ranged from 0.04 to 12.4 micrograms g-1 for direct analysis and from 0.16 to 4.5 micrograms g-1 after depuration. Analyses of water, pore water and sediments indicate that platinum in urban rivers is mostly found in the sediments and these provide the major contribution of platinum to Asellus aquaticus. Exposure experiments showed the importance of platinum speciation for uptake.

Animals↗

PubMed1999

Electric-field-induced chiral separation in liquid crystals.

Recently it was shown that smectic liquid crystal phases formed by achiral banana-shaped molecules are chiral. Films of such phases generally contain both homochiral (consisting of layers of the same chirality) and racemic (the chirality alternates in subsequent layers) domains. So far it has not been clear how to control the overall chirality of the sample. By observing the effects of the application of suitable electric fields, it was noted that chirality of a film of banana shaped molecules was interchanged between homochiral and racemic. We present dielectric, electro-optic, and polarization current measurements on both the racemic and chiral states. The observations indicate that the synclinic states have minimum free energies. The observed dielectric modes can be explained by a simple model assuming that the antiferroelectric state is very weak.

Journal Article↗

PubMed1998

[Changes in blood coagulation in treatment with hydroxyethyl starch].

The aim of the study was to investigate the influence on coagulation and platelet function of two 6% medium molecular weight hydroxyethylstarch solutions (HES, MW 200,000, DS 0.5) made of potato (K) and corn (M) starch. Twenty patients undergoing elective vertebral disc surgery were randomly assigned to one of the groups. Haemoglobin, haematocrit, protein concentration, fibrinogen, antithrombin III, factor VIII:C, von-Willebrand-factor, prothrombin time, activated partial thromboplastin time and platelet maximum aggregation and maximum gradient of aggregation (inductors: ADP, epinephrine, collagen and ristocetin) were measured before infusion and 30, 240 minutes and one day after infusion. The reduction of the prothrombin time (Quick) and antithrombin III and the decrease in fibrinogen and protein concentration, haemoglobin and haematocrit were due to haemodilution. The prolongation of the activated partial thromboplastin time (38.3 s K-group and 38.0 s M-group) and the decrease in factor VIII:C (71% K-group and 84% M-group) and von-Willebrand-factor (72% K group and 79% M group) were similar in both groups within 30 minutes of infusion of 1,000 ml HES. There was no change in platelet function within the groups. The infusion of a medium molecular weight solution is an effective and cost-saving method in volume therapy. Despite the physicochemical differences of the two HES solutions, there were no clinically apparent effects on coagulation and platelet function. Both preparations of HES up to a volume of 1,000 ml can be used equally in the clinical setting.

Adult↗