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Genotoxicity evaluation of lithium hypochlorite.

Lithium hypochlorite (LiOCl), the pool and spa sanitizer/algicide, was evaluated for genotoxicity in a battery of studies designed to evaluate potential mutagenicity, DNA damage and chromosome aberrations. LiOCl was not mutagenic in the Ames test when tested in Salmonella typhimurium strains TA98, TA100, TA1535, TA1537, TA1538 or in the hypoxanthine-guanine phosphoribosyl transferase (HGPRT) mutation assay in Chinese hamster ovary (CHO) cells without metabolic activation. LiOCl did not induce DNA damage in the unscheduled DNA synthesis assay using rat primary hepatocytes. Effects on metaphase chromosomes were evaluated in vitro in CHO cells at 12 and 18 h exposure without S9 and at 12 and 22 h following a 2 h exposure with S9. LiOCl induced a statistically significant increase in chromosome aberrations at the high dose only at both harvest times without S9 and at the late harvest time with S9. There were significant increases in chromosome aberrations at the low dose, low-mid and high doses, but not at the high mid-dose at the early harvest time with S9. However, LiOCl did not increase chromosome aberrations when tested orally in rats at maximally tolerated doses. Bone marrow cells, collected 6, 24 and 48 h after a single oral dose of LiOCl to rats (100, 500, 1000 mg/kg in males; 50, 250, 500 mg/kg in females) showed no increase in the incidence of aberrations. In general, the weight of the evidence indicates that LiOCl is not genotoxic.

Animals↗

The importance of paramagnetic impurities to the nuclear magnetic resonance relaxation of ion-conducting glasses.

Paramagnetic impurities have been shown to affect the 7Li nuclear magnetic resonance relaxation rates in cation-conducting glasses, and wrong data may then be extracted from the experiments. Frequency- and temperature-dependent T(-1)1 studies of lithium borate and thioborate glasses revealed that iron impurities cause frequency-independent relaxation and "shoulders" of the low-temperature slopes in high fields, whereas manganese produces enhanced relaxation peaks. The results of the T(-1)1 (and some T(-1)1p and T(-1)2) measurements are discussed.

Borates↗

A 7Li and 19F NMR relaxation study of LiCF3SO3 in plasticised solid polyether electrolytes.

7Li and 19F NMR relaxation time (T1, T2, T1 rho) measurements have been used to probe the dynamics of LiCF3SO3 dissolved in an amorphous co-polymer poly(ethylene oxide-co-propylene oxide), and in particular the influence of the plasticising agents propylene carbonate and dimethyl formamide. The changes in relaxation behaviour of 19F and 7Li with increasing plasticiser concentration are very different, as is the effect of each plasticiser. These differences can be explained qualitatively in terms of the interaction between the plasticiser and the ions. Preliminary 7Li T1 rho measurements reveal two components at low temperatures.

Dimethylformamide↗

The use of a spreadsheet computer program to expedite TLD reporting.

A method has been devised using an electronic spread sheet that will shorten the data processing time and give a printed report of the results. Lithium Fluoride chips are used in pairs so as to produce the same average response. The raw TL readings along with descriptive comments are entered into the computer. The program then computes the single chip dose, the average dose for each chip pair, applies a non-linearity correction factor and prints out a report with comments and patient data. The program offers several advantages: It is much faster than hand calculations, it provides a precise and accurate conversion of raw data to final data, and outputs an organized display of calibration factors, input data, dosimetry data, patient data and listing of involved personnel. The program is easy to use and can be run on any computer that can support a spreadsheet program.

Calibration↗

Verification of surface dose on patients undergoing low to medium energy X-ray therapy.

About 5% of patients still undergo cancer treatment with superficial (peak energy < or = 120 kVp) X-ray radiation. Dosimetry of these beams is difficult since the maximum dose is delivered at the surface and backscatter contributes significantly to the dose. This is particularly a problem in the difficult geometries encountered in superficial treatments in the head and neck area. It has recently been shown that surface dose measurements in mega-voltage X-ray beams can be performed using TLD (Thermoluminescence Dosimetry) extrapolation. In this technique, LiF TLD chips with a surface area of 3.15 x 3.15 cm2 and three different thicknesses (0.230, 0.099, and 0.038 g/cm2) are used together in the same radiation beam which allows the extrapolation of the measured dose back to the true surface. The energy response curve of the three thicknesses of LiF chips was measured for the energy range of 60kVp, HVL 1.6 mm Al to 300kVp, 4 mm Cu. LiF was found to over respond by a factor of 1.7 at 60kVp HVL 1.6 mm Al with respect to a 6MV photon beam. A feasibility study was carried out on three patients undergoing treatment at 120kVp. Because of the small field sizes involved it was necessary to limit irradiation to one or two chips at a time. The dose fall off in the first millimetre of tissue could be clearly detected. TLD extrapolation, in low to medium energy beams, was found to be useful to assess the dose of patients undergoing treatment for superficial lesions.

Feasibility Studies↗

Sensitivity and stability of LiF thermoluminescence dosimeters.

Three different batches of LiF TLD-100 rods were subjected to investigation of their radiation sensitivity and the stability of the sensitivity after subsequent cycles of irradiation readouts. An old batch (circular rods from 1985), R85, showed an initial sensitivity of approximately 720 (nC/Gy). A new batch of circular rods (R0059) had an initial sensitivity more than a factor of 2.5 higher than the old batch. A batch of square rods (S3720) had an even higher sensitivity; a factor of almost 4 higher than batch R85. Both batches of circular rods showed a statistically significant change in sensitivity with increasing cycles of irradiations and readouts. No significant change was observed for the batch S3720. Batch R85 showed an increasing sensitivity with increasing number of cycles, and a small reduction in the width of the sensitivity distribution within the batch. However, the newer batch (R0059), showed a marked decrease in sensitivity and a doubling of the broadening of the sensitivity distribution after 10 cycles. No significant change in the sensitivity distribution within the S3720 batch was observed after 10 cycles.

Equipment Design↗

Evaluating the dose to the contralateral breast when using a dynamic wedge versus a regular wedge.

The incidence of secondary cancers in the contralateral breast after primary breast irradiation is several times higher than the incidence of first time breast cancer. Studies have shown that the scatter radiation to the contralateral breast may play a large part in the induction of secondary breast cancers. Factors that may contribute to the contralateral breast dose may include the use of blocks, the orientation of the field, and wedges. Reports have shown that the use of regular wedges, particularly for the medial tangential field, gives a significantly higher dose to the contralateral breast compared to an open field. This paper compares the peripheral dose outside the field using a regular wedge, a dynamic wedge, and an open field technique. The data collected consisted of measurements taken with patients, solid water and a Rando phantom using a Varian 2300CD linear accelerator. Ion chambers, thermoluminescent dosimeters (TLD), diodes, and films were the primary means for collecting the data. The measurements show that the peripheral dose outside the field using a dynamic wedge is close to that of open fields, and significantly lower than that of regular wedges. This information indicates that when using a medial wedge, a dynamic wedge should be used.

Breast↗

Lithium: clinical considerations in internal medicine.

Bipolar Disorders affect up to 5% of the population. While the pharmacological options for the treatment of bipolar disorder have expanded over the past several years, lithium remains an inexpensive and efficacious treatment for bipolar disorder. Lithium has been demonstrated to be an effective treatment for acute mania, bipolar depression, the prophylactic treatment of bipolar disorder, and as an augmentation agent in the treatment of unipolar major depression. Lithium also is the only mood stabilizer that has been demonstrated to lower the suicide rate in patients with bipolar disorder. Use in special populations, side effects and toxicity, and drug interactions are discussed. Important laboratory monitoring guidelines are included in this review. Lithium remains an important intervention for the treatment of mood disorders.

Adolescent↗

An optimized neutron-beam shaping assembly for accelerator-based BNCT.

Different materials and proton beam energies have been studied in order to search for an optimized neutron production target and beam shaping assembly for accelerator-based BNCT. The solution proposed in this work consists of successive stacks of Al, polytetrafluoroethylene, commercially known as Teflon, and LiF as moderator and neutron absorber, and Pb as reflector. This assembly is easy to build and its cost is relatively low. An exhaustive Monte Carlo simulation study has been performed evaluating the doses delivered to a Snyder model head phantom by a neutron production Li-metal target based on the (7)Li(p,n)(7)Be reaction for proton bombarding energies of 1.92, 2.0, 2.3 and 2.5 MeV. Three moderator thicknesses have been studied and the figures of merit show the advantage of irradiating with near-resonance-energy protons (2.3 MeV) because of the relatively high neutron yield at this energy, which at the same time keeps the fast neutron healthy tissue dose limited and leads to the lowest treatment times. A moderator of 34 cm length has shown the best performance among the studied cases.

Aluminum↗

Comparison of the TL responses of two different preparations of LiF:Mg,Cu,P irradiated by photons of various energies.

The aim of this work is to present the results concerning the photon irradiation of a new phosphor, the LiF:Mg,Cu,P+PTFE, produced at the Instituto Nacional de Investigaciones Nucleares (ININ-Mexico). The photon irradiations were performed using X-rays of 16, 24, 34.5, 42, 100 and 145keV, and gamma rays from (137)Cs (662keV) and from (60)Co (1 252keV). The results obtained are normalized to the (60)Co response. The experimental data are then compared to those obtained using the commercial dosimeters TLD-100 and GR-200A.

Copper↗

Lithium protects ethanol-induced neuronal apoptosis.

Lithium is widely used for the treatment of bipolar disorder. Recent studies have demonstrated its neuroprotective effect. Ethanol is a potent neurotoxin that is particularly harmful to the developing nervous system. In this study, we evaluated lithium's neuroprotection against ethanol-induced apoptosis. Transient exposure of infant mice to ethanol caused apoptotic cell death in brain, which was prevented significantly by administering a low dose of lithium 15min later. In cultured cerebellar granule neurons, ethanol-induced apoptosis and activation of caspase-3/9, both of which were prevented by lithium. However, lithium's protection is not mediated by its commonly known inhibition of glycogen synthase3beta, because neither ethanol nor lithium has significant effects on the phosphorylation of Akt (ser473) or GSK3beta (ser9). In addition, the selective GSK-3beta inhibitor SB-415286 was unable to prevent ethanol-induced apoptosis. These data suggest lithium may be used as a potential preventive measure for ethanol-induced neurological deficits.

Animals↗

Regional cerebral glucose metabolic abnormalities in bipolar II depression.

BACKGROUND: Functional neuroimaging studies of bipolar disorder (BD) performed in conjunction with antidepressant treatment trials generally require that patients remain on mood stabilizers to reduce the risk of inducing mania; yet, it is unknown whether the metabolic abnormalities evident in unmedicated BD depressives remain detectable in patients receiving mood stabilizers. This study investigated whether cerebral metabolic abnormalities previously reported in unmedicated BD subjects are evident in depressed bipolar disorder type II (BD II) subjects receiving lithium or divalproex. METHODS: Using [18F]-fluorodeoxyglucose-positron-emission tomography, cerebral glucose metabolism was compared between 13 depressed BD II subjects on therapeutic doses of lithium or divalproex and 18 healthy control subjects. Regional metabolism was compared between groups in predefined regions of interest. RESULTS: Metabolism was increased in the bilateral amygdala, accumbens area, and anteroventral putamen, left orbitofrontal cortex and right pregenual anterior cingulate cortex in depressives versus control subjects. Post hoc exploratory analysis additionally revealed increased metabolism in left parahippocampal, posterior cingulate, and right anterior insular cortices in depressives versus control subjects. Correlational analyses showed multiple limbic-cortical-striatal interactions in the BD sample not evident in the control sample, permitting sensitive and specific classification of subjects by discriminant analysis. CONCLUSIONS: These results confirm previous reports that bipolar depression is associated with abnormally increased metabolism in the amygdala, ventral striatum, orbitofrontal cortex, anterior cingulate, and anterior insula, and extend these results to bipolar disorder type II depressives on lithium or divalproex. They also implicate an extended functional anatomical network known to modulate visceromotor function in the pathophysiology of BD II depression.

Amygdala↗

Ionic liquid ethanol sensor.

Ionic liquids containing lithium methylsulfonyl group were prepared from the precursors poly(propylene glycol)-block-(ethylene glycol)-block-(propylene glycol)-bis(2-aminopropyl ether) with different molecular weight. These liquids revealed excellent electrical conductivity in the temperature range -25 to 85 degrees C. Also, they exhibited a high boiling temperature and hence a low vapor pressure in ambient condition. Additionally, they showed a high fluidity with their viscosities being comparative with that of water. To determine the sensitivity of an ethanol sensor by using these ionic liquids, these liquids were subjected into a sequential electrochemical tests with nickel electrodes which performed a high sensitivity for the ethanol sensor. It was found that only the derivative with low molecular weight could detect ethanol. Furthermore, a linear relationship between the response current and the concentration of ethanol was constructed. The detection limit was found to be 0.13% (v/v) and its response time was 336 s.

Biosensing Techniques↗

Estimation of radiation dose received during treatment of in-stent restenosis using ionizing radiation.

BACKGROUND: Angioplasty is a widely accepted procedure for the treatment of coronary artery disease. However, restenosis of the treated vessel occurs in 30% of patients within 6 months. Intravascular brachytherapy (IVB) is used to inhibit the formation of new tissue growth at the vessel treatment site. IVB protocols using either gamma ray or beta particle emitting isotopes have been tested and approved. However, very little data are available on resultant whole-body dose and the potential for long-term radiation effects. METHODS: Using thermoluminescence dosimetry (TLD) devices, specifically lithium fluoride (LiF) doped with Mg, Cu, and P, the radiation dose on the surface of patients undergoing IVB was measured. The TLDs were positioned on the body to obtain a measure of the gamma dose at selected anatomic locations. Additionally, the skin dose from fluoroscopy was estimated. RESULTS: Measurements indicate that the average body dose on the skin surface from all TLDs, clinical requirements, and gamma source configurations varies from 0.95 mSv (95 mrem) at the head to 27.06 mSv (2706 mrem) at the sternal notch. For beta sources, the dose varied from 0.11 mSv (11.4 mrem) at the head to 0.49 mSv (49.5 mrem) at the sternal notch. The fluoroscopy contribution of dose to the body dose (15-min exposure time) was 0.10 mSv (10 mrem) at the head and 2.57 mSv (257 mrem) to the sternal notch. CONCLUSIONS: The results suggest that surface skin exposures from gamma sources used in IVB pose acceptable risks considering the medical benefits of the procedures.

Brachytherapy↗

Vacancy ion-exclusion/adsorption chromatography of aliphatic amines on a polymethacrylate-based weakly basic anion-exchange column.

Vacancy ion-exclusion/adsorption chromatography has been applied to investigate the separation behavior of five aliphatic amines (ethylamine, propylamine, butylamine, pentylamine and hexylamine) on a polymethacrylate-based weakly basic anion-exchange column (Tosoh TSKgel DEAE-5PW). This system is consisted of analytes as a mobile phase and water as an injected sample. In the vacancy ion-exclusion/adsorption chromatography, the elution order was as follows: ethylamine < propylamine < butylamine < pentylamine < hexylamine, depending on their hydrophobicity. The retention times of the amines were decreased with decreasing their concentrations in the mobile phase. The retention times and resolutions of the amines were increased by adding a basic compound (e.g., lithium hydroxide or heptylamine) and by increasing the pH of mobile phase (pH > 11). This was because the dissociations of amine samples in the mobile phase were suppressed and thus the hydrophobic adsorption effects were enhanced. The linearity of calibration graphs could be obtained from the peak areas of the amine samples injected to the 0.05, 0.5 and 5 mM of amine mobile phase at pH 11 by heptylamine. The detection limits of aliphatic amines as injected samples were around 1 microM for five aliphatic amines at three different amine mobile phases. From these results, the retention behaviors of aliphatic amines on vacancy ion-exclusion/adsorption chromatography were concluded to be governed by the hydrophobic adsorption effect.

Adsorption↗

Strength, fracture toughness and microstructure of a selection of all-ceramic materials. Part I. Pressable and alumina glass-infiltrated ceramics.

OBJECTIVE: The present study, divided into two parts, aimed to compare the strength, fracture toughness and microstructure of a range of all-ceramic materials. In part I, three hot-pressed glass-ceramics (IPS-Empress, Empress 2 and a new experimental ceramic) and alumina glass-infiltrated ceramics (In-Ceram Alumina), processed by both slip casting and dry pressing, were compared. METHODS: Tensile strength was appraised on 10 bar-shaped specimens (20 x 4 x 1.2 mm3) for each material with the three-point bending method; the fracture toughness was measured from 20 specimens (20 x 4 x 2 mm3), by using the indentation strength technique. Data were compared with ANOVA and the Sheffé post hoc test (p = 0.05). The volume fraction of each phase, the dimensions and shapes of the grains, porosity and the crack patterns were investigated using SEM. RESULTS: The average and standard deviation in strength (MPa) and fracture toughness (MPa m(1/2)) were: IPS-Empress 106(17)1, 1.2(0.14)1; Empress 2 306(29)2, 2.9(0.51)2, new experimental ceramic 303(49)2, 3.0(0.65)2, In-Ceram Alumina dry-pressed 440(50)2, 3.6(0.26)2, In-Ceram Alumina slip 594(52)3, 4.4(0.48)3. Values with the same superscript number showed no significant statistical difference. Microscopy revealed the relationship between the glass matrix and the crystalline phase and the characteristics of the latter were correlated to the strengthening and toughening mechanisms of these glass-ceramics. SIGNIFICANCE: The mechanical properties and microstructure of core materials have been advocated as crucial to the clinical long-term performance of all-ceramic dental restorations. This investigation provides the clinician with data regarding strength, fracture toughness and microstructure of a broad range of current materials.

Aluminum Silicates↗

Role of investment interaction layer on strength and toughness of ceramic laminates.

OBJECTIVES: The aim of this study was to test the hypothesis that the interaction of a core ceramic with investment material can significantly reduce the flexural strength and the fracture toughness of core/veneer ceramic laminates. METHODS: Ceramic composites were prepared from experimental core and experimental veneer and Empress 2 core and Empress 2 veneer ceramics. Four divesting techniques were used for each bilayer ceramic group. Core surfaces were etched with 1% HF solution for 15 or 30 min and grit blasted with 100 microm Al2O3 particles for 15 or 30 s. The effect of treatment on strength was analyzed statistically by means of two-way ANOVA. A linear regression graph was made for each group to analyze the relationship between flexural strength and the dimensions of critical cracks. RESULTS: The four surface divesting treatments produced no significant differences (p > 0.05) between the mean flexural strengths and the mean fracture toughnesses. However, groups with different core/veneer combinations showed statistically significant differences (p < or = 0.05) between the mean flexural strengths and between the mean fracture toughnesses. The Empress 2 core/experimental veneer combination exhibited the greatest fracture toughness values. The Empress 2 core/Empress 2 veneer combination exhibited the lowest mean fracture toughness and lowest mean flexural strength. SIGNIFICANCE: The investment interaction layer does not have a significant effect on the flexural strength and fracture toughness of the bilayer ceramic laminates for interfaces that are coherent and well bonded. However, the core/veneer combination of materials does affect the strength of bilayer ceramic laminates. The existence of global residual stress is the most likely reason for the observed strength increases.

Acid Etching, Dental↗

Shear stress relaxation of dental ceramics determined from creep behavior.

OBJECTIVE: To test the hypothesis that shear stress relaxation functions of dental ceramics can be determined from creep functions measured in a beam-bending viscometer. METHODS: Stress relaxation behavior was determined from creep data for the following materials: (1) a veneering ceramic-IPS Empress2 body ceramic (E2V); (2) an experimental veneering ceramic (EXV); (3) a low expansion body porcelain-Vita VMK 68 feldspathic body porcelain (VB); (4) a high expansion body porcelain-Will Ceram feldspathic body porcelain (WCB); (5) a medium expansion opaque porcelain-Vita feldspathic opaque porcelain (VO); and (6) a high expansion opaque porcelain-Will Ceram feldspathic opaque porcelain (WCO). Laplace transform techniques were used to relate shear stress relaxation functions to creep functions for an eight-parameter, discrete viscoelastic model. Nonlinear regression analysis was performed to fit a four-term exponential relaxation function for each material at each temperature. The relaxation functions were utilized in the ANSYS finite element program to simulate creep behavior in three-point bending for each material at each temperature. RESULTS: Shear stress relaxation times at 575 degrees C ranged from 0.03 s for EXV to 195 s for WCO. SIGNIFICANCE: Knowledge of the shear relaxation functions for dental ceramics at high temperatures is required input for the viscoelastic element in the ANSYS finite element program, which can used to determine transient and residual stresses in dental prostheses during fabrication.

Aluminum Silicates↗