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High perfomance liquid chromatography in pharmaceutical analyses.

In testing the pre-sale procedure the marketing of drugs and their control in the last ten years, high performance liquid chromatography replaced numerous spectroscopic methods and gas chromatography in the quantitative and qualitative analysis. In the first period of HPLC application it was thought that it would become a complementary method of gas chromatography, however, today it has nearly completely replaced gas chromatography in pharmaceutical analysis. The application of the liquid mobile phase with the possibility of transformation of mobilized polarity during chromatography and all other modifications of mobile phase depending upon the characteristics of substance which are being tested, is a great advantage in the process of separation in comparison to other methods. The greater choice of stationary phase is the next factor which enables realization of good separation. The separation line is connected to specific and sensitive detector systems, spectrafluorimeter, diode detector, electrochemical detector as other hyphernated systems HPLC-MS and HPLC-NMR, are the basic elements on which is based such wide and effective application of the HPLC method. The purpose high performance liquid chromatography (HPLC) analysis of any drugs is to confirm the identity of a drug and provide quantitative results and also to monitor the progress of the therapy of a disease.1) Measuring presented on the Fig. 1. is chromatogram obtained for the plasma of depressed patients 12 h before oral administration of dexamethasone. It may also be used to further our understanding of the normal and disease process in the human body trough biomedical and therapeutically research during investigation before of the drugs registration. The analyses of drugs and metabolites in biological fluids, particularly plasma, serum or urine is one of the most demanding but one of the most common uses of high performance of liquid chromatography. Blood, plasma or serum contains numerous endogenous compounds often present in concentrations much greater than those of analyte. Analiyte concentrations are often low, and in the case of drugs, the endogenous compounds are sometimes structurally very similar to the drug to be measured. The binding of drugs to the plasma protein also may occur which decreases the amount of free compound that is measured. To undertake the analyses of drugs and metabolites in body fluids the analyst is facet with several problems. The first problem is due to the complex nature of the body fluid, the drugs must be isolated by an extraction technique, which ideally should provide a relatively clean extract, and the separation system must be capable of resolving the drugs of interest from co extractives. All mentioned when we are using high performance liquid chromatography require good selections of detectors, good stationary phase, eluents and adequate program during separation. UV/VIS detector is the most versatile detector used in high performance liquid chromatography it is not always ideal since it is lack of specificity means high resolution of the analyte that may be required. UV detection is preferred since it offers excellent linearity and rapid quantitative analyses can be performed against a single standard of the drug being determined. Diode array and rapid scanning detector are useful for peak identification and monitoring peak purity but they are somewhat less sensitive then single wavelength detectors. In liquid chromatography some components may have a poor UV chromophores if UV detection is being used or be completely retained on the liquid chromatography column. Fluorescence and electrochemical detector are not only considerably more sensitive towed appropriate analytes but also more selective than UV detectors for many compounds. If at all possible fluorescence detectors are sensitive, stable, selective and easy to operate. It is selectivity shows itself in the lack of frontal components observed in plasma extract whereas electrochemical detection is nearly always associated with a major frontal peak than tails considerably. To date, the most sensitive method has been the reductive electrochemical detection and giving the excellent results in the investigation on some classes of drugs. Several high performance liquid chromatography oxidative electrochemical methods have been developed for the analyses of drugs and metabolites in body fluids. Mass spectrometer as specific detector with all variation of ionisation and interface (thermo spray, moving belt etc. ) or liquid chromatography-tandem mass spectrometry2,3,4,5). NMR as selective and specific detector in high performance liquid chromatography today is also in used. The development of a non-aqueous eluent for ion-exchange separation on silica has provided an excellent system which, when used in conjugation with an electrochemical detector, permits the analyses of an extensive range of especially basic drugs and metabolites. New packing materials such as polymeric, base deactivated silica's, pyrolysed carbon and the internal surface packing should offer the improved stability and higher efficiencies for certain classes of the compounds such as basic drugs. Microbore columns should become more accepted since they offer not only improved sensitivity but also a lower solvent consumption and consequently the reduced needs to dispose of noxious solvents. Many analyses of basic drugs are still performed by the same method of the ion-exchange chromatography on unmodified silica columns with an eluent buffered to about pH 9. Neutral or weakly acidic drugs for instance barbiturates can be chromatographed on a reversed phase system whilst acidic drugs for example paracetamol, cannabis are separated either by ion suppression or ion-pair chromatography on a reversed-phase packing material. In micelar liquid chromatography micelar mobile phases in reversed-phase instead of conventional hydro organic mobile phase is used. In micelar liquid chromatography complex electrostatic hydrophobic and steric interactions exist between the solute and both stationary and mobile phases. These enable the effective separation of samples of different nature. The main advantages of the use of a micelar solution in reversed-phase liquid chromatography are the solvent and the lower cost and toxicity, the biodegradability of the solvent and the easy dissolution of analytical samples, that enables the determination of drugs in physiological fluids without the need for previous separation of the proteins present in the samples. Using tetrabutylammonium phosphate as a competing base in the investigation of sulphonamides and heptanes sulfonate as ion pairing reagent. Ion pairing reagent is term used to describe enhanced retention as the result of the addition to the mobile phase of a large ion opposite charge to the molecular ions to be separated. For molecular cations alkyl sulphates or sulfonates are generally utilised.

Chromatography, High Pressure Liquid↗

Plants and biotrophs: a pivotal role for cytokinins?

Plants infected with biotrophic fungal pathogens exhibit reduced photosynthetic rates, nutrient mobilization towards infection sites and, in interactions where discrete pustules are formed, green islands are induced. The ability of cytokinins to mobilize nutrients towards sites of application and to delay senescence led researchers to speculate that cytokinins might be involved in nutrient mobilization and green island formation in plants infected with biotrophic fungi. There is evidence that the reduction in photosynthesis in infected leaves results from early increases in invertase activity, leading to carbohydrate accumulation and the downregulation of photosynthetic metabolism. In this Opinion article, we propose that these seemingly disparate changes in host physiology in infected plants are the result of cytokinin-induced increases in invertase activity occurring early on in the host-pathogen interaction.

Cytokinins↗

Ultrasound-guided extracranial radiosurgery: technique and application.

PURPOSE: Stereotactic radiosurgery is an effective treatment modality for many intracranial lesions, but target mobility limits its utility for extracranial applications. We have developed a new technique for extracranial radiosurgery based on optically guided three-dimensional ultrasound (3DUS). The 3DUS system provides the ability to image the target volume and critical structures in real time and determine any misregistration of the target volume with the linear accelerator. In this paper, we describe the system and its initial clinical application in the treatment of localized metastatic disease. METHODS AND MATERIALS: The extracranial stereotactic system consists of an ultrasound unit that is optically tracked and registered with the linear accelerator coordinate system. After an initial patient positioning based on computed tomographic (CT) simulation, stereotactic ultrasound images are acquired and correlated with the CT-based treatment plan to determine any soft-tissue shifts between the time of the planning CT and the actual treatment. Optical tracking is used to correct any patient offsets that are revealed by the real-time imaging. RESULTS: Preclinical testing revealed that the ultrasound-based stereotactic navigation system is accurate to within 1.5 mm in comparison with an absolute coordinate phantom. Between March 2001 and March 2002, the system was used to deliver extracranial radiosurgery to 17 metastatic lesions in 16 patients. Treatments were delivered in 1 or 2 fractions, with an average fractional dose of 16 Gy (range 12.5-24 Gy) delivered to the 80% isodose surface. Before each fraction, the target misalignment from isocenter was determined using the 3DUS system and the misalignments averaged over all patients were anteroposterior = 4.8 mm, lateral = 3.6 mm, axial = 2.1 mm, and average total 3D displacement = 7.4 mm (range = 0-21.0 mm). After correcting patient misalignment, each plan was delivered as planned using 6-11 noncoplanar fields. No acute complications were reported. CONCLUSIONS: A system for high-precision radiosurgical treatment of metastatic tumors has been developed, tested, and applied clinically. Optical tracking of the ultrasound probe provides real-time tracking of the patient anatomy and allows computation of the target displacement before treatment delivery. The patient treatments reported here suggest the feasibility and safety of the technique.

Aged↗

Endoscopic-assisted temporoparietal fascial flap dissection and harvesting: a feasibility preliminary cadaveric study.

Endoscopic procedures in plastic surgery have been applied in various aesthetic and reconstructive surgical techniques. The authors describe, in this preliminary report, a new surgical technique of endoscopic dissection of the temporoparietal fascial flap. A series of 6 fresh human cadavers (12 flaps) were dissected endoscopically. The surgical incisions, flap anatomy applicable to endoscopy, endoscopic surgical technique, and type of endoscopic setup is standardized for all flaps, allowing direct identification of the temporoparietal fascial layers and the major vascular pedicle. This endoscopic manipulation of the flap, without the traditional large scalp incision, permits local and free transfer of the temporoparietal fascial flap. Exposure of the flap by means of the conventional T or Y temporal incisions has several possible disadvantages, including an increased risk of blood loss, alopecia, and facial nerve injury. Endoscopic dissection and mobilization of the temporoparietal fascial flap can obviate the direct flap incision and yield a flap accessible to dissection and mobilization for additional clinical applications. This new, innovative, and minimally invasive endoscopic procedure may prove particularly applicable to future clinical applications of this type of fascial flap.

Cadaver↗

Regulatory policies and procedures for the Domestic Public Land Mobile Radio Service--Federal Communications Commission. Second report and order.

This Order eliminates the requirement that applicants in the Domestic Public Land Mobile Radio Service requesting one initial two-way frequency demonstrate a public need for the proposed service. This action will serve the public interest by making frequencies available for use by the public in a more timely manner, by reducing the costs associated with filing applications and by relieving the staff of an unnecessary processing burden. This action is necessary to speed service to the public and to reduce staff resources necessary to process applications.

Radio↗

Construction and validation of an equivalency examination for an MLT/MT career mobility curriculum.

A career mobility program in medical technology, recently developed at the University of Illinois Medical Center, Peoria, utilizes equivalency examinations to recognize professional competencies achieved by a medical laboratory technology graduate with an associate degree toward completion of a bacclaureate degree in medical technology. Four criterion-referenced examinations in clinical chemistry, clinical microbiology, hematology, and blood bank-serology were constructed by 30 medical laboratory technician (MLT) and medical technology educators from Illinois community colleges and universities in 1976-1977. A description of the development of these exams, the process of criterion referencing, the administration of the exams for norming, and the utilization of the exams by applicants of the career mobility program is presented.

Career Mobility↗

Loss of pesticides from agricultural fields in SE Norway--runoff through surface and drainage water.

Loss of two pesticides with different mobility characteristics, bentazone (Koc approximately 34) and propiconazole (Koc approximately 1800), were studied at three agricultural fields (Askim, Bjørnebekk and Syverud) in SE Norway. A conservative tracer (Br) was used to follow the flow of water. The loss of pesticides varied among the fields, depending on hydrological characteristics and soil properties. The loss of pesticides was higher from two artificially levelled silty clay loam soils with poor aggregate stability (Askim and Bjørnebekk) compared to a loam/silt loam soil with increased content of organic carbon and better aggregate stability (Syverud). The total accumulated loss was <0.5% from all fields. The highest pesticide concentrations were measured at the first runoff episode after application for both the mobile (bentazone) and less mobile pesticide (propiconazole) in the surface runoff. In the drainage water, the peak for the less mobile pesticide coincided with the Br tracer, while the peak for mobile pesticide appeared earlier than the Br tracer. Rapid movement of water, particles and pesticides through soils indicate flow through macropores. Larger proportions (in percent of total applied) of both the mobile and the strongly sorbed pesticides were lost through the drainage as compared to the loss through surface runoff at Askim. Here, it is suggested that macropore flow contribute to the increased loss of pesticides through the drainage. At Syverud, high infiltration capacity reduces the amount of water available for surface runoff, and somewhat higher loss of the mobile pesticide was registered in the drainage compared to the surface runoff. For the strongly sorbed pesticide, however, propiconazole was neither detected in surface nor in drainage water at Syverud. Generally, there was a higher percentage loss of the mobile compared to the strongly sorbed pesticide in both surface and drainage water, which is in agreement with the pesticides mobility characteristics in soil. An exception was, however, the erodible soil Bjørnebekk, where a higher fraction of propiconazole was lost in the surface runoff compared to bentazone. Large amounts of sediment transport from the Bjørnebekk field probably contributed to enhanced transport of the strongly sorbed pesticide.

Adsorption↗

Repetitive elements and their genetic applications in zebrafish.

Repetitive elements provide important clues about chromosome dynamics, evolutionary forces, and mechanisms for exchange of genetic information between organisms. Repetitive sequences, especially the mobile elements, have many potential applications in genetic research. DNA transposons and retroposons are routinely used for insertional mutagenesis, gene mapping, gene tagging, and gene transfer in several model systems. Once they are developed for the zebrafish, they will greatly facilitate the identification, mapping, and isolation of genes involved in development as well as the investigation of the evolutionary processes that have been shaping eukaryotic genomes. In this review repetitive elements are characterized in terms of their lengths and other physical properties, copy numbers, modes of amplification, and mobilities within a single genome and between genomes. Examples of how they can be used to screen genomes for species and individual strain differences are presented. This review does not cover repetitive gene families that encode well-studied products such as rRNAs, tRNAs, and the like.

Animals↗

Electrophoretic mobility of corneocytes measured by laser Doppler spectroscopy.

A new approach studying the characteristics of the stratum corneum is presented: the electrophoretic mobility of corneocytes by laser Doppler spectroscopy. The detergent scrub technique was used for harvesting corneocytes from three body regions (forehead, palm, and sole) of normal persons (n = 20) under casual conditions and after thorough defattening of the skin with 70% isopropyl alcohol or petrol. Similarly, cells from the forehead, shoulder, and palm were obtained from 22 acne patients treated with isotretinoin (13-cis retinoic acid) 0.5-0.7 mg/kg body weight (b.wt.)/day for 12-16 weeks, and in patients receiving arotinoid (Ro 15-0778) 192 mg (n = 5) or 500 mg (n = 5) per kg/b.wt./day for 6 weeks (forehead and shoulder). In another experiment, cell suspensions with a pH ranging from 5.0-7.3 were evaluated. Measurements were performed by dynamic laser light scattering. This laser application allows exact electrophoretic mobility measurements in a short time (3 min). When cells pass the laser beam, the scattered light is frequency-shifted due to the optical Doppler effect. These frequency shifts are analyzed by the heterodyne light beating technique. The analog signal of the photodetector is converted into a power spectrum by Fourier analysis. This power spectrum represents the spectrum of electrophoretic cell mobility distribution. Results showed different electrophoretic mobility values for corneocytes dependent on the topographic region: forehead 1.18 +/- 0.16, palm 1.10 +/- 0.14, and sole 0.83 +/- 0.10 (means +/- SEM) micron cm/Vs. Defattening with isopropyl alcohol decreased the mobility values to 0.90 +/- 0.09 (p less than or equal to 0.01), 0.95 +/- 0.10, and 0.77 +/- 0.10 micron cm/Vs respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Acne Vulgaris↗

Extracellular magnesium regulates acetylcholine-evoked amylase secretion and calcium mobilization in rat pancreatic acinar cells.

Application of ACh (10(-6) M) to the isolated rat pancreas elicited large increases in amylase secretion, radiolabelled 45Ca influx and cytosolic free Ca2+ levels in zero and normal (1.1 mM) extracellular magnesium (Mg2+). Elevated (10 mM) Mg2+ significantly (P less than 0.001) reduced the ACh-induced amylase output and Ca2+ mobilization. Similarly, ACh (10(-5) M) caused a transient increase in 45Ca efflux from pre-loaded pancreatic segments in normal Mg2+ compared with the much reduced effect in elevated Mg2+. The results suggest that a modification in Mg2+ influences ACh-evoked amylase secretion by regulating Ca2+ mobilization.

Acetylcholine↗

[Dosimetric study of the applications of intracavitary radiotherapy using a remote-loading device with mobile sources].

This paper deals with the dosimetric aspects of remote-controlled afterloading irradiation devices used in brachytherapy. An afterloading device (Gammamed III) is available at Varese Regional Hospital, for intracavitary radiation therapy (low-dose rate). In the Gammamed afterloading method the radioactive sources contained in an applicator are introduced into the patient's body. This device is based on the principle of stepwise movement of three 137Cs radioactive sources (1.48; 2.96; 1.48 GBq). The results are here presented of a dosimetric study on the correspondence between algorithm for calculating isodose distributions in intracavitary treatment and experimental measurements in a phantom. Doses around the moving source were measured using thermoluminescent LiF-100 dosimeters (1 x 1 x 6 mm). Measurements were taken in a polystyrene phantom. Isodose distributions were estimated by reading the optical density of radiographic films. Doses were found to range around the calculated values within +/- 4% (with thermoluminescent dosimeters) and within +/- 8% (with films). The close agreement between the experimental and the calculated doses confirmed the acceptability of the dose distribution calculation model for the moving sources, and the Gammamed reliability.

Brachytherapy↗

Dichloropentafluoropropanes as solvents for size exclusion chromatography.

We have found that HCFC225s (HCFC225ca: 3,3-dichloro-1,1,1,2,2-pentafluoropropane, HCFC225cb: 1,3-dichloro-1,1,2,2,3-pentafluoropropane) are superior mobile phases for size exclusion chromatography (SEC). As alternatives of CFC113, they have been shown to possess a number of excellent properties, such as low flammability, low viscosity, low cost, high purity, and environmental and operational friendliness. In addition, they have distinct advantages for the SEC measurement, because they solubilize some kinds of acrylate such as poly(methyl methacrylate) (PMMA) and commercial monodispersed PMMA can be used to prepare calibration curves necessary for the measurement of equivalent molecular weight of some polymers. Furthermore, we propose an HCFC225/1,1,1,3,3,3-hexafluoroisopropanol mixed solvent for use in the SEC of poly(ethylene terephthalate) (PET) and polyamides. Poly(2-(perfluorooctyl)ethyl acrylate), whose PMMA equivalent weight average molecular weight was 118,100 Da, was evaluated by a multi-angle laser light scattering (MALLS) detector to have an absolute molecular weight of 439,000 Da. The difference can be attributed to the molecular size of the polyfluorinated polymer compared to the non-fluorinated one. The possible application of this novel mobile phase system for molecular size and molecular weight characterization of perfluoropolyethers, PET, nylon 6 and nylon 6,6 are also discussed.

Chromatography, Gel↗

Numerical analysis of tooth mobility: formulation of a non-linear constitutive law for the periodontal ligament.

OBJECTIVE: The aim of the present work is the analysis of mobility of human dentition under the action of physiological short-term loading by using a numerical approach. The mobility of tooth is mainly attributed to the deformation of the periodontal ligament, hence particular attention is focused on the definition of a suitable constitutive model for this soft tissue. METHODS: A numerical model of human upper incisor and periodontum is proposed by means of the finite element method. The mechanical response of the most deformable constituent, i.e. the periodontal ligament, is described by using a hyperelastic constitutive model. RESULTS: Numerical analyses show an effective correspondence with in vivo experimental tests, in literature, on tooth mobility caused by the application of intrusive loads. The model proves to offer valid results, leading to a general, reliable and efficient numerical approach. SIGNIFICANCE: The hyperelastic approach allows the description of the mechanical response of the periodontum under short lasting loads, according to the characteristic non-linear behavior of the PDL. This approach overcomes the approximation caused by the adoption of simplified models, widely reported in literature, and leads to a valid definition of tooth movement by means of an effective numerical procedure.

Compressive Strength↗

Assessment of rapid remobilization intervals with G-CSF and SCF in murine and rhesus macaque models.

BACKGROUND: Defining the optimum regimen and time for repeat peripheral blood progenitor cell mobilization would have important clinical applications. STUDY DESIGN AND METHODS: Remobilization with SCF and G-CSF at 2 weeks after an initial mobilization in mice and at 2 or 4 weeks after an initial mobilization in nonhuman primates was examined. In mice, competitive repopulation assays were used to measure long-term progenitor cell-repopulating activity. In monkeys, mobilization of hematopoietic progenitor CFUs was used as a surrogate marker for progenitor cell-repopulating ability. RESULTS: Efficacy of progenitor cell remobilization differed in the two animal species. In mice, peripheral blood progenitor cell-repopulating ability with repeat mobilization at 2 weeks was 70 percent of that with the initial mobilization. In monkeys, there was no significant difference in peripheral blood progenitor cell mobilization between the initial and the repeat mobilizations at 2 weeks. In mobilizations separated by 4 weeks, however, peripheral blood progenitor cell mobilization was higher than that with initial mobilizations. CONCLUSION: In animal models, mobilization of peripheral blood progenitor cells with remobilization after a 2-week interval is similar to or moderately decreased from that with the initial mobilization. Progenitor cell collection at this time point may be useful in certain clinical circumstances. A 4-week interval between remobilizations may be preferable. Clinical trials in humans would be useful to clarify these issues.

Animals↗

Application of internal universal calibration for determination of fully dissociated species in capillary electrophoresis using indirect UV detection and electrokinetic injection.

Although the electrokinetic injection suffers from quantitation problems arising from mobility and matrix bias, the application of electrokinetic injection and indirect photometric detection may provide a very simple, sensitive and universal determination of fully dissociated components. In this work a survey of the possibilities of quantitative analysis using EK injection with indirect UV detection is given and a simple procedure (internal universal calibration) for accurate quantitative determination of traces using EK injection is proposed. It was shown that the thiosulfate as an internal universal standard (IUS) can be applied for quantitative determination of fully dissociated analytes (e.g. Br(-), Cl(-), NO(2)(-), NO(3)(-), SO(4)(2-), S(2)O(3)(2-)) whose mobilities (migration times) do not differ from the mobilities of monitoring ion (chromate), counter-ion (potassium) and IUS with more than 10%. The proposed calibration procedure provides concentration data, which deviate generally less than 5% extent from the actual true values. The validity and the applicability of the method was studied in the analysis of samples containing different amount of matrix material.

Anions↗

Formation of a noncovalent serpin-proteinase complex involves no conformational change in the serpin. Use of 1H-15N HSQC NMR as a sensitive nonperturbing monitor of conformation.

A structural understanding of the nature and scope of serpin inhibition mechanisms has been limited by the inability so far to crystallize any serpin-proteinase complex. We describe here the application of [(1)H-(15)N]-HSQC NMR on uniformly and residue-selectively (15)N-labeled serpin alpha(1)-proteinase inhibitor (Pittsburgh variant with stabilizing mutations) to provide a nonperturbing and exquisitely sensitive means of probing the conformation of the serpin alone and in a noncovalent complex with inactive, serine 195-modified, bovine trypsin. The latter should be a good model both for the few examples of reversible serpin-proteinase complexes and for the initial Michaelis-like complex formed en route to irreversible covalent inhibition. Cleavage of the reactive center loop, with subsequent insertion into beta-sheet A, caused dramatic perturbation of most of the NMR cross-peaks. This was true for both the uniformly labeled and alanine-specifically labeled samples. The spectra of uniformly or leucine- or alanine-specifically labeled alpha(1)-proteinase inhibitor in noncovalent complex with unlabeled inactive trypsin gave almost no detectable chemical shift changes of cross-peaks, but some general increase in line width. Residue-specific assignments of the four alanines in the reactive center loop, at P12, P11, P9, and P4, allowed specific examination of the behavior of the reactive center loop. All four alanines showed higher mobility than the body of the serpin, consistent with a flexible reactive center loop, which remained flexible even in the noncovalent complex with proteinase. The three alanines near the hinge point for insertion showed almost no chemical shift perturbation upon noncovalent complex formation, while the alanine at P4 was perturbed, presumably by interaction with the active site of bound trypsin. Reporters from both the body of the serpin and the reactive center loop therefore indicate that noncovalent complex formation involves no conformational change in the body of the serpin and only minor perturbation of the reactive center loop in the region which contacts proteinase. Thus, despite the large size of serpin and serpin-proteinase complex, 45 and 69 kDa respectively, NMR provides a very sensitive means of probing serpin conformation and mobility, which should be applicable both to noncovalent and to covalent complexes with a range of different proteinases, and probably to other serpins.

Alanine↗

Emergency image transfer system through a mobile telephone in Japan: technical note.

OBJECTIVE: We report the first application and usefulness of image transfer through a mobile telephone, which can be used between the hospital and another location. METHODS: With this system, brain computed tomographic scans, magnetic resonance images, and angiograms obtained from more than 100 patients in the emergency department were transferred and diagnostically analyzed via a mobile phone. The mobile phone had a 110,000-pixel digital camera and a built-in thin-film transistor liquid crystal display. We reviewed the distribution of pathological characteristics on the transferred images and compared them with the diagnoses made using full-scale original film. RESULTS: This system of transferring images was useful in all cases for correct early diagnosis and early treatment. The quality of magnetic resonance images received was better than that of computed tomographic scans. Hemorrhage provided better contrast than infarction for allowing easy identification. Cerebral angiography revealed small aneurysms if the target area was focused properly. Image quality was sufficient for interpretation despite the small dimensions of the monitor. Ease of operation and portability were both satisfactory. The mean time from commencement of image uptake to complete reception was 2 to 3 minutes. CONCLUSION: The mobile phone system is adequately useful for early diagnosis and initiation of treatment in emergent cases. This is attributable to its low cost and ease of handling for sending images to remote areas and between hospitals, despite the small dimensions of the monitor. Better-quality image transfer will be realized through an advanced mobile phone system based on the new International Mobile Telecommunication 2000 standards, which also will be useful in the development of telemedicine and telecare.

Brain Injuries↗