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Renal function in compensated hepatic cirrhosis: effects of an amino acid infusion and relationship with nitric acid.

AIMS: In order to assess the possible participation of nitric oxide (NO) in renal function during compensated hepatic cirrhosis, we studied renal function, the plasma and urinary levels of cGMP and the concentration of nitrates and nitrites, as markers of NO synthesis in blood and urine, in 10 patients with Child A hepatic cirrhosis as compared with 10 control subjects, both under basal conditions and during stimulation (amino acid-induced glomerular hyperfiltration). METHODS: To study renal function, the glomerular filtration rate (GFR), effective renal plasma flow (ERPF), renal functional reserve (RFR), renal venous resistance (RVR) and the filtration fraction (FF) were measured. Renin and aldosterone levels were determined to assess the possible involvement of these compounds in the renin-angiotensin-aldosterone axis. RESULTS: GFR and ERPF were significantly lower in the patients with cirrhosis than in the controls (mean GFR: 82+/-12.3 vs. 105+/-15 ml/min, p = 0. 01; ERPF 452+/-86 vs. 543+/-56 ml/min, p = 0.002). The RFR value was similar in both groups. In the basal situation cGMP levels were higher in plasma and urine in patients with cirrhosis than in the controls (plasma cGMP in cirrhosis 8.4+/-2.4 vs. 4.2+/-3.5 pmol/ml; urine cGMP in cirrhosis 1.2+/-2.1 vs. 0.68+/-0.1 pmol/ml). The NO levels were also higher in plasma and urine in patients with cirrhosis vs. controls (plasma NO in cirrhosis 45.5+/-9.2 vs. 30. 3+/-1.2 micromol/l; urinary NO in cirrhosis 6.2+/-1.3 vs. 3.1+/-2.3 micromol/ml). In both groups the amino acid perfusion increased GFR, ERPF, cGMP and NO levels in plasma and urine. In the patients with cirrhosis the RVR decreased significantly during perfusion and no noteworthy changes in FF were observed. The GFR values observed during amino acid perfusion were similar in patients with cirrhosis and portal hypertension to those observed in the controls (27.2+/-12 vs. 25.3+/-16%). However, the changes induced the ERPF were more marked in patients with cirrhosis (cirrhosis 35.3+/-15 vs. 22. 2+/-13%, p = 0.02). CONCLUSIONS: The present findings point to certain alterations in renal function in patients with hepatic cirrhosis and portal hypertension without ascitis, a clear difference being visible between the ERPF and GFR following amino acid-induced stimulation. The significant elevation in cGMP and NO levels in plasma and urine implies a maintained vasodilatory action that may at least partly compensate the vasoconstrictor effects of angiotensin II.

Adult↗

Use of nitric acid in sample pretreatment for determination of trace elements in various biological samples by ETAAS.

Trace elements in liquid biological samples may be determined by direct electrothermal atomic absorption spectrometry (ETAAS). In our previous work it was found that samples containing proteins or DNA may leak out of the graphite tube before the drying step, despite the addition of various modifiers. In order to keep the sample to the graphite tube, samples were diluted before analysis 1 + 1 with 32% v/v nitric acid, or 5 microl of 32% v/v nitric acid was added to the graphite tube before ETAAS determination. Applying the proposed procedure, the concentrations of lead in eluted fractions after gel chromatographic separation of human cerebellar nucleus dentatus supernatant and platinum in isolated DNA samples were determined. The use of nitric acid in sample pretreatment prevent sample leakage out of the graphite tube, provided for even drying and considerably reduced nonspecific absorption in lead determination. The repeatability of measurements was better than + 6%. The accuracy of the procedure was checked by spiking samples. The recoveries for both elements lay between 93--104%. Nitric acid was found to be a better modifier than TRITON X-100.

Calibration↗

Voltage clamp behavior of iron-nitric acid system as compared with that of nerve membrane.

The current-voltage relation for the surface layer of an iron wire immersed in nitric acid was investigated by the voltage clamp technique. Comparing the phase of nitric acid to the axoplasm and the metallic phase to the external fluid medium for the nerve fiber, a striking analogy was found between the voltage clamp behavior of the iron-nitric acid system and that of the nerve membrane. The current voltage curve was found to consist of three parts: (a) a straight line representing the behavior of the resting (passive) membrane, (b) a straight line representing the fully excited (active) state, and (c) an intermediate zone connecting (a) and (b). It was shown that in the intermediate zone, the surface of iron consisted of a fully active patch (or patches) surrounded by a remaining resting area. The phenomenon corresponding to "repetitive firing of responses under voltage clamp" in the nerve membrane was demonstrated in the intermediate zone. The behavior of the cobalt electrode system was also investigated by the same technique. An attempt was made to interpret the phenomenon of initiation and abolition of an active potential on the basis of the thermodynamics of irreversible processes.

Iron↗

[Recovery process of nitric acid, copper and nickel in deplating wastewater].

The recovery process of nitric acid, copper and nickel in deplating wastewater was developed by using the combined technique of distillation, solvent extraction and precipitation. The conditions of the separation of copper and nickel by solvent extraction using P507 in kerosene and stripping copper with H2SO4 were specially investigated and the optimal parameters were determined. The results of experiment indicated that the recovery ratio of nitric acid was 97.8%, and under the optimized conditions of extraction process, concentration of original effluence ranged in 15-20 mg/mL copper, 5-10 mg/mL nickel, pH 1-2, concentration of extractant was 35% (V/V), saponification degree was 60%, phase ratio was 1:1, reaction time was 2 min, temperature ranged in 20 degrees C-25 degrees C, the one stage extraction efficiency of copper was higher than 90%, the separation ratio of copper and nickel was up to 75; copper and nickel could be completely separated by a continuous countercurrent three-stage extraction. The nickel could be recovered from the water phase by precipitating with NaOH and the recovery ratio of nickel reached up to 99.9% by controlling pH in solution within 10-11. After these treatment, the effluent could meet the national standards of wastewater discharge.

Copper↗

[Sanitary-hygienic characteristics of work conditions and health status of workers in nitric acid production industry].

Workers engaged in thin nitric acid manufacturing are exhibited to the combined action of both physical and chemical factors (noise, heating microclimate, nitric oxides, ammonia). Within the working hours, ECG changes and arterial blood pressure instability are displayed in operators and technicians. Influenza, acute respiratory disorders and osseo-muscular diseases present the main causes of morbidity with temporary disability. Technicians are characterized by a markedly greater morbidity rate. Ammonia and nitric oxides, as aggressive media, lead to higher rates of oral mucoid, hard dental tissues and periodontium lesions. Health-related labour conditions improvement measures are proposed.

Air Pollutants, Occupational↗

[Occupationally induced nitric acid and sulfuric acid burns: an analysis of 2 patients from the aspect of occupational health].

We report two patients who suffered from acid burns while working in chemical factories. Case 1: a 44-year-old man who received burn induced by nitric acid on the face and extremities. Despite his protecting facial mask, he was exposed to nitric acid on his face through a gap between the mask and skin surface. Nitric acid was also sprinkled on his scalp which was not covered by a helmet or a protecting device. In addition, he suffered from acid burn on the right scapular region, the right upper arm, and the lower extremities through the work clothes. Case 2: a 26-year-old man who suffered from sulfuric acid burn on the forearms. Both patients were accidentally exposed to acids while they filled tanks with the acids through a hose. Following the manual of the factories, they washed the exposed skin with water for more than 15 minutes after the exposure. Although they recovered without any serious sequel, there remained partial deep tissue destruction of the skin. We reviewed these two cases from the aspect of industrial medicine, and proposed the following three points for improvement in the workplace to prevent accidental acid burns. 1) re-education or enlightenment activities for the well-experienced workers to avoid negligence to the danger of strong acid. 2) recommendation to take a complete shower to avoid overlooking of unaware acid injury. 3) improvement in the protecting facial mask. In addition, clinicians who examine acid-burn patients should not pass over the presence of deep ulcers lying behind the thick crust on the injured area.

Adult↗

Ab initio study of the vibrational spectra of the hydrogen-bonded nitric acid dimer.

The changes in the vibrational characteristics characterizing the dimerization of nitric acid have been investigated by ab initio calculations at the MP2 level, with 6-31G(d,p) and 6-31 + G(d,p) basis sets, and B3LYP/6-31G(d,p) calculations. The most consistent agreement between the computed values of the frequency shifts for the planar fully symmetric structure (2A) and those experimentally observed suggests that this structure is preferred. It was established that the most sensitive to the complexation is the stretching O-H vibration. The values of the frequency shift (-306 cm(-1)) is indicative for the formation of the relatively strong hydrogen bonds. The calculations predict an increase of the infrared intensity of the stretching O-H vibration in the nitric acid dimer more than 26 times.

Dimerization↗

Uptake of gas-phase nitric acid to ice at low partial pressures: evidence for unsaturated surface coverage.

The adsorption of gas-phase nitric acid onto water-ice surfaces at temperatures between 200 and 239 K has been studied over short time scales using a coated-wall flow tube coupled to a chemical ionization mass spectrometer. The nitric acid partial pressures used were between 10(-8) hPa and 10(-6) hPa, making this the first systematic study under partial pressure conditions present in the upper troposphere. Whereas previous findings using this technique have shown that the surface coverages are saturated at 2 to 3 x 10(14) molecules cm(-2) (referenced to the geometric surface area of the ice film) when partial pressures are larger than about 10(-7) hPa, the principal finding from this study is that the surface coverages are in the unsaturated regime at lower partial pressures. A conventional Langmuir adsorption isotherm describes the uptake in a quantitative manner while dissociative Langmuir isotherms that have been used in the past to model this process do not. The unsaturated surface coverages are strongly temperature dependent, in agreement with a number of field measurements of the nitric acid (or NOy) component of cirrus cloud particles. These laboratory results match those in the field better than do those measured at significantly higher partial pressures but, nevertheless, they still indicate somewhat greater uptake, particularly at higher temperatures.

Journal Article↗

Determination of the degradation compounds formed by the oxidation of thiophosphinic acids and phosphine sulfides with nitric acid.

The degradation process that takes place at room temperature when bis(2,4,4-trimethylpentyl)monothiophosphinic acid (R2P(S)OH), bis(2,4,4-trimethylpentyl)dithiophosphinic acid (R2P(S)SH) and tris(2,4,4-trimethylpentyl)phosphine sulfide (R3PS) are in contact with 5 M HNO3 has been studied by FT-Infrared, FT-Raman spectroscopy and by gas chromatography with mass spectrometry detection (GC-MS). An exposure period of ten days of the rough reagents to 5 M HNO3 causes complete oxidation of the compounds. This process mainly leads to the formation of nitrogen dioxide, elemental sulfur and the oxo-analogues of the reagents. For dilute solutions of the reagents it was observed that after 15 min of contact with phase-shaking, R2P(S)OH and R3PS are completely oxidized to yield R2P(O)OH and R3PO, respectively, whereas for R2P(S)SH, the oxidation process is less severe, because the dithioacid is still present in the oxidized mixture, the oxidation products being R2P(S)OH and R2P(O)OH.

Journal Article↗

Nitric acid passivation of Ti6Al4V reduces thickness of surface oxide layer and increases trace element release.

Passivation of Ti6Al4V and cpTi implants using methods based on the ASTM-F86 nitric acid protocol are used with the intention of reducing their surface reactivity, and consequently the corrosion potential, in the highly corrosive biologic milieu. The ASTM-F86 passivation protocol was originally developed for surgical implants made of stainless steel and chrome cobalt alloy. Using X-ray photoelectron spectroscopy (XPS) to examine the effect of nitric acid passivation on the surface oxide layer of mill-annealed Ti6Al4V and cpTi, we have found that such treatment actually reduced the oxide thickness on the alloy while having no significant effect on the pure metal. These results correlated with observations obtained using graphite furnace atomic absorption spectrophotometry (GFAAS) to detect trace element release from solid, mill-annealed, Ti6Al4V and cpTi into serum-containing culture medium. We detected significantly greater levels of Ti, Al, and V in the presence of passivated compared to nonpassivated Ti6Al4V. In contrast, nitric acid passivation did not influence Ti release from mill-annealed cpTi. These results, derived from two mill-annealed Ti-based metals, would indicate that re-examination of ASTM-F86-based passivation protocols with respect to Ti6Al4V should be considered in view of the widespread use of this alloy for biomedical devices.

Alloys↗

Hydrofluoric and nitric acid transport through lipid bilayer membranes.

Hydrofluoric and nitric acid transport through lipid bilayer membranes were studied by a combination of electrical conductance and pH electrode techniques. Transport occurs primarily by nonionic diffusion of molecular HF and HNO3. Membrane permeabilities to HF and HNO3 ranged from 10(-4) to 10(-3) cm . s-1, five to seven orders of magnitude higher than the permeabilities to NO-3, F- and H+. Our results are consistent with the hypothesis that F- transport through biological membranes occurs mainly by nonionic diffusion of HF. Our results also suggest that of the two principal components of 'acid rain', HNO3 may be more toxic than H2SO4.

Cholesterol↗

The crystallization kinetics and morphology of nitric acid trihydrate.

Crystallization kinetics of stable and metastable nitric acid trihydrate (NAT) were investigated by time dependent X-ray powder diffraction (XRD) measurements. Kinetic conversion curves were evaluated adopting the Avrami model. The growth and morphology of the respective crystallites were monitored in situ on the cryo-stage of an environmental scanning electron microscope (ESEM) under a partial pressure of nitrogen gas (0.3 Torr, 40 Pa). The results show a close relationship between the presence of ice in the sample and the crystallization mechanism of NAT, which results in different shapes and sizes of NAT crystal particles.

Computer Simulation↗

Nitration of alkanes with nitric acid by vanadium-substituted polyoxometalates.

The nitration of alkanes by using nitric acid as a nitrating agent in acetic acid was efficiently promoted by vanadium-substituted Keggin-type phosphomolybdates such as [H4PVMo11O40], [H5PV2Mo10O40], and [H6PV3Mo9O40] as catalyst precursors. A variety of alkanes including alkylbenzenes were nitrated to the corresponding nitroalkanes as major products in moderate yields with formation of oxygenated products under mild reaction conditions. The carbon--carbon bond cleavage reactions hardly proceeded. ESR, NMR, and IR spectroscopic data show that the vanadium-substituted polyoxometalate, for example, [H4PVMo11O40], decomposes to form free vanadium species and [PMo12O40](3-) Keggin anion. The reaction mechanism involving a radical-chain path is proposed. The polyoxometalates initially abstract the hydrogen of the alkane to form the alkyl radical and the reduced polyoxometalates. The reduced polyoxometalates subsequently react with nitric acid to produce the oxidized form and nitrogen dioxide. This step would be promoted mainly by the phosphomolybdates, [PMo12O40](n-), and the vanadium cations efficiently enhance the activity. The nitrogen dioxide promotes the further formation of nitrogen dioxide and an alkyl radical. The alkyl radical is trapped by nitrogen dioxide to form the corresponding nitroalkane.

Journal Article↗

A new crystalline phase of nitric acid dihydrate.

The crystal structure of a new high-temperature phase of nitric acid dihydrate, HNO(3).2H(2)O, has been determined at 225 K by single-crystal X-ray diffraction. The H atom of the nitric acid is delocalized to one water molecule, leading to an association of equimolar NO(3)(-) and H(5)O(2)(+) ionic groups. The asymmetric unit contains two molecules of HNO(3).2H(2)O. The two independent molecules are related by a pseudo-twofold c axis, by a translation of 0.54 (approximately (1/2)) along b, with a mean atomic distance difference of 0.3 A, except for one H atom of the water molecules (1.5 A), because of their different orientations in the two molecules. The two independent molecules, linked by strong hydrogen bonds, are arranged in layers. These layers are linked by weaker hydrogen bonds oriented approximately along the c axis. A three-dimensional hydrogen-bond network is observed.

Journal Article↗

Ultrasound promoted regioselective nitration of phenols using dilute nitric acid in the presence of phase transfer catalyst.

Phenols are selectively nitrated to o-nitrophenol along with rate enhancement using dilute nitric acid (6 wt%)/tetra butyl ammonium bromide (TBAB) under sonication. The selectivity can also be reversed to p-nitrophenol using NaBr as a catalyst. Kinetic analysis of nitration of phenol both with and without sonication has been investigated by variation of reaction parameters such as catalyst, nitric acid and substrate concentration.

Catalysis↗

Coupled ion chromatography for the determination of chloride, phosphate and sulphate in concentrated nitric acid.

A coupled ion chromatography (IC) system was used for the determination of chloride, sulphate and phosphate in high-purity nitric acid. Such a high ionic strength matrix causes a selectivity problem in single IC systems. The first part of the system is used for a pre-separation of the analytes from the nitrate matrix. A specially designed high-capacity anion exchanger with low retention for the analytes and high retention for nitrate was developed. The eluent stream containing the analytes was transferred to the second part of the system via a heart-cut valve and a pre-concentration column. The second system utilizes a high performance anion exchanger and is used to quantify the analytes. Recoveries of the analytes are 80-100% for phosphate, and around 100% for sulphate and chloride. Detection limits for chloride, sulphate and phosphate in concentrated nitric acid (69% w/w) are 0.1, 1 and 5 mg/l, respectively.

Anion Exchange Resins↗

Oxidant and acid aerosol exposure in healthy subjects and subjects with asthma. Part I: Effects of oxidants, combined with sulfuric or nitric acid, on the pulmonary function of adolescents with asthma.

Both peak flow decrements in children at summer camps and increased hospital admissions for asthma have been associated with summer "acid haze," which is composed of ozone and various acidic species. The objective of this study was to investigate the pulmonary effects of acid summer haze in a controlled laboratory setting. Twenty-eight adolescent subjects with allergic asthma, exercise-induced bronchospasm, and a positive response to a standardized methacholine challenge enrolled in the study; 22 completed the study. Each subject inhaled one of four test atmospheres by mouthpiece on two consecutive days. The order of exposure to the four test atmospheres was assigned via a random protocol: air, oxidants (0.12 parts per million [ppm]* ozone plus 0.30 ppm nitrogen dioxide), oxidants plus sulfuric acid at 70 micrograms/m3 of air, or oxidants plus 0.05 ppm nitric acid. Exposure to each of the different atmospheres was separated by at least one week. The exposures were carried out during alternating 15-minute periods of rest and moderate exercise for a total exposure period of 90 minutes per day. Pulmonary function was measured before and after exposure on both test days and again on the third day as a follow-up measurement. A postexposure methacholine challenge was performed on Day 3. Low methacholine concentrations were chosen for the postexposure challenge to avoid provoking a response. The protocol was designed to detect subtle changes in airway reactivity. The statistical significance of the pulmonary function values was tested using paired t tests. First, we compared the difference between baseline and postexposure measurements after air exposure on Day 1 with the differences between baseline and postexposure measurements after Day 1 exposure to each of the other three atmospheres. Second, we compared the difference between baseline and postexposure measurements after the Day 2 air exposure with the differences between baseline and postexposure measurements after the Day 2 exposure to each of the pollutant atmospheres. Third, we compared the difference between baseline measurements on Day 1 of each exposure atmosphere with measurements after exposure to the same atmosphere on Day 2 to detect delayed effects. No changes in any of the pulmonary function parameters were statistically significant when compared with changes after clean air exposure. Six subjects left the study because of uncomfortable symptoms associated with the exposures. These all occurred after exposure to pollutant atmospheres and not after exposure to clean air.(ABSTRACT TRUNCATED AT 400 WORDS)

Acid Rain↗