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At least 73 records · Page 4Linked to original sources

Growth characteristics of selected fungi on polyvinyl chloride film.

The objective of this study was to determine if plasticized polyvinyl chloride film would support the growth of any of nine species of fungi. The film was suspended in distilled water with no nutrients or with glucose or ammonium sulfate. Spores of each of the test species were inoculated into the suspension medium, and the mixture was incubated at 30 degrees C for up to 18 weeks. Most species were found to be capable of utilizing the film for carbon or nitrogen when the other nutrient was supplied. Only two species, Aspergillus fischeri and Paecilomyces sp., were found to be capable of utilizing components of the film without added nutrients. Components of the polyvinyl chloride film were then incorporated into mineral salts medium to determine if these components could serve as carbon sources in the presence of ammonium nitrate. The only component found to be utilized by all the fungi as a carbon source was epoxidized oil, a plasticizer-stabilizer. Calcium-zinc stearate was an available carbon source for all except the Penicillium and Verticillium strains. The only other component utilized was a stearamide, which was metabolized solely by the Aspergillus sp. Only the stearamide contained enough nitrogen to serve as a primary source in the film. The compound, however, did not support growth of fungi in the presence of glucose. It was theorized that either the nitrogen of the stearamide was more readily available to the fungi in the whole film due to the presence of trace nutrients or the nitrogen was supplied by exogenous sources.

Aspergillus↗

Induction of malignant fibrous histiocytoma in female Fisher rats by implantation of cyanoacrylate, zirconia, polyvinyl chloride or silicone.

Five kinds of foreign bodies (silicone, cellulose, polyvinyl chloride, zirconia and alkyl-alpha cyanoacrylate) were implanted into subcutaneous tissue of female Fisher rats. Subcutaneous tumors were induced in 27.3, 54.5, 100, 63.6% of rats by silicone rubber, polyvinyl chloride, zirconia and alkyl-alpha-cyanoacrylate, respectively, but not by cellulose. Almost all tumors were composed of a mixture of cells that resembled fibroblasts characterized by the presence of numerous rough-surfaced endoplasmic reticulum and Golgi apparatus, histiocytes characterized by developed endoplasmic reticulum and abundant lysosome, myofibroblasts characterized by the presence of both myofibrils and fibroblast-like structures, and immature mesenchymal cells. In some tumors, the cells exhibited a storiform pattern. Some tumor cells were positively stained by ED2 or anti-muscle actin antibody. The features of induced tumors in rats were consistent with those of human malignant fibrous histiocytoma. A rat malignant fibrous histiocytoma transplanted into the subcutaneous tissue of the syngeneic female Fisher rats grew and metastasized to the lungs.

Animals↗

Colonization of bacteria on polyvinyl chloride and Teflon intravascular catheters in hospitalized patients.

During an 8-month period all intravascular catheters were removed by sterile technique upon completion of use and submitted to the hospital microbiology laboratory. All catheters were routinely cultured by the semiquantitative culture technique, with greater than or equal to 15 colonies being defined as a positive result. Of the 687 Teflon catheters cultured, 6.9% were positive by culture, compared with 24.6% of 77 polyvinyl chloride catheters (P less than 0.001). Also, colonization of coagulase-negative staphylococci on polyvinyl chloride was more than on Teflon. These data suggest that polyvinyl chloride catheters are colonized more frequently with organisms than are Teflon catheters; additionally, there is an increased affinity of coagulase-negative staphylococci for polyvinyl chloride as compared with Teflon, substantiating our previous observations with an in vitro system. We conclude that the type of catheter material may be important in determining the incidence of catheter-related infections and in selective colonization by coagulase-negative staphylococci.

Bacterial Infections↗

Phenoxyethanol absorption by polyvinyl chloride.

Phenoxyethanol was found to be absorbed by polyvinyl chloride administration sets during continuous irrigation therapy. Depending upon the conditions of administration up to 20% loss of potency could occur. Absorption of the drug by the rigid plastic luer-lock fitting of the set caused softening and decreased rigidity of the plastic.

Absorption↗

Laryngeal changes following long-term stenting with polyvinyl chloride tubes.

BACKGROUND: To treat tracheal stenosis and permit wound healing to occur an inert stent is required which resists the contraction process and prevents re-stenosis. The newer stents of polyvinyl chloride are not readily available in India and endotracheal tubes are used in many centres. In our centre polyvinyl chloride tubes are used nasotracheally for prolonged periods. We prospectively studied the pattern of laryngeal changes that occur because of prolonged nasotracheal stenting with polyvinyl chloride tubes. METHODS: The incidence and pattern of laryngeal changes due to stents was prospectively studied at the time of removal of stents, using an operating microscope. Twenty-nine patients underwent tracheal reconstructive surgery for tracheal stenosis (post-intubation or post-tracheostomy) and tracheal injuries. RESULTS: Twelve different lesions were noted and their pattern was related to the period of stenting. Fibrosis, fibrous band formation and webs were noted after four weeks. A high incidence of laryngeal changes was seen in all age groups with an overall incidence of 79% (males 79%; females 88%; adults 82%, children 75%). The mean (SD) duration of stenting was 50 (33) days. Patients with laryngeal changes had a significantly (p < 0.05) longer duration of stenting [56 (34) days] compared to those without any lesion [29 (15) days]. CONCLUSIONS: After four weeks of stenting the severity and incidence of laryngeal changes increase. We recommend restriction of the use of polyvinyl chloride stents to less than four weeks to prevent permanent laryngeal damage.

Adolescent↗

In situ colonization of polyvinyl chloride, brass, and copper by Legionella pneumophila.

A sampling device (Robbins device) was used to expose brass, copper, and polyvinyl chloride plugs to potable water contaminated by Legionella pneumophila serogroup 1. Plugs were removed at approximately 1-week intervals and cultured. The colonization rates were polyvinyl chloride, 70; copper, 31; and brass, 25%. Quantitative cultures revealed that polyvinyl chloride was most heavily colonized, whereas brass was least colonized. We conclude that materials used in plumbing systems are readily colonized by Legionella and that the Robbins device provides a means for testing such materials in an in situ setting.

Bacterial Adhesion↗

An increased standardised mortality ratio for liver cancer among polyvinyl chloride workers in Taiwan.

AIMS: To determine the standardised mortality ratio (SMR) corresponding to different causes of death in workers from polyvinyl chloride polymerisation factories in Taiwan. METHODS: Retrospective cohort study of workers from six polyvinyl chloride polymerisation factories in Taiwan. A total of 3293 male workers who had been employed for at least one year during the period 1 January 1950 to 31 December 1992, and were alive on 1 January 1985 were included for analysis. Using data acquired from Taiwan's National Mortality Registry, it was found that 144 of these workers died during the period 1985-97. The follow up rate was 99% with a total number of person-years at risk of 40 557. RESULTS: SMR for all causes of death was 0.78, indicating a possible "healthy worker" effect. The SMR for liver cancer decreased with increasing age of first exposure to vinyl chloride monomer. This association was more prominent for workers who were first employed in the industry prior to 1970 (SMR 4.82). Medical records indicated that most liver cancers in this study were hepatocellular carcinoma. CONCLUSIONS: Polyvinyl chloride workers may experience a higher risk of developing liver cancer, particularly hepatocelluar carcinoma.

Adult↗

Leaching of diethylhexyl phthalate from polyvinyl chloride bags into intravenous cyclosporine solution.

The release of diethylhexyl phthalate (DEHP) from flexible polyvinyl chloride containers into intravenous cyclosporine solutions was studied. Intravenous cyclosporine solution or solutions containing the vehicle Cremophor EL and alcohol in dextrose were prepared in an all-glass system and stored in polyvinyl chloride (PVC) bags. Four samples were obtained at different time intervals, and DEHP content was analyzed by gas chromatography. The amount of DEHP that was leached into solutions stored in the PVC bags increased as storage time increased. By 48 hours, nearly 33 mg of DEHP had leached into the solution. Intravenous cyclosporine solutions should be prepared in glass containers to minimize patient exposure to DEHP. If plastic bags are used for preparing cyclosporine injections, the injections must be used immediately after preparation.

Cyclosporins↗

Effect of phthalate plasticizer on blood compatibility of polyvinyl chloride.

The amount of a phthalate plasticizer on the surface of a sheet of polyvinyl chloride used in the fabrication of blood storage bags was quantified using attenuated total reflectance spectroscopy, water contact angle measurement, and weight loss due to methanol extraction. Water wettability increased as the amount of surface phthalate extracted by methanol increased, which indicates that the accumulation of phthalate on the surface increases hydrophobicity. The extraction of phthalate by methanol consists of two steps: (a) methanol first dissolves surface phthalate, and (b) phthalate in the bulk then diffuses through the surface. The adsorption of plasma proteins was investigated to determine the initial events as blood contacts the surface. The composition of adsorbed proteins on the methanol-cleansed surface differs from that on the uncleansed polyvinyl chloride surface. Albumin adsorption onto phthalate-contaminated surfaces is less than on cleansed surfaces while adsorption of gamma-globulin and fibrinogen is greater on phthalate-contaminated surfaces. Protein adsorption can be related to surface thrombus formation. Increases in platelet numbers appeared on phthalate-contaminated surfaces as compared with methanol-treated surfaces. A phthalate may enhance platelet adhesion and aggregation when it exists on a polymer surface.

Adsorption↗

Contact dermatitis from polyvinyl chloride identification bands.

One case of allergic contact dermatitis caused by polyvinyl chloride identification bands is reported. Patch tests in this case were positive for three of four bands tested, resorcinol monobenzoate, and benzoyl peroxide. Manufacturers could not confirm the presence of resorcinol monobenzoate and benzoyl peroxide in their respective bands. It is concluded that the patient's reaction was allergic and due to an unknown chemical(s) in the bands. Additives may comprise a significant portion of polyvinyl chloride bands. These components may be leachable, and thus lead to contact sensitization with subsequent allergy. Although patch testing is an excellent first step in determining the offending allergen, specialized chemical analysis may be required for exact identification.

Aged↗

Microemboli observed in deaths following cardiopulmonary bypass surgery: silicone antifoam agents and polyvinyl chloride tubing as sources of emboli.

Refractile foreign particles within clear vacuoles were observed in capillaries of 17 patients who underwent cardiopulmonary bypass surgery, died, and were autopsied at the George Washington University Hospital from December 1978 through April 1981. The postoperative survival time ranged from less than one day to more than eight months. The approximate maximal diameter of the individual particles was 10 micrometer and that of the vacuoles 60 micrometer. The particle-droplet complexes showed affinity for hydrophobic stains. In all 17 cases, the kidneys were involved in combination with several other organs. In two patients, the emboli were associated with microinfarcts in one or more organs. Scanning electron microscopy (SEM) of the polyvinyl chloride tubing used during four cardiopulmonary bypasses showed spallation and shredding of the luminal surface in the areas exposed to the roller pump heads. This suggested that fragments of polyvinyl chloride might be the particles in the emboli. Another possible source was the antifoam agent used in the bubble oxygenator. Scanning electron microscopy x-ray microprobe analysis of the foreign material within capillaries of several organs showed it to be strongly positive for silicon but not for chlorine. Therefore, it was concluded that the microemboli were droplets of antifoam agent, the refractile particles corresponding to the particulate silica component and the vacuoles corresponding to the dimethylpolysiloxane liquid component. Since x-ray microprobe analysis of the microemboli did not reveal a strong chloride peak, there is as yet no evidence that polyvinyl chloride fragments were involved in the microembolism. The morphologic findings reported here indicate that antifoam microembolization continues to complicate cardiopulmonary bypass surgery and must, therefore, be considered a potential cause of postoperative morbidity. The consequence of the fragments of polyvinyl chloride tubing released into the circulation remains to be established.

Antifoaming Agents↗

Elevated CEA levels in polyvinyl chloride workers.

Plasma CEA titer was measured in 200 polyvinyl chloride workers. A positive test was obtained in 48.3% of this high risk population as compared to 9.2% for a normal healthy population.

Carcinoembryonic Antigen↗

Lung function in workers exposed to polyvinyl chloride dust.

Several reported studies on the effects of polyvinyl chloride (PVC) dust in animals and man have been conflicting. The present study of the ventilatory function of 509 male workers exposed to PVC dust was made in 1977. Altogether 104 men exposed to PVC dust only, 112 men exposed to non-chlorinated solvents only, and 293 men exposed to a mixture of both completed the MRC questionnaire on respiratory function and performed simple spirometric tests (forced expiratory volume in one second and forced vital capacity). No differences were found between the three groups after allowance was made for age, height, and smoking. When exposure and smoking effects were considered separately, the latter was shown to be the dominant cause of reduced lung function. In this study work with PVC dust has not produced deleterious effects on ventilatory function.

Adult↗

Water permeation through polyvinyl chloride bags without overwrap.

Water loss by permeation from polyvinyl chloride i.v. containers (Viaflex, Travenol Laboratories) without an overwrap is reported. Viaflex bags without the overwrap containing 0.9% sodium chloride injection or 5% dextrose injection in 50-ml, 100-ml, 500-ml, and 1000-ml sizes were used. All sizes were stored at room temperatures (25 degrees C) and in a refrigerator (4-8 degrees C); the two smaller sizes were additionally in a frost-free freezer (-20 degrees C) and in a non-frost-free freezer (-20 degrees C). Ten bags of each type were stored for 84 days; each container weighed on days 0, 7, 14, 21, 28, 42, 56, 70, and 84 days. Based on the weight change exhibited during this initial period, the time required to lose 10% of the weight was predicted. The bags were stored for that period of time and then weighed. The weight loss exhibited zero-order kinetics. At room temperature, the 50-ml containers of both solutions lost greater than 10% during the 84-day period. During this time, the 100-ml containers of both solutions lost 9% of their weight. Weight loss in the larger sizes was less than 5% during the 84-day period at room temperature. Under the colder storage conditions, weight loss averaged much less than 5% for all sizes during the 84 days. During extended storage, weight loss continued at the same rate for the 100-ml container but was slower for the larger sizes. The Viaflex container without the overwrap may be stored in a refrigerator or freezer for up to 84 days without substantial loss of water by permeation.

Drug Packaging↗

Migration resistant, blood-compatible plasticized polyvinyl chloride for medical and related applications.

Plasticized polyvinyl chloride (PVC), although not a blood-compatible polymer, is the material of choice for the manufacture of blood bags and hemodialysis tubing throughout the world. PVC is usually plasticized with di-(2-ethylhexyl phthalate) (DEHP) to impart flexibility and low temperature properties to the final product. DEHP belongs to a class of agents called hypolipidemic hepatocarcinogens, and it migrates in small quantities into the storage medium such as blood, plasma, or serum, resulting in a number of toxic effects. It has been shown that the migration resistance and blood compatibility of flexible PVC could be significantly improved by grafting polyethylene glycol (PEG), the most blood-compatible polymer known today, onto the surface of flexible PVC by the classical Williamson ether synthesis reaction. The technique is simple and versatile enough to produce blood-compatible, migration resistant PVC surfaces for many medical applications. The method may also find use for preventing plasticizer migration from PVC cling films and polyvinylidene chloride films used extensively in food packaging.

Animals↗

[Health status of the workers of a polyvinyl chloride (PVC) processing plant. III. State of the respiratory tract, immunoglobulins and NBT test].

255 workers processing polyvinyl chloride were examined. All of them underwent spirometric and polycardiographic tests and determination of phagocytic activity of granulocytes, the level of serum albumins and its fractions, and the level of immunoglobulins--IgA, IgG and IgM. The results were compared with the data from healthy non-exposed subjects. It was found that hazards resulting from polyvinyl chloride processing induce slight disturbances in lungs ventilating capacity and inhibit phagocytic activity of granulocytes.

Air Pollutants, Occupational↗

The incendiary characteristics of the laryngeal and reinforced laryngeal mask airway to CO2 laser strike--a comparison with two polyvinyl chloride tracheal tubes.

The incendiary characteristics of the laryngeal and reinforced laryngeal mask airway to the CO2 laser have been compared with two polyvinyl chloride tracheal tubes. Three different power densities (2.35, 4.7 and 9.8 x 10(3) watt/cm2) were used, with either oxygen or a 30% oxygen/70% nitrous oxide mixture flowing down the tube. The laryngeal mask airway (and reinforced model) was shown to be more resistant than the polyvinyl chloride tracheal tubes. The laryngeal mask tube could not be ignited at a power density of 2.25 x 10(3) watt/cm2 after five minutes, although penetration occurred in 20-30 seconds. A layer of silica ash built up at the impact site and protected the underlying tube. The laryngeal mask airway cuff was penetrated at 3 to 5 seconds. At this power density the polyvinyl chloride tube ignited in 2 to 8 seconds and the cuff was penetrated in 0.1 seconds. At the highest power density the tubes of all airways ignited within 0.2 seconds. The possibilities for improving the incendiary characteristics of the laryngeal mask airway are discussed.

Carbon Dioxide↗