Massive Strontium Ferrite Ingestion without Acute Toxicity

Texture formation in W-type hexaferrite by cold compaction of non-magnetic interacting anisotropic shaped precursor crystallites

Crystallites of the W-type hexaferrites, Sr(Ni_1-xZn_x)₂Fe₁₆O₂₇ (x = 0, 0.5, 1) have been aligned without applying magnetic field nor hot compaction, but through a simple synthesis process taking advantage of easy alignment of non-magnetic interacting, anisotropic-shaped precursor crystallites of goethite. The goethite precursor was prepared through a simple hydrothermal synthesis route, forming lathlike crystallites with apparent dimensions of 23.3 × 40.1 × 11.0 nm³ as extracted from powder X-ray diffraction along the a-, b- and c-axis, respectively. The calcined pellets consisted of almost phase pure W-type hexaferrites with relative small impurities of spinel ferrite (≤9.02(3) wt%). The high synthesis temperature resulted in large crystallites, which in turn caused low coercivities (H_c ≤ 5.4(1) kA m^-1) and a squareness ration (M_r/M_s, remanence (M_r) over saturation magnetisation (M_s)) close to zero for all samples. The vanishing coercivity makes M_r/M_s an unsatisfying measure of preferred orientation. Quantitative texture analysis of the samples was carried out based on 2D transmission synchrotron diffraction data collected at different orientations of the samples. The texture investigations revealed alignment of the crystallites with the c-axis normal to the pressing surface of the pellets. The SrNi₂Fe₁₆O₂₇ sample showed the highest texture index of 7.5 m.r.d.².

Life-threatening barium carbonate poisoning managed with intravenous potassium, continuous veno-venous haemodialysis and endoscopic removal of retained ceramic glazes

INTRODUCTION

Barium poisoning is rare but potentially severe. We describe a case of acute barium carbonate poisoning with cardiac arrest, managed with intravenous potassium, dialysis and endoscopic removal of retained ceramic glazes.

CASE REPORT

A 38-year-old woman presented with vomiting 90 min after ingesting 3 cups of barium and strontium carbonate. Initial bloods noted potassium 2.8 mmol/L and creatinine 53 μmol/L. Electrocardiogram demonstrated prolonged corrected QT interval 585msec. Initial management included intravenous potassium. Four hours post-ingestion she developed proximal muscle weakness in upper limbs with a potassium of 2.2 mmol/L. At 15 h post-ingestion she developed profound muscle weakness, polymorphic ventricular tachycardia and cardiac arrest. Treatment included defibrillation, endotracheal intubation and continuous veno-venous haemodialysis (CVVHD) for metabolic derangement and enhanced elimination of barium. Chest X-ray 17 h post-ingestion demonstrated a large radio-opaque mass in the stomach, thought to be the ceramic glaze. Endoscopy removed the retained material 41 h post-ingestion. She was extubated 58 h post-ingestion and CVVHD was ceased on day 3. Serum creatinine peaked at 348 μmol/L on day 7, but normalised by discharge. Biphasic barium concentrations were noted, notably 94 μmol/L on admission, 195 μmol/L at 16 h, 95 μmol/L at 20 h, and 193 μmol/L at 30 h post-ingestion.

CONCLUSION

In barium poisoning with hypokalaemia, prompt potassium supplementation is required but rebound hyperkalaemia can occur. Endoscopic removal of ceramic glazes may be useful more than 12 h post-ingestion. Consider extracorporeal methods to enhance barium elimination in severe cases.

Correlation between Elemental Composition/Mobility and Skin Cell Proliferation of Fibrous Nanoclay/Spring Water Hydrogels

Inorganic hydrogels formulated with spring waters and clay minerals are used to treat musculoskeletal disorders and skin affections. Their underlying mechanism of action for skin disorders is not clear, although it is usually ascribed to the chemical composition of the formulation. The aim of this study was to assess the composition and in vitro release of elements with potential wound healing effects from hydrogels prepared with two nanoclays and natural spring water. In vitro Franz cell studies were used and the element concentration was measured by inductively coupled plasma techniques. Biocompatibility studies were used to evaluate the potential toxicity of the formulation against fibroblasts. The studied hydrogels released elements with known therapeutic interest in wound healing. The released ratios of some elements, such as Mg:Ca or Zn:Ca, played a significant role in the final therapeutic activity of the formulation. In particular, the proliferative activity of fibroblasts was ascribed to the release of Mn and the Zn:Ca ratio. Moreover, the importance of formulative studies is highlighted, since it is the optimal combination of the correct ingredients that makes a formulation effective.

Strontium and antimony serum levels in healthy individuals living in high- and low-risk areas of esophageal cancer

Background

It has been shown there is an upward trend for strontium (Sr) and antimony (Sb) levels from low‐risk (LR) to high‐risk (HR) areas of etiology of esophageal cancer in water, soil, and grains grown in Golestan province. In the present study, the serum levels of Sr and Sb were determined in healthy individuals living in these areas.

Methods

This cross‐sectional study was performed on fasting blood serum of adult healthy individuals collected by cluster sampling. Subjects were divided into two groups, those living in either HR or LR areas. Strontium and antimony serum levels were measured using a graphite furnace atomic absorption spectroscopy.

Results

A total of 200 volunteers were enrolled from which 96 persons (48%) and 104 persons (52%) were from either HR or LR areas, respectively. The sex distribution was 40.9% male and 59.1% female, and the average age of enrolled people was 50.9 years. The average strontium levels were 30.44 ± 4.05 and 30.29 ± 3.74 μg/L in LR and HR, respectively. It also has been shown the average antimony levels were 15.21 ± 3.40, 14.81 ± 3.17, 15.13 ± 3.62, and 15.07 ± 3.62 μg/L in LR, HR, urban, and rural populations, respectively.

Conclusion

The serum levels of strontium and antimony were not significantly different in healthy adults living in high‐ and low‐risk areas of esophageal cancer. However, the average antimony serum levels in Golestan Province were above the reference interval in different countries.

Structure and magnetic properties of W-type hexaferrites

W-type hexaferrites (WHFs) (SrMe 2Fe16O27, Me = Mg, Co, Ni and Zn) are hard magnetic materials with high potential for permanent magnet applications owing to their large crystalline anisotropy and high cation tunability. However, little is known with regards to their complex structural and magnetic characteristics. Here, the substitution of metals (Me = Mg, Co, Ni and Zn) in WHFs is described and their crystal and magnetic structures investigated. From joined refinements of X-ray and neutron powder diffraction data, the atomic positions of the Me atoms were extracted along with the magnetic dipolar moment of the individual sites. The four types of WHFs exhibit ferrimagnetic ordering. For Mg, Ni and Zn the magnetic moments are found to be ordered colinearly and with the magnetic easy axis along the crystallographic c axis. In SrCo2Fe16O27, however, the spontaneous magnetization changes from uniaxial to planar, with the moments aligning in the crystallographic ab plane. Macromagnetic properties were measured using a vibration sample magnetometer. The measured saturation magnetization (M s) between the different samples follows the same trend as the calculated M s extracted from the refined magnetic moments of the neutron powder diffraction data. Given the correlation between the calculated M s and the refined substitution degree of the different Me in specific crystallographic sites, the agreement between the measured and calculated M s values consolidates the robustness of the structural and magnetic Rietveld model.

Removal of metal ions from wastewater using EB irradiation in combination with HA/TiO₂/UV treatment

The electron beam (EB) irradiation technology was applied for removal of Cu(2+), Sr(2+), and Co(2+) ions from wastewater. The aim of this study is to achieve an efficient treatment process of wastewater using EB and introducing a combination of humic acid (HA) as a natural organic polymer and ultraviolet irradiation of a TiO2 (TiO2/UV), as a suspended catalyst in the treatment of wastewater solutions (TiO2/UV+HA). The experimental results showed that the percentage removal of Cu(2+), Sr(2+), and Co(2+)ions was 41%, 87% and 75% respectively, at 125 kGy. In the presence of TiO2 photocatalyst and exposure of the investigated wastewater to ultraviolet rays before irradiation by the EB the percentage removal of Cu(2+) ions became 51%, while the percentage removal of both Sr(2+) and Co(2+) ions was slightly improved; was 87% and 75%, respectively at the same EB dose. On the other hand, by introducing the combination of TiO2/UV+HA, only an irradiation dose of about 50kGy led to removal of Cu(2+), Sr(2+), and Co(2+) completely from the wastewater. Mechanisms of interactions between HA and Cu(2+), Co(2+) and Sr(2+) metal ions were suggested and discussed.

An overview of boron, lithium, and strontium in human health and profiles of these elements in urine of Japanese

The biological, medical and environmental roles of trace elements have attracted considerable attention over the years. In spite of their relevance in nutritional, occupational and toxicological aspects, there is still a lack of consistent and reliable measurement techniques and reliable information on reference values. In this review our understandings of the urinary profilings of boron, lithium and strontium are summarized and fundamental results obtained in our laboratory are discussed.Over the past decade we have successfully used inductively coupled plasma emission spectrometry for the determination of reference values for urinary concentrations of boron, lithium and strontium. Taking into account the short biological half-life of these elements and the fact that their major excretion route is via the kidney, urine was considered to be a suitable material for monitoring of exposure to these elements. We confirmed that urinary concentrations of boron, lithium and strontium follow a lognormal distribution. The geometric mean reference values and 95% confidence intervals were 798 μg/l (398-1599 μg/l) for boron, 23.5 μg/l (11.0-50.5 μg/l) for lithium and 143.9 μg/l (40.9-505.8 μg/l) for strontium. There were no discrepancies between our values and those previously reported. Our reference values and confidential intervals can be used as guidelines for the health screening of Japanese individuals to evaluate environmental or occupational exposure to these elements.

Urinary strontium and the risk of breast cancer: a case-control study in Guangzhou, China

Strontium has been widely used in industries like electronic and pharmacy. It has a carcinogenic potential, however, and no study has been conducted to evaluate its effects on cancer risk. The aim of this study was to explore the possible association between strontium and breast cancer risk in a case-control study including 240 incident invasive breast cancer patients and 246 age-matched controls. We measured the urinary concentrations of strontium by inductively coupled plasma mass spectrometry, and conducted face-to-face interviews to obtain information on potential breast cancer risk factors. Multivariable analysis was used to estimate the association. Creatinine-adjusted levels [median (25th, 75th) μg/g] of strontium were 155.59 (99.05, 230.70) in the breast cancer patients and 119.62 (81.97, 163.76) in the controls. Women in the highest tertile of strontium showed 124% increased risk of breast cancer, when compared with those in the lowest tertile after adjustment for the potential risk factors [OR (95% CI): 2.24 (1.42-3.81)]. This association was particularly strong for HER2 positive breast cancer [OR (95% CI): 10.92 (3.53-33.77)], and only occurred among premenopausal women. These results suggest a potential role of strontium in the development of breast cancer and urge further studies on the environmental contamination and the physiological and pathological mechanisms of strontium.

Gastrointestinal decontamination in the acutely poisoned patient

Objective

To define the role of gastrointestinal (GI) decontamination of the poisoned patient.

Data Sources

A computer-based PubMed/MEDLINE search of the literature on GI decontamination in the poisoned patient with cross referencing of sources.

Study Selection and Data Extraction

Clinical, animal and in vitro studies were reviewed for clinical relevance to GI decontamination of the poisoned patient.

Data Synthesis

The literature suggests that previously, widely used, aggressive approaches including the use of ipecac syrup, gastric lavage, and cathartics are now rarely recommended. Whole bowel irrigation is still often recommended for slow-release drugs, metals, and patients who "pack" or "stuff" foreign bodies filled with drugs of abuse, but with little quality data to support it. Activated charcoal (AC), single or multiple doses, was also a previous mainstay of GI decontamination, but the utility of AC is now recognized to be limited and more time dependent than previously practiced. These recommendations have resulted in several treatment guidelines that are mostly based on retrospective analysis, animal studies or small case series, and rarely based on randomized clinical trials.

Conclusions

The current literature supports limited use of GI decontamination of the poisoned patient.

A case of hypercalcemia and gastric necrosis from hot pack ingestion

Hot packs (instant hot compresses) are frequently used to relieve pain. We report a patient who had significant complications from ingestion of a hot pack containing calcium salts. A 35-year-old male swallowed three hot packs, and developed hematemesis, severe abdominal pain, and hypercalcemia (21.1 mg/dl). He developed diffuse gastric necrosis requiring gastrectomy and colonic interposition. Hypercalcemia was treated with intravenous fluids, pamidronate, and calcitonin. A Medline search revealed no prior report on hot pack ingestion though ingestion of calcium salts has been reported. Hot packs can potentially cause significant injury both from an exothermic reaction and hypercalcemia. Ingestions of calcium salts can result in necrosis of the stomach. Management includes aggressive treatment of hypercalcemia, supportive care and upper gastrointestinal endoscopy.