Transcranial direct current stimulation combined with a brief intervention for smoking cessation: a randomized double-blind clinical trial

Non-invasive brain stimulation methods are currently being evaluated for treatment of addictive disorders. Some evidence indicates that modulating left and right prefrontal brain activity by transcranial direct current stimulation (tDCS) can reduce craving and relapse rates in tobacco addiction. Therefore, this study investigated the effects of active and sham tDCS as an add-on treatment to a standardized brief intervention for smoking cessation. This randomized, double-blind study included 36 participants (22 women and 14 men) with nicotine dependence according to ICD-10 criteria. At five visits on alternate days, participants underwent a 20-min active or sham tDCS over the left dorsolateral prefrontal cortex and subsequently participated in a 10-min brief intervention for smoking cessation. Patients were followed up after 3 months. On each treatment day and at follow-up, abstinence was assessed as the smoking status nonsmoker and craving was assessed with the German version of the Questionnaire on Smoking Urges. At each visit, the number of cigarettes smoked per day was recorded and carbon monoxide in expired air and cotinine in saliva were measured. At follow-up, a study-specific questionnaire was used to assess tobacco use. All 36 participants completed the treatment sessions, but one participant in each group was lost to follow-up. Abstinence rates were not significantly different between the groups at any of the study visits, but craving was significantly lower in the active group at tDCS session 5 compared with session 1. tDCS combined with a brief intervention may support smoking cessation, but studies need to evaluate whether longer and more intensive treatment can achieve significant, sustainable effects.

Gamma-band synchronisation in a frontotemporal auditory information processing network

Neural oscillations are fundamental mechanisms of the human brain that enable coordinated activity of different brain regions during perceptual and cognitive processes. A frontotemporal network generated by means of gamma oscillations and comprising the auditory cortex (AC) and the anterior cingulate cortex (ACC) has been shown to be involved in the cognitively demanding auditory information processing. This study aims to reveal patterns of functional and effective connectivity within this network in healthy subjects by means of simultaneously recorded electroencephalography (EEG) and functional magnetic resonance imaging (fMRI). We simultaneously recorded EEG and fMRI in 28 healthy subjects during the performance of a cognitively demanding auditory choice reaction task. Connectivity between the ACC and AC was analysed employing EEG and fMRI connectivity measures. We found a significant BOLD signal correlation between the ACC and AC, a significant task-dependant increase of fMRI connectivity (gPPI) and a significant increase in functional coupling in the gamma frequency range between these regions (LPS), which was increased in top-down direction (granger analysis). EEG and fMRI connectivity measures were positively correlated. The results of these study point to a role of a top-down influence of the ACC on the AC executed by means of gamma synchronisation. The replication of fMRI connectivity patterns in simultaneously recorded EEG data and the correlation between connectivity measures from both domains found in our study show, that brain connectivity based on the synchronisation of gamma oscillations is mirrored in fMRI connectivity patterns.

Influence of the injection technique and the column system on gas chromatographic determination of polybrominated diphenyl ethers

In this paper, we present an investigation of the influence of the gas chromatographic separation system on the determination of polybrominated diphenyl ethers (PBDEs). Capillary columns, retention gaps and press-fit connectors, as well as different injection techniques have been evaluated with respect to yield and repeatability. The split/splitless injection has been optimized and compared to on-column injection, the septum equipped temperature programmable injector (SPI) and the programmable temperature vaporizing (PTV) injector. Furthermore, a comparison of the different operational modes of the PTV injector is presented. The results show that there are large variations in the yield of PBDEs depending on the column and the injection systems. Especially the high molecular weight BDE congeners can be subject to severe discrimination. Unfavorable conditions can lead to a complete loss of nona and deca substituted BDE congeners.

Identification of the flame retardant decabromodiphenyl ethane in the environment

The brominated flame retardant decabromodiphenyl ethane, DeBDethane, is marketed as an alternative to decabromodiphenyl ether, BDE209. There are currently no data available about the presence of DeBDethane in the environment. In this study, DeBDethane was positively identified by high-resolution mass spectrometry and quantified by low-resolution mass spectrometry with electron capture negative ionization in sewage sludge, sediment, and indoor air. It was found in 25 of the 50 Swedish sewage treatment plants investigated, with estimated levels up to about 100 ng/g dry weight. The concentration of DeBDethane in sediment from Western Scheldt in The Netherlands was 24 ng/g dry weight, and in an air sample from a Swedish electronics dismantling facility it was 0.6 ng/m3. DeBDethane was also found together with nonabromodiphenyl ethanes in water piping insulation. All samples contained BDE209 in higher concentrations as compared to DeBDethane (DeBDethane/BDE209 ratios ranging from 0.02 to 0.7), probably reflecting the higher and longer usage of BDE209. There is an ongoing risk assessment within the European Union regarding BDE209. Since DeBDethane has similar applications, it is important to investigate its environmental behavior before using it to replace BDE209.

Selective determination of organophosphate flame retardants and plasticizers in indoor air by gas chromatography, positive-ion chemical ionization and collision-induced dissociation mass spectrometry

Gas chromatography/ion trap mass spectrometry with in-source ionization and dissociation was used in positive-ion chemical ionization (PICI) mode for the determination of organophosphate triesters in indoor air. These compounds are widely used as additive flame retardants and plasticizers in different types of materials and have become ubiquitous pollutants in indoor environments. When using collision-induced dissociation in PICI mode the fragmentation of the organophosphate triesters can be performed in a more controllable way than in electron ionization (EI) mode. The developed selected-reaction monitoring method provided high selectivity for the investigated compounds. For 8-h air measurements (corresponding to 1.5 m3 of sampled air) the limit of detection of the method was determined to be in the range 0.1-1.4 ng m(-3), which is comparable with nitrogen-phosphorus detection and about 50-fold lower than when using EI in selected-ion monitoring mode. The presented method was applied to samples from three common indoor environments, in which a number of organophosphate triesters were identified and quantified. The dominating compound was found to be tris(2-chloropropyl) phosphate, which occurred at levels up to 0.8 microg m(-3).

Large-volume programmed-temperature vaporiser injection for fast gas chromatography with electron capture and mass spectrometric detection of polybrominated diphenyl ethers

A large volume injection fast-GC-MS method has been developed, optimized and evaluated for the determination of polybrominated diphenyl ethers, including the decabrominated diphenyl ether (BDE-209). The programmed-temperature vaporiser injection parameters, temperature programming of the GC oven, and the physical dimensions of the narrow bore GC column were investigated to find the optimal operating conditions for the analysis. Depending on parameter settings the yield of the PBDEs and particularly BDE-209, varies significantly. Volumes up to 125 microl were successfully injected and a fast GC separation was performed, with retention times as short as 6.4 min for the last eluting compound, BDE-209. In a pilot study an air sample, collected at an electronics dismantling facility, was analyzed. Low-resolution mass spectrometry in electron capture negative ion mode was used for detection. Nine BDE congeners, including BDE-209, were identified and quantified.

Mass spectrometric characteristics of decabromodiphenyl ether and the application of isotopic dilution in the electron capture negative ionization mode for the analysis of polybrominated diphenyl ethers

The mass spectrometric properties of (12)C-and (13)C-labeled decabromodiphenyl ether (BDE-209) in the low-resolution mass spectrometry electron capture negative ionization mode (ECNI-MS) is described in detail and are compared with those of polybrominated diphenyl ethers (PBDEs) with a lower degree of bromination. The mass spectrometric properties of BDE-209 make it possible to apply (13)C-labeled BDE-209 as an internal surrogate standard for the determination of BDE-209 by isotopic dilution. A combination of the [Br](-) and [C(6)Br(5)O](-) fragment ions is proposed for the detection with ECNI-MS in the selected ion monitoring mode to increase selectivity, sensitivity and accuracy in the determination of decabromodiphenyl ether together with other polybrominated diphenyl ethers. The importance of optimizing the instrument parameters to obtain optimal response from the mass spectrometer in the analysis of PBDEs is discussed in detail.

Modulation of antigen-antibody complexations by immunoglobulins

In this investigation, the modulating effects of non-immune human IgG and rheumatoid factors (RFs) on antigen-antibody complexations were studied. Non-immune human IgG, as well as RF, were found to inhibit the binding of antigen to specific antibodies of both human and rabbit origin. In addition, human immunoglobulins were also able to modify the composition of preformed antigen-antibody complexes. The effects were detected by immunological methods in two different antigen-antibody systems (human serum albumin-rabbit anti-HSA and tetanus toxoid-human anti-TT). Changes in biological activities could be followed by employing enzymes (glucose-6-phosphate dehydrogenase and human placental alkaline phosphatase) as antigens. The outcome of the effects was found to be dependent on the ratio of antigen to antibody, the antigen-binding properties of the antibody and its origin, and on the properties of the immunoglobulins added. The observed changes could not be explained only by the presence of specific antibodies in the immunoglobulin preparations. The ability of immunoglobulins to modulate antigen-antibody complexations may provide a rationale for the large amounts of non-specific immunoglobulins in the circulation by preventing premature precipitation and promoting the elimination of antigenic molecules.