A method is described for rapidly measuring the ethane concentration in exhaled human breath. Ethane is considered a volatile marker for lipid peroxidation. The breath samples are analyzed in real time during single exhalations by means of infrared cavity leak-out spectroscopy. This is an ultrasensitive laser-based method for the analysis of trace gases on the sub-parts per billion level. We demonstrate that this technique is capable of online quantifying of ethane traces in exhaled human breath down to 500 parts per trillion with a time resolution of better than 800 ms. This study includes what we believe to be the first measured expirograms for trace fractions of ethane. The expirograms were recorded after a controlled inhalation exposure to 1 part per million of ethane. The normalized slope of the alveolar plateau was determined, which shows a linear increase over the first breathing cycles and ends in a mean value between 0.21 and 0.39 liter Ϫ1 . The washout process was observed for a time period of 30 min and was modelled by a threefold exponential decay function, with decay times ranging from 12 to 24, 341 to 481, and 370 to 1,770 s. Our analyzer provides a promising noninvasive tool for online monitoring of the oxidative stress status. alveolar slope; breath analysis; cavity leak-out spectroscopy; lipid peroxidation; oxidative stress; washout AMONG THE VARIOUS VOLATILE hydrocarbons found in breath, the alkanes ethane (C 2 H 6 ) and pentane (C 5 H 12 ) have been extensively studied since they were identified as end products of the oxidative degradation (lipid peroxidation) of polyunsaturated fatty acids. The process of lipid peroxidation has gained interest as one of the important features of free radical-induced damage in biology and medicine (29). During peroxidation of omega-3 and omega-6 fatty acids, ethane and pentane, respectively, are formed and excreted via the lungs and thus can be detected in exhaled breath. Because lipid peroxidation is considered as the major, probably the only endogenous source of pentane and ethane, these volatile compounds may serve as specific markers for oxidative damage (8,25).The first report of breath ethane as a marker of in vivo lipid peroxidation was published by Riely et al. in 1974 (24). During the past decade, several studies provided evidence that ethane and pentane in exhaled air are useful markers of in vivo lipid peroxidation under certain clinical conditions (1-4, 8, 19, 20, 26, 27). Because pentane is metabolized in the liver, ethane is considered as the more reliable marker (10).Despite the growing number of reports on breath ethane and pentane, the development of rapid and sensitive analysis techniques for measurements of these markers in exhaled breath still remains a challenge. Ethane and pentane fractional concentrations in expired air are in the parts per billion (ppb; 1:10 9 ) range, which is below the detection limit of most analytical methods.The technique usually applied for quantifying these hydrocarbons in exhaled breath is gas chromatography (...
A newly developed questionnaire examining the acceptance of an AP indicated that most patients with continuous subcutaneous insulin infusion-treated type 1 diabetes have the intention to use an AP system and have a positive attitude toward perceived usefulness, ease of use, and trust.
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