Block morphology

Figure 21.5 Schematic examples of two-phase block morphologies ... 

In a prospective study of 187 episodes of tachycardia in 127 unselected patients adenosine was given in an average dose of 9.7 mg (28). In 108 cases, adenosine induced transient ventricular extra beats or non-sustained ventricular tachycardia after successful termination of supraventricular tachycardia more than half had a right bundle branch block morphology that suggested that the dysrhythmias had originated from the inferior left ventricular septum. 

Additionally, when a typical right bundle branch block morphology is seen in the course of an STE-ACS, this greatly supports a high septal ischaemia (occlusion above the SI branch), causing this bundle branch, since first septal (SI)... 

This conceptual section deals with the influence of the molecular basis of the SMPs on three SMP functionalities drug release, biodegradability and SME. Therefore, the building blocks, morphologies and architectures of SMPs will be discussed in the context of the functionalities, and furthermore the different strategies for controlling the drug release will be examined. 

Fig. 7.7 (A) Twelve-lead ECG during pacing demonstrates left bundle-branch block morphology and inferiorly directed mean frontal plane axis, suggesting that the pacing electrode is in the right ventricular outflow tract. (B) Pacing lead placement in the right ventricular apex is indicated by the left bundle branch block morphology and the mean frontal plane superior axis. Notice that the pacemaker does not sense the premature ventricular depolarization (fourth QRS complex in all leads), which indicates that the sensitivity should be increased (by reducing the sensitivity value).

Annis B K, Noid D W, Sumpter B G, Reffner J R and Wunderlich B 1992 Application of atomic force microscopy (AFM) to a block copolymer and an extended chain polyethylene Makromol. Chem., Rapid. Commun. 13 169 Annis B K, Schwark D W, Reffner J R, Thomas E L and Wunderlich B 1992 Determination of surface morphology of diblock copolymers of styrene and butadiene by atomic force microscopy Makromol. Chem. 193 2589... 

In addition to graft copolymer attached to the mbber particle surface, the formation of styrene—acrylonitrile copolymer occluded within the mbber particle may occur. The mechanism and extent of occluded polymer formation depends on the manufacturing process. The factors affecting occlusion formation in bulk (77) and emulsion processes (78) have been described. The use of block copolymers of styrene and butadiene in bulk systems can control particle size and give rise to unusual particle morphologies (eg, coil, rod, capsule, cellular) (77). 

As more complex multicomponent blends are being developed for commercial appHcations, new approaches are needed for morphology characterization. Often, the use of RuO staining is effective, as it is sensitive to small variations in the chemical composition of the component polymers. For instance PS, PC, and styrene—ethylene/butylene—styrene block copolymers (SEES) are readily stained, SAN is stained to a lesser degree, and PET and nylons are not stained (158,225—228). 

Butadiene copolymers are mainly prepared to yield mbbers (see Styrene-butadiene rubber). Many commercially significant latex paints are based on styrene—butadiene copolymers (see Coatings Paint). In latex paint the weight ratio S B is usually 60 40 with high conversion. Most of the block copolymers prepared by anionic catalysts, eg, butyUithium, are also elastomers. However, some of these block copolymers are thermoplastic mbbers, which behave like cross-linked mbbers at room temperature but show regular thermoplastic flow at elevated temperatures (45,46). Diblock (styrene—butadiene (SB)) and triblock (styrene—butadiene—styrene (SBS)) copolymers are commercially available. Typically, they are blended with PS to achieve a desirable property, eg, improved clarity/flexibiHty (see Polymerblends) (46). These block copolymers represent a class of new and interesting polymeric materials (47,48). Of particular interest are their morphologies (49—52), solution properties (53,54), and mechanical behavior (55,56). 

The molecular stmcture of the copolymers is also important. Molecular-weight measurements (osmometry, gpc) and functional group analysis are useful. Block copolymers require supermolecular (morphological) stmctural information as well. A listing of typical copolymer characterization tools and methods is shown in Table 6. 

Thermoplastic Elastomers. These represent a whole class of synthetic elastomers, developed siace the 1960s, that ate permanently and reversibly thermoplastic, but behave as cross-linked networks at ambient temperature. One of the first was the triblock copolymer of the polystyrene—polybutadiene—polystyrene type (SheU s Kraton) prepared by anionic polymerization with organoHthium initiator. The stmcture and morphology is shown schematically in Figure 3. The incompatibiHty of the polystyrene and polybutadiene blocks leads to a dispersion of the spherical polystyrene domains (ca 20—30 nm) in the mbbery matrix of polybutadiene. Since each polybutadiene chain is anchored at both ends to a polystyrene domain, a network results. However, at elevated temperatures where the polystyrene softens, the elastomer can be molded like any thermoplastic, yet behaves much like a vulcanized mbber on cooling (see Elastomers, synthetic-thermoplastic elastomers). 

Finally, block copolymers have been made in a two-step process. First a mixture of chloroprene and -xylenebis-Ai,Ar-diethyldithiocarbamate is photopolymerized to form a dithiocarbamate terminated polymer which is then photopolymerized with styrene to give the block copolymer. The block copolymer has the expected morphology, spheres of polystyrene domains in a polychloroprene matrix (46). 

The outstanding morphological feature of these rubbers arises from the natural tendency of two polymer species to separate one from another, even when they have similar solubility parameters. In this case, however, this is restrained because the blocks are covalently linked to each other. In a typical commercial triblock the styrene content is about 30% of the total, giving relative block sizes of 14 72 14. At this level the styrene end blocks tend to congregate into spherical or rod-like glassy domains embedded in an amorphous rubbery matrix. These domains have diameters of about 30 nm. 

The density of the polymer will clearly depend on the density of the soft phase (usually low), and the density of the hard phase (generally higher with crystallisable polar blocks) and the ratio of the soft and hard phases present. It will also clearly depend on the additives present and to some extent on the processing conditions, which may affect the crystalline morphology. 

New raw materials will be the key to unlocking the opportunities above and to creating the possibility for new sets of adhesive properties. On the horizon are new types of moisture curable systems and a variety of novel block copolymers. The future may find entirely new mechanisms or morphologies for strength development on cooling. 

Some metals, such as cadmium, cobalt, and lead, are selectively car-diotoxic. They depress contractivity and slow down conduction in the cardiac-system. They may also cause morphological alterations, e.g., cobalt, which was once used to prevent excessive foam formation in beers, caused cardiomyopathy among heavy beer drinkers. Some of the metals also block ion channels in myocytes. Manganese and nickel block calcium channels, whereas barium is a strong inducer of cardiac arrhythmia. 

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