Chest

If all the above methods fail, the solution should be left in an ice chest (or a refrigerator) for a prolonged period. The exercise of considerable patience is sometimes necessary so as to give the solution every opportunity to crystallise. 

Mix together in a 250 ml. flask carrying a reflux condenser and a calcium chloride drying tube 25 g. (32 ml.) of freshly-distilled acetaldehyde with a solution of 59-5 g. of dry, powdered malonic acid (Section 111,157) in 67 g. (68-5 ml.) of dry pyridine to which 0-5 ml. of piperidine has been added. Leave in an ice chest or refrigerator for 24 hours. Warm the mixture on a steam bath until the evolution of carbon dioxide ceases. Cool in ice, add 60 ml. of 1 1 sulphuric acid (by volume) and leave in the ice bath for 3-4 hours. Collect the crude crotonic acid (ca. 27 g.) which has separated by suction filtration. Extract the mother liquor with three 25 ml. portions of ether, dry the ethereal extract, and evaporate the ether the residual crude acid weighs 6 g. Recrystallise from light petroleum, b.p. 60-80° the yield of erude crotonic acid, m.p. 72°, is 20 g. 

Phthalide. In a 1 litre bolt-head flask stir 90 g. of a high quality zinc powder to a thick paste with a solution of 0 5 g. of crystallised copper sulphate in 20 ml. of water (this serves to activate the zinc), and then add 165 ml. of 20 per cent, sodium hydroxide solution. Cool the flask in an ice bath to 5°, stir the contents mechanically, and add 73-5 g. of phthalimide in small portions at such a rate that the temperature does not rise above 8° (about 30 minutes are required for the addition). Continue the stirring for half an hour, dilute with 200 ml. of water, warm on a water bath imtil the evolution of ammonia ceases (about 3 hours), and concentrate to a volume of about 200 ml. by distillation vmder reduced pressure (tig. 11,37, 1). Filter, and render the flltrate acid to Congo red paper with concentrated hydrochloric acid (about 75 ml. are required). Much of the phthalide separates as an oil, but, in order to complete the lactonisation of the hydroxymethylbenzoic acid, boil for an hour transfer while hot to a beaker. The oil solidifles on cooling to a hard red-brown cake. Leave overnight in an ice chest or refrigerator, and than filter at the pump. The crude phthalide contains much sodium chloride. RecrystaUise it in 10 g. portions from 750 ml. of water use the mother liquor from the first crop for the recrystaUisation of the subsequent portion. Filter each portion while hot, cool in ice below 5°, filter and wash with small quantities of ice-cold water. Dry in the air upon filter paper. The yield of phthalide (transparent plates), m.p. 72-73°, is 47 g. 

Veratronitrile, Dissolve 83 g. of veratraldehyde in 200 ml. of warm rectified spirit in a 1 litre bolt-head flask, and add a warm solution of 42 g. of hydroxylamine hydrochloride in 50 ml. of water. Mix thoroughly and run in a solution of 30 g. of sodium hydroxide in 40 ml. of water. Allow the mixture to stand for 2-5 hours, add 250 g. of crushed ice, and saturate the solution with carbon dioxide. The aldoxime separates as an oil allow the mixture to stand for 12-24 hours in an ice chest or refrigerator when the oil will sohdify. Filter off the crystalline aldoxime at the pump, wash well with cold water, and dry in the air upon filter paper. The yield of veratraldoxime is 88 g. 

Decant the liquid layer into a 2 5 litre flask, and dissolve the sodium derivative of acetylacetone in 1600 ml. of ice water transfer the solution to the flask. Separate the impiue ethyl acetate layer as rapidly as possible extract the aqueous layer with two 200 ml. portions of ether and discard the ethereal extracts. Treat the aqueous layer with ice-cold dilute sulphimic acid (100 g. of concentrated sulphiu-ic acid and 270 g. of crushed ice) until it is just acid to htmus. Extract the diketone from the solution with four 200 ml. portions of ether. Leave the combined ether extracts standing over 40 g. of anhydrous sodium sulphate (or the equivalent quantity of anhydrous magnesium sulphate) for 24 hours in the ice chest. Decant the ether solution into a 1500 ml. round-bottomed flask, shake the desiccant with 100 ml. of sodium-dried ether and add the extract to the ether solution. Distil off the ether on a water bath. Transfer the residue from a Claisen flask with fractionating side arm (Figs. II, 24, 4r-5) collect the fraction boiling between 130° and 139°. Dry this over 5 g. of anhydrous potassium carbonate, remove the desiccant, and redistil from the same flask. Collect the pure acetji-acetone at 134r-136°. The yield is 85 g. 

The slurry is pumped iato another stock chest, where wax ia emulsion form, usually about 0.5—1.0% wax-to-fiber weight, and 1—3% PF resia are added. PF resia is also added on the basis of resia soHds-to-dry fiber. Thea a small amouat of alum is added, which changes the pH (acidity) of the slurry, causiag the resia to precipitate from solutioa and deposit on the fibers. Resia is required ia greater quantity than ia the Masonite process because only light bonding occurs between fibers prepared ia a refiner. The fiber slurry is thea pumped to the headbox of a Fourdrioier mat former, and from this poiat the process is similar to the Masonite process. 

A small amount of acrolein may be fatal if swallowed. It produces bums of the mouth, throat, esophagus, and stomach. Signs and symptoms of poisoning may include severe pain in the mouth, throat, chest, and abdomen nausea vomiting, which may contain blood diarrhea weakness and dizziness and coUapse and coma (99). 

Expanded polystyrene bead mol ding products account for the largest portion of the drinking cup market and are used in fabricating a variety of other products including packaging materials, iasulation board, and ice chests. The iasulation value, the moisture resistance, and physical properties are inferior to extmded boardstock, but the material cost is much less. 

Steam-Chest Expansion. In steam-chest expansion the resin beads in which gas is already present are poured into molds into which steam is injected. The steam increases the temperature close to the melting point and expands within the stmcture to create beads with food cushioning and insulating properties. Expanded polystyrene is widely used in this process for thermal insulation of frozen food packaging. 

Concentrations of nickel carbonyl as low as 30 ppm in air for 30 min may be lethal for humans. Individuals exposed to these high concentrations show immediate symptoms of dizziness, headache, shortness of breath, and vomiting. These early symptoms generally disappear in fresh air, but delayed symptoms may develop 12—36 h later. These latter symptoms include shortness of breath, cyanosis, chest pain, chills, and fever. In severe exposure cases. 

Toxicity. Lethality is the primary ha2ard of phosphine exposure. Phosphine may be fatal if inhaled, swallowed, or absorbed through skin. AH phosphine-related effects seen at sublethal inhalation exposure concentrations are relatively small and completely reversible. The symptoms of sublethal phosphine inhalation exposure include headache, weakness, fatigue, di22iness, and tightness of the chest. Convulsions may be observed prior to death in response to high levels of phosphine inhalation. Some data are given in Table 2. 

Clinical evaluation is underway to test transvenous electrodes. Transvenous leads permit pacemakers to be implanted under local anesthesia while the patient is awake, greatly reducing recovery time and risk. As of 1996, the generation of implantable defibrillators requires a thoracotomy, a surgical opening of the chest, in order to attach electrodes to the outside of the heart. Transvenous electrodes would allow cardiologists to perform pacemaker procedures without a hospital or the use of general anesthesia. 

Placement of vascular access ports is similar to that of a long-term indwelling arterial catheter. A small incision is made over the selected vein and a second incision is made lower in the anterior chest to create a pocket to house the port. The catheter is tuimeled subcutaneously from its entry point into the vein with the tip inside the right atrium. The final position of the catheter is verified by fluoroscopy, secured with sutures, and the subcutaneous pocket is closed. The port septum is easily palpable transcutaneously, and the system may be used immediately. A surgeon typically inserts the vascular access port in an outpatient setting. 

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