Cramping

Lactulose. 4-O-P -D-Galactopyranosyl-4-D-fmctofuranose [4618-18-2] (Chronolac) (12) may be made from lactose using the method described in Reference 9. It is a synthetic disaccharide that is not hydroly2ed by gastrointestinal enzymes in the small intestine, but is metabolized by colonic bacteria to short-chain organic acids. The increased osmotic pressure of these nonabsorbable organic acids results in an accumulation of fluid in the colon. Lactulose may not be tolerated by patients because of an extremely sweet taste. It frequently produces flatulence and intestinal cramps. 

One final technical improvement in soHd-state nmr is the use of combined rotational and multiple pulse spectroscopy (CRAMPS) (2), a technique which also requires a special probe and permits the acquisition of high resolution H and X nucleus nmr from soHds. The combination of these methods permits adapting most of the 1-D and 2-D experiments previously described for Hquids to the soHd phase. 

In the body, metrifonate converts to the active metaboUte dichlorvos, (2,2-dichlorovinyl dimethyl phosphate), which is responsible for the inhibition of the enzyme acetylcholinesterase in the susceptible worm. This effect alone is unlikely to explain the antischistosomal properties of metrifonate (19). Clinically, metrifonate is effective only against infection caused by S. haematobium. Metrifonate is administered in three doses at 2-wk intervals (17). The dmg is well tolerated. Side effects such as mild vertigo, nausea, and cramps are dose-related. This product is not available in the United States. The only manufacturer of metrifonate is Bayer A.G. of Leverkusen, Germany. 

Comphcations associated with lUDs include uterine perforation and pelvic inflammatory disease (95). Uterine bleeding and cramping are the most common causes for discontinuation of this method. 

Gaskets are veiy important, since thev not only keep the streams separated and prevent leaks from the cell, they have the manifolds to conduct feeds. Doth concentrate and diluate, built into them. No other practical means of feeding the stack is used in the veiy cramped space required by the need to keep cells thin because the diluate has veiy low conductivity. The manifolds are formed by ahgning holes in membrane and gasket. 

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