The effect of ionic strength variation on the ion exchange equilibrium between AMX anion exchange membrane and electrolyte solutions containing the most dominant anions on natural waters (Cl−, NO3−, and SO42−) was studied. All experiments were carried out at a constant temperature of 25 °C. Ion exchange isotherms were established, at different ionic strengths from 0.1 to 0.5 M, for the systems (Cl−/NO3−), (Cl−/SO42−) and (NO3−/SO42−). Obtained results showed that for I = 0.1 M the affinity order is SO42 −>NO3−>Cl−. For I = 0.2 M this order is NO3−>SO42−>Cl−. For 0.3 and 0.5 M the AMX membrane becomes more selective for chloride than for nitrate or sulfate. Selectivity coefficients KNO3−Cl−, K2Cl−SO42− and K2NO3−SO42−, thermodynamic constants, and separation factors were calculated and decreased with the increase of ionic strength.
Background. Systemic and airway inflammation has recently been linked to obstructive sleep apnea-hypopnea syndrome (OSAHS) and is considered to be a probable risk factor for OSAHS-induced cardiovascular damage. High-sensitivity C-reactive protein (hs-CRP), as an inflammatory mediator, may be useful for the prediction of the risk of cardiovascular disease (CVD) and assessment of nocturnal continuous positive airway pressure (nCPAP) therapy effect in OSAHS patients. Methods. A prospective, controlled, cross-sectional study was conducted on 64 consecutive adult subjects with suspected sleep-disordered breathing (SDB). Results. OSAHS was confirmed in 43 patients (24 normotensive and 19 hypertensive patients) and ruled out in 21 normotensive subjects (controls). The median plasma level of hs-CRP did not differ significantly between OSAHS patients and controls. It showed an unmarked rise with the severity of OSAHS ( p = 0.20 ) and was not correlated with AHI ( p = 0.067 ; r = 0.28 ). After adjusting for cervical perimeter (CP), waist-to-hip ratio (WHR), and blood sugar level, hs-CRP level of 1 mg/dL or greater was significantly more often observed in OSAHS patients compared with controls ( p = 0.032 ; OR = 5.60 ) and was also significantly associated with AHI ( p = 0.021 ). A significant decrease in the median plasma hs-CRP level was observed in CPAP compliant patients ( p = 0.006 ). Of those, only normotensive patients showed a significant decrease in plasma hs-CRP level. In hypertensive ones, however, the hs-CRP level dropped but not significantly. Using a linear regression model, the change in hs-CRP level (Δhs-CRP) following a 6-month-nCPAP therapy was found to positively correlate with the baseline hs-CRP level for both hypertensive ( p = 0.02 ; r = 0.68 ), and even more normotensive OSAHS patients ( p < 0.0001 ; r = 0.89 ). Conclusion. nCPAP therapy may have a cardiovascular protective effect in OSAHS patients. hs-CRP level would be useful as a valuable predictor of success in OSAHS treatment monitoring.
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