Medication and toxin-induced neuropathies, although uncommon, are important to identify because of potential reversibility. Numerous medications and toxins are implicated with neuropathy, but objective proof is lacking for many. Chemotherapeutic agents, nucleoside analogs, and other medications and toxins have clear causative links with neuropathy, but many agents have only rare temporal associations. Neuropathies are being recognized from new medications approved for use and other medications, which have expanded indications. Some established associations with neuropathy are less widely known while others are overestimated. Peripheral neuropathy from chronic drug exposure is more problematic to determine. Axonal pathology is most common, but some agents cause demyelination and even conduction block, mimicking immune-mediated neuropathies. Multiple and varied toxic mechanisms are implicated. Neuropathy is a dose-limiting complication of some critical treatments and preventative agents are being actively pursued.
Trace constituent data are presented from the unique flight of an airliner around the world over both poles. Relatively high resolution and simultaneous measurements of ozone, carbon monoxide, light-scattering particles, condensation nuclei, and meteorological parameters were obtained. The mutual variations of the data in the polar stratospheres, and in the tropical upper troposphere, are discussed in their meteorological setting. The data from the Arctic lower stratosphere are consistent with a tropospheric source of condensation nuclei, but not of carbon monoxide. Carbon monoxide mixing ratios in the Antarctic stratosphere averaged 44 ppbv. In the tropical troposphere they averaged 66 ppbv over the Pacific versus 89 ppbv over Africa. A local area of higher concentration (115 ppbv) was encountered over tropical Africa; its possible relation to carbon monoxide production by vegetation and deep convection is discussed. Evidence was found in the tropical upper troposphere of distinct boundaries between air masses of different temperature, ozone content, and particle content.
PARTICLES• 250 I00 I000 ß ß ß ß CARBON MONOXIDE-'• 200 80 ß ß ß AA A A •, ß ß ß ß ß ß ß 150 60 ß •C>• ß ß OZONE -• Lett., 2, 289-292, 1975.
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