42 research outputs found

    Drug dosing during pregnancy—opportunities for physiologically based pharmacokinetic models

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    Drugs can have harmful effects on the embryo or the fetus at any point during pregnancy. Not all the damaging effects of intrauterine exposure to drugs are obvious at birth, some may only manifest later in life. Thus, drugs should be prescribed in pregnancy only if the expected benefit to the mother is thought to be greater than the risk to the fetus. Dosing of drugs during pregnancy is often empirically determined and based upon evidence from studies of non-pregnant subjects, which may lead to suboptimal dosing, particularly during the third trimester. This review collates examples of drugs with known recommendations for dose adjustment during pregnancy, in addition to providing an example of the potential use of PBPK models in dose adjustment recommendation during pregnancy within the context of drug-drug interactions. For many drugs, such as antidepressants and antiretroviral drugs, dose adjustment has been recommended based on pharmacokinetic studies demonstrating a reduction in drug concentrations. However, there is relatively limited (and sometimes inconsistent) information regarding the clinical impact of these pharmacokinetic changes during pregnancy and the effect of subsequent dose adjustments. Examples of using pregnancy PBPK models to predict feto-maternal drug exposures and their applications to facilitate and guide dose assessment throughout gestation are discussed

    Trichomonas vaginalis

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    The Concept and Application of the 3D Model Based on the Satellite Images

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    Users of digital elevation models must be aware of their main characteristics in order to judge better their suitability for a specific application. This paper describes concept of creating and applying of the 3D model based on the satellite images. The quality and loyalty of the elevation model of the terrain depends of the data which are collected, i.e. on the type and resolution of the satellite images, horizontal and vertical datum, but also on the way of interpretation and visualization of the 3D model. On the other hand, the organization and structure of data are influencing on the creation of the 3D model
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