Comparison of pharmacodynamics of azithromycin and erythromycin in vitro and in vivo

In this study, we determined the efficacy of various dosing regimens for erythromycin and azithromycin against four pneumococci with different susceptibilities to penicillin in an in vitro pharmacokinetic model and in a mouse peritonitis model. The MIC was 0.03 microg/ml, and the 50% effective doses (determined after one dose) of both drugs were comparable for the four pneumococcal strains and were in the range of 1.83 to 6.22 mg/kg. Dosing experiments with mice, using regimens for azithromycin of one to eight doses/6 h, showed the one-dose regimen to give the best result; of the pharmacodynamic parameters tested (the maximum drug concentration in serum [Cmax], the times that the drug concentration in serum remained above the MIC and above the concentration required for maximum killing, and the area under the concentration time curve), Cmax was the best predictor of outcome. The bacterial counts in mouse blood or peritoneal fluid during the first 24 h after challenge were not correlated to survival of the mice. The serum concentration profiles obtained with mice for the different dosing regimens were simulated in the in vitro pharmacokinetic model. Here as well, the one-dose regimen of azithromycin showed the best result. However, the killing curves in vivo in mouse blood and peritoneal fluid and in the vitro pharmacokinetic model were not similar. The in vitro killing curves showed a decrease of 2 log10 within 2 and 3 h for azithromycin and erythromycin, respectively whereas the in vivo killing curves showed a bacteriostatic effect for both drugs. It is concluded that the results in terms of predictive pharmacodynamic parameters are comparable for the in vitro and in vivo models and that high initial concentrations of azithromycin favor a good outcome

Search for composite and exotic fermions at LEP 2

A search for unstable heavy fermions with the DELPHI detector at LEP is reported. Sequential and non-canonical leptons, as well as excited leptons and quarks, are considered. The data analysed correspond to an integrated luminosity of about 48 pb^{-1} at an e^+e^- centre-of-mass energy of 183 GeV and about 20 pb^{-1} equally shared between the centre-of-mass energies of 172 GeV and 161 GeV. The search for pair-produced new leptons establishes 95% confidence level mass limits in the region between 70 GeV/c^2 and 90 GeV/c^2, depending on the channel. The search for singly produced excited leptons and quarks establishes upper limits on the ratio of the coupling of the excited fermio

Search for lightest neutralino and stau pair production in light gravitino scenarios with stau NLSP

Promptly decaying lightest neutralinos and long-lived staus are searched for in the context of light gravitino scenarios. It is assumed that the stau is the next to lightest supersymmetric particle (NLSP) and that the lightest neutralino is the next to NLSP (NNLSP). Data collected with the Delphi detector at centre-of-mass energies from 161 to 183 \GeV are analysed. No evidence of the production of these particles is found. Hence, lower mass limits for both kinds of particles are set at 95% C.L.. The mass of gaugino-like neutralinos is found to be greater than 71.5 GeV/c^2. In the search for long-lived stau, masses less than 70.0 to 77.5 \GeVcc are excluded for gravitino masses from 10 to 150 \eVcc . Combining this search with the searches for stable heavy leptons and Minimal Supersymmetric Standard Model staus a lower limit of 68.5 \GeVcc may be set for the stau mas

Progesterone regulation of implantation-related genes: new insights into the role of oestrogen

Genomic profiling was performed on explants of late proliferative phase human endometrium after 24-h treatment with progesterone (P) or oestradiol and progesterone (17β-E2+P) and on explants of menstrual phase endometrium treated with 17β-E2+P. Gene expression was validated with real-time PCR in the samples used for the arrays, in endometrium collected from early and mid-secretory phase endometrium, and in additional experiments performed on new samples collected in the menstrual and late proliferative phase. The results show that late proliferative phase human endometrium is more responsive to progestins than menstrual phase endometrium, that the expression of several genes associated with embryo implantation (i.e. thrombomodulin, monoamine oxidase A, SPARC-like 1) can be induced by P in vitro, and that genes that are fully dependent on the continuous presence of 17β-E2 during P exposure can be distinguished from those that are P-dependent to a lesser extent. Therefore, 17β-E2 selectively primes implantation-related genes for the effects of P

Identifizierbarkeit und Parameter Identifizierung in einem alveolaren Rekrutierungsmodell für die Atemmechanik

1-pag

Werkrapport Mergelland

RIN landschapsplan, hydrobiologie

Carotenoids, colour and conservation in an endangered passerine, the hihi or stitchbird (Notiomystis cincta)

Carotenoids are essential dietary components utilized not only in pigmentation but also as immuno-stimulants and antioxidants. Reduced availability can have consequences on individual health and survival, thus making carotenoids a good indicator of environmental stress. We compared carotenoid profiles and plumage colour characteristics of an endangered passerine species in New Zealand, between its remnant island source population and two reintroduced island populations. Circulating carotenoids were predominantly lutein (mean of 82.2%) and zeaxanthin (mean of 14.8%), and these were the major carotenoids present as yellow pigments in the males' plumage. There were clear differences in total carotenoid concentrations and plumage colour among the three populations. Circulating carotenoid concentration was significantly higher in one of the reintroduced populations, and the yellow plumage of males was significantly higher in both reintroduced populations in comparison with the remnant population (reflected as a significant increase in hue). Understanding how these differences arise may be of importance to this species given the health benefits carotenoids impart and our ability to select plant species containing these compounds or artificially supplement the

Performance of variations of the dynamic elastance model in lung mechanics

© 2016 Elsevier Ltd Acute respiratory distress syndrome (ARDS) is associated with high mortality and it is a major clinical problem. A common therapy for ARDS patients is mechanical ventilation (MV). However, poorly applied MV can be potentially fatal and optimal MV settings are patient specific. Thus, choosing a good positive end expiratory pressure (PEEP)-level compromise is a clinical challenge. Physiological modeling of the lung is one way to support the selection of the optimal settings for mechanical ventilation. This research makes the reasonably well-supported assumption that optimal PEEP is in the region of minimal elastance of the lung-tissue. The first order model of pulmonary mechanics (FOM) was modified in two differing ways in order to determine the patient-specific pressure range that coincides with minimal elastance. The extensions to the FOM (multiplicative elastance correction and additive volume correction parameters) are compared and evaluated. The addition of the correction parameters ultimately improved the consistency of the modeled elastance across PEEP levels for most patients tested. The results for minimal elastance were in very similar ranges for both approaches. Although this consistency offers a partial validation of the robustness of the approaches, discernment of the optimal approach cannot be determined. Further validation across differing patient states and experimental inputs must be undertaken to determine which method is more representative of true patient physiology