Doxycycline pharmacokinetics in the absence of renal function

Doxycycline pharmacokinetics in the absence of renal function. Doxycycline is a new tetracycline that is now in widespread clinical use. It differs from the other tetracycline drugs in many important respects including small daily dosage schedules, essentially complete upper gastrointestinal absorption and excretory characteristics that are independent of renal function. Our studies demonstrate that in anephric patients and patients with varying degrees of renal function the plasma t½ of biologically active doxycycline is not significantly extended and that in such a clinical situation the usual therapeutic regimen of the drug is necessary. Clearance rate of the compound from the systemic circulation by hemodialysis is only 10ml/min or less. In addition, our investigations identify the importance of the nonhepatic gastrointestinal pathway of elimination of doxycycline from the systemic circulation. Doxycycline therefore appears to be unique among the tetracyclines in that it may be utilized as a drug of choice for the therapy of systemic infections when a tetracycline compound is indicated in the clinical setting of impaired renal function.Pharmacocinétique de la doxycycline en l'absence de fonction rénale. La doxycycline est une nouvelle tétracycline dont l'usage clinique est maintenant largement répandu. Elle diffère des autres tétracyclines à plusieurs égards importants parmi lesquels la faible posologie quotidienne, l'absorption totale dans la partie haute du tractus digestif et des modalités d'excrétion indépendantes de la fonction rénale. Notre travail démontre que chez les sujets anéphriques et les malades atteints d'insuffisance rénale de sévérité variable la demie vie de la doxycycline biologiquement active n'est pas significativement allongée et que dans ces situations cliniques les modalités thérapeutiques habituelles sont nécessaires. La clearance du composé observée au cours de l'hémodialyse est égale ou inférieure à 10 ml/min. De surcroît nos travaux identifient l'importance de la voie d'élimination hépatique non intestinale de la doxycycline. La doxycycline apparaît donc être unique parmi les tétracyclines en ce sens qu'elle peut être utilisée comme une drogue de choix pour le traitment des infections systémiques quand une tétracycline est indiquée et qu'il existe une altération de la fonction rénale

Clean energy and water : assessment of Mexico for improved water services with renewable energy

Distributed rainwater collection and solar hot water heating are effective technologies, directly offsetting use of fossil fuel-generated electricity. Thus the 3 million people who are not connected to an electricity grid could be viewed as an opportunity to improve water services through renewable energy technologies. Additionally, policy levers such as mandates and right-pricing of water and energy can help encourage sustainable operation of established water and energy systems. The objective of this report is to assess the potential of, and barriers to, the use of decentralized renewable energy technologies for water services in Mexico with consideration for impacts from climatic stress

A five-year hedonic price breakdown for desktop personal computer attributes in Brazil

The purpose of this article is to identify the attributes that discriminate the prices of personal desktop computers. We employ the hedonic price method in evaluating such characteristics. This approach allows market prices to be expressed as a function, a set of attributes present in the products and services offered. Prices and characteristics of up to 3,779 desktop personal computers offered in the IT pages of one of the main Brazilian newspapers were collected from January 2003 to December 2007. Several specifications for the hedonic (multivariate) linear regression were tested. In this particular study, the main attributes were found to be hard drive capacity, screen technology, main board brand, random memory size, microprocessor brand, video board memory, digital video and compact disk recording devices, screen size and microprocessor speed. These results highlight the novel contribution of this study: the manner and means in which hedonic price indexes may be estimated in Brazil

Redesign of plates by large admissible perturbations

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/76482/1/AIAA-12089-360.pd

Sarcopenia and post-operative morbidity and mortality in patients with gastric cancer

Purpose: Surgical resection for gastric adenocarcinoma is associated with significant post-operative morbidity and mortality. The aim of this study was to assess the prognostic significance of sarcopenia in patients undergoing resection for gastric adenocarcinoma with respect to post-operative morbidity and survival. Materials and Methods: A retrospective analysis was conducted on a cohort of consecutive patients who underwent surgical resection for gastric adenocarcinoma between 2008 and 2014. Patient demographics, radiological parameters, and pathological data were collected. OsiriX software (Pixmeo) was used to measure skeletal muscle area, which was normalized for height to calculate skeletal muscle index. Results: A total of 56 patients (41 male, 15 female; mean age, 68.4 ± 11.9 years) met the inclusion criteria. Of these, 36% (20 of 56) of the patients were sarcopenic pre-operatively. Both sarcopenic and non-sarcopenic patient groups were equally matched with the exception of weight and body mass index (P=0.036 and 0.001, respectively). Sarcopenia was associated with a decreased overall survival (log-rank P=0.003) and was an adverse prognostic predictor of overall survival in multivariate analysis (hazard ratio, 10.915; P=0.001). Sarcopenia was a predictor of serious in-hospital complications in multivariate analysis (odds ratio, 3.508; P=0.042). Conclusions: In patients undergoing curative resection for gastric cancer, there was a statistically significant association between sarcopenia and both decreased overall survival and serious post-operative complications. The measurement and reporting of skeletal muscle index on pre-operative computed tomography should be considered

Molecular characterisation of protist parasites in human-habituated mountain gorillas (Gorilla beringei beringei), humans and livestock, from Bwindi impenetrable National Park, Uganda

Over 60 % of human emerging infectious diseases are zoonotic, and there is growing evidence of the zooanthroponotic transmission of diseases from humans to livestock and wildlife species, with major implications for public health, economics, and conservation. Zooanthroponoses are of relevance to critically endangered species; amongst these is the mountain gorilla (Gorilla beringei beringei) of Uganda. Here, we assess the occurrence of Cryptosporidium, Cyclospora, Giardia, and Entamoeba infecting mountain gorillas in the Bwindi Impenetrable National Park (BINP), Uganda, using molecular methods. We also assess the occurrence of these parasites in humans and livestock species living in overlapping/adjacent geographical regions

Standalone vertex finding in the ATLAS muon spectrometer

A dedicated reconstruction algorithm to find decay vertices in the ATLAS muon spectrometer is presented. The algorithm searches the region just upstream of or inside the muon spectrometer volume for multi-particle vertices that originate from the decay of particles with long decay paths. The performance of the algorithm is evaluated using both a sample of simulated Higgs boson events, in which the Higgs boson decays to long-lived neutral particles that in turn decay to bbar b final states, and pp collision data at √s = 7 TeV collected with the ATLAS detector at the LHC during 2011