108 research outputs found

    Doxycycline pharmacokinetics in the absence of renal function

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    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

    Adsorbate-induced surface stress, surface strain and surface reconstruction : S on Cu(100) and Ni(100)

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    Density functional theory (DFT) calculations have been applied to investigate the known difference in behaviour of S adsorption on Cu(100) and Ni(100). Both surfaces form a 0.25 ML (2 × 2) adsorption phase, but while at higher coverage a 0.5 ML c(2 × 2) phase forms on Ni(100), on Cu(100) only a reconstructed 0.47 ML (√17 × √17)R14° structure occurs. Calculations of the energy, structure, and surface stress of (2 × 2) and c(2 × 2) phases on both substrates show there is an energy advantage on both surfaces to form the higher coverage phase, but that both surfaces show local surface strain around the S atoms in the (2 × 2) phase, a phenomenon previously investigated only on Cu(100). More than forty different structural models of the Cu(100)(√17 × √17)R14°-S phase have been investigated. The pseudo-(100)c(2 × 2) structure previously proposed, containing 16 Cu adatoms per unit mesh in the reconstructed layer, is found to be less energetically favourable than many other possible structures, even after taking account of local structural relaxations. Significantly more favourable is a structure with 12 Cu adatoms per (√17 × √17)R14° unit mesh, previously proposed on the basis of scanning tunnelling microscopy (STM), and found to yield simulated STM images in good agreement with experiment. This model has all S atoms in local 4-fold coordinated hollows relative to the Cu atoms below, half being located above Cu adatoms with the remainder lying above the underlying outermost substrate layer. However, an alternative model with only 4 Cu adatoms and with half the S atoms at 3-fold coordinated sites on the periphery of the Cu adatom cluster, has an even lower energy and gives simulated STM images in excellent agreement with experiment

    Surface Structure of √3x√3R 30 Cl/Ni(111) Determined Using Low-temperature Angle-Resolved-Photoemission Extended Fine Structure

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    A surface structural study of the √3 × √3 R30° Cl/Ni(111) adsorbate system was made using low-temperature angle-resolved photoemission extended fine structure. The experiments were performed along two emission directions, [111] and [110], and at two temperatures, 120 and 300 K. The multiple-scattering spherical-wave analysis determined that the Cl atom adsorbs in the fcc threefold hollow site, 1.837(8) Å above the first nickel layer, with a Cl-Ni bond length of 2.332(6) Å, and an approximate 5% contraction between the first and the second nickel layers (the errors in parentheses are statistical standard deviations only)
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