Teicoplanin in patients with acute leukaemia and febrile neutropenia: a special population benefiting from higher dosages.

Objective: To define the optimal dosage regimen of teicoplanin that ensures early therapeutically relevant trough concentrations (C(min)) [>10 mg/L at 24 hours and possibly close to 20 mg/L at 48 hours] in patients with acute leukaemia who develop febrile neutropenia after chemotherapy.

Design: Prospective observational pharmacokinetic study.

Participants: Adult patients (n = 33) with normal renal function previously treated with antineoplastic chemotherapy because of acute lymphocytic or acute nonlymphocytic leukaemia, and subsequently developing febrile neutropenia treated with empirical antimicrobial therapy.

Urinary pharmacokinetics and theoretical pharmacodynamics of intravenous levofloxacin in intensive care unit patients treated with 500 mg b.i.d. for ventilator-associated pneumonia.

This study assessed the urinary pharmacokinetics and theoretical pharmacodynamics of levofloxacin in ICU patients treated with 500 mg b.i.d.

Levofloxacin disposition in cerebrospinal fluid in patients with external ventriculostomy.

In vitro levofloxacin exhibits both potent or intermediate activity against most of the pathogens frequently responsible for acute bacterial meningitis and synergistic activity with some beta-lactams. Since levofloxacin was shown to penetrate the cerebrospinal fluid (CSF) during meningeal inflammation both in animals and in humans, the disposition of levofloxacin in CSF was studied in 10 inpatients with external ventriculostomy because of communicating hydrocephalus related to subarachnoid occlusion due to cerebral accidents who were treated with 500 mg of levofloxacin intravenously twice a day because of extracerebral infections. Plasma and CSF concentration-time profiles and pharmacokinetics were assessed at steady state.

Anilinepropylsilica xerogel used as a selective Cu (II) adsorbent in aqueous solution.

The metal ion adsorption properties of the microporous hybrid anilinepropylsilica xerogel were studied using divalent copper, zinc, and cadmium ions in aqueous solutions in concentrations ranging from 10(-4) up to 5x10(-3) moll(-1). At low concentrations the surface of the solid phase presents selectivity for Cu (II), even in competitive conditions. This preferential sorption ability for copper in relation to zinc and cadmium ions was interpreted by considering the xerogel morphology.

Teicoplanin therapeutic drug monitoring in critically ill patients: a retrospective study emphasizing the importance of a loading dose.

Data obtained as part of our routine drug monitoring of teicoplanin therapy (therapeutic drug monitoring, TDM) in adult critically ill patients being treated for suspected or documented Gram-positive multiresistant infections were assessed, retrospectively. Data were available for 202 patients (146 male, 56 female; age 58 +/- 16 years) with a total number of 829 teicoplanin trough plasma levels (C(min)) assessed. The percentage of patients with adequate teicoplanin concentrations (C(min) >/= 10 mg/L) during the treatment period substantially increased from 3.

Histological techniques and microscopic analysis of biological agents for preservation of human bone remains.

Microscopy and histology techniques can be applied to morphological study of fungi and bacteria contaminating ancient human osteological remains. Undecalcified samples are cut with a diamond rotary blade microtome and an original technique was applied using adhesive tape to prevent damage to the bone surface during sectioning. We used light microscopy, polarized light microscopy, and epi-illumination fluorescence systems.

Determination of deltamethrin in cattle dipping baths by high-performance liquid chromatography.

Deltamethrin (S)-alpha-cyano-3-phenoxybenzyl) (1R,3R)-3-(2, 2-dibromovinyl)-2,2-dimethylcyclopropane-1-carboxylate is classified as a pyrethroid pesticide that is largely used as an acaricide and scabicide. For bovines, especially, the treatment is done with the aid of dipping baths of the pyrethroid solution. Analytical control of the concentration of deltamethrin in these baths must be done periodically in order to guarantee treatment efficacy.

Patient anesthesia and monitoring at a 1.5-T MRI installation.

This paper describes the facilities successfully used to provide patient monitoring and anesthesia support in a 1.5-T imaging installation. The requirements for the MRI site for anesthetic gases, shielded power, and radiofrequency ports are outlined.

The quick-mount pipeline connector: failure of a "fail-safe" device.

This report describes the absence of gas flow despite the apparent proper mounting of a Canadian Liquid Air nitrous oxide quick-mount connector to its wall outlet. A similar but potentially more dangerous malfunction can occur with oxygen quick-mount connectors. The nature and cause of this defect are examined.

A critical approach to prophylactic use of lithium in therapy for manic-depressive patients.

During a follow-up study of 120 cases of recurrent affective disorders treated prophylactically with lithium, the authors considered certain aspects of this treatment from a psychologic point of view. In particular, they examined the problems connected with prolonged administration of the drug, the relationship between drug therapy and psychotherapy, and the significance of pharmacologic prevention of the crisis by modifying the underlying individual, familial, and social conditions that the crisis manifests.

Notes on experiments with drugs in psychiatry.

In this paper I develop some observations on the methods used for therapeutic experiments with drugs in a psychiatric department. After a general introduction I deal with the following points. 1.

Is taurine-induced hypothermia in the rat mediated by 5-HT?

Intraventricular administration of taurine in the rat caused hypothermia, the extent of which was directly dependent upon the thermal gradient between the body and the environment. Pre-treatment of animals with p-chlorophenylalanine, which depleted most of the brain serotonin, strongly reduced the hypothermia induced by taurine. Pre-treatment with alpha-methyltyrosine induced hypothermia and sedation in animals.