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  • Articles: DFG German National Licenses  (3)
  • theophylline  (2)
  • Arterialization of a portocaval shunt  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 26 (1984), S. 491-498 
    ISSN: 1432-1041
    Keywords: theophylline ; computer simulation ; pharmacokinetics ; single-point dose prediction ; nomogram
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary A dosage prediction method to estimate theophylline clearance and dose requirement was evaluated in 22 outpatients with partly reversible obstructive airways disease. The steady state theophylline dose required to achieve a target concentration (Css) was predicted using a single serum theophylline determination 8 h after a single oral test dose. In 17 nonsmoking patients a mean absolute deviation of 8.2% (range 0.0–21.7%) between predicted and observed Css was found, and in 5 smoking patients the mean deviation was 34.0% (range 2.2–53.8%). In 17 healthy smokers the single-point method was found to predict theophylline clearance at a sampling time of 8 h with a prediction error of 11.3 (range 0.8–25.3%) compared to the clearance determination using the area under the curve. In addition, a numerical simulation program to assess the influence of absorption, elimination and sampling time on predictive accuracy showed that the method could be successfully applied to a patient population with elimination rate constants between 0.07 1/h and 0.25 1/h, allowing a mean prediction error of 15%.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1041
    Keywords: enprofylline ; theophylline ; bronchial reactivity ; histamine inhalation test ; healthy volunteers ; pharmacokinetics ; bronchodilatation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Summary In a double blind, placebo controlled, crossover study the pharmacokinetics and acute effects of enprofylline and theophylline on airway reactivity during histamine challenge were investigated in 10 healthy volunteers. The pharmacokinetic parameters of enprofylline were (mean): elimination half-life 1.9 h, total body clearance 191.1 ml · kg−1 · h−1, volume of distribution 0.48 l · kg−1, and protein binding 49%. Bronchial reactivity in the histamine inhalation test was expressed as the concentration causing a 20% fall in FEV1.0 (PC20). Mean PC20 values were lowest after placebo and highest after theophylline with the enprofylline values in between. Only the difference in PC20 Safter placebo and theophylline was statistically significant (p〈0.05). At the time of determination of the PC20, the serum concentration of enprofylline was between 16.5 and 11.8 µmol/l, and that of theophylline was between 78.3 and 61.1 µmol/l. Adverse actions of enprofylline were nausea (3/10) and cardiovascular reactions (2/10), whereas theophylline mainly caused restlessness (3/10) and tremor (2/10). Thus enprofylline, in one-fifth of the serum concentration of theophylline cannot be regarded as equipotent in terms of bronchoprotection.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1435-2451
    Keywords: Portal blood supply ; Liver function ; Portocaval shunt ; Arterialization of a portocaval shunt ; Morphology
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Anhand eines tierexperimentellen Modells werden die Folgen operativ veränderter Perfusionsbedingungen auf die Leberfunktion aufgezeigt. Drei Gruppen mit je 5 Versuchstieren (deutsches Hausschwein) werden folgenden Operationen unterzogen: Gruppe 1 erhielt einen portokavalen Shunt. Zusätzlich zu einem portokavalen Shunt wurde Gruppe 2 mit einem venösen Interponat zwischen V cava und Pfortaderstumpf versehen. Bei den Tieren der Gruppe 3 wurde neben den beiden genannten Operationen noch eine Arterialisation des Interponats durchgeführt. Im Verlauf wurden zu definierten Zeitpunkten klinische, laborchemische und histologische Daten erfaßt. Die Tiere der Gruppen 2 und 3 wiesen im Verhalten and ebenfalls hinsichtlich aller erhobener Leberfunktionsparameter normale Werte auf. Die Tiere der Gruppe 1 zeigten in allen genannten Funktionen erheblich schlechtere Ergebnisse. In dieser Arbeit konnte demonstriert werden, daß fur eine normale Leberfunktion die direkte portale Perfusion entbehrlich ist und letztere durch kavalvenöses bzw. arterialisiertes kavalvenoses Blut voll kompensiert werden kann.
    Notes: Summary Using an experimental animal model consequences of operatively changed modes of liver perfusion on hepatic function could be demonstrated. Three groups of 5 animals each (swine) had the following operations: Group I received a portocaval shunt. In group II in addition to the portocaval shunt a vein graft was interposed between the vena cava and the portal vein. In group III an arterialization of this graft was performed in addition to the two operations mentioned above. Follow-up at defined time intervals included clinical, laboratory and histological data. It could be demonstrated that animals in group II and III showed normal parameters as far as behavior and controlled lab data are concerned. Animals of group I had significantly poorer results in all tests. In this study we found that direct portal perfusion was not necessary for a normal liver function and could be fully compensated both by caval venous blood and by arterialized caval venous blood.
    Type of Medium: Electronic Resource
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