Simultaneous determination of cefepime and L-arginine in injections by second-derivative spectrophotometry

A simple spectrophotometric assay for the determination of cefepime and L-arginine in injections is described. Since zero-order spectra showed considerable overlap, second-derivative spectrophotometry was used to enhance the spectral details. A linear relationship between second-derivative amplitude and concentration of each compound was found. Beer's law was obeyed up to 50 and 22 micrograms ml-1 of cefepime and arginine, respectively, in the second-derivative mode. Detection limits were 0.31 and 0.58 micrograms ml-1 for cefepime and arginine, respectively. The method, which is rapid, simple and does not require any separation step, has been successfully applied to the assay of commercial injections containing cefepime and arginine.     

The Large Electrochemical Capacitance of Microporous Doped Carbon Obtained by Using a Zeolite Template

A novel microporous templated carbon material doped with nitrogen is synthesized by using a two‐step nanocasting process using acrylonitrile (AN) and propylene as precursors, and Na–Y zeolite as a scaffold. Liquid‐phase impregnation and in situ polymerization of the nitrogenated precursor inside the nanochannels of the inorganic scaffold, followed by gas‐phase impregnation with propylene, enables pore‐size control and functionality tuning of the resulting carbon material. The material thereby obtained has a narrow pore‐size distribution (PSD), within the micropore range, and a large amount of heteroatoms (i.e., oxygen and nitrogen). In addition, the carbon material inherits the ordered structure of the inorganic host. Such features simultaneously present in the carbon result in it being ideal for use as an electrode in a supercapacitor. Although presenting a moderately developed specific surface area (S_BET = 1680 m² g^–1), the templated carbon material displays a large gravimetric capacitance (340 F g^–1) in aqueous media because of the combined electrochemical activity of the heteroatoms and the accessible porosity. This material can operate at 1.2 V in an aqueous medium with good cycleability—‐beyond 10 000 cycles—and is extremely promising for use in the development of high‐energy‐density supercapacitors.     

Solubilization of phospholipid bilayer caused by surfactants

The interaction of surfactants with liposomes eventually leads to the rupture of such structures and the solubilization of the phospholipid components. In this paper, solubilization is regarded as a decrease in light scattering of liposome suspensions. To this end, in accordance with the nomenclature, adopted by Lichtenberg, three parameters were considered as corresponding to the effective surfactant/lipid molar ratios (Re) at which light scattering starts to decrease, Re_sat; reaches 50% of the original value, Re₅₀; and shows no further decrease, Re_sol. These parameters corresponded to the Re at which the surfactant (i) saturated the liposomes, (ii) resulted in a 50% solubilization of vesicles and (iii) led to a total solubilization of liposomes. The surfactants tested were the nonionic surfactant octylphenol ethoxylated with 10 units of ethylene oxide or Triton X-100 (OP-10EO), two anionic surfactants, sodium dodecyl sulfate and sodium dodecyl ether sulfate, and an amphoteric surfactant dodecyl betaine (D-Bet). Unilamellar liposomes formed by egg phosphatidylcholine containing increasing amounts of phosphatidic acid were used. The Re parameters were the lowest for D-Bet, followed by OP-10EO, whereas the anionic surfactants always showed the highest values regardless of the electrical charge of the lipid bilayers. These parameters seem also to be inversely related to the critical micelle concentration (CMC) of the surfactant, except for OP-10EO. Moreover, the CMC values of the surfactant/lipid systems at 0.5 mM lipid concentration corresponded in all cases to the surfactant concentration at which liposomes were saturated by surfactants. As a consequence, this ratio can be regarded as an interesting parameter associated with the mixed micelle formation in liposome solubilization.     

Application of the Repeated Measures (Split-Plot) Design to the Development of Processes for Drug Substances

A case study from the chemical and pharmaceutical industries is used to show the value of the repeated measures design in developing processes for drug substances. This article advocates the use of the repeated measures design in situations that commonly arise in the chemical and pharmaceutical industries when repeated measurements are taken on the same experimental unit, instead of the common practice of comparing only individual conditions, a procedure that is inappropriate in many cases. One of the most important advantages of applying the repeated measures design is the abundance of data that can be obtained by taking into account the entire response curve instead of only isolated individual points on it.     

Neonatal gastric opening

We report the first proven outbreak of Japanese encephalitis (JE) occurring in the Kathmandu Valley of Nepal. During September and October 1995, we treated 15 patients with meningo-encephalitis. All of the patients were Nepalese, all but one lived in the Kathmandu Valley, and their overall mortality was 53%. Anti-JE virus (JEV) IgM in the cerebrospinal fluid was found in the two cases for whom it was tested. The two tested patients were similar to the other patients in clinical presentation and in home location. We recommend immunization against JEV for those traveling to Kathmandu during the months of August to October.     

Reliability of coding of diagnoses recorded in the computerized information system at primary health care centers

OBJECTIVE: To find the reliability of the coding of diagnoses in the doctor's note in this computer system and to analyse where there are most discrepancies. DESIGN: An observational study. The concordance between the reason for consultation, codified by an external assessor, and the coding of the main diagnosis. SETTING: Health Districts 17 (Murcia/Barrio del Carmen) and 66 (Molina de Segura/La Ribera) in the Autonomous Community of Murcia. PATIENTS: A sub-sample of 228 consultations, belonging to a larger study of 1,904 general medical consultations (total: 98,768 consultations). MEASUREMENTS AND MAIN RESULTS: There were discrepancies between the coding of the reason for consultation and the diagnosis in 23% of the consultations recorded. The reason for consultation was not correctly recorded in 12.3%. The diagnostic group or section with the highest level of agreement was number XVIII or the supplementary section; and with the least agreement in XVII (injuries and adverse side-effects) and Number V covering mental disorders. CONCLUSIONS: Quality control of information and its validation enables errors and problems in the systems to be identified and corrected. This study points to the need to improve the filling-out of the reason for consultation and activity carried out, in order to obtain afterwards a more reliable coding of the diagnosis.     

Design and Experimental Verification of a Linear Permanent Magnet Generator for a Free-Piston Energy Converter

This paper discusses issues that are pertinent to the design of a linear permanent magnet generator for application in a free-piston energy converter. To achieve the required high power density, high efficiency, and low moving mass, a tubular machine equipped with a modular stator winding and a quasi-Halbach magnetized armature is employed. It is shown that the machine design can be optimized with respect to three key dimensional ratios while satisfying other performance requirements. It is also shown that, when the generator is interfaced to an electrical system via a power electronic converter, both the converter volt-amps rating and the converter loss should be taken into account when optimizing the machine design. The performance of such a tubular generator is demonstrated by measurements on a 10-pole/9-slot prototype machine.     

Ifosfamide and vinorelbine: an active regimen for patients with relapsed or refractory Hodgkin's disease

Twenty-six patients with relapsed or refractory Hodgkin's disease (HD) were treated with an intensive salvage regimen combining ifosfamide (3000 mg/m2/d, days 1-4 through continuous intravenous infusion) and vinorelbine (25 mg/m2, i.v. days 1 and 5) with mesna uroprotection and G-CSF support. Courses were given at 3-week intervals. Ten patients achieved a complete and 10 patients a partial response, yielding an overall response rate of 77%. The main toxic effect was neutropenia and the combination was well tolerated.     

List-mode likelihood: EM algorithm and image quality estimationdemonstrated on 2-D PET

Using a theory of list-mode maximum-likelihood (ML) source reconstruction presented recently by Barrett et al. (1997), this paper formulates a corresponding expectation-maximization (EM) algorithm, as well as a method for estimating noise properties at the ML estimate. List-mode ML is of interest in cases where the dimensionality of the measurement space impedes a binning of the measurement data. It can be advantageous in cases where a better forward model can be obtained by including more measurement coordinates provided by a given detector. Different figures of merit for the detector performance can be computed from the Fisher information matrix (FIM). This paper uses the observed FIM, which requires a single data set, thus, avoiding costly ensemble statistics. The proposed techniques are demonstrated for an idealized two-dimensional (2-D) positron emission tomography (PET) [2-D PET] detector. The authors compute from simulation data the improved image quality obtained by including the time of flight of the coincident quanta