Therapeutic drug monitoring of cefepime with micellar electrokinetic capillary chromatography: Assay improvement, quality assurance, and impact on patient drug levels

The improvement and performance of a micellar electrokinetic capillary chromatography assay for cefepime in human serum and plasma with a 50 μm id fused-silica capillary elongated from 40 to 60 cm is reported. Sample preparation with dodecylsulfate protein precipitation at pH 4.5, the pH 9.1 separation medium and the applied voltage were as reported previously[16]. The change resulted in a significant lower current, higher resolution and increased detection time intervals. The performance of the assay with multi-level internal calibration was assessed with calibration and control samples. Quality assurance data of a two year period assessed under the new conditions demonstrated the robustness of the assay. In serum samples of patients who received both cefepime and sulfamethoxazole, cefepime could not be detected due to the inseparability of the two compounds. The presence of an interference can be recognized by an increased peak width (width > 0.2 min), the appearance of a shoulder or an unresolved double peak. The patient data gathered during a three year period reveal that introduction of therapeutic drug monitoring led to a 50% reduction of the median drug level. The data suggest that therapeutic drug monitoring can help to minimize the risk of major adverse reactions and to increase drug safety on an individual basis. This article is protected by copyright. All rights reserved.

Small forest ownership in the urban fringe area of Michigan,

Mode of access: Internet.

Estimating fringe parking site requirements /

"January 1979."

Urban-fringe problem in the Flint metropolitan area; a study of services and attitudes

Mode of access: Internet.

Report on fringe benefits and related practices affecting firefighters.

No more published?

The capillary structure of softwoods,

Reprinted from Journal of Agricultural research, vol. 38, no. 1.

A comparison of fringe benefits in city government and private employment in Philadelphia.

Mode of access: Internet.

An experimental study of the effects of viscous and capillary forces on the trapping and mobilization of oil drops in capillary constrictions /

Thesis--University of Kansas, Chemical and Petroleum Engineering.

An international comparison of fringe benefits : theory, evidence, and policy implications /

Cover title.

Method of analysis and quality-assurance practices for determination of pesticides in water by solid-phase extraction and capillary-column gas chromatography/mass spectrometry at the U.S. Geological Survey California District Organic Chemistry Laboratory, 1996-99 /

Mode of access: Internet.

Fringe benefits : hearings before the Subcommittee on Taxation and Debt Management of the Committee on Finance, United States Senate, Ninety-eighth Congress, second session, July 26, 27, and 30, 1984.

Item 1038-A, 1038-B (microfiche).

The Effect of blowsand reduction on the abundance of the fringe-toed lizard (Uma inornata) in the Coachella Valley, California : a two-part study.

"October 1981."

More basics : the basics of fringe benefits, revised to reflect tax law changes of OBRA '93, (lots of benefits, without taxing your schedule or your patience).

A user's guide designed to accompany a video of the same title, produced by Counsel Technical Communications.

Capillary jet instability under the influence of gravity

The focus of this paper is on the effect of gravity stretching on disturbed capillary jet instability. Break-up and droplet formation under low flows are simulated using finite difference solution of a one-dimensional approximation of disturbed capillary jet instability chosen from the work by Eggers and Dupont (J. Fluid Mech. 155 (1994) 289). Experiments were conducted using water and aqueous glycerol solutions to compare with simulations. We use a gravity parameter, G, which quantifies gravity stretching by relating flow velocity, orifice size and acceleration and is the reciprocal of the Fronde number. The optimum disturbance frequency Omega(opt) was found to be inversely proportional to G. However, this relationship appears to be complex for the range of G's investigated. At low G, the relationship between Omega(opt) and G appears to be linear but takes on a weakly decaying like trend as G increases. As flows are lowered, the satellite-free regime decreases, although experimental observation found that merging of main and satellite drops sometimes offset this effect to result in monodispersed droplet trains post break-up. Viscosity did not significantly affect the relationship between the disturbance frequency and G, although satellite drops could be seen more clearly close to the upper limit for instability at high G's. It is possible to define regimes of satellite formation under low flows by considering local wavenumbers at the point of instability. (C) 2004 Elsevier Ltd. All rights reserved.