Plasma concentrations of the enantiomers of methadone and therapeutic response in methadone maintenance treatment

Methadone is a 50:50 mixture of two enantiomers and (R)-methadone accounts for the majority of its opioid effect. The aim of this study was to determine whether a blood concentration of (R)-methadone can be associated with therapeutic response in addict patients in methadone maintenance treatment. Trough plasma concentrations of (R)-, (S)- and (R,S)-methadone were measured in 180 patients in maintenance treatment. Therapeutic response was defined by the absence of illicit opiate or cocaine in urine samples collected during a 2-month period prior to blood sampling. A large interindividual variability of (R)-methadone concentration-to-dose-to-weight ratios was found (mean, S.D., median, range: 112, 54, 100, 19-316 ng x kg/ml x mg). With regard to the consumption of illicit opiate (but not of cocaine), a therapeutic response was associated with (R)- (at 250 ng/ml) and (R,S)-methadone (at 400 ng/ml) but not with (S)-methadone concentrations. A higher specificity was calculated for (R)- than for (R,S)-methadone, as the number of non-responders above this threshold divided by the total number of non-responders was higher for (R,S)-methadone (19%) than for (R)-methadone (7%). The results support the use of therapeutic drug monitoring of (R)-methadone in cases of continued intake of illicit opiates. Due to the variability of methadone concentration-to-dose-to-weight ratios, theoretical doses of racemic methadone could be as small as 55 mg/day and as large as 921 mg/day to produce a plasma (R)-methadone concentration of 250 ng/ml in a 70-kg patient. This demonstrates the importance of individualizing methadone treatment.

Genetic differentiation and zoogeography of Asian Suncus murinus (Mammalia: Soricidae)

Protein electrophoresis was used to assess the phylogenetic relationships of populations of the phenotypically variable Asian house shrew Suncus murinus. These populations represent a sample of both commensal and wild forms. They were compared to another taxon, S. montanus, which was formerly considered conspecific with S. murinus. Suncus dayi was used as an outgroup in all phylogenetic reconstructions. Within the S. murinus lineage, the allozyme data show very low levels of genetic differentiation among both wild and commensal Southeast Asian and Japanese samples when compared to the Indian populations. This pattern is consistent with the classical hypothesis of a recent introduction by man in Eastern Asia. The higher genetic diversity found within S. murinus from India, as well as previous mitochondrial and karyological results suggest that this area is the probable centre of origin for the species. Although the lack of gene flow between S. murinus and S. montanus is clearly established in an area of sympatry in Southern India, one Asian house shrew sampled in Nepal was more closely related to S. montanus. This could either reflect the retention of an ancestral polymorphism, or result from a hybridization episode between S. murinus and S. montanus. Similar conclusions were also suggested in mitochondrial DNA studies dealing with animals sampled in the Northern parts of the Indian subcontinent. Clearly, further data on Suncus from this area are needed in order to assess these hypotheses. (C) 1995 The Linnean Society of London

Estudi bibliomètric de la recerca al Campus del Baix Llobregat

Sobre un total de 316 PDIs s’han trobat publicacions per al 80% d’aquests (254). Es presenta l’estudi general per al CBL, per centres i per temàtica.

Rivascolarizzazione miocardica con arteria radiale: tecniche chirurgiche a confronto e risultati a breve termine [Myocardial revascularization and radial artery: different surgical strategies and short-term results]

BACKGROUND: The radial artery is routinely used as a graft for surgical arterial myocardial revascularization. The proximal radial artery anastomosis site remains unknown. In this study, we analyzed the short-term results and the operative risk determinants after having used four different common techniques for radial artery implantation. METHODS: From January 2000 to December 2004, 571 patients underwent coronary artery bypass grafting with radial arteries. Data were analyzed for the entire population and for subgroups following the proximal radial artery anastomosis site: 140 T-graft with the mammary artery (group A), 316 free-grafts with the proximal anastomosis to the ascending aorta (group B), 55 mammary arteries in situ elongated with the radial artery (group C) and 60 radial arteries elongated with a piece of mammary artery and anastomosed to the ascending aorta (group D). RESULTS: The mean age was 53.8 +/- 7.7 years; 55.5% of patients had a previous myocardial infarction and 73% presented with a satisfactory left ventricular function. A complete arterial myocardial revascularization was achieved in 532 cases (93.2%) and 90.2% of the procedures were performed under cardiopulmonary bypass and cardioplegic arrest. The operative mortality rate was 0.9%, a postoperative myocardial infarction was diagnosed in 19 patients (3.3%), an intra-aortic balloon pump was used in 10 patients (1.7%) and a mechanical circulatory device was implanted in 2 patients. The radial artery harvesting site remained always free from complications. The proximal radial artery anastomosis site was not a determinant of early hospital mortality. Group C showed a higher risk of postoperative myocardial infarction (p = 0.09), together with female gender (p = 0.003), hypertension (p = 0.059) and a longer cardiopulmonary bypass time. CONCLUSIONS: The radial artery and the mammary artery can guarantee multiple arterial revascularization also for patients with contraindications to double mammary artery use. The four most common techniques for proximal radial artery anastomosis are not related to a higher operative risk and they can be used alternatively to reach the best surgical results

Iowa Department of Transportation Major Items - Preliminary Quantity Report, January 20, 2016; With Addendums

Weekly letting report

El Juego "pet society" en facebook: inteligencia, colaboración colectiva, diseño y usuario. Un enfoque social desde el análisis de la producción

“Pet Society” es un “juego social” desarrollado en la red social: Facebook. Creado por Playfish en 2008 (empresa caracterizada por su innovación y creatividad), en 2009 Playfish es adquirida por Electronic Arts. Tiene el honor de ser el primer juego en alcanzar el 1 millón de fans en Facebook. Esta tesina se centra en diversos factores de la producción: diseño, interacción y usuario; para poder entender este éxito entre los jugadores desde un enfoque social. Centrándose en cómo se presentan los contenidos por parte de la empresa y cómo los usuarios se apropian de estos contenidos, creando los suyos propios.

Contenidos audiovisuales y licencias abiertas : Una perspectiva desde la universidad

Hablar de acceso a la cultura y al conocimiento en la Sociedad de la Información exige abordar con detalle las nuevas formas de entender la propiedad intelectual y los derechos de autoría. Este trabajo de final de máster expone algunos aspectos clave de la cultura libre en el campo audiovisual, la investigación llevada a cabo trata de esclarecer cuáles son las posturas y prácticas que existen entre los estudiantes de 4º curso de comunicación audiovisual en las universidades públicas de Barcelona con respecto a las licencias abiertas y los contenidos audiovisuales

Aventurières et courtisanes (Nouvelle édition) / par Roger de Beauvoir

Collection : Collection Michel Lévy

[Palerme. Museo Archeologico Regionale Antonio Salinas, métope du temple C de Sélinonte]

Référence bibliographique : Weigert, 316

Bilateral transitory projection to visual areas from auditory cortex in kittens.

A transitory projection from primary and secondary auditory areas to the contralateral and ipsilateral areas 17 and 18 exists in newborn kittens. Distinct neuronal populations project to ipsilateral areas 17-18, contralateral areas 17-18 and contralateral auditory cortex; they are at different depth in layers II, III, and IV. By postnatal day 38 the auditory to visual projections have been lost, apparently by elimination of axons rather than by neuronal death. While it was previously reported that the elimination of transitory axons is responsible for focusing the origin of callosal connections to restricted portions of sensory areas it now appears that similar events play a more general role in the organization of cortico-cortical networks. Indeed, the elimination of juvenile projections is largely responsible for determining which areas will be connected in the adult.

Curvas de crescimento em vacas de corte de diferentes tipos biológicos

O objetivo deste trabalho foi selecionar o modelo de curvas de crescimento mais adequado e avaliar a influência de efeitos de ambiente e de grupo genético sobre os parâmetros estimados do modelo. Cinco modelos não lineares, Brody, Gompertz, Logístico, Von Bertalanffy e Richards, foram ajustados a dados de peso-idade coletados de 316 vacas, de quatro grupos genéticos: G (Nelore, ½Canchim + ½Nelore, ½Angus + ½Nelore e ½Simental + ½Nelore), do nascimento até 100 meses de idade; em duas estações do ano: E (primavera e outono). As vacas foram submetidas a dois níveis de concentrado (S) durante quatro meses, pós-desmama. O ajuste dos modelos foi realizado por mínimos quadrados ordinários, usando os pesos ponderado e não ponderado pelo inverso da variância. Os modelos Brody e Von Bertalanffy convergiram para todos os grupos genéticos; porém, o Brody foi o mais adequado. As estimativas do peso assintótico (A) e da taxa de maturação (k) do modelo Brody ponderado pelo inverso da variância foram analisadas por modelo misto, que incluiu efeito médio global e efeitos principais de G, E e S, e suas interações. O parâmetro A foi influenciado pelo efeito de G e E, enquanto k foi influenciado por S, o que indica que melhorias no manejo alimentar resultam em menor variação na forma das curvas de crescimento e em altas taxas de maturação.