Iskanje po repozitoriju

A+ | A- | | SLO | ENG

Povzetek: Background. Etoposide is a chemotherapeutic agent, widely used for the treatment of various malignancies, including small cell lung cancer (SCLC), an aggressive disease with poor prognosis. Oral etoposide administration exhibits advantages for the quality of life of the patient as well as economic benefits. However, widespread use of oral etoposide is limited by incomplete and variable bioavailability. Variability in bioavailability was observed both within and between patients. This suggests that some patients may experience suboptimal tumor cytotoxicity, whereas other patients may be atrisk for excess toxicity. Conclusions. The article highlights dilemmas as well as solutions regarding oral treatment with etoposide by presenting and analyzing relevant literature data. Numerous studies have shown that bioavailability of etoposide is influenced by genetic, physiological and environmental factors. Several strategies were explored to improve bioavailability and to reduce pharmacokinetic variability of oral etoposide, including desired and undesired drug interactions (e.g. with ketoconazole), development of suitable drug delivery systems, use of more water-soluble prodrug of etoposide, and influence on gastric emptying. In addition to genotype-based dose administration, etoposide is suitable for pharmacokinetically guided dosing, which enables dose adjustments in individual patient. Further, it is established that oral and intravenous schedules of etoposide in SCLC patients do not result in significant differences in treatment outcome, while results of toxicity are inconclusive. To conclude, the main message of the article is that better prediction of the pharmacokinetics of oral etoposide may encourage its wider use in routine clinical practice.
Ključne besede: oral etoposide, bioavailability, pharmacokinetic variability, small cell lung cancer, treatment
Objavljeno v DiRROS: 22.03.2024; Ogledov: 79; Prenosov: 27
Celotno besedilo (465,72 KB)

Povzetek: Background. Cancer drugs are high risk drugs and medication errors in their prescribing, preparation and administration have serious consequences, including death. The importance of a multidisciplinary approach and the benefits of pharmacistsć contribution to cancer treatment to minimise risk have been established. However, the impact of services provided by pharmaciststo cancer patient care is poorly studied. This study explored the clinical interventions made by pharmacists in dispensing of chemotherapy doses, and evaluated pharmacistsć contribution to patient care. Methods. Pharmacists at the Chemotherapy Preparation Unit at a tertiary cancer centre in London were shadowed by two research pharmacists during the clinical screening of chemotherapy prescriptions and release of prepared drugs. An expert panel of pharmacy staff rated the clinical significance of the recordedinterventions. Results. Twenty-one pharmacistsć interventions were recorded during the screening or releasing of 130 prescriptions or drugs. ĆDrug and therapyĆ (38%), ĆclericalĆ (22%) and Ćdose, frequency and durationĆ (19%) related problems most often required an intervention, identifying areas in chemotherapy prescribing that need improvement. The proposed recommendations were implemented in 86% of the cases. Many recorded interventions (48%) were ranked to have had a Ćvery significantĆ influence on patient care. Conclusion. Clinical interventions made by pharmacists had a significant impact on patient care. The integration of pharmacistsć technical and clinical roles into dispensing of chemotherapy doses is required for providing high-quality cancer services.
Objavljeno v DiRROS: 18.03.2024; Ogledov: 90; Prenosov: 24
Celotno besedilo (452,60 KB)

Povzetek: Belite-sulfoaluminate (BCSA) cements are low-carbon mineral binders, which require low energy consumption and allow the incorporation of various secondary raw materials in the clinker raw meal. In this study two types of unprocessed steel slags, coming from stainless steel production, were incorporated in the BCSA clinkers. The clinker phase composition, clinker reactivity, and the compressive strength of the cement were studied to evaluate the possible use of the slag in BCSA clinkers. The cement clinkers were synthesized by using natural raw materials, white titanogypsum, mill scale, as well as two different steel slags: (i) EAF S slag, which is a by-product of melting the recycled steel scrap in an electric arc furnace, and (ii) la dle slag as a by-product of the processes of secondary metallurgy, in various quantities. Raw mixtures with two different targeted phase compositions varying in belite, calcium sulfoaluminate and ferrite phases were sintered at 1250 °C. Clinker phases were determined by Rietveld quantitative phase analysis, while their distribution, morphology and incorporation of foreign ions in the phases were studied by SEM/EDS analysis. The clinker reactivity was determined by isothermal calorimetry. BCSA cements were prepared by adding titanogypsum. The compressive strength of the cement pastes was determined after 7 days of hydration. The presence of a predicted major clinker phases was confirmed by Rietveld analysis, however periclase was also detected. Microscopy revealed subhedral grains of belite and euhedral grains of calcium sulfoaluminate phases, while ferrite occurred as an interstitial phase. The results showed differences in the microstructure and reactivity of the clinker and cement, which can be attributed to varying amounts of ettringite due to different slag types
Ključne besede: belite-sulfoaluminate cement, cement clinker, steel slags, clinker microstructure, cement reactivity
Objavljeno v DiRROS: 19.01.2024; Ogledov: 170; Prenosov: 75
Celotno besedilo (18,89 MB)
Gradivo ima več datotek! Več...

Povzetek: Fly ash and phosphogypsum were used as Naturally Occurring Radioactive Materials (NORM) by-products for the synthesis of belite-sulfoaluminate clinkers. The influence of raw mixture composition and firing temperature was investigated. Clinkers and cements were examined by X-ray powder diffraction and scanning electron microscopy with energy dispersive X-ray spectroscopy. The compressive strength of the cements was determined after 28 days. Clinker phases identified included ye’elimite, ß-phase of belite, ternesite and gehlenite, while the main hydration product of the cement pastes was ettringite. The results showed that belite-sulfoaluminate cements can be fabricated with a compressive strength of 45.9 N/mm2 by firing the raw mixture (70 wt.% marl, 10 wt.% bauxite and 20 wt.% phosphogypsum) at a temperature of 1320°C/1h.
Ključne besede: clinker, microstructure, fly ash, gypsum, calcium sulphoaluminate
Objavljeno v DiRROS: 27.10.2023; Ogledov: 366; Prenosov: 138
Celotno besedilo (2,01 MB)
Gradivo ima več datotek! Več...

Povzetek: In this paper, the effects of the sintering temperature on the pore evolution of the belite-sulfoaluminate cement clinker were evaluated. Belite-sulfoaluminate cement clinker with a targeted composition of 65 w/% b-belite, 20 w/% calcium sulfoaluminate and 10 w/% ferrite was sintered at three different temperatures: 1200 °C, 1250 °C and 1300 °C. To quantitatively evaluate the pore evolution during sintering, a 3D microstructure reconstruction by micro-CT was used. From the data, the pore volume frac- tion and pore number were extracted and compared, and the pore size distribution with the sintering temperature was obtained as well. Additionally, the pore shape and distribution were displayed in 3D based on actual microstructure data. Clinker samples were also characterized by Hg-intrusion porosimetry and gas sorption. The changes in the pore evolution occurred to a larger extent when sintering at 1300 °C. Apart from a significant porosity decrease, pore coarsening was evident at this temperature, reducing their connectivity and shrinkage of the clinker. Simultaneously, the bulk and apparent densities increased with the temperature due to densification, while the BET surface area of the studied clinkers decreased, indicating the rounding of pores and particle coalescence with an increasing grain growth.
Ključne besede: klinker, belit-sulfoaluminat, razvoj por, sintranje
Objavljeno v DiRROS: 04.08.2023; Ogledov: 312; Prenosov: 133
Celotno besedilo (2,27 MB)
Gradivo ima več datotek! Več...