Evaluating the impact of testosterone replacement therapy on carotid atherosclerosis: a systematic review and meta-analysis.

Aim: This meta-analysis investigates the association between testosterone replacement therapy [TRT] and carotid artery atherosclerosis. Methods: 3 databases were searched for studies up to June 2023 per the PRISMA guidelines. The eligibility criteria comprised RCTs and observational studies involving hypogonadal males receiving exogenous testosterone, in which CIMT was assessed. CAA was the primary outcome, whereas secondary outcomes included HDL, LDL, CRP, total cholesterol and total testosterone. The statistical analysis was performed using Review Manager. Results: Statistical analysis revealed no association between TRT and assessed outcomes. There was a significant increase in total testosterone levels, depicting indirect anti-atherosclerotic effects of TRT. Conclusion: Meta-analysis shows no relation between TRT and CIMT or other markers, allowing its safe usage for hypogonadal males.

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Prevalence and Clinical Impact of Sarcopenia in Patients Undergoing Total Joint Arthroplasty: A Systematic Review and a Meta-Analysis.

BACKGROUND: Sarcopenia is a progressive loss of skeletal muscle mass and function. It is associated with adverse outcomes after several orthopaedic procedures. However, its role in total joint arthroplasty (TJA) is not fully explored. Therefore, we wanted to conduct a systematic review and meta-analysis to answer the following questions: (1) What is the prevalence of sarcopenia in patients undergoing TJA?; (2) What factors are associated with the prevalence of sarcopenia in patients undergoing TJA?; What is the impact of sarcopenia on medical outcomes following TJA?; and (4) What is the impact of sarcopenia on surgical outcomes following TJA? METHODS: Electronic databases PubMed, Scopus, Cochrane, and Google Scholar were searched. The data were pooled using the random-effects model and graphically represented by a forest plot. We included a total of 13 studies, evaluating 399,097 patients. RESULTS: The pooled prevalence of sarcopenia was 20.1% (95% confidence interval [CI] 13.6 to 28.8%; P < .00001; I2 = 94.7%) in total knee arthroplasty (TKA) and 5.2% (95% CI 0.1 to 69.7%; P = .128; I2 = 99.6%) in total hip arthroplasty (THA). Meta-regression found no links between age, sex, body mass index, diabetes, obesity, arthroplasty type, and sarcopenia prevalence in TJA. Sarcopenia increased risk of blood transfusion (odds ratio [OR] 4.68 [95% CI 3.51 to 6.25]; P < .00001), pneumonia (OR 1.94 [95% CI 1.14 to 3.30]; P = .01), urinary tract infection (UTI) (OR 1.64 [95% CI 1.31 to 2.05]; P < .001), prosthetic fracture (OR 2.12 [95% CI 1.51 to 2.98]; P < .0001), prosthetic dislocation (OR 1.99 [95% CI 1.62 to 2.44]; P < .00001), and mechanical loosening (OR 1.78 [95% CI 1.43 to 2.22]; P < .00001) in TKA. Sarcopenic patients were at an increased risk of UTI (OR 1.79 [95% CI 1.32 to 2.43]; P = .0002) and prosthetic loosening (OR 1.97 [95% CI 1.10 to 3.53]; P = .02) post-THA. CONCLUSIONS: Baseline sarcopenia was prevalent in patients undergoing TJA. It was associated with an increased risk of UTI and prosthetic loosening following TKA and THA. Increased risk of blood transfusion, pneumonia, prosthetic fractures, and mechanical loosening following TKA.

Evaluation of antihypertensives for post partum management of hypertensive disorders of pregnancy: A systematic review and meta-analysis.

BACKGROUND: There is a lack of evidence that directly shows the best antihypertensive treatment options for post partum management of the hypertensive disorders of pregnancy. Our objective was to analyze the safest and most effective antihypertensive drugs post partum for patients with hypertensive disorders of pregnancy. METHODS: PubMed, Cochrane, and MEDLINE were searched to find relevant articles published from inception to Feb 2024. We included randomized control trials, in English, featuring a population of postnatal women with hypertensive disorders of pregnancy or postpartum women with de novo hypertension with a follow-up of up to 6 months in which any antihypertensive medication was compared with Placebo or a comparison between different doses of antihypertensives was done. The statistical analyses were conducted using Review Manager with a random-effects model. RESULTS: Our analysis revealed that almost all antihypertensives are effective in treating postpartum hypertension. However, some medications had alternating roles in controlling specific outcomes. Using calcium channel blockers resulted in a faster time to sustain BP control than the control (SMD: -0.37; 95% CI: -0.73 to -0.01; P = 0.04). In contrast, using ACE inhibitors or ARBs demanded the use of other antihypertensives in contrast to all other drugs assessed (RR: 2.09; 95% CI: 1.07 to 4.07; P = 0.03). CONCLUSION: Timely management of the hypertensive disorders of pregnancy postpartum is life-saving. All the traditional antihypertensives we assessed effectively manage hypertension postpartum, thus allowing the physician to tailor the particular drug regimen according to the patient's needs and comorbidities without any hindrance.

Green Synthesis of ZnO/CuO Nanocomposites Using Parsley Extract for Potential In Vitro Anticoccidial Application.

In this study, a simple, low-cost, and environmentally friendly method for the green synthesis of ZnO/CuO nanocomposites (NCs) using parsley extract was developed. The phytochemical components in the parsley leaf extract reacted with precursor salts in solution and yielded ZnO/CuO NCs. The synthesis of the green-synthesized NCs was confirmed via various characterization techniques, including UV-vis spectroscopy, X-ray diffraction (XRD) analysis, energy-dispersive X-ray (EDX), transmission electron microscopy (TEM), and field emission scanning electron microscopy (FE-SEM). Subsequently, the NCs were subjected to rigorous in vitro evaluation of their anticoccidial properties. The results showed that the NCs had a spherical shape within an average particle size of around 70 nm. The green-synthesized NCs were evaluated for their in vitro anticoccidial activity against Eimeria spp. The findings showed that the NCs exhibited a significant anticoccidial effect, with a maximum inhibition of 55.3 ± 0.32% observed at a concentration of 0.5 mg/mL. The exposure to the NCs resulted in notable alterations in the ultrastructure of the oocysts when compared to the control group. The ZnO/CuO NCs synthesized from the parsley leaf extract showed promising potential against coccidiosis and could be used in biomedical applications. Further investigation using an in vivo model is required to ascertain the efficacy of NCs as anticoccidial agents.

Impact of Growth Temperature of Lead-Oxide Nanostructures on the Attenuation of Gamma Radiation.

Chemical bath deposition (CBD) technique is utilized to grow lead-oxide (PbO) nanostructures (NSs) over PbO seed fabricated by physical vapor deposition (PVD) method on glass substrates. The effect of growth temperatures 50 and 70 °C on the surface topography, optical properties, and crystal structure of lead-oxide NSs has been studied. The investigated results suggested that the growth temperature has a huge and very considerable influence on the PbO NS, and the fabricated PbO NS has been indexed as the Pb3O4 polycrystalline tetragonal phase. The crystal size for PbO thin films grown at 50 °C was 85.688 nm and increased to 96.61 nm once the growth temperature reached 70 °C. The fabricated PbO nanofilms show a high rate of transmittance, which are ∼70 and 75% in the visible spectrum for the films deposited at 50 and 70 °C, respectively. The obtained Eg was in the range of 2.099-2.288 eV. Also, the linear attenuation coefficient values of gamma-rays for shielding the Cs-137 radioactive source increased at 50 °C. The transmission factor, mean free path, and half-value layer are reduced at a higher attenuation coefficient of PbO grown at 50 °C. This study evaluates the relationship between synthesized lead-oxide NSs and the radiation energy attenuation of gamma-rays. This study provided a suitable, novel, and flexible protective shield of clothes or an apron made of lead or lead oxide to protect against ionizing radiation that meets safety rules and protects medical workers from ionizing radiation.

Latent Tuberculosis Infection (LTBI) as a predictor of coronary artery disease: A systematic review and meta-analysis.

Background: A converging epidemic of Latent tuberculosis infection (LTBI) is observed over past two decades. LTBI is a state of persistent immune stimulation by Mycobacterium tuberculosis but with no active clinical manifestation. Also, there has been as increasing trend for incidence of cardiovascular problems in patients suffering from latent TB infection. Reportedly, the risk of coronary artery disease spikes up to 1.52 times in patient with latent TB infection. Considering the fact that cardiovascular diseases account to be leading cause of death globally, we found a dire need to investigate the role of Latent TB infection in producing coronary artery disease and unveil this unconventional relationship. Purpose: We aim to conduct a meta-analysis to evaluate Latent TB infection as a predictor for coronary artery disease (CAD). Methods: A systemic search was conducted on electronic databases (PubMed/Medline, Cochrane Library, and Google Scholar) from inception to 24th June 2022. Studies meeting predefined inclusion criteria underwent statistical analysis on Review Manager 5.4.1. We calculated odds ratio (OR) with 95% confidence intervals (CI) and graphically represented it through fixed-effect forest plot. Heterogeneity of I2>75% and p-value of p < 0.05 was considered to be significant. Results: Pooled analysis of four selected studies showed that patient with Latent TB infection significantly developed Coronary Artery Disease (OR = 2.15 [1.48, 3.12]; p < 0.0001; I 2  = 0%). Conclusions: Latent TB infection can be a potential useful predictor for Coronary Artery Disease. However, there is need for further investigation on a greater number of studies before this can truly become clear.

Sunlight harvesting for heat generation inside water using biosynthesized magnetite nanoparticles.

A low-cost, simple, inexpensive, and environmentally friendly method has been employed for synthesizing magnetite nanoparticles (Fe3O4 NPs). In this study, weeping willow (Salix babylonica L.) aqueous leaf extract has been utilized as a reducing, capping, and stabilizing agent. The synthesized Fe3O4 NPs were characterized by ultraviolet-visible (UV-Vis) spectroscopy, FT-IR spectroscopy, scanning electron microscopy (SEM), energy-dispersive X-ray spectroscopy (EDX), X-ray diffraction (XRD), dynamic light scattering (DLS), zeta potential analysis, differential scanning calorimetry (DSC), and thermogravimetric analysis (TGA). The localized surface plasmon resonance (LSPR) performance of the Fe3O4 NPs was examined. It has been shown that the biosynthesized Fe3O4 NPs once dispersed in water can raise the temperature of water significantly when they absorb solar radiation through surface plasmon resonance (SPR). The impact of the pH value on the Fe3O4 NPs was also investigated. It has been shown that the optimum pH value among the examined pH values was pH 6. At this pH, the biosynthesized Fe3O4 NPs were able to increase the temperature of water from 25 °C to ∼36 °C. This dramatic increase in temperature was owing to the Fe3O4 NPs synthesized at pH 6 which acquired high crystallinity, monodispersity, high purity, minimum agglomeration, a small particle size, and high stability. In addition, the mechanism of converting solar energy to thermal energy has been discussed intensively. To the best of our knowledge, this study is unique and the novelty of this investigation is that Fe3O4 NPs acquire plasmonic-like properties under solar radiation. Also, they are anticipated to be an innovative photothermal adaptation material for solar-based water heating and heat absorption.

Green Synthesis Magnetite (Fe3O4) Nanoparticles From Rhus coriaria Extract: A Characteristic Comparison With a Conventional Chemical Method.

In recent years, nanotechnology has become one of the most important and exciting avant-gardes, without exception, in all fields of science. Through nanotechnology, novel materials and devices can be industrialized with atomic precision. In general, there are three main methods for synthesizing NPs: Chemical, physical and biological, or green methods. However, the conventional chemical and physical methods include the use of toxic chemicals that are toxic in nature and using pricy devices, which leads to the development of new methods using nontoxic and eco-friendly materials. These eco-friendly methods use biological systems, microorganisms, and plant-based materials as reducing, capping, and stabilizing agents to synthesize NPs. In this study, iron oxide (Fe3O4) NPs have been synthesized using a green method, a Rhus Coriaria extract, and a conventional chemical method. A comparison between these two methods is conducted to validate the importance of the biological method. This study demonstrates, as we expected, by utilizing different characterization techniques, that the synthesized green Fe3O4 NPs, in general, possess better and enhanced properties than the chemical method. This difference is evident in the aggregation status, capping and stabilizing agents around the NPs, magnetic and thermal properties, and stability of NPs. These results, in turn, highlight the importance of the available phytochemical in the Rhus Coriaria extract as a suitable candidate for biosynthesizing Fe3O4 NPs.

Green synthesis of SiO2 nanoparticles from Rhus coriaria L. extract: Comparison with chemically synthesized SiO2 nanoparticles.

The usage of the green synthesis method to produce nanoparticles (NPs) has received great acceptance among the scientific community in recent years. This, perhaps, is owing to its eco-friendliness and the utilization of non-toxic materials during the synthesizing process. The green synthesis approach also supplies a reducing and a capping agent, which increases the stability of the NPs through the available phytochemicals in the plant extractions. The present study describes a green synthesis method to produce nano-silica (SiO2) NPs utilizing Rhus coriaria L. extract and sodium metasilicate (Na2SiO3.5H2O) under reflux conditions. Sodium hydroxide (NaOH) is added to the mixture to control the pH of the solution. Then, the obtained NPs have been compared with the chemically synthesized SiO2 NPs. The structure, thermal, and morphological properties of the SiO2 NPs, both green synthesized and chemically synthesized, were characterized using Fourier-transform infrared spectroscopy (FTIR), Ultraviolet-Visible Spectroscopy (UV-Vis), X-ray diffraction (XRD), and Field Emission Scanning Electron Microscopy (FESEM). Also, the elemental compassion distribution was studied by energy-dispersive X-ray spectroscopy (EDX). In addition, the zeta potential, dynamic light scatter (DLS), thermogravimetric analysis (TGA), and differential scanning calorimetry (DSC) was used to study the stability, thermal properties, and surface area of the SiO2 NPs. The overall results revealed that the green synthesis of SiO2 NPs outperforms chemically synthesized SiO2 NPs. This is expected since the green synthesis method provides higher stability, enhanced thermal properties, and a high surface area through the available phytochemicals in the Rhus coriaria L. extract.

Biosynthesis of Silver Nanoparticles at Various pH values and their Applications in Capturing Irradiation Solar Energy.

BACKGROUND: Metallic nanoparticles (NPs), in general, are able, due to the high surface area per unit volume, to absorb the maximum incoming light flux through the vicinity of plasmonic structures and then provide local heating. Thus, silver (Ag) NPs has been used to generate heat and increase the temperature of water from solar radiation energy. The optimal plasmonic heating generation can be obtained as soon as the wavelength of the light source is close to the plasmonic resonance wavelength of Ag NPs. OBJECTIVE: Ag NPs have been fabricated through a straightforward, cheap, as well as environmentally friendly approach. In this study, Salix babylonica L., weeping willow leaf extract has been utilized as a reducing, capping, and stabilizing agent, without using any other toxic materials. The importance of this study lies in the generation of hot electrons, which can be obtained by collecting the solar spectrum near the infrared and infrared regions, which cannot be obtained by the conventional photocatalytic devices. METHODS: Numerous characterization techniques such as; UV-Vis, FT-IR spectroscopy, X-ray diffraction (XRD), X-ray Photoelectron Spectroscopy (XPS), scanning electron microscopy (SEM), and energy dispersive X-ray (EDX) analysis were used to study the optical, chemical, structural, morphological, properties of the Ag NPs. RESULTS: The impact of pH on the properties of Ag NPs and their performance to generate heat during solar irradiation have been investigated intensively. This study showed that the synthesized Ag NPs with pH value 12 is the optimum condition and can increase the temperature of water dramatically. CONCLUSION: An evaluation of the current patents displays that the field of green synthesis Ag NPs utilizing plant extracts is a vital field and produces rather stable, safe and effective Ag NPs. The novelty of this patent is that Ag NPs can be synthesized from a one-pot reaction without using any exterior stabilizing and reducing agent, which is not conceivable by means of the existing processes. This study, also, is rare and distinctive, and it demonstrates that even a slight quantity of the Ag NPs is significantly raising the temperature of water effectively.

Biosynthesis of Silver Nanoparticles and Their Applications in Harvesting Sunlight for Solar Thermal Generation.

Silver (Ag) nanoparticles (NPs) have been synthesized through an easy, inexpensive, and ecofriendly method. Petroselinum crispum, parsley, leaf extract was utilized as a reducing, capping, and stabilizing agent, without using any hazardous chemical materials, for producing Ag NPs. The biosynthesized Ag NPs were characterized using different characterization techniques, namely UV-Vis, FT-IR spectroscopy, X-ray diffraction (XRD), X-ray Photoelectron Spectroscopy (XPS), dynamic light scattering (DLS), zeta potential, differential scanning calorimetry (DSC), thermogravimetric analysis (TGA), transmission electron microscope (TEM), field emission scanning electron microscopy (FESEM), and energy-dispersive X-ray (EDX) analysis to investigate the optical, thermal, structural, morphological, and chemical properties of the plant extract and the biosynthesized Ag NPs. After that, the biosynthesized Ag NPs were utilized in harvesting sunlight for solar thermal generation. Surface plasmon resonance (SPR) for the green synthesized Ag NPs with the dark color were adjusted at nearly 450 nm. Once the Ag NPs are excited at the SPR, a large amount of heat is released, which causes a change in the local refractive index surrounding the Ag NPs. The released heat from the Ag NPs under the solar irradiation at the precise wavelength of plasmon resonance significantly increased the temperature of the aqueous medium. Different percentages of Ag NPs were dispersed in water and then exposed to the sunlight to monitor the temperature of the suspension. It was found that the temperature of the aqueous medium reached its highest point when 0.3 wt. % of Ag NPs was utilized. This investigation is rare and unique, and it shows that utilizing a small amount of the biosynthesized Ag NPs can increase the temperature of the aqueous medium remarkably.

Fabrication and Characterization of High-Quality UV Photodetectors Based ZnO Nanorods Using Traditional and Modified Chemical Bath Deposition Methods.

Ultraviolet (UV) photodetectors (PDs) based on high-quality well-aligned ZnO nanorods (NRs) were fabricated using both modified and conventional chemical bath deposition (CBD) methods. The modified chemical bath deposition (M-CBD) method was made by adding air bubbles to the growth solution during the CBD process. The viability and effectiveness of M-CBD were examined by developing UV PDs based on ZnO NRs. The ZnO nano-seed layer was coated on a glass substrate utilizing radiofrequency (RF) sputtering. The impact of the different growth-times on morphology, growth rate, crystal structure, and optical and chemical properties were investigated systematically using different characterization techniques, such as field-emission scanning electron microscopy (FE-SEM), X-ray diffraction (XRD) analysis, UV-VIS double beam spectrometer, and energy dispersive X-ray analysis (EDX), respectively. The Al/ZnO UV PDs based on ZnO nanorods were fabricated with optimum growth conditions through the two methods of preparation. This study showed that the synthesized ZnO NRs using the M-CBD method for different growth times possess better properties than the conventional method under similar deposition conditions. Despite having the highest aspect ratio and growth rate of ZnO NRs, which were found at 4 h growth duration for both methods, the aspect ratio of ZnO NRs using the M-CBD technique was comparatively higher than the conventional CBD method. Besides, the UV PDs fabricated by the M-CBD method at 5 V bias voltage showed high sensitivity, short response time, quick recovery time, high gain, low dark current, and high photocurrent compared with the UV PD device fabricated by the conventional CBD method.

Biosynthesis, Characterization and Mechanism of Formation of ZnO Nanoparticles Using Petroselinum Crispum Leaf Extract.

AIM: The study aimed at synthesizing ZnO NPs using Petroselinum crispum extract, commonly known as parsley, as a source of biosynthesis without utilizing chemical agents for reducing, capping and stabilizing agent. BACKGROUND: Recently, the biosynthesis of nanoparticles has been widely explored due to the wide range of vital applications in nanotechnology. Biosynthesized zinc oxide nanoparticles, ZnO NPs, have become increasingly important since they have many applications and are environmentally friendly. METHODS: The innovation of this investigation is that the nanosized ZnO NPs can be formed from one-pot reaction without utilizing any external stabilizing and reducing agent which is not plausible via the current procedures. RESULTS: The biosynthesized ZnO NPs were characterized using UV-Vis spectroscopy, FT-IR spectroscopy, X-ray diffraction (XRD), Field emission scanning electron microscopy (FESEM), Energy-dispersive X-ray spectroscopy (EDX) to investigate the optical, chemical, structural, and morphological properties. CONCLUSION: These techniques exhibited that the property of the biosynthesized ZnO NPs is analogous with the standard NPs prepared from dissimilar methods. Investigating the plausible mechanism of formation and stabilization of ZnO NPs by biomolecules of Petroselinum crispum leaf extract was another vital feature of this study.

Public views of different sources of health advice: pharmacists, social media and mobile health applications.

OBJECTIVES: Investigating public perceptions of community pharmacists (CP) in public health and their use of social media (SM) and mobile health applications (MH apps) in that regard. METHODS: Two surveys were created. One sought public perceptions of SM and the other of MH apps for health advice. Both included a section on perceptions of the role of CPs in public health. A convenience sampling strategy, based on proximity, was used.The study population was the public (n = 8 500 000) living in Greater London. The general public were recruited face-to-face in public spaces. A minimum sample (95% confidence interval/5% margin of error) of 385 was needed. Ethical approval was obtained from the university ethics committee. Responses were analysed in SPSS. KEY FINDINGS: About 820/1800 (45.6%) completed one/both surveys. Respondents seek health advice primarily from GPs, followed by digital mediums and then CPs. Under 35s use digital mediums more frequently (P = 0.039). Those who had used SM (41.7%) or MH apps (61.8%) for health information did not confirm its accuracy with a healthcare professional (HCP). Of those that did (MH apps = 39.2%; SM = 58.3%), the HCP disagreed with the information on MH apps and SM on 19.6% and 36.7% of occasions, respectively. Nevertheless, 64.5% stated that if a SM page was maintained by an HCP they would use it. CONCLUSIONS: The public are using digital mediums for health advice instead of speaking to an HCP. If CPs want to have an impact on public health they must start imbedding digital mediums into their services.

Therapeutic Red Cell Exchange Transfusion as an Adjuvant Therapy for Management of Sickle Cell Crisis in Adults.

Sickle cell crisis is an acute clinical condition, caused due to capillary occlusion by the deformed red blood cells, leading to vaso-occlusive status. Vaso-occlusion is an emergency condition requiring intensive care admission and carries a high mortality. Sickle cell crisis is usually managed with hydration, analgesics, and supportive care. Therapeutic red cell exchange transfusion is advised as an adjuvant, for the management of sickle cell crisis, and it is mainly practiced in the pediatric population. We report an adult case of sickle cell crisis managed with therapeutic red cell exchange transfusion in Intensive Care Unit and successful outcome in patient management.

Influence of enzyme-inducing antiepileptic drugs on trough level of imatinib in glioblastoma patients.

BACKGROUND: Imatinib mesylate is used in combination with hydroxyurea (HU) in ongoing clinical phase II studies in recurrent glioblastoma multiforme (GBM). CYP3A4 enzyme-inducing antiepileptic drugs (EIAEDs) like carbamazepine, phenytoin, and oxcarbazepine--as well as non-EIAEDs like valproic acid, levetiracetam, and lamotrigine--are frequently used in patients with GBM. Since CYP3A4 is the major isozyme involved in the metabolism of imatinib, we investigated the influence of EIAEDs on imatinib pharmacokinetics (pk). METHODS: GBM patients received 600 mg imatinib p.o./o.d. in combination with 1.0 g HU p.o./o.d..together with either EIAEDs, non-EIAEDs, or no antiepileptic drug (non-AEDs) comedication. Trough plasma levels of imatinib and its active main metabolite N-desmethyl-imatinib (CGP74588) were determined biweekly in these patients, total 543 samples being collected from 224 patients (up to 6 times / patient). All three groups were compared to each other and with historical pharmacokinetic data obtained from patients with chronic myeloid leukemia (CML). RESULTS: Mean imatinib trough levels in patients not receiving AEDs ( 1404 ng/ml, CV 64%) and on non-EIAEDs (1374 ng/ml, CV 46%) were comparable with mean imatinib trough levels of the historical control group of CML patients (1400 ng/ml, CV 50%). Mean trough levels of imatinib were reduced up to 2.9-fold (477 ng/ml, CV 70%) in patients treated with EIAEDs. Only slight, but although significant differences were observed in the mean trough level of the metabolite CGP74588 between EIAED-, non-EIAED and no-AED patients, 240 ng/ml (CV 57%), 351 ng/ml (CV 34%) and 356 ng/ml (CV 52%), respectively. The corresponding mean level for CML patients was 300 ng/ml (CV 50%). CONCLUSION: Significant decreases of imatinib and CGP74588 trough levels were observed for patients receiving EIAEDs. The EIAED-induced reduction in trough imatinib levels can be avoided by switching to non-EIAEDs comedication or compensated by administering higher imatinib doses. In addition these data demonstrate that there is no significant difference in the pharmacokinetics of imatinib between patients with glioblastoma and CML.