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1.
J Chromatogr A ; 1730: 465165, 2024 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-39025026

RESUMO

In liquid chromatography (LC), discrepancies in liquid properties such as elution strength and viscosity lead to a mismatch between the sample diluent and mobile phase. This mismatch can result in peak deformation, including peak splitting or even breakthrough, particularly when large sample volumes are injected. The formation of a T-junction between sample solution and mobile phase flow stream, a technique previously used in supercritical fluid chromatography, is the key enabler of feed injection in LC. This T-junction allows the injection needle to infuse the sample directly into the mobile phase. It ensures that the diluent is continuously mixed with the mobile phase before introduced onto the column, thereby reducing the initial solvent mismatch. The degree of dilution depends on the ratio between mobile phase flow rate (Qmp) and feed rate (Qfeed) at which the sample is infused. Our study examined the effect of several parameters on the feed injection of large sample volumes from purely organic diluents in reversed-phase LC. These parameters included the type of diluent, compound retention factor (k), injected sample volume (Vinj), and Qmp. With varied Qfeed, all compounds revealed a similar range of optimal values for Qr = (Qmp-Qfeed)/Qfeed between 2 and 5, a range unaffected by Vinj and Qmp. For Qr > 5, the slope of the plate height curves (H vs. Qr) decreases with increasing k, potentially extending the range of optimal Qr-values. However, the best Qr-value for a separation is determined by the compound with the smallest k, simplifying optimization. Using feed injection, we were able to reduce plate heights by up to a factor of 8 compared to classic flow-through injection of large sample volumes.


Assuntos
Cromatografia de Fase Reversa , Cromatografia de Fase Reversa/métodos , Solventes/química , Viscosidade , Cromatografia Líquida/métodos
2.
J Chromatogr A ; 1709: 464359, 2023 Oct 25.
Artigo em Inglês | MEDLINE | ID: mdl-37717303

RESUMO

The impact of injected sample volume on apparent efficiency has been studied for very short columns in a systematic way. For large molecules such as therapeutic proteins, it was found that relatively large volumes can be injected onto ultra-short RPLC and IEX columns (i.e. L < 50 mm) without significantly affecting the quality of the separation. This favourable behavior is due to the on-off elution mechanism of large molecules and to the fact that therapeutic protein samples are formulated in aqueous-based media, which is the weakest solvent in RPLC and IEX. Therefore, their peak is strongly focused at the column inlet even when large volume is injected, and pre-column peak dispersion is compensated. However, ultra-short HILIC columns do not seem to be favorable, as they require for very low injection volume to avoid detrimental peak splitting and breakthrough effects. Such peak distortion is related to the inherent solvent mismatch between sample diluent (aqueous) and mobile phase strength (highly organic in HILIC). When studying mass load, the ranking of the elution modes was the same, and the largest relative mass could be injected onto IEX columns (as large as 10% sample to sorbent mass), without affecting the separation quality.

3.
J Orthop Res ; 40(9): 2004-2014, 2022 09.
Artigo em Inglês | MEDLINE | ID: mdl-34994469

RESUMO

The rat surgical anterior cruciate ligament transection (ACLT) model is commonly used to investigate intra-articular osteoarthritis (OA) therapies, and histological assessment is often the primary outcome measure. However, histological changes do not always correlate well with clinical outcomes. Therefore, this study evaluated functional outcomes in the rat surgical ACLT model and compared intra-articular injection volumes ranging from 20 to 50 µl. Unilateral ACLT was surgically induced and static weight-bearing, mechanical allodynia, motor function, and gait were assessed in four groups of male, Sprague-Dawley rats (n = 6 per group). Intra-articular injections of 20 µl Dulbecco's phosphate-buffered saline (DPBS), 50 µl DPBS, or 50 µl of synthetic biomimetic boundary lubricant were administered once weekly for 3 weeks postoperatively. Structural changes were evaluated histologically at 20 weeks. Rat cadaver knees were injected with 20, 30, 40, or 50 µl of gadolinium solutions and were imaged using magnetic resonance imaging (MRI). Static weight-bearing, mechanical allodynia, and gait parameters in ACLT groups revealed differences from baseline and naïve controls for 4 weeks post-ACLT; however, these differences did not persist beyond 6 weeks. Different intra-articular DPBS injection volumes did not result in functional or histological changes; however, peri-articular leakage was documented via MRI following 50, 40, and 30 µl but not 20 µl gadolinium injections. Statement of clinical significance: Differences in functional parameters were predominantly restricted to early, postoperative changes in the rat surgical ACLT model despite evidence of moderate histologic OA at 20 weeks. Injection volumes of 20-30 µl are more appropriate for investigating intra-articular therapies in the rat knee.


Assuntos
Lesões do Ligamento Cruzado Anterior , Cartilagem Articular , Osteoartrite , Animais , Ligamento Cruzado Anterior/diagnóstico por imagem , Ligamento Cruzado Anterior/patologia , Ligamento Cruzado Anterior/cirurgia , Lesões do Ligamento Cruzado Anterior/patologia , Lesões do Ligamento Cruzado Anterior/cirurgia , Cartilagem Articular/patologia , Modelos Animais de Doenças , Gadolínio , Hiperalgesia , Injeções Intra-Articulares , Masculino , Ratos , Ratos Sprague-Dawley
4.
Drug Deliv Transl Res ; 12(5): 1195-1208, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-34024015

RESUMO

Biodegradable polymeric microneedle arrays (BPMNAs) could be explored as potential devices for transdermal drug delivery, which can provide a painless and safe drug delivery method. BPMNAs could also provide high drug-loading capacity and prolonged drug delivery once integrated with a drug reservoir. However, the fabrication of MNAs with a drug reservoir is expensive and requires complicated procedures. The present study was conducted to describe the preparation of a reservoir-based BPMNA containing estradiol valerate using polylactic acid (PLA) with the combination of FDM 3D printing and injection volume filling techniques. The tip size of the 3D printed needles decreased to 173 µm utilizing a chemical etching process. The content of estradiol valerate loaded in the 3D printed PLA MNAs was 29.79 ± 0.03 mg, and the release was in a prolonged manner for up to 7 days. The results of mechanical tests revealed that the force needed for the 3D printed PLA MNAs fracture (900 N) was significantly higher than that needed for their skin penetration (4 N). The successful penetration of 3D printed PLA MNAs through the stratum corneum was confirmed via penetration test, methylene blue staining, and histological examination. The results showed that 3D printed PLA MNAs can penetrate into the skin without reaching to the dermal nerves and puncture of blood vessels. In conclusion, in the current study, we explored the practicability of the preparation of drug loaded reservoir-based BPMNAs using the combination of FDM 3D printing and injection volume filling techniques for painless and prolonged transdermal drug delivery.


Assuntos
Sistemas de Liberação de Medicamentos , Poliésteres , Administração Cutânea , Sistemas de Liberação de Medicamentos/métodos , Estradiol , Agulhas , Preparações Farmacêuticas , Polímeros/química , Impressão Tridimensional
5.
J Chromatogr A ; 1655: 462498, 2021 Oct 11.
Artigo em Inglês | MEDLINE | ID: mdl-34496327

RESUMO

A frequently encountered problem in the practical application of nano- and microflow hydrophilic interaction chromatography (HILIC) columns is the distortion of peak shapes arising from a mismatch between the sample solvent and the mobile phase. An unmatched or improperly matched sample solvent can distort the peak shape of analytes and influence their retention times, thereby affecting the quality of the resulting chromatogram. In this work, the effect of sample solvent composition (mixtures of acetonitrile, water, methanol and isopropanol in different ratios) and injection volume (20-100 nL) was systematically investigated using a selection of neutral and charged compounds on a series of zwitterionic and charged small I.D. (0.1-0.3 mm) HILIC columns. For retained compounds, pure ACN was demonstrated to be the best sample solvent to obtain narrow peaks, while for compounds that eluted very close to the solvent peak, the peak shape was distorted when the sample solvent consisted of pure ACN. A highly aqueous sample solvent, which interferes with the partitioning of polar analytes into the stationary phase, was demonstrated to be detrimental for the peak shape of retained neutral compounds, while for unretained compounds that do not or hardly interact with the stationary phase, a high amount of water in the sample solvent was not problematic. For charged compounds, water in the sample solvent favored the electrostatic attraction with the stationary phase. Therefore, the retention time of charged analytes was shown to increase with increasing water content in the sample solvent. Even when a large amount of water was present in the sample solvent, the peak shapes of these compounds were still acceptable. For highly polar compounds with a limited solubility in aqueous sample solvents, it was found that a mixture of ACN and MeOH or IPA is a good alternative.


Assuntos
Metanol , Água , Cromatografia Líquida , Interações Hidrofóbicas e Hidrofílicas , Solventes
6.
Eur J Pharm Biopharm ; 166: 87-93, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34102300

RESUMO

Injection of biological molecules into the intravitreous humor is of increasing interest for the treatment of posterior segment eye diseases such as age-related degenerative macular degeneration. The injection volume is limited by an increase in intraocular pressure (IOP) and 50-100 µL are typically used for most intravitreally (IVT) applied commercial products. Direct measurement of IOP is difficult and has not been studied dependent on solution properties and injection rates. We used an instrumental set-up to study IOP ex vivo using healthy enucleated porcine eyes. IOP was determined as a function of injection volume for viscosities between 1 and 100 mPas, injection rates of 0.1, 1, and 1.5 mL/min, and needle length and diameter (27/30G and 0.5/0.75″) using Dextran solutions. IOP increased exponentially for injection volumes larger than 100 µL. We did not observe differences in IOP dependent on viscosity, injection rate, and needle diameter. However, variability increased significantly for injection volumes larger than 100 µL and, unexpectedly, declined with higher viscosities. We demonstrate that the exponential increase in IOP is not reflected by injection force measurements for typical configurations that are used for IVT application. The present findings may guide injection volumes for intravitreal injection and inform injection force considerations during technical drug product development.


Assuntos
Pressão Intraocular , Injeções Intravítreas , Soluções Farmacêuticas , Segmento Posterior do Olho , Doenças Retinianas , Viscosidade , Animais , Dextranos/farmacologia , Modelos Animais de Doenças , Sistemas de Liberação de Medicamentos/métodos , Desenho de Equipamento , Injeções Intravítreas/instrumentação , Injeções Intravítreas/métodos , Agulhas , Tamanho do Órgão , Soluções Farmacêuticas/química , Soluções Farmacêuticas/farmacologia , Substitutos do Plasma/farmacologia , Segmento Posterior do Olho/patologia , Segmento Posterior do Olho/fisiologia , Doenças Retinianas/tratamento farmacológico , Doenças Retinianas/fisiopatologia , Suínos
7.
J Pharm Biomed Anal ; 202: 114165, 2021 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-34058536

RESUMO

The purpose of this study is to elucidate uncertainty structures of internal standard (IS) methods as compared with absolute calibration methods in liquid chromatography. A quantitative test of indomethacin with butyl 4-hydroxybenzoate as an IS in high-performance liquid chromatography with ultra-violet detection is taken here as an example. The repeatability is evaluated by both a usual statistical method of repetition and a theoretical approach, called the function of mutual information (FUMI) theory. The latter predicts the precision from noise and signals of instrumental output. Plots of relative standard deviations (RSDs) of measurements against analyte amounts, called precision profiles, are compared between the IS methods for indomethacin and their corresponding absolute calibration methods over a wide range of amount. Sample injection errors are observed to be effectively eliminated at high amounts by the IS methods, but at low amounts where background random noise dominates over the other error, the superiority of the IS methods is overshadowed and the precision of both the methods is almost comparable. The smallest possible amount of IS material without spoiling the integrity of analysis is estimated from the precision profiles.


Assuntos
Indometacina , Calibragem , Cromatografia Líquida de Alta Pressão , Cromatografia Líquida , Japão , Reprodutibilidade dos Testes
8.
Interv Neuroradiol ; 27(5): 695-702, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33631993

RESUMO

BACKGROUND: During diagnostic cerebral angiography, the contrast bolus injected into a vessel can cause substantial changes in baseline pressures and flows. One potential, and serious complication is the re-rupture of aneurysms due to these injections. The goals of this in vitro study were to evaluate the effect of injection conditions on intraneurysmal pressure changes during angiography. METHODS: A silicone replica of a complete circle of Willis model with ophthalmic, anterior communicating, and basilar tip aneurysms was connected to a physiologically accurate flow pump. Contrast injections were performed under different conditions (carotid or vertebral vessel imaging, catheter diameter, injection rate, injection time, and arterial blood flow rate) and the pressure in each aneurysm was recorded before and during each injection. The effect of injection conditions on percentage increase in aneurysm pressures was statistically assessed. Additionally, the effect of the distance between the aneurysm and the catheter-tip on aneurysmal pressures was assessed. RESULTS: Mean intraneurysmal pressures during injection (84.5 ± 10.8 mmHg) were significantly higher than pre-injection pressures (80.4 ± 10.6 mmHg, p < 0.0001). Only 3 of the 5 conditions - carotid injections, higher injection rates, and smaller catheter diameters - significantly increased intraneurysmal pressures. The catheter-tip distance showed no correlation to pressure increases. CONCLUSIONS: Increasing contrast injection rates and decreasing catheter diameters are correlated to intraneurysmal pressure increases during angiography irrespective of the distance to the catheter tip. Future in vivo studies are required to confirm these findings and determine whether the amplitude of pressure increases with commonly used injection rates can be clinically detrimental.


Assuntos
Aneurisma Intracraniano , Dispositivos de Acesso Vascular , Artérias , Catéteres , Angiografia Cerebral , Meios de Contraste , Humanos , Aneurisma Intracraniano/diagnóstico por imagem
9.
J Sep Sci ; 44(3): 752-758, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33247875

RESUMO

2-(4-Chlorophenyl)succinic acid was successfully enantioseparated by countercurrent chromatography using hydroxypropyl-ß-cyclodextrin as chiral selector. A two-phase solvent system composed of n-hexane-ethyl acetate-0.1 mol/L phosphate buffer with pH 2.65 (5:5:10, v/v) was selected. Enantioselective liquid-liquid extraction was used to optimize the enantioseparation conditions. Meanwhile, the influence of injection volume on resolution in countercurrent chromatography was investigated and a linear relationship between the inflection point of injection volume and sample loading was tentatively obtained. The peak resolution will decrease significantly when the injection volume over the inflection point was used. In addition, it could be found that the smaller amount of sample loading, the larger impact of injection volume on resolution could be observed, which might serve as a good reference for the selection of sample volume in enantioseparations by countercurrent chromatography. Under optimized conditions, 20 mg of 2-(4-chlorophenyl)succinic acid racemate dissolved in 10 mL of aqueous phase was successfully enantioseparated by countercurrent chromatography. The recovery for both of the enantiomer of (±)-2-(4-chlorophenyl)succinic acid reached within 70-75% with a purity of 99.0%.

10.
J Chromatogr A ; 1623: 461178, 2020 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-32505281

RESUMO

Estimation of injection volume during a preparative chiral separation can be challenging. Commonly one attempts to maximize the injection volume to reduce total separation time. The factors that limit increasing injection volume are (a) purity constraint(e.g. enantiomeric excess) and (b) criterion of product recovery. Standard industrial practice is to successively inject increasing volume of sample mixture until two adjoining peaks (e.g. peaks of two enantiomers) touch respective baselines. Separation scientists may spend considerable time and material to detect this injection volume before starting the stack-injection run. This increased method-development time increases time spent on the instrument, resulting in decreased efficiency. In this report we demonstrate the utility of a mathematical model-based approach that can be employed for faster estimation of this optimum injection volume. Note that the model does not intend to detect the theoretical maximum injection volume, rather tries to mimic the experimental optimization approach through simulation. The method requires experimental data from one initial trial run as input to predict the final "optimum" injection volume, thus saving time and material compared to situations that require multiple trial runs. The proposed model is simple enough to be implemented in a Microsoft Excel spreadsheet, but offers reasonably accurate estimation. Although the example presented in this report is of preparative separation of a racemic mixture with supercritcal fluid chromatography (SFC), in general the model is applicable to any preparative separation under isocratic conditions where the chromatographic peak follows Langmuir adsorption isotherm behavior. A description of the fundamental basis of the model is presented here along with experimental results that demonstrate its utility.


Assuntos
Cromatografia com Fluido Supercrítico/métodos , Adsorção , Cromatografia Líquida , Modelos Teóricos , Estereoisomerismo
11.
Eur J Radiol ; 129: 109113, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32540584

RESUMO

PURPOSE: Limited data exist on the efficacy of high- compared to low-volume US-guided corticosteroid injections (CI) in the subacromial-subdeltoid (SA-SD) bursa. Our purpose was to compare the short- and long-term efficacy of low- and high-volume injections, by using a capacity reference of SA-SD bursa volume, as assessed on cadaveric specimens. METHOD: Within two years, 136 patients (63 males, 73 females; mean age: 46.11 ±â€¯10.28 years) who underwent SA-SD bursa US-guided CI for subacromial impingement, rotator cuff tendinopathy or shoulder overuse were prospectively included. Patients were randomly assigned to low-volume (1 mL triamcinolone acetonide/40 mg) or high-volume (1 mL triamcinolone acetonide/40 mg, 9 mL anaesthetic agents) groups (67 and 69 patients, respectively). Visual Analogue Scores (VAS) were recorded at baseline, 30 min, 3 weeks, 3 months, 6 months and 1 year post-treatment. Predictors of complete recovery (VAS ≤ 2) at 1 year were analysed with multivariate Cox regression analysis. SA-SD bursa cadaveric dissection in 10 specimens was performed for volume assessment. RESULTS: Injection volume was the only predictor of complete pain resolution at 1 year. High-volume CI yielded higher chances of early pain recovery (2.837 HR, 95% CI 1.737-4.633, P < .001). Mean VAS scores at baseline and subsequent time-points were 6, 2.6, 2.2, 2, 1.6 and 1 for the high-volume and 7.8, 7.3, 4.7, 3.2, 2.5 and 1.8 for the low-volume group, respectively (P < .001, at all time-points). Cadaveric measurements showed a minimum SA-SD bursa volume of approximately 6.9 mL. CONCLUSIONS: High-compared to low-volume US-guided CI are superior for achieving early pain recovery.


Assuntos
Corticosteroides/administração & dosagem , Síndrome de Colisão do Ombro/tratamento farmacológico , Dor de Ombro/tratamento farmacológico , Triancinolona Acetonida/administração & dosagem , Ultrassonografia de Intervenção/métodos , Corticosteroides/uso terapêutico , Relação Dose-Resposta a Droga , Feminino , Humanos , Injeções Intra-Articulares , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Síndrome de Colisão do Ombro/complicações , Articulação do Ombro/diagnóstico por imagem , Articulação do Ombro/efeitos dos fármacos , Dor de Ombro/etiologia , Resultado do Tratamento , Triancinolona Acetonida/uso terapêutico
12.
Artigo em Japonês | MEDLINE | ID: mdl-32201418

RESUMO

This study was designed to clarify the relation between the pressure resistance of an angiographical tube and the amount of contrast medium injected under a connected microcatheter used for interventional radiology (IVR). We investigated the injection pressure and the expansion rate at the center of the tube during contrast enhancement by setting the power injector to 1200 PSI pressure, with 2.0 ml/s injection speed, 10 ml injection volume, 5.0 s injection time, and 0 s rise time for tubes with different pressure resistance performance (low or high). Then we examined the amount of contrast medium material discharged from the microcatheter. The low-pressure resistant tube (less than 140 PSI) injection pressure exceeded the pressure performance. The expansion rate increased to 49%, presenting a risk of rupture. The injection pressure of the high-pressure resistant tube (less than 1200 PSI) was within the pressure-resistance performance. The expansion rate increased to 38%. However, when the contrast medium discharge amount contributing to the image was measured within the injection time under the condition of 10 ml injection for 5.0 s, the former was 2.3 ml and the latter was 4.2 ml. The entire amount was not discharged during the injection period. It became apparent that it is discharged in drips after some time. Results show that the tube expansion caused retention of the contrast medium inside, which decreases the actual amount of the injected contrast medium. From the results, we infer the possibility of preventing reduction of the injected contrast medium amount attributable to expansion.


Assuntos
Meios de Contraste , Tomografia Computadorizada por Raios X , Angiografia , Injeções , Radiologia Intervencionista
13.
J Sep Sci ; 42(24): 3727-3737, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31625267

RESUMO

To circumvent the detrimental effects of large-volume injection with fixed-loop injector in modern supercritical fluid chromatography, the feasibility of performing multiple injection was investigated. By accumulating analytes from a certain number of continual small-volume injections, compounds can be concentrated on the column head, and this leads to signal enhancement compared with a single injection. The signal to noise enhancement of different compounds appeared to be associated with their retention on different stationary phases and with type of sample diluent. The diethylamine column gave the best signal to noise enhancement when acetonitrile was used as sample diluent and the 2-picolylamine column showed the best overall performance with water as the sample diluent. The advantage of multiple injection over one-time large-volume injection was proven with sulfanilamide, with both acetonitrile and water as sample diluents. The multiple injection approach exhibited comparable within- and between-day precision of retention time and peak area with those of single injections. The potential of the multiple injection approach was demonstrated in the analysis of sulfanilamide-spiked honey extract and diclofenac-spiked ground water sample. The limitations of this approach were also discussed.


Assuntos
Cromatografia com Fluido Supercrítico , Mel/análise , Poluentes Químicos da Água/análise
14.
Bioanalysis ; 11(12): 1189-1206, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31204858

RESUMO

Aim: To evaluate alternative analytical strategies to extend the dynamic range in quantitative LC-MS/MS. Methods & results: Two approaches based on prior or no prior knowledge of expected exposure levels were evaluated. These approaches make use of two analytical strategies, which include the use of more than one injection volume or dilution of sample extract with solvents or solvent mixtures. A total of 16 compounds with varying logP values were classified into polar and nonpolar groups and used in this evaluation. From the two analytical strategies, three workflows were derived. Conclusion: All three workflows were successfully evaluated and resulted in good accuracy (80-120%) for all the compound groups.


Assuntos
Cromatografia Líquida/métodos , Espectrometria de Massas em Tandem/métodos , Fluxo de Trabalho , Calibragem , Cromatografia Líquida/instrumentação , Testes de Química Clínica , Controle de Qualidade , Espectrometria de Massas em Tandem/instrumentação
15.
Eur J Pharm Biopharm ; 134: 138-143, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30476539

RESUMO

Three-dimensional printing has become a feasible manufacturing technique for pharmaceutical products providing cheap and accurate freeform systems with a great potential for personalized-dose drugs. Fused Deposition Modeling (FDM) highlights among other 3D technologies due to its low cost and easy to operate but, until now, it has the drawbacks of the low drug loaded and the impossibility to print thermosensitive drugs. So, intermediate processes such as hot melt extrusion are frequently associated with FDM. Here, pharmaceutical dosage forms have been manufactured for the first time with a 3D printer combining two different printing technologies: FDM and injection volume filling (IVF), performing customized extruded scaffolds in which a liquid or semisolid system can be injected at room temperature. A model drug and a pH-sensitive polymer were successfully incorporated during the construction of the extruded backbone of the systems, called printfills (printed systems filled with a liquid or semisolid). SEM microphotographs of printfills show the sealing of the structure in the perimeter and the homogeneity of the colonic film formed in the upper side. Thus, the addition of the pH-sensitive polymer does not need an additional process in a fluidized bed or coating pan. Results from drug release studies performed at different pH confirm the ability of printfills for colon-specific drug delivery. Therefore, IVF technology complements FDM, solving its main limitations providing an easy, automatized and versatile technology to manufacture tailored drug delivery platforms, avoiding other intermediate processes.


Assuntos
Doenças do Colo/tratamento farmacológico , Composição de Medicamentos/métodos , Sistemas de Liberação de Medicamentos/métodos , Fármacos Gastrointestinais/administração & dosagem , Impressão Tridimensional , Administração Oral , Colo/efeitos dos fármacos , Colo/metabolismo , Preparações de Ação Retardada/administração & dosagem , Composição de Medicamentos/instrumentação , Liberação Controlada de Fármacos , Excipientes/química , Fármacos Gastrointestinais/farmacocinética , Concentração de Íons de Hidrogênio , Absorção Intestinal , Mucosa Intestinal/metabolismo , Modelos Biológicos , Ácidos Polimetacrílicos/química , Solubilidade , Comprimidos , Teofilina/administração & dosagem
16.
Acad Radiol ; 26(7): e150-e160, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30076081

RESUMO

RATIONALE AND OBJECTIVES: To assess both the complete aorta and coronary artery disease (CAD) using low iodine contrast computed-tomography angiography before transcatheter aortic valve replacement. MATERIALS AND METHODS: 84 patients underwent computed-tomography angiography before transcatheter aortic valve replacement: 42 with standard iodine injection protocol (P1:120 mL); 42 with a low dose iodine injection protocol (P2:60 mL). Mean attenuation and subjective image quality were rated at different levels of the aorta, iliac and coronary arteries. Sensitivity, specificity, negative and positive predictive values for depiction of CAD were calculated according to the coronary angiography. RESULTS: Mean attenuation was significantly higher in P1 for the ascending aorta (p < 0.001). No significant difference was observed regarding image quality of the aortic valve (p = 0.876), the ascending aorta (p = 0.306), or the abdominal aorta (p = 1.0). Diagnostic image quality of coronary arteries was excellent for P1 and P2 (94.6% vs 96.5%, p = 0.08). Sensitivity, specificity, negative and positive predictive values, and accuracy for depiction of CAD were excellent for P1 and P2 (100% vs 100%; 79% vs 86%, 70% vs 87%, 100% vs 100% and 86% vs 93%) without significant differences (p = 0.93; p = 0.58; p = 0.90; p = 1.0; p = 0.74), respectively. CONCLUSION: Despite a difference in aortic mean attenuation, a reduced iodine injection protocol showed similar image quality and detection of CAD in comparison with a standard injection protocol.


Assuntos
Angiografia por Tomografia Computadorizada/métodos , Meios de Contraste , Angiografia Coronária/métodos , Doença da Artéria Coronariana/diagnóstico por imagem , Intensificação de Imagem Radiográfica/métodos , Substituição da Valva Aórtica Transcateter , Idoso de 80 Anos ou mais , Aorta/diagnóstico por imagem , Doença da Artéria Coronariana/cirurgia , Feminino , Humanos , Iodo , Masculino , Cuidados Pré-Operatórios/métodos , Estudos Retrospectivos
17.
J Pharm Sci ; 105(8): 2255-9, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27378678

RESUMO

Administration into the subcutaneous (SC) tissue is a typical route of delivery for therapeutic proteins, especially for frequent treatments, long-term regimens, or self-administration. It is currently believed that the maximum volume for SC injections is approximately 1.5 mL. Larger SC injection volumes are considered to be associated with injection pain and adverse events at the injection site. However, no controlled clinical studies and actual evidence exist to support this assumption. In this review, we discuss current and publically available data related to SC administration volumes. We conclude that injection volumes higher than 3.5 mL are worth exploring if required for the development of efficacious drug treatments. Studying tissue back pressure, injection site leakage, local tolerability, and injection-related adverse events, such as injection pain, should be considered for the development of higher SC injection volumes.


Assuntos
Anticorpos Monoclonais/administração & dosagem , Reação no Local da Injeção , Injeções Subcutâneas/métodos , Dor , Preparações Farmacêuticas/administração & dosagem , Tecido Adiposo/efeitos dos fármacos , Tecido Adiposo/fisiologia , Anticorpos Monoclonais/química , Humanos , Reação no Local da Injeção/prevenção & controle , Injeções Subcutâneas/efeitos adversos , Dose Máxima Tolerável , Dor/prevenção & controle , Preparações Farmacêuticas/química , Pele/efeitos dos fármacos , Fenômenos Fisiológicos da Pele/efeitos dos fármacos , Tela Subcutânea/efeitos dos fármacos , Tela Subcutânea/fisiologia
18.
J Diabetes Sci Technol ; 10(4): 923-31, 2016 07.
Artigo em Inglês | MEDLINE | ID: mdl-26920640

RESUMO

BACKGROUND: This study compared patient preference for Humalog® KwikPen™ 200 units/mL (insulin lispro; hereafter, IL 200 pen; Eli Lilly and Company, Indianapolis, IN) versus the Humalog KwikPen 100 units/mL (insulin lispro; hereafter, IL 100 pen; Eli Lilly and Company, Indianapolis, IN) in patients with diabetes requiring >20 units of mealtime insulin and diabetes caregivers. This study also determined which attributes had the greatest influence on pen preference selection. METHODS: In this 2-period, crossover, simulated-use study, 106 participants were randomized to 1 of 8 sequences that varied the pen order (IL 100 pen or IL 200 pen) and dosing order (15 units = low dose or 50 units = high dose) for a total of 4 simulated injections. Participants then completed a self-administered questionnaire to select their overall preference between the 2 pens and then rated the importance of 11 pen attributes in contributing to their overall preference. RESULTS: Of the 90 participants expressing an overall preference, significantly more preferred the IL 200 pen to the IL 100 pen (IL 200 pen: 80 respondents; IL 100 pen: 10 respondents; 95% confidence interval [0.81, 0.94], P < .0001). The total amount of insulin in the pen, the ease in pressing the injection button, and the amount of fluid injected were key attributes influencing IL 200 pen preference. CONCLUSIONS: Based on these key attributes, the IL 200 pen was significantly preferred over the IL 100 pen by patients with diabetes who require >20 daily mealtime insulin units or diabetes caregivers and may improve the injection experience for these patients.


Assuntos
Diabetes Mellitus Tipo 1/tratamento farmacológico , Diabetes Mellitus Tipo 2/tratamento farmacológico , Hipoglicemiantes/administração & dosagem , Injeções Subcutâneas/instrumentação , Insulina/administração & dosagem , Adulto , Idoso , Estudos Cross-Over , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Preferência do Paciente , Inquéritos e Questionários
19.
Med Devices (Auckl) ; 8: 473-84, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26635489

RESUMO

AIM: The primary objective of this study was to evaluate the impact of fluid injection viscosity in combination with different injection volumes and flow rates on subcutaneous (SC) injection pain tolerance. METHODS: The study was a single-center, comparative, randomized, crossover, Phase I study in 24 healthy adults. Each participant received six injections in the abdomen area of either a 2 or 3 mL placebo solution, with three different fluid viscosities (1, 8-10, and 15-20 cP) combined with two different injection flow rates (0.02 and 0.3 mL/s). All injections were performed with 50 mL syringes and 27G, 6 mm needles. Perceived injection pain was assessed using a 100 mm visual analog scale (VAS) (0 mm/no pain, 100 mm/extreme pain). The location and depth of the injected fluid was assessed through 2D ultrasound echography images. RESULTS: Viscosity levels had significant impact on perceived injection pain (P=0.0003). Specifically, less pain was associated with high viscosity (VAS =12.6 mm) than medium (VAS =16.6 mm) or low (VAS =22.1 mm) viscosities, with a significant difference between high and low viscosities (P=0.0002). Target injection volume of 2 or 3 mL was demonstrated to have no significant impact on perceived injection pain (P=0.89). Slow (0.02 mL/s) or fast (0.30 mL/s) injection rates also showed no significant impact on perceived pain during SC injection (P=0.79). In 92% of injections, the injected fluid was located exclusively in SC tissue whereas the remaining injected fluids were found located in SC and/or intradermal layers. CONCLUSION: The results of this study suggest that solutions of up to 3 mL and up to 15-20 cP injected into the abdomen within 10 seconds are well tolerated without pain. High viscosity injections were shown to be the most tolerated, whereas injection volume and flow rates did not impact perceived pain.

20.
J Chromatogr A ; 1421: 103-13, 2015 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-26275861

RESUMO

An extension of multi-volatile method (MVM) technology using the combination of a standard dynamic headspace (DHS) configuration, and a modified DHS configuration incorporating an additional vacuum module, was developed for milliliter injection volume of aqueous sample with full sample evaporation. A prior step involved investigation of water management by weighing of the water residue in the adsorbent trap. The extended MVM for 1 mL aqueous sample consists of five different DHS method parameter sets including choice of the replaceable adsorbent trap. An initial two DHS sampling sets at 25°C with the standard DHS configuration using a carbon-based adsorbent trap target very volatile solutes with high vapor pressure (>10 kPa) and volatile solutes with moderate vapor pressure (1-10 kPa). Subsequent three DHS sampling sets at 80°C with the modified DHS configuration using a Tenax TA trap target solutes with low vapor pressure (<1 kPa) and/or hydrophilic characteristics. After the five sequential DHS samplings using the same HS vial, the five traps are sequentially desorbed with thermal desorption in reverse order of the DHS sampling and the desorbed compounds are trapped and concentrated in a programmed temperature vaporizing (PTV) inlet and subsequently analyzed in a single GC-MS run. Recoveries of 21 test aroma compounds in 1 mL water for each separate DHS sampling and the combined MVM procedure were evaluated as a function of vapor pressure in the range of 0.000088-120 kPa. The MVM procedure provided high recoveries (>88%) for 17 test aroma compounds and moderate recoveries (44-71%) for 4 test compounds. The method showed good linearity (r(2)>0.9913) and high sensitivity (limit of detection: 0.1-0.5 ng mL(-1)) even with MS scan mode. The improved sensitivity of the method was demonstrated with analysis of a wide variety of aroma compounds in brewed green tea. Compared to the original 100 µL MVM procedure, this extension to 1 mL MVM allowed detection of nearly twice the number of aroma compounds, including 18 potent aroma compounds from top-note to base-note (e.g. 2,3-butanedione, coumarin, furaneol, guaiacol, cis-3-hexenol, linalool, maltol, methional, 3-methyl butanal, 2,3,5-trimethyl pyrazine, and vanillin). Sensitivity for 23 compounds improved by a factor of 3.4-15 under 1 mL MVM conditions.


Assuntos
Chá/química , Cromatografia Gasosa-Espectrometria de Massas/métodos , Pressão de Vapor , Volatilização
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