分类: 医学、药学 >> 临床医学 提交时间: 2022-12-22
摘要: Objective: Delayed or missed doses are unavoidable in the pharmacotherapy of epilepsy and significantly compromise the efficacy of antiepileptic drug treatment. An inappropriate remedial regimen can cause seizure relapse or serious adverse events. This study investigated the effect of delayed or missed doses on the pharmacokinetics (PK) of valproic acid (VPA) in patients with epilepsy and established remedial dosing recommendations for nonadherent patients. Methods: Monte Carlo simulations are based on all previous population pharmacokinetic models for pediatric, adult and elderly patients with epilepsy. The following four remedial strategies were investigated for each delayed dose: A) A partial dose or a regular dose is taken immediately; a regular dose is taken at the next scheduled time. B) The delayed dose was administered immediately, followed by a partial dose at the next scheduled time. C) The delayed dose and a partial dose are taken; the next scheduled time is skipped, and the regular regimen is resumed. D) Double doses are taken when missed one dose or two doses, and the regular regimen at the subsequent scheduled time is resumed. Results: The recommended remedial dose was related to the delay duration and daily dose. Remedial dosing strategies A and B were almost equivalent, whereas Strategy C was recommended when the delayed dose was close to the next scheduled dose. Strategy D was only suggested for delayed two doses. Conclusion: Simulations provide quantitative insight into the remedial regimens for nonadherent patients, and clinicians should select the optimal regimen for each patient based on the individual's status.
分类: 物理学 >> 地球物理学、天文学和天体物理学 提交时间: 2023-12-15 合作期刊: 《Research in Astronomy and Astrophysics》
摘要: Jet precession has previously been proposed to explain the apparently repeating features in the light curves of a few gamma-ray bursts (GRBs). In this paper, we further apply the precession model to a bright GRB 220408B by examining both its temporal and spectral consistency with the predictions of the model. As one of the recently confirmed GRBs observed by our GRID CubeSat mission, GRB 220408B is noteworthy as it exhibits three apparently similar emission episodes. Furthermore, the similarities are reinforced by their strong temporal correlations and similar features in terms of spectral evolution and spectral lags. Our analysis demonstrates that these features can be well explained by the modulated emission of a Fast-Rise-Exponential-Decay (FRED) shape light curve intrinsically produced by a precessing jet with a precession period of s, a nutation period of s and viewed off-axis. This study provides a straightforward explanation for the complex yet similar multi-episode GRB light curves.