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1.
Faraday Discuss ; 236(0): 288-310, 2022 08 25.
Artículo en Inglés | MEDLINE | ID: mdl-35543197

RESUMEN

Photoelectron spectroscopy is a characterization technique which plays a key role in device technology, a field requiring, very often, a reliable and reproducible analysis of buried, critical interfaces. The recent advent of laboratory hard X-ray spectrometers opens new perspectives toward routine studies of technologically-relevant samples for the qualification of processes and materials. In this review, the status of hard X-ray photoelectron spectroscopy (HAXPES) implemented with chromium Kα excitation (5.414 keV) and applied to technological research in nanoelectronics is presented. After an account of the role of synchrotron HAXPES and the specific effects to care about at the practical level, different aspects are developed, first for illustrating the benefits of the technique through specific application cases in the field of resistive memories and power transistors. Then, we provide a status update on quantification in HAXPES, both from core-level intensities and inelastic background analysis. Finally, we present preliminary results in a novel analytical field, operando HAXPES, where a prototypical device is operated in situ during the laboratory HAXPES experiment, opening up the possibility of unravelling the mechanisms occurring at buried interfaces and governing device operation.


Asunto(s)
Tecnología , Espectroscopía de Fotoelectrones , Rayos X
3.
Appl Opt ; 59(14): 4527-4532, 2020 May 10.
Artículo en Inglés | MEDLINE | ID: mdl-32400432

RESUMEN

Optical properties of polycrystalline molybdenum are determined from ultraviolet up to extreme ultraviolet by reflection electron energy loss spectroscopy (REELS). Calculations are performed within the dielectric response theory by means of the quantitative analysis of electron energy losses at surfaces QUEELS-ϵ(k,ω)-REELS software [Surf. Interface Anal.36, 824 (2004)SIANDQ0142-242110.1002/sia.1774] that allows the simulation of inelastic scattering cross sections, using a parametric energy loss function describing the optical response of the material. From this energy loss function, the real and imaginary parts of the dielectric function, the refractive index, and the extinction coefficient are deduced and compared with previously published results.

4.
Cancer Radiother ; 24(2): 128-134, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-32224107

RESUMEN

PURPOSE: Shielding disks play an important role in intraoperative electron radiation therapy, and different designs are currently used in clinical practice. This paper investigates the dosimetric impact of the shielding disk used during intraoperative electron radiation therapy (IOERT). MATERIALS AND METHODS: This paper focuses on the study of four shielding disks types that have been used in our clinic: Aluminum (Al)/Lead (Pb), PMMA/Copper(Cu)/PMMA, Aluminum (Al)/Copper (Cu) and Aluminum (Al)/Steel with their specific thicknesses. The theoretical study was conducted with the EGSnrc Monte Carlo (MC) code. On the other hand, the measurements were carried out with gafchromic films for the four shielding disks for the same setup inside the water phantom. Finally, a comparison of the simulated and measured PDD curves was performed for the four material combinations. RESULTS: MC simulation and gafchromic measurements illustrated that dose values under the four shielding disks types were close to 0, whereas the backscattering enhancement of the disks were 103% with Al/Pb shielding disk, 102% with Al/Steel shielding disk, 102% with Al/Cu shielding disk, 95% with PMMA/Cu/PMMA shielding disk. The PDDs values of the gafchromic films in front of the disks were: 107%, 105%, 104%, and 94% for the Al/Pb, Al/Steel, Al/Cu, and PMMA/Cu/PMMA disks respectively. CONCLUSIONS: The dose values above and under the shielding disks were acceptable for the four studied shielding types. Demonstrated it is possible to use any of them clinically, while the best shielding disk was the Al/Pb since it has minimum thickness and a small backscatter enhancement.


Asunto(s)
Electrones/uso terapéutico , Cuidados Intraoperatorios/instrumentación , Método de Montecarlo , Órganos en Riesgo , Protección Radiológica/instrumentación , Aleaciones , Aluminio , Neoplasias de la Mama/radioterapia , Cobre , Diseño de Equipo , Femenino , Corazón , Humanos , Cuidados Intraoperatorios/métodos , Pulmón , Aceleradores de Partículas , Fantasmas de Imagen , Dosificación Radioterapéutica , Costillas , Dispersión de Radiación , Acero
5.
Appl Radiat Isot ; 156: 108975, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31734029

RESUMEN

Determination of the uranium enrichment is an important safeguards verification task, routinely carried out using non-destructive assay methods. The enrichment-meter method is one of the most widely used passive non-destructive X- and gamma-ray based methods used for such tasks. Among its advantages is the highly constrained physical nature of its underlying formalism, allowing it to be used with high-resolution HPGe detectors, as well as with low-resolution NaI detectors. Due to attractive features and spectroscopic performance, CdZnTe and LaBr3(Ce) detectors raised interest in their application to such tasks as well. However, their spectroscopic performance is different to that of the traditional detectors in many ways. Application of the enrichment-meter method requires determination of the net peak areas corresponding to 235U signature photopeaks. The latter requires an adequate algorithm to select the region-of-interest boundaries, which may be sensitive to asymmetrical photopeaks of CZT detectors. In this paper we conduct a performance assessment of a 500 mm3 CZT detector of a quasi-hemispherical design and a 2 × 2 inch LaBr3(Ce) scintillator with the enrichment-meter method using a set of certified uranium standards with enrichment degrees from 0.31% to 4.46% of 235U atomic abundance. We investigate the impact of different methods used for net peak area determination, statistical quality of acquired spectra and size of region-of-interest boundaries on accuracy and uncertainty. We propose an algorithm for symmetrical/asymmetrical region-of-interest boundaries determination and make recommendations on the best combinations of the region-of-interest size and method used for the net peak area determination for each of the detectors. The underlying routines of the algorithm and analysis procedures are described in detail and results are presented.

6.
Front Microbiol ; 10: 2256, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31632372

RESUMEN

A few reports indicate that livestock might represent a new reservoir for carbapenemase-producing Enterobacteriaceae (CPE). In 2015, VIM-1-producing Escherichia coli were detected at slaughter in colon contents of animals from a German fattening pig farm within the national monitoring on ESBL-producing E. coli. In this study, pooled faces samples from pigs, as well as samples from the barn surrounding environment of this fattening farm were taken, to evaluate the dissemination of CPEs. Several modifications of the culture-dependent detection procedure were investigated for their potential to improve the sensitivity of the CPE isolation method. The current reference procedure was adapted by adding a real-time PCR pre-screening and additional enrichment steps. It was possible to isolate 32 VIM-1-producing E. coli from four fecal samples of three different barns using two serial enrichment steps in combination with real-time PCR and selective agar plates. By genetic typing, we confirmed the presence of two E. coli clonal lineages circulating on this particular farm: one was harboring the bla VIM- 1 on an IncHI2 plasmid while the second lineage carried the gene on the chromosome. Despite its different locations, the bla VIM- 1 gene was harbored on a class 1 integron in both clonal lineages. Whole-genome sequencing revealed that the VIM-1-carrying plasmids exhibited only slight variability in its compositions and sizes. We assume that the prevalence of CPEs in animal production in Germany and other European countries might be underestimated and there is a concern of further spread of VIM-1-producing bacteria in German livestock and food.

7.
J Indian Soc Pedod Prev Dent ; 37(2): 209-213, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31249188

RESUMEN

Vascular lesions are indeed very widespread, with vascular tumors numbering the most common tumors in childhood. Researchers and authors frequently use the idiom "hemangioma" to portray or describe vascular malformations and a potpourri of vascular anomalies. Infantile hemangioma, a type of hemangioma, is one of the most common benign vascular tumors in infancy and childhood. As hemangioma could regress spontaneously, it generally does not require treatment unless proliferation interferes with normal function or gives rise to the risk of serious disfigurement and complications unlikely to resolve without treatment. Various methods for treating infant hemangiomas have been documented, including wait-and-see policy, laser therapy, drug therapy, sclerotherapy, radiotherapy, and surgery. However, none of these therapies can be used for all hemangiomas. Hence, to obtain the best treatment outcomes, the treatment protocol should be individualized as per the case.


Asunto(s)
Hemangioma , Terapia por Láser , Niño , Humanos , Lactante , Resultado del Tratamiento
8.
Appl Radiat Isot ; 148: 277-289, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31030087

RESUMEN

Room temperature semiconductor detectors of CdZnTe type have been proposed as possible alternatives to spectrometers based on HPGe and NaI detectors. Attractive spectroscopic performance and portability, as well as continuous improvements in their design and availability in different sizes make them especially competitive in various radiation measurement applications where absence of cooling, small size and significantly better resolution compared to other room temperature detectors are an asset. Among these applications are nuclear safeguards that include uranium and plutonium isotopic composition determination tasks. This paper focuses on the investigation of possibilities and limits of a net peak area based methodology used for the determination of the uranium enrichment without use of calibration standards. Tests are conducted on a room temperature medium resolution spectrometer based on a 500 mm3 CdZnTe sensor of a quasi-hemispherical design using which spectra of different statistical quality are obtained from certified uranium standards. Gamma-ray peaks in the 143-1001 keV energy range are used as uranium gamma-ray signatures. Performance assessment of an intrinsic calibration of the counting efficiency curve is conducted. A hybrid methodology based on a combination of the peak ratios method with Monte Carlo simulations of the counting efficiency curve is proposed for poor quality spectra. Implemented algorithms and analysis routines are described in detail and presented.

9.
Int J Food Microbiol ; 292: 8-12, 2019 Mar 02.
Artículo en Inglés | MEDLINE | ID: mdl-30553180

RESUMEN

The aim of this study was to detect, to quantify and to characterize MRSA in broiler meat samples with skin. Furthermore, we compared an isolation method using a second selective enrichment step (method A) with a simpler method omitting this step (method B). For quantification we used a direct plating method on selective agar plates and a "Most probable number" (MPN) technique for estimation of low numbers of MRSA. Presumptive MRSA colonies were confirmed by MALDI-TOF and by PCR. After confirmation the isolated MRSA were characterized by spa-typing and, if necessary, by multi-locus sequence typing. Method B detected more MRSA-positive samples (16.7%, n = 215) than method A (12.1%). However, method B also produced more false positive results (28.4%).The highest estimated number of MRSA in fresh broiler meat with skin was 1100 MPN/g, but in most positive samples (80.1%) the estimated numbers of MRSA were lower than 10 MPN/g. Thus, the numbers of MRSA in the samples were too low to detect using the spread plate technique. Ten different spa-types were identified. Six of these with 69% of the isolates were assigned to the clonal complex CC398 (t034; t011; t2576; t571; t5452; t1457). Spa-types t1430, t13177 and t899 can be assigned to CC9. Spa-type t304 was identified as MLST-type ST6. In conclusion, we provide quantitative data on low level contamination of fresh broiler meat with MRSA. Most isolated MRSA were from livestock associated spa-types. Omitting the second enrichment step was associated with an increase in sensitivity but lower specificity of the cultural method.


Asunto(s)
Carne/microbiología , Staphylococcus aureus Resistente a Meticilina/aislamiento & purificación , Piel/microbiología , Animales , Pollos , Alemania , Humanos , Ganado/microbiología , Staphylococcus aureus Resistente a Meticilina/genética , Pruebas de Sensibilidad Microbiana , Tipificación de Secuencias Multilocus , Espectrometría de Masa por Láser de Matriz Asistida de Ionización Desorción , Infecciones Estafilocócicas/microbiología
10.
Drug Alcohol Depend ; 184: 26-32, 2018 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-29402676

RESUMEN

BACKGROUND: The United States is in the midst of an opioid epidemic. In addition to other system-level interventions, all states have responded during the crisis by implementing prescription drug monitoring programs (PDMPs). This study examines associations between specific administrative features of PDMPs and changes in the risk of prescription opioid-related poisoning (RxORP) over time. METHODS: This longitudinal, observational study utilized a 'natural experiment' design to assess associations between PDMP features and risk of RxORP in a nationally-representative population of privately-insured adults from 2004 to 2014. Administrative health claims data were used to identify inpatient hospital admissions and emergency department visits related to RxORP. Generalized estimating equation Poisson regression models were used to examine associations between specific PDMP features and changes in relative risk (RR) of RxORP over time. RESULTS: In adjusted analyses, states without PDMPs experienced an average annual increase in the rate of RxORP of 9.51% over the study period, while states with operational PDMPs experienced an average annual increase of 3.17%. The increase in RR of RxORP over time in states with operational PDMPs was significantly less than increases in states without PDMPs. States with specific features, including those that monitored more schedules or required more frequent data reporting, experienced stronger protective effects on the RR of RxORP over time. CONCLUSION: This study examined associations between specific PDMP features and RxORP rates in a nationally-representative population of privately-insured adults. Results of this study may be used as empirical evidence to guide PDMP best practices.


Asunto(s)
Analgésicos Opioides/envenenamiento , Sobredosis de Droga/terapia , Mal Uso de Medicamentos de Venta con Receta/prevención & control , Mal Uso de Medicamentos de Venta con Receta/tendencias , Programas de Monitoreo de Medicamentos Recetados/tendencias , Adulto , Analgésicos Opioides/efectos adversos , Sobredosis de Droga/epidemiología , Servicio de Urgencia en Hospital/tendencias , Femenino , Humanos , Estudios Longitudinales , Masculino , Estados Unidos/epidemiología
11.
Appl Opt ; 56(23): 6611-6621, 2017 Aug 10.
Artículo en Inglés | MEDLINE | ID: mdl-29047953

RESUMEN

Optical properties and electronic transitions of four oxides, namely zinc oxide, ferric oxide, cerium oxide, and samarium oxide, are determined in the ultraviolet and extreme ultraviolet by reflection electron energy loss spectroscopy using primary electron energies in the range 0.3-2.0 keV. This technique allows the evaluation of the optical response in these ultraviolet spectral regions of a thin layer of material, and the analysis is straightforward. It is performed within the dielectric response theory by means of the QUEELS-ε(k, ω)-REELS software developed by Tougaard and Yubero [Surf. Interface Anal.36, 824 (2004)SIANDQ0142-242110.1002/(ISSN)1096-9918]. The method consists basically in the fitting of experimentally determined single-scattering electron energy loss cross sections with a parametric energy loss function of the corresponding material, to the one calculated within a dielectric response formalism. The obtained refractive index and extinction coefficients, as well as the identified electronic transitions are compared, when available, with previously published results.

12.
Radiat Prot Dosimetry ; 161(1-4): 417-21, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24255173

RESUMEN

Inside an IBA proton therapy centre, secondary neutrons are produced due to nuclear interactions of the proton beam with matter mainly inside the cyclotron, the beam line, the treatment nozzle and the patient. Accurate measurements of the neutron ambient dose equivalent H*(10) in such a facility require the use of a detector that has a good sensitivity for neutrons ranging from thermal energies up to 230 MeV, such as for instance the WENDI-2 detector. WENDI-2 measurements have been performed at the Westdeutsches Protonentherapiezentrum Essen, at several positions around the cyclotron room and around a gantry treatment room operated in two different beam delivery modes: Pencil Beam Scanning and Double Scattering. These measurements are compared with Monte Carlo simulation results for the neutron H*(10) obtained with MCNPX 2.5.0 and GEANT4 9.6.


Asunto(s)
Neutrones , Terapia de Protones/métodos , Radiometría/instrumentación , Radiometría/métodos , Algoritmos , Calibración , Simulación por Computador , Ciclotrones , Arquitectura y Construcción de Instituciones de Salud , Alemania , Humanos , Método de Montecarlo , Protones , Dosis de Radiación , Dosificación Radioterapéutica , Reproducibilidad de los Resultados , Dispersión de Radiación
13.
Radiat Prot Dosimetry ; 154(3): 340-5, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-22972796

RESUMEN

The WENDI-II rem meter is one of the most popular neutron dosemeters used to assess a useful quantity of radiation protection, namely the ambient dose equivalent. This is due to its high sensitivity and its energy response that approximately follows the conversion function between neutron fluence and ambient dose equivalent in the range of thermal to 5 GeV. The simulation of the WENDI-II response function with the Geant4 toolkit is then perfectly suited to compare low- and high-energy hadronic models provided by this Monte Carlo code. The results showed that the thermal treatment of hydrogen in polyethylene for neutron <4 eV has a great influence over the whole detector range. Above 19 MeV, both Bertini Cascade and Binary Cascade models show a good correlation with the results found in the literature, while low-energy parameterised models are not suitable for this application.


Asunto(s)
Modelos Estadísticos , Método de Montecarlo , Neutrones , Radiometría/instrumentación , Radiometría/métodos , Programas Informáticos , Simulación por Computador , Diseño Asistido por Computadora , Diseño de Equipo , Análisis de Falla de Equipo , Dosis de Radiación , Reproducibilidad de los Resultados , Dispersión de Radiación , Sensibilidad y Especificidad
14.
Cell Calcium ; 30(6): 413-21, 2001 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-11728136

RESUMEN

Plant cell suspension cultures respond to osmotic changes by alterations in levels of free cellular calcium. Using the aequorin recombinant method, we have measured the spatial and temporal characteristics of calcium signatures in the nucleus and the cytosol of BY-2 tobacco suspension cells challenged with hypo- or hyper-osmotic shock. We show here that the nuclear compartment contributes together with the cytosol to produce calcium signal patterns that discriminate hypo- from hyper-osmotic treatments, i.e. turgor from tension. We also demonstrate that calcium responses in the nucleus and the cytosol are differentially modulated by the strength and the nature of hyper-osmotic treatments. We conclude that qualitative and quantitative changes in the parameters of an external stimulus such as osmotic changes are converted into calcium signatures, distinctive in their temporal and subcellular characteristics, involving both the nucleus and the cytosol. Our results illustrate the versatility of calcium signaling in plant cells. In addition to the physiological 'address' of the cell, the compartmentation of the calcium signal is probably an important parameter in encoding response specificity.


Asunto(s)
Bloqueadores de los Canales de Calcio/farmacología , Señalización del Calcio/fisiología , Núcleo Celular/metabolismo , Citosol/metabolismo , Gadolinio/farmacología , Señalización del Calcio/efectos de los fármacos , Células Cultivadas , Presión Osmótica , Nicotiana/citología
15.
J Soc Biol ; 195(3): 303-8, 2001.
Artículo en Francés | MEDLINE | ID: mdl-11833468

RESUMEN

The Ca2+ cation is fully recognized as an important intracellular second messenger coupling a wide range of extracellular stimuli to characteristic responses in plant cells. Such a pleiotropic effect raises questions regarding the mechanisms by which the signalling pathways, all of then involving an increase in intracellular calcium concentration, can be specific to a given stimulus. Here, we present recent results which shed light into different concepts which may explain the response specificity in signalling processes, such as "the cross-talk between signalling pathways", "the Ca2+ signatures" and "the compartmentation of Ca(2+)-signalling".


Asunto(s)
Calcio/metabolismo , Plantas/metabolismo , Sistemas de Mensajero Secundario , Transducción de Señal
17.
Plant J ; 17(1): 111-8, 1999 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10069072

RESUMEN

We constructed a high-efficiency expression library from Arabidopsis cDNA clones by introducing a poly (dC) stretch at the 5' end of the clones. This library enables the synthesis of proteins from all the cDNA clones present. We have screened the high-efficiency expression library with antibodies raised against total proteins from Arabidopsis plasmalemma and tonoplast. With the positive clones, we have constructed two cDNA ordered libraries enriched in genes encoding plasmalemma (522 clones) and tonoplast proteins (594 clones). Partial sequencing of both libraries shows that a high proportion (47%) of the clones encoded putative membrane proteins, or membrane-associated proteins. When sequenced, 55% of the cDNAs were new EST sequences for Arabidopsis, 26% were similar to genes present in other plants or organisms, and 29% were not referenced in any databank. Immunoscreening of the two cDNA ordered libraries with antibodies raised against proteins from Arabidopsis cells submitted to osmotic stress allows the selection of genes over- and under-expressed in stress conditions.


Asunto(s)
Arabidopsis/genética , ADN Complementario , Biblioteca de Genes , Proteínas de Plantas/genética , Arabidopsis/metabolismo , Secuencia de Bases , Membrana Celular/metabolismo , Orgánulos/metabolismo , Proteínas de Plantas/biosíntesis , Poli C
18.
N Engl J Med ; 333(25): 1670-6, 1995 Dec 21.
Artículo en Inglés | MEDLINE | ID: mdl-7477219

RESUMEN

BACKGROUND: Treatment with angiotensin-converting-enzyme (ACE) inhibitors reduces mortality among survivors of acute myocardial infarction, but whether to use ACE inhibitors in all patients or only in selected patients is uncertain. METHODS: We screened 6676 consecutive patients with 7001 myocardial infarctions confirmed by enzyme studies. A total of 2606 patients had echocardiographic evidence of left ventricular systolic dysfunction (ejection fraction, < or = 35 percent). On days 3 to 7 after infarction, 1749 patients were randomly assigned to receive oral trandolapril (876 patients) or placebo (873 patients). The duration of follow-up was 24 to 50 months. RESULTS: During the study period, 304 patients (34.7 percent) in the trandolapril group died, as compared with 369 (42.3 percent) in the placebo group (P = 0.001). The relative risk of death in the trandolapril group, as compared with the placebo group, was 0.78 (95 percent confidence interval, 0.67 to 0.91). Trandolapril also reduced the risk of death from cardiovascular causes (relative risk, 0.75; 95 percent confidence interval, 0.63 to 0.89; P = 0.001) and sudden death (relative risk, 0.76; 95 percent confidence interval, 0.59 to 0.98; P = 0.03). Progression to severe heart failure was less frequent in the trandolapril group (relative risk, 0.71; 95 percent confidence interval, 0.56 to 0.89; P = 0.003). In contrast, the risk of recurrent myocardial infarction (fatal or nonfatal) was not significantly reduced (relative risk, 0.86; 95 percent confidence interval, 0.66 to 1.13; P = 0.29). CONCLUSIONS: Long-term treatment with trandolapril in patients with reduced left ventricular function soon after myocardial infarction significantly reduced the risk of overall mortality, mortality from cardiovascular causes, sudden death, and the development of severe heart failure. That mortality was reduced in a randomized study enrolling 25 percent of consecutive patients screened should encourage the selective use of ACE inhibition after myocardial infarction.


Asunto(s)
Inhibidores de la Enzima Convertidora de Angiotensina/uso terapéutico , Indoles/uso terapéutico , Infarto del Miocardio/tratamiento farmacológico , Disfunción Ventricular Izquierda/tratamiento farmacológico , Adulto , Inhibidores de la Enzima Convertidora de Angiotensina/efectos adversos , Enfermedades Cardiovasculares/mortalidad , Muerte Súbita , Método Doble Ciego , Femenino , Insuficiencia Cardíaca/etiología , Humanos , Indoles/efectos adversos , Masculino , Infarto del Miocardio/complicaciones , Infarto del Miocardio/mortalidad , Recurrencia , Riesgo , Análisis de Supervivencia , Disfunción Ventricular Izquierda/etiología
19.
J Cardiovasc Pharmacol ; 23 Suppl 4: S60-4, 1994.
Artículo en Inglés | MEDLINE | ID: mdl-7527104

RESUMEN

This double-blind, placebo-controlled, dose-ranging study recruited 170 patients with mild-to-moderate hypertension from nine centers. After a 4-week, single-blind, placebo run-in phase, patients were randomized in a double-blind fashion to four parallel groups that received either placebo or 0.5, 1, or 2 mg trandolapril for 4 weeks. Treatment was administered as a once-daily dose in the morning and blood pressure was measured 24 h after drug intake. The primary criterion of efficacy was a decrease in supine diastolic blood pressure. At the end of the study, the lowest dose of trandolapril that consistently produced a significant difference from placebo in reducing blood pressure was 1 mg (-6.6 mm Hg for supine diastolic blood pressure). It was effective from around 2 weeks onward; the 2-mg dose differed significantly from placebo from around 1 week onward. At the end of the study, the 1- and 2-mg doses were equally effective. The lowest dose tested, 0.5 mg, showed some evidence of an effect on systolic blood pressure and may well prove to be a useful dose in patients who are highly sensitive to the effect of ACE inhibition. Tolerance throughout the study was good for all doses tested.


Asunto(s)
Inhibidores de la Enzima Convertidora de Angiotensina/uso terapéutico , Hipertensión/tratamiento farmacológico , Indoles/uso terapéutico , Adulto , Presión Sanguínea/efectos de los fármacos , Método Doble Ciego , Femenino , Humanos , Indoles/efectos adversos , Indoles/farmacocinética , Masculino , Persona de Mediana Edad , Peptidil-Dipeptidasa A/sangre
20.
J Cardiovasc Pharmacol ; 23 Suppl 4: S73-6, 1994.
Artículo en Inglés | MEDLINE | ID: mdl-7527106

RESUMEN

This multicenter international trial recruited 180 patients from 27 investigators. After a 4-week, single-blind placebo run-in, patients were randomized double-blind to 16 weeks of trandolapril 4 mg o.d. or captopril 50 mg b.i.d. If blood pressure was not normalized at 8 weeks, hydrochlorothiazide (HCTZ) 25 mg was added. Morning predosing supine diastolic blood pressure (DBP) was the primary efficacy measurement. At 8 weeks, the intention-to-treat analysis showed a significant difference for supine DBP (mean +/- SEM) between the two groups: trandolapril -13.5 +/- 0.9 mm Hg; captopril -10.1 +/- 1.0 mm Hg (p = 0.007). The proportion of patients whose blood pressure was normalized was 61% for trandolapril and 44% for captopril (p = 0.02). At 8 weeks, 26% of the trandolapril group received HCTZ compared with 38% taking captopril. The addition of HCTZ further increased the antihypertensive effect in patients who had shown only moderate reductions in blood pressure after drug monotherapy. Both treatments were well tolerated clinically and biochemically. Withdrawals owing to adverse events were three from trandolapril and eight from the captopril group. Trandolapril given once daily is an effective and well-tolerated antihypertensive agent that, in this study, exhibited better efficacy compared with captopril. When blood pressure is not sufficiently controlled with monotherapy, the combination of trandolapril and HCTZ enhances the antihypertensive effect.


Asunto(s)
Inhibidores de la Enzima Convertidora de Angiotensina/uso terapéutico , Captopril/uso terapéutico , Hipertensión/tratamiento farmacológico , Indoles/uso terapéutico , Adulto , Anciano , Captopril/administración & dosificación , Captopril/efectos adversos , Método Doble Ciego , Femenino , Humanos , Hidroclorotiazida/administración & dosificación , Indoles/administración & dosificación , Indoles/efectos adversos , Masculino , Persona de Mediana Edad , Factores de Tiempo
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