Improving the efficiency of measurement procedures for assessing human exposure in the vicinity of mobile phone (GSM/DCS/UMTS) base stations.

Standards stipulate 6-min time interval of averaging for measurements of radio-frequency electromagnetic fields to assess human exposure to non-ionising radiation. Having in mind the base stations of public land mobile systems, the time interval defined in such a way noticeably limits the number of measuring points in practical applications. In this paper, based on the results of measurements in the vicinity of a multisystem base station (Global System for Mobile Communications [GSM], Digital Communication System [DCS] and Universal Mobile Telecommunications System [UMTS]), it was shown that the measurement process can be significantly accelerated by using shorter time intervals of averaging--15 s, 30 s and 1 min. It was found that measurement results differed from the 6-min root-mean-square mean by 10.5 %, 15.9 and 19 %, respectively, while the uncertainty of the measurements was increased by 3.0 %, 3.8 and 4.4 %, respectively. Shorter time-averaging intervals would reduce the total duration of the exposure assessment survey, while not compromising too much on measurement quality.

Population pharmacokinetics of tacrolimus in kidney transplant patients.

OBJECTIVE: The purpose of this study was to derive population pharmacokinetics (PPK) model of tacrolimus clearance, identify and describe factors that influence it in Serbian kidney transplant patients. METHODS: Population pharmacokinetics analysis was performed using nonlinear mixed-effects model (NONMEM) program from Serbian adult kidney transplant patients receiving triple immunosuppressive therapy, including oral tacrolimus. Details of drug dosage history, sampling time and tacrolimus concentration in 63 patients (44 males and 19 females), 27 - 57 years old (age mean 40.88 +/- 7.01 years) were collected retrospectively. Effects of several covariates on tacrolimus clearance were tested: total body weight, gender, age, posttransplantation days, hemoglobin count, CRP, alanine aminotransferase/aspartate aminotransferase, total daily dose of tacrolimus, co-medication with cotrimoxasole, omeprazole, mycophenolate mofetil and prednisone (> 25 mg). RESULTS: Typical mean value of tacrolimus clearance, estimated by the base model (without covariates), in our population was 1.03 l h-1. The final model showed that tacrolimus clearance increased with total daily dose and concomitant administration of high-dose prednisone (> 25 mg). The magnitude of prednisone effect was + 1.16 l h-1. Final model was validated in a group of 17 patients, showing good predictive performance. CONCLUSIONS: The derived model describes well tacrolimus clearance in terms of characteristics of Serbian kidney transplant patients, offering basis for rational individualization of tacrolimus dosing regimens.