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D. Sforza G. Iaria L. Petagna A. Parente A. Anselmo F. Sergi S. Marzio F. Corrado S. Telli T.M. Manzia G. Tisone 《Transplantation proceedings》2019,51(1):140-142
Background
One daily dose of tacrolimus (QDT) improves adherence in kidney transplant (KT) recipients. A switch from twice-daily tacrolimus (BDT) to QDT showed similar efficacy and safety.Methods
The aim of our study was to demonstrate the long-term efficacy and safety of switching from BDT to QDT in KT recipients. Preliminary results have already been published. Forty-one patients (34 men and 7 women), mean age at KT of 43.9 ± 12.7 years, underwent a 1:1 dose switch from BDT to QDT; the mean time from KT to switch was 36.6 ± 16.1 months. In our study population, 4 patients received a living donor KT and 2 received a second allograft.Results
The mean follow-up was 86.8 ± 13 months from the switch and 126.2 ± 22.3 months from KT. Graft and patient survival rates were 90.2% and 95.1%, respectively. All patients maintained stable renal function during follow-up. During the first 3 months after the switch we observed a significant decrease in tacrolimus blood level (P = .0001). No significant differences were observed regarding tacrolimus dose before and after QDT introduction (P = not significant [NS]). Fourteen patients who stopped steroids under BDT treatment and 16 patients who stopped steroids after the switch are currently steroid-free.Conclusion
Our study showed safety and efficacy in switching from BDT to QDT. After early (<1 year) dose adjustment, tacrolimus blood levels remained stable throughout follow-up. Moreover, QDT represented a valid alternative for patients showing steroid side effects. 相似文献17.
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目的:探讨电视胸腔镜胸腺手术的围术期处理方法。方法:2000年1月至2002年8月我院应用电视胸腔镜手术(VATS)进行胸腺手术共lO例。胸腺瘤6例,胸腺囊肿2例,胸腺增生1例,恶性胸腺瘤1例。重症肌无力3例,按Ossermen分型Ⅰ型l例,ⅡA型2例。结果:9例于胸腔镜下完成,l例中转开胸完成,全组无并发症,无一死亡,均治愈出院。结论:适当选择病例、合理的围术期处理是顺利完成胸腔镜胸腺手术的保证。 相似文献
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S. Turkish P. H. Yu A. J. Greenshaw 《Journal of neural transmission (Vienna, Austria : 1996)》1988,74(3):141-148
Summary A behavioural test involving potentiation of the effects of an acute injection of -phenylethylamine (10 mg kg–1 i.p.) was used to assess the time-course of type-B MAO inhibition after administration of (–)deprenyl (5 mg kg–1 i.p.) and of MD 240928 (20 mg kg–1 i.p.) respectively. Potentiation of the effects of -phenylethylamine was observed 1 h after injection of (–)deprenyl or MD 240928. This effect was still evident 120 h after administration of (–)deprenyl but not 24 h after administration of MD 240928. Comparisons of ex vivo estimates of MAO activity yielded a corresponding time-course for the recovery of this enzyme. The extent of MAO inhibition required for potentiation of the effects of -phenylethylamine was inferred from a comparison of the behavioural test results and the ex vivo MAO activity observed after (–)deprenyl administration. These comparisons indicate a significant underestimation of MD 240928-induced MAO inhibition using ex vivo measures. This underestimation is interpreted as evidence fordilution effects in the ex vivo assay of MAO inhibition. The potentiation of effects of -phenylethylamine under the present conditions is proposed as a useful and simple test for effects of reversible type-B MAO inhibitors. 相似文献
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Transient aphasia with lithium toxicity 总被引:1,自引:0,他引:1
J M Krakower 《Psychosomatics》1978,19(1):25-26
A case of transient aphasia in a 48-year-old woman is described. The aphasia occurred when progressive renal insufficiency led to accumulation of lithium to toxic levels, and was associated with well-known clinical findings of lithium toxicity. 相似文献