AIM: To analyze the clinical features and risk factors of adverse reactions associated with telbivudine. METHODS: Clinical data were collected from cases that presented with serious adverse reactions to telbivudine. W...AIM: To analyze the clinical features and risk factors of adverse reactions associated with telbivudine. METHODS: Clinical data were collected from cases that presented with serious adverse reactions to telbivudine. We analyzed general information and medicine status, clinical features, results of examination, and misdiagnosis. RESULTS: Out of 105 patients who were treated with telbivudine for hepatitis B in an outpatient department from January, 2007 to January, 2008, five presented with serious adverse drug reactions. Most of these five patients had used other nucleoside analogues in the past. Four were treated with a combination of telbivudine and interferon or another nucleoside analogue, while the other received an increased dose of telbivudine. The main adverse reactions were myalgia and general weakness. This was accompanied by cardiac arrhythmia in one patient, and nervous symptoms in three. Serum creatine kinase was elevated. The rate of misdiagnosis was high. CONCLUSION: The adverse reactions were related to telbivudine, but the biological mechanism of the reactions is not yet clear. Combination therapy with interferon or another nucleoside analogue and a high dose may increase the risk of adverse reactions.展开更多
The residue curve maps are considered as a powerful tool for the preliminary design of reactive distillation. The residue curve maps of ethyl acetate synthesis reaction were calculated based on the pseudo-homogeneous ...The residue curve maps are considered as a powerful tool for the preliminary design of reactive distillation. The residue curve maps of ethyl acetate synthesis reaction were calculated based on the pseudo-homogeneous rate-based kinetic model and the NRTL activity coefficient model. The results show that the unstable node branch emerges from the ethyl acetate/water edge, moving toward the chemical equilibrium surface with the increase of Damkoeler value (D), and the node reaches the ternary reactive azeotrope when D-∞ eventually. Conceptual design for the ethyl acetate synthesis of reactive distillation based on the residue curve maps is presented at last.展开更多
文摘AIM: To analyze the clinical features and risk factors of adverse reactions associated with telbivudine. METHODS: Clinical data were collected from cases that presented with serious adverse reactions to telbivudine. We analyzed general information and medicine status, clinical features, results of examination, and misdiagnosis. RESULTS: Out of 105 patients who were treated with telbivudine for hepatitis B in an outpatient department from January, 2007 to January, 2008, five presented with serious adverse drug reactions. Most of these five patients had used other nucleoside analogues in the past. Four were treated with a combination of telbivudine and interferon or another nucleoside analogue, while the other received an increased dose of telbivudine. The main adverse reactions were myalgia and general weakness. This was accompanied by cardiac arrhythmia in one patient, and nervous symptoms in three. Serum creatine kinase was elevated. The rate of misdiagnosis was high. CONCLUSION: The adverse reactions were related to telbivudine, but the biological mechanism of the reactions is not yet clear. Combination therapy with interferon or another nucleoside analogue and a high dose may increase the risk of adverse reactions.
基金Project(2008-XY-6) supported by the Development of Science and Technology Start-up Fund of Fuzhou University, ChinaProject(XRC-0826) supported by the Talents Fund of Fuzhou University, China
文摘The residue curve maps are considered as a powerful tool for the preliminary design of reactive distillation. The residue curve maps of ethyl acetate synthesis reaction were calculated based on the pseudo-homogeneous rate-based kinetic model and the NRTL activity coefficient model. The results show that the unstable node branch emerges from the ethyl acetate/water edge, moving toward the chemical equilibrium surface with the increase of Damkoeler value (D), and the node reaches the ternary reactive azeotrope when D-∞ eventually. Conceptual design for the ethyl acetate synthesis of reactive distillation based on the residue curve maps is presented at last.