Biomedical subjects
D Leaper
Publications and source records attributed to D Leaper.
Cancer targets. Speak your wait.
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Postoperative wound infection.
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The pharmacokinetics of meropenem in surgical patients with moderate or severe infections.
The pharmacokinetics of meropenem were studied in a group of 11 surgical patients (four male, seven female; mean age 63 years; mean weight 72 kg) all of whom had moderate or severe infection and who received a mean dose of 14.5 mg/kg +/- 2.7 meropenem 8-hourly iv for a minimum of 4 days. Venous blood samples were collected at timed intervals after the first dose on day 1 and the second dose on the fourth or fifth day of therapy. Serum meropenem concentrations were assayed by HPLC and fitted to a two compartment pharmacokinetic model. The mean pharmacokinetic parameters (+/- standard deviation) on day 1 were T1/2 84.6 +/- 24.1 min, Vdss 0.22 +/- 0.06 L/kg, AUC 6028 +/- 1983.2 mg.min/L, Cltot 188 +/- 67 mL/min and MRT 89.1 +/- 67.8 min. On the fourth or fifth days of therapy the values were T1/2 79.9 +/- 18.2 min, Vdss 0.17 +/- 0.8 L/kg, AUC 6000.7 +/- 2417 mg.min/L, Cltot 190 +/- 60 mL/min and MRT 67.8 +/- 30.4 min. Although the T1/2, Vdss and MRT decreased from day 1 to day 4 or 5 these changes were not statistically significant (Student's t-test, P > 0.05). Total clearance of meropenem was linearly related to creatinine clearance or patient age on the first day of therapy. Although the T1/2 and MRT were longer and the Cltot lower than those reported for young healthy volunteers, they were similar to those found in elderly volunteers.(ABSTRACT TRUNCATED AT 250 WORDS)
APACHE-II score for assessment and monitoring of acute pancreatitis.
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The Conseal continent colostomy appliance: Southmead Hospital experience.
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Wound care: antiseptic solutions.
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Treatment of intra-abdominal infections using imipenem/cilastatin.
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Monotherapy for bacterial peritonitis using cefotetan.
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Intraoperative microbiological sampling is unhelpful after prophylactic antibiotic.
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Leg ulcers: cleaning v healing.
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Total parenteral nutrition--a team for central venous line insertion at the Bristol Royal Infirmary: results of a pilot scheme.
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Reliavac evacuator: a new disposable suction drain: use after mastectomy and cholecystectomy.
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The induction of cystitis and the implantation of tumours in rat and rabbit bladders.
A method of inducing tumour growth in rat and rabbit bladders is described. Tumour induction is dependent on a pre-induced cystitis. In rats, tumour also grows in the kidneys because of species characteristic vesicoureteric reflux. The possible significance is discussed in relation to the management of human bladder tumours.
Understanding perioperative nursing.
Perioperative nursing is a complex arena that involves various roles and procedures. The authors here argue that the key to success is good multidisciplinary communication.
Tissue viability. Antiseptic toxicity in open wounds.
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