Field-adapted sampling of whole blood to determine the levels of amodiaquine and its metabolite in children with uncomplicated malaria treated with amodiaquine plus artesunate combination

<p>Abstract</p> <p>Background</p> <p>Artemisinin combination therapy (ACT) has been widely adopted as first-line treatment for uncomplicated falciparum malaria. In Uganda, amodiaquine plus artesunate (AQ+AS), is the alternative first-line regimen to Coartem^®(artemether + lumefantrine) for the treatment of uncomplicated falciparum malaria. Currently, there are few field-adapted analytical techniques for monitoring amodiaquine utilization in patients. This study evaluates the field applicability of a new method to determine amodiaquine and its metabolite concentrations in whole blood dried on filter paper.</p> <p>Methods</p> <p>Twelve patients aged between 1.5 to 8 years with uncomplicated malaria received three standard oral doses of AQ+AS. Filter paper blood samples were collected before drug intake and at six different time points over 28 days period. A new field-adapted sampling procedure and liquid chromatographic method was used for quantitative determination of amodiaquine and its metabolite in whole blood.</p> <p>Results</p> <p>The sampling procedure was successively applied in the field. Amodiaquine could be quantified for at least three days and the metabolite up to 28 days. All parasites in all the 12 patients cleared within the first three days of treatment and no adverse drug effects were observed.</p> <p>Conclusion</p> <p>The methodology is suitable for field studies. The possibility to determine the concentration of the active metabolite of amodiaquine up to 28 days suggested that the method is sensitive enough to monitor amodiaquine utilization in patients. Amodiaquine plus artesunate seems effective for treatment of falciparum malaria.</p

Addition of mechanically processed cellulosic fibers to ionomer cement: mechanical properties

In this study, conventional restorative glass ionomer cement (GIC) was modified by embedding it with mechanically processed cellulose fibers. Two concentrations of fibers were weighed and agglutinated into the GIC during manipulation, yielding Experimental Groups 2 (G2; 3.62 wt% of fibers) and 3 (G3; 7.24 wt% of fibers), which were compared against a control group containing no fibers (G1). The compressive strengths and elastic modulus of the three groups, and their diametral tensile strengths and stiffness, were evaluated on a universal test machine. The compressive and diametral tensile strengths were significantly higher in G3 than in G1. Statistically significant differences in elastic modulus were also found between G2 and G1 and between G2 and G3, whereas the stiffness significantly differed between G1 and G2. The materials were then characterized by scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS). Heterogeneously shaped particles were found on the G2 and G3 surfaces, and the cement matrices were randomly interspersed with long intermingled fibers. The EDS spectra of the composites revealed the elemental compositions of the precursor materials. The physically processed cellulosic fibers (especially at the higher concentration) increased the compressive and diametral tensile strengths of the GIC, and demonstrated acceptable elastic modulus and stiffness