The effectiveness of split tablet dosing versus alternate-day dosing of warfarin: a randomized control trial

Due to large dosage variation, a variety of warfarin prescription regimens are utilized for specific doses such as tablet splitting, or pill strength alternating. The clinical comparison between the two is lacking. We hypothesize that both approaches result in different times in therapeutic range. We randomized patients with specific warfarin dosage and stable INR for 6 months or longer to receive the whole tablet, alternate-day dosing or the split tablet, same daily-dosing regimen without initial dose change and followed them every 6 weeks for 6 months. The primary outcome was a time in therapeutic range of 2.0–3.0. The secondary outcomes included dosage, compliance, INR, anticoagulant-related events. A total of 66 patients were enrolled, 32 randomly assigned to the split tablet regimen (group S) and 34 to the alternate-day regimen (group A) with two withdrawers. The mean age was 58.6 ± 8.5 years. All baseline characteristics of both groups were similar. The average time in therapeutic range was 72.8 ± 25.4% in group S and 74.9 ± 22.0% in group A (p = 0.72). There were no significant differences in warfarin dosage, compliance, INR and, complications between the two groups. Both warfarin prescription methods, the split tablet and the alternate-day had comparable time in the therapeutic range.

Adsorption properties and mechanism of uranium by three biomass materials

Wood fibers, bamboo fibers and rice husk were applied to the adsorption of uranium from aqueous solution to understand the uranium adsorption behavior and mechanism by these natural sorbents. The effects of time, adsorbent particle size, pH, adsorbent dosage, temperature and initial concentration were studied using batch technique. The adsorption mechanism was discussed by isothermal adsorption models, adsorption kinetic models. The results suggested that the three biomass adsorbents showed great efficiency of adsorption for uranium. The adsorption capacity of biosorbents of comparatively small particle size and large dosage is quite high. Uranium adsorption achieved a maximum adsorption amount at around pH 3 for wood fibers and bamboo fibers, and around pH 5 for rice husk. All isotherms fitted well to the Langmuir Freundlich and D-R equation, indicating that the adsorption process is favorable and dominated by ion exchange. Rice husk had a highest adsorption capacity, followed by bamboo fibers, while wood fibers had little uranium adsorption under the studied conditions, and the adsorption capacity was 12.22, 11.27 and 11.04 mg/g, respectively. The equilibrium data was well represented by the pseudo-second-order kinetics, indicating that the adsorption rate was controlled by chemical adsorption. Ion exchange was the main adsorption mechanism, and the exchange ions were mainly Na+ and K+.

Experimental Research on Compressive and Shrinkage Properties of ECC Containing Ceramic Wastes Under Different Curing Conditions

Engineered cementitious composites (ECCs) suffer from high shrinkage and low early strength due to large dosage of cementitious materials and slow hydration of fly ash. This study aims to improve compressive properties and reduce drying shrinkage of ECC using ceramic wastes and hydrothermal curing. Experimental results have indicated that ceramic polishing powder (CPP) and recycled ceramic sand (RCS) exert opposite effect on the compressive strength of ECC. Hydrothermal-cured ECC enhances elasticity modulus and compressive strength and reduces later drying shrinkage as compared with that under standard curing. A CPP dosage of 35% and a hydrothermal curing regime with a temperature of 70°C and age of 7 days are recommended for the engineering application of ECC.

The Effectiveness of Split Tablet Dosing Versus Alternate-Day Dosing of Warfarin: A Randomized Control Trial

Due to large dosage variation, a variety of warfarin prescription regimens are utilized for specific doses such as tablet splitting, or pill strength alternating. The clinical comparison between the two is lacking. We hypothesize that both approaches result in different times in therapeutic range. We randomized patients with specific warfarin dosage and stable INR for 6 months or longer to receive the whole tablet, alternate-day dosing or the split tablet, same daily-dosing regimen without initial dose change and followed them every 6 weeks for 6 months. The primary outcome was a time in therapeutic range of 2.0 to 3.0. The secondary outcomes included dosage, compliance, INR, anticoagulant-related events. A total of 66 patients were enrolled, 32 randomly assigned to the split tablet regimen (group S) and 34 to the alternate-day regimen (group A) with two withdrawals. The mean age was 58.6 ± 8.5 years. All baseline characteristics of both groups were similar. The average time in therapeutic range was 72.8 ± 25.4% in group S and 74.9 ± 22.0% in group A (p = 0.72). There were no significant differences in warfarin dosage, compliance, INR and, complications between the two groups. Both warfarin prescription methods, the split tablet and the alternate-day had comparable time in the therapeutic range.

Comparative Studies on Flotation Performance of Saturated Fatty Acids and Unsaturated Fatty Acids Separated from Hogwash Oil

Low flotation recovery, high pulp temperature, and large dosage of reagents are the typical disadvantages when using mixed fatty acids (MFA) prepared from hogwash oil for flotation directly. To determine the type of fatty acid that yields poor flotation performance, flotation performance and adsorption characteristics of saturated fatty acids (SFA) and unsaturated fatty acids (UFA) separated from the MFA were studied in our work. GC-MS, FT-IR, iodine value detection and melting point measurement showed that UFA contained –(CH=CH–CH2)n- groups and had much lower melting point. Quartz flotation tests were used to compare the flotation performance of UFA and SFA, which showed that UFA had excellent low-temperature floatability, and the flotation recovery of UFA was 35 percentage points higher than that of SFA at 20 °C and pH = 11.5. Zeta potential, FT-IR and XPS analysis indicated that UFA and SFA could adsorb onto the surface of activated quartz through chemisorption and hydrogen bonding. However, the adsorption of UFA was much stronger and more favorable; thus, the reason MFA have poor flotation performance was the presence of SFA.