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This book has its origin in my experience as a teacher of
pharmacokinetics in many universities in four different continents.
It was not my intention to write a popular book; what distinguishes
this one from many others on the same subject is its large use of
algebra and calculus. For this I make no apologies; in fact a
serious study of pharmacokinetics without the help of mathematics
is, in my opinion, impossible. The exact definition of many
pharmacokinetic quantities, even the most common, and the correct
use of many equations, even the most simple, requires the constant
use of mathematical language. On the other hand I have made a
considerable effort to use only elementary algebra and elementary
calculus, as commonly taught in most introductory university
courses. For the few exceptions, when less common mathematical
concepts were needed, I have supplied the necessary explanations in
four appendices. The first three chapters are a general
introduction to the scientific method. Chapters 4 to 12 show
different specific methods to deal with pharmacokinetic pr- lems.
There is considerable overlap among those chapters; this is
intentional and its p- pose is to convince the reader that every
problem can be solved in more than one way, including ways that
were not mentioned in this book and that intelligent readers can
find for their own pleasure. Chapters 13 to 17 show how different
parameters of importance in pharmacokinetics can be exactly defined
and measured.
This book has its origin in my experience as a teacher of
pharmacokinetics in many universities in four different continents.
It was not my intention to write a popular book; what distinguishes
this one from many others on the same subject is its large use of
algebra and calculus. For this I make no apologies; in fact a
serious study of pharmacokinetics without the help of mathematics
is, in my opinion, impossible. The exact definition of many
pharmacokinetic quantities, even the most common, and the correct
use of many equations, even the most simple, requires the constant
use of mathematical language. On the other hand I have made a
considerable effort to use only elementary algebra and elementary
calculus, as commonly taught in most introductory university
courses. For the few exceptions, when less common mathematical
concepts were needed, I have supplied the necessary explanations in
four appendices. The first three chapters are a general
introduction to the scientific method. Chapters 4 to 12 show
different specific methods to deal with pharmacokinetic pr- lems.
There is considerable overlap among those chapters; this is
intentional and its p- pose is to convince the reader that every
problem can be solved in more than one way, including ways that
were not mentioned in this book and that intelligent readers can
find for their own pleasure. Chapters 13 to 17 show how different
parameters of importance in pharmacokinetics can be exactly defined
and measured.
The NATO Advanced Study Institute on "Cerebral Blood Flow:
Mathematical Models, Instrumentation, and Imaging Techniques" was
held in L'Aquila, Italy, June 2-13, 1986. Contributions to this
program were received from the University of L'Aquila, Consiglio
Nazionale delle Ricerche, Siemens Elettra S.p.A., and Bracco S.p.A.
Recent studies of the cerebral blood circulation have lagged behind
analysis of other parameters such as glucose utilization,
transmitter distribution, and precursors. This Advanced Study
Institute tried to fill this gap by analyzing in detail different
physical techniques such as Autoradiography (including
Double-Tracer Auto radiography and highly specific tracers as
Iodoantipyrine, Micro spheres), Single Photon Emission Computed
Tomography, Nuclear Magnetic Resonance. Each method was analyzed in
regards to its precision, resolution, response time. A considerable
part of this Institute was devoted to the mathematics of CBF
measurement, in its two aspects, i.e. the modeling of the
underlying kinetic system and the statistical analysis of the data.
The modeling methods proposed included the development of a
differential algebra whereby the differential and integral
equations involved could be solved by simple algebraic methods,
including graph theoretical ones; the statistical methods proposed
included the illustration of different parametrizations of possible
use in the interpretation of experimental results.
The last decade or so has witnessed tremendous progress in
methodology in the field of drug development in general and
pharmacokinetics in particular. Clinical pharmacokinetics is using
new tools for probing into the "black box" once being ac cessible
only partly through experimental techniques and, mostly through
mathemati cal and computer means. Development of computerized
scanning, positron emission tomography (PET), stereoselectivity and
other techniques are now enabling investi gators to have better
pictures of the systems they are studying. Mathematical models
through computer simulation and statistical estimation, mostly due
to easy access be cause of inexpensive yet powerful personal
computers, are enabling us to investigate ultrastructures and their
functional connectivity in more detail. As a consequence, new
hypotheses are being formed and tested in various related fields.
In clinical pharmacokinetics, mostly due to mathematical modeling,
more accurate interspecies scaling of pharmacokinetic parameters
and dosimetry can be done now-a-days. The concept of "a human is a
bigger rat" does not necessarily fly as a consequence.
Pharmacokinetic concepts are becoming powerful tools in meaningful
carcinogenic and toxic risk extrapolation of different chemicals in
humans. New dose delivery designs are being formulated using
pharmacokinetic techniques for different pharmaceutical compounds.
Investigations continue in the academia, research institutions,
pharmaceutical, biotechnological, and agricultural industries in
developmental and physiological aspects of different chemicals for
the benefit of mankind. The idea of a school on "New Trends in
Pharmacokinetics", from which the present pUblication was made
possible, took shape over almost a year.
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La Ricerca (Italian, Paperback)
Aldo Rescigno; Edited by Luisa Frisia; Compiled by Ute Buehler
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