{UTF-8} ******************************************************** .eisen puls ********************************************************~ Simulation: Peter Bützer | Ende= 90 ~ Day [0,360] ~ Ende der Einnahme von Eisentabletten (Tag) | aufnehmen= PULSE TRAIN(Start, Dauer , Wiederholungszeit , Ende )*ka Tablette+ka Nahrung*Dosis ~ mg/Day [0,?] ~ | ka Tablette= 100 ~ mg/Day [0,500] ~ Dosis jeder Tablette | Wiederholungszeit= 7 ~ Day [0,30,0.5] ~ jede Woche = 7 Tage | Dauer= 0.5 ~ Day [0,3] ~ Dauer der Freisetzung aus der Tablette ca. 0.5 Tage | Start= 30 ~ Day [0,?] ~ Start der Einnahme von Eisentabletten (Tag) | freisetzen= kf*mg Speicher ~ mg/Day [0,?] ~ | Aufnahme Faktor= IF THEN ELSE("Serum-Ferritin"/(mg Plasma+0.15)>4, 4, "Serum-Ferritin"/(mg Plasma+0.15\ ) ) ~ Dmnl [0,4] ~ Unterhalb 0.03 mg/L Fe im Blut wird das Eisen besser aufgenommen | ausscheiden= kr*(1-Bioverfügbarkeit*Aufnahme Faktor)*mg Verdauungstrakt ~ mg/Day [0,?] ~ | ku= ln(2)/HWZu ~ 1/Day [0,?] ~ | mg Blut= INTEG ( +resorbieren-eliminieren-speichern-umwandeln+freisetzen, 0) ~ mg [0,?] ~ | mg Plasma= INTEG ( -umwandeln, 0) ~ mg ~ | kf= 0.23 ~ 1/Day [0.001,0.4] ~ Die Freisetzung von Fe aus der Leber hat eine HWZ von ca. 72 Std. | mg Verdauungstrakt= INTEG ( aufnehmen-ausscheiden-resorbieren, 0) ~ mg ~ | HWZu= 0.0694 ~ Day [0,0.1] ~ HWZ von Plasma Fe wurde zu 100 Minuten bestimmt (Lang, S.63) --> 100/(24 x \ 60) = 0.0694 Tage | "Serum-Ferritin"= 0.235*5 ~ mg [0,235] ~ Serum-Ferritin normal 30 - 235 Mikrogramm pro Liter, Annahme: 5 Liter \ Blut: Faktor 5 | speichern= ks*mg Blut ~ mg/Day [0,?] ~ Das Depoteisen macht ca. 20% aus. | umwandeln= ku*mg Plasma-0.00143*ku*mg Blut ~ mg/Day [0,?] ~ Im Plasma hat es ca. 4 mg Fe, im Blut ca 2800 mg | mg Speicher= INTEG ( +speichern-freisetzen, 0) ~ mg ~ | resorbieren= kr*(Bioverfügbarkeit*Aufnahme Faktor)*mg Verdauungstrakt ~ mg/Day [0,?] ~ | Bioverfügbarkeit= 0.1 ~ Dmnl [0,0.4] ~ Mittlere Eisenaufnahme im Darm: 10%; maximal 40% | Dosis= 18 ~ mg [0,100] ~ Dosis von Fe der Nahrung | eliminieren= ke*mg Blut ~ mg/Day [0,?] ~ | HWZe= 568 ~ Day [0,600] ~ Konrad Lang, S.65 (mit Fe-59 bestimmt) | ka Nahrung= 0.1 ~ 1/Day [0,1] ~ Aufnahmegeschwindigkeit pro Tag, hängt von der zugeführten Menge ab, \ entspricht hier der Bioverfügbarkeit | ke= ln(2)/HWZe ~ 1/Day [0,?] ~ | kr= 6 ~ 1/Day [4,8] ~ Aufnahme HWZ ca. 2 - 4 Stunden = 2/24 bis 4/24 Tage --> kr=ln(2)/HWZ | ks= 0.04 ~ 1/Day [0.001,0.06] ~ Der Speicher braucht bei 100 mg Fe-Zufuhr/Tag ca. 90 Tage, bis er vom Blut \ aufgefüllt ist, nachdem das Blut Normalwerte erreicht hat. Das wird mit \ ks=0.04 etwa erreicht. Der Speicher hat dann mit derselben Zufuhr ca. 1/5 \ der Eisenmenge vom Blut. | ******************************************************** .Control ********************************************************~ Simulation Control Parameters | FINAL TIME = 360 ~ Day ~ The final time for the simulation. | INITIAL TIME = 0 ~ Day ~ The initial time for the simulation. | SAVEPER = 0.1 ~ Day [0,?] ~ The frequency with which output is stored. | TIME STEP = 0.1 ~ Day [0,?] ~ The time step for the simulation. | \\\---/// Sketch information - do not modify anything except names V300 Do not put anything below this section - it will be ignored *View 1 $192-192-192,0,Times New Roman|12||0-0-0|0-0-0|0-0-255|-1--1--1|-1--1--1|96,96,100,0 10,1,mg Verdauungstrakt,326,194,58,25,3,131,0,36,0,0,0,0,0-0-0,255-192-128,Helvetica|12||0-0-0 10,2,mg Blut,520,193,36,22,3,131,0,36,0,0,0,0,0-0-0,255-0-0,Helvetica|12||0-0-0 10,3,mg Speicher,522,81,37,23,3,131,0,36,0,0,0,0,0-0-0,255-128-192,Helvetica|12||0-0-0 12,4,48,150,187,8,6,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,5,7,1,4,0,0,22,0,0,0,-1--1--1,,1|(242,187)| 1,6,7,4,100,0,0,22,0,0,0,-1--1--1,,1|(183,187)| 11,7,48,213,187,5,6,34,3,0,0,1,0,0,0 10,8,aufnehmen,213,204,40,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,9,11,2,4,0,0,22,0,0,0,-1--1--1,,1|(459,193)| 1,10,11,1,100,0,0,22,0,0,0,-1--1--1,,1|(405,193)| 11,11,172,430,193,5,6,34,3,0,0,1,0,0,0 10,12,resorbieren,430,210,42,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 12,13,48,690,191,8,6,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,14,16,13,4,0,0,22,0,0,0,-1--1--1,,1|(652,191)| 1,15,16,2,100,0,0,22,0,0,0,-1--1--1,,1|(585,191)| 11,16,48,618,191,5,6,34,3,0,0,1,0,0,0 10,17,eliminieren,618,208,38,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,18,20,3,4,0,0,22,2,0,0,-1--1--1,|12||0-0-0,1|(499,120)| 1,19,20,2,100,0,0,22,2,0,0,-1--1--1,|12||0-0-0,1|(499,158)| 11,20,604,499,141,6,5,33,3,0,0,2,0,0,0 10,21,speichern,458,141,35,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 12,22,48,322,298,8,6,0,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,23,25,22,4,0,0,22,0,0,0,-1--1--1,,1|(322,274)| 1,24,25,1,100,0,0,22,0,0,0,-1--1--1,,1|(322,234)| 11,25,48,322,254,6,5,33,3,0,0,4,0,0,0 10,26,ausscheiden,373,254,45,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,27,ka Nahrung,243,110,42,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,28,kr,370,128,9,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,29,ke,639,129,10,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,30,ks,429,117,10,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,31,27,7,1,0,0,0,0,64,0,-1--1--1,,1|(238,157)| 1,32,1,11,1,0,0,0,0,64,0,-1--1--1,,1|(388,159)| 1,33,2,16,1,0,0,0,0,64,0,-1--1--1,,1|(574,167)| 1,34,28,11,1,0,0,0,0,64,0,-1--1--1,,1|(404,142)| 1,35,2,20,1,0,0,0,0,64,0,-1--1--1,,1|(467,156)| 1,36,29,16,1,0,0,0,0,64,0,-1--1--1,,1|(646,166)| 10,37,Bioverfügbarkeit,430,286,35,19,8,131,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,38,37,25,1,0,0,0,0,64,0,-1--1--1,,1|(358,277)| 1,39,37,11,1,0,0,0,0,64,0,-1--1--1,,1|(442,247)| 1,40,28,25,1,0,0,0,0,64,0,-1--1--1,,1|(389,224)| 10,41,HWZe,662,85,24,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,42,41,29,1,0,0,0,0,64,0,-1--1--1,,1|(674,110)| 10,43,Dosis,184,268,22,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,44,43,7,1,0,0,0,0,64,0,-1--1--1,,1|(226,230)| 1,45,1,25,1,0,0,0,0,64,0,-1--1--1,,1|(350,230)| 1,46,30,20,1,0,0,0,0,64,0,-1--1--1,,1|(458,120)| 10,47,mg Plasma,524,302,33,21,3,131,0,36,0,0,0,0,0-0-0,255-255-128,Helvetica|12||0-0-0 1,48,50,2,4,0,0,22,0,0,0,-1--1--1,,1|(522,226)| 1,49,50,47,68,0,0,22,2,0,0,-1--1--1,|12||0-0-0,1|(522,265)| 11,50,412,522,243,6,5,33,3,0,0,4,0,0,0 10,51,umwandeln,570,243,41,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,52,2,50,1,0,0,0,0,64,0,-1--1--1,,1|(484,230)| 1,53,47,50,1,0,0,0,0,64,0,-1--1--1,,1|(574,285)| 10,54,HWZu,627,297,23,10,8,131,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,55,ku,630,255,10,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,56,55,50,1,0,0,0,0,64,0,-1--1--1,,1|(591,228)| 1,57,54,55,1,0,0,0,0,64,0,-1--1--1,,1|(666,262)| 10,58,"Serum-Ferritin",458,369,30,20,8,131,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,59,Aufnahme Faktor,340,344,37,18,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,60,58,59,1,0,0,0,0,64,0,-1--1--1,,1|(392,370)| 1,61,47,59,1,0,0,0,0,64,0,-1--1--1,,1|(462,342)| 1,62,59,25,1,0,0,0,0,64,0,-1--1--1,,1|(289,298)| 1,63,59,11,1,0,0,0,0,64,0,-1--1--1,,1|(463,248)| 10,64,kf,594,85,8,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,65,67,2,4,0,0,22,0,0,0,-1--1--1,,1|(540,156)| 1,66,67,3,100,0,0,22,0,0,0,-1--1--1,,1|(540,118)| 11,67,332,540,137,6,5,33,3,0,0,4,0,0,0 10,68,freisetzen,582,137,36,10,40,3,0,32,-1,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,69,3,67,1,0,0,0,0,64,0,-1--1--1,,1|(566,113)| 1,70,64,67,1,0,0,0,0,64,0,-1--1--1,,1|(593,106)| 10,71,Start,125,102,19,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,72,Ende,96,141,20,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,73,Dauer,88,187,23,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,74,Wiederholungszeit,77,253,55,25,8,131,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 10,75,ka Tablette,146,57,42,10,8,3,0,32,0,0,0,0,0-0-0,0-0-0,Helvetica|12||0-0-0 1,76,75,7,1,0,0,0,0,64,0,-1--1--1,,1|(184,102)| 1,77,71,7,1,0,0,0,0,64,0,-1--1--1,,1|(176,136)| 1,78,72,7,1,0,0,0,0,64,0,-1--1--1,,1|(156,159)| 1,79,73,7,1,0,0,0,0,64,0,-1--1--1,,1|(156,171)| 1,80,74,7,1,0,0,0,0,64,0,-1--1--1,,1|(157,217)| ///---\\\ :L<%^E!@ 1:Current.vdf 9:Current 23:0 15:0,0,0,1,0,0 19:100,0 27:2, 34:0, 4:Time 5:mg Blut 24:0 25:360.013 26:360.013