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10 100 Gy 100 10, 000 rad ; Bone marrow failure, liver necrosis, pneumonitis and fibrosis, gastrointestinal tract failure 100 1, 000 Gy 10k 100k rad ; Acute radiation syndrome and death Relatively short half-life 138 d ; alpha emitter, soluble, 210Po Respiratory tract Absorption Type, F ; Stannard, 1988 ; Spleen, kidney, red marrow, red cells, liver, testis and other soft tissues, lung 0.01 Gy 1 rad ; No effects 0.01 Gy 1 100 rad ; Minor general tissue damage 1 10 Gy 100 1, 000 rad ; Reductions of lymphocytes and red cells; pneumonitis, kidney, spleen, liver and bone marrow damage 10 100 Gy 100 10, 000 rad ; Severe lymphocyte and red cell reduction; lung, kidney, spleen, liver, and general tissue damage, bone marrow failure; death within 60 d 100 1, 000 Gy 10k 100k rad ; Acute radiation syndrome; death within 30 d.
ABSTRACT The effect of two a-glucosidase inhibitors, acarbose BAY-G-5421 ; and miglitol BAY-M-1099 ; , on postprandial glucose levels following intubation of corn, rice, spaghetti and potato 0.5 g 100 g body wt ; was eval uated in nondiabetic and diabetic rats. The peak plasma glucose level and total incremental glucose were signifi cantly decreased following ingestion of each starch source when acarbose 8 mg 100 g body wt ; or BAY-M-1099 2 mg 100 g body wt ; were simultaneously intubated. The effect of both inhibitors was more pronounced in diabetic rats than in nondiabetic rats, and their effect on digestion was in a substrate-specific manner. Potato starch digestion was inhibited 58 11 %by BAY-M-1099, and by acarbose, 38 9%. Rice starch digestion was inhibited by 65 2% by acarbose, and by BAY-M-1099, only 30 9%. Both drugs had a similar inhibitory effect when corn or spaghetti was ingested. BAY-M-1099 appears to be more potent than acarbose on both a weight-per-weight basis and on a molar basis. When corn or rice was used, only 2 mg of BAY-M-1099 was required to achieve a similar in hibitory effect to that of 8 mg of acarbose 9.7 x 10~3 M vs. 12.2 x IO"3 M ; . Since both drugs blunted to varying degrees the rise in glucose level following starch ingestion, they may be a useful adjuvant in the treatment of diabetic subjects. Simultaneous use of both drugs in therapeutic treatment should be seriously considered. J. Nutr. 119: 2023-2029, 1989.
CYP11B2, CYP17, CYP19, CYP21, 3b-HSD1, 3b-HSD2, 17b-HSD1, and hydroxymethylglutaryl-CoA reductase. These studies demonstrate the versatility of the H295R cell line as a bioassay tool for the assessment of effects on steroidogenic enzymes. It should be kept in mind that alterations in gene expression do not necessarily reflect or result in alterations of catalytic activity. Inhibition of catalytic activity which this review makes clear is an important mechanism by which chemicals interfere with steroidogenesis and endocrine function ; will generally not be detected in such an assay. For example, known inhibitors of aromatase activity such as ketoconazole and aminogluthetimide have no effect on CYP19 expression Hilscherova et al., 2004; Zhang et al., 2005 ; , and it is further known that changes in mRNA levels may in fact reflect an opposite compensatory effect on the catalytic activity of the enzyme. It is also difficult to interpret the importance of slight changes in gene expression caused by a chemical perturbation without the measurement of additional functional effects. A human ovarian granulosa-like tumor cell KGN ; bioassay has recently been used to examine the effects of chemicals on aromatase activity Ohno et al., 2004 ; . This bioassay is also capable of detecting inhibitors and inducers of aromatase activity, although it is not clear if the mechanisms of induction of aromatase are the same as in H295R cells or comparable to normal granulosa cells. Nevertheless, KGN cells may provide a useful ovary-relevant tool for screening endocrine-disrupting chemicals. Clearly, a combination of the measurement of steroid hormone production and the analysis of steroidogenic gene expression, in combination with determination of subsequent hormone signaling events, using several endocrinologically relevant cell systems, will provide a powerful battery of tools for the assessment of interferences with the function of steroidogenic enzymes and function.
Miglitol and hplc
PMNs were obtained by the method of Eggleton, Gargan & Fisher.5 Blood was drawn from healthy volunteers who were not taking medication and placed into K2-EDTA tubes. Four millilitres of the blood were then added to 16 mL ice-cold NH4Cl 0.83% ; and NaHCO3 0.08% ; solutions. After incubation at 4 C for 15 min, the suspension was centrifuged at 55g for 10 min, and the pellet was resuspended in 10 mL the same solution. This procedure was repeated. The final buffy coat was resuspended in Hank's balanced salt solution HBSS ; without calcium or magnesium and adjusted to a concentration of 5.5 106 PMNLs mL. Seventy to eighty per cent of the cells were PMNLs. Viability of white blood cells was determined by Trypan Blue examination, and only preparations containing 95% viable white blood cells were used.
1. 2. 3. Standing Medical Advisory Committee Sub-Group on Antimicrobial Resistance. The Path of Least Resistance. UK: Department of Health; 1998. World Health Organisation. WHO Global Strategy for Containment of Antimicrobial Resistance. WHO; 2001. Ellis-Pegler R. Editorial: Antimicrobial resistance can we, should we do anything about it? N Z Med J. 1999; 112: 249351. Johnston A. Use of antimicrobial agents in veterinary practice. BMJ. 1998; 317: 6657. Wise R, Hart T, Cars O, et al. Editorial: Antimicrobial Resistance is a major threat to human health. BMJ. 1998; 317: 60910. McGregor A, Dovey S, Tilyard M. Antibiotic use in upper respiratory tract infections in New Zealand. Fam Pract. 1995; 12: 16670. Kljakovic M, Durham J. Sore throat diagnosis and management in a general practice afterhours service. N Z Fam Physician. 1999; 26: 4750. PHARMAC. Annual Review 2002. Wellington: PHARMAC; 2002. Gardner T, Dovey S, Tilyard M, et al. Differences between prescribed and dispensed medications. N Z Med J. 1996; 109: 6972.
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TABLE 5. SELECTED DRUGS THAT CAN CAUSE DIARRHEA Continued from page 4 ; Antineoplastics Aldesleukin Interleukin-2 Proleukin ; Capecitabine Xeloda ; Fluorouracil 5-Fu ; Adrucil ; Mitoxantrone Novantrone ; Oral Hypoglycemics Acarbose Precose ; Gastrointestinals Lactulose Chronulac ; Misoprostol Cytotec ; Sorbitol Antigout Colchicine Colchicine ; Imatinib Mesylate Gleevec ; Methotrexate Methotrexate, Rheumatrex ; Metformin Glucophage ; Magnesium Magonate Milk Of Magnesia ; Metoclopramide Hcl Reglan ; Carboplatin Paraplatin ; Irinotecan Camptosar ; Paclitaxel Taxol ; Miglitol Glyset.
Proteins created by the immune system to destroy HIV. The presence of the antibodies indicates HIV infection because these antibodies form in the body only when HIV is present. HIV antibodies form anywhere from five weeks to three months after HIV infection occurs, depending upon the individual's immune system. The antibodies are produced continually throughout the course of the infection. There is a "window period" which is the time it takes the body to produce antibodies after HIV infection has begun. For the vast majority of those who will test positive, antibodies to HIV will develop within 4-6 weeks after exposure. Thus, to receive a reliable test result, it is necessary to wait at least three months 13 weeks ; after the last possible exposure to the virus before being tested. Getting tested before three months may result in an unclear result or a false negative. Some testing centres may recommend testing again at six months. All but less than 1% of those who are going to seroconvert will do so within three months seroconversion is the development of detectable antibodies to HIV in the blood as a result of infection. ; It is extremely rare for seroconversion to take more than six months to develop detectable antibodies. There are a number of tests for the presence of the HIV virus. Generally speaking, these tests yield conclusive results within 48 to 72 hours after infection has occurred. However, in some cases, it can take as long as 28 days for results to be considered accurate. Some of these tests are described below. The ELISA AND WESTERN BLOT TEST The standard test for detecting HIV antibodies in the blood is the enzyme-linked immunosorbent assay ELISA ; . In this test, a blood sample is mixed with proteins from HIV. If the blood contains HIV antibodies, they attach to the HIV proteins, producing a telltale colour change in the mixture. This test is highly reliable when performed two to three months after infection with HIV. The test is less reliable when used in the very early stage of HIV infection, before detectable levels of antibodies have had a chance to form. Doctors routinely confirm a positive result from an ELISA test by using the Western Blot test, which can detect lower levels of HIV antibodies. In this test a blood sample is applied to a paper strip containing HIV proteins. If HIV antibodies are present in the blood, they bind to the HIV proteins, producing a color change on the paper. The combination of the ELISA and the Western Blot test is more than 99.9 percent accurate in detecting HIV infection within 12 weeks following exposure and minoxidil.
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The oocytes were placed one at a time in droplets of HEPESbuffered Earle's medium. Single sluggishly motile or immotile spermatozoa were selected and aspirated one by one with a 15 im tip diameter ; pipette and transferred into the injection dish containing a droplet of 5 u, l HEPES-buffered Earle's medium, before being transferred into a droplet of 10% polyvinylpyrrolidonc PVP; P5288; Sigma Chemical Co. ; . The ICSI procedure Van Steirteghem et aL, 1993 ; was performed on the heated stage of an inverted microscope IMT-2; Olympus Corporation, Tokyo, Japan ; . The microscope was equipped with two coarse positioning manipulators MM-188; Narishige Co. Ltd ; . A selected spermatozoon was immobilized by touching the tail before it was aspirated, tail first, into the injection pipette. Touching of the tail was performed even in the presence of a totally immotile sperm sample. The oocyte was held with a holding pipette, with the polar body at the 12 or 6 o'clock position. The injecting pipette containing the spermatozoon was introduced across the zona pellucida and into the oocyte's cytoplasm. A small part of the cytoplasm was aspirated as cytoplasmic breakage was observed. The spermatozoon and the cytoplasm were ejected, and the injecting pipette was withdrawn gently. The injected oocytes were placed into a four-well Nunc dish for incubation. Assessment of fertilization, embryo cleavage and establishment of pregnancy The oocytes were observed for the presence of pronuclei 16-18 h after ICSI. Fertilization was assessed as normal when two clearly distinct pronuclei containing nucleoli were visible. The state of embryo cleavage and quality were assessed after a further 24 h of in-vitro culture. Embryos were evaluated according to the blastomere size equality and the relative proportion of anucleate fragments. A maximum of four embryos were transferred in exceptional cases when all the available embryos had 50% fragmentation. Pregnancy was confirmed by increased serum HCG concentrations 12 and 16 days after embryo transfer. Clinical pregnancy was diagnosed by ultrasonography at 7 weeks of pregnancy. All couples were counselled and agreed to have prenatal diagnosis. Prenatal diagnosis was performed by amniocentesis at 16 weeks of pregnancy. Couples were also informed about a prospective follow-up study of the children bom after ICSI. Statistical analysis Statistical tests were performed using the StatView 4.0 package BrainPower Inc., Calabasas, CA, USA ; on a Macintosh PowerBook 160 personal computer. A statistical analysis between the different groups was performed using the Mann-Whitney U and %2 tests, as needed. The correlation between FSH concentration, testicular volume, testicular tissue biopsy result and the success of TESE was analysed by multiple and logistic regressions.
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Physicians and pharmacists: please refer to this list when prescribing dispensing medications for americhoice of new york members.
Renal function miglitol not recommended if serum creatinine is more than 2 mg dl and mirapex.
1. Porter TR, Xie F, Kricsfeld D, Armbruster RW. Improved myocardial contrast with second harmonic transient ultrasound contrast response imaging in humans using intravenous perfluorocarbon-exposed sonicated dextrose albumin. J Coll Cardiol 1996; 27: 1497501. Porter TR, Li S, Kricsfeld D, Armbruster RW. Detection of myocardial perfusion in multiple echocardiographic windows with one intravenous injection of microbubbles using transient response second harmonic imaging. J Coll Cardiol 1997; 29: 7919. Kaul S, Senior R, Dittrich H, Raval U, Khattar R, Lahiri A. Detection of coronary artery disease using myocardial contrast echocardiography: comparison with 99mTc-sestamibi single photon emission computed tomography. Circulation 1997; 96: 78592. Porter TR, Li S, Jiang L, Grayburn P, Deligonul U. Real time visualization of myocardial perfusion and wall thickening in humans with intravenous ultrasound contrast and accelerated intermittent harmonic imaging. J Soc Echocardiogr 1999; 12: 266 Cwajg J, Xie F, O'Leary E, Kricsfeld D, Dittrich H, Porter TR. Detection of angiographically significant coronary artery disease with accelerated intermittent imaging following intravenous ultrasound contrast. Heart J 2000; 139: 675 Simpson DH, Chen CT, Burns PN. Pulse inversion Doppler: a new method for detecting nonlinear echoes from microbubble contrast agents. IEEE Trans Ultrason Ferroelect, Freq Contr 1999; 46: 372 Uehata A, Matsuguchi T, Bittl JA, et al. Real-time contrast echo assessment of myocardial perfusion at low emission power: first.
| Miglitol information62 Table 5. Characteristics of the assays used and mitomycin.
Table 2. Relative dose intensity RDI ; and number of cycles received in the overall population of patients No. of patients analysed n ; Mean RDI % range ; No. of patients receiving: 80% of planned DI 50 to 80% of planned DI 50% of planned DI No. of patients receiving: 6 cycles 45 cycles 3 cycles 229 90% ; 8 3% ; 17 7% ; 199 78% ; 39 16% ; 16 6% ; 254 90 8129 ; Mean RDI % 95% CI ; Range ; No. of patients receiving: 80% of planned DI 97 76% ; 102 81% ; 20 16% ; 4 3% ; 50 to 80% of planned DI 19 15% ; 50% of planned DI No. of patients receiving: 6 cycles 45 cycles Table 3. Grade 3 and 4 non-haematological toxicities CMF Relative dose intensity 80% n 254 ; % ; Asthenia Nausea Mucositis Infection Alopecia grade 2 ; 3 11 199 ; % ; 2.5 11 1 n 5.0 11 7 Institution 1 Institution 2 Institution 3 Institution 4 Table 5. Relative dose intensity RDI ; of CMF regimen related to participating institution No. of patients with RDI 80% % ; 23 112 21 ; 9 30 cycles 112 88% ; 4 3% ; 12 9% ; 117 93% ; 4 3% ; 5 4% ; 12 9% ; Table 4. Relative dose intensity and cumulative doses related to patient's age Patient age 50 n 128 ; 88 8493 ; 8129 ; 50 n 126 ; 92 8996 ; 17127.
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| Hentschel, J. 1998 ; : Distinguishing between types of data and methods of collecting them. - World Bank, Washington Policy Research Working Papers 1914 ; . Retrieved from : wwwwds.worldbank external default WDSContentServer IW3P IB 1998 04 01 Rendered PDF multi page , viewed: 18.8.2006 and miglitol.
Take each dose of miglitol with the first bite of a main meal and modafinil.
Using the originally identified cut-off score of 45 points, only 26% patients in another study [21] were identified as being at risk of falling, whereas the same cut-off score identified 51% patients as being at risk of falling in the present study. This difference may be explained by the heterogeneity of the other sample, with patients enrolled from acute, rehabilitation and long-term care units, whereas the present study may reflect a more homogenous sample in relation to fall risk factors despite a variety of medical diagnoses. Additionally, in the original prospective study [21], the fall risk status of the patients was assessed at different points of time during their hospital stay, whereas in the present study all patients were screened for risk of falling at admission. This and the prospective follow-up during the patient's hospital stay allowed calculation of the diagnostic value of the MFS-G in relation to its predictive power. Only one other study [9] scored patients at admission and performed ROC analysis. In that study, an MFS cut-off score of 45 points identified 75% of the patients as at risk of falling with a false positive rate of 82%. The same cut-off in the present study resulted in a false positive rate of 81%, but.
The diagnostic criteria of impaired antibody response. There are no universal criteria for adequate antibody response to polysaccharides and each laboratory should establish its own [2]. This is particularly important because of the therapeutic implications. Treatment of symptomatic patients with a lack of antibody response is performed with periodic administration of intravenous immunoglobulins Ig ; at a high cost, dependent on healthcare centres and potential side-effects [3]. For this reason, strict diagnostic criteria must be established. It is interesting to note that VAN KESSEL et al. [1] used different criteria for the response with total antibodies to the serotypes 3, 4 and 9V, in which the post-vaccination titre should be .20 U?mL-1 with at least a two-fold increase for two of the three serotypes, and to the isotypes IgA and IgG2 of the six serotypes studied, in which response was defined individually for each serotype as post-immunisation concentrations .50 U?mL-1 and an isotype responder had to have a positive IgA and or IgG2 response to more than four out of six of the serotypes. The reason for these criteria are not clear and should be based on the knowledge of the response of healthy individuals. With their criteria, a patient could potentially be classified as a reponder if he she presented post-immunisation concentrations of IgA .50 U?mL-1 to five of the six serotypes, but with low concentrations of IgG2 to all serotypes. The clinical meaning of the antibody response with the different isotypes is not equivalent. As an example, the clinical manifestations of patients with IgA deficiency in the form of respiratory infections are due, in great part, to the possible association of an IgG-subclass deficiency, particularly IgG2 deficiency [4, 5]. The usefulness of their response criteria can be validated, at least in part, with the clinical characteristics of the responder and nonresponder patients. There were very few, nonsignificant and probably not clinically meaningful differences between the group of responders and nonresponders. Only the number of resected segments was significantly different in both groups, but it would be interesting to see the number of patients requiring surgery in both groups. This result could be subjected to possible bias in a case in which a single severe patient requiring extensive surgery was included in the group of nonresponders [1]. The next query refers to the meaning of the lack of response to individual serotypes of S. pneumoniae. The immunological interest is clear, but the clinical meaning is controversial. It would be very informative to know the clinical characteristics of the four patients classified as nonresponders by showing post-vaccination total antibody titres below the threshold and comparing them with the remaining 22 patients [1]. In contrast, the lack of response with a particular isotype of Ig to one or some individual serotypes can potentially be less harmful than the lack of response with total IgG or IgG2 to all serotypes considered together. This last condition may be a marker of a more profound impairment in antibody response and, if this impairment is also observed against conjugated polysaccharides such as the Haemophilus influenzae type B Hib ; vaccine in a patient with recurrent respiratory infections, it is a criterion for Ig replacement therapy [6]. This lack of response to both vaccines is a characteristic of patients with a severe immune impairment [6]; however, it is not at all clear that the lack of and modicon.
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