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Because of the better tolerability of NSAIDs, patients with long-standing RA will continue to use them, even though the risk of side effects will increase with aging and long term-use. Roth and Bennettj5 have reported that elderly women with end-stage RA are particularly at risk for gastropathy. A second rriajor concern in the elderly individual with end-stage RA is the adverse t-: ffects of NSAIDs on renal function." Selected potential adverse reactions of the NSAIDs as a class of drugs are presented in Table 2. Some discussion of drug interactions is in order, although an in-depth discussion of these interactions is outside the scope of this article. Because NSAIDs are taken primarily by elderly patients with RA and concomitant diseases, it is likely they will be taking other medi and rythmol.
Owens et al 1999: 897; Edwards, Symonds & Warnes 2001: 1778; Edwards & McMillen 2001: 561; Robinson, Owens & Owens 1994: 83; Phillips, Simonetta & Owens et al 1996: 861; Hoet & Hanson 1999: 617; Tangalakis, Lumbers & Moritz et al 1992: 709; Wood, Cheung & Brace 1987: 904; Unno, Wong & Jenkins 1999: 248 ; . 4.5.1.3 Blood plasma pathology reports Maternal blood plasma samples were collected and analized during the 6 th week of gestation. The pathology reports were compared with normal range values, as depicted in table 4.3 below. Table 4.3 Results of blood plasma analyses for Rubella antibodies during the 6 th week of gestation Test Description Result Range.
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Although randomized trials had demonstrated that chemotherapy provides survival and symptomatic benefits in patients with advanced gastric cancer over supportive care alone 36 ; , these benefits were fairly modest. Until recently, 5FU and or cisplatin-based combination chemotherapy has been commonly used, but the continuing lack of substantial progress in advanced gastric cancer with such chemotherapeutic regimens has prompted investigators to evaluate new agents and or drug combinations including docetaxel, paclitaxel, irinotecan, capecitabine, S-1, etc.
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Count at entry was 1200 cells l in the present study, while it is generally set at 1500 cells l. In addition, the protocol of the present study did not specify a lower limit of leukocyte count as an entry criterion. The present analysis revealed that grade 3 or greater hematological toxicities that derive mainly from leukopenia and neutropenia were observed more frequently in females than in males by univariate and multivariate analyses. This difference may mainly be ascribed to the differences in baseline counts of leukocytes and neutrophils in females and males. In females, the mean numbers SD ; of leukocytes and neutrophils at baseline 3700 1200 cells l and 2300 1000 cells l, respectively ; were lower than those found in males 5400 2300 cells l and 3000 1000 cells l, respectively ; . Although only three patients developed grade 3 or greater thrombocytopenia, the development was associated with high LDH P 0.02 ; and worsened PS P 0.02 ; , as determined by Fisher's exact probability test data not shown in Table 4 ; . By univariate analysis, leukopenia was more frequent in patients with elevated LDH. Accordingly, patients with elevated LDH or worsened PS should be monitored more frequently than other patients for the development of hematological toxicities. Most patients with elevated LDH, extranodal disease and or worsened PS before rituximab treatment had also high tumor burden in the present study. The frequent appearance of higher-grade toxicities observed in these patients may be associated with the release of cytokines such as tumor necrosis factor-alpha TNF- ; , interleukin-6 IL-6 ; , interleukin-8 IL-8 ; and interferon gamma IFN- ; due to the tumor destruction by rituximab. Winkler et al. reported that there were elevations of TNF- and IL-6 in the serum of patients with chronic lymphocytic leukemia CLL ; and with a high number of circulating tumor cells 50.0 109 l ; after receiving the first rituximab infusion [39]. Byrd et al. reported that IL-8 and IFN- were also increased in addition to the increase of TNF- and IL-6 in patients with CLL and SLL, who experienced significant infusion-related toxicities [40]. According to prospective PC analysis, the ORRs obtained in the present study in relapsed indolent B-cell lymphoma and MCL were 61 and 46%, respectively. These response rates are comparable to those obtained in other studies [15, 16, 20].
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Ferences in AMPA receptor channels. Neuron 10, 1131-1140. 35. Hirai H, J Kirsch, B Laube, H Betz and J Kuhse 1996 ; The glycine binding site of the N-methyl-D-aspartate receptor subunit NR1: identification of novel determinants of co-agonist potentiation in the extracellular m3-m4 loop region. Proc. Natl. Acad. Sci. USA 93, 60316036. 36. Hollmann M and S Heinemann 1994 ; Cloned glutamate receptors. Annu. Rev. Neurosci. 17, 31-108. 37. Johnson JW and P Ascher 1987 ; Glycine potentiates the NMDA response in cultured mouse brain neurons. Nature 325, 529-531. 38. Johnson TD 1996 ; Modulation of channel function by polyamines. Trends Pharmacol. Sci. 17, 22-27. 39. Jones KA, TJ Wilding, JE Huettner and Costa 1997 ; Desensitization of kainate receptors by kainate, glutamate and diastereomers of 4-methylglutamate. Neuropharmacology 36, 853-863. 40. Karcz-Kubicha M, M Jessa, M Nazar, A Plaznik, S Hartmann, CG Parsons and W Danysz 1997 ; Anxiolytic activity of glycine-B antagonists and partial agonists - no relation to intrinsic activity in the patch clamp. Neuropharmacology 36, 1355-1367. 41. Kawaguchi K and SH Graham 1997 ; Neuroprotective effects of the glutamate release inhibitor 619C89 in temporary middle cerebral artery occlusion. Brain Res. 749, 131-134. 42. Kawai F and P Sterling 1999 ; AMPA receptor activates a G-protein that suppresses a cGMP-gated current. J. Neurosci. 19, 2954-2959. 43. Kessler M, MS Mutneja, G Rogers and G Lynch 1998 ; Regional preferences of AMPA receptor modulators determined through agonist binding autoradiography. Brain Res. 783, 121-126. 44. Kretschmer BD, U Kratzer, K Breithecker and M Koch 1997 ; ACEA 1021, a glycine site antagonist with minor psychotomimetic and amnestic effects in rats. Eur. J. Pharmacol. 331, 109-116. 45. Krogsgaard-Larsen P, T Honore, JJ Hansen, DR Curtis and D Lodge 1980 ; New class of glutamate agonist structurally related to ibotenic acid. Nature 284, 64-66. 46. Lanthorn TH 1994 ; D-cycloserine: agonist turned antagonist. Amino Acids 6, 247-260. 47. Laube B, H Hirai, M Sturgess, H Betz and J Kuhse 1997 ; Molecular determinants of agonist discrimination by NMDA receptor subunits.
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Compounds of formula I ; : wherein A, B, D, and R are as defined herein and their agriculturally acceptable salts are disclosed as effective insecticides. In addition, compositions comprising an insecticidally effective amount of a compound of Formula I ; in admixture with at least one agriculturally acceptable extender or adjuvant and methods of controlling insects comprising applying said compositions to locus on crops where control is desired are disclosed. It is emphasized that his abstract is provided to comply with the rules requiring an abstract that will allow a searcher or other reader to quickly ascertain the subject matter of the technical disclosure. It is submitted with the understanding that it will not be used to interpret or limit the scope or meaning of the claims see 37 C.F.R. 1.72 b.
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