The antiemetic activity of dolasetron was established in the ferret and the dog. Single oral doses of $ 0.5 mg kg dolasetron or two intravenous doses of $ 0.5 mg kg dolasetron 30 minutes prior to and 45 minutes following 10 mg kg IV cisplatin ; were sufficient to significantly reduce the number of cisplatin-induced vomits over the 4-hour observation period. Similarly, two 0.5 mg kg IV doses of the reduced metabolite of dolasetron also exerted a significant antiemetic effect. In conscious beagle dogs, 0.1 to 0.3 mg kg IV dolasetron, administered as a single dose 30 minutes prior to intravenous cisplatin, significantly prolonged the time to first emetic episode and significantly reduced the number of emetic episodes over the 6-hour observation period. In conscious dogs, intravenous administration of dolasetron 4 mg kg day for 5 days was virtually without significant effect on blood pressure and heart rate. In anaesthetized dogs, 0.5 to 4.0 mg kg intravenous dolasetron had no significant effects on cardiovascular reflexes; however, a cumulative intravenous dose of 18.5 mg kg reduced left ventricular dp dtmax maximum rate of pressure change in left ventricle during systole ; and administration of a further 12.5 mg kg significantly decreased left ventricular pressure, systemic blood pressure and heart rate. Even at high doses of dolasetron, no overt effects were noted in the mouse or rat during in vivo tests on behaviour, body temperature, antinociceptive, anti-inflammatory and local anaesthetic activity, writhing response, tail flick latencies, convulsant potential, muscle relaxant effects and anxiolytic effects.
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Healed by multilayer AMT. There was no difference in the epithelialisation time between successful cases treated by a single operation 17 eyes ; or repeated operation six eyes ; . Vision improved in 18.9% 8 28 eyes ; and worsened as a result of cataract formation in 2.3% 1 28 eyes ; . Failure was noted in 17.9% 5 28 eyes ; , because of corneal infection two eyes ; , neurotrophic keratopathy with and without limbal deficiency two eyes ; , and intractable corneal perforation one eye ; . No patient developed major immediate postoperative complications or graft rejection. Conclusion - Amniotic membrane can successfully treat refractory corneal epithelial defect by promoting epithelial healing and thus prevent corneal perforation. It can be used as a treatment for corneal perforation by restoring corneal stromal thickness so that emergency penetrating keratoplasty can be avoided.
From sea anemone on the guinea-pig vas deferens. Br. J. PharmacoL74: 23"28. OHIzuMI, Y., ANDS. SHIBATA. 980. Mechanism ofthe excitatory action ofpalytoxin and N-acetylpaly 1 toxin in the isOlated guinea-pig vas deferens. J. PharmacoL Exp. The. 214: 209-212, because hytrin dosage.
Overall, acute adverse reactions occur in 5-8% of patients in whom conventional, ionic, higher osmolality contrast agents are administered intravasculariy [3-6]. Most of these reactions are minor, and no treatment is required Table 2 ; . Approximately 1-2% of patients receiving these media will have a non-life-threatening, moderate reaction that requires treatment. Severe, life-threatening reactions occur with 0.05% to 0.10% of injections of conventional intravascular.
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That a component of the contractile response to histamine is mediated by inositol 1, 4, 5-trisphosphateinduced mobilization of intracellular calcium Morel et al., 1987; Bolton and Lim, 1989; Donaldson and Hill, 1986b ; . In nonexcitable smooth muscles, such as airway and vascular smooth muscle, contractile responses to H1-receptor stimulation primarily involve mobilization of calcium from intracellular stores as a consequence of inositol phospholipid hydrolysis Matsumoto et al., 1986; Kotlikoff et al., 1987; Takuwa et al., 1987; Hall and Hill, 1988; Paniettieri et al., 1989; Van Amsterdam et al., 1989 ; . In vascular endothelial cells, H1-receptor stimulation leads to several cellular responses including: a ; changes in vascular permeability particularly in postcapillary venules ; as a result of endothelial cell contraction Majno and Palade, 1961; Majno et al., 1968; Meyrick and Brigham, 1983; Grega, 1986; Killackey et al., 1986; Svensjo and Grega, 1986 b ; prostacyclin synthesis McIntyre et al., 1985; Brotherton, 1986; Carter et al., 1988; Resink et al., 1987 c ; synthesis of platelet-activating factor McIntyre et al., 1985 d ; release of Von Willebrand factor Hamilton and Sims, 1987 and e ; release of nitric oxide Van De Voorde and Leusen, 1993; Toda, 1984 ; . The H1-receptor has also been characterized on human T lymphocytes using [125I]iodobolpyramine Villemain et al., 1990 ; and shown to increase [Ca2 ]i Kitamura et al., 1996 ; . Histamine H1-receptors have long been established to be present in the adrenal medulla and to elicit the release of catecholamines Emmelin and Muren, 1949; Staszewska-Barczak and Vane, 1965; Robinson, 1982; Livett and Marley, 1986; Noble et al., 1988 ; . Thus, histamine can induce the release of both adrenaline and noradrenaline from cultured bovine adrenal chromaffin cells Livett and Marley, 1986 ; . In these cells, histamine can also stimulate phosphorylation of the catecholamine biosynthesis enzyme tyrosine hydroxylase via a mechanism that involves release of intracellular calcium Bunn et al., 1995 ; . In addition to its effects on catecholamine synthesis and release from adrenal chromaffin cells, histamine can also elicit the release of leucine- and methionine-enkephalin Bommer et al., 1987 ; . Furthermore, after prolonged exposure to histamine, there is a marked increase in messenger ribonucleic acid-encoding proenkephalin A Bommer et al., 1987; Kley, 1988; Wan et al., 1989 ; . In human atrial myocardium and guinea pig ventricle, histamine produces negative inotropic effects Guo et al., 1984; Genovese et al., 1988; Zavecz and Levi, 1978 ; . In human myocardium, this response is associated with inhibitory effects on heart rate and can be unmasked when the positive effects of histamine on the rate and.
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The Royal Institute of Public Health and Hygiene is to hold a symposium entitled `Communicable disease control in the 1990s' on Monday 29 June 1992 at the John Radcliffe Hospital, Oxford. The topics covered are meningitis, vaccine preventable disease, respiratory disease, imported infection, diarrhoeal disease, hepatitis, hospital-acquired infection, HIV and AIDS. There is a fee of 95, which covers coffee, lunch and tea. Further details are available from Mrs W A Moore, Royal Institute of Public Health and Hygiene, 28 Portland Place, London W1N 4DE telephone 071 580 2731.
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Drug Deliveryto the Brain Nanoparticle prepared: magneticneutral dextran and cationic aminodexare Both kinds of microspheres prepared tran microspheres. by an emulsification process using polysorbate 80 as the emulsifier. The magnetic particles were then injected into the carotid arteries of healthy rats and rats with implanted brain tumor gliom-2 RG-2 ; . A magnetic field was then applied to the brain. The rats were killed after 30 min and 6 h, and the magneticparticle concentrationin the tisIn sueswas determined by atomic absorption spectroscopy. but high lung and healthy rats only low brain concentrations spleen concentrationswere found for both microspheres. In tumor-bearing rats, the brain concentrationof magnetic cationic particleswas increasedcompared with that of neutral particles. In general, these experimentswith magnetic brain concentrations and resultedin increased microspheres decreasedconcentrationsin peripheral organs, but did not becauseof the high variability among show any significance the groups.
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All measurements should be taken to the nearest unit as allowed on the Medical History and Physical Examination Form Form 210GK ; . After each measurement is taken, its value is recorded in the appropriate space. If a recorder is present, the recorder should repeat the value that was called aloud by the examiner. All measurements will be done twice. If the two measures differ by more than the recommended amount, two additional measures are taken and recorded. NOTE: A set of measurements is taken and then repeated. Do not take the same measure twice in a row. Recommended limits for difference between measures are: Weight: Stature: Waist Circumference: Within 200 grams, or 0.2 kg Within 1.0 cm Within 0.5 cm.
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Cisplatin-based adjuvant chemotherapy improves survival among patients with completely resected non-small cell lung cancer NSCLC ; , according to the results of the International Adjuvant Lung Cancer 1 Trial IALT ; . Lung cancer accounts for the largest number of new cases of cancer and of deaths from cancer annually. Complete surgical resection is perceived to be the most effective initial treatment for NSCLC. The aim of this study was to assess the effect on overall survival of adjuvant chemotherapy in patients with completely resected NSCLC. 1867 patients aged 18 to 75 years ; who had undergone complete surgical resection for NSCLC were randomised to three or four cycles of cisplatin-based chemotherapy or observation within 60 days after surgery. Each participating centre could determine the dose of cisplatin and the drugs to be combined with cisplatin. The primary endpoint was overall survival after randomisation. Secondary endpoints included disease-free survival and adverse and
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