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148 IN AND OUT OF HOSPITAL: A SENIORS GUIDE TO YOUR STAY IN HOSPITAL AND RETURN HOME Dianne McConkey, BA, MEd, Counselling ; , GMC, Writer Consultant, The Council on Aging, Ottawa, ON dmcconkey brockville.chs ; Tel.: 613 ; 498-3933, Fax: 613 ; 498-0363; Dianne Rossy, RN, MScN, GNC Canada ; , Regional Geriatric Assessment Program, Ottawa, ON; Jean McKibbon, RN, PHN, Region of Ottawa-Carleton Health Department, Ottawa, ON In 1998 the Council on Aging - Ottawa-Carleton sponsored a discharge planning conference to develop strategies which would address the issues around the transfer of care between the hospital and the community. In order to identify concerns prior to the conference, written questionnaires, telephone interviews and focus groups were conducted with Anglophone and Francophone seniors, family caregivers and health care providers. Communication and education emerged as a paramount issue. At the conference, Making It Work: Hospital to Home, participants recommended that the Council on Aging initiate a public education program to prepare seniors and their caregivers for hospital admission and discharge. The development, translation and distribution of a guide would be central to the public education program. In January 1999 the Council on Aging partnered with acute care hospitals and community agencies to implement the conference recommendation. An extensive literature search was conducted. Existing resources were examined. The lack of a generic guide to prepare seniors for hospital admission and discharge was identified. This poster presents the development of a seniors guide for hospital admission and discharge. 149 COMPARISON OF FUNCTIONAL LEVELS AT DISCHARGE TO HOME FOLLOWING TOTAL HIP OR KNEE ARTHROPLASTY Lauren A. Beaupre, C Allyson Jones, John G. Cinats, Physical Therapy, 1F1.52 WMC, University of Alberta Hospital, 8440-112 Street, Edmonton, AB, T6G 2B7 lbeaupre ualberta ; Tel: 780 ; 407-3945, Fax: 780 ; 407-7534 Purpose: To compare functional levels at discharge following primary total hip THA ; or total knee arthroplasty TKA ; between those patients who went directly home from the acute care institution and those who were transferred to a sub-acute facility further rehabilitation. Method: 25 patients with THAs and 25 patients with TKAs who were discharged directly home were assessed using the Functional Independence Measure FIM ; . Patients were matched for time of surgery and joint replaced, to patients who required further rehabilitation n 25 THA; n 25 TKA ; . Patients who required further rehabilitation had 2 FIM assessments performed; one at the time of admission to the sub-acute facility and one at discharge to home. Results: Of the group discharged home, 26 39% ; were female and the mean age was 63 + 15 ; years. For the group requiring further rehabilitation, 41 61% ; were female and the mean age was 73 + 9 ; years. On discharge from the acute care institution, the average FIM score was 111 + 5 ; . The average admission FIM score to the sub-acute facility was 96 + 8 ; which increased to an average score of 112 + 7 ; at discharge. Examination of the FIM sub-scales showed significant differences in self-care and mobility between the 2 groups p 0.001 ; . Of the patients discharged directly home, 46.
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Angiotensin-converting enzyme ace ; inhibitors enalapril, 5 mg kg q24h po; benazepril 25- 5 mg kg q 24h po: avoid use with hypotension ; have been advocated in human post myocardial infarction trials based upon their role in reducing cardiovascular remodeling, improving hemodynamics, reducing ischemic events, and increasing survival.
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Doses of these drugs varied from 40 to 60 mg per day. Additional medications in this group consisted of -adrenoreceptor blockers, calcium channel blocking agents, angiotensin-converting enzyme inhibitors, and statins. Of the 26 patients on -blockers, 18 used metoprolol Metocard; Polpharma, Poland ; and 8 others used atenolol Atenolol; Polpharma, Poland ; - doses varied from 50 to 100 mg daily. Of the 14 patients on calcium channel blocking agents, 7 used amlodipine Amlozek; Adamed, Poland ; 5 mg daily and 7 others used diltiazem Dilzem; Godecke ParkeDavis, New York, NY ; 180mg daily. Of the 17 patients on angiotensin-converting enzyme inhibitors, 5 used enalapril Enap; Krka, Slovenia ; 10 mg daily, 3 used quinapril Accupro; Godecke Parke-Davis, New York ; 10 mg daily, 3 used captopril Captopril; Biofarm, Poland ; 50 mg daily, 3 used perindopril Prestarium; Servier, France ; 4 mg daily, and 3 others used cilazapril Inhibace; Roche, France ; 5 mg daily. Of the 12 patients on statins, 8 used simvastatin Zocor; Merck Sharp & Dohme, New York, NY ; , 3 used lovastatin Lovastin; Polfa Grodzisk, Poland ; and one patient used pravastatin Lipostat; Bristol Myers Squibb, New York, NY ; , all statins were given in a dose of 20 mg day. The exclusion criteria included: age 18, any signs of infection, chronic lung disease, and the use of inhalational medications. Some exclusion criteria were different for each group and included: class III and higher on Canadian Cardiovascular Society scale classification 14 ; , class II and higher on New York Heart Association classification, recent myocardial infarction 30 days ; , and use of intravenous nitrates in Group I and any medications in Group II. The health status of the participants in our study was assessed by the questioning of patient as well as by medical history and physical examination and
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Figure 3. a ; Representative tracings showing hyperpolarisation to 10-5 mol L acetylcholine ACh ; under conditions of depolarisation with norepinephrine 10-5 mol L ; in the presence of indomethacin 10-5 mol L ; in mesenteric arteries of untreated 12-month-old Wistar Kyoto rats WKY-12 ; , WKY treated with a combination of hydralazine and hydrochlorothiazide WKY-12-H ; , enalapril-treated WKY WKY-12-ENA ; , and candesartan-treated WKY WKY-12-CAN ; . b ; AChinduced relaxation in mesenteric arterial rings precontracted with norepinephrine 10-5 mol L ; in the presence of indomethacin 10-5 mol L ; and NG-nitro-L-arginine 10-4 mol L ; of WKY-12, WKY-12-H, WKY-12-ENA, and WKY-12-CAN. Values are meanSEM n 6-12 ; . * P 0.05 vs. WKY-12; P 0.05 vs. WKY-12-H. Modified from Goto et al., 31 with permission ; . pharmacological profiles: ACE inhibitors prevent the degradation of bradykinin, a peptide that induces endothelium-dependent relaxation23; AT1 receptor antagonists block the action of angiotensin II regardless of its generation pathway26; under blockade of AT1 receptors, angiotensin II may stimulate unopposed angiotensin type 2 receptors.27 However, in the present study, enalapril and candesartan were equally effective in improving EDHFmediated responses, which indicates that the specific pharmacological profiles of each drug may not play a major role in improving EDHF-mediated responses in rat mesenteric arteries. Khnen et al.28 also showed that an ACE inhibitor and an AT1 receptor antagonist improved the EDHF-mediated relaxation to a similar extent in mesenteric arteries of SHR. Several recent clinical studies29, 30have reported the beneficial effects of the combination therapy with an ACE inhibitor and an AT1 receptor antagonist. In the present study, however, the combination therapy did not appear to have definitive advantages over each therapy in improving EDHF-mediated responses Fig. 2 ; . In summary, the above data indicate that: 1 ; chronic antihypertensive treatments restore the impaired EDHFmediated responses in SHR; 2 ; RAS inhibitors may be more effective in improving endothelial dysfunction; and 3 ; the combination of an ACE inhibitor and an AT1 receptor antagonist does not seem to be more effective than treatment with either drug alone. The clinical relevance of the present finding remains to be determined. Effect of renin-angiotensin system inhibitors on EDHFmediated responses in ageing Endothelial dysfunction associated with ageing may contribute in part to the frequent occurrence of cardiovascular disease with ageing in humans. Thus, it is clinically relevant to prevent or reverse endothelial dysfunction associated with ageing. In SHR, antihypertensive treatments with RAS inhibitors tended to be more effective in improving endothelial dysfunction compared with conventional antihypertensive drugs.11, 14 These observations led to the hypothesis that RAS inhibitors may have a favourable effect on endothelial function independent of its blood pressure lowering effect. The effects of RAS inhibitors on age-related impairment of EDHF-mediated responses were studied using mesenteric arteries of WKY.31, 32 WKY were treated for 3 months with either enalapril, candesartan or a combination of hydralazine and hydrochlorothiazide from 9- to 12-month-old. All the treatments lowered blood pressure to a similar extent Table ; . EDHF-mediated hyperpolarisation and relaxation were improved in the enalapril and candesartan treated groups. In contrast, a combination of hydralazine and hydrochlorothiazide failed to improve endothelial function, despite a similar reduction in blood pressure Fig. 3 ; . These findings suggest that RAS inhibitors restore the age-related impairment of EDHFmediated responses presumably through the blockade of the RAS per se, although we cannot totally rule out the possibility that both RAS inhibition and blood pressure!
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Study V-HEFT II 53 Enalaapril 20 mg day ; vs. hydralazine 300 mg day ; and isosorbide dinitrate 160mg day ; combination and fexofenadine.
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Derkx FHM, Millar JA, Reid JL, Schalekamp MADH. Pharmacodynamics of MK421 enalapril ; and its lysine analogue MK521. Progress in Pharmacol 1984; 5: 93-105. Donohue JF, Kelly J, Laher MS, Doyle GD. Lisinopril in the treatment of hypertensive patients with renal impairment. J Med 1988; 85 Suppl 3B ; : 31-34. Giles TD, Katz R, Sullivan JM, Wolfson P, Haugland M, Kirlin P, Powers E, Rich S, Hackshaw B, Chiaramida A, Rouleau JL, Fisher MB, Pigeon J, Rush JE. Short- and long-acting angiotensin-converting enzyme inhibitors: A randomized trial of lisinopril versus captopril in the treatment of congestive heart failure. J Coll Cardiol 1989; 13 6 ; : 1240-1246. GISSI-3 Gruppo Italiano per lo Studio della Sopravvivenza ell'Infarto Miocardico. GISSI-3: effects of lisinopril and transdermal glyceryl trinitrate singly and together on 6-week mortality and ventricular function after acute myocardial infarction. Lancet 1994; 343: 1115-1122. Laher MS, Natin D, Rao SK, Jones RW, Carr P. Lisinopril in elderly patients with hypertension. J Card Pharmacol 1987; 9 Suppl 3 ; S69-S71. Massie BM, Cleland GFJ, Armstrong PW, Packer M, Poole-Wilson PA, Ryden L, for the Assessment of Treatment with Lisinopril and Survival ATLAS ; trial investigators. Regional differences in the characteristics and treatment of patients participating in an international heart failure trial. Journal of Cardiac Failure 1998; 4: 3-8. Millar JA, Derkx FHM, McLean K, Reid JL. Pharmacodynamics of converting enzyme inhibition: The cardiovascular endocrine and autonomic effects of MK-421 enalapril ; and MK-521. Br J Clin Pharmacol 1982; 14: 347-355. Myers MG, Carruthers SG, Leenen FHH, Haynes RB. Recommendations from the Canadian Hypertension Society Consensus Conference on the pharmacologic treatment of hypertension. CMAJ 1989; 140: 1141-1146 and pseudoephedrine.
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Early Versus Delayed Enalap4il in Patients With Left Ventricular Systolic Dysfunction: Impact on Morbidity and Mortality 15 Years After the SOLVD Trial Sylvie A. Ahn, Philip Jong, Salim Yusuf, Shrikant I. Bangdiwala, Hubert G. Pouleur, and Michel F. Rousseau J. Am. Coll. Cardiol. 2006; 47; 1904-1905; originally published online Apr 11, 2006; doi: 10.1016 j.jacc.2006.02.008 This information is current as of September 19, 2007 and finasteride.
Medical P&G's Global Medical organization advises and assists management and employees to assure a safe, healthy work environment. Global Medical delivers preventive health services and clinical services to all employees, at all sites. It manages health issues that may affect employees, technologies and brands. As P&G is a principles-driven company, all medical system work follows this order of priority: 1. Save a Life Protect P&G People ; 2. Obey the Law Protect P&G's Reputation ; 3. Protect Key Technologies Protect Brand Integrity ; 4. Enhance Speed to Market Protect Emerging Technologies ; 5. Optimize Employee Productivity All medical standards of performance and standard operating procedures flow directly from specific P&G Principles, Values and compelling business needs.
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INTEGRATING CLINICAL ASSESSMENT AND IMAGING IN INTERSTITIAL LUNG DISEASE ILD ; Roberto G. Carbone, MD, FCCP * ; Rosangela Filiberti, PhD; Giovanni Bottino, DSc; Pneumology, Regional Hospital, Aosta, Italy PURPOSE: The research deals with non-invasive methods for the diagnosis of ILD, aimed at avoiding surgical procedures and reducing medical costs. METHODS: We evaluated clinical symptoms, signs, and imaging of 71patients pts ; with ILD median age 60 years, 42 % males ; . ILD subgroups included: usual interstitial pneumonia UIP 34 ; , non-specific idiopathic pneumonia NSIP 13 ; , Wegener granulomatosis WG 14 ; , and extrinsic allergic alveolitis EAA 10 ; , all pathologically confirmed. Surgical diagnosis performed by open pulmonary biopsy n 31 ; , VATS n 27 ; or percutaneous biopsy n 13 ; . periodical imaging evaluation has been carried out independently by two radiologists and two respiratory physicians, and a high-resolution CT HRCT ; severity score degrees 04 ; has been calculated and
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Method: proportional piling starting with 100 lalop seeds for a healthy animal. The pile of seeds was changed to represent sick animals suffering from the named diseases. The black dots represent the piles of lalop seeds which were used to describe milk from a healthy cow relative to milk suffering from the named diseases. For interpretations of disease names see Figure 15 and
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The reninangiotensin system is a complex of enzymes, proteins and peptides that are involved in blood pressure regulation and fluid and electrolyte balance.1 The final effector substance of the reninangiotensin system, angiotensin II is a potent vasoconstrictor and acts via AT1 receptors to increase blood pressure and stimulate aldosterone release.2 The ACE inhibitors e.g. enalapril, perindopril ; are effective antihypertensive agents, although their use is associated with the development of a persistent, non-productive cough in 520% of patients.3, 4 This, and other effects including angioedema are thought to pertain to a non-selective action on other vasoactive pathways, including the bradykinin system.3 The angiotensin II antagonists e.g. candesartan, eprosartan, irbesartan, losartan, olmisartan, telmisartan, valsartan ; offer an alternative approach to the management of hypertension. By directly targeting the angiotensin AT1 receptor, these agents inhibit angiotensin II activity without disrupting bradykinin metabolism, thus reducing the likelihood of a number of potential side-effects, including cough, but losing the vasodilatory effect of bradykinin. This mechanism of action also avoids blocking the potentially beneficial effects of AT2 receptor activation on the vasculature and guards against the production of angiotensin II by ACE-independent pathways.4, 5 The early angiotensin II receptor antagonists e.g. saralasin ; were limited by their partial agonist activity, short duration of action and lack of significant activity after oral administration.6 The more recent, non-peptide angiotensin II antagonists offer improved selectivity, nanomolar affinity for the receptor and lack any agonist activity.4 First introduced in the UK in 2000, eprosartan is a potent and selective angiotensin II antagonist indicated for the treatment of essential hypertension. This article reviews the properties of eprosartan and its efficacy in controlled clinical trials in the context of other available treatments for hypertension. Although there is evidence to suggest that eprosartan may have potential for the management of heart failure, this is beyond the scope of this review and will not be discussed herein.79.
Is uncomplicated by the often irreproducible population of surface silanols or metal impurities Figure 8 ; . This means acidic, basic, and neutral compounds, whether polar or non-polar, can be isolated reproducibly RSDs 5% ; with high recovery 85% ; , using the same, simple SPE protocol. The generic scheme Figure 7 ; , which has proven useful for a wide variety of compound types may be the only protocol required, reducing method development time. The general protocol is especially suited to LC MS analysis since this analytical system simplifies method development by providing the required selectivity and sensitivity. PPD Pharmaco Madison, WI ; validated a simple method for enalapril and its metabolite enalaprilat using OasisTM HLB cartridges and LC MS MS; they achieved high accuracy and precision at low ng mL levels Figure 9.
Kayexalate . Potassium Acetate K-Dur Cardura K-Dur IMDUR K-Dur K-Lor Keflex . Kefzol Keflex . Norflex Kefurox . Kefzol Kefzol . Cefzil Kefzol . Keflex Kefzol . Kefurox Kenalog . Ketalar Keppra . Kaletra Ketalar . Kenalog Keto-Diastix Diastix Ketorolac . Ketotifen Ketotifen . Ketorolac Klonopin Clonidine Clonazepam K-Lor K-Dur K-Lor K-Lyte K-Lyte K-Lor K-Lyte K-Lyte Cl K-Lyte Cl . K-Lyte Kogenate . Kogenate-2 Kogenate-2 Kogenate K-Phos Neutral . Neutra-Phos-K Labetolol . Lamictal Lacrilube . Surgilube Lamicel . Lamisil Lamictal . Labetolol Lamictal . Lamisil Lamictal . Lomotil Lamictal . Ludiomil Lamisil . Lamicel Lamisil . Lamictal Lamisil . Lomotil Lamivudine . Lamotrigine Lamivudine . Zidovudine Lamotrigine . Lamivudine Lanoxin . Levothyroxine Lanoxin . Inapsine Lanoxin . Lasix . Lomotil Lanoxin . Levoxyl Lanoxin . Levsin Lanoxin . Lonox Lanoxin . Lovenox Lanoxin . Xanax Lantus, Insulin . Lente, Insulin Human Human Lasix . Lomotil . Lanoxin Lasix . Luvox L-Dopa Levodopa . Methyldopa Lente, Insulin . Lispro, Insulin Human Human Lente, Insulin . Lantus, Insulin Human Human Leucovorin Leukine Leukeran Leucovorin . Levothyroxine Leukeran . Alkeran Leukeran Leucovorin Leukine Leukine . Leukeran Leucovorin Levaquin . Heparin Levaquin . Lovenox Levaquin . Tequin Levbid . Cefobid Levbid . Lithobid Levbid . Lopid Levbid . Lorabid Levlen . Tri-Levlen Levobunolol . Levocabastine Levocabastine . Levobunolol Levocarnitine . Levofloxacin Levodopa L-Dopa . Methyldopa Levodopa and . Carbidopa Carbidopa Levofloxacin . Ciprofloxacin Levofloxacin . Levocarnitine Levothyroxine . Lanoxin Levothyroxine . Leucovorin Levothyroxine . Liothyronine Levoxyl . Lanoxin Levoxyl . Luvox Levsin . Lanoxin Lexapro . Loxapine Librax . Librium Librium . Librax Lioresal . Lotensin Liothyronine . Levothyroxine Lipitor . Zocor Lisinopril . Benazepril Lisinopril . Enalaprul Lisinopril . Fosinopril Lisinopril . Quinapril Lisinopril . Risperdal Lispro, Insulin Human Insulin Human Lispro, Lente, Insulin Human Insulin Human Lithobid . Levbid Lithobid . Lithostat Lithostat . Lithobid Lodine . Codeine Lodine . Iodine Lomotil . Lamictal Lomotil . Lamisil Lomotil . Lanoxin . Lasix Loniten . Lotensin Lonox . Lanoxin Loperamide . Lorazepam Lopid . Levbid Lopid . Lorabid . Slo-bid Lorabid . Levbid Lorabid . Lortab Lorabid . Slo-bid . Lopid Loratadine . Losartan Lorazepam . Alprazolam Lorazepam . Clonazepam Lorazepam . Diazepam Lorazepam . Loperamide.
Ference in the SOLVD trials did not achieve statistical significance after adjustment for prognostic variables 9 ; . Exner and colleagues retrospectively analyzed data from the SOLVD prevention and treatment trials to further explore this observation. Patients in the original study groups self-identified their race 800 black and 5719 white patients ; . A cohort of up to white patients was matched to each black patient for initial trial, treatment assignment, left ventricular ejection fraction, and age. The cohort of 1196 matched white patients were more likely than the 800 index black patients to have ischemic heart disease and to be receiving aspirin and -blockers; they were less likely to have hypertension or diabetes. The mean final dosage of enalapril was 15 mg d in both black and white patients. The investigators used a Cox proportional hazards model to assess the effect of clinical and socioeconomic variables on blood pressure, hospitalization, and mortality. After controlling for important clinical and socioeconomic variables, the authors showed that among patients randomly assigned to receive enalapril, black patients were less likely than matched white patients to experience a decline in systolic or diastolic blood pressure or decreased hospitalization for heart failure P 0.001 ; Table 1 ; . Contrary to expectations, enalapril did not reduce mortality in either black or matched white patients, which is inconsistent with the mortality benefit that occurred in the SOLVD trials' total study sample. Thus, race alone does not necessarily predict response to ACE inhibitors in patients who have had heart failure. The failure of ACE inhibitors to lower blood pressure may identify patients who require an alternative management strategy for heart failure, such as hydralazine and isosorbide dinitrate. Identifying optimal strategies for management of heart failure in ethnically diverse populations will require additional prospective study.
Walgreens Health Initiatives 2007 Preferred Medication List Effective January 1, 2007 Revised November 15, 2006 ; desonide 0.05% cream, lotion, ointment desoximetasone 0.25% cream DETROL DETROL LA dexamethasone dextromethorphan promethazine [Promethazine with DM] dextromethorphan pseudoephedrine brompheniramine [Cardec DM] DIASTAT diazepam diclofenac dicloxacillin dicyclomine DIFFERIN diflunisal digoxin [Digitek] DILANTIN diltiazem diltiazem ER [Cartia XT, Dilt XR, Diltia XT, Taztia XT] diphenoxylate atropine [Lonox] DIPROLENE LOTION dipyridamole DOVONEX doxazosin doxepin doxycycline DUETACT --E-- econazole nitrate EFFEXOR XR EFUDEX CREAM ELIDEL ELMIRON ENABLEX enalapril enalapril hctz ENBREL ENTOCORT EC ENZYMAX EPIPEN EPIPEN JR EPIVIR-HBV EPOGEN erythromycin ophthalmic erythromycin oral erythromycin topical erythromycin benzoyl peroxide gel ESKALITH CR estazolam ESTRACE CREAM estradiol tablets [Gynodiol] estradiol patch [Alora] ESTRATEST [Syntest DS] ESTRATEST HS [Syntest HS] ESTRING estropipate ESTROSTEP FE ethinyl estradiol desogestrel [Apri, Kariva, Velivet 28] ethinyl estradiol ethynodiol [Zovia] ethinyl estradiol levonorgestrel [Aviane, Enpresse, Lessina, Levora, Lutera, Portia, Trivora-28] ethinyl estradiol norethindrone [Aranelle, Microgestin, Necon, Nortrel, Nortrel 7 7] ethinyl estradiol norethindrone iron [Junel FE, Microgestin Fe] ethinyl estradiol norgestimate [Sprintec 28, TriNessa, Tri-Sprintec] ethinyl estradiol norgestrel [Cryselle, Low-Ogestrel, Ogestrel] etodolac EVISTA EVOXAC EXELON EXUBERA --F-- famotidine felodipine ER FEMHRT FEMRING fentanyl transdermal fexofenadine FINACEA GEL finasteride FLOMAX FLOVENT HFA FLOXIN OTIC fluconazole fludrocortisone flunisolide fluocinolone 0.01% solution fluocinonide 0.05% cream, gel, ointment fluoxetine flurazepam flurbiprofen fluticasone fluvoxamine FORADIL FORTEO FOSAMAX FOSAMAX PLUS D fosinopril fosinopril hctz FRAGMIN furosemide --G-- gabapentin GABITRIL ganciclovir GANTRISIN GASTROCROM gemfibrozil GENOTROPIN and escitalopram.
158. Lipshultz SE, Lipsitz SR, Sallan SE, et al. Long-term enalapril therapy for left ventricular dysfunction in Doxorubicin-treated survivors of childhood cancer. J Clin Oncol 2002; 20: 45174522. Latini R, Masson S, Anand I, et al. Effects of valsartan on circulating brain natriuretic peptide and norepinephrine in symptomatic chronic heart failure: the Valsartan Heart Failure Trial Val-HeFT ; . Circulation 2002; 106: 24542458. Palazzuoli A, Bruni F, Puccetti L, et al. Effects of carvedilol on left ventricular remodeling and systolic function in elderly patients with heart failure. Eur J Heart Fail 2002; 4: 765770. Gould PA, Kaye DM. Clinical treatment regimens for chronic heart failure: a review. Expert Opin Pharmacother 2002; 3: 15691576. Walsh TD, Rivera NI. Adenosine triphosphate for cancer cachexia. Curr Oncol Rep 2002; 4: 231232. Agteresch HJ, Dagnelie PC, van der Gaast A, et al. Randomized clinical trial of adenosine 5'-triphosphate in patients with advanced non-small-cell lung cancer. J Natl Cancer Inst 2000; 92: 321328. Aghajanian C, Soignet S, Dizon DS, et al. A phase I trial of the.
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