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Funding for this study was provided by the national institutes of health hl67148, eb2846 ; and the american heart association 130350n.
In terms of sample characteristics size, age, cognitive level, etc. ; and statistical procedures standard scores vs. age equivalents, group comparisons vs. regressions, etc. ; . Thus, the purpose of this study was to explore the autism profile in a large and diverse sample. Method: File review data have been compiled for 1, 045 individuals from 3 clinical settings, spanning a range of ages 2-23 years ; and a range of clinical diagnoses 481 with Autistic Disorder, 399 with other or unspecified ASD PDD, and 165 with other developmental problems or delays ; . Childhood Autism Rating Scale CARS ; scores were available for most children. Cognitive measures were available for about one-third of the children and indicated a wide distribution from the average to the profound range. Results: Results will be presented visually for standard scores and age equivalents broken down by clinical diagnosis, CARS category, age group, and IQ group. Conclusion: The validity of the `autism profile' on the Vineland was, essentially, confirmed but there were interesting differences between children with Autistic Disorder per se, broader ASD, and non ASD-diagnoses. Profiles also varied as a function of severity of autism and severity of cognitive delay. PS1.47 INVESTIGATING THE SOCIAL RESPONSIVENESS SCALE: CONCURRENCE WITH DIAGNOSIS, CORRELATION WITH THE ADI-R, AND INTER-RATER AGREEMENT Aimee E.N. Sullivan, Susan Risi, Jeff Burke, Shanping Qui, Catherine Lord, University of Michigan Autism and Communication Disorders Center Background: The Social Responsiveness Scale SRS ; has been indicated for use both as a screener and an aid to clinical diagnosis. It aims to provide diagnostic information and measure severity of autistic social impairments. Objectives: To investigate the SRS as an autism screener. The measure's agreement with clinician diagnosis, correlation with scores from Autism Diagnostic Interview, Revised ADI-R , and agreement between multiple raters, were examined. Methods: Data were collected from 196 subjects as part of a standard diagnostic evaluation 143 males; 66 autism, 51 PDD-NOS, 79 nonspectrum ; . Data were also collected from parents and teachers of 67 subjects participating in a longitudinal study 53 males; 41 autism, 12 PDD-NOS, 15 nonspectrum ; . ADI-R administrators were blind to subjects SRS scores. Results: Agreement between diagnosis and the SRS screener cutoff was significant p .001 ; . Comparing SRS total scores to ADI-R Social Domain scores demonstrated a correlation of .43 p .001 ; , which was largely driven by nonspectrum subjects. Teacher and parent scores were not correlated r .16, p .154 ; within the longitudinal sample. Conclusion: The implications of this pattern of findings for research and clinical use will be further discussed. This research was sponsored by NIMH grant.
INTRODUCTION In this study, we quantified two metabolites, NNAL3 and NNALGluc, of the tobacco-specific lung carcinogen NNK in the urine of people who had stopped smoking for 4 months. NNK is believed to play a significant role as a cause of lung cancer in smokers 13 ; . NNK is a potent pulmonary carcinogen in rodents, inducing adenocarcinoma of the lung, independent of the route of administration 1 ; . The lowest total doses of NNK that can produce lung tumors in rats are similar to the lifetime total dose of NNK in a smoker 1 ; . Biochemical studies indicate that the same routes of metabolic actiReceived 8 19 98; accepted 12 2 98. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1 This study was supported by National Cancer Institute Grant CA-44377. 2 To whom requests for reprints should be addressed, at University of Minnesota Cancer Center, Box 806 Mayo, 420 Delaware Street SE, Minneapolis, MN 55455. 3 The abbreviations used are: NNAL, 4- methylnitrosamino ; -1- 3-pyridyl ; -1-butanol; NNAL-Gluc, 4-[ methylnitrosamino ; -1- 3-pyridyl ; but-1-yl] O-D-glucosiduronic acid; NNK, 4- methylnitrosamino ; -1- 3-pyridyl ; -1-butanone; GC-TEA, gas detection; TMS, trimethylsilyl ether.
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Amgen was granted rights to market G-CSF under a licensing agreement with Kirin-Amgen in the United States, Europe, Canada, Australia, and New Zealand. The Company began selling NEUPOGEN in the United States in 1991. In May 2002, the Company acquired certain rights related to the commercialization of NEUPOGEN and GRANULOKINE Filgrastim ; and pegfilgrastim in the European Union "EU" ; from F. Hoffmann-La Roche Ltd "Roche" ; . Prior to this acquisition, NEUPOGEN and GRANULOKINE were commercialized in the EU under a co-promotion agreement between Amgen and Roche. Roche will continue as the licensee for Filgrastim and pegfilgrastim in certain countries outside the United States and the EU see "Joint Ventures and Business Relationships--F. Hoffmann-La Roche Ltd" ; . Amgen markets Filgrastim under the brand name GRANULOKINE in Italy. Worldwide NEUPOGEN sales for the years ended December 31, 2002, 2001, and 2000 were , 379.6 million, , 346.4 million, and , 223.7 million, respectively. NeulastaTM pegfilgrastim ; NeulastaTM proper name--pegfilgrastim ; is Amgen's trademark for a protein that selectively stimulates production of certain white blood cells known as neutrophils and is based on the Filgrastim molecule. A polyethylene glycol molecule or "PEG" unit is added to enlarge the Filgrastim molecule, thereby extending its half-life and causing it to be removed more slowly from the body. This allows for administration as a single dose per chemotherapy cycle compared with NEUPOGEN which requires more frequent dosing. Amgen was granted rights to market pegfilgrastim under a licensing agreement with Kirin-Amgen. In January 2002, the FDA approved NeulastaTM for decreasing the incidence of infection, as manifested by febrile neutropenia, in patients with non-myeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a clinically significant incidence of febrile neutropenia. The Company launched NeulastaTM in the United States in April 2002 for this indication. In August 2002, the European Commission approved NeulastaTM for the reduction in the duration of neutropenia and the incidence of febrile neutropenia in patients with cytotoxic chemotherapy for malignancy. In January 2003, the Company commenced launching NeulastaTM in Europe on a country-by-country basis as reimbursement has been established. Amgen markets pegfilgrastim under the brand name NeupopegTM in Italy. NeulastaTM sales for the year ended December 31, 2002 were 3.5 million. ENBREL etanercept ; ENBREL proper name--etanercept ; is Amgen's registered trademark for its TNF receptor fusion protein that inhibits the binding of TNF to TNF receptors, resulting in a significant reduction in inflammatory activity. ENBREL was launched in November 1998 by Immunex. Amgen acquired the rights to ENBREL in July 2002 as part of its acquisition of Immunex. In the United States, ENBREL is indicated for reducing the signs and symptoms and inhibiting the progression of structural damage in patients with moderately to severely active rheumatoid arthritis. In addition, the FDA approved ENBREL for the following indications: for reducing the signs and symptoms of moderately to severely active polyarticular-course juvenile rheumatoid arthritis in patients who have had an inadequate response to one or more disease-modifying antirheumatic drugs, and for reducing the signs and symptoms of active arthritis in patients with psoriatic arthritis. As part of its acquisition of Immunex, the Company entered into a co-promotion agreement and codevelopment agreement with Wyeth. Under the terms of these agreements, Amgen and Wyeth market and sell ENBREL in the United States and Canada and develop certain future indications of ENBREL for use in these geographic territories. In return for these efforts, Wyeth is paid a share of the resulting profits on sales of ENBREL, after deducting the applicable cost of sales, including royalties paid to third parties, and associated research and development "R&D" ; and selling and marketing expenses see "Joint Ventures and Business Relationships--Wyeth" ; . 6.
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Pegfilgrastim for cancer pegfilgrastim side effects: an introduction as with any medicine, side effects are possible with pegfilgrastim neulasta ® ; however, not everyone who takes the medication will experience side effects.
In semanticality can now be seen as a structural distinction between the semantic representations for the elements in the sentence. In this section, I have shown how the lexical inheritance structure of an item relates, in a generative fashion, the decompositional structure of a word to a much larger set of concepts that are related in obvious ways. What we have not addressed, however, is how the fixed inheritance information of a lexical item is formally derivable during composition. This issue is explicitly addressed in Briscoe et al. 1990 ; as well as Pustejovsky and Briscoe 1991 ; . 8. Conclusion In this paper I have outlined a framework for lexical semantic research that I believe can be useful for both computational linguists and theoretical linguists alike. I argued against the view that word meanings are fixed and inflexible, where lexical ambiguity must be treated by multiple word entries in the lexicon. Rather, the lexicon can be seen as a generative system, where word senses are related by logical operations defined by the well-formedness rules of the semantics. In this view, much of the lexical ambiguity of verbs and prepositions is eliminated because the semantic load is spread more evenly throughout the lexicon to the other lexical categories. I described a language for structuring the semantic information carried by nouns and adjectives, termed Qualia structure, as well as the rules of composition that allow this information to be incorporated into the semantic interpretation of larger expressions, including explicit methods for type coercion. Finally, I discussed how these richer lexical representations can be used to generate projective inheritance structures that connect the conceptual information associated with lexical items to the global conceptual lexicon. This suggests a way of accounting for relations such as coherence and the prototypicality of a predication. Although much of what I have presented here is incomplete and perhaps somewhat programmatic, I firmly believe this approach can help clarify the nature of word meaning and compositionality in natural language, and at the same time bring us closer to understanding the creative use of word senses. Acknowledgments I would like to thank the following for comments on earlier drafts of this paper: Peter Anick, Sabine Bergler, Bran Boguraev, Ted Briscoe, Noam Chomsky, Bob Ingria, George Miller, Sergei Nirenburg, and Rich Thomason. References Anick, P., and Pustejovsky, J. 1990 ; . "An application of lexical semantics to knowledge acquisition from corpora." In Proceedings, 13th International Conference on Computational Linguistics, Helsinki, Finland. Atkins, Beryl T. 1987 ; . "Semantic ID tags: corpus evidence for dictionary senses." In Proceedings, 3rd Annual Conference at University of Waterloo, Center for the New OED. Atkins, Beryl; Kegl, Judy; and Levin, Beth 1988 ; . "Anatomy of a verb entry and pegvisomant.
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Cancer consultants amgen' s second quarter 2006 adjusted earnings per share jul 21, 2006 combined worldwide sales of neulasta r ; pegfilgrastim ; and neupogen r ; filgrastim ; , increased 12 percent to , 005 million in the second quarter of 2006.
14: Andre N, Kababri ME, Bertrand P, Rome A, Coze C, Gentet JC, Bernard JL. Safety and efficacy of pegfilgrastim in children with cancer receiving myelosuppressive chemotherapy and pemetrexed.
The two epoetin alfa products contain the identical amino acid sequence as natural erythropoietin and also stimulate red blood cell production. Filgrastim and pegfilgrastim are both glycoproteins that act on the hematopoietic cells to stimulate proliferation, differentiation commitment and some end-cell functional activation. These agents share the same mechanism of action, and both regulate the production of neutrophils within the bone marrow, affecting neutrophil progenitor proliferation. The two products differ in renal clearance; compared to filgrastim, pegfilgrastim has reduced renal clearance and prolonged persistence in vivo.2 Sargromastim is a recombinant granulocyte-macrophage colony-stimulating factor. This agent induces partially committed progenitor cells to divide and differentiate in the granulocyte-macrophage pathways.3.
Coverage topics category undefined type of bill code n a revenue code n a cpt hcpcs codes hcpcs code q4053 is effective for dates of service 07 01 2003 through 12 31 200 hcpcs code j2505 is effective dates of service on or after 01 200 intravenous infusion for therapy diagnosis, administered by physician or under direct supervision of physician; up to one hour each additional hour, up to eight 8 ; hours list separately in addition to code for primary procedure ; therapeutic, prophylactic or diagnostic injection specify material injected subcutaneous or intramuscular not otherwise classified noc ; hcpcs code j3490 should be reported for pegfilgrastim for dates of service prior to 07 01 200 icd-9-cm codes that support medical necessity truncated diagnosis codes are not acceptable and pemoline.
From the Division of Maternal-Fetal Medicine J.L.K. ; and the Division of Endocrinology D.L.P. ; , Good Samaritan Hospital, and the Retinal Diagnostic Center B.W. ; , San Jose; and Perinatal Services E.M., T.T. ; , California Pacific Medical Center, San Francisco, California. Address correspondence to John L. Kitzmiller, MD, 105 Johnson Hollow, Los Gatos, CA 95030. J.L.K. has received speaking honoraria and grant support from Eli Lilly and grant support from LifeScan.
Patient Age yr ; Sex Diagnosis Druga Active Event no. treatment Clinical description Localization Time to Biopsy Comedicationb Permanent Therapy event withdrawal anti-TNF- Yes naproxen No None Course and penicillamine.
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This phase 2, pilot study showed that pegfilgrastim 6 mg or 12 mg in conjunction with chemotherapy can be used for mobilization of CD34 + cells prior to peripheral blood progenitor cell transplantation in patients with non-Hodgkin's lymphoma. These data must be interpreted with caution due to the small sample size and high inter-patient variability, as illustrated by the broad confidence intervals around point estimates. This study was, however, planned only to provide proof of concept, and to provide information about the use of pegfilgrastim in this setting. A two-fold difference in yield between groups was required before statistical differences could be identified. Furthermore, the power of the study was reduced by the large number of patients in all three treatment groups who failed to mobilize sufficient CD34 + cells for harvest, and by patients withdrawing because they required salvage therapy other than ICE. The failure of such large proportions of patients in all groups to mobilize peripheral blood progenitor cells is surprising and does not replicate the findings of previous authors.9, 10 For example, in a phase 2 study, when given on day 5, pegfilgrastim 6 mg was able to mobilize a target harvest of 2106 CD34 + cells kg in almost all 96% ; of 25 lymphoma patients following ifosfamide, epirubicin and etoposide IEV ; chemotherapy.8 Additionally, in a recent study in which patients with relapsed or primary refractory diffuse large B-cell lymphoma received rituximab plus ICE, 28 82% ; of 34 patients receiving filgrastim 510 g kg day mobilized sufficient CD34 + cells for transplantation.11 The failure of some patients in this study to mobilize peripheral blood progenitor cells may be a function of disease severity a high proportion of patients in each arm had been pretreated with salvage chemotherapy 66% for filgrastim vs 48% for both pegfilgrastim groups ; . It is noteworthy, however, that a numerically higher proportion of patients given filgrastim achieved optimal harvest despite more of them having received salvage treatment. Previous authors have noted insufficient CD34 + cell yields in heavily-pretreated patients who received a single dose of pegfilgrastim 6 mg, and have described the use of additional injections of filgrastim to aid mobilization in this setting.12 Given the neutrophil-mediated clearance of pegfilgrastim, mobilization induced by this agent could potentially be compromised by early recovery of neutrophils. However, just eight patients receiving pegfilgrastim had neutrophil recovery in advance of.
With a previous history of arthritis. Normally the patients respond well to non-steroidal anti-inflammatory drugs such as ibuprofen or diclofenac, but some cases require the addition of morphine or tramadol. In some cases the pain due to imatinib may be mistaken for pain due to progression of leukemia. The intensity of the pain declines with time and with discontinuation of imatinib and pennyroyal.
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AR CONTRACTION, AND TYROSINE KINASES 27. Ruffolo RR Jr, Nichols AJ, Stadel JM, and Hieble JP. Structure and function of -adrenoceptors. Pharmacol Rev 43: 475505, 1991. Sauro MD, Sudakow R, and Burns S. In vivo effects of angiotensin II on vascular smooth muscle contraction and blood pressure are mediated through a protein tyrosine-kinase-dependent mechanism. J Pharmacol Exp Ther 277: 17441750, 1996. Schramm NL and Limbird LE. Stimulation of mitogen-activated protein kinase by G protein-coupled 2-adrenergic receptors does not require agonist-elicited endocytosis. J Biol Chem 274: 2493524940, 1999. Tanizawa S, Ueda M, van der Loos CM, van der Wal AC, and Becker AE. Expression of platelet derived growth factor B chain and -receptor in human coronary arteries after percutaneous transluminal coronary angioplasty: an immunohistochemical study. Heart 75: 549556, 1996. Toma C, Jensen PE, Prieto D, Hughes A, Mulvany MJ, and Aalkjaer C. Effects of tyrosine kinase inhibitors on the contractility of rat mesenteric resistance arteries. Br J Pharmacol 114: 12661272, 1995. Tostes RC, Wilde DW, Bendhack LM, and Webb RC. Calcium handling by vascular myocytes in hypertension. Braz J Med Biol Res 30: 315323, 1997. Touyz RM, El Mabrouk M, He G, Wu XH, and Schiffrin EL. Mitogen-activated protein extracellular signal-regulated kinase inhibition attenuates angiotensin II-mediated signaling and contraction in spontaneously hypertensive rat vascular smooth muscle cells. Circ Res 84: 505515, 1999. Touyz RM and Schiffrin EL. Signal transduction mechanisms mediating the physiological and pathophysiological actions of angiotensin II in vascular smooth muscle cells. Pharmacol Rev 52: 639672, 2000. Touyz RM, Wu XH, He G, Park JB, Chen X, Vacher J, Rajapurohitam V, and Schiffrin EL. Role of c-Src in the regulation of vascular contraction and Ca2 signaling by angiotensin II in human vascular smooth muscle cells. J Hypertens 19: 441449, 2001. Uehata M, Ishizaki T, Satoh H, Ono T, Kawahara T, Morishita T, Tamakawa H, Yamagami K, Inui J, Maekawa M, and Narumiya S. Calcium sensitization of smooth muscle mediated by a Rho-associated protein kinase in hypertension. Nature 389: 990994, 1997. Wijetunge S, Aalkjaer C, Schachter M, and Hughes AD. Tyrosine kinase inhibitors block calcium channel currents in vascular smooth muscle cells. Biochem Biophys Res Commun 189: 16201623, 1992. Wijetunge S, Lymn JS, and Hughes AD. Effects of protein tyrosine kinase inhibitors on voltage-operated calcium channel currents in vascular smooth muscle cells and pp60 c-Src ; kinase activity. Br J Pharmacol 129: 13471354, 2000. Wilkie N, Ng LL, and Boarder MR. Angiotensin II responses of vascular smooth muscle cells from hypertensive rats: enhancement at the level of p42 and p44 mitogen activated protein kinase. Br J Pharmacol 122: 209216, 1997. Wu X, Davis GE, Meininger GA, Wilson E, and Davis MJ. Regulation of the L-type calcium channel by 5 1-integrin requires signaling between focal adhesion proteins. J Biol Chem 276: 3028530292, 2001. Zheng XL, Renaux B, and Hollenberg MD. Parallel contractile signal transduction pathways activated by receptors for thrombin and epidermal growth factor-urogastrone in guinea pig gastric smooth muscle: blockade by inhibitors of mitogen-activated protein kinase-kinase and phosphatidyl inositol 3 -kinase. J Pharmacol Exp Ther 285: 325334, 1998.
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From tlie Harold Brunn Institute, Mount Zion Hospital, San Francisco, Calif. Supported by grant H-1006 C6 ; from the Xational Institutes of Health, National Heart Institute. Received for publication October 20, 1958 and pegfilgrastim.
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