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  • 1
    Electronic Resource
    Electronic Resource
    Oxford [u.a.] : International Union of Crystallography (IUCr)
    Acta crystallographica 51 (1995), S. 1972-1975 
    ISSN: 1600-5759
    Source: Crystallography Journals Online : IUCR Backfile Archive 1948-2001
    Topics: Chemistry and Pharmacology , Geosciences , Physics
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Copenhagen : International Union of Crystallography (IUCr)
    Acta crystallographica 52 (1996), S. 770-776 
    ISSN: 1600-5740
    Source: Crystallography Journals Online : IUCR Backfile Archive 1948-2001
    Topics: Chemistry and Pharmacology , Geosciences , Physics
    Notes: KLiSi2O5, Mr = 182.21, λ(Mo Kα) = 0.71073 Å, 150 K, monoclinic, P21, a = 5.9803 (6), b = 4.7996 (6), c = 8.1599 (11) Å, β = 93.477 (10)°, V = 233.78 (5) Å3, μ(MoKα) = 15.7 cm−1, Z = 2, F(000) = 180, Dx = 2.5885 (6) Mg m−3, R1 = 0.0331 for 1023 reflections with I 〉 2.0σ(I), wR2 = 0.0864 for all 1064 reflections. The crystal structure of potassium lithium phyllosilicate has been determined and the hygroscopicity of glassy single and mixed alkali disilicates has been measured. The potassium lithium phyllosilicate sheet topology is the same as that of lithium phyllosilicate, consisting of six-membered silica rings in a chair configuration. Li is fourfold oxygen coordinated by three non-bridging O and one bridging O, while K is sixfold oxygen coordinated by five non-bridging O and one bridging O. The K atoms are sandwiched between the LiSi2O5 layer. Crystalline and glassy lithium disilicate are not hygroscopic. Crystalline and glassy potassium disilicate are the most hygroscopic alkali disilicates known to date, whereas the mixed system, crystalline and glassy lithium potassium disilicate, is again not hygroscopic. Calculated valences for lithium potassium phyllosilicate do not provide a rationale for these observations.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Copenhagen : International Union of Crystallography (IUCr)
    Acta crystallographica 54 (1998), S. 568-577 
    ISSN: 1600-5740
    Source: Crystallography Journals Online : IUCR Backfile Archive 1948-2001
    Topics: Chemistry and Pharmacology , Geosciences , Physics
    Notes: Li2Si2O5, Mr = 150.05, λ(Mo Kα) = 0.71073 Å, 293 K, orthorhombic, Ccc2, a = 5.807 (2), b = 14.582 (7), c = 4.773 (3) Å, V = 404.2 (3) Å3, μ(Mo Kα) = 0.78 mm−1, Z = 4, Dx = 2.466 Mg m−3, R1 = 0.045 for 249 reflections with I 〉 2.0σ(I), wR2 = 0.1138 for all 261 reflections. K2Si2O5, Mr = 214.36, λ(Mo Kα) = 0.71073 Å, 150 K, monoclinic, Cc, a = 16.322 (2), b = 11.243 (2), c = 9.919 (1) Å, β = 115.97 (1)°, V = 1636.4 (4) Å3, μ(Mo Kα) = 2.11 mm−1, Z = 12, Dx = 2.610 Mg m−3, R1 = 0.0385 for 2370 reflections with I 〉 2.0σ(I), wR2 = 0.0785 for all 2711 reflections. The crystal structures of Li2Si2O5 and K2Si2O5 have been determined and refined. The lithium phyllosilicate sheet topology and structure based on three-dimensional data and refined in the orthorhombic space group Ccc2 confirm the previous determination by Liebau [Acta Cryst. (1961), 14, 389–395] from two-dimensional data, but described in the lower monoclinic Cc space-group symmetry. Potassium disilicate, on the other hand, is not a phyllosilicate but forms a three-dimensional defect cristobalite structure built from Q3 silica units. In this structure, one Si—O—Si bridge, common to four six-membered T-rings, i.e. rings consisting of six silica tetrahedra in the chair conformation, is missing, resulting in 14-membered T-rings. Continuous sheets built up from these rings form a layer connected to layers above and below by six-membered T-rings in the chair conformation. 29Si MASNMR shows a good correlation between Si—O—Si angle and 29Si chemical shift for K2Si2O5, Li2Si2O5 and KLiSi2O5. The 29Si spin lattice relaxation times, T1, are 335, 689 and 〈1256〉 s for Li2Si2O5, KLiSi2O5 and K2Si2O5, respectively. The pronounced non-linearity in hygroscopicity in glassy potassium–lithium disilicates is not observed in the osmolality of 0.8M potassium–lithium chloride aqueous solutions.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1437-160X
    Keywords: Shoulder complaints ; Pain ; Limitation of mobility ; General practice ; Follow-up study
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The objective of this research was to study the course of the pain and the restriction of mobility of the scapulohumeral joint (ROM) over time, and the factors influencing it, in patients with shoulder complaints in general practice. A total of 101 patients participated in this 25-week follow-up study. For the first 2 weeks, a non-steroidal anti-inflammatory drug (NSAID) was prescribed, after that period the physician could follow his usual therapeutic approach. The NSAIDs prescribed during the first 2 weeks resulted in a rapid decrease in the pain and the ROM. The group with the most severe pain consumed the most tablets, which resulted in a significant decrease in the pain and the ROM. It appeared that the course of the pain from week 2 to week 8 was significantly influenced by pain at inclusion, diagnosis and therapy. The most rapid decrease in the ROM appeared in the first 2 weeks. At week 0 and week 2, differences in the ROM were seen in the subgroups for diagnosis, pain score and age. The pain and the ROM showed most decrease in the first weeks. After 6 weeks hardly any changes were seen in the pain score and the ROM score. The margin of the pain score and the ROM score between the “cured” and the “not cured” patients was a very narrow one.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    European journal of clinical pharmacology 55 (1999), S. 533-536 
    ISSN: 1432-1041
    Keywords: Key words Adverse drug effects ; Polypharmacy ; Elderly
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Abstract Objectives: The risk of adverse drug reactions (ADRs) increases with the number of drugs used. Most studies refer to potential interactions; the results regarding the severity of occurring and registered ADRs are inconsistent. Therefore, we examined the relevance of drug-induced problems in the elderly in general practice and their association with polypharmacy. Design: Retrospective cross-sectional analysis of prospectively collected data. Setting: Three family practices participating in the medication and morbidity Registration Network Groningen (RNG). Methods: From 2185 elderly patients (〉64 years) medication and morbidity data were collected over the period of 2 years (1994 and 1995). Polypharmacy was defined as the long-term simultaneous use of two or more drugs. Adverse reactions recognised as such were coded as a separate `diagnosis' A85. The most risky drug groups and the most prevalent diseases in relation to ADRs were studied. Results: The incidence of ADRs in general practice was 5.7 per 100 elderly patients and the prevalence 6.1 per 100. Moderate polypharmacy was more frequent in the elderly who experienced adverse effects; no other differences in degree of polypharmacy could be found. The elderly who experienced adverse reactions used overall more different drugs (14.4 ± 7.6, of which 1.5 ± 1.5 were used long term) than the other elderly patients (8.1 ± 5.7, of which 1.0 ± 1.5 were long term). The incidence of ADRs increased non-significantly with the number of drugs used long term. Antibiotics, antihypertensives and non-steroidal anti-inflammatory drugs were mainly responsible for gastrointestinal complaints (nausea, diarrhoea and stomach pain) and rash. In the cases of treating urinary tract infections and sleeping disorders, there was a significantly high risk of ADRs. Slightly more at risk for adverse drug reactions were older patients with coronary heart disease or asthma/chronic obstructive pulmonary disease. Conclusion: Most of the ADRs observed in general practice turn out to be rather harmless. This is in agreement with outpatient studies, though not with hospital studies. An increased risk of adverse effects with the number of drugs used simultaneously, as reported in other studies, was not confirmed in our study. This study however is limited to actually registered effects.
    Type of Medium: Electronic Resource
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  • 6
    ISSN: 1573-739X
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1573-2649
    Keywords: DHP ; diabetes ; health-related quality of life ; NIDDM ; RAND-36 ; reliabllity ; SF-36 ; validity
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Recently, a new diabetes-specific questionnaire, the Diabetes Health Profile (DHP), has been developed to identify psychosocial dysfunctioning of insulin-requiring (NIDDM) and insulin-dependent diabetes mellitus (IDDM) patients. The DHP comprises three dimensions: psychological distress (PSY: 14 items), barriers to activity (BAR: 12 items) and disinhibited eating (EAT: five items). This study investigates the psychometric properties of the DHP in Dutch noninsulin-dependent diabetes mellitus (NIDDM) patients referred for insulin therapy. In addition, the relation-ship between patient characteristics and the DHP outcome was examined. The factor structure found was similar but not identical to former studies, but construct validity was supported by high correlations of our factor structure and the original factor outcome and Cronbach's α. The three factors explained 32% of the variance, supporting earlier findings. It was shown that Cronbach's α was satisfactory (0.72, 0.72 and 0.79). Convergent validity showed strong and significant correlations between the PSY/BAR dimensions and predicted corresponding scales of the RAND-36. However, the PSY/BAR dimensions also showed, although less strong, significant correlations with the non-corresponding RAND-36 scales. The EAT dimension showed only correlations with two of the RAND-36 dimensions, thus measuring a different trait. Regression analysis showed that older patients had less problems with items of the EAT dimension and that no difference was found between men and women, supporting earlier findings. The hyperglycaemic complaint ‘fatigue’ gave a significantly lower score (more problems) on the PSY and BAR dimensions. Younger age, the presence of hypertension and retinopathy resulted in a significantly lower score on the EAT dimension. DHP outcome was not significantly influenced by duration of diabetes, HbA1c (indicator of glycemic control), serum total cholesterol, body mass index, chronic diabetes complications and comorbidity. Overall, the psychometric properties were good considering the small and diverse sample, suggesting that the DHP is promising for use in NIDDM patients, although more study is necessary in a larger sample.
    Type of Medium: Electronic Resource
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  • 8
    ISSN: 1573-2649
    Keywords: Key words: Asthma ; lung function ; bronchoditator use ; quality of life.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The objective of this study was to compare the two most frequently used asthma-specific quality of life (QOL) questionnaires and two generic QOL questionnaires with clinical data in order to establish their ability to discriminate in asthma severity, also referred to as cross-sectional construct validity. We conducted a multicentre, randomized, placebo-controlled study investigating the long-term effects of the long-acting ß2-agonist formoterol in asthma patients using inhaled corticosteroids and short-acting ß2-agonists. Before randomization, the peak expiratory flow (PEF) and use of ß2-agonists for relief of symptoms were recorded twice daily for 1 month. At the end of the run-in period, the forced expiratory volume in 1s (FEV1), airway hyper-responsiveness (PC20 methacholine) and QOL were measured, using two asthma-specific questionnaires, the Asthma Quality of Life Questionnaire (AQLQ) and the Living with Asthma Quality of Life Questionnaire (LWAQ), as well as two generic questionnaires, the Short Form 36 (SF-36) and the Psychological General Well Being (PGWB) index. The quality of life of the patients (n=110) was only mildly impaired. The mean symptom score was 3.6 on a scale of 0-21 and the mean FEV1 was 65% of that predicted. The correlations between the QOL parameters and objective measures of asthma severity, such as the FEV1, PEF and PC20, were low (0.01-0.37). The correlations between the QOL parameters and subjective measures of asthma severity, such as symptom scores (range 0.26-0.65) and ß2-agonist use for the relief of symptoms (0.09-0.39), were higher. The correlations of the activity and symptoms domains of the AQLQ with diary-obtained symptom scores were r=0.50 (p[lessthan]0.0001) and r=0.65 (p[lessthan]0.0001), respectively. The correlation between the physical construct of the LWAQ and symptom scores was r=0.42 (p[lessthan]0.001) and that between the physical sumscore of the SF-36 and symptom scores was r=0.50 (p[lessthan]0.001). The correlation between the PGWB and symptom scores was r=0.41 (p[lessthan]0.001). The relation between the FEV1, PEF and PC20 and QOL was very low. The QOL measurements related well to the symptom scores. The AQLQ had a better cross-sectional construct validity than the LWAQ. The cross-sectional construct validity of the SF-36 was surprisingly high for this group of patients and the SF-36 performed better than the PGWB and LWAQ.
    Type of Medium: Electronic Resource
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