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  • 1
    ISSN: 1432-1041
    Keywords: Key words Prescription-Event Monitoring ; Cisapride; pharmacovigilance ; adverse drug reactions ; post-marketing surveillance
    Source: Springer Online Journal Archives 1860-2000
    Topics: Chemistry and Pharmacology , Medicine
    Notes: Abstract Objective: The results of Prescription-Event Monitoring (PEM) from over 13 000 patients receiving cisapride are compared with safety data from a large-scale clinical study involving nearly 10 000 patients. Results: The clinical study population showed a significantly younger age profile than the PEM population and excluded patients with serious disease; however, both studies showed similar patterns of adverse events. The most common adverse events reported in association with cisapride in both studies were diarrhoea, headache, abdominal pain, constipation and nausea. Some of these may be attributed to the underlying condition rather than the action of the drug. Prompting patients about adverse events during a clinical trial assessment appeared to increase the reporting of some conditions: for example, diarrhoea was reported more frequently in the clinical trial than in the PEM study. Conclusion: Both studies showed cisapride to be generally safe and well tolerated.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Hoboken, NJ : Wiley-Blackwell
    AIChE Journal 41 (1995), S. 855-867 
    ISSN: 0001-1541
    Keywords: Chemistry ; Chemical Engineering
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Chemistry and Pharmacology , Process Engineering, Biotechnology, Nutrition Technology
    Notes: For a triplet competitive-consecutive halogenation sequence forming mono-, di- and trihalogenated products of the form, A + B → R + B → S + B → T, under semibatch operation adding B to A, if perfect mixing could be assumed at all scales, the product distribution would be unchanged on scaling up. However, if the reaction rates are reasonably faster than the mixing rate, the semibatch addition of B to A will be imperfectly backmixed, exhibiting macroscale concentration gradients. This partial segregation of the primary reagents is capable of modifying the selectivity and corresponding appearance of R, S and T in the course of the batch. Imperfect mixing is quantified using the networks-of-zones model. The effect of scaling up at equal tip speed is examined for a lab-scale 0.3-dm3 reactor, a semitech 30-dm3 reactor, and a production-scale 3,000-dm3 vessel. The intensity of partial segregation is weak at the lab scale, but very severe at the production scale. The lab-scale reactor is therefore close to perfectly backmixed, and the primary, secondary and tertiary products appear in sequence. At the semitech scale the increased partial segregation causes the final product to initially precede the secondary product paradoxically but lag the initial product. At the large scale the more severe segregation between A and B gives an even greater paradox, whereby the final product appears ahead of both the primary and secondary ones. The segregated concentration fields of A and B are visualized as sectional image reconstructions for networks comprising on the order of 1,000 zones. Localized intensive plumes of B emanating from the addition point cause the paradoxical reversals of product sequences. The calculations are directly relevant to real industrial miscible liquid halogenations for which product distribution paradoxes have been observed (Haywood, 1990).
    Additional Material: 14 Ill.
    Type of Medium: Electronic Resource
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