CONSENSUS study

Ferri CP, Prince M, Brayne C, Brodaty H, Fratiglioni L, Ganguli M, Hall K, Hasegawa K, Hendrie H, Huang Y, Jorm A, Mathers C, Menezes PR, Rimmer E, Scazufca M. (2005) Global prevalence of dementia A Delphi consensus study. Lancet 366 2112-2117. 

The CONSENSUS study was performed in 253 patients with severe congestive heart failure. They were randomized to receive either placebo (n = 126) or enalapril (n = 127), from 2.5 mg bid to 20 mg bid with a follow-up period that averaged 182 days. By the end of the study, there had been 68 deaths in the placebo group and 50 in the enalapril group (p =. 003) (313). Later, enalapril was shown to be superior to hydralazine-isosorbide dinitrate (314, 315). 

Gurrera, R.J., Caroff, S.N., Cohen, A. et ai (2011) An international consensus study of neuroleptic malignant syndrome diagnostic criteria using the Delphi method. Journal of Clinical Psychiatry 72 (9), 1222-1228. 

Pubhc concerns about pesticides in the diet of infants and children resulted in an expert committee convened by the U.S. National Academy of Sciences which devoted four years to the review of all available data. A consensus report was issued in 1993 (80). A number of recommendations for further work to more precisely define what constitutes the diet of infants and children were made. No risk could be estimated. The residue data reviewed by the panel were mainly from monitoring studies conducted by the PDA using multiresidue methods to analyze fresh produce and market basket samples collected from various geographic areas (81,82). These and other rehable scientific studies have demonstrated that relatively few food samples contain detectable residues. Most residues are far below estabhshed tolerances which are set above the maximum residue found in treated raw agricultural... 

In order to establish safe values for velocity-diameter product, various studies have been made to determine the minimum liquid surface potential that will result in an incendive discharge in the presence of a grounded electrode. Studies reviewed in [8] showed that for credible charging conditions, liquids must be negatively charged to yield incendive bmsh discharges. The consensus has been that to avoid incendive discharges the maximum liquid... 

The mechanism of this reaction has been studied by several groups [133,174-177]. The consensus is that interaction of ester with the phenolic resole leads to a quinone methide at relatively low temperature. The quinone methide then reacts rapidly leading to cure. Scheme 11 shows the mechanism that we believe is operative. This mechanism is also supported by the work of Lemon, Murray, and Conner. It is challenged by Pizzi et al. Murray has made the most complete study available in the literature [133]. Ester accelerators include cyclic esters (such as y-butyrolactone and propylene carbonate), aliphatic esters (especially methyl formate and triacetin), aromatic esters (phthalates) and phenolic-resin esters [178]. Carbamates give analogous results but may raise toxicity concerns not usually seen with esters. 

Several studies have shown that the shock sensitivity of granular expls depends on expl particle size. The consensus is that the threshold shock pressure to initiate detonation in a given expl is less for large particles than for small particles. However, the converse is true when one considers run-up distances (or run-up times) to detonation. Thus at some pressure above the threshold for both large and small particles, run-up to detonation is smaller for small particle charges than for large particle charges... 

Inside the typical smooth muscle cell, the cytoplasmic filaments course around the nuclei filling most of the cytoplasm between the nuclei and the plasma membrane. There are two filamentous systems in the smooth muscle cell which run lengthwise through the cell. The first is the more intensively studied actin-myosin sliding filament system. This is the system to which a consensus of investigators attribute most of the active mechanical properties of smooth muscle. It will be discussed in detail below. The second system is the intermediate filament system which to an unknown degree runs in parallel to the actin-myosin system and whose functional role has not yet been completely agreed upon. The intermediate filaments are so named because their diameters are intermediate between those of myosin and actin. These very stable filaments are functionally associated with various protein cytoarchitectural structures, microtubular systems, and desmosomes. Various proteins may participate in the formation of intermediate filaments, e.g., vimentin. 

The factors that correlate with treatment success do not clearly apply to success after detoxification from methadone maintenance. Correlates of successful detoxification include 1) less criminal behavior 2) more stable family 3) more stable employment 4) shorter drug history 5) long maintenance with lower dosage and 6) discharge status, with patient and staff consensus as opposed to unilateral discharge from treatment (Dole and Joseph 1978). In one study, addicts were followed an average of 2 years after detoxification (Stim-mel et al. 1977). Although only 28% of the total sample remained abstinent, 83% of those who had fully completed treatment remained abstinent. Another study of 105 patients detoxified after methadone maintenance treatment documented an 82% relapse rate within 12 months (Ball and Ross 1991). These... 

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