Predictor studies

Polymorphisms have been described for all (3-adrenergic receptors while initial studies, notably of the (3i-subtype, suggested that these might be predictors of diseases as well as of therapeutic responses, these results have more recently been questioned. Alterations in responsiveness may be limited to certain compounds and a causative role in diseases has not been or remains to be substantiated in larger trials. 

Verheul et al. (2004) pooled data from seven European acamprosate studies in an effort to identify patient-related predictors of response to the medication. Although they examined a number of potential predictors, including patients level of physiological dependence before treatment, family history of alcoholism, age of onset of alcoholism, baseline anxiety symptom severity, baseline craving, and gender, none was shown to interact with acamprosate treatment. These findings led the authors to conclude that, although the effect size for acamprosate was moderate, the medication can be considered potentially effective for all patients with alcohol dependence. 

Woody GE, Luborsky L, McLellan AT, et al Psychotherapy for opiate addicts does it help Arch Gen Psychiatry 40 639—645, 1983 Woody GE, McLellan AT, Luborsky L, et al Severity of psychiatric symptoms as a predictor of benefits from psychotherapy the Veterans Administration-Penn study. Am J Psychiatry 141 1172—1177, 1984 Woody GE, McLellan AT, Luborsky L, et al Twelve-month follow-up of psychotherapy for opiate dependence. Am J Psychiatry 144 590-596, 1987 Yabaluri N, Medzihradsky F Down-regulation of mu-opioid receptor by full but not partial agonists is independent of G protein coupling. Mol Pharmacol 52 896-902, 1997... 

Cantopher T, Olivieri S, Cleave N, et al Chronic benzodiazepine dependence a comparative smdy of abrupt withdrawal under propranolol cover versus gradual withdrawal. Br J Psychiatry 156 406-411, 1990 Caplan RD, Andrews FM, Conway TL, et al Social effects of diazepam use a longitudinal field study. Soc Sci Med 21 887—898, 1985 Charney DA, Paraherakis AM, Gill KJ The treatment of sedative-hypnotic dependence evaluating clinical predictors of outcome. J Clin Psychiatry 61 190—195, 2000... 

The most important potential complication of phenol-based peels is cardiotoxicity. Phenol is directly toxic to myocardium. Studies in rats have shown a decrease in myocardial contraction and in electrical activity following systemic exposure to phenol [i6]. Since fatal doses ranged widely in these studies, it seems that individual sensitivity of myocardium to this chemical exists. In humans neither sex/age nor previous cardiac history/blood phenol levels are accurate predictors for cardiac arrhythmia susceptibility [17]. 

Bauer MS, Shea N, McBride L, Gavin C (1997). Predictors of service utilization in veterans with bipolar disorder a prospective study. 

The severity of the neurological deficit at the time of stroke onset is a major predictor of stroke outcome. In an analysis of the placebo-treated patients in the National Institute of Neurological Disorders and Stroke (NINDS) recombinant tissue-plasminogen activator (rt-PA) study, the best acute predictor of a poor outcome at 1 year was an National Institute of Health Stroke Scale (NIHSS) score >17 for patients over 70 years. These criteria had a high specificity (98%), but sensitivity was only 31%. The low sensitivity of the acute NIHSS score alone in predicting... 

There is little new with regard to the mu receptor, the main target for opioid drugs. The receptor is remarkably similar in structure and function in all species studied so animal studies will be good predictors for clinical applications. Although there have been suggestions of subtypes of the receptor, the cloned mu receptors have all been identical. 

From an analysis of the key properties of compounds in the World Dmg Index the now well accepted Rule-of-5 has been derived [25, 26]. It was concluded that compounds are most Hkely to have poor absorption when MW>500, calculated octanol-water partition coefficient Clog P>5, number of H-bond donors >5 and number of H-bond acceptors >10. Computation of these properties is now available as a simple but efficient ADME screen in commercial software. The Rule-of-5 should be seen as a qualitative absorption/permeabiHty predictor [43], rather than a quantitative predictor [140]. The Rule-of-5 is not predictive for bioavail-abihty as sometimes mistakenly is assumed. An important factor for bioavailabihty in addition to absorption is liver first-pass effect (metaboHsm). The property distribution in drug-related chemical databases has been studied as another approach to understand drug-likeness [141, 142]. 

The different organic modifiers used to derive the most suitable mobile phases lead to different parameters namely isocratic logfe and extrapolated logkw. The extrapolation method has no reality in terms of chromatographic behavior of solutes. However, mainly by correlation with log Pod (Eqs. 2 and 3) several studies have demonstrated the interest of these extrapolated retention factors as predictors of the lipophilicity of solutes. 

Often, it is not quite feasible to control the calibration variables at will. When the process under study is complex, e.g. a sewage system, it is impossible to produce realistic samples that are representative of the process and at the same time optimally designed for calibration. Often, one may at best collect representative samples from the population of interest and measure both the dependent properties Y and the predictor variables X. In that case, both Y and X are random, and one may just as well model the concentrations X, given the observed Y. This case of natural calibration (also known as random calibration) is compatible with the linear regression model... 

Slemenda, C. W., Siu, L. H., Longscope, C., Wellman, H., Johnston, C., Predictors of bone mass in perimenopausal women a prospective study of clinical data using photon absorptiometry, Annals of Internal Medicine, 112, 96, 1990. 

The major drawback to using the Florida study to support the correlation between indoor and soil measurements was that the indoor measurements were obtained from 3-day closed-house charcoal measurements, and soil radon was obtained from 1-month alpha track measurements buried 1 ft beneath the soil surface. Comparisons of charcoal and alpha track data are generally not recommended since they are quite different measurement techniques, and represent radon levels over different time periods. However, the study was subjected to numerous quality control checks including deployment of alpha track detectors in 10% of the houses to obtain a check on indoor air measurements made by charcoal canisters. In spite of the measurement drawbacks, the study indicates that soil radon measurements taken alone are not a dependable predictor of potential indoor radon concentration. 

The relationship of PbB level to systolic and diastolic blood pressure was determined in a study of 89 Boston policemen (race not specified) (Weiss et al. 1986, 1988). These policemen were under observation for health outcomes related to environmental work exposures (i.e., they had traffic exposure histories). After statistically adjusting for previous systolic blood pressure, body mass index, age, and cigarette smoking, high PbB level ( 30 pg/dL) was a significant (p=0.01) predictor of subsequent elevation in systolic blood pressure of 1.5-11 mm Hg in the working policemen with normal blood pressure. Low PbB level (20-29 pg/dL) was not a predictor of subsequent systolic blood pressure elevations. Diastolic pressure was unrelated to PbB levels. 

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