2 ligands and DNA 6 ; . Spectroscopic techniques highlight the complicated dynamics of macromolecules such as DNA, and special attention has been focused on bound water in the ligand-DNA complex 7, 8 ; . Thermodynamic studies in conjunction with theoretical calculations and X-ray crystallography demonstrate that water mediates contacts between ligands and the DNA binding site 9, 10 ; . Insight into the larger population of waters involved in the DNA-small molecule reaction is obtained from volumetric studies 11 ; . Another approach for measuring the total hydration changes is the osmotic stress method 12 ; . In these experiments, water is treated as a ligand, and its involvement in the ligand-DNA association is analyzed using linkage thermodynamics 13 ; . The activity of water in the bulk solution is affected via cosolutes that are excluded from the vicinity of the DNA 14 ; . Via this method, water has been shown to be involved in the association of proteins with DNA, and the extent of the hydration changes is influenced by the base sequence and conformational changes 15, 16 ; . A significant result from studies of small molecules interactions with DNA is that water acquisition occurs with complex formation 17, 18, 19 ; . To consider how the structure of the ligand influences the hydration changes, three small molecules with terminal C NH2 ; 2 + groups DAPI 4, 6-diamidino-2phenylindole ; , netropsin, and pentamidine - were reacted with the AATT ; 2 binding site Fig. 1 ; . To measure how the binding affinities vary with osmotic pressure, the fluorescence reporter DAPI is used to measure relative equilibrium constants for the netropsin and pentamidine exchange reactions. The hydration changes are examined from the standpoint of the common terminal functional groups in the ligands and their conformational effects on DNA.
Complementary List amphotericin B pentamidine 6.5.3 Antimalarial medicines 6.5.3.1 For curative treatment Medicines for the treatment of P. falciparum malaria cases should be used in combination. amodiaquine * artemether + lumefantrine * tablet, 153 mg or 200 mg base ; * amodiaquine should preferably be used as part of combination therapy tablet, 20 mg + 120 mg * recommended for use in areas with significant drug resistance and not in pregnancy or in children below 10kg tablet 100 mg, 150 mg as phosphate or sulfate syrup, 50 mg as phosphate or sulfate ; 5 ml; injection 40 mg as hydrochloride, phosphate or sulfate ; ml in 5-ml ampoule tablet, 7.5 mg, 15 mg as diphosphate ; tablet, 300 mg as bisulfate or sulfate injection, 300 mg as dihydrochloride ; ml in 2-ml ampoule powder for injection, 50 mg in vial powder for injection, 200 mg, 300 mg isetionate ; in vial.
Newly Added Nursing Credit - Approval # 4-0059-12-11-19 mg day po, or clindamycin 300 to 450 mg po qid with primaquine base 15 mg day po. All treatment regimens should be given for 21 days. The major limitation of pentamidine is the high frequency of toxic side effects, including renal failure, hepatotoxicity, hypoglycemia, leukopenia, fever, rash, and gastric intolerance. The overall mortality in hospitalized patients is 15 to 20%. Adjunctive therapy with corticosteroids is advocated for those with a PaO2 70 mm Hg. The suggested regimen is prednisone 40 mg bid or its equivalent ; for the first 5 days, 20 mg bid for the next 5 days, and then 20 mg day for the duration of treatment. Corticosteroids reduce hypoxemia, the need for intubation, and late fibrosis. Supportive treatment includes O2 therapy, sometimes requiring positive end-expiratory pressure to maintain PaO2 60 mm Hg. AIDS patients who have had P. carinii pneumonia or who have a CD4 count 200 mm3 should receive prophylaxis with TMP-SMX 80 400 mg day; if this treatment is not tolerated, dapsone 100 mg day po or aerosolized pentamidine 300 mg monthly can be used. These prophylactic regimens are often advocated for other vulnerable populations.
4.0, containing 4M urea and 0.5 M NaCl urea, pH4 ; , as described by our laboratory 17 ; . Both fractions of affinity purified antibodies were dialyzed at 4 oC against 50% glycerol in water and stored as aliquots at -85 oC. Characterization of r-hFIX: Blood clotting activity: Clotting activities of purified r-hFIX and purified plasma hFIX were determined with the Activated Partial Thromboplastin Time APPT ; kit APTT-SP liquid ; - 0020006300 from Instrumentation Laboratory, Lexington, MA. In order to determine the specific activity of r-hFIX, a standard curve of dilutions of purified plasma hFIX was made. One unit of hFIX activity was defined as the activity of hFIX in one ml of pooled human plasma. N-terminal Edman degradation: This analysis was carried out by the Protein Core Laboratory at Wake Forest University School of Medicine. Gla analysis: This analysis of r-hFIX was carried after alkaline hydrolysis of the purified protein in 4 M KOH under vacuum for 16 hours at 120 oC. Amino acids were separated by HPLC according to a modification of the method described by Wu and Knabe 19 ; which provide excellent separation of the OPA derivatives of Gla, Asp and Glu. Estimation of the number of Gla residues in rhFIX was based on the known numbers of Asp and Glu residues in purified hFIX 20 ; . Separation was made by isocratic elution from a SupelcosilTM LC-18 column 15 cm x 4.6 mm, 3 m ; Sigma, St.Louis. MO ; with a mixture of 86% of solvent A 0.1 M sodium acetate pH 7.2 containing 9% methanol and 0.5% tetrahydrofuran ; and 14% of solvent B 100% methanol ; . Prior to amino acid analysis, 0.1 ml of amino acid standards and protein hydrolyzates were mixed with 0.1 ml of a solution of benzoic acid in K2B4O7 prepared by mixing 525 ml of water containing 8.4 g benzoic acid with 175 ml of saturated K2B4O7 in water and bringing the total volume to 1.6 ml with HPLC water Solution C ; . Equal volumes of Solution C and OPA reagent made by dissolving 50 mg OPhthaldialdehyde in 1.25 ml methanol to which 11.2 ml of 0.04 M sodium borate buffer, pH 9.5, 50 l mercaptoethanol and 0.4 ml of Brij-35 were added ; were mixed and incubated for 2 min in the WATERS 2695 HPLC system before separation of the OPA derivatives. Detection of fluorescence.
LIST OF FIGURES Table 1 Table 2 Table 3 Table 4 UBC Waste Management Solid Waste Services . List of Items Recycled by UBC Waste Management UBC Waste Management Diversion Rates for 2000 01 End Markets for Recycled Material from UBC.
Increasing drug resistance, adverse effects, and the lack of feasibility of current protocols point to the need for greater R&D into new drugs for diseases found in the developing world. From 1910 to 1970, the pharmaceutical industry's contribution was crucial to the fight against endemic tropical diseases: trypanocides and antiamebic agents in the 1930s Bayer, Rho ne Poulenc ; , chloroquine during World War II Specia, Winthrop ; , and in the 1960s, the discovery of leading anthelmintics Janssen ; . Since then, pharmaceutical companies have adopted a completely different strategy.21 Among the 1223 new chemical entities commercialized from 1975 to 1997, 379 30.9% ; are considered therapeutic innovations, but only 13 1% ; are specifically for tropical diseases TABLE 2 ; . Two of these 13 drugs are actually updated versions of previous products new formulations of pentamidine and amphotericin B ; , 2 are the result of military research halofantrine hydrochloride and mefloquine ; , 5 come from veterinary research albendazole, benznidazole, ivermectin, oxamniquine, and praziquantel ; , and only 4 0.3% ; may be considered direct results of R&D activities of the pharmaceutical industry artemether, atovaquone, eflornithine, and nifurtimox ; .22 Thus, it appears that pharmaceutical R&D is abandoning tropical diseases. There are 4 main reasons for this shift: 1. Costs and Risks of R&D Relative to the Low Purchasing Power of Developing Countries. A typical R&D program from initial results to registration ; would cost approximately 0 million and take between 8 and 12 years and pentasa.
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Figure 2. Pentamidine has no effect on other major cardiac membrane currents. A, Heterologously expressed KvLQT1 minK currents recorded under control conditions and after extracellular application of 10 M pentamidine. Pentamidine had no effect on KvLQT1 minK n 5 ; . B, Effects of pentamidine on heterologously expressed Kv4.3 currents and C, cardiac Na + currents expressed from SCN5A gene ; recorded under control conditions and in the presence of 10 M pentamidine. As in the case of KvLQT1 minK, 10 M pentamidine has no effect on either Kv4.3 or Na + currents n 6 ; . D, effect of 10 M pentamidine on native L-type calcium currents recorded in guinea pig ventricular myocytes. Exposure to 10 M pentamidine failed to significantly reduce cardiac Ca2 + currents n 3 ; . Voltage protocols for each experiment are shown above current traces.
New drugs added since June 2002 indicated in bold. ANTIRETROVIRALS NRTIs- abacavir Ziagen ; , abacavir lamivudine zidovudine Trizivir ; , didanosine ddI, Videx, Videx EC ; , lamivudine Epivir, 3TC ; , lamivudine zidovudine Combivir ; , stavudine d4T, Zerit ; , tenofovir Viread ; , zalcitabine ddC, HIVID ; , zidovudine AZT, Retrovir ; . PIs- amprenavir Agenerase ; , indinavir Crixivan ; , lopinavir ritonavir Kaletra ; , nelfinavir Viracept ; , ritonavir Norvir ; , saquinavir Fortovase, Invirase ; . nNRTIs- delavirdine Rescriptor ; , efavirenz Sustiva ; , nevirapine Viramune ; . Other- hydroxyurea Hydrea ; . OI DRUGS PHS "A1 OI"s- acyclovir Zovirax ; , azithromycin Zithromax ; , clarithromycin Biaxin ; , fluconazole Diflucan ; , itraconazole Sporonox ; , leucovorin, pyrimethamine Daraprim ; , sulfadiazine, TMP SMX Bactrim ; . Other OIs- atovaquone Mepron ; , clindamycin, dapsone, erythropoietin Procrit ; , ethambutol Myambutol ; , filgrastim Neupogen ; , metronidazole Flagyl ; , nystatin, paromomycin Humatin ; , pentamidine IV, NebuPent ; , promethazine HCI Phenergan ; , rifabutin Mycobutin ; , rifampim, valacyclovir Valtrex ; , valganciclovir Valcyte ; . Hepatitis C- none. TREATMENTS FOR METABOLIC DISORDERS Wasting- megestrol acetate Megace ; . ALL OTHERS Pediatric formulations of HIV drugs are available for the following: amprenavir Agenerase ; , lamivudine 3TC, Epivir ; , didanosine ddI, Videx ; , zidovudine AZT, Retrovir ; , ritonavir Norvir ; , lopinavir ritonavir Kaletra ; , atovaquone Mepron ; , megestrol acetate Megace ; . Note: In addition, the following medicines are available through the Medical Services Fee Schedule: amphotericin B, ceftraxione Rocephin ; , cosyntropin Cortrosyn ; , foscarnet Foscavir ; , ganciclovir, vancomycin and pentobarbital.
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Figure 5. High concentrations of pentamidine are toxic. Cortical neurons were incubated for 24 hr in the absence A ; or presence B ; of 30 pentamidine. Similar observations were made in four separate culture preparations. The pentamidine-treated cells still excluded trypan blue, but the change in morphology of the cells made it difficult to determine whether there was a significant loss of neurons or glia. Scale bar, 40 pm.
SCHIMPER, A.F.W. 1903 ; Plant geography upon a physiological basis. University Press, Oxford. SCHNELL, R. 1976 ; Introduction a la Phytogeographie des pays Tropicaux. Vol 3: La Flore et la Vegetation de l'Afrique Tropicale: 127-233. SECRETT, Charles 1985 ; Rain Forest: protecting the planet's richest resource. Friends of the Earth, London. SILCOCK, Lisa ed. ; 1990 ; The Rainforests: a celebration. Barrie and Jenkins, in association with Earthlife Foundation, London. SMITH, A. 1971 ; Mato Grosso: last virgin land. Michael Joseph, London SODERSTROM, T.R. and YOUNG, S.M. 1983 ; A guide to collecting bamboos. Ann. Missouri. Bot. Gard. 70: 12-136. SOUTHWOOD, T.R.E. 1978 ; 2nd ed. ; Ecological methods, with particular reference to the study of insect populations. Chapman and Hall, London. SPENCER-CHAPMAN, F 1949 ; The Jungle is Neutral. Chatto and Windus, London. STEENIS, C.G.G.J. van ed. ; 1950 ; The technique of plant collecting and preservation in the tropics. Fl. Males. 1: xlv-lxix. STONE, B.C. 1983 ; A guide to collecting Pandanaceae Pandanus, Freycinettia and Sararanga ; Ann. Missouri. Bot. Gard. 70: 137- 145. STORK, N.E. 1988 ; Insect diversity: facts fiction and speculation. Biol. J. Linn. Soc. 35: 321-337. STRI UNEP 1994 ; Accessing the canopy - assessment of biological diversity and microclimate of the tropical forest canopy: phase I. 123pp. 2.12.94. From Elizabeth Losos, Director, STRI ; STUBGAARD, F. 1987 ; Climbing into the crown directly, 4: a light weight catapult for use in connection with the advanced line system. Tech Note 31: 1-6 DANIDA Forest Seed Centre. SUGDEN, A.M., MITCHELL, A.W., SUTTON, S.L., WINT, G.R.W. 1985 ; Aerial walkways in rain forest canopies: construction and use in Panama, Papua New Guinea and Sulawesi. In: The Biology and Natural History of Panama, W.G. D'Arcy and M.D. Correa, eds ; pp. 207-219. Missouri Botanical Garden, Saint Louis. SUTTON, S.L., WHITMORE, T.C. and CHADWICK, A.C. eds ; 1983 ; Tropical rain forest ecology and management. Blackwells, Oxford. SWANSON, T. 1991 ; Wildlife Utilization as an Investment of Natural Habitat Conservation: a survey of the literature and of the issues. London Environmental Economics Centre Discussion Paper 91-03. IIED, London. THOMAS, M.F. 1994 ; Geomorphology in the Tropics. John Wiley & Sons. THORNES, J 1994 ; Deforestation: environmental and social impacts. Chapman & Hall. TOMLINSON, P.B. 1965 ; Collecting botanical material in fluid preservatives, with special reference to the tropics: 117- 119 in Fosberg and Sachet eds ; Manual for Tropical Herbaria. Regnum Vegetabile 39, Utrecht. TUCKER, J. 1970 ; A Jungle Handbook. Asia Pacific Press, Singapore and pentostatin.
1. 2. 3. ormulation of a concise and specifi c study q uestion Specifi cation of a primary outcome measure Statistical estimation of the necessary sample-size Specifi cation of the length of follow -up and specifi c schedule for baseline and follow -up evaluations Selection of the study population Defi nition of the primary outcome measure R andom allocation of the intervention s ; treatment s ; Strategies for maintenance of compliance w ith the allocated intervention s ; treatment s ; , and for the achievement of high and balanced rates of follow -up Establishment of an organizational and decision-making structure Specifi cation of procedures for intake of data and for patient safety monitoring.
1. To determine whether there was a change over a five year period in reporting rates to the police for road crash victims as a result of the implementation of a citywide road safety initiative; 2. To determine if any changes observed are a reflection of national and regional trends in reporting rates and peppermint.
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WHO diagnostic criteria for metabolic syndrome Insulin resistance identified by one of the following: Tools Posters; Visits to diabetes clinics. Evaluation Questionnaires. Bibliography Allgot B, Gan D, King H, et al. eds ; . 2003. Diabetes Atlas. 2nd Ed. Brussels: International Diabetes Federation. Guyton AC, Hall JE. 1996. Textbook of medical physiology. Ninth edition. Philadelphia: W.B. Saunders Company. Hole JW, jnr ; . 1993. Human Anatomy & Physiology. 6th edition. Dubuque, Iowa: Wm.C. Brown Publishers. Mollentze W, Kok A, Joshi J, Huddle KRL. Course in clinical management of diabetes. Pickup J, Williams G eds ; . 1998. Textbook of diabetes. Vol 2, Second edition. Oxford, London: Blackwell Science. Watkins PJ. 1998. ABC of Diabetes. Fourth edition. London: BMJ Publishing Group. type 2 diabetes impaired glucose tolerance urinary albumin excretion rate 20 ng min or albumin: Creatinine ratio 30 mg g.
Pentamidine isetionate is a complementary antiprotozoal and antipneumocystis drug Injection Powder for solution for injection ; , pentamidine isetionate 200-mg vial, 300-mg vial Uses: leishmaniasis see notes, above African trypanosomiasis section 6.4.4.1 Pneumocystis carinii pneumonia section 6.4.5 ; Contraindications: severe renal impairment Precautions: risk of severe hypotension following administration establish baseline blood pressure and administer with patient lying down monitor blood pressure during administration and treatment period; hypotension or hypertension; hypoglycaemia or hyperglycaemia; hepatic impairment; leukopenia, thrombocytopenia, anaemia; immunodeficiency--if acute deterioration in bone marrow, renal or pancreatic function, interrupt or discontinue treatment; renal impairment Appendix 4 pregnancy--in potentially fatal visceral leishmaniasis, treat without delay Appendix 2 breastfeeding Appendix 3 carry out laboratory monitoring according to manufacturer's literature Dosage: Visceral leishmaniasis unresponsive to or intolerant of pentavalent antimony compounds ; , by deep intramuscular injection or by intravenous infusion , ADULT and percodan.
And Malawi found that PCP was present in about 10%-15% of the HIV positive children studied144, 145 . A further study in Zimbabwe found that 33% of HIV-positive adults measured were co-infected with PCP146 . In contrast to these findings, an autopsy study from Abidjan found that only 4% of cadavers of HIV positive individuals had PCP36 . It was hypothesized that the reason for the low prevalence of PCP and CMV and lymphoma ; in Cote d'Ivoire was that most patients had succumbed to other infections before they reached the stage of disease when PCP is most frequent. For over a decade, the value of PCP prevention has been recognized in industrialized countries. Patients who receive either trimethoprim-sulfamethoxazole cotrimoxazole ; or aerosolized pentamidine prophylaxis have a statistically significantly decreased risk of new or recurrent PCP. Consistent use of either drug is associated with improved overall survival147 . PCP prophylaxis has also been discontinued in many patients on successful HAART regimens68 . Prophylaxis of PCP is also quite inexpensive. As noted above, a study in Cote d'Ivoire reported that a daily dose of co-trimoxazole 800 mg trimethoprim and sulfamethoxazole 160 mg ; cost only US.50 per month. The cost of treatment for PCP was estimated to be US in sub-Saharan Africa and US0.76 in Thailand42 . Co-trimoxazole is also the recommended prophylaxis for prevention of toxoplasmosis. This protozoan has been found to be prevalent in HIV positive patients in Burkina Faso 25.4% ; , Mexico 32% of those with HIV and neurological complications ; , and Thailand 23.2% ; 148, 149, 150 . Extrapolation from studies in North America and Europe suggests that that prophylaxis with co-trimoxazole will improve people's health and extend life by protecting against several infections, which would add to the costeffectiveness of co-trimoxazole prophylaxis. Prophylaxis of Fungal Infections Mucosal infection with Candida albicans is a major cause of suffering in HIV-1 infected individuals. Infections of the vagina, mouth and esophagus can be extremely debilitating, but are infrequently a direct cause of death. Once a first episode has occurred there is a substantial chance of recurrence. Prophylaxis with low cost antifungal agents such as nystatin may be effective early in the disease151 . Once weekly.
Except that hand-made paper and paperboard in any size or shape as made directly and having all its edges deckled remains classified, subject to the provisions of Note 6, in heading 48.02. 9.For the purposes of heading 48.14, the expression "wallpaper and similar wall coverings" applies only to : a ; Paper in rolls, of a width of not less than 45 cm and not more than 160 cm, suitable for wall or ceiling decoration : i ; ii ; iii ; Grained, embossed, surface-coloured, design-printed or otherwise surface-decorated for example, with textile flock ; , whether or not coated or covered with transparent protective plastics; With an uneven surface resulting from the incorporation of particles of wood, straw, etc.; Coated or covered on the face side with plastics, the layer of plastics being grained, embossed, coloured, design-printed or otherwise decorated; or and pergolide.
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Keywords: 2 , 3 -dideoxyinosine ; pentamidine ; pharmacokinetic interaction language: english document type: regular paper affiliations: 1: division of pharmaceutics and pharmaceutical chemistry, ohio state university, columbus, ohio 4321 2: college of pharmacy, division of urology college of medicine, ohio state university, columbus, ohio 4321 3: division of pharmaceutics and pharmaceutical chemistry, ohio state university, columbus, ohio 4321 to whom correspondence should be addressed and pentamidine.
Alger, B. E., and R. A. Nicoll 1979 ; GABA-mediated biphasic inhibitory responses in hippocampus. Nature 281: 315-3; 7. Alger, B. E., and R. A. Nicoll 1980a ; Epileptiform burst afterhyperpolarization: Calcium-dependent potassium potential in hippocampal CA1 pyramidal cells. Science 210: 1122-1124. Alger, B. E., and R. A. Nicoll 1980b ; Spontaneous inhibitory postsynaptic potentials in hippocampus: Mechanisms for tonic inhibition. Brain Res. 200: 195-200 and permax.
Make sure you tell your doctor if you have any other medical problems, especially: asthmapatients with asthma may have an increase in coughing or difficulty in breathing while receiving pentamidine inhalation proper use of this medicine to help prevent the development or return of pneumocystis pneumonia, you must receive pentamidine inhalation on a regular basis, even if you are feeling well.
Prevalence of carious lesions in early and late mixed dentition orthdontic patients and perphenazine.
Ssk1p is unable to activate the downstream HOG1 MAPK pathway. During stress, Ssk1p is not phosphorylated and therefore activates Hog1p resulting in adaptation of cells to several kinds of stress conditions 9, 10 ; . As for other twocomponent proteins that regulated HOG1 MAPK, no Ypd1 mutant has been constructed, and the sln1 HK kinase and skn7 RR mutants are either slightly more sensitive or equal in sensitivity to both triazoles compared to CAF2-1 data not shown ; . In Candida albicans, Ssk1p activation of Hog1p is required for and pentasa.
Form of the hERG protein. Accordingly, IKr density was reduced and the cardiac action potential was prolonged in cardiomyocytes. Based on these data, we propose that QT prolongation and ventricular tachycardias observed in patients treated with pentamidine are not caused by direct block of hERG or other cardiac ion channels, but rather are the result of a reduction in IKr current density due to an acquired trafficking block of hERG IKr channels. Pentamidine has been widely used in the treatment of Pneumocystis carinii pneumonia in patients infected with human immunodeficiency virus Goa and Campoli-Richards, 1987 ; . The drug is also used in developing countries to treat a variety of parasitic diseases including trypanosomiasis and leishmaniasis Burchmore et al., 2002; Nacher et al., 2001 ; . Typically the drug is administered via daily intramuscular injection or slow intravenous infusion at a dose of 4 mg kg of body weight. These doses result in peak serum levels that range from about 1-5 M Sands et al., 1985, Conte et al., 1986; Lidman et al., 1994 ; , similar to the concentrations required for inhibition of hERG trafficking in vitro. Prolongation of the QT interval on the electrocardiogram and the development of TdP tachycardias are well-documented adverse events associated with pentamidine treatment Wharton et al., 1987; Bibler et al., 1988; Girgis et al., 1997; Kroll and Gettes, 2002 ; . However, QT prolongation is not immediately evident in these patients and generally takes several days to develop Stein et al., 1991; Eisenhauer et al., 1994; Otsuka et al., 1997 ; . We believe that this slow time course is consistent with a pentamidineinduced decrease in the expression of functional hERG channels in the heart, rather than a direct blocking effect of the drug, since QT prolongation by direct hERG channel blockers such as dofetilide are evident immediately upon administration Lande et al., 1998 ; . At present it is not clear how pentamidine interferes with hERG processing and maturation. In microbial cells pentamidine has been reported to inhibit topoisomerase activity and phenazopyridine.
Structurally similar to the immature form of wild type protein. Similar findings have been reported for the CFTR F508 and mutant P-glycoproteins 26, 27 ; . Thus, the LQT2 mutations that can be rescued by hERG channel blockers may represent a mild phenotype with subtle folding defects and a low efficiency of maturation, and hERG channel blocking agents may act as pharmacological chaperones to increase the maturation efficiency of these mutant channels by promoting correct folding of channel proteins. The use of pharmacological chaperones to rescue trafficking defective mutant proteins has been shown in a variety of human diseases 39, 40 ; . In most cases, however, the mechanisms of pharmacological rescue are not fully understood. Our present findings provide evidence that hERG.
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