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Several hours after the meal, thereby decreasing the risk of late postprandial phase hypoglycemia.26 The efficacy of repaglinide in reducing HbA1c is similar to that of SUs, with nateglinide being a slightly less potent secretagogue.21 Long-term studies on the effectiveness of meglitinides in reducing microvascular and macrovascular complications have not been conducted. Adverse effects include hypoglycemia and weight gain, but not as great as with SUs. The short half-life of these agents requires a frequent dosing schedule with meals. Meglitinides have FDA-approved labeling for monotherapy or in combination with metformin or TZDs. Meglitinides are prescribed far less for type 2 diabetes than metformin, SUs, or thiazolidinediones Figure 8 Saw progress toward yet another model for the disease, the zebrafish. A stem cell workshop in September brought together experts in a unique push toward effective stem cell therapy for ALS. Discussions at Banbury Center, Cold Spring Harbor Laboratory in New York centered on both the basic biology of stem cells and why the nervous system falters when trying to fix itself. By bringing together different disciplines and introducing so many noted experts to the challenge of ALS, the workshop brought into focus the reality that all the different aspects of replenishing motor neurons need to be carefully understood for design of a successful therapy. The possible cognitive changes associated with ALS and implications for families trying to cope were addressed by researchers from around the world who convened in May in London, Canada for a workshop on frontotemporal dementia. The varied symptoms of ALS can include motor and cognitive changes, which may merely reflect where damage is being done in the brain and spinal cord, the scientists concluded. Further research into the issue will undoubtedly help steer counseling and new treatment options. A better knowledge of the disease's biology is bringing about a shift in viewing the disease process that will aid the effective design of clinical trials in ALS, a theme re-emphasized during the December International Symposium on ALS MND in Dublin. This year also provided a new means for ALS patients and people who care about them to individually further progress toward effective new therapies. In partnership with the National Institutes of Health, ALSA has worked to implement the NINDS ALS repository, a collection, storage and distribution system for patient samples that will lead to new discoveries into the cause and treatment of ALS. To uncover yet-unknown gene changes responsible for ALS, researchers need blood samples and some basic health-related information from patients and from people who do not have ALS. Samples to provide DNA that can be stored indefinitely, along with relevant clinical information, will allow distribution from a single location to ALS investigators while maintaining donor anonymity. Only in a few cases is there a known reason for a person having ALS. Research to identify other responsible genetic factors, made possible through this repository, will lead to a better picture. Those with the disease now can contribute toward that brighter future. see : catfishchapter news repository for more information ; "This year has certainly been a productive one, " said Lucie Bruijn, Ph.D., ALSA science director and vice president, "with many exciting new collaborations between academia and industry and the initiation of our new project, TREAT ALS, to complement our existing efforts and to bring ideas from the lab into clinical applications. It gives us real hope for the new year.

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Noun diagnosis syntactic number, singular diagnosis anatomic system: cardiovascular system: heart b-r tk thx int-thor mediast body region: trunk: thorax: intrathoracic: mediastinum dx-kind cardiov fail diagnostic group: cardiovascular group: heart failure 2674 lexical entry id of "congestive heart failure.
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Nitrofurantoin modified release ; developed using the company' s r& d capabilities & eligard 2 5mg & 45mg leuprolide depot ; , in-licensed from qlt inc, dor' s oral leuprolide to start trials mid-year - apr 11, 2007 in-pharmatechnologist , dor said a phase i safety, tolerability and pharmacokinetic study with leuprolide, incorporated in the company' s lipid polymer micelle lpm ; drug delivery dor biopharma announces initiation of clinical development program.
As embolic or thrombotic. Embolic strokes occur when a blood clot or small piece of plaque or vegetation ie, an embolus ; travels through the bloodstream to the brain, where it lodges in one of the smaller cerebral arteries, blocking blood flow.1, 2 Thrombotic strokes and elmiron.

Brook I. Microbiology of human and animal bite wounds in children. Pediatr Infect Dis J 1987; 6: 29-32.

Structural correlates to electrophysiological abnormalities. Ann Neurol 1985; 18: 21-29 Sima AA, Lattimer SA, Yagihashi S, Greene DA. Axo-glial dysjunction. J Clin Invest 1986; 77: 474-484 Greene DA, Chakrabarti S, Lattimer SA, Sima AA. Role of sorbitol accumulation and myo-inositol depletion in paranodal swelling of large myelinated nerve fibers in the insulindeficient spontaneously diabetic bio-breeding rat. Reversal by insulin replacement, an aldose reductase inhibitor, and myoinositol. J Clin Invest 1987; 79: 1479-1485 Shimoshige Y, Ikuma K, Yamamoto T, Takakura S, Kawamura I, Seki J, Mutoh S, Goto T. The effects of zenarestat, an aldose reductase inhibitor, on peripheral neuropathy in Zucker diabetic fatty rats. Metabolism 2000; 49: 1395-1399 Romanovsky D, Hastings SL, Stimers JR, Dobretsov M. Relevance of hyperglycemia to early mechanical hyperalgesia in streptozotocin-induced diabetes. J Peripher Nerv Syst 2004; 9: 62-69 Chen SR, Pan HL. Hypersensitivity of spinothalamic tract neurons associated with diabetic neuropathic pain in rats. J Neurophysiol 2002; 87: 2726-2733 Zhuang HX, Wuarin L, Fei ZJ, Ishii DN. Insulin-like growth factor IGF ; gene expression is reduced in neural tissues and liver from rats with non-insulin-dependent diabetes mellitus, and IGF treatment ameliorates diabetic neuropathy. J Pharmacol Exp Ther 1997; 283: 366-374 Piercy V, Banner SE, Bhattacharyya A, Parsons AA, Sanger GJ, Smith SA, Bingham S. Thermal, but not mechanical, nociceptive behavior is altered in the Zucker Diabetic Fatty rat and is independent of glycemic status. J Diabetes Complications 1999; 13: 163-169 Schmidt RE, Dorsey DA, Beaudet LN, Parvin CA, Zhang W, Sima AA. Experimental rat models of types 1 and 2 diabetes differ in sympathetic neuroaxonal dystrophy. J Neuropathol Exp Neurol 2004; 63: 450-460 Brussee V, Cunningham FA, Zochodne DW. Direct insulin signaling of neurons reverses diabetic neuropathy. Diabetes 2004; 53: 1824-1830 Schmeichel AM, Schmelzer JD, Low PA. Oxidative injury and apoptosis of dorsal root ganglion neurons in chronic experimental diabetic neuropathy. Diabetes 2003; 52: 165-171 Cameron NE, Cotter MA, Low PA. Nerve blood flow in early experimental diabetes in rats: relation to conduction deficits. J Physiol 1991; 261: E1-E8 Nagamatsu M, Nickander KK, Schmelzer JD, Raya A, Wittrock DA, Tritschler H, Low PA. Lipoic acid improves nerve blood flow, reduces oxidative stress, and improves distal nerve conduction in experimental diabetic neuropathy. Diabetes Care 1995; 18: 1160-1167 Cameron NE, Cotter MA, Jack AM, Basso MD, Hohman TC. Protein kinase C effects on nerve function, perfusion, Na + ; , K + ; -ATPase activity and glutathione content in diabetic rats. Diabetologia 1999; 42: 1120-1130 Way KJ, Katai N, King GL. Protein kinase C and the development of diabetic vascular complications. Diabet Med 2001; 18: 945-959 Hamdy O, Ledbury S, Mullooly C, Jarema C, Porter S, Ovalle K, Moussa A, Caselli A, Caballero AE, Economides PA, Veves A, Horton ES. Lifestyle modification improves endothelial function in obese subjects with the insulin resistance syndrome. Diabetes Care 2003; 26: 2119-2125 Huvers FC, De Leeuw PW, Houben AJ, De Haan CH, Hamulyak K, Schouten H, Wolffenbuttel BH, Schaper NC. Endothelium-dependent vasodilatation, plasma markers of endothelial function, and adrenergic vasoconstrictor responses in type 1 diabetes under near-normoglycemic conditions. Diabetes 1999; 48: 1300-1307 Khan F, Elhadd TA, Greene SA, Belch JJ. Impaired skin microvascular function in children, adolescents, and young adults with type 1 diabetes. Diabetes Care 2000; 23: 215-220 Caballero AE, Arora S, Saouaf R, Lim SC, Smakowski P, Park JY, King GL, LoGerfo FW, Horton ES, Veves A. Microvascular and macrovascular reactivity is reduced in subjects at risk for and eloxatin.

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The MEPS, and contributes to a body of literature that has reported cost estimates made using data from the NMES.24 32. Second, the estimates presented underrepresent the societal burden of illness caused by COPD in the United States in 1987. The NMES was designed to provide estimates of healthresource use and health insurance among civilian, noninstitutionalized persons to help guide publichealth policy. Because of the methods used to construct the NMES sample, the data cannot be used to make robust estimates of prevalence. For example, some persons with COPD who used direct medical resources or incurred expenditures may have received care during 1987 at Veteran's Administration hospitals, lived in nursing homes, or were homeless, and were not included. Third, although the NMES does not include disease severity data, persons included are likely to be more severely ill. This is because most people with a disease are mildly affected, and may be less likely to seek medical attention. Fourth, up to four reasons for use of a.
Myelosuppression was previously the dose-limiting toxicity for the majority of intensive cancer therapies. However, with the advent of growth factors for haematopoietic support and improved transplantation procedures, nonhaematological toxic effects such as mucositis have now become dose-limiting. Indeed, the development of new options to treat and prevent mucositis in patients undergoing chemotherapy and radiotherapy has been a priority in oncological supportive care. Amelioration of mucositis in such patients can potentially reduce associated morbidity, mortality and healthcare resource utilisation, as well as improving patients' QoL and allowing optimally effective treatment schedules to be given. Recent research has shown that MBI is a complex and dynamic process that targets the endothelial cell and connective tissue, as well as the epithelium itself, manifesting not only in the oral cavity but throughout the alimentary tract. Further work is needed to refine the five-stage model of mucositis described in this article and identify the key factors involved and this may lead to further advances in treatment. It seems clear that effective agents will be those that are pleiotropic in their ability to modulate the complex pathogenic mechanisms that drive MBI. Reliable, standardised markers are also needed to evaluate intestinal mucositis in the clinical setting. While sugar permeability tests are a noninvasive means of evaluating the altered permeability and loss of epithelial surface that characterises gut MBI, these are cumbersome and rely on patient compliance. Recently it has been shown that plasma citrulline, a reliable biomarker of small bowel enterocyte mass in patients with conditions associated with villous atrophy, provides an objective, sensitive and specific parameter for measuring gut MBI [93]. It is hoped that this new tool will allow further exploration of the relationship between intestinal MBI and complications of cancer treatment and emend.

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Birds, especially water birds, are the natural reservoir of influenza A viruses, in which a total of 16 haemagglutinin H1H16 ; and nine neuraminidase N1N9 ; subtypes are identified. The principal site of avian influenza virus replication in birds is the gastrointestinal tract, where infection typically causes minimal disease and viruses are transmitted faeco-orally. Both H5 and H7 subtypes have the ability to evolve into highly pathogenic forms and cause systemic infection. Over the last 30 years, sporadic outbreaks of highly pathogenic avian influenza HPAI ; viruses among poultry have occurred throughout the world causing significant economic damage to agriculture. Since 2003, over 100 million birds have been destroyed or died during outbreaks, and economic costs are estimated to run into several billion dollars [2].

Isoenzyme genes with each other using mean data from all 15 subjects. The results shown in Table 4 indicate that there is a high correlation for the relative expression for subsets of CA isoenzyme genes. For instance, subjects with high expression of CA VB also have high relative expression of CA I, CA III, CA IX, CA XII, and CA XIV r 0.8; P 0.01 ; . While the subjects' relative expression for CA II, CA IV and CA VI show a more modest correlation r 0.57; P 0.05 ; . On the other hand, CA VII expression appears to negatively correlate with the expression of other CA isoenzyme genes, notably CA VB r 0.54; P 0.05 ; and CA I r 0.46; P 0.10 ; . To better assess individual variation in CA isoenzyme expression, we compared relative expression of CA and emtricitabine. I-LEX 032: organ blood ratio based on the mean of % ad. dose values from six rats. From the Australian Ornithological Conference, Charles Sturt University, Bathurst, Dec. 2001: Habitat selection by the Square-tailed Kite Lophoictinia isura on the mid-north coast of New South Wales Rodney P. Kavanagh, Brett Cann, Bronwyn Ellis and Justin Williams The Square-tailed Kite is listed as `vulnerable' by the NSW Threatened Species Conservation Act 1995 because it occurs at low population density throughout its range and its habitat requirements are poorly understood. Twenty-four nest sites for at least 11 pairs were located during the past seven years on the midnorth coast of NSW. All nests occurred in regrowth stands of coastal Blackbutt Eucalyptus pilularis forest, with most nests in older-age regrowth approximately 70100 years ; . All nests were in Blackbutt trees ranging from 2859 m median 43.5 m ; in height and 47120 cm median 78.7 cm ; diameter at breast height. Nests were made of sticks and usually located in a multiple fork either on a main horizontal branch or within the tree crown at heights ranging from 1936 m median 28.0 m ; . The nesting period for the Kites extended from mid-October to late December. A maximum of one young was fledged per nesting attempt, with several instances recorded of nest failure. One pair fledged one young in each of five years and failed in each of two other years. Analysis of the forest structure, vegetation type and disturbance history occurring within a 2 km radius of one representative nest tree used by each pair showed that, in comparison with randomly located sites, Square-tailed Kites select landscapes home ranges ; that contained a high proportion of young and older-aged regrowth Blackbutt forest and emtriva.

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DUNCAN J. IRSCHICK species are specialists along one niche axis while being generalists along other axes. The relative specialization of the different Anolis species may have resulted from competitive interactions among species. A large body of evidence suggests that interspecific competition may have been a driving force in the diversification of Caribbean anoles Losos, 1994 ; . Intense interspecific competition should result in extreme specialization Levin, 1970; Pianka, 1974 ; , and thus one would not expect the presence of habitat generalists in this setting. Therefore, a better test of the habitat constraint and habitat breadth models would be to examine a group in which interspecific competition is not intense, so as to determine whether performance generalists can be true habitat generalists. A key issue in evolutionary biology is trade-offs among morphological and behavioral attributes, which can form an important component of evolutionary diversification Huey and Hertz, 1984; Webb, 1984; Macrini and Irschick, 1998 ; . Classic studies of trade-offs between morphology and performance in Lepomis sunfish have provided a mechanistic basis for habitat segregation Lauder, 1983; Mittelbach, 1984; Wainwright et al., 1991a; Wainwright et al., 1991b ; . Here, a trade-off in sprinting performance appears to partially explain the evolutionary relationships among habitat use and performance. Trunk-ground anoles possess long hindlimbs that result in high-speed locomotion, but impair movement on narrow perches, presumably because of the difficulty of maintaining the lizard's center of mass directly over the narrow branch. Consequently, trunk-ground anoles achieve the highest speeds on the broadest surfaces, but also decline the most in speed from the broadest to the narrowest surface. On the other extreme, the short foreand hindlimbs of the twig anoles enables them to move effectively on narrow surfaces, but at the cost of slow speeds on broad surfaces. This trade-off between stability and speed has substantial ecological and behavioral implications for anole species. Several lines of evidence suggest that twig anoles rely more on stealth than speed to capture prey and evade predators Moermond, 1981; Hicks and Trivers, 1983; Irschick and Losos, 1996 ; . Many twig anoles are cryptically colored, rarely display, and move slowly through their habitat to evade detection Irschick and Losos, 1996 ; . On the other hand, trunkground anoles rely on speed to capture prey and escape predators, and are much more conspicuous in their environment, because of their propensity to perch on large tree-trunks in full view. These behavioral and ecological differences may also explain why trunk-ground anoles actively avoid narrow perches on which their sprinting performance is similar to twig anoles. If absolute speed was most important for capturing prey and escaping predators, then twig and trunk-ground anoles should experience equal success at these tasks in habitats with narrow perches. However, this assumption ignores the fact that each species is accustomed to performing at particular.

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1 Veldman PH, Reynen HM, Arntz IE, Goris RJ. Signs and symptoms of reflex sympathetic dystrophy: prospective study of 829 patients. Lancet 1993; 342 8878 ; : 1012-6. 2 Veldman PH. Clinical aspects of reflex sympathetic dystropy Thesis. Katholieke Universiteit Nijmegen: FE Macdonald, 1995. 3 Leriche R. De la causalgia envisage comme une nvrite du sympathigue et de son traitement par la dnudation et l'excision de plexus nerveux pri-artrielles. La Presse Medicale 1916; 24: 178-80. Kurvers HA, Jacobs MJ, Beuk RJ, Wildenberg FA van den, Kitslaar PJ, Slaaf DW, et al. Reflex sympathetic dystrophy: result of autonomic denervation? Clin Sci Lond ; 1994; 87 6 ; : 663-9. 5 Harden RN, Duc TA, Williams TR, Coley D, Cate JC, Gracely RH. Norepinephrine and epinephrine levels in affected versus unaffected limbs in sympathetically maintained pain. Clin J Pain 1994; 10 4 ; : 324-30. 6 Drummond PD, Finch PM, Smythe GA. Reflex sympathetic dystrophy: the significance of differing plasma catecholamine concentrations in affected and unaffected limbs. Brain 1991; 114 Pt 5 ; : 2025-36. 7 Merskey H, Bogduk K. Classification of chronic pain: definitions of chronic pain syndromes and definition of pain terms. Seattle: IASP Press, 1994. 8 Stanton-Hicks M, Janig W, Hassenbusch S, Haddox JD, Boas R, Wilson P. Reflex sympathetic dystrophy: changing concepts and taxonomy. Pain 1995; 63 1 ; : 127-33. 9 Braus DF, Krauss JK, Strobel J. The shoulder-hand syndrome after stroke: a prospective clinical trial. Ann Neurol 1994; 36 5 ; : 728-33. 10 Kondo I, Hosokawa K, Soma M, Iwata M, Maltais D. Protocol to prevent shoulder-hand syndrome after stroke. Arch Phys Med Rehabil 2001; 82 11 ; : 1619-23. 11 Perez RS, Zuurmond WW, Bezemer PD, Kuik DJ, Loenen AC van, Lange JJ de, et al. The treatment of complex regional pain syndrome type I with free radical scavengers: a randomized controlled study. Pain 2003; 102 3 ; : 297-307. 12 Heerschap A, Hollander JA den, Reynen H, Goris RJ. Metabolic changes in reflex sympathetic dystrophy: a 31P NMR spectroscopy study. Muscle Nerve 1993; 16 4 ; : 367-73. 13 Oyen WJG, Arntz IE, Claessens RAMJ, Meer JWM van der, Corstens FHM, Goris JA. Reflex sympathetic dystrophy of the hand: an excessive inflammatory response? Pain 1993; 55: 151-7. Ribbers GM, Oosterhuis WP, Limbeek J van, Metz M de. Reflex sympathetic dystrophy: is the immune system involved? Arch Phys Med Rehabil 1998; 79 12 ; : 1549-52. 15 Beek WJ van de, Remarque EJ, Westendorp RG, Hilten JJ van. Innate cytokine profile in patients with complex regional pain syndrome is normal. Pain 2001; 91 3 ; : 259-61. 16 Huygen FJ, Bruijn AG de, Bruin MT de, Groeneweg JG, Klein J, Zijlstra FJ. Evidence for local inflammation in complex regional pain syndrome type I. Mediators Inflamm 2002; 11 1 ; : 47-51. 17 Huygen FJ, Ramdhani N, Toorenenbergen A van, Klein J, Zijlstra FJ. Mast cells are involved in inflammatory reactions during Complex Regional Pain Syndrome type I. Immunol Lett 2004; 91 2-3 ; : 147-54. 18 Calder JS, Holten I, McAllister RM. Evidence for immune system involvement in reflex sympathetic dystrophy. J Hand Surg [BR] 1998; 23 2 ; : 147-50. 19 Weber M, Birklein F, Neundorfer B, Schmelz M. Facilitated neurogenic inflammation in complex regional pain syndrome. Pain 2001; 91 3 ; : 251-7. 20 Birklein F, Schmelz M, Schifter S, Weber M. The important role of neuropeptides in complex regional pain syndrome. Neurology 2001; 57 12 ; : 2179-84. 21 Leis S, Weber M, Isselmann A, Schmelz M, Birklein F. Substance-P-induced protein extravasation is bilaterally increased in complex regional pain syndrome. Exp Neurol 2003; 183 1 ; : 197-204. 22 Blair SJ, Chinthagada M, Hoppenstehdt D, Kijowski R, Fareed J. Evidence for immune system involvement in reflex sympathetic dystrophy. Acta Orthop Belg 1998; 64: 448-51. Birklein F, Weber M, Ernst M, Riedl B, Neundorfer B, Handwerker HO. Experimental tissue acidosis leads to increased pain in complex regional pain syndrome CRPS ; . Pain 2000; 87 2 ; : 227-34. 24 Birklein F, Weber M, Neundorfer B. Increased skin lactate in complex regional pain syndrome: evidence for tissue hypoxia? Neurology 2000; 55 8 ; : 1213-5. 25 Koban M, Leis S, Schultze-Mosgau S, Birklein F. Tissue hypoxia in complex regional pain syndrome. Pain 2003; 104 1-2 ; : 149-57. 26 Laan L van der, Laak HJ ter, Gabreels-Festen A, Gabreels F, Goris RJ. Complex regional pain syndrome type I RSD ; : pathology of skeletal muscle and peripheral nerve. Neurology 1998; 51 1 ; : 20-5. 27 Laan L van der, Boks LM, Wezel BM van, Goris RJ, Duysens JE. Leg muscle reflexes mediated by cutaneous A-beta fibres are normal during gait in reflex sympathetic dystrophy. Clin Neurophysiol 2000; 111 4 ; : 677-85. 28 Vusse AC van de, Goossens VJ, Kemler MA, Weber WE. Screening of patients with complex regional pain syndrome for antecedent infections. Clin J Pain 2001; 17 2 ; : 110-4. 29 Mailis A, Wade J. Profile of Caucasian women with possible genetic predisposition to reflex sympathetic dystrophy: a pilot study. Clin J Pain 1994; 10 3 ; : 210-7. 30 Kemler MA, Vusse AC van de, Berg-Loonen EM van den, Barendse GA, Kleef M van, Weber WE. HLA-DQ1 associated with reflex sympathetic dystrophy. Neurology 1999; 53 6 ; : 1350-1. 31 Beek WJ van de, Hilten JJ van, Roep BO. HLA-DQ1 associated with reflex sympathetic dystrophy. Neurology 2000; 55 3 ; : 457-8. 32 Vaneker M, Laan L van der, Allebes WA, Goris JA. Genetic factors asociated with Complex Regional Pain Syndrome: HLA DRB and TNF alfa promotor gene polymorphism. Disability Med 2002; 2: 69-74. Kurvers HA, Jacobs MJ, Beuk RJ, Wildenberg FA van den, Kitslaar PJ, Slaaf DW, et al. Reflex sympathetic dystrophy: evolution of microcirculatory disturbances in time. Pain 1995; 60 3 ; : 333-40. 34 Kurvers HA, Jacobs MJ, Beuk RJ, Wildenberg FA van den, Kitslaar PJ, Slaaf DW, et al. The influence of local skin heating and reactive hyperaemia on skin blood flow abnormalities in patients with reflex sympathetic dystrophy RSD ; . Eur J Clin Invest 1995; 25 5 ; : 346-52. 35 Drory VE, Korczyn AD. The sympathetic skin response in reflex sympathetic dystrophy. J Neurol Sci 1995; 128 1 ; : 92-5. 36 Clinchot DM, Lorch F. Sympathetic skin response in patients with reflex sympathetic dystrophy. 1996; 75: 252-6. Kurvers HA, Jacobs MJ, Beuk RJ, Wildenberg FA van den, Kitslaar PJ, Slaaf DW, et al. The spinal component to skin blood flow abnormalities in reflex sympathetic dystrophy. Arch Neurol 1996; 53 1 ; : 58-65. 38 Kurvers HA, Hofstra L, Jacobs MJ, Daemen MA, Wildenberg FA van den, Kitslaar PJ, et al. Reflex sympathetic dystrophy: does sympathetic dysfunction originate from peripheral neuropathy? Surgery 1996; 119 3 ; : 288-96. 39 Birklein F, Riedl B, Neundorfer B, Handwerker HO. Sympathetic vasoconstrictor reflex pattern in patients with complex regional pain syndrome. Pain 1998; 75 1 ; : 93-100. 40 Birklein F, Riedl B, Sieweke N, Weber M, Neundorfer B. Neurological findings in complex regional pain syndromes analysis of 145 cases. Acta Neurol Scand 2000; 101 4 ; : 262-9 and enbrel.

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