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Gupta S, Dangayach G, Singh A, Meena M, Rao P. Implementation of sustainable manufacturing practices in Indian manufacturing companies. BENCHMARKING-AN INTERNATIONAL JOURNAL 2018. [DOI: 10.1108/bij-12-2016-0186] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
In the current global manufacturing scenario, all most all major players are now in a position to commit themselves to sustainability in all their operational initiatives and each of them follow their own methodology to attain their goal of sustainability. The purpose of this paper is to assess the sustainable manufacturing practice (SMP) in Indian manufacturing sector. This paper is also focused on the how lean practice leads to the sustainable manufacturing (SM).
Design/methodology/approach
A survey methodology is used for this research. The SMPs are identified for the literature review and survey questionnaire was framed. In all, 345 usable responses from four sectors namely automobile, electrical and electronics, machinery and process were collected through Google survey.
Findings
This research is focused on the SMPs. From this research it is found that sustainable product and process design (SPPD), lean practices (LP), agile practice and customization, sustainable supply operation and distribution and product recovery and return practices lead to the SM.
Research limitations/implications
This study has some limitations, which future researchers could consider. The large industries of Indian manufacturing across four sectors have been considered, the study can be further taken up to the micro, small and medium enterprises of the Indian manufacturing scenario. The questionnaire can be further developed as that it can be used for a global survey across various sectors and then comparison can be made between the Indian companies and their global counterpart. In future longitudinal studies can be conducted by considering the other SMPs like mass customization, smart manufacturing practices, etc.
Practical implications
The present research helps the stakeholders to develop strong regulatory norms/policies to promote the SMPs in Indian manufacturing industries. This research may help production/manufacturing managers/practitioners to understand various issues related to SM and how they can be used gainfully to improve their practices and performances towards sustainable development.
Social implications
This study enriches the corporate social responsibility in the organization. Corporate social responsibilities activities to be undertaken by the company shall include poverty and malnutrition, promoting health care including preventive health care and sanitation including contribution to the Swachh Bharat Kosh set-up by the Government of India for the promotion of sanitation and making available safe drinking water. This reinforces the company broader aim through its business activities to contribute to the wellbeing and sustainable development.
Originality/value
This study offers evidence of the implementation of SMPs namely SPPD, LP, agile practices and customization, sustainable supply operation and distribution and product recovery and return practices in Indian manufacturing organization. The authors propose a conceptual framework for SMPs and empirically tested.
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Othman S, Rao P, Shakeel M. Preoperative prediction of Difficult Laryngeal Exposure (DLE) during Microlaryngoscopy (ML): Use of LARYNGOSCORE in a scottish teaching hospital. Int J Surg 2018. [DOI: 10.1016/j.ijsu.2018.05.262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Jayappa SN, Rao P, Tandon AS, Bharathy K, Sikora SS. Large cystic lympangioma of the pancreas: a case reportum. Ann R Coll Surg Engl 2017; 100:e12-e14. [PMID: 29046074 DOI: 10.1308/rcsann.2017.0178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Lymphangioma of the pancreas is rare and presents as a large cystic mass in the retroperitoneum. The pancreatic origin can be confirmed by careful evaluation of cross sectional imaging. Preoperative differentiation from other pancreatic cystic neoplasms is difficult but possible. Large symptomatic lesions warrant surgery. The diagnosis is confirmed by typical features on histopathology and immunohistochemistry. Presented here is a case report of a pancreatic lymphangioma, discussed in the context of available literature.
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Bagheri A, Kumar P, Kamath A, Rao P. Association of angiogenic cytokines (VEGF-A and VEGF-C) and clinical characteristic in women with unexplained recurrent miscarriage. ACTA ACUST UNITED AC 2017; 118:258-264. [PMID: 28516786 DOI: 10.4149/bll_2017_051] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
INTRODUCTION Recurrent miscarriage (RM) defined as 2 or more spontaneous miscarriage before 20 weeks of gestation, affects at least 1 % of couples trying to conceive. In over 50 % of cases, the cause of the loss of pregnancy remains unexplained. Reduced expression of Angiogenic factors such as: vascular endothelial growth factor (VEGF-A) and VEGF-C has been linked with spontaneous miscarriage, likely due to defective foetal and placental angiogenesis. AIMS AND OBJECTIVES To investigate the relationships between serum level of VEGF-A and VEGF-C with clinical characteristic in women with URM and compare to pregnant and healthy women. MATERIALS AND METHODS A case-control study, which was conducted between 90 non-pregnant women with history of RM, age-matched with 70 non-pregnant women without history of recurrent abortion with at least one child (controls) and 70 pregnant women without history of recurrent abortion with at least one child (controls). Those with unexplained RM were eligible. Demographic and Anthropometric data were retrieved by pre-test questionnaire and serum level of VEGF-A and VEGF-C measured by ELISA kit. RESULTS This study showeds that maternal levels of VEGF-A and VEGF-C were distinctly lower in RSA (189.87±88.1 vs 238.8±99.6) compared to healthy (239.1±99.7 vs 275.5±133.08) and pregnant (301.5±76.4 vs 402.5±128.6) women as control groups. Univariate analysis demonstrated that clinical characteristic factors were significantly associated with concentration of VEGF-A and VEGF-C in cases and controls. CONCLUSIONS Our findings suggest that these molecules could be used as potential predictive markers of miscarriage in these women presenting with URM (Tab. 4, Fig. 5, Ref. 40).
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Malhotra A, Dhutia H, Rao P, Gati S, Keteepe-Arachi T, Finnochiaro G, Yeo T, Basu J, Parry-White G, D'Silva A, Papatheodorou S, Ensam B, Tome M, Papadakis M, Sharma S. P3244The mixed race heart: not so black and white. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p3244] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Runions K, Rao P, Wong JWY, Zepf FD. Attention-deficit/hyperactivity disorder and the encoding of emotional information. Acta Psychiatr Scand 2017; 135:503-505. [PMID: 28474350 DOI: 10.1111/acps.12744] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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32
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Butler C, Jiang N, Rao P, Zheng Y, Gjertson D, Zhang Q, Cadeiras M, Deng M, Ray B, Reed E. Identification and Validation of Non-HLA Antibodies in Cardiac Allograft Rejection. J Heart Lung Transplant 2017. [DOI: 10.1016/j.healun.2017.01.524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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33
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Borgs GP, Runions K, Biskup CS, Königschulte W, Rao P, Wong J, Moore J, Stewart RM, Zepf FD. Reactive aggression in young patients with ADHD-a critical role for small provocations. Acta Psychiatr Scand 2016; 134:566-568. [PMID: 27869991 DOI: 10.1111/acps.12661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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34
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Huo Y, Phan K, Zhao D, Rao P, Phan S, Mortimer A. Endovascular therapy including thrombectomy for acute ischemic stroke: a systematic review and meta-analysis with trial sequential analysis. J Vasc Interv Radiol 2016. [DOI: 10.1016/j.jvir.2015.12.259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Runions KC, Stewart RM, Moore J, Martinez Ladino Y, Rao P, Zepf FD. Disruptive mood dysregulation disorder in ICD-11: a new disorder or ODD with a specifier for chronic irritability? Eur Child Adolesc Psychiatry 2016; 25:331-2. [PMID: 26578258 DOI: 10.1007/s00787-015-0789-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Accepted: 10/22/2015] [Indexed: 10/22/2022]
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Zepf F, Rao P, Moore J, Stewart R, Ladino YM, Hartmann B. Human breast milk and adipokines – A potential role for the soluble leptin receptor (sOb-R) in the regulation of infant energy intake and development. Med Hypotheses 2016; 86:53-5. [DOI: 10.1016/j.mehy.2015.11.014] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Accepted: 11/19/2015] [Indexed: 11/29/2022]
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Kumari K, Rao P, Sekhar R, Elena G. Qualities of best medical teacher: a student perceptive study. ACTA ACUST UNITED AC 2016. [DOI: 10.18203/2320-6012.ijrms20164224] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Bala S, Shah B, Rajput P, Rao P. Unmasking of primary hyperparathyroidism by Vitamin D therapy. Indian J Nephrol 2015; 25:377-9. [PMID: 26664216 PMCID: PMC4663778 DOI: 10.4103/0971-4065.157427] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
A 38-year-old female on Vitamin D therapy presented with hypercalcemia induced acute kidney injury. Evaluation revealed primary hyperparathyroidism (PHPT) and iatrogenic hypervitaminosis D. After medical stabilization, she underwent surgical removal of the parathyroid adenoma, and made a full recovery. This case highlights unmasking of subclinical hyperparathyroidism by vitamin D therapy leading to severe hypercalcemia.
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Garnon J, Ramamurthy N, Caudrelier J J, Erceg G, Breton E, Tsoumakidou G, Rao P, Gangi A. MRI-Guided Percutaneous Biopsy of Mediastinal Masses Using a Large Bore Magnet: Technical Feasibility. Cardiovasc Intervent Radiol 2015; 39:761-767. [PMID: 26604114 DOI: 10.1007/s00270-015-1246-5] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2015] [Accepted: 09/11/2015] [Indexed: 01/20/2023]
Abstract
OBJECTIVE To evaluate the diagnostic accuracy and safety of magnetic resonance imaging (MRI)-guided percutaneous biopsy of mediastinal masses performed using a wide-bore high-field scanner. MATERIALS AND METHODS This is a retrospective study of 16 consecutive patients (8 male, 8 female; mean age 74 years) who underwent MRI-guided core needle biopsy of a mediastinal mass between February 2010 and January 2014. Size and location of lesion, approach taken, time for needle placement, overall duration of procedure, and post-procedural complications were evaluated. Technical success rates and correlation with surgical pathology (where available) were assessed. RESULTS Target lesions were located in the anterior (n = 13), middle (n = 2), and posterior mediastinum (n = 1), respectively. Mean size was 7.2 cm (range 3.6-11 cm). Average time for needle placement was 9.4 min (range 3-18 min); average duration of entire procedure was 42 min (range 27-62 min). 2-5 core samples were obtained from each lesion (mean 2.6). Technical success rate was 100%, with specimens successfully obtained in all 16 patients. There were no immediate complications. Histopathology revealed malignancy in 12 cases (4 of which were surgically confirmed), benign lesions in 3 cases (1 of which was false negative following surgical resection), and one inconclusive specimen (treated as inaccurate since repeat CT-guided biopsy demonstrated thymic hyperplasia). Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy in our study were 92.3, 100, 100, 66.7, and 87.5%, respectively. CONCLUSION MRI-guided mediastinal biopsy is a safe procedure with high diagnostic accuracy, which may offer a non-ionizing alternative to CT guidance.
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Rao P, Moore JK, Stewart R, Hood SD, Runions K, Zepf FD. Diagnostic inexactitude - Reframing and relabelling Disruptive Mood Dysregulation Disorder for ICD-11 does not solve the problem. Med Hypotheses 2015; 85:1035-6. [PMID: 26545314 DOI: 10.1016/j.mehy.2015.10.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2015] [Revised: 09/18/2015] [Accepted: 10/11/2015] [Indexed: 11/26/2022]
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41
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Joon A, Rao P, Shenoy SM, Baliga S. Prevalence of Hepatitis A virus (HAV) and Hepatitis E virus (HEV) in the patients presenting with acute viral hepatitis. Indian J Med Microbiol 2015; 33 Suppl:102-5. [PMID: 25657123 DOI: 10.4103/0255-0857.150908] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
BACKGROUND Hepatitis A virus (HAV) and Hepatitis E virus (HEV) are both enterically transmitted, resulting in acute viral hepatitis (AVH) in developing countries. They pose major health problems in our country. This study was done to determine prevalence of HAV and HEV in patients presenting with AVH and the co-infection of HAV and HEV in these patients. MATERIALS AND METHODS A cross-sectional study of 2-years duration was conducted in the Department of Microbiology, KMC, Mangalore. A non-random sampling of 958 patients presenting with AVH was considered in the study. On the basis of history, serum samples were analysed for IgM anti-HAV and IgM anti-HEV for the detection of HAV and HEV, respectively using commercially available ELISA kits. Data collected was analysed by using Statistical Package for the Social Sciences (SPSS) version 11.5. RESULTS The seroprevalence of HAV- and HEV-positive patients were 19.31% and 10.54%, respectively. The seroprevalence of both HAV and HEV in patients with acute viral hepatitis was 11.5%. The prevalence of HAV and HEV among males (68% and 31%) was higher than in females (31% and 20%) and was predominantly seen among young adults. These infections were predominantly seen during end of monsoons and beginning of winter. CONCLUSION Though the prevalence of HAV is much higher than that of HEV, co-infection rate of 11.5% mandates the screening for HEV which will be of immense importance in pregnant women and improving levels of personal hygiene among higher socio-economic population. These data will be essential for planning of future vaccination strategies and for better sanitation programme in this part of the country.
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Kumar P, Rao T, Prasad Y, Rao C, Rajyam P, Sarma M, Ashok G, Rao P. Role of Chandipura virus in an “epidemic brain attack” in Andhra Pradesh, India. JOURNAL OF PEDIATRIC NEUROLOGY 2015. [DOI: 10.1055/s-0035-1557208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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43
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Gupta S, Dangayach G, Singh AK, Rao P. Analytic Hierarchy Process (AHP) Model for Evaluating Sustainable Manufacturing Practices in Indian Electrical Panel Industries. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.sbspro.2015.03.216] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Abstract
Fungal infections of the urinary tract are usually encountered following prolonged antibiotic use, instrumentation and indwelling urinary catheters. These type of infections are mostly seen in immuno-compromised patients. Candida is the most common among the fungal infections of urinary tract followed by Aspergillus infection. Here is a case report of a 26 year old diabetic female who presented with abdominal pain, fever, nausea and vomiting. She had undergone double-J stenting 15-20 days back. The cause of the symptoms was not detected till the patient underwent C.T Scan-KUB with excretory urography which showed the displaced D-J stent. Then on performing replacement of D-J stent, cystoscopy was done and the tissue sample was sent for microbiological and histopathological examination. On Microbiological examination, Aspergillus flavus was isolated from the tissue, which was culprit behind the disease. Patient was then treated with anti-fungal drugs, following which she gradually improved.
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Rao P, Hong L, Gjertson D, Balaz I, Fishbein M, Deng M, Harre N, Leuchter R, Banchs H, DeNofrio D, Eisen H, Ewald G, Kfoury A, Kobashigawa J, Starling R, Torre-Amione G, Van Bakel A, Reed E. Effect of Everolimus Immunotherapy on HLA Antibody Production in Heart Transplantation. J Heart Lung Transplant 2015. [DOI: 10.1016/j.healun.2015.01.230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Iyer A, Gao L, Doyle A, Rao P, Cropper JR, Soto C, Dinale A, Kumarasinghe G, Jabbour A, Hicks M, Jansz PC, Feneley MP, Harvey RP, Graham RM, Dhital KK, MacDonald PS. Normothermic ex vivo perfusion provides superior organ preservation and enables viability assessment of hearts from DCD donors. Am J Transplant 2015; 15:371-80. [PMID: 25612491 DOI: 10.1111/ajt.12994] [Citation(s) in RCA: 97] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2014] [Revised: 08/11/2014] [Accepted: 08/25/2014] [Indexed: 01/25/2023]
Abstract
The shortage of donors in cardiac transplantation may be alleviated by the use of allografts from donation after circulatory death (DCD) donors. We have previously shown that hearts exposed to 30 min warm ischemic time and then flushed with Celsior supplemented with agents that activate ischemic postconditioning pathways, show complete recovery on a blood-perfused ex vivo working heart apparatus. In this study, these findings were assessed in a porcine orthotopic heart transplant model. DCD hearts were preserved with either normothermic ex vivo perfusion (NEVP) using a clinically approved device, or with standard cold storage (CS) for 4 h. Orthotopic transplantation into recipient animals was subsequently undertaken. Five of six hearts preserved with NEVP demonstrated favorable lactate profiles during NEVP and all five could be weaned off cardiopulmonary bypass posttransplant, compared with 0 of 3 hearts preserved with CS (p < 0.05, Fisher's exact test). In conclusion, DCD hearts flushed with supplemented Celsior solution and preserved with NEVP display viability before and after transplantation. Viability studies of human DCD hearts using NEVP are warranted.
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Madhnure P, Rao P, Rao A. Establishing Strategies for Sustainable Groundwater Management Plan for Typical Granitic Aquifers-A Pilot Study Near Hyderabad, India. ACTA ACUST UNITED AC 2015. [DOI: 10.1016/j.aqpro.2015.02.170] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Chimmanamada D, Ying W, Zhang J, Proia D, Przewloka T, Jiang J, Vutukuri D, Lu G, Osman S, Chen S, Chu J, Rao P, Zhou D, Inoue T, Ogawa LS, Singh R, Tatsuta N, Sonderfan A, Cortis C. 260 Hsp90 Inhibitor Drug Conjugates (HDC): Payloads and possibilities. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)70386-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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49
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Li H, Guan XD, Han S, Wang TS, Rao P, Shi LW. Patient-Reported Medical Expenditures For Insulin-Treated Diabetes Patients In Eastern, Central And Western Regions Of China. VALUE IN HEALTH : THE JOURNAL OF THE INTERNATIONAL SOCIETY FOR PHARMACOECONOMICS AND OUTCOMES RESEARCH 2014; 17:A747. [PMID: 27202701 DOI: 10.1016/j.jval.2014.08.173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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50
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Liu X, Hoang A, Zhou L, Kalra S, Sun M, Ding Z, Bai S, German P, Zhang X, Tamboli P, Rao P, Karam J, Wood C, Matin S, Tannir N, Sircar K, Jonasch E. Anti-Angiogenic Therapy Induces T-Lymphocyte Infiltration Associated with Poor Survival in Metastatic Renal Cell Carcinoma Patients. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu342.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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