04 -> 303 02 for MPA, 524 09 -> 303 02 for AcMPAG and MPAG

04 -> 303.02 for MPA, 524.09 -> 303.02 for AcMPAG and MPAG and 324.03 -> 306.04 for MPA-D3 in the electrospray positive

ionization mode.\n\nResults: The method was linear over the concentration range of 0.1-20 mg/L for MPA and AcMPAG and 1-200 mg/L for MPAG respectively. The intra- and inter-day precision values were below 14% and accuracy was from 94.0 to 103.3% at all quality control levels. The lower LOQ was 0.1 mg/L for MPA and AcMPAG, 1 mg/L for MPAG.\n\nConclusion: Sample analysis time was reduced to 7 min including sample preparation. The present method was successfully applied to a pharmacokinetic study following oral administration of enterocoated sodium mycophenolate in de novo renal transplantation. (C) 2010 Elsevier B.V. All rights reserved.”
“Purpose Reliability and usefulness of scales for causality assessment find protocol in hepatotoxicity have not been fully explored. The goal of this study was to examine consistency between causality Prexasertib nmr assessments obtained with two commonly used scales and their agreement with initial clinical assessments in hepatotoxicity reported in Serbia, and to review usefulness of these

scales.\n\nMethods We compared the two scales (CIOMS/RUCAM and NARANJO) in 80 cases reported during 1995-2009. The initial clinical assessments performed at the time of reporting served as a control for comparison with the subsequent causality assessments. The agreement between obtained causality assessments and the initial clinical assessments

were analysed by Kappa weighted (K(w)) statistical test.\n\nResults In the 80 cases, the NARANJO scale showed better agreement with the initial clinical assessments (K(w): 0.62) than the CIOMS/RUCAM scale (K(w): 0.50) with moderate mutual agreement (K(w): 0.58). Results for 69 cases reported before the start of the study showed the same. In 11 cases reported in 2009 (after the start of the study) the CIOMS/RUCAM scale showed better agreement Evofosfamide with the initial clinical assessments (K(w): 0.80) than the NARANJO scale (K(w): 0.70) with perfect mutual agreement (K(w): 1.0).\n\nConclusion The two scales showed good similarity and the same was true when their outcomes were compared with the clinical judgments provided by the reporting physicians. Both scales may be useful in pharmacovigilance and clinical practice, but the CIOMS/RUCAM scale provides more specific data. Our results also confirmed that the quality of data and documentation influence the reliability of the method. Copyright (C) 2011 John Wiley & Sons, Ltd.”
“Aim: The aim of this study is to measure objectively and accurately the physical activity (PA) patterns in Spanish children and adolescents according to their obesity status, gender and age groups.\n\nMethods: A sample of 487 children and 274 adolescents from the European Youth Heart Study participated in the study.

When activated, E2F1 can induce cell proliferation and/or apoptos

When activated, E2F1 can induce cell proliferation and/or apoptosis. In addition, E2F1 overexpression sensitizes cancer cells to chemotherapeutic drugs. In a screen for genes that are regulated synergistically by E2F1 and chemotherapy in cancer cells, we identified the proapoptotic tumor suppressor gene maspin (mammary serine protease inhibitor) as

JNK-IN-8 a novel E2F1-regulated gene. In line with being an E2F-regulated gene, maspin expression is inhibited by short hairpin RNA directed against E2F1 and increases upon activation of endogenous E2F. Furthermore, maspin mRNA and protein levels are elevated upon activation of exogenous E2F1. Importantly, we show that E2F1-mediated upregulation of maspin is enhanced by chemotherapeutic drugs, and inhibition of maspin expression significantly impairs the ability of E2F1 to promote chemotherapy-induced apoptosis. Summarily, our data indicate that maspin is an important effector of E2F1-induced chemosensitization.

Mol Cancer Res; 8(3); 363-72. (C)2010 AACR.”
“Japanese encephalitis virus (JEV) is a mosquito-borne pathogenic flavivirus responsible for acute viral encephalitis in humans. The cellular entry of JEV is poorly selleck chemical characterized in terms of molecular requirements and pathways. Here we present a systematic study of the internalization mechanism of JEV in fibroblasts and neuroblastoma cells. To verify the roles of distinct pathways of cell entry, we used fluorescently labeled virus particles, a combination of pharmacological inhibitors, RNA interference (RNAi), and dominant-negative (DN) mutants of regulatory proteins involved in endocytosis. Our study demonstrates that JEV infects fibroblasts in a clathrin-dependent manner, but it deploys a clathrin-independent mechanism to infect neuronal cells. The clathrin-independent pathway requires dynamin and plasma membrane cholesterol. Virus binding to neuronal cells leads to rapid actin rearrangements and an intact and dynamic actin cytoskeleton, and the small GTPase RhoA plays an important role in viral entry. Immunofluorescence analysis of

viral BLZ945 molecular weight colocalization with endocytic markers showed that JEV traffics through Rab5-positive early endosomes and that release of the viral nucleocapsid occurs at the level of the early and not the late endosomes.”
“Tissue factor (TF) is a cell surface glycoprotein playing an important role in the initiation of the blood coagulation cascade. The functions of TF in other physiological or pathological activities, such as tumor cell migration, are also acknowledged gradually in recent years. A recombinant protein of mouse tissue factor (mTF) extracellular part fused with His tag was constructed, and it was expressed and purified successfully in high-level soluble form. This recombinant mTF can effectively initiate plasma clotting in vitro and enhance blood coagulation in vivo, which prove its biological activity.

By bringing together these tools from quite different comparative

By bringing together these tools from quite different comparative traditions, a novel and potentially powerful framework PP2 chemical structure for simulation and statistical biomechanical analyses of form and function emerges. This paper reviews these recent developments in the context of the evolutionary and functional influences on skull development.”
“Discrepancies in the terminology of the major human salivary glands often appear in anatomical textbooks and tend to adversely affect student’s learning experience in Microscopic Anatomy. The main culprit is the inconsistent description of the morphology

of these glands secretory end pieces where “acinus” and “alveolus” are used interchangeably. The correct terminology

originated from Malpighi (1687), repeated by Kolliker (1854), but over the years has been misinterpreted by prominent authors as a result of the nature of specimen preparation. This commentary is based on etymology, current standard light microscopy, research studies and consultation with experts. The overall objective of this publication is to recommend that textbooks should endeavour to modify the relevant descriptions about this terminology in their future editions. Panobinostat in vitro The most appropriate terminology for the major human salivary glands would be: (1) the parotid gland, entirely serous, should be called compound acinar glands; (2) the submandibular glands are mixed glands; their serous components are compound acinar while some of the mucinous areas are tubular with serous, crescents or demilunes, as acinar end pieces hence they should be named compound tubuloacinar glands; (3) the sublingual glands, mainly mucous glands with tubular shape, with small acinar end pieces that are serous crescents thence they should be called compound tubuloacinar glands. (C) 2014 Wiley Periodicals, Inc.”
“Background: miR-155 is strongly induced by LPS, a response inhibited by IL-10. Results: The Ets2 transcription factor is required for induction of miR-155 by LPS. IL-10 can subsequently

decrease miR-155 via suppression of Ets2. Conclusion: Ets2 is an important transcription factor for regulation of miR-155. Significance: This study reports a detailed mechanism of induction of miR-155 and provides a new means selleck screening library of inhibition for IL-10 via suppression of Ets2. MicroRNA-155 (miR-155) is highly expressed in many cancers such as B cell lymphomas and myeloid leukemia and inflammatory disorders such as rheumatoid arthritis, atopic dermatitis, and multiple sclerosis. The role of miR-155 as both a promoter of inflammation and an oncogenic agent provides a clear need for miR-155 itself to be stringently regulated. We therefore investigated the transcriptional regulation of miR-155 in response to the respective pro- and anti-inflammatory mediators LPS and IL-10.

Retrobulbar radiotherapy

Retrobulbar radiotherapy BVD-523 clinical trial for Graves’ orbitopathy (GO) has been used for decades, though there

is no direct evidence for the influence of dose and fractionation schedules on various signs and symptoms. Indeed, optimal fractionation schedules and recommended total irradiation doses are still a matter of discussion. Our aim was to investigate treatment efficacy of retrobulbar irradiation for GO at different total absorbed doses and fractionation schedules.\n\nA retrospective evaluation of 129 patients who were examined before, as well as 6-8 months after irradiation with different treatment schedules at eight radiotherapeutic departments. Total absorbed doses were 12, 16, or 20 Gy. All patients were additionally treated with systemic application of corticosteroids. Treatment efficacy was

evaluated through assessment of proptosis, horizontal and vertical ocular motility and of clinical activity (CAS). Overall group and individual KU-55933 cost responses were evaluated. Treatment response was defined as inactivation of GO, reduction of proptosis by at least 2 mm, improvement of motility by a parts per thousand yen8A degrees or unchanged normal parameters.\n\nPrior to irradiation, neither age, disease duration, gender distribution, smoking behavior or serologic parameters, nor clinical activity or severity stages varied significantly between groups. Neither did outcome measures, except proptosis, differ significantly. Retrobulbar irradiation led to inactivity of GO in approximately 80% of patients, with no significant group difference. After irradiation with 16 and 20 Gy, vertical motility improved in a significantly higher percentage of patients this website than after irradiation with 12 Gy. Median improvement of vertical motility in responding patients was excellent in all groups (15A degrees at 12 Gy, 10A degrees at 16 Gy, 10A degrees at 20 Gy). Horizontal motility did not change significantly.\n\nIf the aim of retrobulbar irradiation is primarily to reduce soft-tissue signs, lower doses are sufficient. If a patient also suffers from dysmotility, doses exceding 12 Gy may be more effective.”
“Background: Magnetic

resonance imaging has provided a wealth of information on altered brain activations and structures in individuals addicted to cocaine. However, few studies have considered the influence of age and alcohol use on these changes.\n\nMethods: We examined gray matter volume with voxel based morphometry (VBM) and low frequency fluctuation (LFF) of BOLD signals as a measure of cerebral activity of 84 cocaine dependent (CD) and 86 healthy control (HC) subjects. We performed a covariance analysis to account for the effects of age and years of alcohol use.\n\nResults: Compared to HC, CD individuals showed decreased gray matter (GM) volumes in frontal and temporal cortices, middle/posterior cingulate cortex, and the cerebellum, at p < 0.05, corrected for multiple comparisons.

Only a small proportion of interspecific pollen transfer could be

Only a small proportion of interspecific pollen transfer could be recorded. We explain these outcomes by specific pollinator behaviour such as floral preference and constancy during a foraging bout. This may be linked to different reward regimes of the studied Aeonium species. (C) 2009 Elsevier GmbH. All

rights reserved.”
“Introduction Changes in arterial pressure due RG7440 to respiratory phases have been used to predict fluid responsiveness in a number of species and pulse pressure variation (PPV) and systolic pressure variation (SPV) are commonly used. The relationship between PPV and SPV has not been described in horses. Objectives To describe and compare PPV and SPV values of horses under general anesthesia. Methods Twenty-six horses undergoing general anesthesia and receiving mechanical ventilation were enrolled in the study. Recordings of maximal and minimal values of pulse pressure and systolic pressure were calculated every 15 minutes throughout surgery. Results Initial PPV was 15.6% (7.9, 33.8) and decreased over the first 30 minutes www.selleckchem.com/products/pnd-1186-vs-4718.html to 10.7 +/- 7.2% (P = 0.03). Initial SPV was 10.3 +/- 2.6% and decreased over the first 30 minutes to 7.3 +/- 3.3% (P = 0.004). PPV and SPV had a correlation coefficient of

0.52 (P < 0.0001) and a 95% limits of agreement from -7.1% to 14.4%. Conclusion PPV and SPV measurements in horses do not have strong agreement.”
“Background: Annexin A1 (ANXA1) is a protein related with the carcinogenesis process and metastasis formation in many tumors. However, find more little is known about the prognostic value of ANXA1 in breast cancer. The purpose of this study is to evaluate the association between ANXA1 expression, BRCA1/2

germline carriership, specific tumor subtypes and survival in breast cancer patients. Methods: Clinical-pathological information and follow-up data were collected from nine breast cancer studies from the Breast Cancer Association Consortium (BCAC) (n = 5,752) and from one study of familial breast cancer patients with BRCA1/2 mutations (n = 107). ANXA1 expression was scored based on the percentage of immunohistochemical staining in tumor cells. Survival analyses were performed using a multivariable Cox model. Results: The frequency of ANXA1 positive tumors was higher in familial breast cancer patients with BRCA1/2 mutations than in BCAC patients, with 48.6 % versus 12.4 %, respectively; P smaller than 0.0001. ANXA1 was also highly expressed in BCAC tumors that were poorly differentiated, triple negative, EGFR-CK5/6 positive or had developed in patients at a young age. In the first 5 years of follow-up, patients with ANXA1 positive tumors had a worse breast cancer-specific survival (BCSS) than ANXA1 negative (HRadj = 1.35; 95 % CI = 1.05-1.73), but the association weakened after 10 years (HRadj = 1.13; 95 % CI = 0.91-1.40). ANXA1 was a significant independent predictor of survival in HER2+ patients (10-years BCSS: HRadj = 1.

This paper details a method for reframing the results of pharmaco

This paper details a method for reframing the results of pharmacogenomic association studies in terms of the comparative treatment effect for a pharmacogenomic subgroup to provide greater insight into the likely clinical utility of a pharmacogenomic marker, its’ likely cost effectiveness,

and the value of undertaking the further (often expensive) research required for translation into clinical practice. The method is based on the law of total probability, which relates marginal and conditional probability. It takes as inputs: the prevalence of the pharmacogenomic marker in the patient group of interest, prognostic effect of the pharmacogenomic marker based on Trichostatin A solubility dmso observational association studies, and the unstratified comparative treatment effect based on one or more conventional randomized controlled trials. The critical assumption is that of exchangeability across the included studies. The method is demonstrated using a case study of cytochrome P450

(CYP) 2C19 genotype find protocol and the anti-platelet agent clopidogrel. Indirect subgroup analysis provided insight into relationship between the clinical utility of genotyping CYP2C19 and the risk ratio of cardiovascular outcomes between CYP2C19 genotypes for individuals using clopidogrel. In this case study the indirect and direct estimates of the treatment effect for the cytochrome P450 2C19 subgroups were similar. In general, however, indirect estimates are likely to have substantially greater risk

of bias than an equivalent direct estimate.”
“A 42-year-old bedridden patient suddenly became seriously ill with an unexplained fever (39 degrees C) and hypoxemia (pulse oximetry oxygen saturation: patient, 90%; normal, >98%). He had received the inactivated vaccine for pandemic 2009 H1N1-influenza (pH1N1) 41 days earlier. He had no cough, sore throat, or pharyngitis. Therefore, he did not satisfy the Centers for Disease Control criteria for an “influenza-like illness.” Nevertheless, his nasopharyngeal swab was tested by rapid enzyme-linked immunosorbent assay for influenza A and found positive. He was promptly treated with supplemental oxygen and oseltamivir (75 mg twice buy Cl-amidine daily) for 5 days. On day 6, reverse transcriptase-polymerase chain reaction test confirmed the virus to be pH1N1. A chest radiograph was normal on day 1 but revealed bilobar pneumonia on day 2. This was considered bacterial superinfection and empirically treated for 10 days with 3 g of piperacillin and 375 mg of tazobactam. The patient fully recovered. This case of pH1N1 vaccine failure occurred because no vaccine is 100% protective, and immune response may be poorer in patients with chronic medical problems. Vaccine failure was not due to immunodeficiency or improper vaccine handling. We credit this patient’s recovery to our facility’s heightened surveillance for influenza even among the vaccinated individuals, and also in those without classic influenza-like illness.

Novel therapeutic targets such as specific RANKL antibodies are b

Novel therapeutic targets such as specific RANKL antibodies are being investigated currently and are promising.”
“Background: Cognitive dysfunction caused by brain injury often prevents a patient from achieving

a healthy and high quality of life. By now, each cognitive function is assessed precisely by neuropsychological tests. However, it is also important to provide an overall assessment of the patients’ ability in their everyday life. We have developed a Virtual Shopping Test (VST) Alvocidib using virtual reality technology. The objective of this study was to clarify 1) the significance of VST by comparing VST with other conventional tests, 2) the applicability of VST to brain-damaged patients, and 3) the performance of VST in relation to age differences.\n\nMethods: The participants included 10 patients with brain damage, 10 age-matched healthy subjects for controls, 10 old healthy subjects, and 10 young healthy subjects. VST and neuropsychological tests/questionnaires about attention, memory and executive function were conducted on the Navitoclax mouse patients, while VST and the Mini-Mental State Examination (MMSE) were conducted on the controls and healthy subjects. Within the VST, the participants were asked to buy four items in the virtual shopping mall quickly in a rational way. The score for evaluation included the number

of items bought correctly, the number of times to refer to hints, the number of movements between shops, and the total time spent to complete the shopping.\n\nResults: Some variables on VST correlated with the scores of conventional assessment about attention and everyday memory. The mean number of times referring to hints and the mean number of movements were significantly larger for the patients with brain damage, and the mean total time was significantly longer for the patients than for the controls. In addition, the mean total time was significantly longer

for the old than for the young.\n\nConclusions: The results suggest that VST is able to evaluate the ability of attention and everyday memory in patients with brain damage. The time of VST is increased by age.”
“The purpose of this study was to examine the effects of blood lactate level (La) on oxygen uptake (V-O2) kinetics during recovery after short-term exercise with maximal effort (sprint). Three sprints were performed on a cycle ergometer with www.selleckchem.com/btk.html a load of 8% of body weight at maximal rotation rate. V-O2 kinetics and oxygen debt were determined after three sprint tests: one 10-s cycling sprint, five repeated 10-s cycling sprints with 6-min intervals and one 30-s cycling sprint. There was no significant difference between peak power outputs in the 10-s sprint and five sprints. There was no difference in Vo2 kinetics during recovery from one sprint and during recovery after five sprints. La peaked at 5 min. The peak value of La was significantly lower in one sprint (4.41 +/- 0.9 mM) than in five sprints (7.01 +/- 2.2 mM).

Aim: To demonstrate the reliability and relevance of a clinical m

Aim: To demonstrate the reliability and relevance of a clinical model for the assessment of therapeutic efficacy of a treatment using the Adherent Scalp Flaking Score (ASFS) method to quantitate the flaking severity. Methods: Six randomized, double-blind, parallel design studies were conducted in either

North America or Asia with subjects suffering from dandruff using the ASFS selleck kinase inhibitor grading method before and after a 3-week test product treatment period. Results: Treatment with a commercial potentiated 1% zinc pyrithione (ZPT) shampoo resulted in statistically significant (p smaller than 0.0001) improvements in total ASFS compared with the placebo cosmetic shampoo. Results were consistent across all studies, geographies, and product usage protocols (controlled on-site versus home use conditions), and were associated with statistically significant improvements in self-perception of scalp condition. Conclusion: The ASFS-based clinical model was demonstrated to Vactosertib chemical structure be a reliable and proven methodology to assess the effectiveness of widely used anti-dandruff treatments. The results are consistent with patient self-assessments, establishing this methodology as relevant to patient perception of product benefits.”
“Three-dimensional (3-D) analysis of anatomical ultrastructures is important in biological research. However, 3-D image analysis on exact serial sets of ultra-thin sections from

biological specimens is very difficult to achieve, and limited information can be obtained by 3-D reconstruction

from these sections due to the small area that can be see more reconstructed. On the other hand, the high-penetration power of electrons by an ultra-high accelerating voltage enables thick sections of biological specimens to be examined. High-voltage electron microscopy (HVEM) is particularly useful for 3-D analysis of the central nervous system because considerably thick sections can be observed at the ultrastructure level. Here, we applied HVEM tomography assisted by light microscopy to a study of the 3-D chemical neuroanatomy of the rat lower spinal cord annotated by double-labeling immunohistochemistry. This powerful methodology is useful for studying molecular and/or chemical neuroanatomy at the 3-D ultrastructural level.”
“We performed a systematic analysis of which drugs, prescribed, over the counter (OTC), and/or natural remedies, children had used prior to visiting a pediatric emergency room (ER), and to compare this information with the documentation of drug use in the medical records.\n\nA questionnaire study was performed at a pediatric ER in a Swedish university hospital during 3 weeks in April 2008. The questionnaire was validated through an interview with a subgroup of participants. Only drug use associated with the time of that hospital visit was requested. Information was compared with information in medical records related to the same visit.


“In this paper, by first principle calculations, we invest


“In this paper, by first principle calculations, we investigate systematically the band topology of a new half-Heusler family with composition of I(A)-III(A)-IV(A). The results clearly show that many of the I-III-IV half-Heusler compounds are in fact promising to be topological insulator candidates. The characteristic feature selleck chemical of these new topological insulators is the naturally strong band inversion strength (up to -2 eV) without containing heavy elements. Moreover, we found that both the band inversion strength and the bulk insulating

gap of the compounds can be tailored through strain engineering, and therefore would be grown epitaxially in the form of thin films, and useful in spintronics and other applications. (C) 2014 AIP Publishing LLC.”
“Oocyte cryopreservation still bears the experimental label. SNX-5422 in vivo Remarkable innovation in this field has led to immense improvement in clinical outcomes and has even resulted in outcomes comparable to those achieved following fresh embryo transfers. Such success has prompted this centre to investigate

outcomes of cryopreservation options (oocyte versus pronuclear zygote versus supernumerary day-5 blastocyst after fresh embryo transfer). This study retrospectively analysed 200 cryopreservation cycles which were divided into three groups according to cryopreservation option, which were all cultured to blastocyst-stage post thaw/warming from January 2005 to December 2008, and compared them with 400 fresh embryo transfer cycles from the same time period. When compared with fresh embryo transfer, frozen embryo transfers originating from previously cryopreserved oocytes or pronuclear zygotes resulted in similar implantation, pregnancy and live-birth rates; however, frozen embryo transfers originating from supernumerary day-5 blastocysts resulted in lower outcomes. Thus, oocyte and/or pronuclear zygote cryopreservation appear to be the most viable options

for women desiring fertility preservation. Cryopreservation Z-DEVD-FMK Apoptosis inhibitor of supernumerary blastocysts may lead to a slightly lower live-birth rate since the best-quality blastocysts are generally transferred during the fresh embryo transfer attempt. (C) 2011, Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.”
“Since its inception in 1995, the Biopharmaceutics Classification System (BCS) has become an increasingly important tool for regulation of drug product development worldwide. The regulations with respect to biowaivers for immediate-release solid oral dosage forms in the 3 United States, the EU, and from the World Health Organization are summarized and compared in this article. On this basis, technical requirements for BCS-based biowaiver in China are proposed, and biowaiver eligibility of immediate-release oral products in the China Pharmacopoeia 2005, and the top 200 best sale list in 2008 are evaluated, which shows a similar trend to those found in the top 200 lists,from the United States and Great Britain.

Serum IFN-b and IL-6 concentrations

in the infected contr

Serum IFN-b and IL-6 concentrations

in the infected control and MPYS(-/-) mice were also similar at 24 h postinfection, suggesting that these pathogens stimulate MPYS-independent cytokine production during in vivo infection. Our findings indicate that bifurcating MPYS-dependent and – independent pathways mediate sensing of cytosolic bacterial infections. The Journal of Immunology, 2011, 187: 2595-2601.”
“Despite recent advances, there are still no interventions that have been developed for the specific treatment of young children who have anxiety disorders. This study examined the impact of a new, cognitive-behaviorally based parenting intervention on anxiety symptoms. Method: Families of 74 anxious children (aged 9 years or less) took part in a randomized controlled

trial, find more which compared the new 10-session, group-format intervention with a wait-list control condition. Outcome measures included blinded diagnostic interview and self-reports from parents and children. Results: Intention-to-treat analyses indicated that children whose parent(s) received the intervention were significantly less anxious at the end of the study than those in the control condition. Specifically, 57% of those AG-881 receiving the new intervention were free of their primary disorder, compared with 15% in the control condition. Moreover, 32% of treated children were free of any anxiety diagnosis at the end of the treatment period, compared with 6% of those in the control group. Treatment gains were maintained at 12-month follow-up. Conclusions: This new parenting-based intervention may represent an advance in the treatment of this previously neglected group. Clinical trial registration information: Anxiety in Young Children: A Randomized Controlled Trial of a New Cognitive-Behaviourally Based Parenting Intervention; http://www.isrctn.orgi; ISRCTN12166762. J. Am. Acad. Child Adolesc. Psychiatry, 2011;50(3):242-251.”
“Purpose: The objective of the study was to determine if mouthwashes with a morphine-containing Fosbretabulin datasheet solution decrease oral pain associated

with radiotherapy- and/or chemotherapy-induced oral mucositis (OM).\n\nMethods: Randomized double-blinded crossover study to evaluate the effect of topical oral application of 2% morphine solution in patients suffering from radiotherapy- and/or chemotherapy-induced OM. Participants assigned to either the morphine solution or a placebo mouthwash received one of the solutions days 1-3 and were then switched over to the other treatment for days 4-6.\n\nResults: Nine patients were randomized in both groups. All patients (mean age, 55.1 +/- 3.0) except one had head and neck cancers. Mean intensity of pain associated with mucosal injury (World Health Organization [WHO] mucositis >= 2) was on a 10-point visual analogue scale: 6.0 +/- 2.7).