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When excluding this trial, the heterogeneity between the Norwegian and ESPAC1 studies was markedly reduced (χ=2.5, P=0.29) to a nonsignificant level.
One of these studies was markedly underpowered [ 7], while a recent French study showed the PAC had no effect on mortality [ 8].
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In effect, experimental and observational studies are markedly biased towards outdoor blackening and indoor dust, perhaps due to the experimental difficulties of discerning different particle sizes of indoor deposits, especially the smallest.
The largest studies on LOS were undertaken within the US healthcare system where every cost item (including LOS) is rigorously controlled by health insurers, which probably explains why the LOS in these studies is markedly lower than that of Ireland.
From the baseline patient information presented in the papers, there was no reason to suspect that the patient populations in the E-vita open plus studies were markedly different from those included in the comparator studies.
Our results suggest that if a true association exists, it is smaller than estimated by previous studies, is markedly attenuated by confounding factors and is unlikely to have any clinical significance.
However, this discrepancy is probably attributable to the insulin infusion rate in those studies being markedly above those that we used; certainly, at physiological insulin availability, there is no stimulation or inhibition of gene expression for the proteolytic enzymes we studied.
56 Mineralocorticoid-related symptoms in the Phase III studies were markedly attenuated by inclusion of prednisone 5 mg twice daily, and were generally of Grade I or II in magnitude, including fluid retention (~33% versus 22%24%% in placebo), hypertension (~10% versus 8% in placebo), and hypokalemia (~18% versus 9% in placebo).
The promoted muramidase activity of T LZ complexes, reported in our previous study, was markedly protected against both mild and excessive photooxidative treatments.
Second, the surgery rate reported in this study was markedly lower compared with that of North American or European countries.
The CR rate in this study was markedly lower than the rate reported in previous studies; 6, 24, 25 however, OS was equivalent between the two treatment arms.
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