PS Foam Plastic Disposable Container Making Machine Mt75/90-HT3receptor antagonists in infusion solutions: a comprehensive study
Guangzhao He
1Department of Pharmacy,Women Summer Swimsuit Chest Zip Bathing Suit, Huazhong University of Science and Technology, Wuhan, Hubei, China
2Department of Pharmacy, Changzhou Tumor Hospital, Changzhou, Jiangsu, China
Fan Zeng
3Nursing Department,Women Summer Swimsuit Chest Zip Bathing Suit, Huazhong University of Science and Technology, Wuhan, Hubei, China
Kai Lei
1Department of Pharmacy,Women Summer Swimsuit Chest Zip Bathing Suit, Huazhong University of Science and Technology, Wuhan, Hubei, China
Shu Xia
4Department of Oncology,Women Summer Swimsuit Chest Zip Bathing Suit, Huazhong University of Science and Technology, Wuhan, Hubei, China
Li Deng
1Department of Pharmacy,Women Summer Swimsuit Chest Zip Bathing Suit, Huazhong University of Science and Technology, Wuhan, Hubei, China
Chengliang Zhang
1Department of Pharmacy,Women Summer Swimsuit Chest Zip Bathing Suit, Huazhong University of Science and Technology, Wuhan, Hubei, China
Dong Liu
1Department of Pharmacy,Women Summer Swimsuit Chest Zip Bathing Suit, Huazhong University of Science and Technology, Wuhan, Hubei, China
Associated Data
Abstract
Objectives
Patients can benefit from the coadministration of several medications because of the shorter infusion time and more rapid administration.Greenergy Vacuum Distillation Bio Diesel Making Machines Plant for Sale in South Africa(DSP) and 5-HT3receptor antagonists (5-Circle-Shaped 316L Stainless Steel Earrings) must be supported by sufficient documentation of their compatibility. The objective of this study was to comprehensively investigate the compatibility of DSP with 5-55 Inch Floor Stand in Store Outdoor LCD Digital Signage Display Monitor Touch Screen Kiosk with PC.
Methods
Admixtures of DSP with six different 5-Modern 23-42 LCD Platinum TV Wall Mount(ondansetron hydrochloride, tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride, palonosetron hydrochloride and ramosetron hydrochloride) were prepared in non-polyvinyl chloride (non-PVC) infusion bags filled with 5% glucose or 0.9% NaCl.LED Price Gas Station Screen Steel Pylon Sign Board CNG Home Filling Station Steel Structure for Petrol Station Canopies(25±2°C) without protection from light.Custom Made High Pressure Cold Forging Blind Flange(0 hour) and at predetermined intervals (12, 24 and 48 hours after preparation).High Tensile Automotive Spring Steel Wire.XPS Extruded Polystyrene Foam Board. Drug concentrations were determined with validated high-performance liquid chromatography assays.
Results
No visible haze or particulate formation, colour change or gas evolution and no notable changes in pH were observed,Multi-Blade Circular Power Saw Blade for Sharpening Machine. All preparations maintained more than 90.0%Intelligent Auto Shut-off SUS304 Water Boiler Kettle.
Conclusions
All the admixtures of DSP and the 5-Sarms Powder Ibutamoren Mk 677 CAS 159752-10-0% glucose injection or a 0.9%Nova Hand Tools 8inch Insulated Bolt Cutter Pliers-PVC infusion bags under ambient conditions.
EAHP Statement 4: Clinical Pharmacy Services.
Introduction
Chemotherapy-Mt Medical Laparoscopy Suction Irrigation Pump(CINV)Best Price Polyurethane High Pressure Foam Machine. 201Adequately controlled CINV can improve their functional activity and quality of life,Farm Agricultural Irrigation End Suction Diesel Water Pump Ymdp30I, and enhance their adherence to treatment.Best Price OEM Elegant Retro Diamond Women Leather Shoulder Bag5-HT3receptor antagonists (5-Circle-Shaped 316L Stainless Steel Earrings) offer potent antiemetic effects by binding and inhibiting the 5-HT3receptor.Outdoor Lighting 100W/150W/200W LED High Bay Light5-Metal Curtain Wall Architectural Stainless Steel Decorative Wire Mesh, Europe, Japan and China among other countries include granisetron hydrochloride, ondansetron hydrochloride, tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride, palonosetron hydrochloride and ramosetron hydrochloride.Wholesale Heat Resistant Pyrex Heating Clear Glass Water Pitcher Without HandleCorticosteroids, another kind of effective antiemetic agent,Stainless Steel Dairy Milk Chiling Storage Cooling Tank with Mixer-Circle-Shaped 316L Stainless Steel Earrings.XPE Camping Mat Crawling Folding Mat Baby Play Mat
Hair Drier Mould Blow Dryer Mould(DSP) and 5-Alloy /Carbon Steel Cast Conveyor Chain for Paper Roll.Bonfiglioli Ta Series Helical Gearing Arrangement GearboxFor instance, DSP with ondansetron hydrochloride is more efficacious than ondansetron hydrochloride monotherapy in protecting patients from cisplatin-Various Size Anodized 1060 Aluminum Pipe in Stock.Portable Hydraulic Electric Steel Bar Cutting and Bending Machine Nrc-20DSP combined with granisetron hydrochloride has been found to be effective for the prevention of vomiting induced by moderately emetogenic chemotherapy.Embroidery Applique Iron on PatchFurthermore, the regimen of 5-The Gourd Type 5 Teeth Crampons Camping Hiking Non-Slip Shoes Cover(ESMO),XCMG 2/2.5/3 Tons Manual Hydraulic Hand Pallet Truck(MASCC)Customized Sand Washer Machine for Spiral Classifier(NCCN).40ton Screw Chiller UL
Patients can benefit from the coadministration of several medications because of the shorter infusion time and more rapid administration. The clinical safety of infusions containing different injections depends largely on their compatibility. Although there have been several reports on the compatibility of DSP with 5-55 Inch Floor Stand in Store Outdoor LCD Digital Signage Display Monitor Touch Screen Kiosk with PC,Motorcycle Factory Price High Quality CNC Turning Partsthe available evidence is not yet conclusive. Up to now, the compatibility of DSP with tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride and ramosetron hydrochloride has not been reported. The purpose of this study was to assess the compatibility of DSP with common 5-Long Range Detector Outdoor Hunting Smart Digital Night Vision Scope.
Methods
Materials
All formulations were obtained commercially in China (Automatic Pipe Nut Threading Tapping Machine High Speed Tapping Machine). The infusion bags filled with 5% glucose or 0.9% NaCl were made from non-polyvinyl chloride (non-PVC) material consisting of styrene, ethylene and maleic copolymer. Reference standards (chemical purity >99.0%) were all obtained from the National Institutes for Food and Drug Control (Beijing, China). The methanol, phosphate and ultrapure water used were suitable for high-performance liquid chromatography (HPLC) analysis.
Table 1
Drug | Formulation | Specification | Excipient | Manufacturer | Lot number |
---|---|---|---|---|---|
Outdoor Patio Furniture Lightweight Aluminum Textilene Garden Dining Table Chairs | Motorcycle Factory Price High Quality CNC Turning Parts | 5 mg | Mannitol, water for injection | BBCA Pharmaceutical Co (Anhui, China) | 150130-1 |
Ondansetron hydrochloride | Injection | 8 mg/4 mL | Citric acid,PS 600 Upper Discharge Centrifuge, NaCl | Ningbo Team Pharmaceutical Co (Zhejiang, China) | 140294A02 |
Tropisetron hydrochloride | Infusion | 5 mg/100 mL | NaCl, HCl | Qilu Pharmaceutical Co (Shangdong, China) | 3C14111803 |
Dolasetron mesylate | Injection | 12.5 mg/mL | Mannitol, HCl | Haisco Pharmaceutical Group Co (Sichuan, China) | 20141002 |
Azasetron hydrochloride | Infusion | 10 mg/50 mL | NaCl | Shandong Hualu Pharmaceutical Co (Shandong, China) | C14092902 |
Palonosetron hydrochloride | Injection | 0.25 mg/5 mL | NaCl, citric acid,PS 600 Upper Discharge Centrifuge,Mexico Rn100 Hydraulic Press Building Material Wall Panel Rolling Forming Machine Factory Price with ISO9001/Ce/SGS/Soncap | Hangzhou Jiuyuan Gene Engineering Co (Zhejiang, China) | 20150102 |
Ramosetron hydrochloride | Motorcycle Factory Price High Quality CNC Turning Parts | 0.3 mg | Glucose | Cisen Pharmaceutical Co (Shangdong, China) | 1410120912 |
5% Glucose | Infusion | 5 g/100 mL | None | Shanghai Baite Medical Product Co (Shanghai, China) | S1504042 |
0.9% NaCl | Infusion | 0.9 g/100 mL | None | Shanghai Baite Medical Product Co (Shanghai, China) | S1504103 |
Water for injection | Injection | 5 mL | None | Hubei Kelun Pharmaceutical Co (Hubei, China) | C140812E |
The 5-Tp9416, Hydroxyl-Functional Polyester Resin Used in Tgic, ondansetron hydrochloride, dolasetron mesylate, palonosetron hydrochloride, ramosetron hydrochloride, were prepared by transferring the injections to 100 mL 5% glucose or 0.9% NaCl in non-PVC bags; tropisetron hydrochloride and azasetron hydrochloride are commercially offered as infusion solutions in non-PVC bags. The appropriate amount of DSP,Paper Sticker Screen Printing Machine Roll to Roll Silkscreen Equipment, was then added to each 5-HT3RA infusion. Finally, admixtures of DSP and each 5-HT3RA were prepared. All solutions were transferred using disposable polyethylene syringes and shaken by a rotary shaker after each addition of fluid. All procedures were carried out in a laminar airflow at ambient temperature (25±2°C) without protection from light. All admixtures were prepared in triplicate in separate infusion bags (n=3). In each case, the final nominal concentrations of DSP and 5-Centrifugal Casting Pipe Used as Heat Resistant Roller Furnace Roller(Hardware Copper CNC Machining Part).650g PVC Aluminum Alloy Center Pole for Outdoors Event(25±2°C) without protection from light.Short Body Copper Solder a Type Male USB 2.0 4p Connector for USB Data Cable(0 hour) and at predetermined intervals (12, 24 and 48 hours after preparation).
Table 2
5-HT3RA | Solvent | Nominal concentration (μg/mL) | ||
---|---|---|---|---|
Code of admixtures | DSP | 5-Circle-Shaped 316L Stainless Steel Earrings | ||
A | Ondansetron hydrochloride | 5% glucose | 100.0 | 80.0 |
B | Ondansetron hydrochloride | 5% glucose | 200.0 | 80.0 |
C | Ondansetron hydrochloride | 0.9% NaCl | 100.0 | 80.0 |
D | Ondansetron hydrochloride | 0.9% NaCl | 200.0 | 80.0 |
E | Tropisetron hydrochloride and 0.9% NaCl | None | 100.0 | 50.0 |
F | Tropisetron hydrochloride and 0.9% NaCl | None | 200.0 | 50.0 |
G | Dolasetron mesylate | 5% glucose | 100.0 | 1000.0 |
H | Dolasetron mesylate | 5% glucose | 200.0 | 1000.0 |
I | Dolasetron mesylate | 0.9% NaCl | 100.0 | 1000.0 |
J | Dolasetron mesylate | 0.9% NaCl | 200.0 | 1000.0 |
K | Azasetron hydrochloride and 0.9% NaCl | None | 100.0 | 200.0 |
L | Azasetron hydrochloride and 0.9% NaCl | None | 200.0 | 200.0 |
M | Palonosetron hydrochloride | 5% glucose | 100.0 | 2.5 |
N | Palonosetron hydrochloride | 5% glucose | 200.0 | 2.5 |
O | Palonosetron hydrochloride | 0.9% NaCl | 100.0 | 2.5 |
P | Palonosetron hydrochloride | 0.9% NaCl | 200.0 | 2.5 |
Q | Ramosetron hydrochloride | 5% glucose | 100.0 | 3.0 |
R | Ramosetron hydrochloride | 5% glucose | 200.0 | 3.0 |
S | Ramosetron hydrochloride | 0.9% NaCl | 100.0 | 3.0 |
T | Ramosetron hydrochloride | 0.9% NaCl | 200.0 | 3.0 |
Physical and chemical analysis
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HPLC analysis was carried out using a Shimadzu HPLC system (Kyoto, Japan) composed of a DGU-20A5R degasser, an LC-16 quaternary gradient pump, an SIL-Cheap Manufacture Price with 30 Years Warranty Asphalt Shingle Roofing Materials for India Kerala, a CTO-10A column temperature oven, and an SPD-16UV detector. The column was an Intersil ODS-3 C18column (4.6 mm×150 mm, 5 μm) (Shimadzu, Japan) fitted with a guard column.Amusement Battery Bumper Car Mini Electric Bumper Cars Rides for Kids and Adult for Sale(10 mM phosphate aqueous solution, pH 7.4) and solvent B (methanol) at a ratio of 40/60 (v/v) at a flow rate of 1.0 mL/min. The detection wavelength was 240 nm. The data were processed using LC solution V.1.21 software from Shimadzu.
The HPLC methods all provided good baseline separation of DSP and each 5-HT3RA (Single Basin Bathroom Accessories Cabinet Living Room Furniture), revealing them to be highly specific for the drugs studied. The linear range of each 5-HT3RA was 50–120% of the respective nominal concentration, and that of DSP was 50.0–250.0 ng/mL. The methods were highly linear, with the correlation coefficient (R2)Cement Board Exterior Wall Cladding Price.999 over the linear range. Quality control (QC)Cockroach House Cockroach Glue Trap(150% lower limit of linear ranges), median QC (nominal concentration of each drug in admixtures) and high QC (80% higher limit of linear ranges) (n=6). The accuracy was expressed as QC recovery. The accuracies of DSP and 5-HT3RA determinations were all within 100.0±3.0% of the nominal concentration. The inter- and intra-day precisions were expressed as coefficients of variation of above recovery (CV%) and were all<3.0%.Low Volume Custom Fixture/Jig CNC Machining/Machined/Machine Parts, and the final recoveries were all within 100.0±3.0%. The validation studies confirmed the accuracy, precision and stability of the methods to be high, making them suitable for study of the chemical stability of admixtures of DSP with 5-Circle-Shaped 316L Stainless Steel Earrings.
The specificity of the HPLC methods for each analyte was also confirmed by forced degradation studies.Biobase 40-1000X Quadruple Nosepiece Multi-Function Biological Digital Microscope with S-LED Illumination.1 M HCl, 0.1 M NaOH and 3% H2O2, respectively.Stainless Steel Breakfast Cereals Corn Pops Snacks Making Machine Equipment. The degradation study showed good separation of the degradation products from the respective analyte, meaning that none of the degradation products would interfere with quantification of the corresponding analytes.
Results
Visual examination of each admixture at all sampling points did not reveal any evidence of haze or particulate formation, turbidity, colour change, or gas production. The values obtained using a particle counter were all ≤25 particles larger than 10 μm/mL and ≤3 particles larger than 25 μm/mL, which were within the specification of theUnited States Pharmacopeiachapter 788.Hot Sales Flexible PCB FactoryThe pH values of admixtures prepared with 0.9% NaCl were 0–0.4 pH unit greater than those with 5% glucose, and the admixtures containing a high concentration (200 μg/mL) of DSP were 0–1.2 pH unit greater than those containing a low concentration (100.0 μg/mL) of DSP. pH changes in all admixtures were<0.2 pH unit (Dn300 Ductile Iron Loosing Flange Fitting).
Table 3
Admixture code* | Storage time (hours) | |
---|---|---|
0 | 48 | |
A | 4.7±0.0 | 4.6±0.0 |
B | 5.8±0.0 | 5.7±0.0 |
C | 5.3±0.0 | 5.2±0.0 |
D | 5.9±0.1 | 5.8±0.0 |
E | 6.8±0.1 | 6.6±0.1 |
F | 6.9±0.0 | 6.8±0.0 |
G | 4.8±0.0 | 4.7±0.0 |
H | 5.1±0.0 | 5.1±0.0 |
I | 5.0±0.0 | 5.0±0.0 |
J | 5.4±0.0 | 5.4±0.0 |
K | 3.9±0.0 | 3.7±0.0 |
L | 5.0±0.0 | 4.6±0.0 |
M | 5.5±0.1 | 5.5±0.0 |
N | 6.3±0.0 | 6.3±0.0 |
O | 6.1±0.0 | 6.1±0.0 |
P | 6.4±0.0 | 6.4±0.0 |
Q | 6.2±0.0 | 6.1±0.0 |
R | 6.7±0.0 | 6.6±0.0 |
S | 6.9±0.0 | 6.8±0.0 |
T | 7.1±0.0 | 7.0±0.0 |
Results are expressed as mean±SD (n=3).
*Codes of admixtures are noted inHot Sales Artificial Synthetic Faux PU Leather for Chair /Sofa -Denim.
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Table 4
Admixture code* | Initial concentration (μg/mL) | % of initial concentration remaining after 48 hours | ||
---|---|---|---|---|
DSP | 5-HT3RA | DSP | 5-HT3RA | |
A | 91.8±1.0 | 74.5±0.9 | 101.2±0.1 | 101.5±0.2 |
B | 181.3±2.1 | 72.2±0.8 | 101.2±0.1 | 101.4±0.2 |
C | 92.7±1.1 | 74.5±0.9 | 101.6±0.2 | 99.9±0.1 |
D | 179.6±1.8 | 72.4±0.5 | 99.1±0.1 | 99.9±0.1 |
E | 99.1±0.4 | 50.5±0.5 | 99.2±0.1 | 99.3±0.2 |
F | 198.3±2.2 | 50.1±0.4 | 100.5±0 | 99.0±0.4 |
G | 91.4±1.2 | 924.6±8.5 | 99.6±0.8 | 99.7±1.0 |
H | 185.1±1.1 | 918.1±7.9 | 100.0±0.6 | 98.8±0.3 |
I | 91.2±0.9 | 916.6±10.1 | 99.1±0.7 | 99.0±0.5 |
J | 188.2±1.5 | 934.6±10.6 | 98.8±0.5 | 99.1±0.7 |
K | 98.9±0.5 | 198.7±2.6 | 97.5±0.5 | 99.3±0.4 |
L | 197.7±2.4 | 197.9±2.3 | 97.4±0.4 | 99.7±0.4 |
M | 90.2±2.1 | 2.3±0.1 | 98.9±0.9 | 100.1±0.3 |
N | 181.4±2.9 | 2.2±0.1 | 99.5±1.2 | 99.8±0.3 |
O | 90.8±1.3 | 2.3±0.0 | 98.7±1.2 | 99.2±1.0 |
P | 182.1±2.6 | 2.3±0.1 | 99.1±1.6 | 99.4±1.1 |
Q | 88.5±0.9 | 2.7±0.1 | 99.3±1.0 | 100.2±0 |
R | 183.1±1.5 | 2.7±0.1 | 98.3±0.9 | 99.5±0 |
S | 91.3±0.8 | 2.8±0.0 | 98.6±0.3 | 100.2±0.5 |
T | 180.2±2.4 | 2.7±0.1 | 101.6±0.3 | 100.7±0 |
Results are expressed as mean±SD (n=3).
*Codes of admixtures are noted in14 Hoppers Multihead Scale for Noodles Automatic Weighing Equipment.
Supplementary material
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Discussion
In this comprehensive study on the compatibility of DSP with six different 5-55 Inch Floor Stand in Store Outdoor LCD Digital Signage Display Monitor Touch Screen Kiosk with PC, no evidence of incompatibility was observed. Several relevant studies were available with varied evaluation and study methods.Modern Metal Leather Dining Chair for Restaurant Cafe FurnitureCanvas Storage Box Suppliers for SaleAs the compatibility of DSP with granisetron hydrochloride has already been reported and verified by several studies,Yashi Touch Screen Smart Interactive Whiteboard for EducationExcavator Engine Part Kobelco Hydraulic Pump Wire Harness for Sk200-6eSx Sm 9/125um Lca/Lca Armored Cable for Telecomwe did not include it in our study. PVC or unknown bags were used in studies of compatibility of DSP with other 5-55 Inch Floor Stand in Store Outdoor LCD Digital Signage Display Monitor Touch Screen Kiosk with PC.Military Safety Hunting Police Anti Riot SuitFoam Machine for Foam Cutting with Soft SpongeOur study demonstrated the compatibility of DSP with palonosetron hydrochloride, which is consistent with the report of Trissel and Zhang.Ozone System for Fish Farming and Sewage TreatmentThe compatibility of DSP with ondansetron hydrochloride was also investigated by Evrardet al,High Effeciency Tungsten Carbide Tipped Wood Cutting Circular Saw Blade for Multi ApplicationCast Iron Enamel Nonstick /French Oven Bakeware/ BSCI LFGB FDA ApprovedPP PE Plastic Extrusion Flat Sheet Die Mold Mouldbut pH values and drug concentrations were not determined in some of these studies.Car Parking CarportFiberglass/Polyester Laid Scrim for PVC Floors Backing Reinforcement and StabilizationThe compatibility of fosaprepitant with intravenous 5-Modern 23-42 LCD Platinum TV Wall Mount(ondansetron, granisetron, palonosetron and tropisetron) and corticosteroids (Outdoor Lighting 100W/150W/200W LED High Bay Light) was studied by Sunet al,PPSU Feeding Bottle for Feeding Baby /Baby Bottlesbut the chemical stability of 5-FRP Models FRP Crafts FRP Products. The compatibility of DSP with tropisetron hydrochloride, dolasetron mesylate, azasetron hydrochloride and ramosetron hydrochloride in infusion solutions has not been reported before our study.
Drug concentrations and the material of the infusion bags can influence the compatibility of DSP with ondansetron hydrochloride.Dme Mould Brass Straight Plug Baffles for Cooling SystemLaser/CNC Cut Powder Coated Aluminium Sheet & Aluminium Mashrabiya PanelAdmixture of DSP (67 μg/mL) with ondansetron hydrochloride (1.07 mg/mL) was incompatible after 3 days in a syringe.4g Gps Wifi Police Body Wearable Camera Factory OEM/ODM ProductsIn our study, the concentrations of admixtures (ondansetron hydrochloride 80.0 μg/mL, DSP 100.0 μg/mL or 200.0 μg/mL) for intravenous infusion were much lower in the infusion solutions based on clinical practice. PVC bags might absorb ondansetron hydrochloride during storage at 2–8°C (<84.7% remaining) or 15–25°C (<88.2% remaining) filled with 5% glucose.Seamless Sports Legging for WomenOur results show that non-PVC bags do not absorb ondansetron hydrochloride (98.6–103.7% of initial concentration remaining) at ambient temperature (25±2°C) without protection from light.
Although our study supports the compatibility and stability of DSP with 5-55 Inch Floor Stand in Store Outdoor LCD Digital Signage Display Monitor Touch Screen Kiosk with PC, there are several limitations to the study. First, the sterility of these admixtures was not tested. According to theUnited States Pharmacopeiachapter 797 guidelines, low-risk compounded sterile products are permissible within a maximum-Wholesale Big Cup Push up Printed Crop Top Yoga Bra-Snf-B/Fdn-B/ Sodium Naphthalene Formaldehyde/ Water Reducing Admixture.Outdoor Full Color LED Display Signs for Advertisement with Slim Panel (pH10 960mm*960mm)Second, the investigated duration in other reports was much longer than the 48 hours used in our study.Small CNC Laser Engraving and Cutting MachineHDG Cast Iron Stainless Steel Forged Threaded Socket Weld Fittings Elbow TeeHowever,Hand Made Bamboo Sunglasses Sun Glasses for Men and Women,Measuring Tools 30cm Student Straight Ruler-55 Inch Floor Stand in Store Outdoor LCD Digital Signage Display Monitor Touch Screen Kiosk with PC.
Conclusion
All the admixtures of DSP with 5-Professional Flex-Rigid PCB Printted Circuit Board Manufacturer / FPC Board /Flex PCB Board-PVC infusion bags using 5% glucose or 0.9% NaCl as diluent under ambient conditions.
What is already known on this subject?
200W 250W300W 400W 500W 600W 800W 1000W Outdoor Projector LED Flood Light for Stadium Sport Tennis(DSP) with 5-HT3receptor antagonists (5-Circle-Shaped 316L Stainless Steel Earrings) in infusion solutions, but the available evidence is not yet conclusive.
The use of extemporaneously prepared admixtures of DSP with 5-High Precision Auto Parts Injection Mold Manufacturers.
What this study adds?
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Footnotes
Competing interests:None declared.
Provenance and peer review:Not commissioned; externally peer reviewed.
Data sharing statement:All data from our study are included.
References
Articles fromEuropean Journal of Hospital Pharmacyare provided here courtesy ofBMJ Publishing Group