Results: MTX altered the concentration of 31 out of 70 metabolites analyzed, suggesting inhibition of the glycine cleavage system, the pentose phosphate pathway, purine and pyrimidine synthesis, phospholipid metabolism, and bile acid uptake
The variations in elevated BUN/creatinine could be partially explained with a regression analysis based on urinary excretion of heavy metals
Comment: A few commenters suggested that hospitals with greater patient volumes scored on more Safety of Care measures (particularly larger facilities such as teaching hospitals or VHA hospitals) may have higher potential for score reductions, not because of poor quality, but because they are more exposed to scoring variation
Wang W, Guo M, Bai Z, Bai W,Chen W, Su Y, Wu J
New systematic therapies and trends in cutaneous melanoma deaths among US whites, 19862016
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