Patient preference for sustained-release versus standard paracetamol (acetaminophen): a multicentre, randomized, open-label, two-way crossover study in subjects with knee osteoarthritis.

Guidelines for osteoarthritis (OA) management recommend paracetamol (acetaminophen) as the most appropriate first-line analgesic for mild to moderate pain. Standard paracetamol requires four times daily dosing. Drug compliance and convenience are inversely related to daily dose frequency. Compliance is a pivotal component of the successful management of OA pain and is influenced by patient preferences or beliefs. The added convenience of three times daily dosing may enhance compliance and, therefore, pain relief. This multicentre, randomized, open-label, two-way crossover, phase IV study is the first to evaluate patient preference with a sustained-release paracetamol tablet formulation designed for three times daily dosing. Compared with standard paracetamol tablets dosed four times daily, the sustained-release formulation was preferred in a 2:1 ratio, provided better overall joint pain relief, resulted in higher levels of satisfaction in subjects with OA of the knee and has the potential to improve patient compliance and, therefore, pain control.

Clustering of Environments of Southern Soft Red Winter Wheat Region for Milling and Baking Quality Attributes.

Division of regional nursery test sites into homogenous subregions contributes to more efficient evaluation and better differentiation of cultivars. Data from the Uniform Southern Soft Red Winter Wheat Nursery (USSRWWN) were analyzed to group testing sites into relatively homogenous subregions for milling and baking quality (MBQ) attributes. Environmental effects due to years accounted for over 50% of the total variation for protein content (P) and 42% for alkaline water retention capacity (AWRC). Genotype effect accounted for 63% of the total variation for softness equivalence (SE), and 37% for flour yield (FLY). A significant genotype x location (GxL) interaction occurred for FLY and P. However, the GxL variance component accounted for a small proportion of the total phenotypic variance, suggesting that clustering would be more beneficial for resource efficiency than for increasing differentiation of genotypes. A hierarchical cluster analysis was used to group locations on the basis of GxL interaction effects for FLY, P, AWRC, and SE. Cluster analysis divided the USSRWWN into two main subregions within which the GxL interaction was reduced by over 90% for FLY and by 60% for P. Although this classification is not entirely consistent with the geographic distribution of locations, clusters do follow general geographic-climatic-disease regions. Our results suggest that the USSR-WWN can be divided into subregions to reduce the resources expended on evaluation of MBQ attributes. This classification of locations could be useful in breeding for specific adaptability within subregions.