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          <dc:title>Additional file 4 of Opsoclonus revealing underlying multiple system atrophy: a case report</dc:title>
          <dc:creator>Hiromi Kawano (25153452)</dc:creator>
          <dc:creator>Shotaro Sakimura (25153455)</dc:creator>
          <dc:creator>Ken Yamaura (846052)</dc:creator>
          <dc:subject>Space Science</dc:subject>
          <dc:subject>Medicine</dc:subject>
          <dc:subject>Cell Biology</dc:subject>
          <dc:subject>Genetics</dc:subject>
          <dc:subject>Neuroscience</dc:subject>
          <dc:subject>Physiology</dc:subject>
          <dc:subject>Environmental Sciences not elsewhere classified</dc:subject>
          <dc:subject>Multiple system atrophy</dc:subject>
          <dc:subject>Opsoclonus</dc:subject>
          <dc:subject>Delayed emergence</dc:subject>
          <dc:subject>General anesthesia</dc:subject>
          <dc:subject>Fentanyl</dc:subject>
          <dc:description>Additional file 4: Figure S2. Simulated fentanyl concentration profile. Estimated fentanyl plasma and effect-site concentrations over time, simulated using AnestAssist™ pharmacokinetic/pharmacodynamic software based on the Shafer pharmacokinetic model, are shown. The estimated effect-site concentration at the onset of abnormal eye movements was approximately 0.48 ng/mL. Values are model-based estimates and do not represent measured plasma concentrations. PK, pharmacokinetic; Pt, patient.</dc:description>
          <dc:date>2026-07-03T05:00:00Z</dc:date>
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