Starting points for improvements include-beyond the increase of r

Starting points for improvements include-beyond the increase of resources for cooperation – the training of medical students and psychiatrists in cooperation practice, reimbursement

of cooperation and coordination and the implementation of systematic coordination of service networks.”
“Exposure assessment analyses conducted in Europe have concluded that the primary pathway of exposure to di(2-ethylhexyl) phthalate (DEHP) is through the diet. The purpose of this study is to evaluate whether urinary DEHP metabolite data from the 2007-2008 National Health and Nutritional Examination Survey (NHANES) demonstrate relationships with reported food-fasting time consistent with diet as the predominant exposure pathway. check details Previous controlled-dosing data demonstrate that DEHP metabolite concentrations in urine first rise and then decline over time, with first-order elimination becoming evident at about 6 h post exposure. Regression of the concentrations of four key DEHP metabolites vs reported fasting times between 6 and 18 h in adults resulted in apparent population-based urinary elimination half-lives, consistent with those previously determined in a controlled-dosing experiment, supporting

the importance of the dietary pathway for DEHP. For fasting times less than about 6 h, sampling session (morning, afternoon, or evening) affected the measured metabolite Crenigacestat solubility dmso concentrations. Evening samples showed the highest metabolite concentrations, supporting a hypothesis of recent daily dietary exposures from multiple meals, whereas morning and afternoon samples for fasting times less than 6 h were similar and somewhat lower than evening samples, consistent with less-substantial early day dietary exposure. Variations in children’s bodyweight-normalized

creatinine excretion and food intake rates contribute to a strong inverse relationship between urinary DEHP metabolite concentrations and age under age 18. Finally, a previously published pharmacokinetic model for DEHP demonstrates that time since previous urinary void, a parameter not measured in NHANES, is predicted to result in non-random effects on measured urinary concentrations. Journal of Exposure Science and Environmental Epidemiology (2011) 21, 615-624; doi: 10.1038/jes.2011.28; published online 17 August 2011″
“With more than 24,000 extant species, the Actinopterygii is the most diverse group of vertebrates. This astonishing diversity represents not only an underexploited resource for research focused on these fishes but also a source of valuable information for comparative biology and medical science.

(C) 2010 Elsevier B V All rights reserved “
“Asymmetric ort

(C) 2010 Elsevier B.V. All rights reserved.”
“Asymmetric ortho-lithiation of N-dialkyl-P, P-diphenylphosphinamides using [n-BuLi.(-)-sparteine] is described as an efficient method for the synthesis of P-chiral ortho-functionalized derivatives in high yields and ee’s from 45 to >99%. The BEZ235 method allows access to new enantiomerically pure P-chiral phosphine and diimine ligands.”
“Background: Taking intraoperative frozen sections (FS) is a widely used procedure in oncologic surgery. However so far no evidence of an association of FS analysis and premalignant

changes in the surgical margin exists. Therefore, the aim of this study was to evaluate the impact of FS on different categories of the final margins of squamous cell carcinoma (SCC) of the oral cavity and lips.\n\nMethods: FS, pT-stage, grading, and tumor localization of 178 patients with SCC of the oral cavity and lips were compared by uni-and multivariate analysis in patients with positive, dysplastic and negative surgical margin status.\n\nResults: Performed on 111 patients (62.4%), intraoperative FS did not have any statistically significant influence on final margin status, independent of whether it was positive (p = 0.40), dysplastic (p = 0.70), or negative (p = 0.70). Positive surgical margins in permanent sections

were significantly associated with pT4-tumors (OR 5.61, p = 0.001). The chance for negative margins in permanent sections LY2835219 was significantly higher in tumors located in the tongue (OR 4.70, p = 0.01).\n\nConclusions: Our data suggests that intraoperative FS in SCC can be useful in selected cases. However it is not advisable as a routine approach.”
“Background: Medication-overuse headache (MOH) is a chronic headache condition that results Blebbistatin inhibitor from the overuse of analgesics drugs, triptans,

or other antimigraine compounds. The epidemiology of drug-induced disorders suggests that medication overuse could lead to nephrotoxicity, particularly in chronic patients. The aim of this work was to confirm and extend the results obtained from a previous study, in which we analyzed the urinary proteome of 3 MOH patients groups: non-steroidal anti-inflammatory drugs (NSAIDs), triptans and mixtures abusers, in comparison with non-abusers individuals (controls).\n\nMethods: In the present work we employed specialized proteomic techniques, namely two-dimensional gel electrophoresis (2-DE) coupled with mass spectrometry (MS), and the innovative Surface-Enhanced Laser Desorption/Ionization Time-of-Flight mass spectrometry (SELDI-TOF-MS), to discover characteristic proteomic profiles associated with MOH condition.\n\nResults: By 2-DE and MS analysis we identified 21 over-excreted proteins in MOH patients, particularly in NSAIDs abusers, and the majority of these proteins were involved in a variety of renal impairments, as resulted from a literature search.

In male patients the proportion increased in the 70-79 years age

In male patients the proportion increased in the 70-79 years age group (30%), while in female patients the proportion increased in the 60-69 years age group (39%). Right-sided colon cancer was more likely to be detected at an advanced stage (T1 stage; left 22%, right 15%) (P < 0.01) with severe symptoms. Polypoid-type early cancer was dominant in the left colon (left 59%; right 40%) (P < 0.01), while the proportion of flat-type early cancer in the right colon was significantly higher than that in the left colon (left 25%; right 44%) (P < 0.01).\n\nConclusions: Specific

age distribution of right-sided Dinaciclib research buy colon cancer was observed and the difference between male and female patients was highlighted. Other clinical features also differed between right- and left-sided colon cancer, suggesting that different mechanisms may be at work during right find more and left colon carcinogenesis.”

Interpreting gene expression profiles obtained from heterogeneous samples can be difficult because bulk gene expression measures are not resolved to individual cell populations. We have recently devised Population-Specific Expression Analysis (PSEA), a statistical method that identifies individual cell types expressing genes of interest and achieves quantitative estimates of cell type-specific expression levels. This procedure makes use of marker gene expression and circumvents the need for additional experimental information like tissue composition.\n\nResults: To systematically assess the performance of statistical deconvolution, we applied PSEA to gene expression profiles from cerebellum tissue samples and compared with parallel, experimental

separation methods. Owing to the particular histological organization of the cerebellum, we could obtain cellular expression data from in situ hybridization and laser-capture microdissection experiments and successfully validated computational predictions made with PSEA. Upon statistical deconvolution of whole tissue {Selleck Anti-diabetic Compound Library|Selleck Antidiabetic Compound Library|Selleck Anti-diabetic Compound Library|Selleck Antidiabetic Compound Library|Selleckchem Anti-diabetic Compound Library|Selleckchem Antidiabetic Compound Library|Selleckchem Anti-diabetic Compound Library|Selleckchem Antidiabetic Compound Library|Anti-diabetic Compound Library|Antidiabetic Compound Library|Anti-diabetic Compound Library|Antidiabetic Compound Library|Anti-diabetic Compound Library|Antidiabetic Compound Library|Anti-diabetic Compound Library|Antidiabetic Compound Library|Anti-diabetic Compound Library|Antidiabetic Compound Library|Anti-diabetic Compound Library|Antidiabetic Compound Library|Anti-diabetic Compound Library|Antidiabetic Compound Library|Anti-diabetic Compound Library|Antidiabetic Compound Library|Anti-diabetic Compound Library|Antidiabetic Compound Library|buy Anti-diabetic Compound Library|Anti-diabetic Compound Library ic50|Anti-diabetic Compound Library price|Anti-diabetic Compound Library cost|Anti-diabetic Compound Library solubility dmso|Anti-diabetic Compound Library purchase|Anti-diabetic Compound Library manufacturer|Anti-diabetic Compound Library research buy|Anti-diabetic Compound Library order|Anti-diabetic Compound Library mouse|Anti-diabetic Compound Library chemical structure|Anti-diabetic Compound Library mw|Anti-diabetic Compound Library molecular weight|Anti-diabetic Compound Library datasheet|Anti-diabetic Compound Library supplier|Anti-diabetic Compound Library in vitro|Anti-diabetic Compound Library cell line|Anti-diabetic Compound Library concentration|Anti-diabetic Compound Library nmr|Anti-diabetic Compound Library in vivo|Anti-diabetic Compound Library clinical trial|Anti-diabetic Compound Library cell assay|Anti-diabetic Compound Library screening|Anti-diabetic Compound Library high throughput|buy Antidiabetic Compound Library|Antidiabetic Compound Library ic50|Antidiabetic Compound Library price|Antidiabetic Compound Library cost|Antidiabetic Compound Library solubility dmso|Antidiabetic Compound Library purchase|Antidiabetic Compound Library manufacturer|Antidiabetic Compound Library research buy|Antidiabetic Compound Library order|Antidiabetic Compound Library chemical structure|Antidiabetic Compound Library datasheet|Antidiabetic Compound Library supplier|Antidiabetic Compound Library in vitro|Antidiabetic Compound Library cell line|Antidiabetic Compound Library concentration|Antidiabetic Compound Library clinical trial|Antidiabetic Compound Library cell assay|Antidiabetic Compound Library screening|Antidiabetic Compound Library high throughput|Anti-diabetic Compound high throughput screening| samples, we identified a set of transcripts showing age-related expression changes in the astrocyte population.\n\nConclusions: PSEA can predict cell-type specific expression levels from tissues homogenates on a genome-wide scale. It thus represents a computational alternative to experimental separation methods and allowed us to identify age-related expression changes in the astrocytes of the cerebellum. These molecular changes might underlie important physiological modifications previously observed in the aging brain.”
“This study aimed to examine the association between the length of use of feeding bottles or pacifiers during childhood and the prevalence of respiratory and allergic morbidities.

The rate of weight gain declined over time, with earlier decline

The rate of weight gain declined over time, with earlier decline observed for oral-and oral/tube-fed infants (less than 15 grams per day at 5.4 months) in comparison with tube-only-fed infants (less than 15 grams per day at 8.6 months). Salubrinal chemical structure Conclusion: Following Stage I Norwood, infants discharged on oral feeding had better average daily weight gain than infants with tube-assisted feeding. The overall weight gain was within the normal limits in all feeding groups, but the rate of weight gain decreased over time, with an earlier decline in infants fed orally.”
“Objective: Many adult ADHD patients with a convincing history of real-life

executive deficits perform entirely within normal limits or with minimally impaired performance in classical executive tests. The authors assessed a group of high cognitive functioning adult ADHD participants on “ecological” and “highly demanding” executive tasks. Method: A total of 117 adult ADHD participants were classified as showing either a high-functioning (Hi-ADHD) or a low-functioning (Lo-ADHD) neuropsychological

profile based on standard assessment. Their performance was compared with healthy controls (n = 21) on an ecological task of executive function (the hotel task) and computerized TGF-beta inhibitor tasks of high cognitive demand. Results: Lo-ADHD significantly differed from controls on multiple standard neuropsychological variables as well as on the experimental tasks. Hi-ADHD and healthy controls did not differ significantly on any of the standard neuropsychological variables, but a significant see more difference was found between the groups on measures of the experimental tasks. Conclusion: Real-life executive

dysfunction of patients with ADHD who perform within normal range on standard assessment can be detected with the use of more ecological and highly demanding tasks. (J. of Att. Dis. 2013; 17(1) 11-19)”
“Understanding charge carrier transport in Li2O2, the storage material in the non-aqueous Li-O-2 battery, is key to the development of this high-energy battery. Here, we studied ionic transport properties and Li self-diffusion in nanocrystalline Li2O2 by conductivity and temperature variable Li-7 NMR spectroscopy. Nanostructured Li2O2, characterized by a mean crystallite size of less than 50 nm as estimated from X-ray diffraction peak broadening, was prepared by high-energy ball milling of microcrystalline lithium peroxide with ism sized crystallites. At room temperature the overall conductivity a of the microcrystalline reference sample turned out to be very low (3.4 x 10(-13) S cm(-1)) which is in agreement with results from temperature-variable Li-7 NMR line shape measurements. Ball-milling, however, leads to an increase of a by approximately two orders of magnitude (1.1 x 10(-10) S cm(-1)); correspondingly, the activation energy decreases from 0.89 eV to 0.82 eV.

In total, these 14 pathogens cause over 61,000 in QALY loss annua

In total, these 14 pathogens cause over 61,000 in QALY loss annually, with more than 90% due solely to acute infection being responsible for 65% of total QALY loss, with premature mortality and morbidity due to chronic and congenital illness responsible for another 28%. These estimates of the burden of chronic sequelae are likely conservative; additional epidemiological research is needed to support more accurate burden estimates. This study shows the value of using integrated metrics for comparing disease burden, and the need to consider chronic and congenital illness when prioritizing foodborne pathogens.”

Although there has been a downward trend in smoking rates among medical doctors in recent years,

rates have been GANT61 higher among Japanese doctors when compared Natural Product Library internationally.\n\nMethods: We extensively reviewed all published English- and Japanese-language articles that reported the smoking rates of Japanese doctors.\n\nResults: A total of 36 articles were examined, most of which had been conducted as postal surveys, usually by a national, prefectural, or local medical association. Sample sizes ranged from 17 to 11 773, and response rates ranged from 33% to 91%. National surveys conducted between 1965 and 2009 suggest that there has been a statistically significant (P < 0.0001) decline in smoking rates among Japanese doctors (from around 68% to 16% among males and from 19% to 5% among females).\n\nConclusions: Overall, the published data reveal a significant decline in smoking rates among Japanese doctors since 1965, especially among men. Although less than one-fifth of Japanese male doctors now smoke, more work needs to be done in tobacco control to help further reduce the burden of smoking, especially in medical schools.”
“Autophagy is a cellular degradation pathway involving the shape transformation of lipid bilayers.

During the onset of autophagy, the water-soluble protein Atg8 binds covalently to phosphatdylethanolamines (PEs) in the membrane in an ubiquitin-like reaction coupled to ATP hydrolysis. We reconstituted the Atg8 conjugation system in giant and nm-sized vesicles with a minimal set of enzymes and observed that formation of Atg8-PE on giant vesicles can cause substantial tubulation of membranes even in the absence of Atg12-Atg5-Atg16. JPH203 ic50 Our findings show that ubiquitin-like processes can actively change properties of lipid membranes and that membrane crowding by proteins can be dynamically regulated in cells. Furthermore we provide evidence for curvature sorting of Atg8-PE. Curvature generation and sorting are directly linked to organelle shapes and, thus, to biological function. Our results suggest that a positive feedback exists between the ubiquitin-like reaction and the membrane curvature, which is important for dynamic shape changes of cell membranes, such as those involved in the formation of autophagosomes.

(C) 2013 Elsevier Ireland Ltd All rights reserved “

(C) 2013 Elsevier Ireland Ltd. All rights reserved.”
“Morphological and phenotypical signs of cultured readaptation osteoblasts were studied after a short-term space mission. The ultrastructure and phenotype of human osteoblasts after Soyuz TMA-11 space flight (2007) were evaluated by scanning electron microscopy, laser confocal microscopy, and ELISA. The morphofunctional changes in cell cultures persisted after 12 passages. Osteoblasts retained the drastic changes in their shape and size, contour deformation, disorganization of the microtubular

network, redistribution of organelles and specialized structures of the plasmalemma in comparison with the ground control cells. On the other hand, the expression AR-13324 of osteoprotegerin and osteocalcin (bone metabolism markers) increased; the expression of bone resorption markers ICAM-1 and IL-6 also increased, while the expression of VCAM-1 decreased. Hence, space flight led to the selleck compound development of persistent shifts in cultured osteoblasts indicating injuries to the cytoskeleton and the phenotype changes, indicating modulation of bone metabolism

“Patients with chronic pain have high rates of suicide. To examine whether our practice guidelines are effective in decreasing suicidality among chronic noncancer pain patients, we performed a retrospective review. From June 2003 through June 2005, approximately 50,000 patients were subjected to a set of universal precautions for chronic noncancer pain management. Approximately 20% underwent psychological assessments. Fewer than five suicide attempts could be identified, and no patient completed suicide. Our results suggest that universal precautions used in treating chronic noncancer pain patients may help

reduce LDN-193189 price suicidality in this patient population.”
“Congenital anomalies of the coronary arteries are an uncommon, but important, cause of pain in the chest, myocardial ischaemia and even sudden cardiac death, especially in young individuals. This paper focuses on the surgical treatment of congenital anomalies of the coronary arteries in adults; indications for surgery and the different surgical options will be reviewed.”
“Angiogenesis is implicated in several pathological conditions, including cancer, and in regenerative processes, including the formation of collateral blood vessels after stroke. Physiological angiogenesis is the outcome of a fine balance between the action of angiogenic growth factors (AGFs) and anti-angiogenic molecules, while pathological angiogenesis occurs when this balance is pushed toward AGFs. AGFs interact with multiple endothelial cell (EC) surface receptors inducing cell proliferation, migration and proteases upregulation.

Spectra were compared to the reference spectrum of bone via corre

Spectra were compared to the reference spectrum of bone via correlation CBL0137 purchase analysis. Our measurements

show a clear differentiation between the plasma spectra when cutting either a bone or a soft tissue. The spectral changes could be detected from one to the next spectrum within 200 ms. Continuous surveillance of plasma spectra allows us to differentiate whether bone or soft tissue is hit by the last laser pulse. With this information, it may be possible to stop the laser when cutting undesired soft tissue and to design an automatic control of the ablation process.”
“Purpose of review\n\nRandomized controlled trials have established that prophylactic implantable cardioverter defibrillator (ICD) therapy improves survival in patients with reduced left ventricular ejection fraction (LVEF). However, mortality

reduction is not uniform across the implanted population and recent data have highlighted the importance of nonsudden cardiac death (non-SCD) risk in predicting benefit from ICD therapy. This review explores the importance of non-SCD risk in patient selection for prophylactic ICD therapy, as well as the proposed approaches to identify potential ICD recipients at high risk of non-SCD.\n\nRecent findings\n\nData from randomized controlled trials have demonstrated that patients at high risk of non-SCD do not gain significant survival benefit from prophylactic ICD therapy irrespective of their risk of SCD. A variety of strategies to identify low LVEF patients at high risk of non-SCD have been proposed. These include the use of individual risk markers, such as advanced

click here age and renal dysfunction, the presence of cardiac and noncardiac comorbidities, and the use of more complex Lazertinib ic50 risk scores.\n\nSummary\n\nNon-SCD risk is an important issue in patient selection for prophylactic ICD therapy. However, the optimal strategy to identify patients at high non-SCD risk is unclear and further research is needed.”
“The incidence of acute nonvariceal massive gastrointestinal bleeding (GIB) is higher in hemodialysis (HD) patients than in healthy individuals, and this is often a life-threatening event. We evaluated the efficacy of intra-arterial treatment for GIB in HD patients. Between January 2006 and June 2012, eight HD patients with GIB were treated with superselective transarterial embolization. Of the eight cases, one was duodenal bleeding, two were jejunal bleeding, one was ileocecum bleeding, two were ascending colonic bleeding, and two were sigmoid colonic bleeding. After examining the site of bleeding by endoscopy or contrast-enhanced computed tomography (CT), embolizations with microcoils, gelatin sponges, or N-butyl cyanoacrylate were performed through interventional radiology (IVR). In all cases, blood transfusions were frequently administered. Six of the eight patients with GIB were successfully salvaged by transarterial embolization.

“Little is known about the distribution of arbuscular myco

“Little is known about the distribution of arbuscular mycorrhizal fungi (AMF, phylum Glomeromycota) in the Turkish arable soils. In this study, we investigated AM fungal phylotype composition in the roots of 13 different plant samples from one site each of the East Black Sea, Mediterranean, and Central Anatolian regions of Turkey. Fifty-seven distinguished operational taxonomic units at 97% nucleotide

sequence identity were recorded among 424 partial sequences of the nuclear ribosomal large subunit (LSU) RNA genes determined. Most of the new sequences were clustered within 10 well-resolved phyloclades of the order Glomerales. About half of the newly determined sequences lacked similar sequences in the public databases. In particular, all sequences from Camellia sinensis collected in the East Black Sea region had only 83-97% Mocetinostat datasheet sequence similarity to known AMF species. The findings suggest that novel and endemic AMF species may exist in Turkish agricultural soils. The AM fungal community composition in the East Black Sea region was relatively simple and completely differed from those in the

other two regions, presumably due to the low soil pH and host specificity. The AM fungal community compositions of the Mediterranean and Central Anatolian samples were broadly similar; however, some sequences related to Rhizophagus were found only in the Mediterranean samples. This reflects the trend that more diverse AM fungal communities are established in the Mediterranean region than the Central Anatolian ACY-738 region.”
“Inheritance studies and molecular mapping identified a single dominant gene Autophagy animal study that conditions seed coat impermeability in soybean PI 594619. High temperatures during seed fill increase the occurrence of soybeans with impermeable seed coat, which is associated with non-uniform and delayed germination and emergence. This can be an issue in soybean production areas with excessively high-temperature environments. The objectives of the present study were to investigate the inheritance of impermeable seed coat under a high-temperature

environment in the midsouthern United States and to map the gene(s) that affect this trait in a germplasm line with impermeable seed coat (PI 594619). Crosses were made between PI 594619 and an accession with permeable seed coat at Stoneville, MS in 2008. The parental lines and the segregating populations from reciprocal crosses were grown in Stoneville in 2009. Ninety-nine F-2:3 families and parents were also grown at Stoneville, MS in 2011. Seeds were assayed for percent impermeable seed coat using the standard germination test. Genetic analysis of the F-2 populations and F-2:3 families indicated that seed coat impermeability in PI 594619 is controlled by a single major gene, with impermeable seed coat being dominant to permeable seed coat.

In this study, we first reconstructed a pathway of 138 myelin-rel

In this study, we first reconstructed a pathway of 138 myelin-related genes, all involved in myelin structure, composition, development or maintenance. Then we performed a two-stage association analysis on these 138 genes Combretastatin A4 solubility dmso using 771 single nucleotide polymorphisms (SNPs). Analysis of our data from

310 cases vs 880 controls demonstrated association of 10 SNPs from six genes. Specifically, we observed highly significant P-values for association in PIK4CA (observed P = 6.1 x 10(-6)). These findings remained significant after Bonferroni correction for 771 tests. The PIK4CA gene is located in the chromosome 22q11 deletion syndrome region, which is of particular interest because it has been implicated in schizophrenia. We also report weak association of SNPs in PIK3C2G, FGF1, FGFR1, ARHGEF10 and PSAP (observed P <= 0.01). Our approach-of screening genes involved in a particular pathway for association-resulted in identification of several, mostly novel, genes associated with the risk of developing schizophrenia in the Dutch population.”
“Background: There is growing recognition of a syndrome of disturbed grief referred to as check details prolonged grief disorder (PGD). PGD is mostly studied in adults, but clinically significant PGD symptoms have also

been observed in children and adolescents. Yet, to date no effective treatment for childhood PGD exists. The aims of this study are: (1) to investigate the effectiveness of

Grief-Help, a nine-session cognitive-behavioural treatment for childhood PGD, combined with five sessions of parental counselling, immediately after the treatment and at three, six and twelve months follow-up; (2) to examine STAT inhibitor tentative mediators of the effects of Grief-Help, (i.e., maladaptive cognitions and behaviours and positive parenting), and (3) to determine whether demographic variables, child personality, as well as symptoms of PGD, anxiety, and depression in parents moderate the treatment effectiveness.\n\nMethods/Design: We will conduct a Randomised Controlled Trial (RCT) in which 160 children and adolescents aged 8-18 years are randomly allocated to cognitive behavioural Grief-Help or to a supportive counselling intervention; both treatments are combined with five sessions of parental counselling. We will recruit participants from clinics for mental health in the Netherlands. The primary outcome measure will be the severity of Prolonged Grief Disorder symptoms according to the Inventory of Prolonged Grief for Children (IPG-C). Secondary outcomes will include PTSD, depression and parent-rated internalizing and externalizing problems. Mediators like positive parenting and maladaptive cognitions and behaviours will be identified. We will also examine possible moderators including demographic variables (e. g.

Third, governments must play a central role by creating a nationa

Third, governments must play a central role by creating a national

focus for the coordination and implementation of programmes whose value has been established. These points require widespread support if we hope to make genuine progress towards the goals reflected in this issue of the Bulletin.”
“Introduction: Over the past few years the use of arthroplasty was broadened to treating complex epiphyseal fractures at the shoulder and elbow joints. Similar trends to treat this type of fractures at the knee are less documented. Based on a multicenter retrospective series study, the aims of this work is to evaluate the short term clinical results of total knee prostheses in the management of comminuted epiphyseal fractures around the knee, to identify the technical issues and fine tune the indications.\n\nMaterial and methods: Following the initiative of the French Hip and Knee Society (SFHG) and the Traumatology Study Group (GETRAUM), ACY-738 research buy 26 charts from eight different centers in France were included in this multicenter retrospective series. Inclusion criteria were: primary total knee arthroplasty (TKA) in the management of complex articular fractures involving the proximal end of the tibia or distal end of the femur.

Surgical features were identified and complications were analyzed. The assessment protocol at last follow-up was standardized and included patient demographic data, analysis of the Parker and IKS scores.\n\nResults: During the immediate postoperative period, six patients (23%) reported a general complication and four patients (15%) a local arthroplasty-related MCC950 complication. At last follow-up (mean 16.2 months), the overall final Parker score was 6.3 (a mean decrease of 1.7) and the mean IKS knee score was 82 points for a mean function score of 54 points.\n\nDiscussion: Primary TKA is a suitable management option for complex fractures in autonomous elderly patients suffering from knee osteoarthritis. The key technical

details of this procedure should be respected and meticulously planned to achieve optimal results and limit the risk of complications. This risk in these acute complex fractures remains higher than after conventional TKA but comparable to that observed after TKA for post-traumatic arthritis.\n\nLevel of evidence: IV; retrospective cohort study. (C) 2011 Published by Elsevier Masson SAS.”
“Background: Malaria infection during pregnancy is associated with adverse outcomes in sub-Saharan Africa (SSA). For this reason, the World Health Organization currently recommends intermittent preventive treatment of malaria in pregnancy (IPTp) with sulphadoxine-pyrimethamine (SP) at each scheduled antenatal care (ANC) visit. In Tanzania, the revised IPTp policy was adopted in 2013 but the level of uptake and its association with pregnancy outcomes remains unknown. Methods: A cross-sectional study was conducted among singleton pregnant women who delivered in two selected health facilities of Geita district, northwestern Tanzania.