05; 98 3 +/-

1 7 breaths/min) Although added salt plus f

05; 98.3 +/-

1.7 breaths/min). Although added salt plus fat decreased DMI under hot conditions, these data suggest that switching to diets containing the combination of added salt and fat can elevate body temperature, which would be a detriment in the summer but a benefit to the animal during winter. Nevertheless, adding salt plus fat to diets resulted in increased DWI under hot conditions. Diet ingredients or the combination of ingredients that can be used to regulate DMI may be useful to limit large increases in DMI during adverse weather events.”
“Common bean (Phaseolus vulgaris) seedlings accumulate ureides derived from purines after germination. The first step in the conversion of purines to ureides is the removal of the 5′-phosphate group by a phosphatase that has not been established yet. Two main phosphatase activities were detected in the embryonic axes learn more of common bean using inosine monophosphate as substrate in an in-gel assay. Both activities differed in their sensitive to the common phosphatase inhibitor molybdate. with the molybdate-resistant as the first enzyme induced after radicle protrusion. The Fedratinib manufacturer molybdate-resistant phosphatase has been purified to electrophoretic

homogeneity and this is the first enzyme which shows this resistance purified and characterized from plant tissues. The native enzyme was a monomer of 55 kDa and it showed highest activity with nucleotides as substrates, with the Km values in the micromolar range. Among nucleotides, the highest specific constant (V-max/K-m) was observed for adenosine monophosphate. Furthermore, the enzyme was inhibited by nucleosides, the products of the enzymatic reaction, with maximum effect for adenosine. Common bean seedlings imbibed in the presence of adenosine monophosphate in vivo showed the highest molybdate-resistant phosphatase activity in the axes in addition to increased

ureide content. The data presented suggests that purified phosphatase is involved in GKT137831 nucleotide metabolism in embryonic axes from common bean. (C) 2012 Elsevier Masson SAS. All rights reserved.”
“If perturbing two genes together has a stronger or weaker effect than expected, they are said to genetically interact. Genetic interactions are important because they help map gene function, and functionally related genes have similar genetic interaction patterns. Mapping quantitative (positive and negative) genetic interactions on a global scale has recently become possible. This data clearly shows groups of genes connected by predominantly positive or negative interactions, termed monochromatic groups. These groups often correspond to functional modules, like biological processes or complexes, or connections between modules. However it is not yet known how these patterns globally relate to known functional modules.


“Objectives:

Worldwide, only 5% of all salivary gl


“Objectives:

Worldwide, only 5% of all salivary gland tumours are reported in children and 35-50% of these are malignant. According to the Finnish Cancer Registry, 15 children were diagnosed with salivary gland cancer (SGC) during 1990-2009 in Finland. There are no previous studies available on the histopathology, treatment, and survival of patients with these rare malignancies in Finland.

Methods: Retrospective patient and tumour data covering the past 20 years were retrieved from the five University Hospitals in Finland. Ten paediatric SGC patients with a median age of 14 years (range, 9-19 years) and with available adequate patient data were included. The series comprised four boys and six girls. https://www.selleckchem.com/products/z-vad-fmk.html Follow-up time varied from five months to 14 years.

Results: Two patients had a history of a previous www.selleckchem.com/products/azd6738.html malignancy. The majority of cases had a parotid gland cancer (7/10), and mucoepidermoid carcinoma was the most common histological subtype (5/10). All patients presented with Stage I-II disease and were treated surgically with curative intent. One patient with a Stage I mucoepidermoid carcinoma of the parotid

gland received postoperative radiotherapy. No recurrences were encountered and all patients were free of disease at the last follow up.

Conclusions: The individual treatment design for paediatric SGC should follow consistent treatment strategies. All patients in the present study had low-grade tumours with a favourable prognosis. Since paediatric SGC is infrequent worldwide, the diagnostics, treatment, and follow up should be centralized in multidisciplinary Head and Neck Centres. (c) 2012 Elsevier Ireland Ltd. All rights reserved.”
“Objective: To determine the net financial gain or loss for medication therapy management (MTM)

services provided to patients by an independent community pharmacy during AZD6244 16 months of operation.

Design: Retrospective study.

Setting: Independent community pharmacy in Iowa City, IA, from September 1, 2006, to December 31, 2007.

Patients: Patients receiving MTM services during the specified period who had proper documentation of reimbursement for the services.

Intervention: MTM services were provided to the patient and documented by the pharmacist or student pharmacist.

Main outcome measure: Net financial gains or losses for providing MTM services. Sensitivity analyses included costs that might be incurred under various conditions of operation.

Results: 103 initial and 88 follow-up MTM visits were conducted during a 16-month time period. The total cost for these services to the pharmacy was $11,191.72. Total revenue from these services was $11,195.00; therefore, the pharmacy experienced a net financial gain of $3.28.

We aimed to focus on early diagnosis of acute renal failure occur

We aimed to focus on early diagnosis of acute renal failure occurring in major burns and to determine the predictors for acute

renal failure. Subjects and methods. Forty patients with moderate to severe thermal burn injury-second-to third-degree with >20% of total body surface area-constituted the material of our study. The following parameters were recorded: age, sex, cause of the burn injury, burn surface of second and third degrees expressed as total body surface area burned in %, https://www.selleckchem.com/products/gs-9973.html and Apache II score. All patients were subjected to routine investigations, including serum creatinine, blood urea nitrogen, fractional excretion of sodium, urinary malondialdehyde and microalbuminuria, completed on days 0, 3, 7, 14 and 21. Results. Nine patients (22.5% of all cases) developed acute renal failure, and four patients required supportive dialysis. The group that developed ARF showed rising markers of glomerular damage with appearance of microalbuminuria on day 0 that was maximal (3-4 times its normal level) at day 14 and constant with elevated serum creatinine, as well as burn size in the third week that progressed to overt proteinuria in three cases. Urinary malondialdehyde was also elevated before developing acute renal failure about three times their normal values, gradually increasing on day 14, associated with rising microalbuminuria followed by its decrease after controlling

of septicemia. Two cases (22.2%) in ARF group who developed septicemia ATR activation and required dialysis died on the 32(nd) and 36(th) days post-burn. Burn size and occurrence of septicemia were the only predictors of acute renal failure using multiple regression analysis (SE B 0.003 and 0.104; p value of 0.001 and .0371, respectively). Conclusions. Acute renal failure, which complicates 22.5% of burn patients, was found to be related to the size and depth of burn. Microalbuminuria and urinary malondialdehyde are useful markers

for prediction of renal outcome in such group of patients. In our study. burn size and septicemia proved to be the only clinical parameters that predict renal outcome.”
“During mammalian fertilisation, Vadimezan the zona pellucida (ZP) matrix surrounding the oocyte is responsible for the binding of the spermatozoa to the oocyte and induction of the acrosome reaction (AR) in the ZP-bound spermatozoon. The AR is crucial for the penetration of the ZP matrix by spermatozoa. The ZP matrix in mice is composed of three glycoproteins designated ZP1, ZP2 and ZP3, whereas in humans, it is composed of four (ZP1, ZP2, ZP3 and ZP4). ZP3 acts as the putative primary sperm receptor and is responsible for AR induction in mice, whereas in humans (in addition to ZP3), ZP1 and ZP4 also induce the AR. The ability of ZP3 to induce the AR resides in its C-terminal fragment. O-linked glycans are critical for the murine ZP3-mediated AR.

The images were read by a radiologist before endoscopy then revie

The images were read by a radiologist before endoscopy then reviewed later by a senior radiologist blinded to the endoscopy findings. Endoscopy was performed routinely.

Results: Foreign bodies were found by endoscopy in 70 of the 303 children. The initial multidetector computed tomography reading was 94% sensitive and 95% specific. For the review, the images for

91 patients were excluded because of motion blurring or absence of larynx visualisation; in the remaining 212 patients, sensitivity was 98% and specificity 97%.

Conclusion: Multidetector computed tomography as performed in our patients cannot replace endoscopy, which remains the reference standard. Nevertheless, multidetector. computed tomography is sufficiently sensitive to be of value when foreign body aspiration is not considered initially or when endoscopy is likely to prove challenging. (C) 2013 Elsevier Ireland Ltd. All rights SNX-5422 in vivo reserved.”
“The aim of this study was the comparison of in vitro dissolution and in vivo bioavailability

of two different brands of diclofenac sodium (CAS 15307-86-5) selleck screening library enteric coated tablets in healthy male Iranian volunteers in a single-dose, randomized, open-label, single blind study, which was conducted according to a crossover design in healthy volunteers. A washout interval of two weeks was selected between administrations to each subject in this study. Serial venous blood samples over 10 h after each administration to measure diclofenac sodium concentration in serum were obtained, and placed into tubes containing sodium heparin. Then

the plasma was separated and kept frozen at -20 degrees C for subsequent analysis with a modified HPLC method with UV detection. In addition, the in vitro dissolution study was performed on the brands. For the test and reference formulation, mean C(max) values were 2257.3 (ng/ml) and 2156 (ng/ml), respectively. The mean AUC(0)(t) and ADC(0)(infinity) were 5726.1 (ng . h/ml) and 5917.8 (ng . h/ml) for the test and 5689.9 (ng . h/ml) and 5967.4 (ng . h/ml) for the reference formulation, respectively. Results show that the 90% confidence intervals for the ratio of test and reference products in C(max) (101.4-114.9%), AUC(0)(t) (96.3-109.1%) selleck compound and AUC(0)(infinity) (94.7-107.3%) were all within the 80-125% interval proposed by the FDA and EMA. Both formulations released > 80% of drug within 30 min in buffer pH = 6.8 medium. Therefore the diclofenac soditun enteric coated tablets of the test and reference formulations are bioequivalent in terms of rate and extent of absorption.”
“Objective: A comparison of histologic findings from the post-cricoid region versus nasopharyngeal pH probe results in the diagnosis of laryngopharyngeal reflux (LPR) in the pediatric patient.

Study design: Retrospective review.

Setting: Outpatient pediatric otolaryngology private practice.

(c) 2012 Elsevier B V All rights reserved “
“Textile materi

(c) 2012 Elsevier B.V. All rights reserved.”
“Textile materials with engineered nanoparticles (ENPs) have excellent properties as they are antibacterial, antimicrobial, selleck chemicals water resistant and protective. The textile industry has recognized the importance and the advantages of ENPs, so they comprise

one of the fastest developing branches of processing.

The most important sources of ENPs released to the environment from textiles are textile-industry wastewaters and waters from large hospital or hotel laundries. In addition, waste textile materials coated with ENPs present a threat to the environment, if such materials are not properly handled and disposed of after use.

Currently, the toxicity and the potential harm of BTSA1 in vitro ENPs widely applied on textiles are not thoroughly investigated and/or eliminated. Consequently, there is an urgent need to define the most appropriate analytical methods for monitoring ENPs on

textiles.

This review presents the most important techniques for monitoring ENPs on textile materials and in textile-wastewater samples, from the perspective of protecting the environment and human health. (C) 2011 Elsevier Ltd. All rights reserved.”
“Bilateral coronary artery fistulas with the coronary artery stenosis are rare. In this case, we successfully performed closure of coronary artery fistulas with coronary artery bypass grafting. Furthermore, we were able to measure the flow in the coronary artery fistulas using transit-time flow measurement.”
“Pisotriquetral joint disorders are often under-recognized in routine clinical practice. They nevertheless represent a significant cause of ulnar side wrist pain. The aim of this article is to present the main disorders of this joint and discuss the different imaging modalities that can be useful for its assessment.”
“BACKGROUND: Melasma is an acquired hyperpigmentary disorder characterized by dark patches

or macules located on the cheeks, forehead, upper lip, chin, and neck. Treatment of melasma involves the use of topical hypopigmenting agents such as hydroquinone, tretinoin, and azelaic acid and its derivatives.

OBJECTIVE: The purpose of this study was to assess the efficacy of a formulation containing PF 00299804 a combination of trans-4-(aminomethyl) cyclohexanecarboxylic acid/potassium azeloyl diglycinate/niacinamide compared with an emulsion-based control in the treatment of melasma in Thai adults.

METHODS: In this single-center, randomized, double-blind, controlled study, Thai patients with mild to moderate facial melasma (relative melanin value [RMV] in range of 20-120) were randomized for the application of either the test or the emulsion-based (control) product in the morning and before bedtime for 8 weeks. The supplemental sunscreen product with sun protection factor 30 was distributed to all patients.

Using dynamic correlations obtained from explicit solvent molecul

Using dynamic correlations obtained from explicit solvent molecular dynamic simulations we illustrate the key roles played by allostery in both mechanisms. Pre-existence of conformational states explains the experimental observations that sumoylation can occur without E3, even though at

a reduced rate. Furthermore, we propose a mechanism for enhancement of sumoylation by E3. Analysis of the conformational ensembles of the complex of E2 conjugated ATM/ATR tumor to SUMO illustrates that the E2 enzyme is already largely pre-organized for target binding and catalysis; E3 binding shifts the equilibrium and enhances these pre-existing populations. We further observe that E3 binding regulates allosterically the key residues in E2, Ubc9 Asp100/Lys101 E2, for the target recognition.”
“Crystalline dicarboxylated poly(L-lactic acid)s (dcPLLAs) with number-average molecular weights (M(n)’s) of 10(3) to 10(4) g/mol were synthesized via the melt polycondensation of L-lactic acid (LLA) in the presence of succinic anhydride (SAD), with tin(II) NSC23766 in vitro chloride and toluene-4-sulfonic acid as binary catalysts. They were characterized by end-group titration, (1)H-NMR, differential scanning calorimetry, and wide-angle X-ray diffraction. The terminal COOH percentage reached over 98%, and the molecular weight could be controlled by the molar ratio of LLA to SAD. The

thermal behaviors depended on the molecular weight. The poly(L-lactic acid) s (PLLAs) crystallized slowly for M(n) <= 2000 but quickly for M(n) >= 4000. The crystallinity increased from 27 to 40% when M(n) grew from 4000 to 10,000. With comparison to ordinary PLLA, the dcPLLA had the same crystallization structure but a slightly lower crystallizability. The glass-transition temperature was clearly higher than that of amorphous dcPLLAs. With a controllable molecular weight, high COOH percentage, and crystallinity, the dcPLLA with M(n) >= 4000 appeared to be a suitable prepolymer for the preparation of high-molecular-weight crystalline PLLA via Ferrostatin-1 chain extension. (C) 2011Wiley Periodicals,

Inc. J Appl Polym Sci 121: 3246-3251, 2011″
“We have studied electric-field-induced symmetry lowering in the tetragonal (001)-oriented heteroepitaxial (Ba0.8Sr0.2)TiO3 thin film deposited on (001) MgO substrate. Polarized micro-Raman spectra were recorded from the film area in between two planar electrodes deposited on the film surface. Presence of c domains with polarization normal to the substrate was confirmed from polarized Raman study under zero field, while splitting and hardening of the E(TO) soft mode and polarization changes in the Raman spectra suggest monoclinic symmetry under external electric field. (C) 2011 American Institute of Physics. [doi:10.1063/1.3573516]“
“Various characteristics of complex gene regulatory networks (GRNs) have been discovered during the last decade, e. g.

Summary

In conclusion, the literature describing neuro

Summary

In conclusion, the literature describing neuroimaging investigations of pediatric concussion is too scarce to allow the formulation of definitive conclusions regarding the impact of concussion on the developing brain. There is a dire need for longitudinal, multisite investigations focused on a wider age range and recovery period.”
“Introduction Patients with os odontoideum always present instability in atlantoaxial joint and need atlantoaxial fixation. C2 pedicle or laminar screws fixation has proven to be efficient and reliable for atlantoaxial instability. However, os odontoideum is a congenital or

developmental disease, featured with anomalous check details bony anatomies. The anatomic measurements and guidelines for C2 pedicle screw placement in Elacridar general population tends to differ with those of os odontoideum patients, for whom C2 pedicle screws are often needed. The option and techniques of C2 fixation are still challenging and yet to be fully explored.

Material and methods We recruited 29

adult patients with os odontoideum and measured the dimension of C2 pedicle and lamina for each patient to examine how well do they match with the screws anatomically. In order to access the intra-observer reliability and inter-observer repeatability of the measurements, the intraclass correlation coefficient (ICC) was also calculated.

Results The results for reliability of the CT measurements showed excellent intraobserver (ICC = 0.95 and 0.96) and interobserver correlation coefficient (ICC = 0.93). The diameter and

length of C2 pedicle were found to be 6.06 +/- A 1.37 and 24.05 +/- A 2.54 mm, while the corresponding figures of C2 laminar were 6.95 +/- A 0.82 and 25.60 +/- A 2.18 mm, respectively. In the measurements, all 29 cases had suitable diameter (larger than 5.5 mm) for C2 laminar screw (the laminar diameters ranged from 5.52 to 8.82 mm). In C2 pedicle measurements, the diameters of the 29 cases were from 3.50 to 9.86 mm, while 20 pedicles (34.5%) in 14 cases were less than 5.5 mm in diameter. Q-VD-Oph ic50 Six had bilateral small pedicles where the diameter was less than 5.5 mm.

Conclusion Anatomically, we found laminar screw is a better match in comparison with pedicle screw for C2 fixation in os odontoideum. The options for C2 fixation should be made based on careful preoperative imaging and thorough consideration. Preoperative reconstructive CT scan can offer great assistance for the choice of fixation in os odontoideum by revealing the anatomy of the C2 pedicles in detail.”
“Background The UK Biobank study provides a unique opportunity to study the causes and consequences of disease. We aimed to use the UK Biobank data to study the well-established, but poorly understood, association between low birthweight and type 2 diabetes.

Most of these apomixis-linked

Most of these apomixis-linked Epigenetics inhibitor alleles showed nonsense and frameshift mutations, revealing

their probable pseudogene nature. None of the amplicons that were present only in specific stages of development of the apomictic flowers co-segregated with apomixis, indicating they did not originate from additional apomictic alleles but more probably from differential regulation of the same allele in apomictic and sexual flowers. The molecular functions inferred from sequence analysis of these latter amplicons were related to seed storage protein and regulatory genes of various types. The results are discussed regarding the possible role in apomictic reproduction of the differentially expressed genes in relation to their specificity of expression and inferred molecular functions.”
“A detailed investigation of the crystallographic damage has been carried out in GaN following 300 keV rare earth ion implantation at room temperature by varying the

fluence from 7 x 10(13) to 5 x 10(16) at/cm(2). It is shown that above a threshold fluence around 2 x 10(15) at/cm(2), nanocrystallization takes place from the surface, subsequent to the formation of a planar defects network consisting of basal and prismatic stacking faults. This network starts to form at the lowest analyzed fluence mostly around the mean projected range. When the fluence increases, it propagates toward the surface, reaching it just before the on-set of the nanocrystallization. A model based on the mechanical breakdown of the GaN wurtzite structure mediated by prismatic stacking faults is proposed. (C) 2011 American Institute of Physics. [doi:10.1063/1.3527944]“
“Hepatic JQEZ5 cost venous outflow obstruction (HVOO) is a rare complication after orthotopic liver transplantation (OLT) usually related to technical issues or to malposition or kinking of the hepatic graft. When HVOO this website is diagnosed during the early post-transplant period, surgical options are technically very demanding and outcomes discouraging. Therefore, angioplasty

and stent placement have been indicated to avoid a chronic lesion of the graft. Three cases of HVOO after OLT are reported. HVOO was diagnosed during the early post-transplant period and was due to graft malposition in two patients and kinking of the vena cava anastomosis in one. All patients were successfully treated with a 300-cc gel-filled breast implant surgically placed in the right hepatic fossa with the liver graft resting on it. Massive ascites in all three patients disappeared and renal impairment resolved within two wk post-implant placement. No prosthesis-related complications have been observed after a follow-up ranging from 30 to 58 months. We describe a simple and effective method of maintaining the liver graft in an adequate position to achieve prolonged relief of the outflow obstruction for the whole graft and discuss the advantages of a breast implant over stent placement or the use of different balloon catheters.

5%) were identified as containing CPV type-2c, and 9 (26 5%) were

5%) were identified as containing CPV type-2c, and 9 (26.5%) were identified as containing CPV type-2b. No association was found between CPV strain and

disease severity or clinical outcome.

Conclusions LY3023414 in vivo and Clinical Relevance-CPV type-2b and CPV type-2c posed similar health risks for dogs; therefore, genetic sequencing of CPV does not appear necessary for clinical management of infected patients. The diagnostic tests used could detect CPV type-2c. (J Am Vet Med Assoc 2012;241:66-72)”
“We report on the current state of in vivo amyloid imaging. Although this technique is less than a decade old, a wealth of information is emerging as the initial clinical studies are being reported. Imaging of patients with Alzheimer’s disease has allowed quantitative

exploration of the natural history of amyloid deposition and its relationship to neurodegeneration. Amyloid imaging also shows significant promise in the differential diagnosis of mild cognitive impairment or atypical dementias. However, amyloid detection may be of greatest utility in healthy elderly persons; consistent with prior autopsy studies, a significant proportion of asymptomatic individuals display increased levels of amyloid by in vivo imaging. Understanding the relationship between this pathology and future cognitive status has significant implications for the application of disease-modifying medications in the “”preclinical”" phase of disease. Given the considerable clinical experience compared with other find more tracers, this AZD2171 nmr review focuses on the literature involving Pittsburgh compound B positron emission tomography.”
“To understand the adaptability of alfalfa (Medicago sativa L.) to environmental stresses, we analyzed the activity of several antioxidant enzymes, including superoxide dismutase (SOD), peroxidase (POD), ascorbate peroxidase (APX), and catalase (CAT), in alfalfa shoots and roots subjected to salt and drought stresses

during germination. The germination rate of six alfalfa cultivars was comparatively studied under 200 mM NaCl or 35% PEG treatment. Alfalfa Xinmu No. 1 and Northstar varieties were selected as stress-tolerant and -sensitive cultivars, respectively, and were used for further characterization. After NaCl or PEG treatment, Xinmu No. I showed enhanced seedling growth, compared with Northstar. Xinmu No. I also exhibited low levels of hydrogen peroxide (H(2)O(2)) production and lipid peroxidation, compared with Northstar. In addition, Xinmu No. 1 showed higher enzymatic activity of SOD, APX, CAT, and POD in its shoots and roots than Northstar. These results seem to indicate that Xinmu No. 1 cultivar’s tolerance to salt or drought stresses during germination is associated with enhanced activity of antioxidant enzymes. This study highlights the importance of antioxidant enzymes in the establishment of alfalfa seedlings under drought and salinity conditions typical of desertification. (C) 2009 Elsevier Masson SAS.

Design

Randomized,

double-blind, placebo-cont

Design.

Randomized,

double-blind, placebo-controlled see more clinical trial.

Setting.

Tertiary referral academic medical center, outpatient.

Patients.

Thirty-four patients diagnosed with FM according to 1990 American College of Rheumatology classification criteria.

Interventions.

Active or sham LENS, depending on randomization, for 22 treatment sessions.

Outcome Measures.

Primary outcome measure was the Fibromyalgia Impact Questionnaire total score. Secondary outcome measures included number of tender points (TPs) and pressure required to elicit TPs on physical examination, quantitative sensory testing heat pain threshold, and self-reported cognitive dysfunction, fatigue, sleep problems, global SC75741 chemical structure psychological distress, and depression obtained at baseline, immediate post-treatment, and 3- and 6-month follow-up.

Results.

Participants who received the active or sham interventions improved (Ps < 0.05) on the primary and a variety of secondary

outcome measures, without statistically significant between group differences in evidence at post-treatment or 3- or 6-month follow-up. Individual session self-reported ratings of specific symptoms (cognitive dysfunction, fatigue, pain, and sleep, and overall activity level) over the course of the 22 intervention sessions indicated significant Selleckchem AS1842856 linear trends for improvement for the active intervention condition only (Ps < 0.05).

Conclusion.

LENS cannot be recommended as a single modality treatment for FM. However, further study is warranted to investigate the potential of LENS to interact synergistically with other pharmacologic and nonpharmacologic therapies for improving symptoms in FM.”
“To evaluate the clinical features, hormonal activity and natural evolution of adrenal incidentalomas (AI) in patients investigated in a single endocrinological centre and compare the prevalence

of metabolic disorders and hypertension between subjects with AI and the general population.

515 patients with AI evaluated between 1995 and 2010 were retrospectively included in the study. Their anthropometric, clinical, metabolic and hormonal parameters were analyzed. Follow-up data was available for 142 patients.

Mean age of all participants was 53.45 +/- 13.4 years (range 13-84) with strong female predominance – 376 (73%) vs. 139 (27%) males. Median size of AI was 28 mm (range 10-190 mm). Hormonal investigations revealed that 82.9% of patients harboured non-functioning adenomas, subclinical hypercortisolism was detected in 5.94%, overt Cushing’s syndrome – in 2.7%, pheochromocytoma – in 1.9% and primary aldosteronism was diagnosed in 1% of patients. Adrenal carcinoma was identified in 1.7%.