These results provide support to the neuropsychophysiological mod

These results provide support to the neuropsychophysiological model that HHs have more effective sensory integration and gating (or filtering) of irrelevant stimuli than LHs.”
“Background: Major vessel stenoses are currently successfully treated with stent implantation. Recently, new

cobalt-chromium stents (Andrastents XL and XXL, Ardramed, Germany) have been introduced into clinical practice. This alloy combines high biocompatibility with radial strength and flexibility.\n\nAim: To present our experience with the use of Andrastents XL and XXL for the dilatation of stenosed pulmonary arteries, coarctation of the aorta (CoA), and a stenosed superior vena cava (SVC).\n\nMethods: The study group included 24 patients treated with 26 Andrastents.

In 7 patients aged 23.3 (range 18-27) years, with the mean body weight of 64.7 (range 50-77) kg, prestenting of a calcified pulmonary homograft was BLZ945 inhibitor performed using 9 Andrastents XL or XXL (length of 30, 39, or 48 mm) before the Melody valve implantation. In one patient with a long and stiff stenosis, 3 stents were necessary. In 12 patients P005091 mouse with native CoA aged 30.1 (range 9-55) years, with the mean body weight of 60 (range 25-105) kg, twelve Andrastents XL or XXL (length of 30, 39, or 48 mm) were implanted. In 4 patients with the right or left pulmonary artery stenosis close to the bifurcation (age 8.5 [range 6-10] years, body weight 27.3 [range 17-33] kg), 4 Andrastents 30 XL were implanted. In one child (age 7.5 years, body weight 21.7 kg) with a iatrogenic SVC stenosis (after 2 venous cannulations necessary for 2 surgical corrections of his double-outlet right ventricle), the stenosed site was dilated using Andrastent 21 XL.\n\nResults:

All procedures were performed successfully. No stent fractures were observed during the follow-up. The mean pressure gradient was reduced from 42.4 to 18 mm Hg (RVOT) in patients who underwent Andrastent and Melody valve implantation, from 54.1 to 13.2 mm Hg in patients with CoA, and from 49 to 21.7 mm Hg in patients with pulmonary artery stenosis. No aneurysm formation, stent migration, or rupture of the treated vessel during stent implantation Omipalisib manufacturer were observed in any patient. The mean fluoroscopy time during stent implanatation was 6.6 min in CoA, 8.8 min in pulmonary artery stenosis, 24.8 min during implantation of Melody valve (with prestenting of RVOT with Andrastents) and 17.6 min during SVC dilation. Procedural outcomes (evaluated using noninvasive methods) remained favourable during the follow-up (0.5-21 months), with no complications observed.\n\nConclusions: Implantation of Andrastents XL or XXL is a very good therapeutic option in the treatment of major vessel stenoses.”
“Background and Aims Models simulating nitrogen use by plants are potentially efficient tools to optimize the use of fertilizers in agriculture.

(1)H ENDOR spectroscopy of the cryogenerated substates shows that

(1)H ENDOR spectroscopy of the cryogenerated substates shows that H-bonding interactions between His N(epsilon)H and heme-bound O(2) in these conformers are similar to those in the beta-chain of oxyferrous hemoglobin A (HbA) and oxyferrous myoglobin, respectively. Decay of cryogenerated peroxoferric heme DHP intermediates upon annealing at temperatures above 180 K is accompanied by the appearance of a new paramagnetic species with an axial EPR signal with g(perpendicular to) = 3.75 and g(parallel CYT387 JAK/STAT inhibitor to) = 1.96, characteristic of an S = 3/2 spin state. This species is

assigned to Compound I (Cpd I), in which a porphyrin pi-cation radical is ferromagnetically coupled with an S = 1 ferryl [Fe(IV)=O] ion. This species was also trapped by rapid freeze-quench

of the ambient-temperature reaction mixture of ferric [Fe(III)] DHP and H(2)O(2). However, in the latter case Cpd I is reduced very rapidly by a nearby tyrosine to form Cpd ES [(Fe(IV)=O)(porphyrin)/Tyr(center dot)]. Addition of the substrate analogue 2,4,6-trifluorophenol (F(3)PhOH) suppresses formation of the Cpd I intermediate during annealing of cryoreduced oxyferrous DHP at 190 K but has no effect on the spectroscopic properties of the remaining cryoreduced oxyferrous DHP intermediates and kinetics of their decay. These observations indicate that substrate (i) binds to oxyferrous DHP outside of the distal pocket and (ii) can reduce Cpd I to Cpd II [Fe(IV)=O]. These assumptions are BI 2536 manufacturer also supported by the observation that F(3)PhOH has only a small effect on the EPR properties of radiolytically cryooxidized and cryoreduced ferrous [Fe(II)] DHP. EPR spectra of cryoreduced ferrous DHP disclose the multiconformational

selleck nature of the ferrous DHP precursor. The observation and characterization of Cpds I, II, and ES in the absence and in the presence of F(3)PhOH provides definitive evidence of a mechanism involving consecutive one-electron steps and clarifies the role of all intermediates formed during turnover.”
“Study Design. Prospective cohort study.\n\nObjective. To elucidate the prognostic factors indicating reduced activities of daily living (ADL) at the time of the 6-month follow-up after osteoporotic vertebral fracture (OVF).\n\nSummary of Background Data. OVF has severe effects on ADL and quality of life (QOL) in elderly patients and leads to long-term deteriorations in physical condition. Many patients recover ADL with acceleration of bony union and spinal stability, but some experience impaired ADL even months after fracture. Identifying factors predicting reduced ADL after OVF may prove valuable.\n\nMethods. Subjects in this prospective study comprised 310 OVF patients from 25 institutes. All patients were treated conservatively without surgery. Pain, ADL, QOL, and other factors were evaluated on enrollment and at 6 months.

Here, we used this assay in orthotopic

xenografts of huma

Here, we used this assay in orthotopic

xenografts of human MDA-MB-231 breast cancer cells to isolate selectively the migratory cell subpopulation of the primary tumor for gene-expression profiling. In this way, we derived a gene signature specific to breast cancer migration and invasion, which we call the Human Invasion Signature (HIS).\n\nResults: Unsupervised analysis of the HIS shows that the most significant upregulated gene networks in the migratory breast tumor cells include genes regulating embryonic and tissue development, cellular movement, and DNA replication and repair. We confirmed that genes involved in these functions are upregulated in the migratory tumor cells with independent biological repeats. LY2606368 We also demonstrate that specific genes are functionally required for in vivo invasion and hematogenous dissemination in MDA-MB-231, as well as in patient-derived breast tumors. Finally, we used statistical analysis to show that the signature can significantly predict risk of breast cancer metastasis in large patient cohorts, independent of well-established prognostic parameters.\n\nConclusions: Our data provide novel insights into, and reveal previously unknown mediators of, the metastatic steps of invasion and dissemination Compound C nmr in human breast tumors in vivo. Because migration and invasion are the early steps of metastatic progression, the novel markers Selleckchem BIIB057 that

we identified here might become valuable prognostic tools or therapeutic targets in breast cancer.”
“Alzheimer’s disease (AD) and

semantic dementia (SD) are characterized by different patterns of global and temporal lobe atrophy which can be studied using magnetic resonance imaging (MRI). Manual delineation of regions of interest is time-consuming FreeSurfer is a freely available automated technique which has a facility it) label cortical and subcortical brain regions automatically. As with all automated techniques comparison with existing methods is important. Eight temporal lobe structures in each hemisphere were delineated using FreeSurfer and compared with manual segmentations in 10 control, 10 AD, and 10 SD Subjects. The reproducibility errors for the manual segmentations ranged from 3% to 6% Differences in protocols between the two methods led to differences in absolute volumes with the greatest differences between methods found bilaterally in the hippocampus, entorhinal cortex and fusiform gyrus (p<0.005). However. good correlations between the methods were found for most regions. with the highest correlations shown for the venticles, whole brain and left medial-inferior temporal gyrus (r>0.9), followed by the bilateral amygdala and hippocampus. left superior temporal gyros, right medial-inferior temporal gyrus and left temporal lobe (r>0.8) Overlap ratios differed between methods bilaterally in the amygdala, superior temporal gyrus.

0 genotyping array We successfully

0 genotyping array. We successfully Compound C supplier replicated our results in a sample of 2286 Caucasian subjects (558 males and 1728 females). The results indicated that five SNPs (rs174583, rs174577, rs174549, rs174548, rs7672337) in the FADS1, FADS2, and DCHS2 genes had significant bivariate associations with CSI and ALM in male subjects for both the GWAS discovery (with P<8.42 x 10(-6)) and the Caucasian sample (with P<0.07). We performed further replication analysis in a 2nd Caucasian sample with 501

Caucasian male subjects, using Affymetrix 500 k arrays, and found that two of the above SNPs (rs174548 and rs174549, P = 0.07) had bivariate associations with both CSI and ALM in males; the other 3 SNPs were not typed with the 500 k array. The above findings suggest that the 3 genes, FADS1, FADS2, and DCHS2, containing these SNPs might play dual roles influencing both CSI and ALM in males. Our findings

provide new insights into our understanding of the genetic basis of bone metabolism and the pathogenesis of osteoporosis. Published by Elsevier Inc.”
“Colistin is an old antibiotic which has been used as a therapeutic option for carbapenem- and multidrug-resistant Gram-negative bacteria, like Acinetobacter AZD2014 concentration baumannii. This pathogen produces life-threatening infections, mainly in patients admitted to intensive care units. Rapid detection of resistance to colistin may improve patient outcomes and prevent the spread of resistance. For this purpose, Micromax technology was evaluated in four isogenic

A. baumannii strains with known mechanisms of resistance to colistin and in 66 isolates (50 susceptible and 16 resistant). Two parameters were determined, DNA fragmentation LDK378 and cell wall damage. To assess DNA fragmentation, cells trapped in a microgel were incubated with a lysing solution to remove the cell wall, and the released nucleoids were visualized under fluorescence microscopy. Fragmented DNA was observed as spots that diffuse from the nucleoid. To assess cell wall integrity, cells were incubated with a lysis solution which removes only weakened cell walls, resulting in nucleoid release exclusively in affected cells. A dose-response relationship was demonstrated between colistin concentrations and the percentages of bacteria with DNA fragmentation and cell wall damage, antibiotic effects that were delayed and less frequent in resistant strains. Receiver operating characteristic (ROC) curves demonstrated that both DNA fragmentation and cell wall damage were excellent parameters for identifying resistant strains. Obtaining <= 11% of bacteria with cell wall damage after incubation with 0.5 mu g/ml colistin identified resistant strains of A. baumannii with 100% sensitivity and 96% specificity. Results were obtained in 3 h 30 min. This is a simple, rapid, and accurate assay for detecting colistin resistance in A.

Medical treatments include topical corticosteroids and other topi

Medical treatments include topical corticosteroids and other topical treatments, such as antioxidants, tacrolimus and pimecrolimus, prostaglandin E, and vitamin D derivatives. Excellent

therapeutic results can be achieved through combination treatments; surgical intervention is reserved for adolescent or adult patients with stable vitiligo.”
“Increasing growth in the aquaculture industry demands ecosystem-based techniques for management GW572016 if that growth is to be ecologically sustainable and promote equity among users of the ecosystems in which it occurs. Models of carrying capacity can be used to responsibly limit the growth of aquaculture in increasingly crowded coastal areas. Narragansett Bay, Rhode Island, USA is one such crowded coastal region experiencing a rapid increase in bivalve aquaculture. An ecosystem mass-balance model was used to calculate the ecological carrying capacity of bivalve aquaculture. Cultured oyster biomass is currently at 0.47 t km(-2) and could be increased 625 times without exceeding the ecological carrying capacity of 297 t km(-2). This translates to approximately

38,950 t of harvested cultured oysters annually which is 4 times the total estimated annual harvest of finfish. This potential for growth is due to the high primary productivity and large energy throughput to detritus of this ecosystem. Shellfish aquaculture has potential for continued growth and is unlikely to become food limited due, in part, to the large detritus pool. (C) KU-57788 2011 Elsevier B.V. All rights reserved.”
“OBJECTIVE: FXR inhibitor Changes in Accreditation Council for Graduate Medical Education

(ACGME) requirements, including duty hours, were implemented in July 2011. This study examines graduating pediatrics residents’ perception of the impact of these standards. METHODS: A national, random sample survey of 1000 graduating pediatrics residents was performed in 2012; a total of 634 responded. Residents were asked whether 9 areas of their working and learning environments had changed with the 2011 standards. Three combined change scores were created for: 1) patient care, 2) senior residents, and 3) program effects, with scores ranging from 1 (worse) to 1 (improved). Respondents were also asked about hours slept and perceived change in hours slept. RESULTS: Most respondents felt that several areas had worsened, including continuity of care and senior resident workload, or not changed, including supervision and sleep. Mean change scores that included all study variables except those related to sleep all showed worsening: patient care (mean -0.37); senior residents (mean -0.36), and, program effects (mean -0.06) (P smaller than .01). Respondents reported a mean of 6.

In this study, the variability of gamma-aminobutyric acid (GABA)

In this study, the variability of gamma-aminobutyric acid (GABA) content and mRNA transcript levels of genes involved in GABA biosynthesis were investigated in Erastin purchase 2 cultivars (green and red mustard) of Brassica juncea. We observed that the transcript levels of glutamate decarboxylase (GAD) 1, 2, and 4a in roots were the highest, whereas those in seeds were the lowest compared with other organs harvested at flowering stage in green mustard. The transcript levels in green and red mustards displayed similar transcription patterns among a variety of organs, except for those of BjGAD2 and 4a in roots. In red mustard, the GABA content in flower

buds was the highest (179.8 mg 100 g(-1) FW), IPI-145 inhibitor whereas roots contained the lowest amount (1.77 mg 100 g(-1) FW). In green mustard, the GABA content in young leaves was the highest (97.76 mg 100 g(-1) FW), whereas seeds had the lowest (1.23 mg 100 g(-1) FW). Green and red mustard contained varying amounts of GABA in different organs. Specially, because green and red mustard leaf has high GABA content compared with other vegetables, it can be used as a good vegetable for healthy.”
“The theory of collective motion and the study of

animal social networks have, each individually, received much attention. Currently, most models of collective motion do not consider social network structure. The implications for considering collective motion and social networks together are likely to be important. Social networks could determine how populations move in, split up into and form separate groups (social networks affecting collective motion). Conversely, collective movement could change the structure of social networks by creating social ties that did not exist previously and maintaining existing

ties (collective motion affecting social networks). Thus, there is a need to combine the two areas of research and examine the relationship between network structure and collective motion. Here, we review different modelling approaches that combine social network structures and collective motion. Although many of these models have not been developed with ecology in mind, Panobinostat Epigenetics inhibitor they present a current context in which a biologically relevant theory can be developed. We argue that future models in ecology should take inspiration from empirical observations and consider different mechanisms of how social preferences could be expressed in collectively moving animal groups.”
“Disease overview: The eosinophilias encompass a broad range of nonhematologic (secondary or reactive) and hematologic (primary, clonal) disorders with potential for end-organ damage. Diagnosis: Hypereosinophilia (HE) has generally been defined as a peripheral blood eosinophil count greater than 1,500/mm(3) and may be associated with tissue damage.

9 Z

9 Histone Methyltransf inhibitor +/- A 14.2 ng/dL). These results suggest that commercial formulation of glyphosate is a potent endocrine disruptor in vivo, causing disturbances in the reproductive development of rats when the exposure was performed during the puberty period.”
“Parkinson’s disease (PD) is the second most common neurodegenerative disorder affecting millions of people. Both environmental and genetic factors play important roles in its causation and development. Genetic analysis has shown that over 100 genes are correlated with the etiology and pathology of PD. However, accessing genetic information in a consistent and fruitful way is not

an easy task. The Mutation Database for Parkinson’s Disease (MDPD) is designed to fulfill the need for information

integration so that users Selleck Screening Library can easily retrieve, inspect and enhance their knowledge on PD. The database contains 2391 entries on 202 genes extracted from 576 publications and manually examined by biomedical researchers. Each genetic substitution and the resulting impact are clearly labelled and linked to its primary reference. Every reported gene has a summary page that provides information on the variation impact, mutation type, the studied population, mutation position and reference collection. In addition, MDPD provides a unique functionality for users to compare the differences on the type of mutations among ethnic groups. As such, we hope that MDPD will

serve as a valuable tool to bridge the gap between genetic analysis and clinical practice. MDPD is publicly accessible at http://datam.i2r.a-star.edu.sg/mdpd/.”
“Objective: According to experimental findings, oxycodone (OX) could have some advantages over morphine (MO) in clinical models of visceral pain. It was see more hypothesized that OX could have some advantages over MO in terms of efficacy and dose escalation in pancreatic cancer pain.\n\nMethods: Sixty patients with pancreatic cancer with a pain intensity rating of 4/10 who required opioids were included in the study. Patients were randomized to receive 30 mg/d of sustained release oral MO or sustained release oral OX (20 mg/d). Opioid doses were increased according to the clinical needs. Daily doses of opioids, pain and symptom intensity were recorded at admission (T0) and at weekly intervals for the subsequent 4 weeks (T1, T2, T3, and T4), with an extension at 8 weeks (T8). Opioid escalation index (OEI) as percentage (OEI %) and in mg (OEI mg) was calculated.\n\nResults: Nineteen and 20 patients in groups OX and MO, respectively, were followed for the entire period of study (T4). No differences between groups were found in age (P = 0.400), Karnofsky (P = 0.667), or escalation indexes at T4 and T8 (OEImg, P = 0.945 and OEI %, P = 0.295). No statistical differences in pain and symptoms intensity between the groups were observed.

Results: The expression of PP2A catalytic subunit, (PP2Ac) wa

\n\nResults: The expression of PP2A catalytic subunit, (PP2Ac) was reduced in A2780/CDDP as well as in cisplatin-resistant patients’ tissues compared with A2780 and cisplatin-sensitive patients. In the A2780 cells, cisplatin induced both apoptosis and autophagy. Interestingly, however, the autophagy inhibitor 3-methyladenine increased the cell death induced by diamindichloridoplatin (DDP), which suggested the protective

function of autophagy in DDP-induced cell death. Knocking down of PP2A promoted autophagy but suppressed DDP-induced apoptosis and cell death. In contrast, overexpression of PP2Ac or reinduction of the activity of PP2A by FTY720 decreased autophagy but increased cell death induced by DDP. Our experiments demonstrated that apoptosis suppressed by the knocking down of PP2Ac can be reversed by the administration selleck of 3-methyladenine. The elevated accumulation of microtubule-associated protein 1 light chain 3-II and the decline of the autophagy substrate p62 were also observed in PP2Ac-small interfering RNA transfected cells. However, overexpression of PP2Ac suppressed the accumulation of microtubule-associated protein 1 light chain 3-II and restored p62.\n\nConclusions: Taken together, our results showed that protective autophagy regulated selleck chemicals llc by PP2Ac is at least part of the mechanism

to how certain ovarian cancers are resistant to cisplatin. Prospective studies are necessary to determine the detailed mechanism of how PP2Ac regulates autophagy in chemoresistant patients.”
“Structural GDC-0941 supplier chromosome aberrations are known hallmarks of many solid tumors. In the papillary form of thyroid cancer (PTC), for example, activation of the receptor tyrosine kinase (RTK)

genes, RET and neurotrophic tyrosine kinase receptor type I (NTRK1) by intra- and interchromosomal rearrangements has been suggested as a cause of the disease. However, many phenotypically similar tumors do not carry an activated RET or NTRK-1 gene or express abnormal ret or NTRK-1 transcripts. Thus, we hypothesize that other cellular RTK-type genes are aberrantly expressed in these tumors. Using fluorescence in situ hybridization-based methods, we are studying karyotype changes in a relatively rare subgroup of PTCs, i.e., tumors that arose in children following the 1986 nuclear accident in Chernobyl, Ukraine. Here, we report our technical developments and progress in deciphering complex chromosome aberrations in case S48TK, an aggressively growing PTC cell line, which shows an unusual high number of unbalanced translocations.”
“Among ITN-owning households with a child under five, 69% used at least one ITN the night before the survey. About half of those children (54%) in ITN-owning households were covered the previous night. A strong and consistent predictor of use is household deployment of at least one ITN. Just over half of all ITNs were observed hanging, and reported use of nets for purposes other than malaria prevention was only 3%.

This design is recommended for MMG applications where limb moveme

This design is recommended for MMG applications where limb movement is prevalent. (c) 2011 IPEM. Published Napabucasin solubility dmso by Elsevier Ltd. All rights reserved.”
“Objectives To explore the early responses of young oral cancer patients in Scotland to the symptoms of their emerging condition, to understand the ways they seek help and to inquire into delay caused by not recognising symptoms associated with cancer. Setting The survey was carried out in Maggie’s Centres or in patients’ own homes in Glasgow and Edinburgh among young

patients diagnosed with oral cancer in the three years (2004-7) before the study. Methods This study employed qualitative methods. Data were collected by interview using a semi-structured DMH1 nmr interview schedule. The interview transcripts were analysed using a thematic framework and with the aid of NVivo qualitative analysis software (Version 8). Results Most of the cohort knew that smoking and alcohol could cause oral cancer. None thought it would happen to them. Descriptions

of symptoms varied widely and several had used self-treatment provided from a pharmacy. There were various causes of ‘patient delay’ and self-treatment was not the only cause. Reinterpretation of symptoms without seeking professional help was not uncommon. Nobody suspected they had oral cancer until it was confirmed by their GP or GDP. All thought that something so small and painless couldn’t be a serious problem. Conclusions The study further confirms gaps in understanding and awareness of oral cancer. Most had heard of oral cancer but they didn’t think their symptoms were indicative of cancer and they self managed the problem. The culture of not bothering the GP/GDP unless it was perceived as serious is a barrier to earlier access. Findings support Selleck CX-6258 that further public awareness of oral cancer and its symptoms is required

to alert the public that if their symptoms persist beyond three weeks they need a professional opinion.”
“Aim. The goal of this study was to identify physical characteristics of primary intimal tears in patients arriving to the hospital alive with acute type A aortic dissection using 64-multislice computerized tomography (MSCT) in order to determine anatomic feasibility of endovascular stent-grafting (ESG) for future treatment.\n\nMethods. Radiology database was screened for acute type A aortic dissection since the time of acquisition of the 64-slice CT scanner and cross-referenced with surgical database. Seventeen patients met inclusion criteria. Images were reviewed for number, location, and size of intimal tears and aortic dimensions. Potential obstacles for ESG were determined.\n\nResults. Ascending aorta (29%) and sinotubular junction (29%) were the most frequent regions where intimal tears originated.


“Objective: Some versions of restaurant menu labelling leg


“Objective: Some versions of restaurant menu labelling legislation do not require energy information to be posted on menus for drive-through lanes. The present study was designed to quantify the

number of customers who purchase fast food through drive-in windows as a means click here of informing legislative labelling efforts.\n\nDesign: This was an observational study.\n\nSetting: The study took place at two McDonald’s and Burger King restaurants, and single Dairy Queen, Kentucky Fried Chicken, Taco Bell and Wendy’s restaurants.\n\nSubjects: The number of customers entering the chain restaurants and purchasing food via the drive-through lane were recorded. A total of 3549 patrons were observed.\n\nResults: The percentage of customers who made their purchases at drive-throughs was fifty-seven.

The overall average (57 %) is likely a conservative estimate because some fast-food restaurants have late-night hours when only the drive-throughs are open.\n\nConclusions: Since nearly six in ten customers purchase food via the drive-through lanes, menu labelling legislation should mandate the inclusion of menu labels on drive-through menu boards to maximise the impact of this public health intervention.”
“The pedicled anterolateral thigh flap is a useful addition to our armamentarium. It provides excellent cover for defects in the lower abdomen, pelvis, and perineum. It also has the added advantage of not sacrificing any muscle, thereby minimizing the risk for donor morbidity. This article reviews the major applications

of the proximally pedicled anterolateral thigh FRAX597 concentration flap, describes the technique of flap harvest, and discusses techniques of flap transposition as well as pointing out some potential hazards.”
“Epidemiological, developmental and pathological research over the last 40 years has done much to unravel the enigma of sudden unexpected death in infancy Linsitinib manufacturer (SUDI) and sudden infant death syndrome (SIDS) that has afflicted the human condition for millennia. Modifications in infant care practices based on the avoidance of risk factors identified from a consistent epidemiological profile across time and multiple locations have resulted in dramatic reductions in the incidence of SUDI and SIDS in particular. The definition of SIDS (or unexplained SUDI) has been continually refined allowing enhanced multidisciplinary research, results of which can be more reliably compared between investigators. These latter expanded definitions mandating death scene investigations, evaluation of the circumstances of death and more comprehensive autopsies including additional ancillary testing have illuminated the importance of life-threatening sleep environments. The triple-risk hypothesis for SIDS has been increasingly validated and formulates an inextricable relationship between an infant’s state of development, underlying pathological vulnerability and an unsafe sleep environment for sudden infant death to occur.