0 mu g/g Histologically, macrophages containing metal particles

0 mu g/g. Histologically, macrophages containing metal particles as well as diffuse and perivascular lymphocytic

infiltration were observed. Fibrin exudation was also visible. Tissues that displayed a predominantly lymphocytic response had a mean metal content of 222.2 +/- 52.9 mu g/g, whereas those that displayed a macrophage-dominated response Combretastatin A4 research buy had a metal content of 3.0 +/- 0.9 mu g/g; this difference was significant (p = 0.001). The mean serum metal content did not differ significantly between the two subgroups (60.7 +/- 13.4 compared with 43.7 +/- 3.8 mu g/L, p = 0.105).

Conclusions: An association between periprosthetic tissue metal content and hypersensitivity appears likely but needs to be validated with larger-scale retrieval studies.”
“This case report illustrates the management of a permanent right central maxillary incisor with midroot fracture and complicated crown fracture, which was treated by cervical pulpotomy and fixation of the fragments. After 4-month follow-up, radiography showed healing with interproximal bone and connective tissue at the fracture line at midroot. After 3 years, the tooth was still functional without any clinical sign and symptom. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e65-e67)”
“P>Renal transplant

patients with stable graft function and proximal tubular dysfunction (PTD) have an increased risk for chronic allograft nephropathy (CAN). In this study, we investigated the histologic pattern associated with PTD and its correlation with graft outcome. Forty-nine transplant patients with stable graft function were submitted

ACY-1215 supplier to a biopsy. Simultaneously, urinary retinol-binding JAK inhibitor protein (uRBP) was measured and creatinine clearance was also determined. Banff’s score and semi-quantitative histologic analyses were performed to assess tubulointerstitial alterations. Patients were followed for 24.0 +/- 7.8 months. At biopsy time, mean serum creatinine was 1.43 +/- 0.33 mg/dl. Twelve patients (24.5%) had uRBP >= 1 mg/l, indicating PTD and 67% of biopsies had some degree of tubulointerstitial injury. At the end of the study period, 18 (36.7%) patients had lost renal function. uRBP levels were not associated with morphologic findings of interstitial fibrosis and tubular atrophy (IF/TA), interstitial fibrosis measured by Sirius red or tubulointerstitial damage. However, in multivariate analysis, the only variable associated with the loss of renal function was uRBP level >= 1 mg/l, determining a risk of 5.290 of loss of renal function (P = 0.003). Renal transplant patients who present PTD have functional alteration, which is not associated with morphologic alteration. This functional alteration is associated to progressive decrease in renal function.”
“Structure and magnetic properties were studied for Tm-2(Co1-xFex)(17) bulk nanocrystalline magnet synthesized by spark plasma sintering technique. X-ray diffraction results indicate both ingot and sintered magnet of Tm-2(Co0.7Fe0.

(C) 2010

Wiley Periodicals, Inc J Appl Polym Sci 119: 29

(C) 2010

Wiley Periodicals, Inc. J Appl Polym Sci 119: 2984-2990, 2011″
“Most cellular processes depend on intracellular locations and random collisions of individual protein molecules. To model these processes, we developed algorithms to simulate the diffusion, membrane interactions, and reactions of individual molecules, and implemented these in the Smoldyn program. Compared to the popular MCell and ChemCell simulators, we found that Smoldyn was in many cases more accurate, more computationally efficient, and easier to use. Using Smoldyn, we modeled pheromone response system signaling among yeast cells of opposite mating type. This model showed that secreted 5-Fluoracil manufacturer Bar1 protease might help a cell identify the fittest mating partner by sharpening the pheromone concentration gradient. This model involved about 200,000 protein molecules, about 7000 cubic microns of volume, and about 75 minutes of simulated time; it took about 10 hours to run. Over the next several years, as faster computers become available, Smoldyn will allow researchers to model and explore systems the size of entire bacterial and smaller eukaryotic

cells.”
“Background This study examined associations between acute alcohol and drug use and violence towards others in conflict incidents (overall partner and non-partner conflict incidents) by men and women recruited from substance use disorder (SUD) treatment

Methods Semi-structured interviews were used to obtain details about Interpersonal conflict incidents (substance use whether specific conflicts were with intimate partners or non-partners) in the 180 days pre-treatment Participants for this study were selected for screening positive LB-100 for past-year violence (N = 160 77% men 23% women)

Results Multi-level multinomial regression models showed that after adjusting for clustering within individual

participants the most consistent predictors of violence across models were acute cocaine use (significant for overall intimate partner and non-partner Aurora Kinase inhibitor models) acute heavy alcohol use (significant for overall and non-partner models) and male gender (significant in all models)

Conclusions This study was the first to explicitly examine the role of acute alcohol and drug use across overall partner and non-partner conflict incidents Consistent with prior studies using a variety of methodologies alcohol cocaine use and male gender was most consistently and positively related to violence severity (e g resulting in injury) The results provide important and novel event-level information regarding the relationship between acute alcohol and specific drug use and the severity of violence in interpersonal conflict incidents Published by Elsevier Ireland Ltd”
“While melt-spinning biodegradable poly-(L/D)LA 96/4 lactides into fibers, we intentionally induced monomer into the material by thermal degradation. Elevated temperatures and variable residence times were used during processing.

In recent years, a number of technologies have emerged to globall

In recent years, a number of technologies have emerged to globally map phosphorylation in yeast. In this article, we review these technologies and discuss how these phosphorylation mapping efforts have shed light on

our understanding of kinase SBE-β-CD signaling pathways and eukaryotic proteomic networks in general.”
“Purpose of review

The clinical data about the impact of heart rate reduction in heart failure therapy will be reviewed.

Recent findings

Clinical and experimental studies showed an association between elevated resting heart rate and mortality risk in heart failure patients. This review summarizes that heart rate level at rest and its extent of reduction is a sensitive indicator for outcome in heart failure. In addition to the nonspecific heart rate reducing drugs like beta-blockers, cardiac glycosides and Ca2+ antagonists, ivabradine is a highly selective heart rate reducing agent without modifying ventricular contractility

and atrioventricular conduction in humans and animals, and has recently been shown to improve cardiovascular outcomes in patients with systolic heart failure by lowering see more the heart rate only. The present and future role of heart rate reduction in the spectrum of heart failure disease and therapy will be outlined and evaluated.

Summary

Elevated heart rate at rest represents a key indicator of adverse outcome in heart failure and implies a major treatment target in these patients.”
“In this paper, we propose a new multi-scale technique for multi-modal image registration based on the alignment of selected gradient orientations of reduced uncertainty. We show how the registration robustness and accuracy

can be improved by restricting the evaluation of gradient orientation alignment to locations where the uncertainty of GSK2879552 chemical structure fixed image gradient orientations is minimal, which we formally demonstrate correspond to locations of high gradient magnitude. We also embed a computationally efficient technique for estimating the gradient orientations of the transformed moving image (rather than resampling pixel intensities and recomputing image gradients). We have applied our method to different rigid multi-modal registration contexts. Our approach outperforms mutual information and other competing metrics in the context of rigid multi-modal brain registration, where we show sub-millimeter accuracy with cases obtained from the retrospective image registration evaluation project. Furthermore, our approach shows significant improvements over standard methods in the highly challenging clinical context of image guided neurosurgery, where we demonstrate misregistration of less than 2 mm with relation to expert selected landmarks for the registration of pre-operative brain magnetic resonance images to intra-operative ultrasound images.

The writing area on a nickel-oxide (NiO) film formed by conductiv

The writing area on a nickel-oxide (NiO) film formed by conductive atomic-force microscopy was observed by scanning electron microscope, and a correlation between the contrast in a secondary-electron image (SEI) and the resistance written by C-AFM was revealed. In addition, the dependence of the SEI contrast on the beam accelerating voltage (V(accel)) suggests that the resistance-change effect occurs near the surface of the NiO film. As for the effects of electron irradiation and vacuum annealing on the C-AFM writing area,

it was shown that the resistance-change see more effect is caused by exchange of oxygen with the atmosphere at the surface of the NiO film. This result suggests that the low-resistance and high-resistance areas are, respectively, p-type Ni(1+delta)O (delta < 0) and insulating (stoichiometric) or n-type Ni(1+delta)O (delta >= 0). (c) 2011 American Institute of Physics. [doi: 10.1063/1.3638708]“
“Chronic

fatigue syndrome (CFS) produces physical and neurocognitive disability that significantly affects health-related quality of life (HRQL). Multidisciplinary treatment combining graded exercise therapy (GET) cognitive behavioural therapy (CBT) and pharmacological treatment has shown only short-term improvements. To compare CAL-101 the effects on HRQL of (1) multidisciplinary treatment combining CBT, GET, and pharmacological treatment, and (2) usual treatment (exercise counselling and pharmacological treatment) at 12 months of follow-up. Prospective, randomized controlled trial with a follow-up of 12 months after the end of treatment. Patients consecutively diagnosed with CFS (Fukuda criteria) were randomly assigned to intervention (n = 60) or usual treatment (n = 60) groups. HRQL was assessed at baseline and 12 months by the Medical Outcomes Study Short-Form questionnaire (SF-36). Secondary outcomes

included functional capacity for activities of daily living measured by the Stanford Health Assessment Questionnaire (HAQ) and comorbidities. At baseline, the two groups were similar, CA3 except for lower SF-36 emotional role scores in the intervention group. At 12 months, the intervention did not improve HRQL scores, with worse SF-36 physical function and bodily pain scores in the intervention group. Multidisciplinary treatment was not superior to usual treatment at 12 months in terms of HRQL. The possible benefits of GET as part of multidisciplinary treatment for CFS should be assessed on an individual patient basis.”
“A 22-year-old woman presented with ventricular tachycardia and heart failure of acute onset, and rapid hemodynamic deterioration despite medical treatment. The heart failure required extracorporeal membrane oxygenation followed by cardiac transplantation. The histopathological mapping of the ventricular conduction system of the explanted heart revealed focal fibrosis of the myocardium in close proximity to the left posterior fascicle.

0022) and total adipose mass (P = 0 0187) without altering lean m

0022) and total adipose mass (P = 0.0187) without altering lean mass. The effect of CLA in lowering BMI was detected during the last Z-VAD-FMK order 8 wk of each 16-wk diet period. In contrast, SAF had no effect on BMI or total adipose mass but reduced trunk adipose mass (P = 0.0422) and increased lean mass (P = 0.0432). SAF also significantly lowered fasting glucose (P = 0.0343) and increased adiponectin (P = 0.0051). No differences were observed in dietary energy intake,

total fat intake, and fat quality in either diet period for either intervention.

Conclusions: Supplementation with CLA and SAF exerted different effects on BMI, total and trunk adipose mass, and lean tissue mass in obese postmenopausal women with type 2 diabetes. Supplementation with these dietary oils may be beneficial for weight loss, glycemic control, or both. Am J Clin Nutr 2009;90:468-76.”
“In this article, we report the influence of the polyimide molecular weight (1.2 x 10(5), 2.6 x 10(5), and 4.1 x 10(5)) on the structure and the gas permeation properties of asymmetric polyimide membranes made by the dry wet phase-inversion process. The apparent skin layer thickness of the asymmetric

membrane increased with increasing molecular weight, and the thicknesses of the membranes prepared from the three polyimides with a casting polymer solution containing 8.0 wt % butanol were 132, 350, and 739 nm, respectively. That is, the gas permeance in the asymmetric membranes increased with decreasing molecular weight. In contrast, the gas selectivity of the asymmetric membranes did not depend on the CFTRinh172 skin layer thickness. The solvent evaporation

in the dry phase-inversion process and the nonsolvent diffusion in the dry process were important factors that determined the formation of the asymmetric membrane. (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 118: 105-112, 2010″
“We have examined the infrared (IR) spectra of electron-beam (EB) irradiated C-60 films, using in situ IR spectroscopy in the temperature range of 60-300 K. The irradiation-time evolution of the IR spectra shows that two highly intense new peaks finally appear around 565 and 1340 cm(-1) when the EB-induced C-60 polymerization was saturated. To determine the cross-linked structure of the polymer explicitly, we have compared the IR spectra IPI 145 with theoretical spectra obtained from the cross-linked structure of all C-120 stable isomers derived from the general Stone-Wales (GSW) rearrangement, using first-principles density-functional calculations. Since each C-120 isomer has the same cross-linked structure as that of its corresponding one-dimensional (1D) C-60 polymer, the IR modes obtained from the cross-linked structure of C-120 are close to those obtained from the corresponding 1D polymer. Comparison between the experimental and theoretical IR spectra suggests that the 1D peanut-shaped C-60 polymer has a cross-linked structure roughly similar to that of the P08 peanut-shaped C-120 isomer. (C) 2010 American Institute of Physics.

F022 was certainly related to the increase in biomass In the fir

F022 was certainly related to the increase in biomass. In the first week after incubation, the growth rate rapidly increased, but enzyme production decreased. After 7 days of incubation, rapid growth was observed, whereas, the enzymes were produced only after a good amount of biomass was generated. About 63 % of pyrene underwent selleck chemicals biodegradation when incubated with this fungus in a liquid medium on a rotary shaker (120 rpm, 25 A degrees C)

for 30 days; during this period, pyrene was transformed to five stable metabolic products. These metabolites were extracted in ethyl acetate, isolated by column chromatography, and then identified using thin layer chromatography (TLC) and gas chromatography-mass spectrometry (GC-MS). 1-Hydroxypyrene was directly identified by GC-MS, while 4-phenanthroic acid, 1-hydroxy-2-naphthoic acid, phthalic acid, and protocatechuic acid were identified to be present in their derivatized forms (methylated forms and silylated forms). Protocatechuic acid was the end product of pyrene degradation by Armillaria sp. F022. Dynamic profiles of two key enzymes, namely laccase and 1,2-dioxygenase, were Selleckchem Tipifarnib revealed during the degradation process, and the results indicated the presence of a complicated mechanism in the regulation of pyrene-degrading enzymes. In conclusion, Armillaria sp. F022 is a white-rot fungus with potential for application in the degradation of polycyclic aromatic

hydrocarbons such as pyrene in the environment.”
“Objective: To review the reporting of key design features in studies of stroke rehabilitation therapies.

Study

Design and Setting: We used purposive sampling to examine English-language, human-subject, comparative studies focusing on stroke rehabilitation therapy provided the effect of therapy was evaluated in at least one of the following six outcome domains: ambulation, cognition, quality of life, daily activities, dysphagia, or communication. We searched MEDLINE (R), CINAHL (R), PsycINFO (R), and the Cochrane Database of Systematic Reviews (date range: January 2000 through late-January 2008) and extracted data from included studies using standardized forms. We depicted the extracted data in tables and Selleck Quizartinib summarized the findings qualitatively in the text.

Results: We retrieved 1,674 citations in the literature search and extracted data from 99 studies. Authors’ reporting of key design features in stroke rehabilitation studies was lacking in four areas, that is, the background of persons delivering therapy, timing of therapy, subjects’ receipt of prior or concomitant treatment, and psychometric properties of outcome measurement instruments.

Conclusions: Except for four areas, reporting of key design features in studies of stroke rehabilitation therapies was quite comprehensive. Researchers should pay particular attention to reporting blinding, and they should rationalize the number of outcome measurement instruments used in their studies. (C) 2012 Elsevier Inc.

This article provides an overview of the evidence base for interp

This article provides an overview of the evidence base for interprofessional collaboration involving doctors and nurses and new models of care in relation to patient outcomes.

Two

authors conducted independent literature searches in PubMed, CINAHL, and Cochrane Library and selected fourteen randomised controlled trials (RCT) for review. All of the RCTs originated from Western countries, and the majority tested collaborative care management models against usual care within the elderly population. The major components of the interventions involved individual evidence-based treatment plans, care coordination, health status monitoring, coaching in self-management and Ro-3306 promotion of community-based services. They varied between a few days’ and three years’ duration. Outcome measures incorporated mortality, clinical, functional and social outcomes, and utilisation of medical

services. Some studies also used patient-reported outcomes.

While the results of the fourteen RCTs included were mixed, all but one study reported at least one statistically significant improvement in outcome following interventions based on interprofessional collaboration. More rigorous research MAPK inhibitor in this field and expansion of areas of interprofessional collaboration are needed. Nevertheless, up to now the evidence base of interprofessional collaboration shows promising results in relation to patient outcomes.”
“We present a density-functional theory study on the electronic structure of pure and 3d transition metal (TM) (Sc, Ti, Cr, Mn, and Ni) incorporated alpha-Fe(2)O(3). We find that the incorporation of 3d TMs in alpha-Fe(2)O(3) has two main effect such as: (1) the valence and conduction Selleck MAPK inhibitor band edges are modified. In particular, the incorporation of Ti provides electron carriers and reduces the electron effective mass, which will improve the electrical conductivity of alpha-Fe(2)O(3).

(2) The unit cell volume changes systematically such as: the incorporation of Sc increases the volume, whereas the incorporation of Ti, Cr, Mn, and Ni reduces the volume monotonically, which can affect the hopping probability of localized charge carriers (polarons). We discuss the importance of these results in terms of the utilization of hematite as a visible-light photocatalyst. (C) 2010 American Institute of Physics. [doi:10.1063/1.3432736]“
“Objective. The aim of this study was to evaluate the influence of different healing times before loading on the stability of implanted titanium mini-implant.

Study design. Forty mini-implants were implanted in bilateral maxilla in 10 beagles, loaded with a force of 0.98 N after a delay of 0 day (immediately activated) and 1, 3, 5, and 7 weeks. Microscopic computerized tomography (mu CT) and pullout test were used for morphometric and biomechanical analyses, respectively.

Results.

The weight and weight gain parameters were birth weight (BW,
<

The weight and weight gain parameters were birth weight (BW,

N = 9955), weight at 120 days of age (W120, N = 5901), weaning weight at 205 days (WW, N = 6970), weight gain from birth to 205 days (GAIN205, Selonsertib price N = 6013), weight gain from birth to 120 days (GAIN120, N = 5135), and weight gain from 120 to 205 days (GAIN85, N = 4482). Variance components were estimated using the animal model with the MTDFREML software. The relationship matrix included 35,188 animals; phenotypic measures were available for 18,688. Direct and maternal heritability increased from birth to weaning, with estimates of 0.23 +/- 0.037, 0.25 +/- 0.050, 0.41 +/- 0.059 for direct heritability for BW, W120 and WW, respectively, 0.08 +/- 0.012, 0.15 +/- 0.032, 0.22 +/- 0.036 for maternal genetic effects, and 0.18, 0.14 and 0.16 for total heritability estimates. For pre-weaning gains, estimates of heritability were 0.36 +/- 0.059, 0.30 +/- 0.059, 0.12 +/- 0.035 for direct genetic effects of the traits GAIN205, GAIN120 and GAIN85, respectively, 0.23 +/- 0.038, 0.17 +/- 0.037, 0.03 +/- 0.029 for estimates of

maternal heritability, and 0.12, 0.13, 0.16 for total heritability, respectively. Genetic correlations between weights were greater between measures taken at shorter intervals. This information can be used to optimize the design of programs for genetic improvement of Braunvieh cattle raised under tropical conditions.”
“Based on the extensive investigation of various ways to regenerate bone, bone marrow stromal cells, in conjunction S63845 with ceramic scaffolds, show great promise for application in human patients, and are already in use in a limited number

of clinical trials. In preparing for clinical trials, scale-up current good manufacturing processes (cGMP) must incorporate the use of appropriate assays to ensure that the resulting cell product has maintained its biological activity. Future developments are needed to identify better scaffolds, and better ways to deliver cells with either injectable carriers, or by developing techniques to aide in their escape from the circulation and their incorporation into the pre-existing tissue. Lastly, development of methods that faithfully direct pluripotent stem cell AC220 concentration differentiation into populations of osteogenic precursors (and ideally, containing skeletal stem cells) represents a new challenge in the field of bone regeneration, but also offer new opportunities to not only to study the biology of bone formation, but also to develop a robust cell source for bone regeneration.”
“Aim. This study aimed to analyze blood lipid levels, temporal trend, and age distribution of dyslipidemia in civil aviators in China. Methods. The 305 Chinese aviators were selected randomly and followed up from 2006 to 2011. Their total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) levels were evaluated annually.

2% (historical group) and 6 7% (MS group, p < 0 005), and in i

2% (historical group) and 6.7% (MS group, p < 0.005), and in infants

7-12 months of age the rates were 7.9% (historical group) and 2.7% (MS group, p < 0.005). In the historical control group, the frequency rank order of causative organisms was coagulase-negative staphylococcus (51.9%), Staphylococcus aureus (31.6%), streptococcus or enterococcus Savolitinib chemical structure spp. (8.8%), gram-negative organisms (4.4%), and Propionibacterium acnes (2.2%). Organisms responsible for infections in AIS were S. aureus (40%), followed by streptococcus or enterococcus spp. (20%), P. acnes and coagulase-negative staphylococcus (both 16%), and gram-negative organisms (4%). No unusually antibiotic-resistant bacteria were identified in either group. The authors further

subdivided the AIS group into those undergoing primary MS insertion (Subgroup 1), those undergoing revision of non-AIS systems using AIS components (Subgroup 2), and those undergoing revision of AIS systems using MS components (Subgroup 3). Infection rates were 1.6% in Subgroup 1,2.5% in Subgroup 2, and 11.7% in Subgroup 3. Staphylococcus aureus was the most common organism identified in infections of the Subgroup 2 and 3.

Conclusions. Use of AIS tubing significantly improves shunt infection rates in both general pediatric and infant populations with no evidence of increased antibiotic resistance, which is in agreement with previous studies. However, the increased infection rate in revision surgery in children with AIS catheters in situ raises questions about their long-term application.”
“Background Adult height is known Akt inhibitor to be inversely related to coronary heart disease (CHD) risk. We sought to investigate the transgenerational influence of parental height on offspring’s CHD risk.

Methods Parents took part in a cardiorespiratory Copanlisib disease survey in two Scottish towns during the 1970s, in which their physical stature was measured.

In 1996, their offspring were invited to participate in a similar survey, which included an electrocardiogram recording and risk factor assessment.

Results A total of 2306 natural offspring aged 30-59 years from 1456 couples were subsequently flagged for notification of mortality and followed for CHD-related hospitalizations. Taller paternal and/or maternal height was associated with socio-economic advantage, heavier birthweight and increased high-density lipoprotein cholesterol in offspring. Increased height in fathers, but more strongly in mothers (risk ratio for 1 SD change in maternal height = 0.85; 95% confidence interval: 0.76 to 0.95), was associated with a lower risk of offspring CHD, adjusting for age, sex, other parental height and CHD risk factors.

Conclusion There is evidence of an association between taller parental, particularly maternal, height and lower offspring CHD risk. This may reflect an influence of early maternal growth on the intrauterine environment provided for her offspring.

The present study explores the hypothesis that polyethylene compo

The present study explores the hypothesis that polyethylene components sterilized in a low-oxygen environment undergo similar in see more vivo oxidative mechanisms as inserts sterilized in air. In addition, the potential influence of the different sterilization processes on the wear performance of the polyethylene components was examined.

Methods: An analysis of oxidation, wear, and surface damage was performed for forty-eight acetabular liners and 123 tibial inserts. The mean implantation time was 12.3 +/- 3.7 years for

thirty-one acetabular liners that had been gamma sterilized in air and 4.0 +/- 2.5 years for the seventeen acetabular liners that had been gamma sterilized in inert gas. The mean implantation time was 11.0 +/- 3.2 years for the twenty-six tibial inserts that had been sterilized in air and 2.8 +/- 2.2 years for the ninety-seven tibial inserts that had been gamma sterilized in inert gas. Oxidation and hydroperoxide levels were characterized in loaded and unloaded regions of the inserts.

Results: Measurable oxidation and oxidation potential were observed in all cohorts. The oxidation and hydroperoxide levels were regional. Surfaces with access to body fluids were more heavily oxidized than

protected bearing surfaces were. This variation appeared to be greater in historical (gamma-in-air-sterilized) components. Regarding wear performance, historical and conventional acetabular liners showed similar wear penetration rates, whereas CHIR-99021 cost a low incidence of delamination was confirmed for the conventional tibial inserts in the first decade of implantation.

Conclusions: The present study explores the impact of industry-wide changes in sterilization practices Adriamycin cell line for polyethylene. We found lower oxidation and oxidation potential in the conventional acetabular liners and tibial inserts that had been gamma sterilized in inert gas as compared with the historical

components that had been gamma sterilized in air. However, we also found strong evidence that conventional components undergo mechanisms of in vivo oxidation similar to those observed following gamma irradiation in air. In addition, gamma sterilization in inert gas did not provide polyethylene with a significant improvement in terms of wear resistance as compared with gamma sterilization in air, except for a lower incidence of delamination in the first decade of implantation for tibial inserts.”
“Objective: To determine the prevalence and outcome of higher order multiple (HOM) pregnancies in Lagos, Nigeria.

Methods: The mode of delivery, gestational age, pregnancy and neonatal outcome of babies delivered from HOM pregnancies were reviewed retrospectively from the labor ward and theater registers, neonatal unit admission records and medical notes in a tertiary referral centre from April 2009 to March 2012.