The IC50 values of cyanidin-3-rutinoside against intestinal malta

The IC50 values of cyanidin-3-rutinoside against intestinal maltase, and sucrase were 2,323 +/- 14.8 and 250.2 +/- 8.1 mu M, respectively. The kinetic analysis revealed that intestinal sucrase was inhibited by cyanidin-3-rutinoside in a mixed-type manner. The synergistic inhibition also found in combination of cyanidin-3-rutinoside with acarbose against intestinal maltase and sucrase. The oral administration of cyanidin-3-rutinoside (100 and 300 mg/kg) plus maltose

or sucrose to normal rats, postprandial plasma glucose was markedly suppressed at 30-90 min after loading. Furthermore, GW2580 mouse the normal rats treated with acarbose and cyanidin-3-rutinoside (30 mg/kg) showed greater reduction of postprandial plasma glucose than the group treated with acarbose alone. These results suggest that cyanidin-3-rutinoside retards absorption HM781-36B inhibitor of carbohydrates by inhibition of a-glucosidase which may be useful as a potential inhibitor for prevention and treatment of diabetes mellitus.”
“Anti-cyclic citrullinated peptide antibody (CCP-AB) are used for diagnosis of rheumatoid arthritis (RA). It is still unknown if the extent of CCP-AB levels is useful to assess the disease activity or the

individual follow-up as an individual activity parameter. We investigated 40 patients with a known RA who were positive for CCP-AB. Correlation between disease activity (DAS 28) and the amount of levels of CCP-AB in all patients over time as well as the individual follow-up Selonsertib inhibitor were analysed. A weak correlation

between CCP-AB and DAS 28 [r=0.19; p=0.001] was found. The individual correlation between CCP-AB titre and DAS 28 ranged between r=-1 and r=1, so a strong positive and also a strong negative correlation was seen in single patients. In patients with erosive RA the correlation was significantly more positive than in patients with non-erosive RA. Because the correlation between CCP-AB levels and parameters of disease activity measured by DAS 28 is very low, we conclude for monitoring the disease activity to use simply and established parameters like morning stiffness, HAQ or ESR. The individual follow-up of the levels of CCP-AB is by the moment not useful for monitoring the disease activity.”
“Several analyses of hollow fiber reverse osmosis (RO) modules in which permeate water flows from the outer to the inner side of the membrane have been attempted over the past 20 years. In our previous work, an FCP (Friction Concentration Polarization) model showed good agreement with a wide range of actual performance data of a hollow fiber RO membrane module of radial flow type. In this work, this analytical model was applied to axial flow type hollow fiber modules. The performance of the axial flow type module with high packing density of hollow fibers was analyzed, taking into consideration the axial concentration profile in the module.

Although photocoagulation and intensive control

of system

Although photocoagulation and intensive control

of systemic metabolic factors have been reported to achieve improved outcomes in large randomized clinical trials (RCTs), some patients with DME continue to lose vision despite treatment. Pharmacotherapies for DME include locally and systemically administered agents. We review several agents that have been studied for the treatment of DME.”
“Effective light management is imperative in maintaining high efficiencies as photovoltaic PND-1186 manufacturer devices become thinner. We demonstrate a simple and effective method of enhancing light trapping in solar cells with thin absorber layers by tuning localized surface plasmons in arrays of Ag nanoparticles. By redshifting the surface plasmon resonances by up to 200 nm, through the modification of the local dielectric environment of the particles, we can increase the optical absorption in an underlying Si wafer fivefold at a wavelength of 1100 nm and enhance the external quantum efficiency of thin Si solar cells by a factor of 2.3 at this wavelength where transmission losses are prevalent. Additionally, by locating the nanoparticles on the rear of the solar cells, we can avoid absorption losses below the resonance wavelength due to interference effects, while still allowing long wavelength

light to be coupled into the cell. Results from numerical simulations support the experimental findings and show that the fraction of light backscattered into the cell by nanoparticles Selleck Small molecule library located on the rear is comparable to the forward scattering effects of particles on the front. Using nanoparticle self-assembly methods and dielectrics commonly used in photovoltaic fabrication this technology is relevant for application to large-scale photovoltaic devices. (C) 2009 American Institute of Physics. [DOI: 10.1063/1.3140609]“
“Diabetic nephropathy (DN) is the leading cause of end-stage renal disease. The use of experimental models of DN has provided valuable information regarding many aspects of selleck chemical DN, including pathophysiology,

progression, implicated genes, and new therapeutic strategies. A large number of mouse models of diabetes have been identified and their kidney disease was characterized to various degrees. Most experimental models of type 2 DN are helpful in studying early stages of DN, but these models have not been able to reproduce the characteristic features of more advanced DN in humans such as nodules in the glomerular tuft or glomerulosclerosis. The generation of new experimental models of DN created by crossing, knockdown, or knockin of genes continues to provide improved tools for studying DN. These models provide an opportunity to search for new mechanisms involving the development of DN, but their shortcomings should be recognized as well. Moreover, it is important to recognize that the genetic background has a substantial effect on the susceptibility to diabetes and kidney disease development in the various models of diabetes.

CONCLUSIONS: The mixing behaviour in this contactor approximated

CONCLUSIONS: The mixing behaviour in this contactor approximated a mixed flow behaviour. The three phase PPC was found to outperform many other kinds of three phase contactors in terms of solid liquid mass transfer characteristics. Empirical correlations developed can be used for the determination of solid-liquid mass transfer coefficients for three phase PPC and hence can facilitate the design, scale-up and modeling of these columns, when used as chemical or biochemical reactors. (C) 2011 Society of Chemical Industry”
“Pulmonary artery banding (PAB) is used as a surgical palliation to reduce excessive pulmonary blood flow caused

by congenital heart defects. Due to the lack of microscopic studies dealing with the tissue remodeling

caused by contemporary PAB materials, this study aimed to assess histologic changes associated with PAB surgery by analyzing local tissue reaction to the presence of selleck chemical Gore-Tex strips fixed around the pulmonary artery. Gore-Tex strips were used for PAB in a growing porcine model. After 5 weeks, histologic samples with PAB (n = 5) were compared with healthy pulmonary arterial segments distal to the PAB or from a sham-treated animal (n = 1). Stereology was used to quantify the density of the vasa vasorum and the area fraction of elastin, smooth muscle actin, macrophages, and nervi vasorum within the pulmonary arterial wall. The null hypothesis stated that samples compound screening assay Cl-amidine chemical structure did not differ histopathologically from adjacent vascular segments or sham-treated samples. The PAB samples had a greater area fraction of macrophages, a lower amount of nervi

vasorum, and a tendency toward decreased smooth muscle content compared with samples that had no PAB strips. There was no destruction of elastic membranes, no medionecrosis, no pronounced inflammatory infiltration or foreign body reaction, and no vasa vasorum deficiency after the PAB. All the histopathologic changes were limited to the banded vascular segment and did not affect distal parts of the pulmonary artery. The study results show the tissue reaction of palliative PAB and suggest that Gore-Tex strips used contemporarily for PAB do not cause severe local histologic damage to the banded segment of the pulmonary arterial wall after 5 weeks in a porcine PAB model.”
“Microfluidic devices on chip-based systems are becoming increasingly popular, because of many advantages, like low mobile phase consumption and greatly reduced analysis times. The ultimate goal is to design all-including lab-on-a-chip tools that can be employed in the field and that integrate all elements necessary for an analysis, e. g. one or more separation channels, (multiple) detectors, mixing chambers and sample pretreatment areas. The chip format permits to make any channel pattern, rendering the applications of lab-on-a-chip unlimited.


“Poly(o-toluidine) (POT) has been electrodeposited on bras


“Poly(o-toluidine) (POT) has been electrodeposited on brass from an aqueous salicylate solution

by using cyclic voltammetry, and its corrosion protection performance has been evaluated by potentiodynamic polarization technique and electrochemical impedance spectroscopy in aqueous 3% NaCl solution. The corrosion potential was about 0.115 V vs. SCE more positive for the POT-coated brass than that of uncoated brass and reduces the corrosion rate of brass almost by a factor of 800. (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 118: CGP 41251 2084-2091, 2010″
“The curing behavior and kinetics of epoxy resin with diaminodiphenylmethane (DDM) as the curing agent was studied by many researchers, however all of them prepared the system at a high-temperature condition (i.e., T >= 80 degrees C). Tariquidar solubility dmso In this study, a mixture of epoxy/DDM was prepared at ambient temperature and its curing characteristics were studied by using differential scanning calorimetry (DSC). The autocatalytic model was used to calculate the kinetic factors in the dynamic experiments. The kinetics of the curing reaction was also evaluated by two different isoconversional models; namely Friedman method and the Advanced isoconversional method

proposed by Vyazovkin to investigate the activation energy behavior during the curing reaction. The activation energy of the curing reaction was found to be in the range of 48 +/- 2 kJ/mol and might be considered to be constant during the curing. In fact, our findings were different from the result reported by other researchers for the system which was prepared at elevated temperature. Therefore, it seems that the preparation temperature of the samples influenced considerably on the curing behavior of epoxy with DDM. Finally, a time-temperature-transformation (TTT) diagram was established to determine the cure process and glass transition properties of the system. (C) 2010 Wiley Periodicals, Inc. J Appl Polym Sci 118: 2092-2099, 2010″
“Study Design. Surgeon completed questionnaire.

Objective.

To determine information provided by spine surgeons to patients, part of a 4-part study determining the CCI-779 datasheet impact of patient expectations on outcome following spinal trauma.

Summary of Background Data. An important goal of treatment is patient satisfaction, which may be influenced by patient expectations. Impact of patient expectations on outcome has been demonstrated in various elective orthopedic populations. It is anticipated that there will be similar, if not greater, impact on outcome in a trauma setting.

Methods. A questionnaire was developed, in a case-based format, to determine the information provided by spine surgeons to their patients. There were 3 questionnaires, each consisting of 5 cases and grouped by cervical spine trauma, thoracolumbar spine trauma, and spinal cord injury. These questionnaires were distributed to members of the Spine Trauma Study Group and our division.

We compared accuracy of emotion recognition of facial expressions

We compared accuracy of emotion recognition of facial expressions portraying six basic emotions (measured with the Ekman Faces Test) between polysubstance abusers (PSA, n = 65) and non-drug using comparison individuals (NDCI, n = 30), and used regression models to explore

the association between quantity and duration of use of the different drugs co-abused and indices of recognition of each of the six emotions, while controlling for relevant socio-demographic and affect-related confounders. Results showed: (i) that PSA had significantly poorer recognition than NDCI for facial expressions of anger, disgust, fear and sadness; (ii) that measures of quantity and duration of drugs used significantly predicted GW4869 poorer discrete emotions recognition: quantity of cocaine use predicted poorer anger recognition, and duration Caspase inhibitor of cocaine use predicted both poorer anger and fear recognition. Severity of cocaine use also significantly predicted overall recognition accuracy. (C) 2009 Elsevier Ireland Ltd. All rights reserved.”
“The National Cancer Institute’s Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) is a library of question

items that enables patient reporting of adverse events (AEs) in clinical trials. This study contributes content validity evidence of the PRO-CTCAE by incorporating cancer patient input of the relevance and comprehensiveness of the item library.

Cognitive interviews were conducted among patients undergoing chemotherapy or radiation therapy at multiple sites to evaluate comprehension, memory retrieval, judgment, and response mapping related to AE terms (e.g., nausea), attribute terms (regarding BX-795 frequency, severity, or interference), response options, and recall period. Three interview rounds were conducted with a parts per thousand yen20 patients completing each item per round. Items were modified and retested

if a parts per thousand yen3 patients exhibited cognitive difficulties or if experienced by a parts per thousand currency sign25 % patients.

One hundred and twenty-seven patients participated (35 % a parts per thousand currency signhigh school, 28 % non-white, and 59 % female). Most AE terms (63/80) generated no cognitive difficulties. The remaining 17 were modified without further difficulties by Round 3. Terms were comprehended regardless of education level. Attribute terms and response options required no modifications. Patient adherence to recall period (7 days) was improved when the reference period was incorporated.

This study provides evidence confirming comprehension of the US English language versions of items in the PRO-CTCAE library for measuring symptomatic AEs from the patient perspective within the context of cancer treatment.

In this study, 82 top-canopy leaves of Zheza205 and 86 top-canopy

In this study, 82 top-canopy leaves of Zheza205 and 86 top-canopy leaves of Zheza207 were measured in visible-NIR reflectance mode. Discriminant models were developed using principal component analysis (PCA), discriminant analysis (DA), and discriminant partial

least squares (DPLS) regression methods. After outliers detection, the samples were randomly split into two sets, one used as a calibration set (n=82) and the remaining samples as a validation set (n=82). When predicting the variety YM155 of the samples in validation set, the classification correctness of the DPLS model after optimizing spectral pretreatment was up to 93%. The DPLS model with raw spectra after multiplicative scatter correction and Savitzky-Golay filter smoothing pretreatments had the best satisfactory calibration and prediction abilities (correlation coefficient of calibration (R (c))=0.920, root mean square errors SNX-5422 cost of calibration=0.196, and root mean square errors of prediction= 0.216). The results show that visible-NIR

spectroscopy might be a suitable alternative tool to discriminate tomato plant varieties on-site.”
“Stacked multichannel or nanowire CMOS transistors are foreseen as viable options in future technology nodes. Superior electric performances and a relative immunity to short channel effects have already been demonstrated in such devices. They rely on (i) the epitaxy of SiGe/Si superlattices, (ii) the anisotropic etching of the source and drain (S/D) blocks and the channels, and (iii) the high degree of selectivity that can be achieved when laterally etching Z-DEVD-FMK nmr the SiGe sacrificial layers. The voids left by the removal of SiGe are then conformally filled by HfO2/TiN/poly-Si gates, leading to the formation of multichannel devices. Doping elements can be included in situ in the SiGe layers during the epitaxial step in order to achieve a proper S/D doping after annealing. Precise knowledge of the diffusion behavior of all species is then crucial to understand and tailor final device performance. In this work, we

investigated the properties of intrinsic or in situ doped (with B, C, or P) SiGe/Si superlattices upon annealing, using several characterization techniques, such as x-ray diffraction, x-ray reflectivity, time-of-flight-secondary ion mass spectrometry, and dark-field electron holography; as well as diffusion simulation tools such as S-PROCESS. The combined analysis and simulation approaches allowed a complete characterization of the studied structures upon annealing. In the first step, the diffusion of both germanium and dopants was observed experimentally and quantified with simulation. Their diffusion mechanisms were also studied. In the second step, the evolution of the strain distribution upon annealing was experimentally monitored and simulated to quantify the strain relaxation in such structures.

In multivariate linear regression analysis, the %BF from equation

In multivariate linear regression analysis, the %BF from equation (5) was associated with TG, diastolic blood pressure, and insulin in G1. Among the G2 adolescents, the %BF estimated by (5) and (9)

was associated with LDL, TG, insulin, and the HOMA-IR. Body fat anthropometric equations were associated with cardiovascular risk factors and should be used to assess the nutritional status of adolescents. In this study, equation (5) was associated with a higher number of cardiovascular risk factors independent of the nutritional status of adolescents.”
“Background: Multiple sclerosis (MS) is a chronic neurological disease that affects 240 per 100 000 Canadians. Of these patients, 10-80% (average 70%) experience pain. Sativex (R) is a cannabis-based drug recently approved for neuropathic pain.

Objectives: In this study, we determine individuals’ preferences between two treatment Selleck Salubrinal options as well as the willingness to pay (WTP) for Sativex (R), expressed as the amount they would pay in insurance premiums GSK2879552 to have access to that treatment.

Methods: The WTP instrument comprised a decision board as a visual

aid, and a questionnaire. A decision board helps clinicians standardize the presentation of treatment information. In this study, the decision board described two treatment options: a three-drug combination (gabapentin, amytriptyline, acetaminophen [paracetamol] i.e. pills) and the three-drug combination plus Sativex (R) (i.e. ‘pills and oral spray’).

Information on efficacy and adverse effects was taken from trial data; wording was guided by a panel of neurologists and tested for clarity on lay people. The instrument was administered to 500 participants from Canada’s general population using the bidding game approach. Descriptive statistics were calculated.

Results: Mean (SD) age of participants was 39 (13) years, with a female: male distribution of 56: 44. The decision board was presented in both English (85%) and French (15%). Of 500 interviewees, 253 (50.6%) chose the ‘pills and oral spray’. Mean monthly WTP for the insurance premium for those who chose the ‘pills and oral spray’ LY411575 price was $Can8 (SD +/- 15, median 4, range 0-200).

Conclusions: Assuming that 51 % of the general population are willing to pay additional premiums as reported in this study, the premiums collected would cover the cost of Sativex (R) for all Canadian MS patients experiencing pain, with a surplus.”
“In the present study we evaluated in vivo and in vitro effects of 4-tert-octylphenol (OP) on the expression and distribution of adherens and gap junction proteins, N-cadherin, beta-catenin, and connexin 43 (Cx43), in testes of seasonally breeding rodents, bank voles. We found that in bank vole testes expression and distribution of N-cadherin, beta-catenin, and Cx43 were photoperiod dependent. Long-term treatment with OP (200 mg/kg b.w.) resulted in the reduction of junction proteins expressions (P < 0.05, P < 0.

The observed changes in the optoelectronic properties are attribu

The observed changes in the optoelectronic properties are attributed to the modification in the atomic bonding structures, which were induced by N incorporation, accompanied by an increase in the sp(2) carbon bonding configurations and their relative disorder. The electrical conductivity variation was interpreted in terms of local effects on the nature and energy distribution of pi and pi* states. (C) 2010 American Institute of Physics. [doi: 10.1063/1.3462442]“
“Potato

(Solanum tuberosum L.) periderm is composed of the meristematic phellogen that gives rise to an external layer of suberized phellem cells (the skin) and the internal parenchyma-like phelloderm. The continuous addition of new skin layers and the sloughing of old surface SRT2104 order layers during tuber maturation results in smooth, shiny skin. However, smooth-skin varieties frequently develop unsightly russeting in response to high soil temperatures. Microscopic observation of microtubers exposed to high temperatures (37 degrees C) suggested heat-enhanced development and accumulation of suberized skin-cell layers. To identify the genes involved in the periderm response to heat stress, Selleck PXD101 skin and phelloderm samples collected separately from immature tubers exposed to high soil temperatures (33 degrees C) and controls were subjected to transcriptome profiling using a potato

cDNA array. As expected, the major functional group that was differentially expressed SBE-β-CD in both skin and phelloderm consisted of stress-related genes; however, while the major up-regulated phelloderm genes coded for heat-shock proteins, many of the skin’s most up-regulated sequences were similar to genes involved in the development of protective/symbiotic membranes during plant-microbe interactions.

The primary activities regulated by differentially expressed peridermal transcription factors were response to stress (33%) and cell proliferation and differentiation (28%), possibly reflecting the major processes occurring in the heat-treated periderm and implying the integrated activity of the stress response and tissue development. Accumulating data suggest that the periderm, a defensive tissue, responds to heat stress by enhancing the production and accumulation of periderm/skin layers to create a thick protective cover. Skin russeting may be an indirect outcome; upon continued expansion of the tuber, the inflexible skin cracks while new layers are produced below it, resulting in a rough skin texture.”
“Sacral neuromodulation is an established treatment modality for urge incontinence, urinary retention, and urgency/frequency syndromes. Potential indications as well as approved indications will be reviewed with emphasis on clinical characteristics that predict success. Therapeutic trial-either a peripheral nerve evaluation or a staged implant-remains the most accurate predictor of success.

The control group did not change their diet

The DASH-

The control group did not change their diet.

The DASH-diet group complied with the diet as shown by significant reductions in systolic (P<0.001) and diastolic (P=0.005) BP, and in plasma C-reactive protein (P<0.01), LDL-cholesterol (P<0.01) and apolipoprotein B (P=0.001), a novel finding. Body weight changed by <1 kg. There were no changes in the control group. FG 4592 We found no changes in FMD, or in ATBF, in the DASH-diet

group, although heart rate fell (P<0.05). Glucose and insulin concentrations did not change. In this small-scale study, the DASH diet lowered BP independently of peripheral mechanisms. Journal of Human Hypertension (2010) 24, 312-319; doi:10.1038/jhh.2009.65; published online 6 August 2009″
“Major depression is a common diagnosis in older individuals. The authors present preliminary findings on the response to sertraline in depressed BEZ235 mw elderly patients with and without dementia. Previous research on antidepressant treatment in elderly patients suggests that it is effective in treating depression. The authors followed depressed patients with and without dementia. Treatment response was more marked in the subgroup without dementia, but

there was no statistically significant difference in response between the two subgroups. Depressed elderly patients with dementia may improve on antidepressant treatment, although treatment response may be less robust than in depressed patients without dementia. (The Journal of Neuropsychiatry and Clinical Neurosciences 2011; 23:358-361)”
“The dielectric, electrical and structural properties of (1-x) (0.94Bi(1/2)Na(1/2)TiO(3)-0.06BaTiO(3))-xK(0.5)Na(0.5)NbO(3) (BNT-BT-xKNN) with x=0.09, 0.12, 0.15, and 0.18 were investigated as potential candidates for high-temperature capacitors with a working temperature far beyond 200 degrees C. Temperature dependent dielectric permittivity (epsilon) showed

two local broad maxima that at the optimal composition of KNN (x=0.18) are combined to form a plateau. This then results in a highly temperature-insensitive permittivity up to similar to 300 degrees C at the expense of a small reduction in absolute permittivity values. High-temperature in situ x-ray diffraction study showed pseudocubic symmetry without obvious structural changes, which implies that the dielectric anomalies observed could only be a consequence of a slight change in selleck compound space group. BNT-BT-0.18KNN showed a permittivity of similar to 2150 at the frequency of 1 kHz at 150 degrees C with a normalized permittivity epsilon/epsilon(150 degrees C) varying no more than +/- 10% from 43 to 319 degrees C. With very good electrical properties persisting up to 300 degrees C, i.e., a resistivity on the order of magnitude of 10(8) Omega m and the RC constant of about 1 s, the examined BNT-BT-xKNN compositions present a good starting point for the development of high-temperature capacitor materials. (C) 2011 American Institute of Physics.

This was a retrospective clinical analysis

of 89 patients

This was a retrospective clinical analysis

of 89 patients who underwent hysteroscopic adhesiolysis by monopolar electrode knife. A second-look office hysteroscopy was performed in all cases after 2 months. On second-look hysteroscopy, 12 patients showed reformation of adhesions and needed a repeat procedure.

The mean age of the patient was 28.4 years. In the majority (64%) of patients, the possible cause of Asherman’s syndrome Buparlisib order was previous curettage on gravid uterus. The overall conception rate was 40.4% after hysteroscopic adhesiolysis. The mean conception time after surgery was 12.8 months. There was no conception in patients who needed repeat adhesiolysis. The conception rate was higher (58%) in mild Asherman’s syndrome compared to 30% conception rate in moderate and 33.3% conception rate in severe cases. There was no significant association between conception rate and preoperative menstrual pattern. There was significant higher likelihood

of conception rate (44.3%) in those who continued to have improved menstrual pattern compared to only 10% likelihood of conception in those who continued to have amenorrhea after adhesiolysis. The live birth rate was 86.1% and miscarriage rate was 11.1%. Cumulative pregnancy rate showed that 97.2% patients conceived within 24 months. There was increased incidence (43.8%) of cesarean section. Four (12.5%) patients had postpartum hemorrhage for adherent placenta.

Hysteroscopic adhesiolysis for Asherman’s syndrome LY3023414 datasheet is a safe and effective method of choice for restoring menstrual function buy 17DMAG and fertility.”
“To

study the efficacy and safety of performing anterior mesh (Perigee) with vaginal reconstructive surgeries (sacrospinous ligament fixation) for treatment of advanced prolapse.

One hundred twenty-eight patients, POP-Q stage III (n = 85) or IV (n = 43), underwent surgery. The objective cure was defined as less than stage 2 prolapse. Introital ultrasonography was used for mesh morphological evaluation.

Post-operative data were available for 120 patients. At 30 months, the objective cure was 91.8%. The subjective cure was 93.3% on POPDI-6 feedback. No apical and anterior recurrence was observed. Surgical complications were minor. Five cases (4.1%) of mesh extrusion was observed. Mesh shortening, shrinkage, and thickening was also observed.

The combination of anterior vaginal mesh and vaginal reconstructive surgery appears to be a safe and effective in restoring the anatomy and achieving favorable pelvic function. The anterior mesh deployed seems to cover a lesser area than anticipated. A longer period of follow-up is necessary to confirm its efficacy.”
“Study Design. In vitro human cadaveric biomechanical study.

Objective. This study quantifies the multidirectional flexibility of the spine following laminoplasty and laminectomy after cervical disc arthroplasty.

Summary of Background Data.