Methods: Neurocognitive functioning and psychopathology were

\n\nMethods: Neurocognitive functioning and psychopathology were assessed in (i) 76 patients with bipolar disorder, (ii) 39 of their healthy first-degree relatives, and (iii) 61 healthy controls. Cognitive performance of bipolar patients and their. rst-degree relatives was investigated, taking into account the possible moderating effect of the level of expression of psychosis in patients and relatives.\n\nResults: Bipolar patients showed impaired cognitive performance

on multiple cognitive domains, whereas performance of their relatives was comparable to that of controls. A history of psychotic symptoms in patients was suggestive of less likelihood of cognitive alterations in relatives, and the presence of subclinical 3-deazaneplanocin A chemical structure psychotic symptoms within the group of relatives predicted better cognitive performance.\n\nConclusions: The finding of similar psychosis-cognition associations in bipolar disorder as implied by the two pathways leading to nonaffective psychotic disorders suggests that this model might be extended to the continuum spanning affective and nonaffective psychosis. This is in line with the idea of a partially overlapping vulnerability to bipolar disorder and schizophrenia and provides an explanation for the apparent differences in cognitive alterations

in those at risk for the two disorders.”
“We investigated the effects of honey and its methanol and ethyl acetate extracts on inflammation in animal models. Rats’ paws were induced GDC-0994 with carrageenan in the non-immune inflammatory and nociceptive model, and lipopolysaccharide (LPS) in the immune inflammatory model. Honey and its extracts were able to inhibit edema and pain in inflammatory tissues as well as showing potent inhibitory activities against NO and PGE(2) in both models. The decrease in edema and pain correlates

with the inhibition of NO and PGE(2). Phenolic P505-15 cost compounds have been implicated in the inhibitory activities. Honey is potentially useful in the treatment of inflammatory conditions. (C) 2010 Elsevier B.V. All rights reserved.”
“The objective was to identify legume shrub species for development of agroforestry technologies based on seed and forage (leaves and twigs < 10 mm diameter)yield, and determinants of forage quality. Ten individual plants of Bituminaria bituminosa ‘Ecotypes 1′, B. bituminosa ‘Ecotypes 2′, Medicago citrina, and M. arborea from Spain; Colutea istria and Onobrychis aurantiaca from Syria; C. istria from Jordan; Chamaecytisus moths from Morocco; and Coronilla glauca from France were randomly selected from plots established in a nontropical dryland environment in northwest Syria in 2000. Five individual plants of each species were cut back to 0.5 m above ground in March 2004.

Comet assay revealed that E(2)-treatment also induced formation o

Comet assay revealed that E(2)-treatment also induced formation of comet cells, indicating that E(2) caused DNA damage to the NRP-152 cells. Our present findings demonstrated that in vitro E(2) exposure could neoplastically transform the rat prostatic epithelial cells, indicating that E(2) is carcinogenic to the prostatic epithelial cells. (C) 2011 Elsevier Ireland Ltd. All rights reserved.”
“Acquired resistance to tamoxifen has become a Serious obstacle in breast cancer treatment. The underlying mechanism responsible

for this condition has not been completely elucidated. In this Study, a tamoxifen-resistant (Tam-R) MCF-7 breast cancer cell line was developed to mimic the occurrence LY-374973 of acquired tamoxifen resistance as seen in clinical practice. Increased expression levels of HER1, HER2 and the estrogen receptor (ER)-AIB1 complex were found in tamoxifen-resistant cells. EGF stimulation and gefitinib inhibition experiments further demonstrated that HER1/HER2 signaling and AIB1 were involved in the proliferation of cells that had acquired Tam resistance. However, when AIB1 was silenced with AIB1-siRNA in Tam-R cells, the cell Selleckchem CBL0137 growth Stimulated by the HER1/HER2 signaling pathway was significantly reduced, and the cells were again found to be inhibited by tamoxifen. These results suggest that the AIB1 protein Could be a limiting factor in the HER1/HER2-mediated hormone-independent

growth of Tam-R cells. Thus, AIB1 may be a new therapeutic target, and the removal of AIB1 may decrease the crosstalk between ER and the HER1/HER2 pathway, resulting in the restoration of tamoxifen sensitivity in tamoxifen-resistant cells. (C) 2009 Elsevier Inc. All rights reserved.”
“A major characteristic of Alzheimer’s disease selleck screening library is the presence of amyloid beta (A beta) oligomers and aggregates in the brain. A beta oligomers interact with the neuronal membrane inducing perforations, causing an influx of calcium ions and increasing the release of synaptic vesicles that leads to a delayed synaptic failure by vesicle depletion. Here, we identified

a neuroprotective pentapeptide anti-A beta compound having the sequence of the glycine zipper region of the C-terminal of A beta (G33LMVG37). Docking and Forster resonance energy transfer experiments showed that G33LMVG37 interacts with A beta at the C-terminal region, which is important for A beta association and insertion into the lipid membrane. Furthermore, this pentapeptide interfered with A beta aggregation, association, and perforation of the plasma membrane. The synaptotoxicity induced by A beta after acute and chronic applications were abolished by G33LMVG37. These results provide a novel rationale for drug development against Alzheimer’s disease. (C) 2013 Elsevier Inc. All rights reserved.”
“Niemann-Pick disease type C (NPC) is a progressive neurodegenerative disorder for which there is no effective treatment other than supportive therapy.

RESULTS Mean follow-up duration was 24 +/- 6 months Mean ET

\n\nRESULTS. Mean follow-up duration was 24 +/- 6 months. Mean ETDRS score increased from 14.0 +/- 23.4 preoperatively to 31.+/- 6 23.8 at 18 months postoperatively (P < 0.05). Of 14 eyes, 5 (36%) presented with central fixation postoperatively,

whereas only 3 (21%) eyes presented with central fixation preoperatively. Ten grafts (71%) showed normal RPE color. Postoperative complications included one (7%) retinal detachment due to proliferative vitreoretinopathy and one (7%) delayed recurrent submacular hemorrhage.\n\nCONCLUSIONS. Transplantation of an autologous simple RPE sheet for eyes with massive submacular hemorrhage associated with PED was achieved with a simplified surgical procedure, resulting in increased postoperative visual acuity.”
“The aim of this article was to click here perform a check details detailed methodological review of models used to estimate the cost effectiveness of drug treatment regimens for HIV infection in Europe and North America and assess the relationship between the different modeling approaches or key structural assumptions and the results. Electronic searches in three databases (MEDLINE, EMBASE, and the Cochrane Library)

identified the cost-effectiveness models. Modeling approaches and structural assumptions were abstracted for all models. For three case studies of multiple analyses that compared the cost effectiveness of two drug regimens using the same clinical data inputs, differences in results were compared with differences in modeling approaches and structural assumptions. Forty-one model publications were reviewed. Recent models included Monte Carlo simulations, Markov models, or discrete-event simulation models, all including multiple lines of therapy and capturing

the long-expected duration of efficacy of highly active antiretroviral therapy. In the three case studies, assumptions about the duration of efficacy after the trial time period, whether differences PXD101 concentration between the two regimens persist after the trial time period, the sequence of regimens after initial regimen failure, and the cost and utility assigned to adverse events, but not the modeling approach, were the most important factors in explaining differences in the results. As the models and treatment pathways get more complex, models should be validated using clinical trial data and local observational databases. The results of sensitivity analyses testing the impact of the structural assumptions that might change the results as identified in this review should also be presented in modeling papers.”
“Upper gastrointestinal bleeding (UGIB) remains a common disease affecting 100 to 170 per 100 000 adults per year and causing thereby a significant burden to healthcare resources. Despite the improvements in the management of this disorder, the associated mortality ranges from 5 to 14%.

This hybrid concept can be seen as a transition into the emerging

This hybrid concept can be seen as a transition into the emerging field of NOTES in

colorectal surgery. (C) 2012 Elsevier Inc. All rights reserved.”
“Background: Data are lacking on the utility of real-time three-dimensional (3D) echocardiography (RT3DE) in congenital abnormalities of the atrioventricular (AV) valves. The purpose of this study was to determine whether transthoracic RT3DE is superior to combined transthoracic echocardiography and two-dimensional (2D) transesophageal echocardiography in determining mechanisms and sites of AV valve regurgitation in congenital heart disease.\n\nMethods: Selleck Copanlisib Between January 2005 and November 2007, 48 consecutive patients were studied prior to AV valve repair (22 left AV valves and 26 tricuspid valves) using 2D transthoracic echocardiography, 2D transesophageal echocardiography, and transthoracic RT3DE. Ages ranged from 24 days to 30 years. The 2D data were reviewed by blinded observers, and the real-time SB525334 purchase 3D data by a separate observer. In all patients, surgical findings were documented by a surgical report, while in 40, video recordings were also available. Surgical findings were used as the reference standard for structural abnormalities; RT3DE was the reference standard

for the site of AV valve regurgitation.\n\nResults: Compared with 2D echocardiography, RT3DE provided superior detail of the mural leaflet and anterior commissural abnormalities for the left AV valve. For the tricuspid valve, improved detection of leaflet abnormalities, β-Nicotinamide supplier prolapse of the anterior and posterior leaflets, and commissural pathology was observed by RT3DE. Apart from a central location, surgical saline testing correlated poorly with jet location on RT3DE.\n\nConclusion: RT3DE provides complementary information as to the mechanisms and sites of AV valve failure in congenital heart disease. (J Am Soc Echocardiogr 2010;23:726-34.)”
“A synthesis route, based on a hydrothermal treatment of an

amorphous PbTiO3 precursor at 180 degrees C, has been developed to grow hierarchical PbTiO3 nanostructures on single-crystal SrTiO3 substrates. Initially, highly oriented PbTiO3 platelets grew parallel to the (100) substrate orientations. PbTiO3 nanorods with squared cross-section were shown to grow perpendicular out of the platelets. The length of the rods could be controlled by the vertical position of the substrate in the autoclave. Furthermore, changing the crystallographic orientation of the substrate resulted in a systematic change in the orientation of the nanorods. Finally, growth of PbTiO3 nanorods perpendicular to the substrate surface was demonstrated by hindering the initial growth of PbTiO3 platelets.”
“Non-thermal gas discharge plasmas have significant potential as novel sterilization/decontamination agents in medical device manufacturing, and such agents may well be accepted by regulatory agencies.

(C) 2014 The Royal Society for Public Health Published by Elsevi

(C) 2014 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.”
“Background: The regulation of gene expression at the transcriptional level is a fundamental process in prokaryotes. Among the different kind of mechanisms modulating gene Ruboxistaurin research buy transcription,

the one based on DNA binding transcription factors, is the most extensively studied and the results, for a great number of model organisms, have been compiled making it possible the in silico construction of their corresponding transcriptional regulatory networks and the analysis of the biological relationships of the components of these intricate networks, that allows to elucidate the significant aspects of their organization and evolution. Results: We present a thorough review of each regulatory element that constitutes the transcriptional regulatory network of Bacillus subtilis. For facilitating

the discussion, we organized selleck inhibitor the network in topological modules. Our study highlight the importance of sigma factors, some of them acting as master regulators which characterize modules by inter- or intra-connecting them and play a key role in the cascades that define relevant cellular processes in this organism. We discussed that some particular functions were distributed in more than one module and that some modules contained more than one related function. We confirm that the presence of paralogous proteins confers advantages to B. subtilis to adapt and select strategies to successfully face the extreme and changing environmental conditions in which it lives. Conclusions: The intricate organization is the product of a non-random network evolution that primarily follows a hierarchical organization based on the presence of transcription and sigma factor, which is

reflected in the connections that exist within and between modules.”
“The taxonomy, anatomy, life cycle and ecology of Pyroglyphidae mites and strorage mites (Acaridae, Glycyphagidae, B.tropicalis) are described. Morphologies are quite similar but fecundity is superior in storage mites compared to the Pyroglyphides. Relative humidity is the main parameter, which regulates mite find more development. Bedding is the ecological niche of Pyroglyphidae which feed on human skin. Food products are the storage mites biotope from which they can spread in urban dwellings. B.tropicalis, in tropical regions is a true domestic mite. Since 1988, molecular knowledge has considerably increased and structures and functions have been determined for most of mite allergens. Of the 23 denominated allergens, the major IgE-binding has been reported for groups 1 and 2 accounting for 40-60% of the anti-house dust mite titers. Der p 1, 2, 4, 5, 7 allergens account for about 80% of the IgE-response. The IgE-binding to groups 3, 8, 10, 20 is low. Most allergens are proteolytic enzymes: Der p1 for instance is a cysteine protease.

Through ex vivo incubation and imaging with CLSM, we showed that

Through ex vivo incubation and imaging with CLSM, we showed that fluorescently

labeled IL-10 is internalized check details by AS plaques, and a low signal is detected in both the less injured aortic surfaces and the arteries of wild-type mice. In vivo experiments included intravenous injections of (i) fluorescent IL-10, (ii) IL-10 targeted carboxyfluorescin (CF-) labeled stealth liposomes, and (iii) untargeted CF-labeled stealth liposomes. Twenty-four hours after injection the arteries were dissected and imaged ex vivo. Compared to free IL-10, we observed a markedly stronger fluorescence intensity with IL-10 targeted liposomes at AS plaque regions. Moreover, untargeted CF-labeled Liposomes showed only weak, unspecific binding. Neither free IL-10 nor IL-10 targeted liposomes showed significant immune reaction when injected into wild-type mice. Thus, the combined use of specific anti-inflammatory

proteins, high payloads of contrast agents, and liposome particles should enable current imaging techniques to better recognize and visualize AS plaques for research and prospective therapeutic strategies.”
“Aims: The purpose of this study was to evaluate the therapeutic potential of the helenalin in Toll-like receptor (TLR) signaling pathways.\n\nMain methods: RAW264.7 cells were transfected with a NF-kappa B, IFN beta PRDIII-I, or IP-10 Selleck JQ-EZ-05 luciferase plasmid and then luciferase enzyme activities were determined by luciferase assay. The expression of iNOS, COX-2, and IF-ID and phosphorylation of IRF3 were determined by Western blotting. The levels of IP-10 were determined with culture medium by using IP-10 ELISA kit. TBK1 kinase activity was determined by MBP assay kit.\n\nKey findings: Helenalin inhibited transcription factor NF-kappa https://www.selleckchem.com/products/gilteritinib-asp2215.html B and IRF3 activation, which was induced by TLR agonists as well as its target genes, such as COX-2, iNOS, and

IP-10. Helenalin attenuated ligand-independent activation of NF-kappa B induced by MyD88, IKK beta, and p65, and IRF3 induced by TRIF, TBK1, or IRF3. Furthermore, helenalin inhibited TBK1 kinase activity in vitro.\n\nSignificance: TLRs are primary sensors that detect a wide variety of microbial components and play an important role in the induction of innate immune. To evaluate the therapeutic potential of helenalin, we examined its effect on signal transduction via the TLR signaling pathways. Our results suggest that beneficial effects of helenalin on chronic inflammatory diseases are mediated through modulation of TLR signaling pathways by targeting TBK1. (C) 2013 Elsevier Inc. All rights reserved.”
“There is evidence that pain can impact cognitive function in people.

Results: Potassium citrate treated crew members had decreased

\n\nResults: Potassium citrate treated crew members had decreased urinary calcium excretion and maintained the calcium oxalate supersaturation risk at preflight levels compared to check details that in controls. Increased urinary pH in the treatment group decreased

the risk of uric acid stones.\n\nConclusions: Results from this investigation suggest that supplementation with potassium citrate may decrease the risk of renal stone formation during and immediately after spaceflight.”
“Cognitive insight refers to awareness of one’s own thinking. Research has found deficits in cognitive insight in schizophrenia but studies of its links with positive symptoms and delusions have been equivocal. One

possibility is that the association of cognitive insight with positive symptoms and delusions is moderated by other factors. To explore this issue this study examined whether level of socially naive self-appraisal moderated the relationship of two forms of cognitive insight, self-reflectivity and self-certainty with delusions and positive symptoms. Participants were 92 adults, with diagnoses of schizophrenia or schizoaffective disorder, who were administered the Positive and Negative Syndrome Scale, self-deceptive subscale from the Marlowe-Crowne Social Desirability Scale and the Beck Cognitive Insight Scale. Stepwise multiple regressions with the interaction Elafibranor term of the predictive and moderator variables suggested that social naivete moderates the relationship between self-reflectivity and self-certainty with positive symptoms in general. Moreover, association between self-certainty and delusions was also moderated by social naivete self-appraisal. All models were significant after controlling P5091 solubility dmso for willful impression management as well as a measure of executive function. Results suggest that higher levels of self-certainty are a risk factor for having greater positive symptoms including more severe levels of delusions, when one has a view of oneself that is not tempered

by the perceptions of others. Concerning lower levels of self-reflectivity it may be that this combined with a socially naive view of oneself leaves persons less inhibited when they are tempted to accept unusual thoughts and perceptions as accurate. Implications for treatment are discussed. Published by Elsevier B.V.”
“Gatekeeping procedures have been developed to solve multiplicity problems arising in clinical trials with hierarchical objectives where the null hypotheses that address these objectives are grouped into ordered families. A general method for constructing multistage parallel gatekeeping procedures was proposed by Dmitrienko et al. (2008). The objective of this paper is to study two related classes of parallel gatekeeping procedures.

Pemphigus has three major variants: pemphigus vulgaris, pemphigus

Pemphigus has three major variants: pemphigus vulgaris, pemphigus foliaceus and paraneoplastic pemphigus and is characterized by autoantibodies directed against the cell surface of keratinocytes, producing acantholysis that in turn leads to intraepithelial blisters in the skin and/or mucous membranes.

In bullous pemphigoid, the autoantibodies are present at the dermo-epidermal junction and attack the hemidesmosomes, causing subepidermal blister formation. The classification of the major variants of both the pemphigus group and bullous pemphigoid small molecule library screening can be based on the combination of clinical, histopathological and immunopathological criteria. Many tools are available for the diagnosis of these entities including biopsy, direct and indirect immunofluorescence, immunoprecipitation, immunoblotting and ELISA. However, currently there are no generally accepted criteria for the diagnosis GSK1120212 purchase of these disorders. The present review provides a proposal for diagnostic criteria. (C) 2014 Elsevier B.V. All rights reserved.”
“Background: Low birthweight should be identified early, even in developing countries where birthweight cannot be easily measured due to the absence of scales and trained staff. This meta-analysis evaluated and compared the use of other anthropometric measurements

at birth to predict low birthweight.\n\nMethods: All studies of medium to high quality (Quality Assessment of Diagnostic Accuracy Studies score >= 8) published in English were included. Bivariate random-effects meta-analysis and hierarchical summary receiver operating characteristic curves were used.\n\nResults: A total of 69 studies evaluated foot length or the circumference of the chest, (mid-upper) arm, or thigh = 8, 25, 30, and 6, respectively). Chest circumference and arm circumference had areas under the curve >0.9 (0.95 for both), pooled positive likelihood

ratios >5 (8.7 and 10.3, respectively), and negative likelihood ratios <0.2 (0.13 and 0.17, respectively); thigh circumference and foot length were less accurate. There GM6001 was no substantial difference between chest and arm circumference with respect to pooled sensitivity (0.88 vs. 0.84, P = 0.505), specificity (0.90 vs. 0.92, P = 0.565), or diagnostic odds ratio (67 vs. 60, P = 0.552). However, as compared with arm circumference, chest circumference showed greater clustering of observations on the hierarchical summary receiver operating characteristic curve and narrower 95% confidence and prediction regions.\n\nConclusions: Chest circumference and arm circumference have similarly high, although not confirmative, accuracy in predicting low birthweight; however, chest circumference appears to be more precise.

These effects of hesperidin glycosides were partly produced by al

These effects of hesperidin glycosides were partly produced by altering the expression of genes encoding the peroxisome proliferator-activated receptors, 3-hydroxy-3-methyl-glutaryl coenzyme A reductase, and the low-density lipoprotein receptor.”
“BRCA1 gene mutation is Staurosporine mouse associated with a combination of excessive aromatase activity/expression, predominantly estrogen receptor-negative phenotypes of tumors, and only scarce information about estrogen contents in body fluids. In the present work, isotope dilution capillary gas chromatography/mass spectrometry was used to study

urinary excretion of estrogens, their catechol metabolites, and phytoestrogens in 22 women (11 with BCRA1 gene mutations and 11 without these mutations) in average 5.1+/-0.4 years before surgery for breast cancer. BCRA1 mutation carriers (including 3 premenopausal females) compared with respective controls showed significantly higher urinary estradiol and estrone excretion and a trend to an increased 2-OH-E2 excretion. In the subgroup of untreated postmenopausal women, BCRA1 mutation carriers showed a trend to increased estradiol and estrone excretion and to a higher value of the mean levels of all estrogen metabolites tested. The treatment after the baseline laboratory investigation of 6 women from postmenopausal group with the antidiabetic biguanide metformin for 3 months was associated LY2603618 with decreases in the excretion rates

of 4-hydroxyestradiol, 2-methoxyestradiol, and 16-epiestriol and did not influence phytoestrogen excretion. The decrease in 2-methoxyestrogen excretion was more consistent in women without BCRA1 mutations than in BCRA1 mutation carriers. The data suggest the possibility that aromatase complex activation in BCRA1 mutation carriers is combined with increases in

both, estrogen metabolism into catecholestrogens and their inactivation by methoxylation, and that metformin may affect both of these pathways.”
“Introduction: The chromodomain helicase DNA binding protein 5 (CHD5) has recently been identified as a tumor suppressor in a mouse model. The CHD5 locus at 1p36 is deleted, and its mutation has been detected in breast cancer. We, therefore, evaluated whether CHD5 plays a role in human breast cancer.\n\nMethods: We screened mutations in 55 tumors, determined promoter methylation in 39 tumors, LOXO-101 clinical trial measured RNA expression in 90 tumors, analyzed protein expression in 289 tumors, and correlated expression changes with clinicopathological characteristics of breast cancer. Functional effects of CHD5 on cell proliferation, invasion and tumorigenesis were also tested.\n\nResults: Although only one mutation was detected, CHD5 mRNA expression was significantly reduced, accompanied by frequent genomic deletion and promoter methylation, in breast cancer. The extent of methylation was significantly associated with reduced mRNA expression, and demethylating treatment restored CHD5 expression. Lower CHD5 mRNA levels correlated with lymph node metastasis (P = 0.026).

hellem (C) 2008 Elsevier B V All rights reserved “
“Applic

hellem. (C) 2008 Elsevier B.V. All rights reserved.”
“Application of nano-particles to diagnostic fields has attracted much attention. Biotechnology Ricolinostat datasheet can contribute to produce useful nano-materials by engineering bacteriophage nano-particles, which are easily prepared by infecting phages to bacterial host cells. In this study, establishment of nano-bioprobes was demonstrated, based on the T7 phage display system, by constructing phage particles displaying a ligand polypeptide S-tag and a green fluorescent protein (GFP) at the same time on the surface of phage head. To achieve this purpose, two types of phage particles

were tested: One displayed S-tag and GFP as a single polypeptide (tandem display), and another displayed these molecules as two different polypeptides (parallel display). Only the parallelly displayed phage could be detected with ligand blotting using S-protein and with immunoblotting using an anti-GFP antibody. S-protein-coated magnetic beads and nano-particles were successively labeled with fluorescence using the parallelly displayed phage but could not be labeled with the tandemly displayed phage. Thus, the parallel display of a ligand molecule and fluorescent protein on the head surface

of bacteriophage 77 could provide a new scheme of producing fluorescent nano-bioprobes for diagnostic applications. (C) 2013, The Society for Biotechnology, Japan. All rights reserved.”
“Evaluation of: Siegfried JM, Gubish CT, Rothstein ME, Henry C, Stabile LP. Combining HM781-36B molecular weight the multitargeted tyrosine kinase inhibitor vandetanib with the antiestrogen fulvestrant GSK1838705A purchase enhances its antitumor effect in non-small cell lung cancer. J. Thorac. hoot. 7(3), 485-495 (2012). Targeting the EGF receptor (EGFR) with tyrosine kinase inhibitors (TKIs) shows clinical efficacy for some non-small-cell lung cancer (NSCLC) patients. Recent studies have demonstrated that NSCLCs express estrogen receptors

and that fulvestrant, an antiestrogen that reduces estrogen receptor protein, inhibits cell proliferation. Combination of a TKI targeting EGFR and fulvestrant shows greater efficacy than TKI or fulvestrant alone. This study demonstrated that treatment of NSCLC cells with vandetanib, a TKI of EGFR and VEGF receptor, and fulvestrant showed greater efficacy for inhibition of cell proliferation in vitro or xenograft tumor growth in vivo than either drug alone. These preclinical data provide rationale for a clinical trial to test efficacy in NSCLC patients.”
“Surgical management of hard cataracts can be problematic despite improvements in phacoemulsification devices. Phaco chop, considered one of the best techniques for dealing with hard cataracts, cannot always divide the hard cataract completely. We have devised a phaco forward-chop technique that can be implemented safely and efficiently following incomplete phaco chop in a hard cataract.”
“Leg length discrepancies can occur despite successful union of femur fractures after intramedullary nailing (IMN).