The isolation of alkenyl-1,4-dioxane compound is rare, whereas the ergosterol derivative may have biogenetic significance in the lactone formation in the E ring of withanolides. The presence of a 1,4-dioxane derivative in the nonpolar extract of roots assumes importance as this type of compound has not been reported earlier from W. somnifera. The structures of new compounds were elucidated by spectroscopic methods and chemical transformations.”
“Two new compounds 4-methyl-heptadec-6-enoic acid ethyl ester (2) and 3-hydroxy-2,9,11-trimethoxy-5,6-dihydro isoquino[3,2-a]isoquinolinylium (7) were isolated

from an ethanolic Vadimezan extract of the stems of Tinospora sinensis, along with six known compounds (1, 3-6 and 8). The structures of new compounds were established on the basis of detailed spectroscopic studies. Compound 7 exhibited the highest in vitro antileishmanial activity against Leishmania donovani promastigotes and intracellular amastigotes, whereas

compounds 2, 4, 5 and 6 demonstrated moderate activity. Other compounds were found to be inactive.”
“Few studies of systemic chemotherapy have focused on gastric cancer with peritoneal carcinomatosis (PC) without measurable lesions. In the present study, GDC 973 we characterized the outcomes of systemic chemotherapy and prognostic factors for gastric cancer with PC, particularly in patients without measurable disease.

Clinical data from 211 gastric cancer patients with PC (137 without and 74 with measurable disease) who had received systemic chemotherapy between January 2003 and December 2010 at a single center were reviewed.

The median overall survival SB203580 in vivo (OS) rate of gastric cancer patients with PC with no measurable disease was significantly longer than that of patients with measurable disease (18.0 vs. 11.6 months, p = 0.010). On multivariate analysis, poor performance

status [hazard ratio (HR) = 2.15, p < 0.001], the presence of metastatic lymphadenopathy (HR = 2.17, p < 0.001), and high-grade PC (HR = 1.83, p = 0.001) were associated with significantly decreased OS. When patients with low-grade PC were stratified by clinical PC grade, the median OS of those without measurable disease was 19.6 months. The median OS of patients with low-grade PC with no measurable disease was longer than those of patients with high-grade PC without measurable disease, patients with low-grade PC with measurable disease, and patients with high-grade PC with measurable disease (p = 0.001, p = 0.029, and p < 0.001, respectively). Among the patients with low-grade PC, patients who received a gastrectomy had longer survival than patients who did not receive a gastrectomy (p < 0.001).

We have also considered expression in male and female mice because FMO regulation is gender-related. Real-Time TaqMan PCR was used

for FMO expression analysis. Normalization was done using hypoxanthine-guanine phosphoribosyl transferase (Hprt) as a control housekeeping gene. Fmo genes, except Fmo3, were detectably expressed in the central nervous system of both control and ALS model mice. FMO expression was generally greater in the ALS mouse model than in control mice, with the highest increase in Fmo1 expression in spinal cord and brainstem. In addition, we showed greater Fmo expression in males than in female mice in the ALS model. The expression of Fmo1 mRNA correlated with Sod1 mRNA EGFR activity expression in pathologic brain areas. We hypothesize that alteration of FMO gene expression is a consequence of the pathological environment linked to

oxidative stress related to mutated SOD1.”
“The influence of thermal ionization of an impurity delta-doped layer situated either in the center or on the edge of a quantum well (QW) on impurity binding energy is investigated theoretically for the case of Si0.8Ge0.2/Si QW. It is shown that the Hartree potential created by free electrons and by ionized impurities at high temperatures superimposes on the original (at low temperature) QW energy profile. Resulting new QWs have their own impurity binding energies. It is of interest that energies are nearly the same for center- and edge-doped QWs, contrary to those at low temperatures.

The obtained results are explained on the basis of Coulomb’s law when decreasing the mean distance between ON-01910 free electron and impurity atom with temperature involves an increase in the impurity binding energy. (c) 2011 American Institute of Physics. [doi:10.1063/1.3556738]“
“Sexual eukaryotes generate gametes using a specialized cell division called meiosis that serves both to halve the number of chromosomes Selleck BIX-01294 and to reshuffle genetic variation present in the parent. The nature and mechanism of the meiotic cell division in plants and its effect on genetic variation are reviewed here. As flowers are the site of meiosis and fertilization in angiosperms, meiotic control will be considered within this developmental context. Finally, we review what is known about the control of meiosis in green algae and non-flowering land plants and discuss evolutionary transitions relating to meiosis that have occurred in the lineages giving rise to the angiosperms.”
“High mobility group box 1 (HMGB1) was originally identified as ubiquitously expressed nonhistone DNA-binding protein, but recently, it was found to act as an endogenous danger molecule, which signals danger and traumatic cell death. Previously, the authors showed that HMGB1 is massively released immediately after an ischemic insult and that it subsequently activates microglia and induces inflammation in the postischemic brain. Here, we showed the endogenous danger molecule-like function of HMGB1 in primary cortical cultures.

These two conditions differ anatomically and embryologically, HDAC cancer and careful echocardiographic evaluation will help in diagnosis and appropriate management.”
“We designed, implemented, and revised the Brigham Fracture Intervention Team (B-FIT) initiatives to improve in-hospital care of fracture (Fx) patients. Effectiveness was evaluated for 181 medical records of 4 cohorts in four successive years of consecutive patients who were admitted with a fragility hip Fx. The Discharge Initiative (DI) (computer-based) includes 1200 mg calcium and 1000 IU vitamin D-3 daily. The Admission Initiative (AI) was introduced one year later with reminders for serum 25OHD measurement, initiation of daily

calcium (1200 mg) and vitamin D (800 IU), and an order for Endocrinology consultation, with an amendment for a computer-assisted reminder and a dose of D-2 (50 000 IU). Initially,

the computer-based DI was more effective (67%) than the surgeon-driven AI (33%, P <.001). After introduction of a computer-assisted reminder, AI effectiveness increased to 68%. The marked prevalence of vitamin D insufficiency reaffirms the importance of incorporating vitamin D recommendations in Fx care pathways.”
“The reported case involved a 7-year-old girl with congenitally corrected transposition of the great arteries (ccTGA) and situs inversus who after surgical management experienced symptoms of dyspnea and left-sided obstructive heart disease. Her symptoms, CH5183284 inhibitor chest X-ray, and cardiac catheterization demonstrated pulmonary venous obstruction, a known but rare complication associated with intra-atrial baffle obstruction. this website The incidence of the reported disorder, the follow-up assessment, and the current literature regarding complications of Senning/Mustard surgery are discussed in the context of patients with ccTGA.”
“The risk of permanent hypoparathyroidism following thyroid and parathyroid surgery is around 1% in the hands of experienced endocrine surgeons. Although this complication is rare, rendering a patient permanently aparathyroid has significant consequences

on the health and quality of life of the patient. Immediate autotransplantation of parathyroid glands that are injured or unintentionally removed offers the best possibility of graft viability and functionality. However, since the majority of cases of hypoparathyroidism are transient, immediate autotransplantation can complicate postoperative surveillance in certain patients, especially those with primary hyperparathyroidism. Cryopreservation of parathyroid tissue is an alternate technique that was developed to treat patients with permanent hypoparathyroidism. This method allows for parathyroid tissue to be stored and then autotransplanted in a delayed fashion once permanent hypoparathyroidism is confirmed.

CPT 5 Hz examinations, which correlate with unmyelinated fiber function, showed significantly decreased CPTs in the acute stage (11.62 +/- A 6.99 vs. 18.69 +/- A 9.66, P = 0.025),

but significantly increased CPTs in the chronic stage (26.67 +/- A 18.65 vs. 19.69 +/- A 13.70, P = 0.010) on the painful side when compared with the contralateral non-painful side. However, CPTs at 250 Hz (A delta) and 2000 Hz (A beta) examinations did not show significant differences between the painful and non-painful sides. In contrast, only three (3/49) patients showed an abnormal trigeminal nerve stimulation on the ipsilateral painful side by blink reflex study. The findings suggest that classical TN is not a simple large-myelinated nerve fiber dysfunction but a more complex process with a main dysfunction of unmyelinated nerve fibers.”
“The aim of this study is to compare the psychopathology and MK0683 the quality of life of chronic daily headache patients between those with migraine headache and those with Selleckchem AL3818 tension-type headache. We enrolled 106 adults with chronic daily headache (CDH) who consulted for the first time in specialised centres. The patients were classified according to the IHS 2004 criteria and the propositions of the Headache Classification Committee (2006)

with a computed algorithm: 8 had chronic migraine (without medication overuse), 18 had chronic tension-type headache (without medication overuse), 80 had medication overuse headache and among them, 43 fulfilled the criteria for the sub-group of migraine (m) MOH, and 37 the subgroup for tension-type (tt) MOH. We tested five variables: MADRS global score, HAMA psychic and somatic sub-scales, SF-36 psychic, and somatic summary components. We compared patients with migraine symptoms (CM and mMOH) to those with tension-type symptoms (CTTH and ttMOH) and neutralised pain intensity with an ANCOVA which

is a priori higher in the migraine group. We failed to find any difference between migraine and tension-type groups in the MADRS global score, the HAMA psychological sub-score and the SF36 physical component summary. The HAMA see more somatic anxiety subscale was higher in the migraine group than in the tension-type group (F(1,103) = 10.10, p = 0.001). The SF36 mental component summary was significantly worse in the migraine as compared with the tension-type subgroup (F(1,103) = 5.758, p = 0.018). In the four CDH subgroups, all the SF36 dimension scores except one (Physical Functioning) showed a more than 20 point difference from those seen in the adjusted historical controls. Furthermore, two sub-scores were significantly more affected in the migraine group as compared to the tension-type group, the physical health bodily pain (F(1,103) = 4.51, p = 0.036) and the mental health (F(1,103) = 8.17, p = 0.005).

We strongly advocate similar audits in other health-care areas and systems. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.”
“Background and Purpose: Because of the increased use of robot-assisted laparoscopic prostatectomy (RALP) for the management of localized prostate cancer, surgeons in training face the issues of developing skills in both open surgery and the robotic console. This study compares prospectively the safety and efficacy of

the first 50 open radical retropubic prostatectomy (RRP) procedures and the first 50 RALP procedures, performed by the same surgeon in the same institution.

Patients and Methods: The patients’ baseline demographic, clinical, and oncologic parameters were prospectively Ricolinostat recorded. The study end points included oncologic outcome, functional outcomes check details (at 3 months), and perioperative parameters. Complications were classified according to the modified Clavien system.

Results: No statistically significant differences were noted between the two groups in terms of preoperative patient characteristics and oncologic parameters. The operative time and mean estimated blood loss were lower in the RALP group (P < 0.001), but no statistically significant difference was noted in regard to transfusion rates (P = 0.362). Mean hospital

stay was lower in the RALP group (P < 0.001). The minor (Clavien I + II) and major (Clavien III + IV) complication rates were comparable between the two groups. The overall positive margin (PSM) rates were 20% and 18% for RRP and RALP, respectively (P = 0.799), while for pT(3) disease, the PSM rates were 26.1% and 22.2%% for RRP and RALP, respectively (P = 0.53). The 3-month continence rates were 88% and 90% for RRP and RALP, respectively (P = 0.749). For preoperatively potent patients,

3-month potency rates were comparable between the two groups (60.6% and 62.1% in the RRP and the RALP group, respectively, P = 0.893).

Conclusion: The early learning curve for RALP appears safe and results in equivalent functional and oncologic outcome, when compared with the results of open surgery.”
“Background: Some techniques of transvaginal ovarian drilling have been previously described. Nevertheless a monopolar transvaginal Navitoclax ovarian cauterization, that use the expertise and safety of transvaginal puncture for oocyte captation seems to be an easier and feasible approach. The aim of this study was to develop a minimally invasive ovarian cauterization technique under transvaginal ultrasound control, and to evaluate the safety of the transvaginal ovarian monopolar cauterization, female sheep at reproductive age were used as an experimental model.

Findings: An experimental study was performed in a university research center. Seventeen female sheep (15 Corriedale e 2 Suffolk) in reproductive age were submitted to transvaginal ovarian cauterization with a monopolar Valleylab Force 2 electrocautery.

“
“Objective. The primary outcome measure of this study was the ability of rHuEPOa therapy to reduce transfusion needs, whereas secondary outcome measures were NICU-LOS and ventilation need.

Methods. All babies with BW < 1250 g and GA < 30 were eligible. Thirty premature neonates were enrolled AG-014699 in vivo in the study (10 treated, 20 controls). rHuEPOa was administered as 300 IU/kg/dose 3 times/week subcutaneously. Iron, folic acid and Vitamin E supplementation were administered

in both groups. Hematologic variables and blood sampling were recorded during the study.

Results. In rHuEPO group, only four (40%) premature infants required a transfusion, averaging 0.4 +/- 0.52 transfusions/pts. A total of 23 transfusions were administered to controls; 11 (55%) infants received

one transfusion at least, 55% required multiple transfusions. The average number of transfusions/pts was statistically different (1.15 +/- 1.46 vs. 0.4 +/- 0.52; p = 0.02), as the cumulative number of transfused patients (55% vs. 40%; p < 0.001). NICU stay was not statistically different, whereas ventilation-free days were increased in EPO group (p < 0.05).

Conclusions. R-Hu-EPO treatment in first post-natal weeks markedly enhanced erythropoiesis in severely premature infants compared with matched controls, with a significant impact on transfusion needs. EPO group experienced also a reduction of ventilation time and, possibly, a decreased occurrence of clinical BPD.”
“Dislocation of the mandibular condyle into the middle cranial fossa is a rare traumatic injury caused by transmission BMS-345541 NF-��B inhibitor of upward force through the condyle onto the glenoid fossa resulting in fracture of the fossa and superior displacement of the condylar head. This type of injury occurs when the “”safety mechanisms” of the mandible fail or are DAPT purchase absent. The authors present the case of a 72-year-old female patient with multiple comorbidities who suffered a subcondylar fracture of the left mandible and dislocation of the right mandibular condyle into the middle cranial fossa after

a fall. Bilateral external fixation of the mandible to the zygomatic arch was utilized to minimize operative time and provide definitive treatment. Many factors must be taken into account when determining the treatment modality for this type of injury, and the final decision should be tailored to each individual case based on several factors including the length of time between injury and presentation, concomitant neurologic deficit, age, and stability of the patient. The goals of treatment are reduction of the dislocation, avoidance of neurologic injury, and restoration of mandibular function. A multidisciplinary effort is necessary to optimize patient care.”
“The preservation of sexual potency after radical prostatectomy has always been the topic of much anxiety and debate.

e., variation among animals of the same breed and fed the same diet). This paper reviews existing VRT752271 literature on relationships of mitochondrial function and biochemistry with FE and RFI in poultry and livestock. The overall goal of all of this paper is to assist the development of tools (e.g., genetic markers or biomarkers) to aid commercial breeding companies in genetic selection that, in turn, will help maintain viable livestock and poultry industries in the United States and around the world.”
“In

this case, a patient who is incapable of participating in health-care decisions requires a pacemaker generator replacement. Because the pacemaker may no longer be necessary, the issues of surrogacy and surrogate decision-making are considered.

Where there are no involved family members, each state has procedures for finding an appropriate ombudsman for the patient who can assist in healthcare choices. (PACE 2012;XX:13)”
“We investigate a modification of long-range surface plasmon polariton modes supported by thin metal-coated dielectric DMH1 cylinders for laser nanoresonators. A drawback of the low loss surface modes is the small mode overlap with the core dielectric cylinder that will be intended for the gain region in typical nanolasers. We show that increasing the refractive index of the outermost dielectric cladding improves the poor mode overlap, but still keeps the mode low loss and well confined in a small radius of the cylinder. The high refractive index of the dielectric cladding offers another possibility of a nanolaser structure whose gain region resides in the cladding.

(C) 2011 American Institute of Physics. [doi:10.1063/1.3638704]“
“Aim: To evaluate the efficacy of concurrent oral capecitabine with accelerated hypofractionated radical radiotherapy in locally advanced squamous cell carcinoma of the head and neck (SCCHN).

Materials and methods: Between 2001 and 2004, 50 patients with stage III/IV SCCHN (0 to 2 performance status) were enrolled into this study. The capecitabine ZD1839 mouse dose was between 450 and 550 mg/m(2) twice daily, continuously for 28 days. The radiotherapy dose was 5500 cGy in 20 fractions over 4 weeks. No intensity-modulated radiation was used. We evaluated the complete response rate, toxicity, locoregional control, overall survival, disease-free survival and cancer-specific survival.

Results: The median age was 55 (range 38-76) years; 72% had stage IV disease. The median follow-up was 6 years on the 30 surviving patients. Eighty-two per cent of patients completed the course of capecitabine and 94% completed prescribed radiotherapy. There were no treatment-related deaths, grade 3/4 haematological or renal toxicity. Five patients developed drug-related grade 3/4 acute toxicity (cardiac, skin, bowel); 47 developed grade 3/4 mucositis from chemoradiotherapy. Twenty-two (44%) patients required tube feeding and the tube dependency rate at 1 year was 6%.

In the retrofenestral group, subjects with high blood flow values in the PT showed low blood flow values in the AOW, but their ratios of bone density were similarly low in both areas.

Conclusion: Blood flow varied and

did not correlate with CT densitometry. Measurement of blood flow by laser Doppler flowmetry could yield useful information to evaluate the progress of vascular activity.”
“”"NTPDase Activity of Lymphocytes in Contact Dermatitis Before and After Treatment With Nanostructured Dexamethasone”". The LY2090314 hydrolysis of adenine nucleotides by NTPDase was studied in lymphocytes of Wistar rats with experimental nickel-sulphate induced dermatitis, before and after treatment with free Protein Tyrosine Kinase inhibitor and nanostructured dexamethasone. Both treatments were also evaluated by histopathological and morphometric analysis. The mean enzymatic activity of the contact dermatitis group was significantly greater compared to the control group (P <0.001). ATP and ADP hydrolysis were significantly greater in the free and nanostructured treatment groups when compared to the control group (P <0.001). ADP and ATP hydrolysis were not statistically significant different between the two treatment groups. The group treated with nanostructured dexamethasone showed greater skin atrophy, suggesting that this treatment has a greater immunosuppressant effect. The increase in

NTPDase activity probably occurred through compensatory mechanisms, due to inhibition of lymphocyte proliferation by dexmethasone, indicating an alteration in the immune response.”
“Discoid lupus erythematosus (DLE) is a form of local inflammatory autoimmune disease limited to the skin, involving essentially the face, scalp and ear. DLE occurs in genetically predisposed individuals, sunlight being an identified trigger. Diagnosis is made by clinical examination

and histopathology; laboratory tests occasionally performed include anti-nuclear antibodies titers and presence of circulating antibodies against dsDNA. DLE patients have about a 10% chance of developing systemic lupus erythematosus (SLE), a systemic inflammatory autoimmune disease affecting a range of internal organs. Although elevated titers of anti-dsDNA antibodies is an earmark for lupus disease, they are detected in only 2055% of SHP099 order DLE patients by routine laboratory tests such as enzyme-linked immunosorbent assay (ELISA). In this research, we applied an electrophoretic mobility shift assay (EMSA) in parallel with an ELISA for the detection of circulating anti-dsDNA in DLE patients. The assays were conducted on sera as well as on the immunoglobulin G fraction from sera of 24 DLE patients and of 24 healthy individuals. The EMSA was positive for all DLE patients while the ELISA was positive for only 36% of them; both assays were negative for the healthy individuals. EMSA conducted on the sera of 15 patients with lichen planus was negative in all cases.

3 +/- 0.1 and 2.6 +/- 0.3 eV, indicating that these layers offer an effective barrier to hole and electron injection. (C) 2011 American Institute of Physics. [doi: 10.1063/1.3647761]“
“This study investigated the relationship between the apolipoprotein (APOE) epsilon 4 allele and brain volumes in patients with medically intractable temporal lobe epilepsy (TLE). MRI-based volumetric analyses of the hippocampi, cerebral hemispheres, and whole brain were conducted in 59 patients with TLE (31 with

left TLE, 28 with right TLE) with hippocampal sclerosis (HS). There were no differences in hippocampal, hemispheric, FK228 or whole brain volumes as a function of epsilon 4 status even after correcting for hemispheric and total brain volumes. However, APOE epsilon 4 carriers showed a trend toward having a smaller discrepancy between ipsilateral and contralateral hippocampal volumes than patients without this allele, and post hoc analyses

suggest there may be an increased incidence of selleck chemicals bilateral HS in epsilon 4 carriers. In summary, APOE e4 is not associated with significant hippocampal, hemispheric, or whole brain atrophy in patients with medically intractable TLE. However, epsilon 4 carriers may be more likely to have bilateral HS, with an apparent dose-dependent effect. (C) 2011 Elsevier Inc. All rights reserved.”
“A 57-year-old woman with refractory vasovagal syncope and a sinus pause of 6.8 seconds during tilt-table test accepted the suggestion of atrial vagal denervation. Radiofrequency pulses were delivered on positive vagal reflex sites according to the standard of heart rate (HR) drop =20% after high frequency stimulation (HFS). The endpoint of inexistence of HR decrease at repeating HFS was achieved in 18 sites. No syncope attacked during 12 months and three tilt-table tests performed at 1, 6, and 12 months were negative.

Extensive ablation on atrial endocardium for vagal denervation is suggested to be efficient in cardioinhibition type of VVS. (PACE 2012;15)”
“Recently it has become clear that seed limitation is probably a much more important factor in plant recovery than has often been Selleck RG-7388 recognized. However, in practice, restoration measures that are focussed on decreasing site limitation may actually increase seed limitation. We tried to determine whether the effects of restoration measures affect site or seed limitation or both. An experiment was set up on ditch banks in the Netherlands which applied agri-environment schemes (AES). To investigate whether nature reserves (seed source) can improve species diversity on the surroundings and to what extent AES is improving this function, we studied the plant diversity (presence of individual species and species richness) of ditch bank vegetations in relation to increasing distance from nature reserves.

Results. When using the four-chamber view as the starting plane, the visualization rate of LVOT, RVOT, and 3VT was 94.1% (48/51), 100% (51/51), and 98.0% (50/51), respectively. When using the longitudinal view as the starting plane, the visualization rate of four-chamber view, LVOT, RVOT, and 3VT was 100% (51/51), 100% (51/51), 41.2% (21/51), and 100% (51/51), respectively.

Conclusions. Live xPlane imaging can be used to visualize the screening views of the fetal heart, and potentially may be a useful tool for the

assessment and diagnosis of fetal congenital heart diseases.”
“BACKGROUND: The bio-oxidation of ferrous iron is a potential industrial process in the regeneration of ferric iron and the removal of H(2)S in combustible gases. Bio-oxidation of ferrous Compound C purchase iron may be an alternative method of producing ferric sulfate, which is a reagent used for removal of H(2)S from biogas, tail gas and in the pulp and paper industry. For practical use of this process, this

study evaluated the optimal pH and initial ferric concentration. pH control looks like a key factor as it acts SB203580 inhibitor both on growth rate and on solubility of materials in the system.

RESULTS: Process variables such as pH and amount of initial ferrous ions on oxidation by A. ferrooxidans and the effects of process variables dilution rate, initial concentrations of ferrous on oxidation of ferrous sulfate in the packed bed bioreactor were investigated. The optimum range of pH for the maximum growth of cells and effective bio-oxidation of ferrous sulfate varied from 1.4 to 1.8. The maximum bio-oxidation rate achieved was 0.3 g L(-1) h(-1) in a culture initially containing 19.5 selleck kinase inhibitor g L(-1) Fe(2+) in the batch system. A maximum Fe(2+) oxidation rate of 6.7 g L(-1) h(-1) was achieved at the dilution rate of 2 h(-1), while no obvious precipitate was detected in the bioreactor. All experiments were carried out in shake flasks at

30 degrees C.

CONCLUSION: The monolithic particles investigated in this study were found to be very suitable material for A. ferrooxidans immobilization for ferrous oxidation mainly because of its advantages over other commonly used substrates. In the monolithic bioreactor, the bio-oxidation rate was 6.7 g L(-1) h(-1) and 7 g L(-1) h(-1) for 3.5 g L(-1) and 6 g L(-1) of initial ferrous concentration, respectively. For higher initial concentrations 16 g L(-1) and 21.3 g L(-1), bio-oxidation rate were 0.9 g L(-1) h(-1) and 0.55 g L(-1) h(-1), respectively. (c) 2008 Society of Chemical Industry”
“Background: To evaluate the feasibility and additional diagnostic benefit of a high-resolution steady state 3D-volume interpolated breath-hold exam (VIBE) sequence between a continuous table movement (CTM) MR angiography of the entire runoff vasculature and a time-resolved (TWIST) MRA of the calves.

Methods: In this retrospective IRB approved study 224 patients (72 women, 152 men, mean age 67.29 +/- 13.