It is suggested that despite the phenomenological similarity between cataleptic states of different origin (pinch-induced, “audiogenic”) their neurophysiologic substrates overlap only partially. The findings are considered as presenting genetic model for further analysis of catalepsy.”
“There has been a good deal of research on the role of anxiety sensitivity in pain perception, but only recently have investigators begun to assess its role in labor pain. The aim of this study was to investigate the nature of this relationship as well as the relationship

of state and trait anxiety with labor pain. Assessments of maximum and average labor pain were completed in three Selleckchem BI-D1870 different time periods (before, during and immediately after labor, and 1 month postpartum). Anxiety and anxiety sensitivity measures were completed during the late stage of pregnancy. A total of 46 primiparous healthy pregnant women, carrying a single child, participated in the study. State

anxiety correlated significantly with maximum (r = 0.352, p < 0.01) and average (r = 0.325, p < 0.05) labor pain expectancies, whereas trait anxiety correlated significantly with maximum labor pain expectancies (r = 0.306, p < 0.05). During labor, only the physical concerns dimension of anxiety sensitivity shared a significant relationship with sensory pain (r = 0.292, p < 0.05). In PHA-848125 nmr conclusion, anxiety shares a significant relationship with labor pain expectancies only, whereas the physical concerns dimension of anxiety sensitivity correlates significantly with sensory pain during labor. These data clarify the role of anxiety and anxiety sensitivity in the experience Bucladesine in vivo of labor pain. Clinical implications are discussed.”
“Recent studies have reported that a novel cardiac biomarker, heart-type fatty acid-binding protein (h-FABP), significantly predicts mortality inpatients with pulmonary embolism (PE)

at intermediate risk. The aim of this study was to evaluate the effect of thrombolytic therapy on prognosis of the intermediate risk acute PE patients with elevated levels of h-FABP. This is non-interventional, prospective, and single-center cohort study where 80 patients (mean age 62 +/- A 17 years, 32 men) with confirmed acute PE were included. Only patients with PE at intermediate risk (echocardiographic signs of right ventricular overload but without evidence for hypotension or shock) were included in the study. h-FABP and other biomarkers were measured upon admission to the emergency department. Thrombolytic (Thrl) therapy was administered at the physician’s discretion. Of the included 80 patients, 24 were h-FABP positive (30 %). 14 patients (58 %) with positive h-FABP had clinical deterioration during the hospital course and required inotropic support and 12 of these patients died.

The simulations contain between 1 x 10(9) and 8 x 10(9) Lennard-Jones (LJ) atoms, covering up to 1.2 mu s (56 x 10(6) time-steps). They cover a wide range of supersaturation ratios, S similar or equal to 1.55-10(4),

and temperatures from kT = 0.3 to 1.0 epsilon (where epsilon is the depth of the LJ potential, and k is the Boltzmann constant). We have resolved nucleation rates as low as 10(17) cm(-3) s(-1) (in the argon system), and critical cluster sizes as large as 100 atoms. Recent argon nucleation experiments probe nucleation LDK378 datasheet rates in an overlapping range, making the first direct comparison between laboratory experiments and molecular dynamics simulations possible: We find very good agreement within the uncertainties, which are mainly due to the extrapolations of argon and LJ saturation curves to very low temperatures. The self-consistent,

modified classical nucleation model of Girshick and Chiu [J. Chem. Selleckchem ABT-263 Phys. 93, 1273 (1990)] underestimates the nucleation rates by up to 9 orders of magnitudes at low temperatures, and at kT = 1.0 epsilon it overestimates them by up to 10(5). The predictions from a semi-phenomenological model by Laaksonen et al. [Phys. Rev. E 49, 5517 (1994)] are much closer to our MD results, but still differ by factors of up to 104 in some cases. At low temperatures, the classical theory predicts critical clusters sizes, which match the simulation results (using the first nucleation learn more theorem) quite well, while the semi-phenomenological model slightly underestimates them. At kT = 1.0 epsilon, the critical sizes from both models are clearly too small. In our

simulations the growth rates per encounter, which are often taken to be unity in nucleation models, lie in a range from 0.05 to 0.24. We devise a new, empirical nucleation model based on free energy functions derived from subcritical cluster abundances, and find that it performs well in estimating nucleation rates. (C) 2013 AIP Publishing LLC.”
“We investigated functional coordination between branch hydraulic properties and leaf functional traits among nine miombo woodlands canopy tree species differing in habitat preference and phenology. Specifically, we were seeking to answer the question: are branch hydraulic properties coordinated with leaf functional traits linked to plant drought tolerance in seasonally dry tropical forests and what are the implications for species habitat preference? The hydraulic properties investigated in this study were stem area specific hydraulic conductivity (K (S)), Huber value (H (v)), and xylem cavitation vulnerability (I-50). The leaf functional traits measured were specific leaf area (SLA), leaf dry matter content (LDMC), and mean leaf area (MLA). Generalists displayed significantly (P < 0.05) higher cavitation resistance (I-50) and SLA, but lower sapwood specific hydraulic conductivity (K (S)), leaf specific conductivity (K (L)), MLA, and LDMC than mesic specialists.

This article provides an up-to-date review of the role of nutrient and nonnutrient supplements on platelet aggregation and risk of thrombosis.”
“The dimer of acrylic acid can exist in two forms, depending on the entgegen or zusammen orientations of the two allyl groups. The latter one (zusammen) has a permanent value of the mu(b) dipole moment component, which allowed measuring its pulsed jet Fourier transform microwave (MW) spectrum. From the tunneling splitting, originating in the concerted proton transfer of the two carboxylic

hydrogen atoms and measured for four isotopologues of such a bimolecule, we could determine the barrier and dynamics of the proton transfer.”
“Gold nanoparticles (AuNPs) have been widely LDK378 clinical trial investigated as potential nanocarriers for drug delivery. In the present study, AuNPs were conjugated to a peptide that has a C-terminal Lys-Asp-Glu-Leu (KDEL) motif. In a pulse-chase

study, time-course sampling revealed that AuNP-delivered KDEL peptides were rapidly localized to the endoplasmic reticulum (ER) in 5 to 15 min, and after 1h the majority of peptides were localized to the ER. Clathrin-coated vesicles and Golgi apparatus were also involved during the intracellular trafficking of KDEL peptide gold (AuNP-KDEL) nanoconstructs. Furthermore, overexpression of KDEL receptor (KDELR) significantly enhanced KDEL peptide uptake in both free and AuNP-conjugated forms. These data indicate that the AuNP-KDEL

nanoconstructs are internalized via a clathrin-mediated pathway and trafficked to the ER via a retrograde transport pathway, bypassing the lysosomal Selleckchem CH5183284 degradation Dinaciclib pathway. Thus, this novel approach to development of nanoconstruct-based drug delivery has the potential to evade intracellular degradation, enhancing drug efficacy.\n\nFrom the Clinical Editor: In this study, gold nanoparticles were conjugated to a peptide with KDEL motif, resulting in internalization via a clathrin-mediated pathway and trafficking to the ER via retrograde transport meanwhile bypassing the lysosomal degradation pathway. This method results in a potential evasion of intracellular degradation, and enhanced drug efficacy. (C) 2013 Elsevier Inc. All rights reserved.”
“Acetylcholinesterase (AChE) inhibitors have been used for the symptomatic treatment of Alzheimer’s disease. Eleven whole plants from Panama belonging to the Lycopodiaceae family have been screened for their anticholinesterase inhibitory and antioxidant activities by a thin-layer chromatography (TLC) bioautography method. Of these, only Lycopodium clavatum subsp. clavatum showed strong AChE inhibition. Seven plant extracts showed moderate inhibition, two of them, Huperzia cf chamaeleon and Huperzia reflexa, also possessed an antioxidant activity. This is the first report of anticholinesterase and antioxidant activities in these two native plants.

Instead, steady-state kinetics of XAC0610 DGC activity revealed a positive cooperative effect of the GTP substrate with a dissociation constant for the binding https://www.selleckchem.com/products/sbc-115076.html of the first GTP molecule

(K-1) approximately 5x greater than the dissociation constant for the binding of the second GTP molecule (K-2). We present a general kinetics scheme that should be used when analyzing DGC kinetics data and propose that cooperative GTP binding could be a common, though up to now overlooked, feature of these enzymes that may in some cases offer a physiologically relevant mechanism for regulation of DGC activity in vivo. (C) 2014 Elsevier Ltd. All rights reserved.”
“Effect of administration of the standardized extract of Ginkgo biloba leaves (EGb 76 1) on learning, memory and exploratory behavior was estimated in water maze and hole-board tests. Pats (18-month old) received for three months EGb 761 at doses: 50, 100 and 150 mg/kg b.w. per day. After completion of the behavioral experiment, concentrations of neurotransmitters were estimated in selected brain regions. ANOVA demonstrated significant differences in the content of monoamines and metabolites

between the treatment groups compared to the control. The increased level of 5-hydroxytryptamine VX-680 solubility dmso (5-HT) in the hippocampus and 5-HIAA (5-HT metabolite) in the prefrontal cortex correlated positively with the retention of spatial memory. Positive correlation between platform crossings in SE during the probe trial and neurotransmitter turnover suggest improvement of spatial memory. Long-term administration of Ginkgo biloba extract can improve spatial memory and motivation with significant changes in the content and metabolism of monoamines in several brain regions.”
“Objective: To explore the value of blood markers for brain injury as outcome predictors in acute stroke.\n\nDesign and methods: The study included

61 patients with acute stroke (44 ischemic and 17 hemorrhagic) Selleckchem CAL-101 and a high risk control group (79 individuals with no known history of neurological disease).\n\nSerum neuron specific enolase (NSE) and S100B were determined by immunoassay (CanAg Diagnostics, Sweden). Outcome at 60 days was evaluated with clinical scales.\n\nResults: Higher concentrations of NSE and S100B were measured in patients compared to high risk controls, but they were not related to stroke severity on admission. NSE was associated with functional neurological outcome at 60 days and to the degree of recovery, whereas S100B exhibited a strong correlation with depression symptoms at 60 days.\n\nConclusions: The measurements of serum concentrations of NSE and S100B after acute stroke may be clinically relevant for predicting functional neurological outcome and post-stroke depression, respectively. (C) 2012 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

This technique resulted in pain-free range of motion, a stable shoulder, and good joint congruency.”
“Left

ventricular noncompaction is a congenital cardiomyopathy, which is often first diagnosed in adults, The condition can be found in isolation, but it has also been described in association with other cardiac anomalies. We report here the 4th documented case of left ventricular noncompaction associated with a bicuspid aortic valve and the 1st of these cases in which BKM120 mw the patient underwent aortic valve surgery (Tex Heart Inst J 2009,36(3):241-3)”
“Background: Concerns regarding insufficient press fit and glenoid vault cortical blowout make glenoid osteochondral allografting uncommon. We used 3-dimensional computed tomography modeling to test glenoid osteochondral allografting feasibility. Materials and methods: Sixteen cadaveric shoulders Rapamycin cost without osteoarthritis underwent computed tomography scans to create 3-dimensional models. The diameter of circular center-based reaming reaching the medial endosteal surface at depths of 4, 6, and 8 mm and the clock face position of the most shallow points were calculated. Demographic factors associated with graft diameter were analyzed by step-wise multiple regressions. Results: Shallower graft

depths allowed larger graft diameters (P smaller than .001). With a graft depth of 4 mm, 56% of glenoids allowed 20-mm-diameter grafts and 94% accommodated 16-mm grafts versus 31% and 75%, respectively, for a graft depth of 6 mm and 13% and 38%, respectively, for a graft depth of 8 mm. Increasing graft depth decreased graft glenoid coverage: mean coverage was 51.9%+/- 12.2%, 36.3%+/- 12.9%, and 23.8%+/- 14.2% for 4-, 6-, and 8-mm depths, respectively. The glenoid’s most shallow point was between the 1: 30 clock face position and 3-o’clock position in reference to a right shoulder in 69%, 75%, and

44% of glenoids for 4-, 6-, and 8-mm depths, respectively. Although female gender, patient height, and glenoid height and width were associated with graft diameter, multiple regression analysis showed that patient height was the only independent variable associated with accommodated Caspase inhibitor reviewCaspases apoptosis graft diameter at depths of 4, 6, and 8 mm (P=.001, P=.001, and P=.003, respectively). Conclusion: Most glenoids support center-based grafts of 16 to 20 mm in diameter at a depth of 4 mm, covering an average of 51.9% of the glenoid. Accommodated graft size decreases as reaming depth increases. (C) 2014 Journal of Shoulder and Elbow Surgery Board of Trustees.”
“Multiple sclerosis (MS) is an inflammatory demyelinating autoimmune disorder of the central nervous system (CNS) and one of the leading causes of neurological deficits and disability in young adults in western countries.

Kaplan-Meier analysis revealed no significant difference in recurrence-free survival between

patients receiving a Simpson Grade I, II, III, or IV resection. Analysis limited to meningiomas arising from the skull base (excluding the cavernous sinus) similarly found no significant benefit to Simpson Grade I or 11 resection, and the survival curves were nearly superimposed.\n\nConclusions. In this study of a cohort of patients undergoing surgery for WHO Grade I meningiomas, the authors demonstrate that the benefit of more aggressive attempts to resect the tumor with dura and underlying bone was negligible compared with simply removing the entire tumor, or even leaving small amounts of tumor attached to critical structures. The authors believe that these Napabucasin mouse data reflect an evolution in the nature of meningioma surgery over the past 2 decades, and bring into question the relevance of using Simpson’s grading system as the sole predictor of recurrence. (DOI: 10.3171/2010.3.JNS091971)”
“A 57-year-old heterosexual man presented with a 4-month history of apple-sized red-violaceous nodes and smaller infiltrates with central crusted ulcer in the presternal region and tumor-like lesions covered with normal skin on the lateral part of the chest. One node perforated spontaneously with drainage of cloudy purulent fluid. The patient was treated for primary syphilis more CH5424802 solubility dmso than 30 years

ago. The diagnosis gummatous cutaneous tertiary syphilis

was put on the basis BIX 01294 of the clinical features. the positive syphilis serology, and the histopathlogical findings of skin biopsy specimen. The penicillin treatment lead to resolution of the skin infiltrates. The fact of the renaissance of the late forms of syphilis raises the importance of the timely and high quality differential diagnosis in order to prevent misdiagnosis and mistreatment.”
“Background: Patients with chronic heart failure (HF) have impairment in memory, psychomotor speed, and executive function. Objective: The aim of this study was to describe how individuals with HF and cognitive deficits manage self-care in their daily lives. Methods: Using an interpretive phenomenology method, HF patients completed unstructured face-to-face interviews about their ability to manage complex health regimens and maintain their health-related quality of life. Analysis of data was aided by use of Atlas.ti computer software. Results: The sample consisted of 12 patients (10 men; aged 43-81 years) who had previously undergone neuropsychological testing and were found to have deficits in 3 or more cognitive domains. Patients confirmed that they followed the advice of healthcare providers by adherence to medication regimens, dietary sodium restrictions, and HF self-care. One overarching theme was identified: “Re-cognition of Vulnerability: A Strange New World.

\n\nProspectively collected data were retrospectively analyzed for morbidity, mortality, pre- and postprocedure symptom scores (scale 0-3), body mass index (BMI), and

patient satisfaction (scale 1-10).\n\nSeventy-two patients with 1-4 (median 1) previous antireflux procedures underwent RNY reconstruction, either to gastric pouch (n = 64) or to the esophagus (n = 8). There were 37 laparoscopic, Quisinostat 24 open abdominal, and two combined thoracic-abdominal procedures. Nine additional patients underwent conversion from laparoscopy to open surgery. Mean follow-up of 20.7 months (+/- 12.9 months) was available in 63 (88%) patients. The overall median scores for heartburn, regurgitation, dysphagia, chest pain, and nausea were 0 or 1. There were 72 major and minor complications noted that affected 33 (46%) patients, with no in-hospital or 30-day mortality observed. The most common complications were anastomotic strictures, bowel obstructions, respiratory complications, and dumping. Mean postoperative BMI was 24.6 (+/- 4.4) kg/m(2) compared with preoperative BMI of 31.4 (+/- 6.1) kg/m(2). Mean reported satisfaction score was 8.2 (+/- 2.1), and 89% of the patients would recommend the procedure to a friend. Pre- and postoperative symptoms could be compared in 57 patients, and significant decrease in median symptom scores for heartburn

(2-0, P < 0.05), regurgitation (1-0, P < 0.05), and dysphagia (2-0, P < 0.05) was Akt inhibitor confirmed. There was an increase in reported nausea (0-1, P < 0.05).\n\nShort-limb RNY reconstruction is an effective remedial procedure for a subset of patients with failed antireflux surgery, but morbidity is significant.”
“A simple high-performance liquid chromatography (HPLC) method coupled with principal component analysis (PCA) and hierarchical cluster analysis (HCA) was developed for distinguishing Astragali Radix from its adulterants.

Five species, including A. membranaceus var. mongolicus, A. membranaceus, Quizartinib mouse H. polybotrys, A. chrysopterus and A. ernestii, were analyzed by this method. At the same time, four major bioactive isoflavonoids, namely calycosin-7-O-D-glucopyranoside, ononin, calycosin and formononetin, were simultaneously determined in Astragali Radix. This method was proven to have good precision, repeatability, stability and recovery. It was successfully applied to distinguish Astragali Radix from its adulterants species and can be used for the quality control of Astragali Radix.”
“Decadal to centennial land-cover changes are important drivers of many environmental issues, including biodiversity, biogeochemical cycles and, especially, the global carbon balance. In general, changes are well documented over only a few decades. Studies of land-cover changes and its drivers over centuries are rare.

m(-2) in the natural beech forest vs. 136,360

ind. m(-2) in the spruce monoculture for Collembola); additionally, it changed greatly the community structure in terms of species composition and functional traits. In the spruce monoculture, groups susceptible to disturbance were suppressed. The oribatid trophic structure changed as well with opportunistic herbifungivorous species increasing in the monoculture at the expense of fungivorous species. Similarly, hemiedaphic collembolans increased in the monoculture at the expense of euedaphic species. We conclude that the “functional approach” seems to be fruitful in revealing soil fauna response to environmental change.”
“Objective: No synoptic understanding exists of how and why afterdischarges (ADs) occur following electrical stimulation of the cerebral cortex. Based on human observations, we formulated a general mechanism PF-6463922 concentration for the emergence of ADs. Entinostat clinical trial Methods: We retrospectively analysed spectra of AD time- series and control segments of the resting electrocorticogram (ECoG) in 15 epilepsy patients who underwent cortical stimulation mapping. The observations led to the development of phenomenological models for AD emergence and morphology. Results: An analytical relationship exists between the spectrum of the baseline ECoG and the ensuing AD, characterised

by ‘condensation’ of the main baseline spectral cluster, with variable inclusion of higher harmonics of the condensate. Conclusions: ADs

arise by synchronisation of pre-existing local field potentials, likely through temporary inactivation of inhibitory interneurons from repetitive stimulation-induced depolarization. The appearance of higher harmonics indicates that ADs are further modulated by recurrent feedback, likely from the entrained activity of single units. Significance: For the first time, a putative mechanism is suggested for AD emergence following electrical stimulation of the cerebral cortex. Insight is also offered into several empirical observations regarding ADs, detailed in the main text. More generally, a novel conceptual synthesis emerges between the behaviour of electrically-excited cortex and the physics of nonlinearly coupled multi-oscillator systems. (C) 2013 Vorinostat ic50 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.”
“Background: Staphylococcus aureus is associated with chronic mastitis in cattle, and disease manifestation is usually refractory to antibiotic therapy. Biofilm production is a key element of S. aureus pathogenesis and may contribute to the treatment failure that is consistently reported by veterinarians. Minas Gerais State is the largest milk-producing state in Brazil, and the characterization of bacterial isolates is an important aspect of disease control for dairy farmers. Here, we investigated the potential of S.

9, standard deviation = 4.7 years; range 18-45) with sexual experience.\n\nMain Outcome Measures.\n\nCalculations of allelic effects were computed using the Generalized Estimating Equations module of SPSS 17.\n\nResults.\n\nCarriers

of the 10R10R genotype had scores indicating a lower threshold to ejaculate on each of the indicators compared to the combined 9R9R/9R10R carrier group. The differences were significant both for the composite score and for anteportal ejaculation, number of thrusts, and feeling of control over ejaculation, but not for ejaculation latency time. The effect of the polymorphism remained significant after controlling for age, homosexual experience, having a regular sexual partner, level of sexual desire, and frequency of sexual activity, hence suggesting Selleckchem Z-DEVD-FMK that it is not secondary to an association between the studied polymorphism and some other aspect of sexual behavior, but due to a specific influence of DA on ejaculation.\n\nConclusions.\n\nThe findings of the present study support results of previous studies indicating involvement of dopaminergic neurotransmission in ejaculation. Santtila P, Jern P, Westberg L, Walum H,

Pedersen CT, Eriksson E, and Sandnabba NK. The dopamine transporter gene (DAT1) polymorphism is associated with premature ejaculation. J Sex Med 2010;7:1538-1546.”
“The role of lymph node assessment for patients with clinically localized prostate cancer has significantly evolved over the last 20 years. The status see more of pelvic lymph nodes primarily served as a prognostic marker for prostate cancer. Improved methods in assessing the risk for cancer progression and metastasis have enhanced our ability to identify patients who require pelvic lymphadenectomy during radical prostatectomy. The status of pelvic lymph nodes is also being used to guide further AG-120 datasheet treatments after Surgery. Also, recent data has shown possible therapeutic benefit of lymphadenectomy in improving cancer specific survival. J.

Surg. Oncol. 2009; 99: 215-224. (C) 2009 Wiley-Liss, Inc.”
“Bias dependence of the admittance spectroscopy of GaInNAsSb based solar cell structure has been performed to identify and characterize the type of defects, for example interface and/or bulk type defects in a moderately Si doped GaInNAsSb (n-GaInNAsSb) layer in the structure. From the zero bias admittance spectrum, three peaks namely E1, E2, and E3 corresponding to the localized level at 0.03 eV, 0.07 eV, and 0.16 eV below the conduction band edge (E-C) of n-GaInNAsSb material, respectively, were found. Constant position of E2 and E3 peak in the admittance spectra in response to the various applied DC reverse bias suggests that E2 and E3 are related to the bulk type defects being spatially homogeneous throughout the bulk of the n-GaInNAsSb film.

It is hoped that this will provide an independent and quantifiable criterion to distinguish smithing slags (more oxidising) from smelting slags (more reducing), and to understand better the actual

smelting process that transforms highly oxidised iron ore to fully reduced iron metal. Copyright (C) 2011 John Wiley & Sons, Ltd.”
“Background: Oxygen saturation (Spo(2)) monitors are commonly used to determine the need for supplemental oxygen. We aimed to describe the range of arterial oxygen tensions (Pao(2)) observed in preterm infants at saturation levels targeted in current trials.\n\nMethods: In a cohort of 98 consecutive infants born at <29 weeks’ gestation, the Pao(2) from each arterial blood gas result during the first week of life www.selleckchem.com/products/BKM-120.html (n = 2076) was matched to the Spo(2) at time of sampling. The mean Selleckchem CYT387 (95% CI) Pao(2) was calculated for each saturation.\n\nResults: The 95% CI of Pao(2) for the Spo(2) range 85-95% was 3.8 to 8.9 kPa. The mean 195% CI) Pao(2) at a saturation of 85% was 5.3 (3.8 to 6.8) kPa and at a saturation of 95% it was 7.2 (5.5 to 8.9) kPa.\n\nConclusion:

Saturations within the range 85-95% largely exclude hyperoxia in preterm infants <29 weeks’ gestation but permit Pao(2) values far lower than those recommended in traditional guidelines.”
“The present study examined the acute behavioral responses of pigeons to separation from conspecifics and exposure to an unfamiliar environment (UE). The effects of (1) repeated exposure to the UE; (2) visual isolation from surroundings, or saline injections; and (3) Navitoclax datasheet diazepam treatment (i.p.. 0.25, 0.75, 2.5 or 7.5 mg/kg) before the trial were also examined. LIE exposure

evoked intense ballistic head movements (peeping), gradually replaced with angular head movements (AHM), both associated with immobility of the trunk and legs. These behaviors failed to habituate after three trials (7-day intertrial intervals). Visual isolation from the surroundings and saline injection prior to exposure to the UE increased the AHM and reduced peeping. Doses of diazepam (0.25 and 0.75 mg/kg) that have demonstrated anti-conflict effects in other tests did not affect the behavioral responses to the UE. Diazepam at 2.5 and 7.5 mg/kg doses consistently increased time spent in immobility. These data suggest that peeping, although expressed in potentially threatening or harmful situations appears not to be a fear-motivated behavior or, alternatively, this specific behavioral response is not diazepam sensitive. (C) 2008 Elsevier B.V. All rights reserved.”
“IMPORTANCE Patient-centered medical homes have not been shown to reduce adverse outcomes or costs in adults or children with chronic illness.