Most measurements were performed in 0 5 M NaCl solution We show

Most measurements were performed in 0.5 M NaCl solution. We show the effect of applied force, number of scans, chemical solution, and temperature on the chemical-mechanical wear of aluminum on the nanometer scale. Aggressive chemical environments significantly enhance the wear of aluminum relative to scanning in dry air. Quantitative measurements show that the wear volume increases in proportion to the square root of force and the number of scans (or time). Arrhenius plots of wear volume versus temperature are consistent with an activation energy of 31 kJ/mol for scanning in 0.5 M NaCl. The wear of the AFM tip and the aluminum substrate

is explained in terms of the synergistic surface chemical reactions and mechanical action of the tip. We compare these results to previous studies of AFM wear of silicate glass. (C) 2011 American selleck kinase inhibitor Institute of Physics. [doi: 10.1063/1.3636394]“
“Mastitis is a highly prevalent and costly disease of dairy cows that is commonly caused by intramammary bacterial infection. The innate immune response to bacterial penetration of the mammary gland is evoked within hours of infection, and the rapidity and magnitude of this response have been demonstrated to influence the resolution of this disease. Cytokines and other mediators of inflammation are known to play critical roles in the innate immune response to intramammary infection. The objectives of this review

are to summarize the current understanding of the cytokine response to intramammary infection, highlight recent findings identifying differences in the cytokine response RG-7112 Apoptosis inhibitor to various bacterial pathogens, and discuss future

research directions that will increase our knowledge of the role of inflammatory mediators in predicting and governing the outcome of mastitis.”
“IgG hypogammaglobulinemia is a risk factor for infection in heart recipients. We assessed reconstitution of humoral immunity after non-specific intravenous immunoglobulin (IVIg) replacement therapy administered to treat secondary IgG hypogammaglobulinemia in heart recipients with severe infections. The study population comprised 55 heart recipients who were P005091 supplier administered IVIg (IVIg group) and 55 heart recipients with no severe infectious complications (control group). An event was defined as a severe infection requiring intravenous drug therapy during the first year after transplantation. The IVIg protocol comprised non-specific 5% pasteurized IVIg at a dose of 300-400 mg/kg/months. IgG titers were lower in the IVIg group than in controls at seven d (577 vs. 778 mg/dL, p < 0.001) and at one month (553 vs. 684, p = 0.003). After IVIg therapy, IgG concentrations were similar in both groups at three months (681 vs. 737, p = 0.25) and at six months (736 vs. 769, p = 0.46). At three months, the IVIg group had higher levels of antitetanus toxoid and anti-HBs (ELISA, 2.


“The bark of

Rhizophora mangle L (Rhizophoraceae)


“The bark of

Rhizophora mangle L. (Rhizophoraceae), “”red mangrove”", has been used traditionally in folk medicine of Caribbean countries due to its antiseptic, astringent, antifungal and antidyspeptic properties. Owed to its astringent properties is used to treat diarrhea; however, there is no scientific evidence to support the use. This work was designed to determine the antidiarrheal effects of the bark of R. mangle in mice. The liophilized extract was given by oral gavage (125, 250, and 500 mg/kg of weight). Pretreatment with the extract (500 mg/kg) resulted in a significant delay of gastrointestinal motility (p < 0.001). Propranolol (2.5 mg/kg) and verapamil (5.0 mg/kg) antagonized significantly (p < 0.001) the inhibitory effect of the gastrointestinal motility caused by Rhizophora mangle

L. The extract showed dose-dependent inhibitory respons in the range 125-500 mg/kg in castor oil-induced diarrhea. In conclusion, the GSK2126458 cell line present results suggest that the bark of Rhizophora mangle L. produces an inhibitory effect on intestinal function, and we suppose that their action is mediated, 5-Fluoracil at least in part, through beta-adrenergic and calcium systems.”
“Background: Surgeons are increasingly faced with consultation for intervention in residents of geriatric centers or in patients who suffer from end stage medical disease. We review our experience with consult services dedicated to the needs of these frail patients.

Study design: Patients were prospectively followed after being evaluated by three different geriatric surgical Adriamycin consult services: Group 1 was based at a geriatric center associated with a tertiary medical center, Group 2 was based at a community geriatric center, and Group 3 was based with an hospital-based service for ambulatory patients with end stage congestive heart failure.

Results: A total of 256 frail elderly patients underwent

of 311 general surgical procedures ranging from major abdominal and vascular procedures to minor procedures such as debridement of decubitus ulcers, long-term intravenous access, enterostomy and enteral tube placement. Almost half of the surgical volume in Group 1 and 3 were ‘maintenance’ (decubitus debridement, long term intravenous or stomal or tube care); all of Group 2 were for treatment of decubiti. There was minimal morbidity and mortality from surgery itself, and overall one year survival for Groups 1, 2, and 3 was 46%, 60%, and 79%, respectively. Multivariate analysis showed that each group had its own unique indicators of decreased survival: Group 1 dementia and coronary artery disease, in Group 2 gender and coronary artery disease, and Group 3, gender alone. Age, number of comorbid illnesses, and type of surgery (major vs minor) were not significant indicators.

Conclusions: This is the first review of the role of dedicated surgical consult services which focused on residents of geriatric centers and frail elderly.

Levels of let-7i, miR-126, and miR-155 were

Levels of let-7i, miR-126, and miR-155 were Galardin lower in the DCM group than in the controls, whereas levels of miR-21 and TLR4 (both mRNA and protein) were higher in the DCM group than in the control group. Levels of let-7i were negatively correlated with TLR4 protein levels in all subjects. After a mean follow-up period of 509 days, 6 DCM patients (5.8%) had died due to a cardiac cause and 15 (14.6%) had developed heart failure. When patients with DCM were divided into tertiles according to let-7i levels, log-rank analysis showed that the DCM subgroup with low let-7i levels was associated with poor clinical outcomes (P = .02).

Conclusions: A decrease in let-7i may be related to poor clinical outcomes

in patients with DCM. (J Cardiac Fail 2011;17:923-929)”
“BACKGROUNDAn unstructured model for batch culture production of L-asparaginase by Bacillus aryabhattaiITBHU02, by means of the Luedeking-Piret incorporated logistic equation, was developed explaining the correlation between growth dynamics and enzyme production

kinetics with respect to glucose depletion at different levels. The main goal was to build up a means for process optimization, design, control and analysis of L-asparaginase production. Various thermodynamic parameters were estimated to comprehend enzyme stability and affiliated industrial applicability.

RESULTSSpecific growth rate maxima were increased with increasing initial glucose concentration, whereas the specific productivity was best supported at a glucose concentration 5.0 g L-1. The fermentative production PLX3397 of L-asparaginase was greatly influenced by oxygen supply, reaching a maximum level at an aeration rate of 0.6 vvm. The activation energies for growth and death rate were 33.86.0 and 99.8 +/- 9.0 kJ mol(-1), respectively, with activation enthalpy values of enzyme formation check details and thermal deactivation 70.2 +/- 9.0 and 46.1 +/- 11.0 kJ mol(-1), respectively.

CONCLUSION<p

id=”"jctb4121-para-0003″”>The economic production of L-asparaginase by B. aryabhattai was achieved efficiently at low glucose concentration and mild aeration. Endogenous metabolism of the strain for L-asparaginase synthesis was thermostable up to 40 degrees C, which makes the strain commercially important as it can be utilized for cost-effective L-asparaginase production within countries such as India, where 35-40 degrees C temperatures are quite common. (c) 2013 Society of Chemical Industry”
“In this work, a dielectric stack with Al2O3/HfO2/SiO2 (1.8 nm/1.6 nm/2.5 nm) trilayer structure prepared by low temperature in situ natural oxidation during dc sputtering is investigated. We study the electrical characteristics, including the dielectric leakage of 10(-8) A/cm(2) at V-g=-2 V, the current transport mechanism and trap distributions through the trilayer dielectric stack.

The reproducibility of measurements on cephalometric radiographs

The reproducibility of measurements on cephalometric radiographs obtained from CBCT scans was better, compared with the reproducibility of those on conventional cephalometric radiographs. There was no clinically relevant difference between measurements on conventional and constructed cephalometric radiographs.

Conclusions: Measurements on CBCT-constructed cephalometric radiographs are comparable to conventional cephalometric radiographs, and are therefore

suitable for longitudinal research. (c) 2009 American Association of Oral and Maxillofacial Surgeons”
“Telomeres protect the chromosome ends from unscheduled DNA repair and degradation. Telomeres are heterochromatic domains composed of repetitive DNA (TTAGGG repeats) bound to an array of specialized proteins. The length of telomere repeats and the integrity of telomere-binding proteins are both important for telomere protection. Furthermore, telomere length and integrity are regulated by a LY2835219 solubility dmso number of epigenetic modifications, thus pointing to higher order

control of telomere function. In this regard, we have recently discovered that telomeres are transcribed generating long, non-coding RNAs, which remain associated with the check details telomeric chromatin and are likely to have important roles in telomere regulation. In the past, we showed that telomere length and the catalytic component of telomerase, Tert, are critical determinants for the mobilization of stem cells. These effects of telomerase and telomere length on stem cell behaviour anticipate the premature ageing and cancer phenotypes of telomerase mutant mice. Recently, we have demonstrated the anti-ageing activity of telomerase by forcing telomerase expression in mice with augmented cancer resistance. Shelterin is the major protein complex bound to mammalian telomeres; however, its potential relevance for cancer and ageing remained unaddressed to date. To this end, we have generated mice conditionally deleted for the see more shelterin proteins

TRF1, TPP1 and Rap1. The study of these mice demonstrates that telomere dysfunction, even if telomeres are of a normal length, is sufficient to produce premature tissue degeneration, acquisition of chromosomal aberrations and initiation of neoplastic lesions. These new mouse models, together with the telomerase-deficient mouse model, are valuable tools for understanding human pathologies produced by telomere dysfunction.”
“The gene expression profiles in soybean (Glycine max L.) seeds at 4 stages of development, namely, pod, 2-mm bean, 5-mm bean, and full-size bean, were examined by DNA microarray analysis. The total genes of each sample were classified into 4 clusters based on stage of development. Gene expression was strictly controlled by seed size, which coincides with the development stage. First, stage specific gene expression was examined. Many transcription factors were expressed in pod, 2-mm bean and 5-mm bean.

Rarely, nuclear grooves and intranuclear cytoplasmic inclusions w

Rarely, nuclear grooves and intranuclear cytoplasmic inclusions were evident. These unfamiliar cytologic findings of uncommon myoepithelioma often cause diagnostic difficulties in preoperative aspiration cytology. Recognition of those rare findings provides a reliable diagnostic clue.”
“A new hydrophilic strong/strong type zwitterionic

stationary phase for high performance liquid chromatography (HPLC) was synthesized by chemical modification of 3.0 mu m non-porous monodisperse poly(glycidylmethacrylate-co-ethylenedimethacrylate)(P(GMA/EDMA)) beads in the following steps. First, the beads were reacted with hydrochloride to obtain chlorizated beads; second, chlorizated beads were reacted with dimethylamine to obtain ammoniated beads; third, ammoniated beads were reacted with 1,3-propanesultone to obtain non-porous MI-503 hydrophilic VX 770 zwitterionic stationary

phase. The stationary phase was evaluated in detail to determine its ion-exchange properties, separability, reproducibility, hydrophilicity, and the effect of column loading and pH on the separation and retention of proteins. The highest dynamic protein loading capacity of the synthesized zwitterionic packing for bovin serum albumin and Lys were 1.8.3 and 27.4 mg g(-1), respectively. The zwitterionic stationary phase was capable of separating two acidic and three basic proteins simultaneously in less than 2.5 min by the flow-rates of 3.0 mL min(-1). The zwitterionic resin was also used for rapid separation and purification of recombinant human interferon-r (rhIFN-r) and human granulocyte colony-stimulation factor (hG-CSF) from the crude extract solution. The satisfactory results were obtained. (C) 2009 Wiley Periodicals, Inc. J Appl Polym Sci 113: 984-991, 2009″
“Background: LY2606368 mw The prevalence of heart failure (HF) among hospitalized

elderly patients is high and steadily growing. However, because most studies have focused mostly on young patients, little is known about the clinical characteristics, echocardiographic measures, prognostic factors, and outcome of hospitalized elderly HF patients.

Methods and Results: We identified all HF patients aged >= 50 years who had undergone >= 1 echocardiography study and had been hospitalized during January 2000 to December 2009. A comparative analysis was performed between 3,897 “”young”" patients (aged 50-75 years) and 5,438 “”elderly”" patients (aged > 75 years), followed for a mean 2.8 +/- 2.6 years. Elderly HF patients were more often female (50% vs 35%; P < .0001) and had a higher prevalence of HF with preserved ejection fraction (64.8% vs 53%; P < .0001), more significant valvular disease (35.7% vs 32.5%; P < .0001), and lower rates of ischemic heart disease (65.5% vs 70.9%; P < .0001) and diabetes (34.4% vs 53.9%; P < .0001). Thirty-day and 1-year mortality rates were significantly higher among the elderly population (12.2% vs 6.9% [P < .0001] and 34.3% vs 21.2% [P < .


“In this paper, experimental investigations

of an


“In this paper, experimental investigations

of an adaptive RST control scheme for the regulation of the ethanol concentration in fed-batch cultures of S. cerevisiae is presented. Our main objective is to prove efficiency and robustness of this controller in experimental applications ranging from laboratory to industrial scales. The controller only requires one on-line measurement signal, making it easily implementable in an industrial environment. Disturbance rejection is ensured thanks to an on-line parameter adaptation procedure, which delivers as a side product an estimate of the growth rate that can be used for process monitoring purposes. The robustification of the controller is achieved in a simple way, using the observer polynomial. (C) 2009 Elsevier Cilengitide order B.V. All rights reserved.”
“This large-scale prospective cohort study of a Taiwan population applied generalized estimating equations to evaluate predictors of health-related quality of life (HRQOL) after open cholecystectomy

(OC) and laparoscopic cholecystectomy (LC) procedures performed between February 2007 and November 2008. The Gastrointestinal Quality of Life Index and Short Form-36 were used in a preoperative assessment and in 3(rd) VX-770 research buy month and 6(th) month postoperative assessments of 38 OC and 259 LC patients. The HRQOL of the cholecystectomy patients were significantly improved at 3 months and 6 months postsurgery (p < 0.05). At 3 months postsurgery, HRQOL improvement was significantly larger in LC patients than in OC patients. Patient characteristics, clinical characteristics, and health care quality were also significantly related to HRQOL improvement (p < 0.05). Additionally, after controlling for related variables, preoperative health status was significantly and positively associated with each subscale of the Gastrointestinal Quality of Life Index and Short Form-36 throughout the 6 months (p < 0.05). Patients should be advised that their postoperative HRQOL may depend not only on their postoperative

health care but also on their preoperative functional status. Copyright (C) 2011, Elsevier Taiwan LLC. All rights reserved.”
“. Hepatic iron overload has been described in chronic hepatitis C as a cofactor affecting fibrosis progression. Data in patients with chronic hepatitis B infection are scarce. We investigated hepatic iron deposits and serum iron indices in 205 consecutive ALK inhibitor cancer patients with hepatitis B and compensated liver disease. Mean age of the patients was 42.4 +/- 12.4 years and 72.5% were males. Coinfection with hepatitis delta virus (HDV) was present in 8.8%. At least one of the serum iron indices was elevated in 41.5% of cases. Hepatic iron deposits were detected in 35.1% of patients, most of them being minimal (grade I) (59.7%) or mild (grade II) (27.8%). Variables significantly associated with hepatic iron deposits were male gender (P = 0.001), serum ferritin (P = 0.008), ?GT (P = 0.05) and alkaline phosphatase (P = 0.05) levels.

Recurrence were confirmed throughout restaging laparotomy or seco

Recurrence were confirmed throughout restaging laparotomy or second look laparotomy. Patients from one of the groups received 90mg/m2 cisplatin on the first day and 750mg/m(2) cyclophosphamide intravenously, while the second group members AUC 6 carboplatin intraperitoneally and 750mg/m(2) cyclophosphamide intravenously. Four courses were GW4869 solubility dmso administrated for each patient.

Results: Of the 49 patients in the cisplatin group the response

rates were 21 (43%), 10 (20%) and 18 (37%) in the groups of pathologic complete response, pathologic partial response and progressive disease, respectively. The median survival from the initiation of intraperitoneal chemotherapy was 59 months. Of the 25 patients in the carboplatin group the response rates were 10 (40%), 4 (16%) and 11 (44%) respectively. The median survival -51 months. The differences between the groups were not statistically significant p>0.05 either in response or in toxicity.

Conclusions: The results of our research including relatively long survival from intraperotoneal chemotherapy initiation confirm that carboplatin treatment is as good as cisplatin in second line LDK378 molecular weight intraperitoneal chemotherapy for ovarian cancer.”
“Huntington’s disease (HD) is a genetic, neurodegenerative disorder, which specifically affects striatal neurons of the indirect pathway, resulting in a progressive decline in muscle coordination and loss of emotional and cognitive

control. Interestingly, predisposition CH5183284 mw to pathological gambling and other addictions involves disturbances in the same cortico-striatal circuits that are affected in HD, and display similar disinhibition-related symptoms, including changed sensitivity to punishments and rewards, impulsivity, and inability to consider long-term advantages over short-term rewards. Both HD patients and pathological gamblers also show similar performance

deficits on risky decision-making tasks, such as the Iowa Gambling Task (IGT). These similarities suggest that HD patients are a likely risk group for gambling problems. However, such problems have only incidentally been observed in HD patients. In this review, we aim to characterize the risk of pathological gambling in HD, as well as the underlying neurobiological mechanisms. Especially with the current rise of easily accessible Internet gambling opportunities, it is important to understand these risks and provide appropriate patient support accordingly. Based on neuropathological and behavioral findings, we propose that HD patients may not have an increased tendency to seek risks and start gambling, but that they do have an increased chance of developing an addiction once they engage in gambling activities. Therefore, current and future developments of Internet gambling possibilities and related addictions should be regarded with care, especially for vulnerable groups like HD patients.

Results: The necrotic areas measured on the pathology images were

Results: The necrotic areas measured on the pathology images were well correlated with the hyperintense regions measured on T1-weighted GRE images (r = 0.891, P < .001) and normal tissue-nulled learn more IR images (r = 0.874, P < .001); pathology measurements were also well correlated with the smaller hyperintense regions measured on those IR images with inversion times specifically selected

to null signal from the peripheral penumbra surrounding the ablation zone (r = 0.939, P < .001). Bland-Altman plots indicated that these penumbra-nulled IR images provided more accurate predictions of IRE ablation zones, with T1-weighted GRE measurements tending to overestimate ablation zone sizes.

Conclusion: Contrast-enhanced MR imaging permits accurate depiction of ablated

tissue zones after IRE procedures. IR-prepared contrast-enhanced MR imaging can be used to quantitatively measure IRE ablation zones in the liver. (C)RSNA, 2010 Supplemental material : http://radiology.rsna.org/lookup/suppl/doi:10.1148/radiol.10100645/-/DC1″
“Anticoagulants are used to prevent the formation and extension of blood clots in various disorders as prophylactic agents for thrombo-embolic disorders. Designing of specific inhibitors against molecular targets that play a pivotal role in the coagulation cascade is indispensable. Clotting Factor Xa is one such attractive target for the design of new

oral anticoagulants Compound C PI3K/Akt/mTOR inhibitor because of the unique role factor Xa plays in the coagulation cascade as a connection between the extrinsic and intrinsic pathways. Application of computational techniques in drug discovery process helps in identifying parameters which can lead to achieve better pharmacological profile. The docking interactions and QSAR studies performed on series of 4-methy-3-(6-[phenyl methylene] amino} pyridine-3-yl)-2H chromen-2-one derivatives provide significant insights for designing of better ligands as anticoagulants.”
“We demonstrate that the in-plane thin film heat transport can be accurately mapped via confocal anti-Stokes fluorescence imaging using fluorescent PCI 32765 dye probes and nanoheaters. We employ 3D finite elements analysis to evaluate the thermal conductivity of a control sample and to assess the validity of a point heat source approximation. We have found that this approximation is adequate with use of a tightly focused laser beam, providing a robust means for determining the thermal conductivity of a sample under investigation. (C) 2011 American Institute of Physics. [doi:10.1063/1.3606429]“
“We tested the effect of Trp addition to a standard weaning diet and oral challenge with enterotoxigenic Escherichia coli K88 (ETEC) on growth and health of piglets susceptible or nonsusceptible to the intestinal adhesion of ETEC.

A contact Source was identified in only 2 patients All 6 patient

A contact Source was identified in only 2 patients. All 6 patients had abnormal

cerebrospinal fluid findings, less than 500 cells/mu L with lymphocytic predominance. Computerized tomography (CT) and/or magnetic resonance imaging (MRI) revealed hydrocephalus with basal enhancement in 2 patients. One patient developed pontocerebellar and pituitary tuberculomas, which were responsible for compression and diabetes insipidus, 1 year after antituberculosis treatment. These localizations are very rare. On the follow-up, 3 patients had hypoacousia and only 1 had severe sequelae, despite a diagnostic delay.”
“Purpose: This study aimed to explore the information-seeking behaviours, perceptions and decision-making experiences

of parents of children with cancer by employing semi-structured interviews.

Methods and sample: PF-00299804 concentration A qualitative research design was used to assess the information-seeking behaviours, perceptions and decision-making processes used by parents in Turkey whose children have cancer. Interviews were conducted with 15 parents of children with cancer using a semi-structured interview schedule. The interviews were recorded and transcribed verbatim.

Results: Six main issues emerged. Issues were related to parents’ information needs, the sources of information, difficulties that the parents encountered when seeking information, the decision-making process, the factors affecting decision-making, and expectations see more from the health team. Information resources for parents included medical Nepicastat research buy doctors and nurses, the internet, friends and the parents of other children who were staying in the hospital. The parents mostly sought information about their child’s illness, prognoses, treatment, side-effects and care giving issues. The parents expressed that they were directed primarily by health care providers during their decision-making process.

Conclusions: Adequate and systematic information pertaining to illness, treatment,

prognosis and child care must be provided by health care professionals throughout the illness process. In addition, individual guidance and spare time are key components to helping parents make decisions about their children with cancer. (C) 2012 Elsevier Ltd. All rights reserved.”
“Background: Anopheles cruzii (Diptera: Culicidae) has long been known as a vector of human and simian malaria parasites in southern and south-eastern Brazil. Previous studies have provided evidence that An. cruzii is a species complex, but the status of the different populations and the number of sibling species remains unclear. A recent analysis of the genetic differentiation of the timeless gene among An. cruzii populations from south and south-east Brazil has suggested that the population from Itatiaia, Rio de Janeiro State (south-east Brazil), is in a process of incipient speciation.

Globally, analysis of clinical and obstetric outcomes showed a si

Globally, analysis of clinical and obstetric outcomes showed a significant decrease in terms of pregnancy and delivery rates per cycle (17.8% versus 10.9% and 14.2% versus 8.5%, respectively) and per embryo transfer (18.8% versus 13.8% and 15.0% versus 10.7%, respectively), and a significant drop in multiple deliveries (35.1% versus

17.6%) in the post-taw period. Cryptozoospermic and azoospermic couples were affected by the Italian law more than severe oligozoospermic 17DMAG ic50 couples. The results showed that the Italian law limits the efficiency of assisted reproduction treatment in couples with severe mate factor. It is hoped that the Italian assisted reproductive technologies taw is altered as soon as possible, allowing the insemination of more than three oocytes. (C) 2009, Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.”
“Neuroendocrine tumours occur very rarely in the ampulla of Vater and their clinical behaviour is unknown. The aim of this study is to assess the clinico-pathological features, surgical approach and prognosis of these patients.

Six patients with neuroendocrine

tumours of the ampulla of Vater treated with curative intent surgery at a single centre were retrospectively analysed. A univariate analysis of potential prognostic factors was also performed (data provided from the present study and literature review).

Pancreaticoduodenectomy was curative in all the patients. Overall and disease-free survival rates were significantly better for G1/G2 tumours (p = 0.006 and p = 0.004, respectively). Mizoribine Although frequent, lymph node metastases did not influenced both overall (p = 0.760) and disease-free survival rates (p = 0.745). No significant differences of survival were observed in patients with ENETS stage I/II disease, as compared to ENETS stage III disease (p = 0.169 and p = 0.137, respectively). No differences were observed

according to UICC staging system (p = 0.073 and p = 0.177, respectively). CX-6258 cost Tumours that are less than 2 cm or limited to the ampulla appear to have a better prognosis.

The WHO 2010 classification appear to accurately predict patient prognosis, while the ENETS or UICC staging systems have a limited value (especially in regard to lymph node metastases). Radical surgery (i.e. pancreaticoduodenectomy with lymphadenectomy) should be the standard approach in most patients with NET of the ampulla of Vater because this procedure removes all the potential tumour-bearing tissue.”
“Objectives To determine the characteristics and diagnostic value of pseudo-spontaneous and head-shaking nystagmus (HSN) in benign paroxysmal positional vertigo involving the horizontal semicircular canal (HC-BPPV).

Study Design Retrospective case series review.