00 for referral to fertility clinic), or drug prescriptions used

00 for referral to fertility clinic), or drug prescriptions used exclusively to treat fertility CHIR-99021 solubility dmso problems in women (principally clomiphene citrate).24 We considered the date of the first record of a fertility problem during the study period to be the date of a new clinically recorded fertility problem. A detailed description of how we defined incident records of fertility problems is available elsewhere.19 This

definition of new clinically recorded fertility problems was shown in our previous work to generate age-specific rates with comparable patterns with those reported by the Human Fertilisation and Embryology Authority, which reports population-based, age-specific rates of women receiving specialized fertility treatments in the United Kingdom.25 Code lists are available IDH phosphorylation from the authors upon request. Information on women’s sociodemographic factors including age, socioeconomic status, as measured by quintiles of the Townsend Deprivation Index, the most recent smoking status record, and body mass index (BMI) before the first fertility problem record was extracted. For women who did not have a recorded fertility problem, a random date was generated

(pseudodiagnosis date) as a reference to extract the most recent recording on smoking status and BMI. Women were classified as smokers and nonsmokers (including never smokers and ex-smokers). If the medical code did not clearly indicate whether women were smokers or not, they were included in the missing/unknown category. Information on BMI was categorized as follows: underweight (<18.5 PD184352 (CI-1040) kg/m2), normal (18.5–24.9 kg/m2), overweight (25.0–29.9 kg/m2), obese (≥30 kg/m2), and missing BMI. Information on other autoimmune disorders including type 1 diabetes, rheumatoid arthritis, and thyroid disorders also was extracted. We described and compared baseline characteristics among women with and without CD using means, t tests, proportions, and chi-square tests. The

distribution of all types of fertility problems across the study period was examined in both women with CD and women without CD. We estimated the incident rates of new clinically recorded fertility problems as the number of first recorded fertility problem per 1000 person-years. Female fertility is known to decrease with age 26 and 27; therefore, we stratified the rates of clinically recorded fertility problems by 5-year age groups. We used lexis expansion 28 to construct an age-cohort model in which women could contribute person time to more than one age group. Given that the prevalence of CD has increased over time 29 we used an additional lexis expansion to split the study time by calendar year. We calculated age-specific incident rates of clinically recorded fertility problems in women with CD compared with women without CD.

Back then, clear symptoms of overfishing and a harsh conflict bet

Back then, clear symptoms of overfishing and a harsh conflict between artisanal and trawl fishermen (Arculeo et al., 1990) led the Sicilian Government to impose a year-round trawling ban in three gulfs, which is still in place. Similarly to Selleckchem PD0332991 the Hong Kong initiative, the Sicilian Government allowed funds to trawler owners and to deckhands based in the

three gulfs as a compensation for short-term economic losses caused by the ban. A subsidy was granted to locally based vessels that stopped trawling – also out of the banned gulfs – for a minimum of 150 days/year. More importantly, the penalty for law infringement included the cessation of the subsidy: this proved an effective deterrent and, coupled to efficient patrolling, ensured high compliance and good acceptance by the trawler fleet. Monitoring projects carried out in one of the three protected gulfs – the Gulf of Castellammare – showed a mean 8-fold increase of demersal fish biomass on the continental shelf, with mean increments of target species ranging from 5- (hake, Merluccius merluccius) to 33-fold (red mullet, Mullus barbatus) after the first four years of ban ( Badalamenti et al., 2008 and Pipitone et al., 2000). A socio-economic study showed a higher sustainability of the artisanal fishery in the gulf since

the ban, but also the weakness of an initiative that did not take fleet displacement effects into account: artisanal fishermen located immediately outside the restricted area blamed the ban for increased OSI 744 trawling effort along the no-trawl boundary, and complained about increased fuel expenses due to longer trips necessary to reach the protected grounds.

In a few words, while artisanal fishermen inside the no-trawl area were strongly positive towards the ban, those outside were not (Whitmarsh et al., 2002 and Whitmarsh et al., 2003). Fish biomass kept growing until 1999, but it started to decrease slowly in 2001 (Pipitone et al., 2007), possibly as a consequence of illegal trawling: in that year the subsidy was abolished, but the BCKDHA ban was not lifted. Fishermen were allowed only a small monetary compensation for a compulsory 45 days/year fishing halt (“biological rest”, like before 1990) that was granted regardless any infringement of the trawling ban ( Stefanoni et al., 2008). Furthermore there was anecdotal evidence of a relaxation in surveillance. It is interesting to note that something very similar (overfishing – conflicts – trawl ban – fish biomass increase) took place in the same area about one hundred years earlier, when a three-year trawling ban was imposed in the Gulf of Castellammare with a Royal decree in October 1896 (Anon, 1899).

If model discrimination is the principal objective, as assumed

If model discrimination is the principal objective, as assumed

in the preceding section, it is sensible to selleck chemical have many design points, covering a wide range of relevant conditions, but have enough replicate observations to have at least some idea of the pure error. In fact, a measure of pure error is necessary even if one is looking at just one model (rather than comparing two or more), because comparison of the contributions of lack of fit and pure error to the sum of squares allows an assessment of whether the fitted equation is reasonable. It is possible to design an experiment to yield the maximum possible information about parameter values at the expense of all information about model discrimination, and Duggleby (1979) has explained how to do that. One must assume that the correct equation to be fitted is known without any possibility of error, and then choose exactly the same number of design points as there are parameters to be estimated, the exact design points (and the number of replicates at each one) being calculated to be optimal. For mechanistic studies this approach is clearly not a good idea, but even for other purposes it seems unwise, as not only does it eliminate any possibility of knowing whether

the right equation has been fitted, but it also eliminates any information about failure of the equation.

Even see more if the parameters are required only for predicting the behaviour of an enzyme in different conditions it is a risky approach, because it takes no account of the possibility that the assumed equation is insufficiently accurate if it is applied to conditions different from the design points. A more realistic general approach Rapamycin is to follow similar principles of design to those used for model discrimination, taking account of which parts of the design space contribute most to the estimate of each parameter of interest. In some cases these are obvious: estimating the catalytic constant kcat requires some observations at high substrate concentrations; estimating a competitive inhibition constant Kic requires observations at low substrate concentrations, because a competitive inhibitor is most effective at low substrate concentrations; conversely, estimating an uncompetitive inhibition constant Kiu requires observations at high substrate concentrations. In other cases the requirements are less obvious: the value of the Michaelis constant Km depends both on kcat and on the specificity constant kcat/Km, and needs a design that defines both of these precisely. However, although kcat/Km is sensitive to variations in the rate at very low substrate concentrations, it does not necessarily require the concentrations to extend as low as possible.

25 μg/mL fungizone, 100 U/mL penicillin and 100 μg/mL streptomyci

25 μg/mL fungizone, 100 U/mL penicillin and 100 μg/mL streptomycin. HaCaT cells were given fresh medium every 72 h and subcultured

at a ratio of 1:5. Normal human epidermal keratinocyte (NHEK) primary Galunisertib research buy cells were obtained from Lonza (Walkersville, MD). NHEK were isolated from a 68 year old Caucasian male donor. The cells were maintained in KBM-Gold (Lonza, Walkersville, MD) supplemented with KGM-Gold™–BulletKit™ (Lonza, # 00192060). NHEK were seeded at a density of 3500 cells/cm2 and given fresh media the day after seeding and then every 48 h until reaching 70–80% confluency. The human epidermal melanocyte primary cells isolated from a light pigmented donor were obtained from Gibco (HEMa-LP) (Carlsbad, CA), and are referred to as normal human melanocytes (NHM). NHM cells were maintained in Medium 254 supplemented with PMA-free Human Melanocyte Growth Supplement-2 (HMGS-2, Gibco, # S-016–5) 0.25 μg/mL fungizone, 100 U/mL penicillin and 100 μg/mL streptomycin. The cells were seeded at a density of 5000 cells/cm2 and given fresh media the day after seeding and then every 48 h until reaching 80% confluency. HaCaT, NHEK and Primary Melanocytes were

seeded at a 1:10 ratio and the next day they were treated with 1 or 3 μM 5-Aza-2′-deoxycytidine (5-AZC) (Sigma–Aldrich, St. Louis, MO) or 1, 3 or 10 μM MS-275 (ALEXIS Biochemicals, Lausen, Switzerland). The cells were allowed to grow to confluency and then harvested for RNA isolation. Total RNA was isolated from the cells according to the protocol supplied with Selleckchem Verteporfin TRI REAGENT (Molecular Research Center, Inc. Cincinnati, OH) as described previously by this laboratory (Somji et al., 2006). Real time RT–PCR was used to measure the expression level of MT-3 mRNA utilizing a previously described MT-3 isoform-specific primer (Somji et al., 2006). For analysis, 1 μg was subjected to complementary DNA (cDNA) synthesis using the iScript cDNA synthesis kit (Bio-Rad Laboratories, Hercules, CA) in a total volume of 20 μl. Real-time PCR was performed utilizing

the SYBR Green kit (Bio-Rad Laboratories) with 2 μl of cDNA, 0.2 μM primers in a total volume of 20 μl in an iCycler iQ real-time detection system (Bio-Rad Laboratories). Amplification was monitored Erastin purchase by SYBR Green fluorescence and compared to that of a standard curve of the MT-3 isoform gene cloned into pcDNA3.1/hygro (+) and linearized with Fsp I. Cycling parameters consisted of denaturation at 95 °C for 30 s and annealing at 65 °C for 45 s which gave optimal amplification efficiency of each standard. The level of MT-3 expression was normalized to that of β-actin assessed by the same assay with the primer sequences being sense, CGACAACGGCTCCGGCATGT, and antisense, TGCCGTGCTCGATGGGGTACT, with the cycling parameters of annealing/extension at 62 °C for 45 s and denaturation at 95 °C for 15 s.

The combined effect of vitamins restored normal testicular functi

The combined effect of vitamins restored normal testicular function in Cd-exposed rats (Sen Gupta et al., 2004). The effect of dietary vitamin E intake on lipid peroxidation as measured by the production of thiobarbituric acid reactive substances (TBARS) was assessed. It appears that reduction in the increase in TBARS due to Cd-induced

toxicity may be an important factor in the action of vitamin E (Beytut et al., 2003). The protective role of melatonin, an effective antioxidant and free radical scavenger, against cadmium was also studied (Karbownik et al., 2001). Melatonin slightly reduced lipid peroxidation in the testes induced by cadmium. The most common oxidation numbers of arsenic are +5, +3, and −3, in which the element is able to form both inorganic and organic compounds in the environment and within the human body (Hei and Filipic, 2004). In combination Trametinib with other elements such as oxygen, sulphur find more and chlorine the element is referred to as inorganic arsenic and as combined with hydrogen and carbon as organic arsenic. Since most arsenic compounds are colourless and/or do not smell, the presence of arsenic in food,

water or air, is a serious human health risk. Inorganic arsenic includes arsenite (As(III)) and arsenate (As(V)) and can be either methylated to form monomethylarsonic acid (MMA) or dimethylated as in dimethylarsinic acid (DMA) (Arnold et al., 2006 and Wang and Rossman, 1996). The metabolism of inorganic arsenic involves a two-electron reduction of pentavalent arsenic, mediated by GSH, followed by oxidative methylation to form pentavalent organic arsenic. Arsenic trioxide (As2O3) is the most prevalent inorganic arsenical found in air, while a variety of inorganic arsenates (AsO43−) or arsenites (AsO2−) occur in water, soil, or food (Ding et al., 2005). Gallium arsenide (GaAs) is used in electronics industry and has also negative impact on human health. Although gallium arsenide is poorly soluble, it undergoes slow dissolution and oxidation to form gallium trioxide and arsenite (Webb et al., 1986). The toxic effects of GaAs consist of liberated C1GALT1 arsenic enhanced

by the other effects of the gallium. Arsenic is toxic to the majority of organ systems; inorganic arsenic being more toxic than methylated organic arsenic (Mandal and Suzuki, 2002). The trivalent forms are the most toxic and react with thiol groups of proteins. The pentavalent forms possess less toxicity, however uncouple oxidative phosphorylation. Trivalent arsenic inhibits various cellular enzymes, including for example pyruvate dehydrogenase, resulting in a reduced conversion of pyruvate to acetyl coenzyme A (CoA) (Wang and Rossman, 1996). Enzyme inhibition occurs through binding to sulphydryl groups. Arsenic also inhibits the uptake of glucose into cells, gluconeogenesis, fatty acid oxidation, and further production of acetyl CoA.

But such monitoring is not very effective, highly expensive, and

But such monitoring is not very effective, highly expensive, and by its very nature limited in time and space. It is therefore a highly unsatisfactory way of obtaining data for making reliable predictions of global changes. The great variability in the state of marine ecosystems in time and the vast expanses of the seas and oceans require a more systematic approach to their monitoring. One way of achieving this is by means of remote sensing techniques. Many attempts have already been made to use optical remote sensing methods with the aid of scanning radiometers mounted on board artificial satellites. Widely described in the literature (e.g. Gordon & Morel 1983,

Sathyendranath et al. 2000, Burenkov et al. 2001a,b, Arts 2003, Robinson 2010), these methods are based on the recording and analysis of the spectral properties of the light emerging from the sea water in comparison with the sunlight incident on the sea surface. In other CX 5461 words, they are based on the analysis of the http://www.selleckchem.com/products/i-bet-762.html colour of the sea in daylight, which depends on the absorption and scattering of light by the constituents of sea water and is an indirect indicator of their concentrations (including chlorophyll and other phytoplankton pigments). These satellite observations, backed up by in situ test measurements in the sea, enable

the efficient global monitoring of the state of the sea and the processes taking place in it, among them the photosynthesis of organic matter, the release of oxygen and eutrophication. The use

of remote sensing methods in studies of the sea is relatively simple only with respect to the waters of the central oceanic regions, i.e. Case 1 waters according to the optical classification (Morel & Prieur 1977). The great majority of substances affecting the colour of the sea in those regions are autogenic, that is, formed by the local ecosystem – photosynthesis by phytoplankton and the metabolism and decay of marine organisms. In consequence, the spectrum of the light emerging from these waters is correlated with the concentration of phytoplankton and its pigments, principally chlorophyll a, the commonest plant pigment. The concentration of chlorophyll a is therefore an index of phytoplankton concentration, Epothilone B (EPO906, Patupilone) water trophicity and other ecological characteristics of a marine basin. Most of the algorithms now in common use for characterizing the state and functioning of marine ecosystems on the basis of remote sensing data are thus applicable to these waters: they utilize the correlations of their optical properties with the chlorophyll a concentration in surface waters and the correlation of this concentration with other properties of the aquatic environment (e.g. Platt et al. 1988, 1995, Sathyendranath et al. 1989, Platt & Sathyendranath 1993a, b, Antoine & Morel 1996, Antoine et al. 1996, Woźniak et al. 2003, Ficek et al. 2003, and the collective work by Campbell et al. 2002 and Carr et al. 2006).

In the later sleep cycles, the MFV changes from one sleep stage t

In the later sleep cycles, the MFV changes from one sleep stage to another were less pronounced than in

the first sleep cycle. During the transition from NREM sleep to wakefulness, the MFV remained lower than in the evening pre-sleep stage. Even after the patients awoke the next morning, it took several minutes for the MFV to reach the value measured during the pre-sleep phase of the previous evening. There were no significant side-to-side differences between the left and right MCA. When changes in the sleep stages were provoked using brief tone pulses or clicks, the EEG frequency rose, but the MFV remained low or even decreased for a few seconds before rising to the earlier level. CO2 retention by holding one’s breath or CO2 stimulation will lead

to a vessel dilatation of the cerebral resistance vessels and to a decrease of vascular Venetoclax price resistance. Therefore, the relative CO2 reactivity can be defined as the percentage of FV change per percentage of mmHg CO2 change. Although the CO2 test is used as a matter of routine [41] and [42] and although approximately more than 30% of all cerebral ischemias occur at night time, so far little is known about CO2 reactivity during normal sleep. We, therefore, tried to perform a CO2 stimulation during sleep in healthy subjects. During 19 nights the authors [Klingelhöfer J et al., unpublished data] were able to evaluate on 106 CO2 stimulation periods.

In order to be admitted into evaluation, the healthy PS-341 purchase subjects had to reach at least an end-expiratory CO2 concentration of more than 50 mmHg. They also had to be able to tolerate a CO2 accumulation period for a minimum of 90 s. Fig. 6 shows an original recording of the left MCA of a 23-year-old subject during sleep. The topmost recording demonstrates the original envelope curve, the middlemost the course of MFV and the lowermost the CO2 concentration during CO2 stimulation. The increase of velocity Progesterone is clearly visible. From these data the authors calculated the relative CO2 reactivity during different sleep stages for the whole healthy collective. The results show that CO2 stimulation presented no significant differences in light, slow wave and REM sleep as compared to the waking state in healthy subjects. The authors concluded that cerebrovascular CO2 reactivity is maintained during normal sleep. In healthy subjects no significant differences as compared to the waking state have been revealed. During CO2 stimulation in healthy sleepers an increase of mean EEG frequencies in slow wave sleep has been explained as a sign of growing activity within an arousal reaction. A second study examining CO2 reactivity in normal sleep was accomplished by Meadows et al. [43] and [44].

Lysosomes participate in autophagy, required for rapid clearance

Lysosomes participate in autophagy, required for rapid clearance of oxidized proteins and organelles [34] and [35]. Both lysosomes and autophagy are important regulators of mitochondrial turnover, with those in 12/15-LOX−/− macrophages appearing swollen and granular, suggesting they are ‘old’ and damaged, and should have undergone autophagy. The phenotype of cells showing signs of LSD resembles that of aged cells, with abnormal mitochondria and lysosomal storage bodies [30]. There are several common dysfunctions leading to LSDs, including of relevance, the mutation in glucocerebrosidase (Gaucher’s disease) where the lipid glucosylceramide

accumulates in several cells, and is characterized by macrophages containing

selleck screening library high levels of lysosomal lipid [36]. Of relevance, splenomegaly is also a feature of Gaucher’s disease, also previously observed in mice with 12/15-LOX−/− deficiency [37]. Preventing autophagy DNA-PK inhibitor leads to mitochondrial damage to the cells due to oxidative stress [38]. A progressive increase in autophagic vacuoles is in accordance with disproportionate organelle damage and degradation, recognized as ‘autophagic stress’, and is consistent with the phenotype of 12/15-LOX−/− macrophages seen herein [39]. In this study, autophagosomes were seen as inclusions with double membranes (Fig. 1). Primary LSDs are commonly associated with ‘swirls’ in cells, but they were not present in 12/15-LOX−/− macrophages [40]. This suggests that the dark inclusions, identified as storage bodies, are not the primary storage compartment for this undigested material. LC3 and its yeast homolog Atg8 are considered important markers

and effectors of autophagy, undergoing covalent linkage of the C-terminus to the PE headgroup, leading to anchoring on the cytoplasmic and luminal sides of autophagic vesicles. Currently, the identity of the specific molecular species of PE that are conjugated to LC3/Atg8 are unknown and herein our observation that HETE-PE can be conjugated to these proteins, and indeed is a preferred substrate in the yeast system, functionally links phospholipid Selleckchem Gemcitabine oxidation with autophagy for the first time (Fig. 2 and Fig. 3). We note that levels of LC3-I and −II appeared normal in 12/15-LOX−/− mice however, suggesting that the defect in these cells is upstream of this protein. 12/15-LOX generates oxidized phospholipids that remain cell associated in macrophages, including derivatives that contain reactive carbonyl groups termed keto-eicosatetraenoic acid-PEs (KETE-PEs) [41]. We previously showed these can form Michael adducts with proteins, and herein, that one of them is an effective substrate for LC3 lipidation ( [41], Fig. 1). Thus, the absence of these in the knockout could lead to loss of function of key autophagy proteins, required for effective clearance of aged organelles.


“Cancer patients are confronted with a life-threatening di


“Cancer patients are confronted with a life-threatening diagnosis and face difficult and life-altering treatment decisions. Many patients experience distress, uncertainty and vulnerability [1].

A trusting relationship with the oncologist can alleviate patients’ burden, increase involvement in decision-making and reduce the inclination to request a second opinion [2], [3], [4] and [5]. Hence, trust in the oncologist is important. However, since not much empirical research has shed light on why and how cancer patients’ trust their oncologist [6], we know little about the realization, strength, predictors, and consequences of cancer patients’ trust. Apoptosis inhibitor To gain a better understanding of patients’ trust, one first needs to be able to assess it. The only instruments available to date were developed in the primary care setting [2], [7] and [8]. The most recent of these, Hall et al.’s Physician Trust Scale [2], has been validated most extensively Protein Tyrosine Kinase inhibitor [9]. However, this scale might not be fully applicable to cancer patients because of the specific nature of the oncology setting. We therefore recently developed an oncology-specific trust measuring instrument in Dutch, the Trust in Oncologist Scale (TiOS), and established its reliability

and validity among Dutch cancer patients [10]. The suitability of the TiOS for English-speaking cancer patients has not yet been confirmed. To allow for cross-cultural comparison, we validated an English translation of the TiOS among English-speaking Australian cancer patients. Dimensionality, construct validity, see more and reliability were assessed. The TiOS was based on Hall et al.’s 10-item ‘Physician Trust Scale’ [2], and on qualitative data regarding cancer patients’ explanations of trust [11]. A five-dimensional model of cancer patients’ trust was constructed, encompassing competence, fidelity, confidentiality, honesty, and caring. Appropriate items for all dimensions were collected from the ‘Physician Trust Scale’ and

related scales [2], [7], [12] and [13], or newly constructed. The resulting 33 candidate-items were pilot-tested. During questionnaire validation, the ‘Confidentiality’ dimension was removed. The final 18-item scale comprised four dimensions, i.e., (1) Fidelity; the oncologist’s pursuit of the patients’ interests, (2) Competence; the oncologist’s medical skills, (3) Honesty; telling the truth and avoiding intentional falsehoods, and (4) Caring; the oncologist’s involvement, sympathy and devotion of attention to the patient. For a full description of the construction of the TiOS, see Hillen et al. [10]. The TiOS was translated into English following a forward-backward procedure [14]. Adult, English-speaking cancer patients in treatment or follow-up were recruited from four Medical Oncology and Radiation Oncology departments of three hospitals in the Sydney area.

A não resposta ou o desenvolvimento de resistência em segunda lin

A não resposta ou o desenvolvimento de resistência em segunda linha resulta na transição para um dos estados «Falência» (Falência HBC, Falência CC e Falência CD) onde não há terapêutica instituida, a carga viral está detetável e o risco de progressão da doença, de desenvolvimento de CHC e de morte é elevado. Uma vez que as probabilidades de ocorrência de eventos, de progressão e de resposta ao tratamento diferem, de acordo com o padrão do AgHBe (positivo ou negativo), foi desenvolvido um modelo para cada padrão do AgHBe. O resultado final resulta de uma média ponderada (pelas proporções observadas na população portuguesa) dos resultados para cada

padrão do AgHBe. Neste estudo foram utilizados diversos indicadores de resultados em saúde, nomeadamente os AV e os AVAQ, MEK inhibitor mas também as proporções de (i) seroconversão AgHBe permanente ou a perda do AgHBs, (ii) falências em primeira linha, (iii) novos casos de CC, (iv) casos de CHC e (v) TH. O efeito terapêutico das alternativas em comparação foi baseado em ensaios clínicos, sendo considerados 3indicadores: taxas de resposta, de resistência e de seroconversão (tabela 1). O indicador Dapagliflozin price de resposta utilizado é a percentagem de ADN-VHB indetetável às 48 semanas. Para períodos posteriores àqueles para os quais existem dados, foi

assumida a manutenção do último valor observado (estando estes valores indicados a itálico na tabela 1). Os doentes em estudo estão sujeitos a 3 categorias de risco: risco acrescido de morteb, risco de progressão da doença e risco de ocorrência de eventos. Embora existindo exceções, estes riscos tendem a ser superiores em estádios mais avançados da doença e em doentes com ADN-VHB detetável. Phenylethanolamine N-methyltransferase Os valores utilizados e respetivas fontes encontram-se descritos na tabela 1. No que respeita ao risco de transplante no estádio CD e CHC, a estimativa utilizada foi baseada em dados não publicados fornecidos pela Direção-Geral de Saúde (DGS) e INE. De acordo com o INE, em 2007 houve 1526 mortes por doença hepática. No mesmo ano,

de acordo com dados não publicados da DGS, houve 251 transplantes, dos quais 165 por doença hepática. Considerando que os indivíduos não transplantados teriam morrido, assumiu-se um risco de transplante de 10%. De salientar que este parâmetro difere significativamente do estimado para os restantes países englobados no estudo internacional onde se observam taxas significativamente mais elevadas. No que respeita à mortalidade por TH, a probabilidade de morte nos primeiros 3meses e após esse período foram estimados a partir dos dados publicados por Martins18 relativos aos 3 principais centros de transplantes em Portugal, entre 1993 e 2006. Aos valores reportados por Martins18 foi ajustada uma função exponencial por forma a obter uma probabilidade de morte anual após transplante, conforme apresentado na tabela 1.